HomeMy WebLinkAbout2730 OLYMPIA DR; ; 86-467; Permit"' z 0 ~ a:: < ... u ... Q
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IC ~ g I hereby affirm that I am licensed under
U [ provl1lon1 of Chapter 9 (commencing with ~ Section 7000) of Division 3 of the Business
t--and Prolnalons Code, and my license Is In ~ full forca and ef1ect.
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I nereby atl,rm lhal I am exempt tram Ille Contrac·
tor's License Law lot lfte following reason (See 1031 5 Buswiess and Protesswns Code Any c,ty o, county wtucr. re-qurres a permd to construct. alter, 1fflpt'ove. demot1sh. or repair ant suucture, pnor to 11s issuance also requires the ap-
plicant for such perml! to Me a signed statement lhal he 1s
licensed pursuant to the pr0'11S100S ol the con1ractof'° s Loc:ense Law ( Chapter 9 eommene,ng with See110n 7000 of llMsK>n 3 ol lhe Busme,s and ProtesSK>nS Cade) o, Iha! IS ex-empt therefrom and the basis for the ,negeo exempllon Any
11!Dlal10n DI SeeliOII 7031 5 by an apploeanl lo, a perm,1 sutt-ieets 1ne appl1eanl lo a e,v,t penalty« not more than tive hon· dred dollars ($500)
I, as owner of Iha property, Of my employees w11h wages
as their sole compensal10n. w,11 do the work, and the struc-
ture is not intended or offered !Of sale {See 7044, Busmess and Protess1o0s Code The Contractor's License Law does
no! apply lo an owner of property who btulds o, Im1>rMS
thereon and who does such work himself or through hts own employees, provided that such improvements are not ,ntend•
ed or offered for sale 11. hOVrtever, lhe building or Improve· ment 1s soCd within one year ot comple1100, the owner-bu11der
will have !he burden of proving Iha! he did not build or 1m· prove tor the purpose ol saleJ
D I, a• owner ol !he property, am exelus,vely conlraeung
with t~nsed contractors to c.onstruct the Pfotect {Sec 7044. Business and Professt0ns Code. The COnlractor's License
Law does not apply to an owner of prQperty who bwkSs or im• proves thereon, and who contracts for each proiecls with a contractor(s) license pursuant to lhe Contractor's license Law).
D As a homeowner I am imprOll!ng my home and lhe lollow ing conditions exiSI:
1. The work 1s being performed pflor to sate 2 I have hved m my home lor 1-welve montns r~av: :°p~:::oof t'~11: =~ttOn during the last lhree years
~in1:r":.";:' under See _____ _ B&P,C.
~ hereby affum that I have a certificate of consent t
t,e~~sure. or a certificate of Workers Compensation 'ft
SOfance. or a cenilieo copy thereof (Sec. 3800. Labot C.O,.J
POLICY NO ) C. ~ '"1 S ').o(, ~1 COMPANY f-t\ t RM-C,1\JT ~ ~PY IS flied with lhe city
CII z ... CL :I 0
D CerUlied copy 1s hereby fumished
~ t0 -\-ff 1
, 0 CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need no1 be completed lf !he permit "' ir ... ><'. a::
0 3t
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is tor one hundred dOllars (S10<» or less)
0 I certify that in the pertormance of the work for which
this permit Is !Ssued. I shall not employ any person in any
manne, .so as to become Subject to the Workers' Com pen•
salion laws of California.
NOTICE TO APPLICANT; If. after making this Certificate
ot Exemption. you should become subject to the Workers·
Compensation t)rovisions of the Labor c.ode. you must
torthwilh comply wilh such provisions or this permit shall
be deemed revoked.
0 I hereby atfum tha1 there is a construction lending
agency lor the performance of the wor1< lor whlch this per·
tnit is iSsued (Sec:. 3097, CvU Codel
~n;', s Name ~ -h
tender·& Address-
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--CARLSBAD BUILDING DEPARTMENT APPrj9A_TION&"PeRMIT , . Carlsbad, California 92008-4859
/ JOB ADDRESS ~ AV ST.RO. NEAREST CROSS ST. I 4 Tl ~~r~A~ONI
BUSINESS LICENSE " -f&il.0
7/1-
PERMIT NUMBER ~730 A •
1 i OL'fM?IA D'R 11-t I~ -:}..oo <?J t/t7 .s~BLOCK I SUBDIVISION I AS~ESSgB.PAR~E~O' -...__.< CONTRACTOR CONTRACTORS PHONE • ZONE /
_._.._ --<;,.o._ V'--J. (.) :-0 ~ r-1Pc c \S L....(_ 'o Ct-~ ))S OWNER'S NAME I Lf1•--t~6~4NE Sa~\..'-.h.~~ G .;" ffc\k CONTRACTOR'S A00RE!l5 STATE LICENSE NO. BUILDING SO. FOOTAGE
h_)s--S.c. '8;~..:l ~ ~ c.-:s-7:, y '' ~-:; OWNER'S MA NC. ADDRESS -
ir-t?:b GL-\f l"'('lA ()'r Co-.--< \ ~ ~cd '1'}Gof OES1GNEA DESIGNER'S PHONE
< -DESCRIPTION OF WOP~
_.. .r, { ~ <:::::.. t::>'-4.~~ 1f> _DESIGNER'S ADDRESS STATE LICENSE NO. ----\ ' \
~ F/P FLR ELEV. NO OCC GP EDU STORIES
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. ~-~ I PARK ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE CCC LOAD FIRESPR AREA CONST ---♦ ,_.,.,,. -y D ND vO NO vO NO Not Valid Un~s Machine Certtfitd
QTY. PLUMBING PERMIT -ISSUE 759-QTY. MECHANICAL PERMIT -ISSUE \.~--SUMMARY/ACCOUNT NUMBER_..,_ -.1,
EACH FIXTURE TRAP INSTALL FURN. DUCTS i.JP TO 100.000 BTU BUILDING PERMIT 001 ·810-00-00-8220 / c_. ::, -
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001-810·00-00-8221 ~ -I EACH WA TEA HEATER AND DR VENT z._.5 c; BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-Bl0-00·00·8806 VI o '/:P
l EACH GAS SYSTEM 1 TO 4 OUTLETS L..,o BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 001-810-00-00-8222 (~. uo
! -/~. un EACH GAS SYSTEM 5 DR MORI' METAL FIREPLACE ELECTRICAL 001-810-00·00-8223
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224
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EACH VACUUM BREAKER LSr: MECH EXHAUST HOOO'OUCTS MOBILEHOME 001 ·810-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001-810-00-00·8226 -6-EACH ROOF DRAIN (INSIDE) DRYER VENT STRONG MOTION 880-519-92·33 ~ l ~ ,,. TOH,L MECHANICAL FIRE SPRINi<LERS 001-810-00·00·8227
f01 AL PLUMBING -I f .) . Ul PUBLIC FACILITIES FEE 320-810-00-00-87 40
QTY. ELECTRICAL PERMIT -ISSUE s--QTY. MOBILE HOME SETUP BRIDGE FEE
PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWT BKR . CAR PORT TIF 001-810-00·00·8835
I PH 3 PH I 1 AWNING LICENSE TAX 001·810-00-00-8162 --I
EXIST BLOG EA AMPtSWT BKR ... GARAGE . MFF 880-519-92·57
I PH 3 PH
JI_ REMODEL ALTtR PER CIRCUIT ~ /U -~ ' ---.
TEMP POLE 200 AMPS
OVER 200 AMPS
fEMP OCCUPANCY 130 DAYSI -. -~ C 1/-/ -. -' [) .... CREDIT DEPOSIT "-...,lR .vu~
I TOTAL ELEGTRICAL ! f S-Ub TOTAL I /"2-~. t./7 i < ,. TOTAL FEES PAYABLE -----
I HAVE CAREFUi..l V EXAM NED THE COMPLETEO ··APPLICATluN ANO PERMIT AND DO HEREBY Ewl)·,r11>on. Everyper_mil issued by the Bu1ld1ngOll1c1a1 undertPiep,oir,s,onso, [/s:N OSHA IT IS RFj/JIR~CAVATtONS OVER CERT,FY UNDER PENALTY OF PERJURY THAT ,All lNF()RMATION HERlON INCLUDING. THE Code shall ewp,re by hm,tahor> al'<I becom• null aM •O•d• If tl'iebuild•ng-OI • •v O" ~EP ) OE STRUCTION OF OE CLARA flONs· ARE TRUE AND CORRECT ANO I FURTH El'! CERTIFY ANO AGREE IF A PERM T 11, autnor,zed by such permit •• not commenced w1t1,in 180 days from the date ors ,ch l rr --,-,veR-tff fJ EIGHT • · i · · · · · 1 permit or if the bv1td,l or work authorized by such pe1m1t ••s <Juspen~ or ISSL,ED. T!),COMRLY WITH All CLTY_CO.UNT't ANO STATE LAWS GOVERNING BUILDING CO"' abandoned 111nv ume I er tna «ork ,s commenced for I i>eriod of 180 dav
STRUCT•ON WHETHER SPECiFIEO HERE.IN OR NOT I ALSO AGREE TO SAVE INDEMNIFY A:~LICANT·S Sl•-NAT ,. OWNERC CONT RAC~~ l(;)Q_ J~1/ i DATE (, KEEP HARMLESS THE CITY.-OF,CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AN~ J ' ::,.?"
EXPENSES WHICH M,AY IN ANY WAY ACCRt,IE AGAINST SAID CITY IN CONSEOUENCE OF -,.E ~~ BY PHO E S ,. ~ 11.,,.~ GRANTING Of THJS PERMIT~ ~ ---
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TYPE I
I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
I
SUB FRAME D FLOOR □ CEIP NG
SHEATHING D ROOF D SlttEAR
FRAME I
EXTERIOR LA TH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
I
PLUMBING I
D SEWER AND BUCO D P,UCO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
' GAS TEST I ' D WATER HEATER D SOLAR \IVATER
I
ELECTRICAL I .
D ELECTRIC UNDERGROUND Q UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPEC'flON WHEN ALL APPROPRIATE
ITEMS ABOVE HA1VE BEEN APPROVED
FINAL ' I
PLUMBING I
ELECTRICAL I ...... ""
MECHANICAL I ~ I
GAS I .. -,....r .... ,.-
BUILDING I ~ '-'--
SPECIAL CONDITIONS I " \. ~-I -,
I ~ -
-....... . ,r·;-<,._•-r j . \ ' . .~
' \ -,
'13'~--4{p 7
' FIELD INSPECTION RECORD ,, .
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
I ·, -REO. IF INSPECTOR'S -INSPECTI.DN CHECKED APPROVAL DATE
SOILS COMPLIANCE \
PRIOR TO -
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED •
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY -. ;.;--, -PILES CAISSQNS
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1200 ELM AVENUE
CARLSBAD, CA 92008·1989
Citp of Carls&ab
BUILDING DEPARTMENT
AFFIDAVIT
This document will certify that I know the provisions
of Ordinance 8092 requiring fencing for swir.:ining pools
and/or spas. I understand that I, as the owner of
ADD;ts; ~ Q L_,\'7n,~.
must obtain an approved final inspection of tne fencing
from the Building Department prior to final inspection
of the swimming pool and/or s~a, and prior to any use
of the swimming pool and/or spa.
SIGN ./2_, {_",/-/~
DATE '7-6-80
This signed form is to be attached to the Inspector's
copy of the swimming pool and/or spa permit.
RECEIVED
SEPl~: 1986
CITY OF CARLSBAD
Building Department
TELEPHONE
{619) 438•5525
PLAN CHECK NO. DAT[~~
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• PLANNING
ZONE: ~ (
SCHOOL DISTRICT:
TYPE OF PROJECT AND USE:~<fb='+-~-L~-------------
SAN DIEGUITO ENCINITAS CARLSBAD~ SAN MARCOS
SETBACKS: FRONT ~ SIDE REAR
DISCRETIONARY ACT IONS :_,._rJ.l.j£""'~;;...... ____________________ _
REDEVELOPMENT PERMIT REQ IRED: _____ _,_ _______________ _
ADDITIONAL COMMENTS: ------------+------------------
OK TO ISSUE:~ -----------DATE: ql~l @,(...
£NGIN££RING
LEGAL DESCRIPTION VERIFIED? APN CH ECKED? ------____ ......._ _____ --'
PARK-IN-LIEU QUADRANT: , FEE PER UNIT: TOTAL FEE: ------+---------------
FEE:
FACILITIES MGMT.
FIELD CHECK DA TE &
DRIVEWAY: ------..---'i.-----t----J.--
E.D.U.: ------+---......
ON CERTIFIED:
ADDITIONAL COMMENT
OK TO ISS~~...::::::::....__iG.i-c.._.c:::1::Ec:=:::::==::z:~s;:.--•DATE: __ r_,,_0_~__..0_i_0 ____ ......
DPD2:DPD6:07/17/86 .