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HomeMy WebLinkAbout2724 OLYMPIA DR; ; CB930377; Permit... I D A H Yl y (, C LI : up r r i ~ -lb Sr PA ((V R A jus d 'lan Ml, f:5 R Ul\J, Kf.~NE'T' 27~4 ) YM ~AD C A8....,, BAr , 'CJ l i r P. l t•0r-r M>t~ r re• r L ) I "A,., N p t M Ptrrit ) : pro ..... c v ' pm •nt ~ : #: #: ... Arr , · l / • 7 2058 04/26/19? 0001 01 ' . t-PR~T l' • <-' } • - E:xt f • 4. ) 0. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 I A 90-00 • A PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Department l ~V~ DEPOSIT. ________ _ 2075 Las Pal,..s De., ca,Lsbad, CA 92009 (619) 438-1161 VAUD. BY. __________ _ i. PIDtMI I I'YPR DATE A -U Commerc1al B -D Industrial Li New Budding LI I enant Improvement □ New Building D Tenant Improvement C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ AJteration □Duplex □Demolition □ Relocation □ Mobile Home U Electrical D Plumbing □ Mechanical D Pool □ Spa □ Retaining Wall □ Solar □ Other 2. PROJECT INFORMATION FOR OFFICE USE ONLY LEGAL DESCRIPIION Lot No. Su&hvis1on Name/Number 0mt No. Phase No. CHECK BEWW IF SOBM~Eh: D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEi, EXJSTING USE PROPOSED USE DESCRIPTION OF WORK SQ. FT.~ # OF STORIES 3. WN JAL (I[ duierenl from apphcanf) NAME ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 4. Al'PUCAN I NAME UWNIRACIOR UAGENI FORWNIRACIOR DOWNER □AGENI FOR OWNER ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 5. ~:!:~~<"2)/,J CI1Y'°1.~llAP 6. WN NAME ADDRESS27U tJi.¥'-P 17'1 STATE c,'4 ZIP CODE "'fZ,t::,,09 DAY TELEPHONE 7zo7zze ADDRESS CITY STATE STATE LIC. # ZIP CODE LICENSE CLASS DAY TELEPHONE CI1Y BUSINESS LIC. # CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WOltkERS' WMPENSAIION Workers• Compensation Oeclarat1on: I hereby aiurm that I have a cert1llcate of consent to seli-msure issued by the Director of lndustnai Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer1 or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Cerutlcate of Exemption: I cerufy that m the performance of the work for which tflls permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNEK-B0liDm DFl!OOlAiiuN bwner-Bmlder Declaration: I hereby afhnn that I am exempt from the COntracto?s Llcense Law for the followmg reason: I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Llcense Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through 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 owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Llcense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant co the Contractor's Llcense Law). □ I am exempt under Section ________ Business and Professions Code for this reason: (Sec. 7031.5 Business nd Professions Code: Any City or County which requires a pennit to construct, alter, improve, demolish, or repair any structu , prior its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the provision f the C tractor's Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or th e is exe t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit · ,-,ihe app ant to a civil penalty of not more than five hundred dollars [$500]). SIGNII: DATE Is the applicant o uture building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention prog m 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 TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:IJPANCY MAY NOT Bl! ISSUED AFTER JULY I, 1989 UNIJ!SS THE APPLICANT HAS MET OR IS MEIITING THE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND THE AIR POILUTION WN"Jll.OL DISfRICT. 9. WNSIRUCIION LENDING AGENCY I hereby afhnn that there 1s a construction lending agency for the performance of the work for which this penmt 1s issued (Sec 3097(1) Civil Llxie). LENDER'S NAME LENDER'S ADDRESS 10. APl'UCANI CERIIPICAl1UN I cerufy that I have read the apphcat1on and state that the above mformauon 1s correct. I agree to comply with ail City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of c.arlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE ID SAVE INDEMNIFY AND KEEP II.ARMLESS nm CITY OF CARLSBAD AGAINST AIL IJABilITIF.S, JUDGMENTS, CDSTS AND EXPENSES WIIlCH MAY IN ANY WAY A(x:JUIE AGAINST SAID CITY IN WNSF.QUENCE OF nm GRANTING OF TIIlS PERMIT. OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expirafon. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the buildi or work authorized by such pennit is not commenced within 365 days from the date of such pennit or if the building or work authorized by su h it is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code). DATE: _____ _ WI-IlTE: File YEIJ.OW: Applicant PINK: Fmance PERMIT# CB930377 DESCRIPTION: 360 SF PATIO TYPE: PATIO CITY OF CARLSBAD INSPECTION REQUEST FOR 12/22/93 COVER PER SPECS STE: INSPECTOR AREA PLANCK# CB930377 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2724 APPLICANT: BURTON, CONTRACTOR: OLYMPIA DR KENNETH PHONE: 619 720-7278 OWNER: REMARKS: MH/KEN/7207278 SPECIAL INSTRUCT: TOTAL TIME: CD 19 LVL DESCRIPTION ST Final structural -------------------------------------- PHONE: PHONE: INSPECTOR __ (._,~~'--------( ACT COMMENTS d.£_ ----------- ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS .... "' ... --. ·-· -... _ ~ -~ .. ' .. ) ''-. 1 • z / .......... ~ ,....... ... ..... --•-. .--. • • ;;:;;; p --~~ ~ .___...,. ___ .... ~ 1: (j\ i'. ill II ,, ' ' ~ i I ~ ~~ r\ I) • ~ 0 "l\ ~ • : b b_'.!.!. LO~ 1 [,r£E; . --~ _ 1.,,1,11 Ke