HomeMy WebLinkAbout2727 OLYMPIA DR; ; CB950955; Permit06/18/96 14:US
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B U I L D I N G
Job Address: 2727 OLYMPIA DR
Permit Type: MISCELLANEOUS
Parcel No: 1b7-432-52-00
Valuation: 1 ,800
P E R M I T
Suite:
Lot#:
Permit No: CB950955
Project No: A95U1349
Development No:
Occupancy Group: Reference#:
Construction Type: NEW
Status: ISSUED
Applied: 07/17/95
Apr/Issue : 06/18/96
Entered By : RMA
619-720-9241
Description: 122 SF SURF STORAGE SHACK
: REAR YARD-OWNER BUILDER
Appl/Ownr : ALESSI, TOM
2727 OLYMPIA DR
CARLSBAD, CA 92008
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee#
Miscellaneous Fee#·
Miscellaneous Fee #3
* MISCELLANEOUS TOT L
CITY OF CARLSBAD
8101 06/18/9.6 0001 01 llected & Credi tf PR~T
.00
69.00
21.00
Ext fee Data
27 .00 PLAN r.K
42.00 PERMIT-BLD
21.00 RENEW
90.00
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
City of Carlsbad Building Departaent
2075 Las Pal•s Dr •• carlsbad, CA 92009 (619) 438-1161 CD . . . PLAN CHECK NO. Cf s O q ss
I. PERMIT 1YPE
From Ust 1 (see back) give code of Permit-Type: _M--'--'1'--s_·_c. _______ _
C-PRHT 27-00
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units __________________ _
2. PRWECT JNFORMAllON FOR OFFICE USE ONLY
Address~,. at-Olyt1\.pic.\. Dr: Building or Su11e No.
t o. nu o.
CHECK BEUM IF SOBMI I~~~
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
EXISTING USE PROPOSED USE
# OF BEDROOMS D # OF BATIIROOMS
I
NAME (last name first) ADDRESS
CllY STATE ZIP CODE DAY TELEPHONE
4. APPUl:J\N 1 0 CON 11tACIOlt LI AGEN I FOR CUN IHACIOR u OWN EH LI AGEN I FOR OWNER
NAME (last name first) A \es~~ I ~ GlM ADDRESS ~1-~-::f-D \ylk--P. ,·a. t)r.
s. ~1J6p~rJvt&a..d sTATE <!,.a zip coDE 'faoaR DAY TELEPHONE Clet'l) roll> -'ia L/ 1
NAME (last name first) (! O. ,+o 1 '"'tho "'Q,S ADDRESS ~ 11-4 /3e,r k-<..Jey M ~ •
CllY ~'( ,$ba.d. STATE e__g ZIP CODE g J..co a> DAY TELEPHONE ~1q) rt?,.1-'9:tq 3
6. CDN'I UR
NAME (last name first) ADDRESS
CllY STATE
STATE UC.#
ZIP CODE
LICENSE Cl.ASS
DAY TELEPHONE
CITY BUSINESS UC. #
DESICNER NAME (last name l1rst) ADDRESS
CllY STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WORXEits' CDMPENSAl1oN
Workers' Compensauon Oeclarauon: I hereby all1rm that I have a ceruhcate ol consent to sell-insure 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 POLlCY NO. EXPIRATION DATE
eerulicate ol Exempuon: I certify that in the performance of the work lor which this permit 1s issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. oWNER-B0uDER OF.CtARAnoN
Owner-Builder Declaration: I hereby alhrm lhat I am exempt from lhe Conlrado?s License Llw lor lhe following 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 himselr 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,!lklsiness 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 Ucense Law). ·
□ 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 Ucense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and th basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the plicant to a civi I f not m~re tha five hundr oil ($500)). · t?J ~
SIGNA~. TE ,--/ J
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 or the Presley-Tanner Hazardous Substance Account Act? □ YES ')iJ'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 .QtNO
Is the facility to be constructed withi~1000 feet of the outer boundafY of a school site?
□ YES NO
IF ANY OF TIIE ANSWERS ARE YF.S, A AL CERTIFICATE OF CXDJPANCY MAY Nor BE ISSUED AFI'ERJULY 1, 1989 UNU!SS nm APPLICANT
HA.5 MlIT OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICFS AND nm AIR POILUTION OONTROL DISTRICT.
9. tnNs'mUCl1ON I.ENDING AGENCY
I hereby alllrm that there 1s a construction lending agency lor the perlormance of the work for which this permit 1s 1SSued (Sec 3097(1) CIVIi Code).
LENDER'S NAME LENDER'S ADDRESS
to. APPUCAN I C£RJUICXIION
I certify that I have read the application and state that the above inlormauon 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 ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS TIIE CITY OF CARlSBAD AGAINSf AIL IJABIIJ11ES, JUDGMENTS, CDSTS
AND EXPENSES WlDOI MAY IN ANY WAY Aa:RUE AGAINSf SAID CITY IN OONSEQUENCE OF TIIE GRANTING OF nos 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 it is not comme wit ·n 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abando at any time afte th is commi;_nced for a 'od of 180 d (Section 303(d) Uniform Building Code) . .w"
APPLICANTS SIGNATURE DATE: 7. /7-TJ r "
0
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB950955 FOR 07/02/96 INSPECTOR AREA PY
PLANCK# CB950955
OCC GRP DESCRIPTION: 122 SF SURF STORAGE SHACK
REAR YARD-OWNER BUILDER
TYPE: MISC
JOB ADDRESS: 2727 OLYMPIA DR
APPLICANT: ALESSI, TOM
CONTRACTOR:
OWNER:
REMARKS: MW/ANNA/603-3885
SPECIAL INSTRUCT: FINAL INTERIOR
TOTAL TIME:
CD LVL DESCRIPTION
19 ST Final structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
CONSTR. TYPE NEW
STE: LOT:
PHONE: 619-720-9241
PHONE:
PHONE:
INSPECTOR __
1
,./._~-+---------
ACT COMMENTS
/IV t--______________ _
±---
=== = -4g;;;,,,_::.=ca,,,,~-------~r-------------
DATE
062696
101395
***** INSPECTION HISTORY*****
DESCRIPTION
Final Combo
Frame/Steel/Bolting/Welding
ACT INSP
CO PY
PA PY
COMMENTS
SEE LIST'
NEED ROOF & WINDOWS
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB 9'$°'tJ9S-s
ADDRESS o27-:i.-1 Otym,a,"c1: g
RESIDENTIAL
RESIDENTIAL ADDITION MINOR
( < $10,000.001
DATE_-?.~½~Yl;....l1u,.<' _____ _
/ 7
TENANT IMPROVEMENT
PLAZA CAMINO REAL
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
OTHER,___;S;:;,,.,::_;J//e:........t....f:_..;;;;S,.:..:.//,._;4~Ct...:;,lc:;__,./.c...;~::..J~,,;Jf----------
PLANNER---+-----------DATE _______ _
ENGINEER,~¥= DATE ,Mc
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PLANNING CHECI<llSf
Plan Check No. ~• </'35 Address _:L._1_)-_l __ o.,__/-1-;..:..M..Lj,P""'"1~-fl,__---.:.'P_,_. ___ _
Planner E~1e, l'-1l§cl':C: Phone 438-1161 ext. 1/7''7 /
(Name)
APN: __ ,._,lh"'-'-7-'-• _'t!....3,..,_;lc::....;__-....::S::..::.:;l... ______________ _
Type of Project and Use fl c re.5$0 r '1 S,--{vvc.~ -S liae.j,e_
Zone 'F--\ Facilities Management Zone d--
CFD (~ ·c~l-lt_p_r_o_pe-rty~-tn-,-co_m_p...,l,....ete SPECIAL TAX CALCULATION
WORKSHEET provided by Building Department.)
Legend
[]I Item Complete
D Item Incomplete -Needs your action
1, 2, 3 Number in circle indicates plancheck number where deficiency was
identified
Environmental Review Required: YES _ Nob lYPE ___ _
DATE OF COMPLETION:
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval ______________________ _
g--[] 0 Discretionary Action Required: YES _ NOd-lYPE ___ _
APPROVAL/RESO. NO. ___ DATE: _____ _
PROJECT NO. ___ _
OTHER RELATED CASES: ____________________ _
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval ______________________ _
@rt]□ California Coastal C".nrnrniscin11 Permit Required: YES _ NO±-
DATE OF APPROVAL:
San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA. 92108-1725
(619) 521-8036
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval ______________________ _
BtJ O £nclusionary Housing Fee required: YES _ NO~
if□□
r9tl D
ErCJ D
E('oo
(Effective date of lnclusionary Housing Ordinance -May 21, 1993.)
Site Plan:
Zoning:
1.
2.
1.
2.
3.
Provide a fully dimensioned site plan drawn to scale. Show: North
arrow, property lines, easements, existing and proposed structures,
streets, existing street improvements, right-of-way width, dimensioned
setbacks and existing topographical lines_.
Provide legal description of property, and assessor's parcel number.
Setbacks: &~
Front: Required Shown
Int. Side: Required Shown
Street Side: Required Shown
Rear: Required Shown
Lot coverage: Required /. /'VH 11° · Shown L-y'o /
I //, s Height: Required / lf M:4)'Shown
rn1J D 4. Parking: Spaces Required ~wn ~ /2\ / _________ Guest Spaces Required ~ Shown L.._
((Q)::9"'□ 1 J\dditional Comments ~ t<,1'-1§::, OR,", ,-,<Vsc:1! (Q.o_-,e,'<'> A f'O R>'cr\"'
S«'i'~HYrTJSC:! '?.,1e"J'::V55tv E""D<os-lil.f Pff\\0 fr,-/D PILDe0 s.t't> S ttA:c: K.-
m<c: Pff:D 0 sTtt-Vc...J\£/l is ~ :::ms=: fiU>p,;,.si;:.v Stl:A::s-\c-.. <=-t7""tltR-
'ilf'nca t PP:M?El'l--L'-/ SH-Ot-Ue::J ?r'! R-Q,..11 20) PLI\NS, • LNo<..1<-]> (31£'-
Apf'(L vl:::°'D ~ '1' P'-rlr--1,v \ N ~ e
Se.c-\-i <> o '1-\. IO • "50 (2JQ3)
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER ~M~DATE _8_-~_·_9_-S---
PLNCK.FRM
•
Cit~ of Carlsbad
■ =·i• i ;r; ii, t• I •14 ·6 11 I; ,t§ ,i I
OWNER-BUILDER VERIFICATION
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in
processing and issuing your building permit. No building permit will be issued until this verification is
received.
G
@
3.
I personally plan to provide the major labor and materials for construction of the proposed property
improvement (yes or no) __ 'i ...... E-=-·=5 ______ _
I (have/have not) ___ H ....... A_.\/ .......... rr_..._ ______ signed an application for a building permit for the
proposed work.
I have contracted with the following person (firm) to provide the proposed construction:
Name __________________________ _
Address ________________ City ___________ _
Phone __________ Contractors License No. ____________ _
4 . I plan to provide portions of the work, but I have hired the following person to coordinate, supervise,
and provide the major work:
Name __________________________ _
Address ________________ City ____________ _
Phone __________ Contractors License No. ____________ _
5 . I will provide some of the work but I have contracted (hired) the following persons to provide the
work indicated:
Name Address Phone Type of Work
s;gned: ~cl ~ · ~~ Property Own•;=~
Date: ;:s·c l 2f
2075 Las Palmas Drive • Carls bad, California 92009-1576 • (619) 438-1161
J.71 7 DL1/rnf tlt
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5Q. F°D6Tt:\&-C:: Dti=' :Xl5T!N~ +4,s ;:::-: 172.S
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----~-------·---~ Received
------------------------CITY OF CARLSBAD
CEVEl.OP, PROC. S.ERV. DIV.
911
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