HomeMy WebLinkAbout2720 Olympia Dr; ; CBR2018-3028; Permit{'city of
Carlsbad
Residential Permit
Print Date: 05/08/2019 Permit No: CBR2018-3028
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2720 Olympia Dr
BLDG-Residential
1674322800
$0.00
Work Class:
lot#:
Reference#:
Construction Type:
Bathrooms:
Orig, Plan Check#:
P/M/E Status:
Applied;
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
11/02/2018
11/02/2018
Plan Check#:
Final
Inspection: 5/8/2019 9:07:04AM
Project Title:
Description:
WATER HEATER PERMIT
Total Fees: $98.00
ODOM: REPLACE WATER HEATER
Owner:
TRUST KORONCEY FAMILY TRUST
2720 Olympia Dr
CARLSBAD, CA 92010
Total Payments To Date: $98.00
Contractor:
ASI HASTINGS INC
4870 Viewridge Ave, Ste 200
SAN DIEGO, CA 92123-1671
619-590-9300
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions, If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$98.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING □BUILDING □FIRE □HEALTH D HAZMATIAPCD . ~,.., Building Permit Application Plan Check No{', /J,/J:Jri/ Jir-«~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value -
~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. DeR,Osl! CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date 11/~//x lswPPP
JOB ADDRESS SUITo:f/SPACEI/UNIT# IAPN 2720 OLYMPIA DR, CARLSBAD 92010 ---
CT/PRvJECT # llvT# I PHASE# I# vF UNITS I# BEDRvOMS # BATHROOMS I TENANT •~NESS NAME I (;ONSTR. T'r'PE I occ. GROUP
DESCRIPTION OF WORK: lnelude Square Feet of Affected Area(s)
replace water heater
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING 'FIRE SPRINKLERS
YES[}I N<:0 YES □No□ YES□No□
APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME sue odom '-~ .•. ,
ADDRESS ADDRESS
4540 KEARNY VILLA RD #213 2720 OLYMPIA DR, CARLSBAD 92010
CITY STATE ZIP CITY STATE ZIP
San Die110 CA 92123 CARLSBAD CA
PHONE IFAX PHONE I FAX 888-991-4377 6192447239
EMAIL EMAIL JERMAINE@WEGREENINC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ASI HASTINGS
ADDRESS ADDRESS 4870 VIEWRIDGE AVE
CITY STATE ZIP CITY STATE ZIP
SAN DIEGO CA 92123
PHONE I FAX PHONE IFAX 6195909300
EMAIL EMAIL
ISTATELIC.# STATE LIC.# l'c20/C36 ICl1YBUS "'1200804 513115
(Sec. 7031.5 Business and Professions Code. Any City or County which reqwres a permit to.construct. alter, improve, demolish or repair an~ structure, prior to its issuance, also reqwres the applicant for such permit to file a signed statement that he is licensed pursuant to the prov1s1ons of the Contractor'_s License Law\Cha'!'ter 9, commending with Section 7000 of D1v1sion 3 of the B_usiness and Professions Code) or {hat he is exempt therefrom, and the basis for the a!leged exemption. Any violation of Section 03 .5 by any applicant for a permit subjects the applicant to a c1v1I penalty of not more than five hundred dollars ($500)).
WORKERS. COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjlJfY one of the following declarations: 0 I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of 111e Labor Code, for the pertormance of 111e work for which this permit is issued.
[Z] I have and will maintain workers' compensation, as reouired by Section 3700 of the Labor C.Ode, for the pertormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co CVPRESS1NSURANCE Policy No ASWC817703 Expiration Date 9/1/2018
~ section need not be completed if the permit ls for one hundred dollars {$100) or less. LJ Certificate of Exemption: I certify 111at in the pertormance of the work for which th' ·tis issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Ca!ifomia. WARNING: Failure to secure workers' compensation coverage Is I, and bject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided fOf in Section 3 r code, interest and attorney's fees.
,65 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's l.Jcense Law for the following reason·
□
□
□
I, as owner of tt,e property or my employees with wages as tl1eir sole compensation, wilt do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who builds or improves tt,ereon, and who does such work himself or ltlrough his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owi1er-builder will have the burden of proving tt,at he did not build or improve for tt,e purpose of sale).
I, as owner of the property, am exclusively contracting 'Mth licensed contractors to construct tt,e project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects wiltl contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section ____ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (finn) to provide the proposed construction (include name address I phone/ contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, super.ise and provide ltle major work (include name I address I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide ltle work indicated (include name I address I phone I type of work):
,65 PROPERTY OWNER SIGNATURE □AGENT DATE
··---------··
I
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY .,
Is the ap<,licant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention procJram under Sections 25505, 25533 or 25534 of the
~ Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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 REQUIREMENTS OF THE OFFICE Of
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the abo't'e infonnation Is C0fl9Ctand that the Information on the plans Is accurate. I agree m comply 'Mlh all Cl1Y ordinances and Sin laws mlating b:l building construction.
I hereby authorize representative of the City of Carlsbad to enter up:m the at:ove mentioned property i:Jr flsi;a:oon J)JIJX)SeS. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY CF CARLSBAD
AGAJNST ALL LWlllJTIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST S<\1O CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA kl OSHA permit is required fiJr examttoos over 50' deep .rid demoloon or construcoon of strucll.lres over 3 stories fl height.
EXPIRA.TlON: Every permit issued by the Buikli'lg Official under the przy.,is" s of this Code shall expre by Mmitaooo and become nul and voki if the OOik'.ling orv.ork authorized by such permit is not OOl'M'l8llC2d 'Mlhin
100days from the date of sudl permit or if the buik'.ling orw:::111'. authorized perm~ is susi:ended or abanooned at any trne after the v.ork is commenced for a i;erkxl of 19:l days (Secoon 100.4.4 Unibnn Buikftig Code).
AS APPLICANT'S SIGNATURE DATE \ _ 1.,.
PERMIT INSPECTION HISTORY REPORT (CBR2018-3028)
P_-,rmit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 11/02/2018 Owner:
Issue Date: 11/02/2018 Subdivision:
Expiration Date: 11/04/2019 Address:
IVR Number: 15109
Inspection No. Inspection Status Primary Inspector
0510812019 05/08/2019 BLDG-25 Water
HeaterNents
091152-2019 Passed Paul Burnette
May 08, 2019
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
091153-2019
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLOG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Passed Paul Burnette
COMMENTS
TRUST KORONCEY FAMILY
TRUST
CARLSBAD TCT#74-04
2720 Olympia Dr
Carlsbad, CA 92010-2143
Reinspection Complete
Complete
Passed
No
Complete
Passed
No
No
No
No
No
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