HomeMy WebLinkAbout2709 OLYMPIA DR; ; 84-471; Permit.,, z 0 ~ a:: C ... 0 ... 0
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I hereby affirm that I am llcensed under
rovlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
end Profeaalons Code, and my llcense Is ,n
full force and effect. lie No ______ Cross
I hereby altlrm that I am exempt from the Contra<·
tor"s ucense Law for the fOIIOWing reason (Set 7031 5 Bus,ness and Proless,ons Code Any c,ty or coun1y whtttt re· quires a permll to construct. a:ter improve. demol~h. or
repair any structure. priOf to I1s Issuaoce also requ,res :heap·
pltcat'lt tor such perm,1 to Me a signed statement that he ,s
lttensed pursuant to the PfOVtsions of the Contractor· s License Law (Chapter 9 commeOC1ng w,th Sett,or, 7000 of
0.Vlsion 3 of tl'\e Business arw:, Pfofess,ons COdeJ M that 1s ex empt therefrom and the baSls for the atregea exempt,on Any
v,otation of Sett10<1 7031.5 by an appln:ant for a perm.I S1Jb-,ects the apphcant to a CIVIi penalty of not more thin five hun-dreo dollars (S500J
I as owner OI the property. or my employees ,.,th wages
as their ~e compensa1,on, wm do the wOfk. and !he strut·
lure ,s not intended or ottered tor sale (Sec 7044 Bus.ness
and Proless1ons Code The Con1ractor · s Ltcense Law does
riot appty to an owner 01 property who Dulkis or tmpfOYeS
lhefeon and who does such work h1mseJf o, 1hrough his own employees, provided lhat such improvements are not mlend·
ed or offeied for sale ff' however' Ille bUllding or IITil)fOVe• meni is sold w1thtn one yeaf ot CO'Tl.JM!lton, the ownef·bu1tdef win haw the burden ot Pf<Mng that lie did not bwld or im·
piove for the purpose ot sale)
D I, as owner of !he property, am e1tclus,vely conuacung with hcensed contractors to construct the pro,ect (Sec: 70.U
Business and Profess.ons Code The Con1ractof's License Law does not apply to an owner ol property who builds or 1m•
proves thereon. ano who contracts for each prOfeCls Wllh a t:,!,3c1otjs) hcense pursuan1 10 the Contraclot's license
:J As a ,,..,_ner I am rnpr<Mng my home, and the follow
ing cond1t1ons exist 1 TIie work is being performed poor to sale
2 ~1=v1~ =:1e\~tJ !~wot':' tweNe months
3 I have not da~ th,s exempt10n duung the lasl lhree years
g :~:r:' unoer Sec _______ B & PC -------------
□ I hereby atlum lhal I n.a~e a cen,hcate ol consent to self insure 01 a cen1hcate ot W01kers
Compensa11on Insurance. or a cenif1e<l copy lt\e1eof
(Sec 3800 Lat>O< CO<lel
POLICY NO
COMPANY
□ Copy 1$ filed wtll"I the City
D Cen1hed copy 15 hereby lurn,shed
CERTIFICA Tl OF EX!cMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need not be compteled ,I lhe ~rm11
Is fOf one hundred dOllars IS 1(X)) Of ,essl
I cen1ty that ,n the perto,mance ot lhe woo. IOf th,s permit Is issued I shall no1 employ any
In Miy manner so as 10 become su1>tec1 tu
1,t,.~s· Compensa11on Laws ol Calitorn,a
'ICE TO APPLICANT It at1e, makm1 lhtS Cer11
l,cale ot Exem01-on you shOuld Decome subt«t t?
the Wor1'ers Compens.hon prov1s,ons ot 1ne labOf
Code you musl forth""''"' comply w11h such 0rovI51ons or th•s perm,1 shall De deemed re..-011ec
0 I t,eteby athrm lhat lhere ,S a coos1ruc1Ion
Ieno,ng agency to, me pertormance of 1he ""on,. ror which !ht$ pe,m,1 IS ,ssueo ISec .3097 c,v1I Codel
Lenders Name ___________ _
Lenc>er s Aooress __________ _
USE BALL POINT PEN ONLY & PRESS HARD "'rr ~•v-, ••. -----CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 E_l_m. Carlsbad. California 92008-1989_1619) 438-5525
NEAREST CROSS ST -DATE OF APPLICATION BUSINESS LICENSE• VALUATION 4PERMIT NUMBER
eµ~-~ Y-2.'8~~ I~.... d'1 JOB ADDRESS
2709 OLY1t1f'J II
All ST RO
()r.
AS,~~'t.!t~~ ~~ '° u CONTRACTORS PHONE • ZONE 7 / / LOT
/?41
BLOCK l suao,v,_s,o"
OWNER S NAME OWNER'S PHONE L ,-., t"' 'I 3 n CONTRACTOR'S A RESS / LICENSE NO PLAN 1.0 . # BLOG use COOE
I FvrtL .S I cl { ,
OES1GNER LICENSE• STANOARO PLAN# BUILDING SO. FOOTAGE r
,yz__t:::;., ,.) ll.. ~ ...
F/P FLA ELEV .
YO NO
NO
STORIES
DESIGNER'S PHoi.e
OCC GP EDU
CENSUS TRACT I GP LANO use I PARKING SPACE I RES UNITS 1 GRACING PERMIT ISSUEO
y D ND I REDEVELOPMENT
AREA
vO NO
TYPE
CONST
OCC LOAD Fl RE SPA
vO NO Not V~lid Unlns lbchine Certified
QTY.I PLUMBING PERMIT -ISSUE '7.SJ QTY.I MECHANICAL PERMIT· ISSUE <.~-SUMMARY/ACCOUNT NUMBER ...A
EACH FIXTURE TRAP I I I INSTALL FURN DUCTS iJP TO 100,000 BTU I I BUILDING PERMIT 01 ·00·00·8220 /7.:,......-
EACH BUILDING SEWER I OVER 100,000 BTU SIGN PERMIT 01·00·00·8221 --l EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00·00·8806 -~
EACH GAS SYSfEM 1 TO 4 OUTLETS . BOILER/COMPRESSOR 3 15 HP • TOTAL PLUMBING 01-00-00·8222
EACH GAS SYSTEM 5 0 R MORE . METAL FIREPLACE . ELECTRICAL 01 ·00·00-8223
EACH JNSTAl. ALTER, REPAIR WATER PIPE . VENT FAN SINGLE DUCT . MECHANICAL 01-00-00·8224 --EACH VACUUM BREAKER . MECH EXHAUST HOOD DUCTS . MOBILEHOME filO·OQ-82~
WATER SOFTNER I I I RELOCATION OF EA FURNACE,HEATER I U MOBILEHOME PARK INSP I I EACH ROOF DRA,N J'JSIDEI I ~ I TOTt;L MECHANICAL I STRONG MOTION I t SOLAR ----_o 1 -Q0·00:.8226
80·92-33·0519
01-00-00·8227
l
TOT Al PLUMBING
QTY. ELECTRICAL PERMIT -ISSUE S-QTY. I SOLAR -ISSUE
NEW CONST EA AMP SWT BKR COLLECTORS
J PH 3 PH STORAGE l AN KS
EXISf BLOG EA AMP SWT BKR ROCK STORAGE
1 PH 3 PH PUMP
REMODEL Al TtR PER CIRCUIT PLAN CHECK FEE
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
TOTAL ELELTRICAL l TOTAL SOLAR
I
FIRE SPRINKLERS
PUBLIC FACILITIES FEE 32-00-00·893)
BRIDGE FEE
SCHOOL FEE • DISTRICT -------. -
Carlsbad 80-92-21-0519
Encinitas 80·92-22-0519
San DreJlUIIO 80-92·23-0519
San Marcos 80·92-24·0519
LICENSE TAX 01-00-00-8162
MFF B0-92-57-0519
CREDIT DEPOSIT
TOTAL FEES PAYABLE [ 3/~J:
* AN OSHA PERM:T IS REOUIAED FOR EXCAVATIONS OVER
5· 0 DEEP ANO DEMOLITION OR CONSTRUCTION O•
STRUCTURES OVER 3 STORIES IN HEIGHT
I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION AND PERMIT" AND'DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS.AP,E TRUE AND COR.RECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON
STRUCTION WHETHER SPECIFrED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND '-f'=:'£~~c=:l:-1p~~==~~~!p.~~~~~!£..!!!.J.!!!!..;WL-\./-....... ----------.------------"'
KEEP HARMLESS THE CITY or CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND APPROVED BY ;/-
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
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~ ' ,-1. •I' I TYPE ' DATE INSPECTOR -
_l .. ,, .g,4'-'-1-l / . BUILDING I ' '
FOUNDATION I rY. la--~ ~ ,:. _, /.,,, I) FIELD INSPECTION RECORD
REINFORCED STEEL I I -REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY i REO IF INSPECTORS
GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE .
FLOOR & CEILING SUB FRAME ' I SOILS COMPLIANCE
SHEATHING □ ROOF □ SH8AR PRIOR TO
' FOUNDATION INSP FRAME I STRUCTURAL CONCRETE EXTERIOR LA TH i OVER 2000 PSI
INSULATION i PRES TRESSED
CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED
' CONCRETE '
I
PLUMBING I FIELD WELDING
SEWER AND BUCO D IPUCO I HIGH STRENGTH I BOLTS UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ W~TER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST ' I PILES CAISSONS
□ WATER HEATER □ SOLAR WATER
l
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ l)FFER ' ~ .
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPO~ARY <..
' .
□ BONDING □ POOL
~ I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPINµ
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I .....
I
CALL FOR FINAL INSPECT~~N WHEN ALL APPROPRIATE -
ITEMS ABOVE HAV BEEN APPROVED. -·
FINAL I ~\VV ,,,.
PLUMBING I ~~~ I -
ELECTRICAL I ,/ \) (l 7~ .. /////
" ' MECHANICAL ' lcfr'/, ~""' \ I
6?".,../\ ~" ~. ,, t GAS I .
" ,
BUILDING ' {J ~{/' I
SPECIAL CONDITIONS I \
I
I
. PLJ\N-CHECK NUMBER Lj-J/
PLANNING: TYPE OF STRUCTUR¢'~__:=--------------ZONE:
SCHOOL FEES: SAN DIEGUITO --------ENCINITAS --------
CARLSBAD --------SAN MARCOS _______ _
% COVERAGE ------------REQUIRED SETBACKS ------
BUILDING HEIGHT ----------FRONT ----------
FENCES/WALLS __________ _ SIDE _________ _
-TWO CAR GARAGE REAR _________ _
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-----------
COMMENTS: ----------------------------
REDEVELOPP1ENT APPROVAL REQUIRED: ______________ --'----
LANDSCAPE PLAN COMMENTS:
ENVIRONMENTAL REQUIREQ_: ____________________ _
ENGINEERING LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKED? __
P.F.F. ________ PARK IN LIEU _________________ _
R.0.1~: IMPROVEMENTS: _______________ _
________________ E.D.U: _____________ _
SEWER:
LATERAL: DRIVEWAY:
GRADING PERMIT:
DRAINAGE:
EASEMENTS: ADDITIONAL COMMENTS:
OK TO ISSUE : DATE:
* ENGINEERING INSPECTION REQUIRED: __________________ _
PUBLIC ~!ORKS INSPECTOR : _____________________ _
FINAL OK: ------------DATE: _____________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTI'1ENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)