HomeMy WebLinkAbout2732 Olympia Dr; ; 87-74; Permit"' z 0 ~ C a: C ~ (.) "' 0
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"t.1 1 hereby affirm that I am licensed under
:M,,,1a1ona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Prof .. alona Code, and my license is In
full force and effect.
I hereby affirm lhat I am e.empl lrom the Contrac-tof's License Law lor the lollowmg reason (Sec 7031 5
Business and Protesst0ns Code Any city or county which re· quires a perm,! 10 construct. alter. improve. demolish. OJ repair any structure. prlOf to its issuance also reciuIres ?heap-
phcant for such perml1 lo hie a sipned slatement thal he 1s hcensecl pUrsu~I to the pro~Isrons ot the ContracIor·s
License Law (Chapter 9 c:ommencmg w~h Sect.on 7000 ol 0.vmon 3 of 1ne Bus1oess and Pro1ess,ons Code) or that IS ex·
empt lherelrom anG Ille basrs lor 1l1e atlegeo exempt,on Any v10la11011 of Sectt0n 7031.5 by an apphcant for a perm1f sub-
1ects the applicant to a c1Yrl pe-nafty oJ not more than hve hun· dred dollars (SSOO)
1 I. as owner of the property or my employees with wages
as their sole compensation. will 00 the work. and the struc· lure ts no1 lnlendeO or olfered for sakl (Sec 704-4 Busmess ano Protess,ons Code The Contractor·s bcense Law does
not apply to an owner ot property who builds or UTiproves
!hereon and who does such work himself or through his own
employees, provided Iha! such 1mproi,ements are not ,nIeno-ed or ottered tor saJe If, however. !he ou1ld1ng or Improve-
menl 1s ~d w1lh1n one year ol complehon. the owner-bu1k:Jer wm have the burden o1 proving that he did not bulld or ,m-prove lor lhe purpose ol sale)
fJ I, as owner o1 the property, am exctus,vely contractmg
with licensed contractors to construct the pro)8ci (Sec. 7044.
Business and Pfofess10ns COde The Contractor's license law does not apply to an owner ot property who builds or Im•
proves thereon. and who conIrac1s for each pro;ecIs w,th a coniractor(s) license pursuant 10 the Contractor"s license Low)
□ As a homeowner I am ,mprov,ng my home. and lhe lollow 1ng conditions exist:
1. The work ,s being per10C'med pnor to sale 2. I have hved In my hOme lor twelve months pnor to comp5eltOn ot lhts WCKk
I have nol claimed ttus exemption during the tast three years
□ I am exempt uooer Sec ______ . B& P C
for this reason
")Cr I hereby afllrm that I have a certificate of consent to
('Jt.insure. or a certificate of Workers· Compensation In-
surance. or a cer11f1ed copy thereof {Sec. )800 labor Code)
POLICY NO b 5-1 .::t 7 c../
COMPANY S ?'c-7c:.. C,. ~~ 1
~Copy is filed ~•th the city / / ~I
0 Certified copy •s hereby !urn.shed ...., '"
CERTIFICATE OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(Th,s secUon need 001 be completed 11 the permit
1s tor one hundred dollars (SH)O} Of less)
D I certify that m the performance of 1he wOf'k for whk:h
this permit is issued. t snall not employ any person in any
manner so as to become subject to the Workers· Compen•
sation Laws ot Cah tomia.
NOTICE TO APPLICANT; If, aftef making this C.rtlttcate
of Exemption, you should become subject to the Workers·
Compensation PfOv1sions of Iha labor Code you must
forthwith comply with such provisions or this petmit shall
be deemed revoked.
0 I hereby affirm that there Is a construction lending
agency for the performance of the work for which this per-
mit is issued (Sec. 3097. c,v11 Code}
lenders Name _______ ,_ ____ _
Lender's Address _______ =~---
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-4859
,r JOB ADDRESS AV ST RO. NEAREST CROSS ST. I :;~o:;:;:;oN I Bzzzzy JG½f PERMIT NUMBER
.:J? Jc,) D/,.,J.._.A,L'7 j)_
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1"11 1_.b BLOert I suBo v1s,o,,r 'I ASSESSO~ P~RC.Jil NO -CONTRACTOR C<INT~AC'fbRS PHONf • ZONt / -
,.... .. 5"._,, I ~,, , --Luc..kt. 1 1117r.-llc. Ito .._ f )J'-O!"'~l:J OWNER·s NAME1 I £/J>;,:E~s;;; JD),-7 r o~~" CONTRACTOR/S ADO RESS STATE LICENSE NO. BUILDING SO. FOOTAGE
OWN(R'S M A NG ADDRESS / f-<o? o ~~dvi;.. -i • ., At_,_ Ys,1 )J
..S#;i.,fL OFSIG.,.ER OESIGNF R'S PHONE -~~J .
OESCFI PTJONOF WLRK /1!. 7 ~ ...... ... ~ ,,~J,,s,_,,.,....._ fl<' l. 7~n ~,-r-f r-11 e..-{ ~ OESrGNER'SA OOREl!;S STATE LICENSE NO.
',y-1 t..J Fcre-r hd/ N.J.. .,)~")Sb ~
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~ F. P F LR ELEV. NO ace GP EDU 0013 02/02 0101 02Blcht 44.5 STORIES .. ~---
vO NO --
I I PARK ING SPACE RES UNITS j GRADING PERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD FIRE SPR AREA CONST
v □ ND vO NO vO NO Not Valid Unlt!!s Machine Cer11f1«/
QTY. PLUMBING PERMIT . ISSUE ?~.:-QTY. MECHANICAL PERMIT· ISSUE ~-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 001-810·00·00·8220 ...z I
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001·810·00·00·8221 ----EACH WATER HEATER AND OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810·00·00·8806 I ;-
EACH GAS SYSTEM I TO 4 OUTLETS I BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001 ·810·00·00·8222 .
EACH GAS SYSTEMS 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 HOOD/DUCTS MOBILEHOME 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 •t ~ TOTJ;L MECHANICAL FIRE SPRINKLERS 001 ·810·00·00·8227
TOTAL PLUMBING I PUBLIC FACILITIES FEE 320·810·00·00·8740
5--QTY. MOBILE HOME SETUP BRIDGE FEE QTY. ELECTRICAL PERMIT · ISSUE
PARK·IN·LIEU (AREA )
NEW CONST EA AMP SWT BK R CAR PORT TIF 001·810·00·00·8835
1 PH 3 PH AWNING LICENSE TAX 001·810·00·00·8162
EXIST BLOG EA AMP1SWT BKR GARAGE MFF 880·519·92·57
I PH 3 PH
RE MOOE L AL HR PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
CREDIT DEPOSIT L I ~
TOTAL ELEClRICAL I TOTAL TOT AL FEES PAYA BLE I 1;'1 ~
1 HAVE CAREF<JL ... Y EXAMINED THE.COMPLETED APPLICATION AND PERMIT' AND DO HEREBY Expiration Every perm,1 issued by ttte Bu1ld1ng Otftc11I under lhe p,o._.,s1ons o.f this * AH OSHA ~IT IS REQUIRED FOR EXCAVATIONS O\IER CERTIFY UNDER PEfljALTY OF PERJURY THAT A1.L INFORMATION HEREON INCLUDING THE Code sha11 exo,re by hm1tatton and become null aod void If t~ bu1ld1ng or wo,k s· 0-,,l:EP DEMOLITION OR CONSTRUCTION Of DECtARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE II' A PERMIT '5 authorized by such permu is not commenced within 180days from the ctate\Jt ~·1ch STAUCTUR~ 0\IJR 3 STORIES IN HEIGHT perrn,t. or ,t 'the bu1fd1~ or •ark lutho, 1zed by such permit ':S suspenoed or ,ssuED; To COMPLY WIHl ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned at any time • te, the work 15-commenced tor a period ol 180 davs STRUCTION WHETHER SPECIFIED hEREIN OR NOT 1. ALSO AGREE TO SAVE INDEMNIFY AN: p, . OWNER□ CONTRACTOR' APPROV~/ ' DATE L KEEP HARMLESS THE cr"Y OF CARLSBAD.AGAINST All LIABILITIES. JUDGMENTS. COSTS AN~~SSIG~E~~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TrlE ~ . ~(, I 2J2✓•1?: GRANTINGOFJt-JISPERMl'c -~ ~ .1 BY PHONE "J
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TYPE I DATE INSPECTOR
BUILDING I ' ~-, ....,tf, 7<-f
FOUNDATION I -' G• FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES .. •
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME D FLOOR D CEIL.;ING SOILS COMPLIANCE ' SHEATHING D ROOF D SHJ=AR
FRAME I
PRIOR TO
FOUNDATION INSP
EXTERIOR LATH I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRES TRESSED
CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED
' CONCRETE '
PLUMBING I FIELD WELDING
D SEWER AND BUCO D PL/CO
UNDERGROUND □ WASTE □:WATER
TOP OUT □ WASTE □ WATER
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
' PILES CAISSONS
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING D POOL I --
' I
MECHANICAL I
D DUCT & PLEM., D REF. Pl~NG
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I oon •OS\05 Ol'OT OSB1Qbl'I «·20
I
CALL FOR FINAL /NSPEC
1
t ~N WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
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FINAL I
PLUMBING I r', I.
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ELECTRICAL I . ' .
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MECHANICAL I ' ..,. -·-' ~ --
GAS I L ~
BUILDING I :s<.~i'7 111.b
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SPECIAL CONDITIONS I '
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• PLAN CH~C~ ;0, ___ _ ADDRESS cl!Je{ ~ DATE~/
PLANNING
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ZONE: £_, J
SCHOOL DISTRICT:
SETBACKS: FRONT
£? £-I> ~ J . ;<8?.)
TYPE Of PROJECT AND USE:~ ~ 3/fof
SAN DIEGUITO ENCIN~ CARLSBAD _2( SAN MARCOS
~ SIDE e,/G REAR ~-;f:::.,,,
DISCRETIONARY ACTIONS: ------------------------REDEVELOPMENT PERMIT REQUIRED: ---------------------LANDSCAPE PLAN COMMENTS: -----------------------ENVIRONMENTAL REQUIRED: ------------------------COASTAL PERMIT REQUIRED: YES --------NO
ADD IT ION AL COMMENTS: ------------------------------
OK TO ISSUE:__,,tf.:l,:""--------
-----------------·--------. ----------------------------~""~""~~~"~~~~~~~~~~"~~"~~~"~~"~~~~~~""~""""~~""~~~""~~~"""~~""~~""""~~~~~"~~~"~~~~""~"~~"~~~~~~~~~~~~~~~~""~"~~~~~
ENGINEERING
LEGAL REQUIREMENTS
LEGAL DESCRIPTION VERIFIED? APN CHECKED? ------------------
EASEMENTS: RIGHT-OF-WAY: ----------------------
EDU'S: DRAINAGE: ------------
IMPROVEMENTS: ------------,,F"""I=E,...,LD,......,,C""'"HE=c=K,......,...DA.,..,,T=E:---::-&--:I'""'N:-:-I=n~A,,...L .... S-: ------
PERMITS REQUIRED
GRADING: -----------------------------
GRADING COMPLETION CERTIFIED: ------
DRIVEWAY: INDUSTRIAL WASTE:
FEES REQUIRED
PARK-IN-LIEU QUADRANT: , FEE PER UNIT: TOTAL FEE: ----------------
P.F.f.: TRAFFIC IMPACT FEE PER UNIT: TOTAL FEE: -----.------------
D D FACILITIES MGMT. FEE:
-SEWER FEE (CONNECTION):
BRIDGE & THOROUGHFARE FEE:
SEWER LATERAL: ro ...
C ADDITIONAL COMMENTS:
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C 0 a, u ... -ro Q DK TO ISSUE l DATE: ---------------------------
DPD2:DPD6:1O/24/86