HomeMy WebLinkAbout2714 OLYMPIA DR; ; 84-387; Permit<II z 0 ~ IIC < ... u w 0
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I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license Is In
full force and effect.
Lie No ______ Cl•ss
I hereby affirm 1hat I am exempl lrom lhe Contrac·
tor's Liunse Law lor !he lollowmg reason (Sec 70315
Business and Professions Code Any city Of county which re-quires a permII lo construct, alter. improve. demolish, or repair any structure, pnor to its issuance also requires !heap-
plicant tor such permit 10 lile a S19ned statement that he is licensed pursuant lo !he prOVtSiOns ot the Contracto(s
License law (Chapter 9 commencing with Section 7000 of 0rvis1on 3 of the Business and Protess1ons Code} or lb.at 1s ex-empt lherefrom and the bas.is for the allegeo e,:empt,on Any
>iolal,on of Section 703t.5 by an apphcanl IOI' a permrl sub-Jetls the apphcant 10 a CIVIi penalty of not more than t,ve hun-
dred dollars ($500)
0 I. as owner of the propeny. °' my employees with wages
as their sole compensa.1,on, will do the work. and the strut·
lure 1s not intended or ottered !or sate (Sec. 7044, Busmess and Profession~ Code. The Contractor's License Law does
nol apply to an owner of property who builds or improves
!hereon and who does such work himself or through his own employees, provided !hat such unprovemenls are not intend·
ed or ottered for sale. II. however, lhe budding or improve--ment is soJd w1ttun one year ot comp"hon, lhe owner-builder
will have the burden o1 prOVlng that he dtd not build or Im·
11<ove IOI' the purpose ol sale).
D I. as owner ol the property, am exclusively contractir,g with »tensed contractors to construct the pro"ject (Sec 7044,
Business and Professions Code: The contractor's License Law does not appty to an owner of pr()perty who buikSs or im-
proves thereon. and who contracts tor each projects with a
contractor(s) ffcense pursuant to the CootractOf's License Law).
D As a homeowner I am improving my home, and the follow·
ing conditions exist:
1. The work is being pertormed prior 10 sale. . .
2. I have lived in my home IOI' twelve 1,~· . ~ pnor to completK>n of this work. ·• .,
last thr~ years. ~--
□ I am exempt under Sec. ______ • 8 & P.C."
USE BALL.POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT -APPLICATION & PERMIT
n-1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
JOB AOORESS AV. ST. RO NEAREST CROSS ST.
107-0/~L~IONI
BUSINESS LICENSE #
Vi;roN
~)'AMIT NUMBER
::!_ 7 /.// OLy,1/'r'/A ,£}4.. ,£,Lij
LOT BLOC)( I SUBDIVISION I ASSESSOR PARCEL NO CONTRACTOR I CONTRACTORS PHONE • ZONE , ~1:>1 u,, '-I "!, :2.. ;i., eO ~)EL/' OWNER'S NAME
,~;#;?NE r:.:c:?J/2-CE £f?aewN CONTRACToR·s ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
~\/::-~-r OWNER'S MAILING ADDRESS
~?/J/ e>LWP/4 ..D/2..Ji,~ OESIGNER LICENSE" STANOARD PLAN# BUILDING SO. FOOTAGE
r::5~LF OESCR'J:!B;/7'lfl( ~c:Z, 1-z-' ')(.. I '-1,. I DESIGNER'S ADDRESS OESIGNER•S PHONE
r c::::::-L F 7 I I ~/t:14 ... c.~-2 6, /,j[
-~ -~-F/P FLR ELEV. NO OCC GP EDU tJJLdt:l2U2 7/ lf:I/BLI 26.4( STORIES -·-
vO NO --
CENSUS TRACT I GP LAND USE I PARl(ING SPACE I RES UNITS I GRAOING PERMIT ISSUEO I REDEVELOPMENT TYPE OCC LOAD FI RESPR AREA CONST
y O N 0 vO NO vO NO Nor Valid Unll!ft Machine Certified
QTY. PLUMBING PERMIT -ISSUE ...,~ QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER ,
i:ACH FIXTURE TRAP , INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·00-00-8220 /t,-:, -
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 .
EACH WA TEA HEA'rER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 /fJ.4l
EACH GAS SYSTEM 1 10 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00·8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00·00·8224
3. I have not claimed this exemption duri _ .•• .
. .. !or this reason_____________ ~~7 EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-00-00-8225
D I hereby affirm that I ha'le a certificate of consent
to sell-insure. or a cert1f1ca1e ol Workers·
CompensaltOn Insurance. or a eer11f1ed copy tnereot
(Sec 3800. Labo< Godel
POLICY NO
COMPANY
□ Copy IS hied Wllh ,ne cit~
D Cert1t1ed copy Is hereby furnisllecl
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Thts section need not be completed 11 lhe oermI1
Is tor one hundred OOllars 1SlC)O) Of less)
O I certify that in the performance ol lhe work tor
wh1cn this permI1 ,s ,ssued. I shall no! employ any
pets.on In any manner so as to become subIect 10
!he Wonters· Compensatt0n Laws of Cahfo,n,a
NOTICE TO APPLICANT It, after makinJ 1nIs Cer1,
hcate ol Exemp1ton. _you shoukj oecome sut>1ec1 I?
lhe WOOl.ers· Compensation pro-.,,s,ons of the Labor
COde. you ·mus! tonh-.111"1 comply wI1n such
provisions or tt11s perm11 shall be deemed ,evo~eci
O I hereby afl,rm that !here ,s a cons1ructIon
Iend1ng ~ency tor tne pertormance or tne wor1i1. tor
which UllS permit tS issued !Sec J097 C1v,I COde1
Lenders Name ___________ _
Lenders Address __________ _
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a •·.-. . WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN {INSIDE) SOLAR n1-flll-OO-A??I.
TOTJ.L MECHANICAL STRONG MOTION 80-92-33-0519
TOTAL PLUMBING I FIRE SPRINKLERS 01 ·00-00-8227
QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00·00-8933
QTY. ELECTRICAL PERMIT -ISSUE s-BRIDGE FEE
NEW CONST EA AMP/SWT BKR COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH ' STORAGE TANKS Carlsbad 80-°92-21-0519
EXIST BLOG EA AMP/SWT /BKR ROCK STORAGE Encinitas 80-92-22-0519
I PH 3 PH PUMP San Dieguito 80-92-23·0519
REMOOEL'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYSI . ,M,t:::.,t; ~
CREDIT DEPOSIT
TOTAL ELElTRICAL I . TOTAL SOLAR TOTAL FEES PAYABLE -I 7/4,,./-o -·
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMlr AND 00 HEREBY Exporat,on Every perm,t issued by 1t,e Bu~d,ng Olf1cr11 under the prov1S1oos of lhlS * AN OSHA PERMIT IS REQUIRED FOf! EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expare by hm,tat,on and become nutl and void If hie building or work 5· O" DEEP AHO 0£MOl.lTION 0A COIIISTIIUCTION OF authorized by such perm,t ,snot commenced withm 180 days from the date of such DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS =~:i •~t t=y ~,;::1~x.~~r.:'=!,:~!h:~~.:;~~ :9~7.~'~t~~~ or
STAUCT\JfltS OYER 3 STOAIES IN HEIGHT I
ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON
STRUCTIDN WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ~CANT'S SIG~ OWNER□ CONTRACTOR 0 APPRO.JBY ,', '7/1 I 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 ~~ BY PHONE 0 -,,l /11 /11/-GRANTING OF THIS PERMIT , 'L . ~A--,_I-• ..
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TYPE I DATE INSPECTOR . -gt.f .-3>fC7 • . 'II. •
BUILDING I I .. '\
F FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I ,
_i REQUIRED SPECIAL INSPECl IONS INSPECTOR'S NOTES
MASONRY I_
REO IF INSPECTORS \ INSPECTION DATE GUNITE OR GROUT I CHECKED APPROVAL ---
FLOOR & CEILING SUB FRAME I , ........ I SOILS COMPLIANCE .--~,
SHEATHING D ROOF D SHF.AR PRIOR TO
rouNDATION INSP FRAME I
I STRUCTURAL CONCRETE EXTERIOR LATH l OVER 2000 PSI
INSULATION I PRESTRESSED
CONCRETE INTERIOR LATH.& DRYWALL I POST TENSIONED
I CONCRETE I
PLUMBING I FIELD WELDING
SEWER AND BUCO DIPUCO I I HIGH STRENGTH I BOLTS UNDERGROUND D WASTE D !J\IATER -
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN .
I
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR W~TER •
t
ELECTRICAL l
D ELECTRIC UNDERGROUND □1UFFER '\ '· . -\ -;;,
\ ROUGH ELECTRIC ; . .
D ELECTRIC SERVICE D TEMPQRARY '. \ . "
I D BONDING D POOL . -.... "lo-~ ,, . ,< I ... "'!'.
: s .
MECHANICAL I
D DUCT & PLEM., D REF. PIPING -• r
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I -«:-' ' I -' CALL FOR FINAL INSPEC~ON WHEN ALL APPROPRIATE ~
ITEMS ABOVE HA E BEEN APPROVED.
FINAL I -::.... -'
--~
PLUMBING ' 't",9 ..,.L i -..
I J,-• C
ELECTRICAL I _..,e, y~~ ~ ~ . . -. ( ~
MECHANICAL I {V....! ,r ,r-,/) ~ . ,.,,. ,. I"\ .:"~ . ' GAS ;L 9 p--G'fv· ~
BUILDING I fl 7 lJ, 1..1 •
l
SPECIAL CONDITIONS I -
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