HomeMy WebLinkAbout2732 Olympia Dr; ; 86-862; Permit.., z 0 ;::
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O I hereby affirm that I am llcenaad under
pr0¥1alona of Chapter 9 (commencing with
Section 7000) of Olvlalon 3 of the Business
and Profnalona Code, and my license Is in
full force and effect.
I IW,ret,y ilfirm 11\it I im e,empt lrom lhe Contric-to<'s Locense Law for lhe lollow!ng ruson (Soc 7031 5 Busmess and Protess,ons Codi Any City oc county wtuet. re-quires a perm,t to conslruct. aher. lfflJ)rove, demolish. or
repair any s1ruc1ure, prM)( to Its Issuance also requires !heap· plicanl lor sue!I permtt to file • s,gned si.temenl thit he ,s hcensed pursuant to the prOYtsais of the (.;.ontractor s
L,cense Law (Chipler 9 conwnonc,ng ""th Sett,on 7000 ol DMsion 3 of lhe Bus,ness •nd P\'ofessions tode) or lhil ,s tx· empl lherelrom ind the bis,. for the illegeo nempllOfl Any
VIOiation ol s«tion 7031.5 by an appllcanl lor a perm,1 sub· jecls lhe ippl,cinl to • Cl'lij penilly of nol more lhin 11'111\uO•
dred dollars ($5001
I, as owne, of the pr-1Y, or my employees ,.,,n .-.gos
as lhett sote compensat10n, wMf do lht work. and the struc-
ture is not lnleooed or offered to, sate (Sec 7044, 81JSJness and Professions Code· The Contraclor' s License Law does
nol apply 10 in owner of prOl)trty who builds or unprOYts
thereon and who does sucn work himself Of nw~ his own employees, provMled lhit sucn Nnpro.ements ire nol intend-
ed or offered for sile. tt. however, lhe building o, ,mprove-ment 1s soto within one year ot comptehOn, the owner-builder
will hivt the burden of proving lhil he did not build o, im· prove fo, the purpose ol sile)
O I. as owner of lhe property, il11 excJuSl'lely con1rac1,ng .. 1n licensed con1ric1ors 10 conslrucl lhe proioct (Soc 7044, Busmess and Pfoless,ons Code The Contractor·s license
Law does no1 appty to an owner ot property who builds o< m-proves thereon, and who contracts for each projects with a
contractOf(S) hcense pursuant to the Contraclor's license Law).
0 As•-""' I im 1mprOY1ng my home, and Ille follow ing condthons IXI~
t. The WOik IS being per1o,med prior lo sale. 2. I have lived in my home tor 1welve monlhs prior to comple11on o1 lhis work. 3 I n.v. not cli1med 1n,s exempl,on during lhe
list three years
D limex-1undefs« ______ ,e&PC
for this reason -------------
0 I hereby aftum that I have a certificate or consent to
self.insure. or a certificate ol Workers· Compensation In-
surance. or a cer11hed copy thereof (Sec, 3800, LabOr Cod.)
POLICY NO
COMPANY
0 Copy is hied with the city
0 Certified copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be completed if the permit
Is fof one hundred dOtfars {S100, 01 less)
D I certify that in lht perto,manee or the work to, wh:1ch
trus permit 11 issued. I snau not -.nploy any person In any
manner so as to become subject to the WOfkera· Compen-
sation Laws of California.
NOTICE TO APPLICANT: If. after making thl1 Certificate
of Exemptton. you shou'd become subject to the WonterS"
Compensatfon provisions of the Labor Code. you must
lorthwilh comply with such provlSaons or this permi.t WU
be deemed revoked.
0 I hereby affirm tnat there is a constructtOn lending
agency lo, the performance of the work fOf which this per.
mlt Is luued (Sec. 3097. Civil Code)
Lendef's Name ______ _
Lender's Address ~
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APP'fCATION & PERMIT I Carlsbad, California 92008-4859
JOB ADDRESS AV ST.RO. NEAREST CROSS ST 1°F ::;~~:iZNI p BUSINESS LICENSE • VALUATION rf})EJ!,MIT NUMBER
2732 01. ./MP/A IJ1v11£ '?4' .Al 7" IA C /l~fo-
LOT I BLOCK I suBo,v,s,oN I ASSESSOR PARCEL NO
<R,\;T4~tl~~V\V ~~~o;:-~ ZONE rtv ,
OWNER'S NAME
RoarR-11.,ciu-.tl.t~
OWNER•s PHONE C",,.,, PTt:)A/ -CONTRACTOR'S ADDRESS \ ,a STATE LICENSE NO. BUILDING SO. FOOTAGE
~10000 OWNER'S MA•L•NG ADDRESS ~\l V,\r..(_, k l2-
27.3'2 (), 'r'~PIA 0,r., eA-JU..f 0.l'ID, CA ~ 2cc r DESIGNER DESIGNER'S ,-HONE
0£SCRIPTION OF WORK 0~
DESIGNER'S ADDRESS :;TAlt. UCEN.,,. ""· .
CcNC/ZEr£ J:,t..«J,<e JLA-B N/ r"6r-~NG, ~ ----,-------·-.. F/P FLR ELEV, NO DCC GP EDU --f'c,r 9~uAt..._e ~d£a1J111 -STORIES u·ulii uiil Ut::1/ £ U / t::lt>it<n I lii. I vO NO --
I
PARKING SPACE AES UNITs' I GRADING PERMIT ISSUEO I REDEVELOPMENT TYPE DCC LOAD FIAESPR
~ ' --.. AREA CONST
y D ND vO NO vO NO Nor Valid Unlns Machine Certili«I
QTY. PLUMBING PERMIT · ISSUE 7~ QTY. MECHANICAL PERMIT · ISSUE :3--SUMMARY/ACCOUNT NUMBER ~
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100.000 BTU BUILDING PERMIT 001·810·00·00·8220 '/0....,,.. = --#
EACH BUILDING SEWER I OVER 100,000 BTU SIGN PERMIT 001-810·00·00·8221
EACH WATER HEATER ANOIOR VENT BOILER/COMPRESSOR UP TD 3 HP PLAN CHECK 001·B10·00·00·8806
EACH GAS SYSTEM I 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 SINGLE DUCT MECHANICAL 001·810·00·00·8224
EACH VACUUM BREAKER '. MECH EXHAUST · HDOOIDUCTS MOBILEHDME 001·810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001-810·00·00·8226
EACH ROOF DRAIN (INSIDE) DRYER VENT STRONG MOTION 880·519·92·33
TOT /;L MECHANICAL FIRE SPRINKLERS 001-810·00·00·8227
TOT AL PLUMBING I PUBLIC FACILITIES FEE 320-810·00·00·8740
QTY. ELECTRICAL PERMIT· ISSUE ~-QTY. MOBILE HOME SETUP BRIDGE FEE
PARK·IN·LIEU (AREA )
NEW CONST EA AMP'SWT BKA -CAR PORT TIF 001-810·00·00·8835
I PH 3 PH AWNING LICENSE TAX 001·810·00·00·8162
EXIST BLOG EA AMP/SWT BKR GARAGE MFF 880-519·92·57
I PH 3 PH
REMODEL AL HR PER CIRCUIT "' .--...·
TEMP POLE 700 AMPS " . f ,.
' -,,
OVER 200 AMPS . ' ~ ...
TEMP OCCUPANCY 130 DAYSI
--~i~•-!> f'-CREDIT DEPOSIT . i--.. ~ .
TOTAL ELECTRICAL I TOTAL TOTAL FEES PAYABLE l/t1~~ -
'
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" ANO DO HEREBY E--.E.-ypet11111-bytlla ........ C>thcoal-lltel)fo,,1soonsolthtt * ANOltM 'INIIT II...,._, FOIi EXCAVATIONS OW£II CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code -· •• ,,. .. by hmttat,on .. d become null -VOid II the bu•ld,ng or work 5· o·· DEEP ANO OIIIOLfflON Oii 00NS1l!UCTION OF DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT I~ authorlZeCI by auch pe,m,t ,1 not commenc..i wtlhtn 180 days from the d■le .,, such STRUCTUMS OV£R 3 STOIIIES W HEIGHT perm1L Of tf Ille ~ work aulhotlZeCI by auch pe,m,1 ,a --or ISSUED TO COMPLY WITH ALL CITY COUNTY ANO STATE LAWS GOVERNING BUILDING CON-abarldONcl at anv bme Ille wo,k ,a commenced tor ■ ...,tOd ol 1ai> ...... -STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANT'S SIGNATURE • RJ( CONTRACTOfl 0 APPROVED BY p ~fl KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO • 0-E
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE Xf2./.. t' / fl/ ( ~ Bv'~E~ GRANTING OF THIS PERMIT • -( /C 1 -_ ---.
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TYPE I DATE INSPECTOR
BUILDING I
I
-~, 81, .-fSt4 ~
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
SUB FRAME D FLOOR D CEll;.ING
SHEATHING □ ROOF □ St-iEAR
FRAME I
EXTERIOR LA TH I
I
REQUIRED SPECIAL INSPECTIONS /} INSPECTOR'S NOTES
REQ IF INSPECTOR'S V. -' INSPECTION CHECKED APPROVAL DATE j t • ~£_ ~1'1!:--~12-fi.-I>£ F°'OoT'l ~ G.,
I ;
SOILS COMPLIANCE . PRIOR TO /2 "L I(, ·; Fon -11/J~ uJ/~4-$~/t5 FOUNDATION INSP
-rt)/ i B D '7/o"'1-I . STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
INTERIOR LATH & DRYWALL I ' I
PRESTRESSED ( CONCRETE
POST TENSIONED I
CONCRETE I
C PLUMBING I FIELD WE\DING
D SEWER AND BUCO D P).JCO
UNDERGROUND □ WASTE □:WATER
TOP OUT D WASTE □ WATER
.
HIGH STRENGTH
BOLTS ~.
·, SPECIAL MASONRY I
TUB AND SHOWER PAN ' I •
GAS TEST I -' PILES CAISSONS
□ WATER HEATER □ SOLAR WATER I
I • I ,,
ELECTRICAL I ,. I
□ ELECTRIC UNDERGROUND 0 UFFER
ROUGH ELECTRIC I
I ,-.
□ ELECTRIC SERVICE □ TEMPORARY ' . , .
0 BONDING 0 POOL I
\ ,...., .___.-.. ... ... ,., ..... " --.-: ........ '
I
\ ~
MECHANICAL I
□ DUCT & PLEM., 0 REF. PIPING t" ';\' "-. .;-. :v nnTn o~T ne\~n\g~~gw1 .n • ': -
HEAT -AIR COND. SYSTEMS I
I
. ' --' VENTILATING SYSTEMS I '
-I
CALL FOR FINAL INSPEC~ON WHEN ALL APPROPRIAjE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL I '/ I , .. ' {
-
PLUMBING I / y.; I
ELECTRICAL I (IJ lJ r DI -.
MECHANICAL I V / . '[' 'M~
GAS I I r A I -I
BUILDING I ! I/ I
SPECIAL CONDITIONS I ' V
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