HomeMy WebLinkAbout2727 OLYMPIA DR; ; 85-977; PermitIll z
0 ;:::
C a: C ~ 0 "' 0
a:
i[
0 0
a: "' 0 ~ 5 !!! a: "' z 3 0
z 0 ~ z "' CL :I'
0 0
Ill a: "' ..: a: 0 3
il
O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profe11lons Code, and my license is In
full force and effect. L,c No ______ Class
I hereby alflrm that I am exempt lrom lhe Conlrac· tor's License Law tor the loUowmg reason (Sec 7031 5
Business and Proless1ons Code· Any city or county which re-quires a perm11 10 construct. alter. improve, demohsh. ot
repair any structure prior to I1s issuance also requnes !heap· plicant !or such permit to tile a s19ned statement that he Is
licensed pursuanl to the prov1s10ns of lhe Contractor"s License Law (Chapler 9 commencmg with Sect10n 7000 of
D1v1st0n 3 o1 the Business and Prolessions COde) Of that ,sex• empt therefrom and the basis tor lhe al1egeo exemption Any
viotaimn of SectlOO 7031.5 by an applicant !or a perm11 sub·
1ec1s the apphcant to a cml pena1ty ol nozmore n five hun·
dre<l dollars ($500) _.-L.
~ 1. as owner ot 1he pro~rty, Of my e loyees with wages
'as'lhe1r sole compensation. Wfll do the work, and the struc-ture is nol mtended or ottered lor sale {Sec. 7044 _ Business
and ProlessIom, Code The Contractor's IJcense Law does
001 apply to an owner of property who builds or improves
thereon and who does such wort< himself or through his own
employees, provided Iha! such improvements are not intend· ed or ottered for sak! If, however. the bwldmg or M'Tlprove-
menl Is sold withm ooe year of compiehon. the owner-builder will have the burden of proving that he d•d not bu1td or im-
prove tor lhe purpose of sale)
0 I, as owner o1 the propeny, am exclus1Vely contracting
w1lh licensed contractors to construct the prOjeCt (Sec 7044,
Bus.mess and Proless,ons Code. The Conlractor's license
Law does noI apply to an owner ol property who builds or im-proves thereon. and who contracts !or each Pfoteels with a
conlractor(s) license pursuant to lhe Conlraclof's license Law).
D As a homeoWner I am improving my home. and the lollow 1ng conditions e,ost
1 The work 1s being performed prior lo sale 2. I have lived in my home lor twelve moolhs
prior 10 completion of In.is work. 3. I have not claimed th,s exempt,on during the
last three years
D lamexemptunderSec _______ B&PC
lor 0'11s reason -------------
D I hereby alt.rm that I have a cert1llcate of consent to
setf-1nsore. or a cert11icate ol Workers· Compensation In•
surance. or a certified copy thereof (Sec 3800. Labof Code)
POLICY NO
COMPANY
0 Copy 1s filed with the city
0 Certified COPY 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS. COMPENSATION INSURANCE
(This sechon need not be completed if the permit
1s t01 one hundred dollars ($100) or less}
C I certify that in the performance or the work tor wh,cl"I
this permit Is issued, I shall not employ any person in any
manner so as lo beeome subject to the Workers· Compen-
sation Laws ol California.
NOTICE TO APPLICANT: If, after making this Certificate
of Exemption. you should beeome subject to lhe Workers·
Compensa1ion Pf0Yisions of the Labor Code, you must
forthwittl comply with such provisions or this permit shall
be deemed revoked.
0 I hereby affirm that there is a consuuction lendmg
agency for the performance ol the work for which this per-
mit Is issued (Sec. 3097. Civil COde)
Lender's Name ____________ _
Lender's Address ______ ~------
I
I
I
I
I
I
VV._ -r•-• • .,.. .,. , , ••• v ••• • -• ••---.,, •••-T
CARLSBAD BUILDING DEPARTMENT -
Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
JOB ADDRESS a ... >/rtrf> ;~ AV.ST.RD.
N~?r~1\
OA TE OF APPL! ATION
~S1,:;i;ENSE #
VA LUATION PERMIT NUMBER
2-727 l:3o/D!.C... ~$ l1i)..., ~---t221 BLOCK ~UBDIVISION -rel ASSESSOR PARCEL NO CONTRACTOR ..... ~,~RfrutLl)l K ONTRACtORS PHONE • ZONE 777 ?-1t-Mtc::e:R ~ AM e. AL, O,.A..)~ NIA
OW~Eii~~A s t -P£T£R L-AJT() l724:.Nc;,~q3 CONTRACTOR'S ADDRESS
LICENt
PLAN 1.0. # BUILDING SO. FOOTAGE
51\N\c:. AS Q.J...)~R_ J:J,'-/-OWNER'S MAILING ADDRESS
3LfiS ?DN1"t~ ('_f\~L 5"BAD CA. 't2ro8 DES~AM6 A5 DW~~ OESIGN7 P\ONE
OESCR·PT•O'-OF WORK '11.i':i -~, tN6-~ 'P'°'""ftO _c ;-f" i DESIGNER'S ADDRESS
... LICENSNN/ A
-~1:>yC:R. f--z.._.)(. v8 '5Af'-/\~ I\~ o.,JN£~
---· FiP F LR ELEV. NO DCC GP EDU ·HUS0/e5B788 u,·~eo
STORIES ... ,_, . ' -uj:eo vO "'O --DODI 87158 H!/30'/ S! . ,._ ---. ........
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR 0001B758 03 1a1so1 AREA CONST
y O N 0 vO NO vO NO Nor Valid Unless MJchine Cerrdied
QTY. PLUMBING PERMIT · ISSUE 7£!_ QTY. MECHANICAL PERMIT -ISSUE 3 -SUMMARY/ACCOUNT NUMBER
.
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100 000 BTU BUILDING PERMIT 001-810-00-00·8220 ,,l. " • .) u
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001-810·00·00·8221
EACH WATER HEATER AN010R VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810·00-00-8806 Jq#:J..D
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810-00·00·8222 ---
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001·810-00-00-8223
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SING LE DUCT MECHANICAL 001·810-00·00-8224 -
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS MOBILEHOME 001·810-00-00-8225
WATER SOFTNER RELOCATION Of EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN !INSIDE) SOLAR 001-810·00·00-8226 . 50
TOTAL MECHANICAL STRONG MOTION 880·519·92-33 --·-
lOfAL PLUMBING I FIRE SPRINKLERS 001-810·00·00-8227
QTY. ELECTRICAL PERMIT -ISSUE s--QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE 332-810-00-00·8930
NEW CONST EA AMP SWT BK R COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad
EXIST BLDG EA AMPtSWT BKR ROCK STORAGE Encinitas
I PH 3 PH PUMP San D1egu1to
REMOOEL ALTER PEA CIRCUIT PLAN CHECK FEE San Marcos
TEMP POLE WO AMPS
OVER 200 AMPS LICENSE TAX 001-810·00-00·8162
TEMP OCCUPANCY (30 DAYS) MFF 880-519-92-57
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I 4q . ~o
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" ANO DO HEREBY E~ptrat,on Every permit issued by the 8u1td1ng Off1c1al under the prov1s1ons of this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1tahon and become nuH and void If the bu1tdtn9 or work 5' O" DEEP AND DEMOLITION OR C°"STRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permtt 1s not commenced wuhm 180 days from the date of such STRUCTVRES OVER 3 STORIES IN HEIGHT
ISSUED, TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON :~':::Jon°~ 1
~t
1:~v ~~~~1~ffe~~~~~,:~!hi~~:1e~le~~~~ !80:';;~'~r5Y~~~':1 or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLlfANT'S SIGNATURE '
) A ~f:~ OWNE~ CONTRACTOR 0 APPROVEO BY DATE / KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND D>9--EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF T~c I Avo-r1\6D 1 BY PHONE 0 I J) ~ 30--K) GRANTING OF THIS PERMIT
~ u::
>,
ej
0 a.
E <I> I-
I
-0 0 <.'.l
C
ell (j
!?
)c
IEE
0::
0 Cl)
Cl)
<I>
Cl)
Cl)
<i
I
;:
0
a:;
>-
Cl) Cl)
<I> (j
0 a:
ell ni 0
~
<I> (j
C ell C
u.
:s
C <I> !!:'
<.'.l
0 u
<I> a. Cl)
C
~
.c. ~
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITEORGROUT 1
SUB FRAME □ FLOOR □ CEIL!ING
SHEATHING □ ROOF □ SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
□ SEWER AND BUCO □ Pl/CO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER D SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND Di UFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPEcnoN WHEN ALL APPROPRIATE
ITEMS ABOVE HA 1/E BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL COND.ITIONS
1
>
8~ ,c, 17
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSOI\,$
'
C . t---....~--~ -~ ....,,,_~-'--' oa l[\Z!..,\1
L .. ---·, L ·:.__""a'~ l__J . :.,.-... ~,
&#'".., ~.-"" ..----..-... --. ,..~ ...... , -~
............. _,,._,,,,~~--=-=-·_J .,._., . .___~ u ,,
•
' <
.
,,. ,·