HomeMy WebLinkAbout2720 OLYMPIA DR; ; CB973627; PermitB U I L D I N G
11/25/97 11:02
Page 1 of 1
Job Address: 2720 OLYMPIA DR
Permit Type: PLUMBING
Parcel No : 167-432-28-00
Valuation: 0
P E R M I T
Suite :
Lot#:
Permit No: CB973627
Project No: A9704699
Development No:
Construction Type:
Occupancy Group: Reference#: Status:
Applied:
NEW
ISSUED
11/25/97
11/25/97
JM
Description: WATER HEATER REPALCEMENT
Appl/Ownr : KORONCEY JOE
2720 OLYMPIA DRIVE
CARLSBAD CA 92008
*** Fees Required ***
Fees:
Adjustments:
Total Fees:
Fee description
27 .00
.00
27.00
***
760
Apr/Issue:
Entered By:
4 34-1536
Fees Collected & Credits ***
Total Credi t1J~l .U/2Sl97 ~~H~lo O 02
27 .oo
Total Payments: .00
Balance Due : 27.00
Units Fee/Unit Ext fee Data
--------------------------------------------------------------------------
Enter "Y" for Plumbing Issue Fee >
Each Water Heater and/or Vent >
* PLUMBING TOTAL
20.00 Y
7.00
27.00
ppROVAL
_ DATE.f}:-/7-p
\NSP .. ~~-
CLEARANCE-----::::::::::::=:
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
-
FOR OFFICE USE O~./1
PLAN CHECK NO. V ¼z,,7 PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(619) 438-1161
EST. VAL _________ _
Validated By--l"<:::;J--41Jo~i..._r-:-f------:=-:+.'?'T-::.
Date ________ __,-+1,._,..._-+1-__.._
itl.i1elP.ROJECt..lNa>RAUttQH~1a!miiii
2720 O~ia Dr .
Addreu tlnclude Bl g/Sult• II Bu1lnu1 Name \at thla addrau)
legal Oucrlptlon Lot No, Subdlvlalon Name/Number Unit No, Phase No. SFR .
Assessor'• Parcel I Exlatlng UH PropoHd UH
I or Bedrooms
T 0111 I of units
I of Bathrooms
Name Addr111 City State/Zlp Telephone I Fax I
~.:~~m,uc~:n~fh.:.J;!;i!11Yj~.\9r .. u,;wl(1g.1bl.i.swl'<rmia9.IP.r." ,: 1M.rww1, • ' ~· · · C-lL · r ~•-·-c::tr:~rozr.!.lJ•.~~••s::, ().:.!,\-t7·'/ · · ··--·· ..• ,.,, ~ "'1:/:<"r.:IU'.,.... ['rr:1·Ji< '11'\'I'!' ·~~•l'.!l!.1';::~•~·""jij''~-~ .. ..,...~T~~~1,~'i!l!;:m't,." -,i,:,•·~
T,.._,_,,.,,..,,...N KRISTY FOSTER 137 -B .• , •
N1ma Addrua City Stata/Zlp Telephone I
li.&.-.t:C.DHlMCJt>il'-CO.MUN ~ilijJi,
(Sec. 7031.5 Buslneu end Profea■lona Code: Any City or County which require,• permit to conatruct, altar, Improve, demolish or repair any structure, prior to hs
lssu1nc1, also requires the 1ppllc1nt for auch permit to file a 1lgn1d 1111,m,nt that he la UctnHd pursuant to the provlaiona or the Contr1ctor'1 Ucansa Law
(Ch1pt11 9, commending with Section 7000 ol Division 3 of the Business and Profeulons Cod•I or that he 11 exempt therelrom, and the basis for the alleged
exemption. Any vlol11ion of Section 7031.6 by any applicant for I permit 1ubj1ct1 the applicant to• clvll _e.•n•ity of no1!'lora t~~81.fundr'j~~~4.!it.t'f>U,
A ~ J FOSTER PUJMRTNG 13706-B HWY 8 BUS . · EL CAJUN CA .
Name Addr111 City State/Zip 12003,'fhone I
S1111 License I 630120 Uc•nH Cina C-35 .City Bu1ln111 UcenH I --------
Duigner N1m1 Address City Stete/Zlp Telephone
State UcanH I __ _.N..,/_.A..._ ____ _
[e;i il'.W.6RK.EAitcoMPENS4'.rldN.ifm.eym;{l;!'},m~J~!f~~~D
Workara' CompenHtlon Oeclar•tlon: I hereby •flirm under penelty of perjury on, of th• following .d•ciaratlona:
0 I have and will maintain, certlflc1t1 of cons•nt to Hif•ln1ure lot work••• comp,naatlon II provid•d by S•ctlon 3700 or th• l•bor Code, for the performence
of the work for which thla parmlt la l11u1d •
.Q I have and will melntaln w01ker1' comp1n11tlon, H requlr•~ b_y Section 3700 olthe Labor Cod,, for th, perrormanc, of th, ~ork ror which this permit Is
*•ued. My worker'• compensation lnauranc, carrier and policy number 11,: 6 Sl CONTI NUOUS
Insurance Company FARMER INSURANCE · Polley No. N200?-S -Expiration Oete ______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS)
D CERTIFICATE OF EXEMPTION: I c•rtify that In th• performance of the work for which thl• permit la la■ued, I 1h1II not employ eny person In any manner 10 u
to become subject to the Workara' Compen11tlon L1w1 ol Calilornla. ·
WARNING: F1Rur1 to ncur,•workera' comp1n11tlon coverage l1 unlawful, and ,hall subject an employer to crlmlnal p1n■ltl111 and civil flnu up to one hundred
thousand doRara lt100,000l, In eddltion lo th• coat of compen11tlon, d■magH H provided for In Section 3708 of the lab«¥ coda, lnlerHt end attorney', leas.
SIGNATURE _____________________________ DATE ________ _
7, ''.'OWNER-BUILDER DECLARA,TiON';i:{~~'f,1;,~!~~-~~'ffll~.m~.l_ij~ffi~f~fJ!.{~.~~~-;:i\~J\°;;:~'.,'..:.',1';,
I hereby 1fllrm that I am exempt from th, Con111ctor'1 Ucenn Law for the following reHon:
0 I, as owner of the property or my employees with w1g11 H their 1011 compen11tlon, will do the work and th• atructure 11 not Intended or olfered for sale
!Sec. 7044, Busin111 and Prof111ions Code: Th• Contractor'• Uc,nH Law do11 not apply to an owner of property who bulld1 or Improves thereon, and who dou
such work hlmaelf or through hl1 own 1mploy111, provided that auch lmprovementa ■re not lnt1nd1d or offered for 1111. If, however, _the building or Improvement Is
sold within one yaar of completion, the owner•bullder will have the burden of proving that he did not build or Improve for th• purpo11 of aalal.
0 I, u owner or the property, em axclu1lv•lv contracting with llcenaed contractor, to construct' th, project IS■c, 7044, Bu1in111 and Prof111lon1 Code: The
Contractor's UcenH Law doH not apply to an owner or property who bulldt1 or lmprovH thereon, and contract, for ,uch proj1ct1 with conlractor(a) llcanud
punuant to the Contractor'• Uc•na• Law). ·
0 I am exempt under Section ______ Bu1ln111 and Pror111lon1 Cod, for thla 11110n:
1. I p1raon1ily plan to provld• th• major labor and m1teri1l1 for conatructlon of th• propo11d property Improvement. 0 YES ONO
2. I (have / have not) signed an 1ppllc1tlon for a building permit for th• propo1td work:
3. I have con111ct1d with th, following person (flrml I!) provide th• propoHd con11ructlon (Include name/ 1ddr■11 / phone number/ contractors license numbarl:
4. I plan 10 l)fovld1 portions of the work, but I h■v, hired the following peraon to coordinate, aupervlH and provide th• major work (Include name / address / phone number/ cont11c1011 licann number): ____________________________________________ _
5. I will provide some of the work, but I have contracted (hiredl the rollowlng persona to provide the work Indicated (Include name/ address / phone number / IYP• or workl: _____________________________________________________ _
i. Iha 1ppllc1nt o, future bulldlng occupant required to aubmlt , bualna11 plan, ,cutely ha11rdou1 m■t1rl1ia r1gl11r1tlon form or risk management and prevention
program under Sections 26605, 26633 or 25634 of the P111ley-T■Maf Heurdoua Subatanc, Account Act1 0 YES O NO
11 the applicant or future building occupant required to obtain • permit from th■ ■Ir poUutlon control dlatrlct or air quality m,nagem,nt diatrlc17 0 YES O NO
la the laclllty to be constructed within 1,000 IHI of th• outer boundary of ■ school alt,? 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REOUlREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
,,: ~:CONSTRUCTION LENDINO'AGENCY:l.)~~vt&lffil1.6~,;:i~~lf~~'ffim~~lH 1V'~ti@\ie .;.j"';'o..:, ·,,
I hereby allirm thal there 11 1 conatructlon lending agency. for th• performance or th• work for which thla permit la l11ued IS•c. 309711) Civil Codel.
LENDER'S NAME______________ LENDER'S ADDRESS _______________________ _
:9:, 1 IJ)1'llCAN1'.,CERllFIC~T\OKJ,i,,; .;~~~f ~;i~.~~iJ: t,t,K'faif~/f,l.llj..i.y~',il./.iif)~~,M!-~i!).1\'~~w~nw.lt%; ·~•,::~;. · · .. :
I certlly that I have 111d the applicatlon and state that the above lnlormatlon la correct and that the Information on the plans la accurate. I egree lo comply with ell
City ordin1nc11 and State laws 11l1tlng to building con111uction. I hereby 1utho1ln 11pr111nl1tlvH of the City of Carlsbad to enter upon the above mentioned
property for inspection purp0n1. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP .HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT,
OSHA: An OSHA permit 11 required for excavatlona over 5•0• d11p and damolitlon or construction of 1tructur11 over 3 11orlea In height.
EXPIRATION: Every permit luued by th, Building Olflclal under tha provisions ol thl1 Cod, 1h1II expire by limitation and become null and void ii the building or
work authorized by auch permit la not ommenced within 366 d1y1 from Iha data of 1uch parmlt or II the bulldlng or work authorized by such permit Is suspended
011b1ndoned at any time art11 thew k Is omm1ne1d tor I pe od ol 180 d•YI (S1ctlon 108.4.4 Uniform Building Code).
APPllCANT'S SIGNATURE -~~.._i..,.£.li...s:t:~X--1~.a,...--------------DATE lJ -2.p -£1?::
WHITE: FIie YELlOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB973627 FOR 12/18/97
DESCRIPTION: WATER HEATER REPALCEMENT
TYPE: PLUM
STE:
INSPECTOR AREA
PLANCK# CB973627
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2720
APPLICANT: KORONCEY
CONTRACTOR:
OLYMPIA DR
JOE PHONE: 760 434-1536
OWNER:
REMARKS: C/JOSEPH/434-1536
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
25 PL Water Heater/Vents
---------------------------------------------------------
PHONE:
PHONE: ri)Q
INSPECTOR __ :r--_~_~_-..;;;.... _____ _
ACT COMMENTS
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS