HomeMy WebLinkAbout2709 OLYMPIA DR; ; 85-44; Permit"' z 0 ;:
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' ' O I hereby alllrm that i";;m licensed under
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provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is In
full force and effect. t,c No ______ Clm
I hereby alhrm that I am exempt from the Conirac•
tor's License Law lor the lollow,ng reason (Sec 7031 5 Business and Professions Code Any cI1y Of county wtach re·
quires a permit to construct, alter. improve, demohsh, ot repair any struclure. prior to its issuance also requires !heap·
phcanl tor such perm,1 to file a s19ned slatemenl thal he 1s licensees pursuan1 to the prov1srons of the con1ractor"s
license Law (Chapter 9 commencing with Seclion 7000 of
O1v1s10n 3 o1 the Busmess and Pr01essions COde) or that 1s ex-empt therefrom and the basis tor the aregea exemphon Any
v,olallon ot Sectt0n 7031.5 by an applicant IOI' a perm11 sub· Jects the app11can1 to a c1Vil penalty ol not more Uran five hun·
dred dollars ($500),
I. as owner of the property. or my employees 'N1th wages
as !heir sole compensation. will do lhe work, and lhe struc·
ture Is not ,ntended or oflered for sale (Sec 7044 Business and ProfesS1on~ Code The Contractor's License Law does
not apply to an owner of property who builds Of improves thereon and who does such WOfk himself or through his own
employees, provtded that such U"l1provements are not intend·
ed or offered !or sale. If, however, the bu tiding or improve-ment is sold within one year of completion, the owner-builder
w,11 have the burden of proving that he did not build or im• prove for lhe purpose of sale)
0 I, as owner of the property, am exclusrvely C'Onlractmg
with licensed con1ractors 10 construct the pro1ect (Sec. 7044,
Business and Professions Code The Contractor's Ltcense Law does not apply to an owner ot property who butlds m im· proves thereon. and who contracts for each proIects with a
contractor(s} license pursuant to the Contractor"s Ucense Law)
0 As a homeowner 1 am Improving my home, and lhe follow ing conditions exist· 1 The work is being performed pnor to sale. 2. I have hved in my home for twelve months
priof to compJe11on of this work I have not claimed this exemption during the
last three years.
g 1th~:r:e;:;gt under Sec ______ , 8 &. P C
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0 I hereby affirm that I ha..-e a certificate ol consent
to self insure, or a cen1f1caIe or Workers
Compensation Insurance. or a cert1f1ed copy !hereof !Sec 3800. Labor Godel
POLICY NO
COMPANY
□ Cooy ,s llled with 1ne c,ty
D Cert1t1ed copy Is hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS COM PENSA T!ON INSURANCE (This section need not be completed ,I lhe perm,I
,s 10, one hundre<J dollars (SIOO) or tessi
0 I cer11ty that in lhe pertormance ot the work tor
which this permII Is issued. I shall not employ any
person '" any manner so as to become subIecI 10
lhe Workers Compensation Uiws ot Ca11torn1a
NOTICE TO APPLICANT II_ after maktn~ trus Cer11
hcate of Exemption. you should become subIecI I'> lhe Workers Compensation provIs1ons of the Labor
Cooe. you must tonh"";1th comply with such
prov1s1ons or th,s permit shall oe deemed re ... okeo
D I hereby afl1rm that there 1s a consiruct,on
tending aoency tor the oerlo,mance ot !he wor1<. lo,
which 1n,s permit 1s ,ssue<J 1Sec 3097. C1Y1I Cooe1
Lenders Name ___________ _
Lenders Address __________ _
u,u DI\LL !'VIiii l'tll Vllll 6 l'llt:):) n"IIV Mr"r"'L.l\.,#'\l't I IV rlL.L. 11'1 ll'trvnml"\ I 1\.11• •• 111 .... .JI 11"\IJ'L..U l"\nL...I"\ ,.., • .., ""L.""'"'-"'""' '"''•"-'•
\ .......... CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT -.., .. ,-
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS AV, ST.RO. NEAREST CROSS ST I DATE OF APPLICATION I BUSINESS LICENSE ti VALUATION ,./ PErt.)Nl/M_BER
"'7nO t J,,,,.,nln r1,,, ~T 1-11,_,;:c 771?0 -z-70£) ~ PJP!;' LOT BLOCK .. I sueo1v1s10N I ASSESSOR PARCEL NO. CONTRACTOR -CONTRACTORS PHONE • ZONE .
OWNER'S NAME I OWNER'S PHONE 11n •re>_ <::. J-., ,., ,/J,., ,. <.;l..?-,~7/J,
CONTRACTOR'S AOORESS • LICENSE NO PLAN 1.0 . # BLOG USE CODE
[!}h mv/ lf.i/(A« /o,tta. 4"J4-/J5:J.. ??c; J/nn ,,., I,.,; DP. IT. A .j,-;?_ -r I.. c;f:,701.. OWNER'S MAIL1NG'-AOORESS
DESIGNER LICENSE " STANDARD PLAN# BUIL°J:J.,;;;OOTAGE '17no 111, -~ .... r_., ~t.-..1 rlJ ,.
DESCAIPT,ON oF·wORI< '11.:,.1, ,;'\,., r-~,.
DESIGNER'S AOOAESS . OESIGNE R'S PHONE
225 fl.an. ia..uu JR. 942-6 48 oolfrkVt's I "·S
-P.aU.o Cou~ .ta. .tb.e.. h.c,U4&.
U-ld;ta. I I I~/ e5 6 ~t~I
F/P . FLA ELEV. NO OCC GP EDU
G),r; t2. ~ 1'Z A-1'\ ":5:'o ,_.,,,,,. ~ ,, STORIES
vO NO
CE NS\J' TRACT I G P LANO USE I PARKING SPACE I RI\! UNITS GRADING PERMIT ISSUED I REOEVELOPMENT TYPE OCC LOAO FIRE SPA AREA CONST
YO N □ v O NO vO NO Not Valid Un~s Machine Certified
QTY. PLUMBING PERMIT -ISSUE 7,£!!-QTY. MECHANICAL PERMIT -ISSUE 3-SUMMAR~ACCOUNTNUMBER
-A -
EACH FIXTURE TRAP , INSTALL FURN. DUCTS iJP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 ~x ,'"1o
EACH BUI LUING SEWER OVER 100.000 BTU SIGN PERMIT 01-00-00-8221
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 "2--,._(. OJ
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSO R 3-15 HP TOTAL PLUMBING 01-00-00-8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223
EACH INSTAL . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00·8224 ---EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN !INSIDE) SOLAR 01-oo-oo-a226
TOTt.L MECHANICAL STRONG MOTION 80-92-33-0519 ---TOTAL PLUMBING I FIRE SPRINKLERS 01 ·00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE .<---QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32·00-00-893)
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE · DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLDG EA AMP SWT BKR ROCK STORAGE Enc,nilas 80-92-22-0519
1 PH 3 PH PUMP San D1eguIto 80-92-23-0519
REMODEL Al HR PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP PO LE 200 AMPS -OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYSI MFF 80-92-57-0519
CREDIT DEPOSIT ,i
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I J_~S';,
-Exp,rat,on Every permit issued by the Bu1ld1ng Off1c1al under the prov1s,ons of this I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY * AN OSHA PERM:T 1$ REOUIAED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall 8XPfr8 by hm1tat1on and become null and void If lhe budding or w ork 5 0" DEEP AHO DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit ,snot commenced w,thm 180 days from the date of such STAUCT\JRES OVER 3 STORIES IN HEIGHT permit. or 1f the bu1ld1nft or work authonzed by such permit ,s suspended or ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON at>andoneo at anv 1,me a er the work ,s commenced lor a oenod ol 180 d••• STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT"S SIGNATURE If OWNER□ CONTRACTOR 0
A~ 17'1~ KEEP HARMLESS THE CITY OF. CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE X1"nl> l'i~.f ~-,.,, BY PHONE 0 GRANTING OF THIS PERMIT
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TYPE I DATE INSPECTOR
BUILDING I
-8S--4t+ ! .
--
FOUNDATION I
_l FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
_I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME J
I
SHEATHING □ ROOF □ SHBAR
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -
REQ IF INSPECTOR S r .... INSPECTION DATE -CHECKED APPROVAL -. -
SOILS COMPLIANCE
PRIOR TO
FRAME I
_I
EXTERIOR LATH I
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
I
INTERIOR LATH & DRYWALL I
PRESTRE SSED
CONCRETE
POST TENSIONED
' CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO □IPUCO ' I
UNDERGROUND □ WASTE □ WATER
HIGH STRENGTH
BOLTS
TOP OUT □ WASTE □ W_!TER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST ' I PILES CAISSOrs.S
□ WATER HEATER □ SOLAR WATER
' I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □_QFFER ... '.~ . , I
ROUGH ELECTRIC I ...... -
□ ELECTRIC SERVICE □ TEM PO_'i_ARY ' .. •; ,_,_ -□ BONDING □ POOL I -r , ,
I -
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPINP -· . -,.
I
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HEAT -AIR COND. SYSTEMS I -:-
VENTILATING SYSTEMS I ' -. -. '1 I,,_ -" I
ITEMS ABOVE HAVE BEEN APPROVED.
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FINAL I , .. -. 0
PLUMBING I .
ELECTRICAL I
MECHANICAL I ' I, '
GAS I ~ t ........ r ' .
'-8 BUILDING I --'• \ --, . ~ ... '. 1., \
SPEC'1AL CONDITIONS I
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