HomeMy WebLinkAbout2726 OLYMPIA DR; ; CB031813; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07•-02-2003 Patio/Deck Permit Permit No: CB031813
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2726 OLYMPIA DR CBAD
PATIO Status:
Parcel No: 1674323100 Lot#: 0 Applied:
ISSUED
07/02/2003
RMA
07/02/2003
07/02/2003
Valuation: $1,122.00 Construction Type: NEW Entered By:
Reference #:
Project Title:
Applicant:
CHAMBERS RES-88 SF DECK.DOOR,
WINDOW & LIGHT W/SWITCH
EASTERLING CONSTRUCTION
1262 GRANDVIEW
VISTA CA 92084
760 639-0371
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Strong Motion Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
Owner:
CHAMBERS JAY V&NANS CRYSTAL M
2726 OLYMPIA DR
CARLSBAD CA 92008
8752 07/02/03 ~ 02
$24.69
$0.00
$16.05
$0.00
$1.00
$0.00
$0.00
$50.00
$0.00
$91.74
Total Fees: $91.74 Total Payments To Date: $0.00 Balance Due: $91.74
Fl~ APPROVAL 'i
INSP./ ~ DATE 7 ,,. 2 { ,,. o 3
CLEARANCE
91. 74
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE O~}?
PLAN CHECK NO. [{) C!3 lf!J
EST. VAL. __,_/...._/_)__2 _____ _
Business Name (at this address)
Legal Description Lot No. Unit No. Phase No. Total # of units
Proposed Use
# of Bathrooms
City State/Zip Telephone# Fax#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged
emptio An violation of Sectlo 7031. by any applicant for a perryit subjects the applicant to a civil penalty of not more an five hundred dollars ($600)). _,..
;) 00 .c:t t~ C ~ ' -t..• ~ ~ .. (fc./t./u
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O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company______________________ Policy No._____________ Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1 oof OR LESS)
~TIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure worker,' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil flnaa up to one hundred
thousand dollars ($100,000), in addition to the cost of compensation, damagaa H provided for In Section 3706 of the Labor code, interest and attorney's fees.
~'.GN~~;!.:Fi~"'ffi;;;a;;u ;;;~g;_:;J;;;J:l;:;:.tl;:,E~i:;;;;;Cij;;::;"·R;;)~;,;J;;:;:1br.J',I;;_~:;.:_ ;;_.;;;; __ -;;;~;;_ ;;_ :mi:'"'• .;;_ ·• .. ,;;;,;;;;-;;.;;;;;;;;;;;;L;;;;.,;;;~;;;;;;_:;; __ ;;;;:'ill;;;,;;;m....;;· 11;;. ~;;;:. ,,,_.;;:'c"""':;;;' ;,,.;;-,.'T5'11:;. ;;;.y:;;;;·:l':\'M~•f;_DATE
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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 License 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).
0 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 License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
0 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. 0 YES ONO
2. I (have / have not) signed an application for a building permit for the proposed work.
3. I have contracted _with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
number/ contractors license number): _________________________________________________ _
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ____________________________________________________________ _
...
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain. a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
[a, • @"~~;mi:iC'i:foN'Ter.foil'{91!,G~NCV... ;",. '
I hereby affirm that there is a construction lending agency for the performa_nce of the work for which this permit is issued (Sec. 3097(i) Civil Code).
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND 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 GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Officia the provisions of this Code shall expire by limitation and become null and void if the building or work
authorizc,1 by such permit is not commence hi days the date of such permit or if the building or work authorized by such permit Is suspended or abandoned
at any lir after the work l_s comma for e 'od of 1 days (Section 106.4.4 Uniform Building Code).
APPLIC/> 'S SIGNATURE DATE 7--/_. ? -~-~~-=--~--------
YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 07/22/2003
Permit# CB031813 Inspector Assignment: PD
Title: CHAMBERS RES-88 SF DECK,DOOR,
Description: WINDOW & LIGHT W/SWITCH
Type: PATIO Sub Type:
Job Address: 2726 OLYMPIA DR
Suite: Lot 0
Location:
APPLICANT EASTERLING CONSTRUCTION
Owner: CHAMBERS JAY V&NANS CRYSTAL M
Remarks:
---
Total Time: Requested By: PHILIP
Entered By: CHRISTINE
CD
19
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Description Act Comment "1 _ 2, 'l.,-o 1
Final Structural J /VO f-l-C (. t S S f,,.; lb--: fttJ /Jr'<---7-2-3 t-0 7
Associated PCRs/C
Inspection History
Date Description Act lnsp Comments
AP PD 07/03/2003 11 Fig/Foundation/Piers
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