The URL can be used to link to this page

Home My WebLink About2726 OLYMPIA DR; ; CB931325; PermitPERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Department 2075 Las Pal•s Dr., carlsbad, CA 92009 (619) 438-1161 PIAN CK DEPOSIT, _______ _ I EST. VAL VALID. BY __________ _ I. PIDtM.tl JYPE A -U Commercial B -□ Industrial C -~ Residential □New Bu1@mg U tenant Improvement □ New Building D Tenant Improvement □ Apartment □ Condo OOingle Family Dwelling □ Addition/ Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical ml Plumbing □ Mechanical □ Pool □ Spa O Retaining Wall □ Solar □ Other DATE 2. PRorncr INFORMATION FOR OFFICE USE ONLY ress 01 mg or u1te o. 2726 Olympia Dr. Nearest Cross Street Carlsbad Village Dr. LEGAL DESCklP I ION Lot No. Su&hvis1on Name/Number Unit No. Phase No. □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL EXJSJJNG USE PROP9SEP lJSE DESCRIPTION OF WORK WATF:R HEATER REPLACEMENT SQ.-IT.. # OF STORIES 3. WN IACI PERSON (11 dnfereni from applicant) NAME Phillip Gosciensci ADDRESS 2726 Olympia Dr. CITY carlsbad, STATE CA. ZIP CODE 92008 DAY TELEPHONE 434-0445 4. APPUCANI UWNiRACJOR ~AGENI FURWNIMCIOR 1:JOWNER 1-1AGENl FOR OWNER NAME Michelle Medina ADDRESS 281~ Centra.L Ave. CITY S.frin:kValley, STATE CA. 5. PKUPEkl OWN ZIP CODE 91977 DAY TELEPHONE 697-4151 NAME Phillip Gosciensci ADDRESS ZIP CODE 2726 Olympia Dr. CITY carlsbad, STATE CA. 92008 DAY TELEPHONE 434-0445 NAME A&J Foster, Inc. ADDRESS 2819 Central Ave. CITY Spring Valley, STATE CA. ZIP CODE 91977 DAY TELEPHONE 697-4151 STATE UC. # 630120 LICENSE CLASS C-36 CITY BUSINESS UC.# 1200354 N/A CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 7. WOJlRERS WMPENSX'IION Workers' Compensation DeclaratlOn: I hereby affirm that I have a certificate of consent to selt-msure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, 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 Republic Demnity POLICY NO. PC949585 EXPIRATION DATE 5/1/94 Certificate of Exemption: I certify that m the performance of the work for whtch this permit 1s issued, I shall not employ any person 1n any manner so as to become subject o the Workers' Compensation Laws of California. 1fiL/LJ;JATE l:L Lt Cff) bwner-Builder Declaration: I hereby affirm 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 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.). □ 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 I..kense 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). D I am exempt under Section _______ Business and Professions Code for this reason: (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, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). SIGNATIJRE DATE COMPLEIE IRIS SEC I ION FOR NON-RESID£N IIAL B0IWING PERMil'S ONLY: 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? □YES ONO 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 ONO IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:uPANCY MAY NOT Bil ISSUED AFTER JULY I, 1989 UN1J'.SS nm APPLICANT HAS MET OR IS MEETING nm REQ\IIRl!MENTii OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POI..UmON CDNTI«>L D1511UCT. 9. WNSIHOCIION UNDING AGENCY I hereby affmn that there 1s a construcuon lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) Civil Code). LENDER'S NAME NJNE LENDER'S ADDRESS 10. APPt1CAN I CEk:fulCAl1dN I certify that 1 have read the apphcauon and state that the above mformauon 1s correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AJ.50 AGREE 10 SAVE INDF.MNIFY AND KEEP HARMLESS Til1! CITY OF CAIUSBAD AGAINST ALL IJAlllllTIES, JUDGMENTS, CDSTS AND EXPENSES WIDCII MAV IN ANY WAY Aa:RUE AGAINST SAID CITY IN CDNSEQIJENCI! OF nm GRANTING OF nns 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 Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: J9/t1 C/5. APPLICANTS SIG A TURE OW: Applicant PINK: Fmance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB931325 FOR 12/16/93 DESCRIPTION: REPLACE WATER HEATER TYPE: PLUM JOB ADDRESS: 2726 OLYMPIA DR APPLICANT: FOSTER, A & J, INC. CONTRACTOR: OWNER: REMARKS: MH/PAT/434-0445 SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK# CB931325 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 697-4151 CD LVL DESCRIPTION ACT COMMENTS _2_5 __ P_L _w_a_t_e_r_H_e_a_t_e_r_/_v_e_n_~_s_v'h_A ____ #1--------------- ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION 121393 Water Heater/Vents ACT INSP CO PD COMMENTS 10:25 NO ONE HOME