HomeMy WebLinkAbout2728 Olympia Dr; ; 87-205; PermitII) z 0 ;::
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O I hereby affirm that I am licensed under
provtalona of Chapter 9 (commencing with
Section 7000) of Dlvlalon 3 of the Business
and Profeaelona Code, and my license is In
lull force and effect.
I netetry afhrm th.al I am exempl lrom the Contrac· tor's L,cense Law tor the lollow1"11 reason !Sec 7031 5 Bus,ness and ProltsSIOns Code Any c1ly Of county whtth re-quires a perm,1 to construct. alter. vnprove demolish. or rl1)llr any s1ructure pooc to ,ts issuance also requires !he ap-pltcant lor such penM to hie a SJqned statement 1ha1 he ,s bcensed pursuant to the prov.sions o1 the eonuactor s Locense Law (Chapter 9 commenc:1"11 w,th SectlOO 7000 ol Olv1st0n 3 of the Business and ProtessiOns Code) or lhal ,sex· ernpl therelrorn and the basis tor the allegeo exemption Any YIOlatlOO ol Sectoon 7031.5 by an apphcant fol a perm,, sub-llciS the applocanl to a cMI penalty ol not more tl\an 1 ... hun-I
dred dollars (15001 I
I. as owner OI the prOl)erty or my employees with wages I ~!,!~~ir~1~::":~iffi:'~~do~ree(s:~k7~~-1;~!~~ I
and ProfesSKM"ls Code The Contraclor's Lcense Law does I
:r=z,,:,o.: ::.::::-ti.::'" ::~h-::~= I
empk)yees, provided thal such 1mprDYemenls are not intend• J ::. ,:tt= ~~h,~~ ~e,';°:~~~~~•::"~~e~m::~ I
WIii have the burden of proving that he did not build or 1m-I pro,e l0t the purpose of sate) I
r I. as owner 01 the property, am excius,vety contractmg I ;•~~:;:i ~!~:~:~o =tru{~~~~::~~U~~~~ 1
Law) I
lJ As a homeowner I am 1mprov,"II my home. a the lollow· I
Law does not apply to an owner ol prOl)eny whO builds 0t 1m-1 proves tMreon. and who contricts tor each pra,ects 'ffilh a I
coniractor{s) hcense pursuanl to the Contri ·s lteense
1ng cond1t1011s exist I ~ lt:'\..!.be:~g ~rt= r~ior .:· months I
pr,or to cornplet,on ol llus -k
I hive not cliiuned this exempt dunno lhe last three years
□ I am exempt under Sec 'V\ for this reason _________ 1¥~---B&PC.
0 I heteby atfum that I have a cert1fica1e of consent to I
sen-Insure. or a certificate ol Workers Compensa11on In-I
suranc:e or a cert,hed copy thereot tSec 3800. Labor Code) f ~u~= I
COMPANY I
0 Copy Is hied with lhe city I
0 Cert1hed copy 11 hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This sec:uon need not be completed if the perm,1
1s tor one hundred dollars (S 11)()) or tess)
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0 I certify that In the performance of the work for which I
ttus permit is Issued. f shall not employ any person In any I
manner so as to become subJect to the Workers· Compen-I
utK>n Laws of Cahfornla.. I
:,~~~P~~:.~i~r:,~: ~::_ ;::,•~1 !~•:~w~:r~~ I
Compen,alion p-ovlalons of the Labor Code, you must I
lorthw11h comply with such provisions or this permit shall I
be deemed revoked. I
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I 0 I hereby atllrm that there la a construction lending I
egency for the perfonnance of the wOfk for wh~h !his per-1 mrt 11 1ssuec, (Sec. 3097. CtVJI Code)
Lenoers Name
)
Lender's Address ____________ _
----•••-• -•••• • -n -••-• -• .. ___ ,._..,"'_ ----. -· --·---·1 -.. . ·--. ··-----
CARLSBAD BUILDING DEPARTMENT APPLICATIO~PERMIT : 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
JOB ADDRESS AV ST.RO. NEAREST CROSS ST IOATE OF APPLICATION' BUSlr LICENSE # VALUATION PERMIT NUMBER
2,2~ orv~nt,\ nr. <' \..._ /2-1 eo [J,;zo'5 LOT B~OCK I su'llo1 v,J,oN I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE
~~l0.e..r-Oool, 411 '"'-32-<t' OWNE R"S NAME I ~l~o~;s~e '2av J~e"' CONTRACTc1R"S ADDRESS' STATE LICENSE NO. BUILOlNG SO. FOOTAGE
OWNe,·s MA ' '"'G AOORESS ~s-~~eoh,o.~ IC·S-~ l3 1 'i'c1 ---,, -
5~ DESIGNER DESIGNER'S PHONE vv._--. V'tF,7 VJ.V :.·..::-.~:.t 129.
DESCA1PT•O"-OF WORK
DESIGNER'S ADDRESS STATE LICENSE NO.
Pao\ c sr~ -l F p FLRELEV NO OCC GP EDU
STORIES
vO NO --
I I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
10 H 0 vO NO vO NO Not Valid Unkn Mlchine Certtfr~
QTY. PLUMBING PERMIT -ISSUE 75D QTY. MECHANICAL PERMIT -ISSUE 1 ()( SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 001-810-00-00·8220 'IY, ••
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001·810·00-00-8221 ,. EACH WATER H'EATER AN010R VENT -z... .J "b -------BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810·00·00·8821 C..'f . .-0
( EACH GAS SYSTEM 1 TO 4 OUTLETS __ -l--?_ ,fb BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00·8222 IS. c:>O --
EACH GAS SYSTEM~ OR MORE . METAL FIREPLACE ELECTRICAL 001-810-00-00·8223 JC Ocl --
EACH INSTAl. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT M~CHANICAL 001-810-00·00·8224 --I EACH VACUUM BREAKER .., {"b MECH EXHAUST HOOD DUCTS MOBILfjiOME 001-810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE.HEATER SOLAR 001-810-00·00·8226
EACH ROOF DRAIN (INSIDEI DAYER VENT STRONG MOTION 880-519-92-33 ~ ---TOT J;L MECHANICAL FIRE SPRINi<LERS 001 ·810·00-00-8227
TO 1 Al PLUMBING I ,~~ PUBLIC FACILITIES FEE 320-810-00-00·87 40
sot BRIDGE FEE 360-810-00-00·8740
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWl HK R CAR PORT . ' Tlf 134·810·00·00·8835 .
1 PH 3 PH AWNING n-;"' ' lA COSTA TIF ... 133-810-00·00·8835
EXIST BLOG EA AMPtSWT BKR GARAGE '-JLJi"'• ....... FMF
1 PH 3 PH .... l.K et.-. LICENSE TAX 001·810·00-00-8162
·1 REMODEL Al TtR PER CIRCUIT /0 ·0 11 f I It -u MFF 880·519·92·57
lEMPPOLE 200 AMPS --1,. J. ~ Ion ...
OVER 200 AMPS "-'-/h, ---v/
TEMP OCCUPANCY 130 DAYSI 'rCl(),'')•,_ • 4 ," A , ..... .,
--, ; ~:.,· .. ,_.,.,_ -" I-ft CREDIT DEPOSIT < r. 'f. •0 7
IOTAL ElEClRICAL I TOTAL ... ~:.,;,G SfJii,s_ I ~ .,
/~ _o,b TOTAL FEES PAYABLE /2. . .0,. yf:/ 1
-: ,., Exp,rat,on Every permit ,ssued by the 8u1ld1ng Oft1c1af under lhe prov1sIons of rh1s I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPUCA: ION AND PERMIT AND DO HEREBY * AN OSHA PERM:T IS REQUIRED F0A EXCAVATIONS OVER
CERTIFY UNDEF,I PENALTY Of' l'E~URY THAT ALL INFORMATION HEREON NCLUDtlsG THE Code shall expire by ltm•tation and become riull and void It the bu,td,ng or work ~· o·• DEEP AND DEMOI..ITION OR CONSTRUCTION OF authorized by such oerm11 1s not com"'enc&d w,trnn 180 days from 1he date .,:,t such DECLARA TlbNS ARE TRUE AND C~ECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 1~ =-~~00~ '!t t=~Y ~~:1le?~h:~~c:~:":~:'.~JJ~~~ :9~~~1~1s~:rc,".~ 0,
STRUCT\JMS OVER 3 ST~ES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNI.NG BUILDING cor,-
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANr
~~,,
OWNER□ CONTRACTO~ '-.
APP/4:l~
DATE KEEP HARMLESS THE CITY OF CARLSBAD <IGAINST ALL LIABILITIES, JUDGMENTS COSTS AND
EXPENSES WHICH MAY •N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE [ I lf. 't '-f-JJ GRANTING OF THIS PERMIT \)
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TYPE I DATE INSPECTOR
BUILDING 1
FOUNDATION 1 ~,'"(-Y1 Jvvl~
REINFORCED STEEL I S ""i'<I u,~l,1_
MASONRY l -I
GUNITE OR GROUT .
SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D S~EAR
FRAME !
EXTERIOR LATH 1 '
INSULATION T
I
INTERIOR LATH & DRYWALL ! .
I
PLUMBING j
D SEWER AND BUCO □ i,uco
UNDERGROUND □ WASTE D WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
GAS TEST I I I C,,r,.'.., ~
□ WATER HEATER □ $OLAR WATER
!
ELECTRICAL I .
□ ELECTRIC UNDERGROUND Q UFFER C_..,.) .. ¥/ Wt:.-
ROUGH ELECTRIC !
□ ELECTRIC SERVICE □ TEMPORARY
□..,.seNDING □ POOL i S-'-t--\7 IMil.n -I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIRING
HEAT -AIR COND. SYSTEMS l _,_ .. ---..
VENTILATING SYSTEMS
, I r .
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CALL FOR FINAL INSPECTION WHEN ALLAPPROPRIA TE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING "i
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
\
FIELD INSPECTION RECORD
\ • REQ.UIRED SPECIAL INSPECTIONS
INSPECTION REO. IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE ,.. ¥· "-" tt PRIOR TO "-'• • -1,
FOUNDATION INSP • •
STRUCTURAt;CON~RETE
OVER 2000 PSI
PRESTRESSED .... CONCRETE .....
POST TENSIONED . ....
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS ,.. ..
SPECIAL MASONRY
PILES CAISSO"NS -'
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JNSPECTOR'S NOTES
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• PLAN CHECK No J], /06
ADDR£ss7 7:18' Olp'rf/4 [}__ DAT£#
D □-.. .!!! +-'
PLANNING 0
TYPE OF PROJECT AND US[: vool/.5f,4--· ZONE:
SCHOOL DISTRICT: SAN DIEGUITO
SETBACKS: FRONT
ENCINITAS
SIDE
CARLSBAD SAN MARCOS
REAR
--
DISCRETIONARY ACTIONS: ________________________ _
REDEVELOPMENT PERMIT REQUIRED: ----------------------
LANDSCAPE PLAN COMMENTS: ____ ..,.....:::::::::::::::.....------------------
ENVIRONMENT AL REQUIRED=---~---+--+----r'-/-""'/a,.._ __________ _
COASTAL PERMIT REQUIRED:
ADDITIONAL COMMENTS: --~-----------+---,.::==========-----------
ENGINEERING
LEGAL REQUIREMENTS
LEGAL DESCRIPTION VERIFIED? APN CHECKED? -----------------
~/~-. RIGHT-OF-J§i:
EDU'S: ( / DRAINAGE: ------------------------/ :,
EASEMENTS:
IMPROVEMENTS:
I / FIEII..Q. CHECK DATE & INITIALS:
.... _
PERMITS REQUIRED
GRADING: ~ ' -,,,,
I' GRADING COMPLETION CERTIFIED:
DRIVEWAY: ( (_____--INDUSTRIAL WASTE:
FEES REQUIRED
·~ y=
PARK-IN-LIEU QUADRANT: , FEE-PrR ~ TOTAL FEE: I
P.F.F.: TRAFFIC IMPACG EE PER UNIT: 1/ TOTAL FEE: I
'
I FACILITIES MGMT. FEE: ( \. _.,-,r BRIDGE & THOROUGHFARE FEE: ---
'
SEWER FEE (CONNECTION): SEWER LATERAL:
~ u Q) c: ADDITIONAL COMMENTS: --,,. --------:::::::--..::;;._ ________ -;,4----------~
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