HomeMy WebLinkAbout2734 OLYMPIA DR; ; 86-205; PermitCl) z 0 ;:: C a: C ... u Ill a
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j6, I hereby affirm that I am licensed under
c:'ovlslona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license Is In
full forca and effect. L !}
Lie No "(S'J: 1'-2-, Clm -
I hereby at1irm !hat I am exempl from the COolrac·
!Of' s License La·w lor the 1ooowIn9 reason (Sec 7031 5
Bus,ness and Professions Code Any city or coun1y whttn re· quues a permit to consuucr. alle< lfflP,ovt. C!efTW>hsh, or repair any structure. prw 10 I1s issuance a!so requires !heap-
t>hcan1 for such perm,t 10 li!e a s•Qned s1a1ement that he ,s
11tensed pursuant to the prOV1Soos of lhe Con:rie1or s
Locense La" (Chaple< 9 commenong ,.,th Secl<>n 7000 ot 01v1s1on 3 ol the Business and Protess1ons COde) or that 1s ex•
empt 1nerelrom and lhe basts ,tor the allegeo e.xertiption All'J
v,ota11on ot Sectt0n 7031 5 0y an apphcanr for a perm,! SUb· 1ec1s the applicant to a crv,1 penally ot not more lhan hve hun
dre<l dOllars 1$500)
I. as owner of the property. Of my employees w11h wages
as their sole compensahcm, w,11 do the work. arwi the siruc·
ture IS not intended or ottered for sa1e (Sec 7044 Busir.ess
and Professoos Code The Contracror·s licer'lse law dOles
no1 appty lo an owner ol property who builds Of improves 1hefeor'I and who does such work hmse1t or through his ow-,
employees, prOYlded that such llTlprovements are~ intend-
ed or offered lor sale 11, however lhe budding or improve-
ment IS sold vw1thm one yu 01' compietlOf'I. lhe ow-ner-bu11der
win have the burden of pra--,ng thal he dtd not btrod Of im-prove tor !he purpose of sale)
. as OW'°!er of the property am exclusrvery contrathng
w,1h hcensea cootractors to construct lhe pro,ect (Sec 704◄ Business and Professions COde The ContracIor·s license
Law doeS not appty lo an owner of property who builds or im-proves thereon. and who contracts fOf each Pfotects 'flf1th a
~}actor(s} license pursuant to the Conlractor"s license
As a homeowner I am 1mptov1ng my home, and the fOIW)W mo cond1t1ons e>ust
1 The -k lS t,e,ng penormed p,,or lo ....
2 I nave lived in my home '°' twelve monlhs prior 10 comp1e11on o1 this work, 3 I have not claimed lh,s exemptlOfl dunng !he
last three years
I am exempl under Sec _____ _ B&PC lor lh•s reason ____________ _
,.J I hereby altum lhal I have a certificate of consent to
self-,nsure. or a cer11hc.ate of Workefs Compensation In-
surance. or a cert1hed copy ttiereot ISec 3800. LabOr COOe)
POLICY NO
COMPANY
:. Copy Is Med wItn the city
D Cemhed cooy ,s hereby furnished
CERTIFICATE OF EXEMPTION FRO"' WORKERS COMPENSATION INSURANCE
(This section need noI be completed if lhe permit
~ is t0r one hundred dollars IS 100) or less)
cert1ty lhal in the performance ot the work tor wh,ch
permll is issued. I shall not employ any person in any
ner so as to beeom1 sub1ect to tne Workers· Compe,._
sa11on Laws of Cahfornla.
NOTICE TO APPLICANT If. af1er making this C.rt1t1cate
of Exemphon. you should become sub1ec:t to the Workers
CompensaI1on provisions ol the LabOr Code. you must
forthwith comply with such provIsIons or this pefmtt shall
be deemed revoked.
0 I hereby atlirm that there is a cons1ruct10n lending
agency for the performance ot the work lor which th,s pef·
m1t is issued (Sec. 3097. Civil Code)
Lender's Name ____________ _
Lender's Address __________ _
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CARLSBAD BUILDING DEPARTMENT APPLICATION P~RM~
;r,;
Carlsbad, California 92008-1989 (619) 438-5525 , • • JOB ADDRESS AV ST AD. NEAREST CROSS ST.
l°A~: t~P;b10NI -:Jl.uj/N;; ~;~ ylJ,L3so PERM T NUMBER
"1-7 3~ OL4M'P•A ~--ELM
9JVu£ ...,T~I BLOCK I sueo, v ,s ON I ASSiea.r~c ~ 2:-~ ~ CONTRACTOR
co 41~R:~
ZONE
Ptx><-~no,.$ ~c.-OWt\lE R'S /\.AME
I OWNE A'S PHONE N\c_t TEXTI-A 4N-<t9)'1 CONTRACTOR'S ADDA~SS LICENSE NO PL AN 1,0 # BUILDING SO FOOTAGE q '2li' CLl>/bl//-1 c,. r; I~-I .. -'-IS-S7Cf"'t. OW ... lA'S MA NG ADDRESS
?-.7 ~'i OL\J MPiA DESIGNER I DESIGNER'S PHONE
~~.e-5lE!e/B69376 I l 7 • ~11
DESCA PT ON OF WORK .
DESIGNER S ADDRESS LICENSE NO.
C:,uµ ITE"" ?oo <-~ srA 00019376 ~?aai e;s 'l'l'7~B? ---F p FLA ELEV NO OCC GP EDU STORIES
vO NO --
CENSUS TAACl I GP LANO USE I PARKING SPACE I AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIAESPP
AREA CONST
YO ND ,□ NO vO NO Nor Valid Unless M~ch1ne Cutd1ed
7.,5'0 .3 --QTY. PLUMBING PERMIT · ISSUE QTY. MECHANIC AL PERMIT . ISSUE SUMMARY/ACCOUNT NUMBER .-.1 --EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100 000 BTU BUILDING PERMIT 001 ·810·00·00·8220 lJ ~.~ V
EACH BUILDING SEWE R OVER 100.000 BTU SIGN PERMIT 001 ·810·00·00·8221
( EACH WATER HEATER ANO OR VENT z.. -sv ---~ t.. ~t:;"" BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810·00·00·8806
EACH GAS SYSTEM I TO 4 OUTLETS _____ ~-BOILER COMPRESSO R 3 15 HP TOTAL PLUMBING 001·810·00·00·8222 /_:_ -l) I,)
EACHGASSYSTEM ~OR MORE I METAL FIREPLACE ELECTRICAL 001 ·810·00·00·8223 ~ ◄ ~: (}() -
I t-SI> -EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810·00·00·8224
I ---------Lrc ------
EACH VACUUM BREAKER MECH EXHAUST HOOO DUCTS MOSILEHOME 001·810·00·00·8225
WATER SOFTNER RELOCATION Of EA FURNACE,HEATER MOSILEHOME PARK INSP
EACH ROOF DRAIN (·!\/SIDE) SOLAR 001 ·810·00·00·8226
TOTJ;L MECHANICAL STRONG MOTION 880·519·92·33 __f /Z--
TOI Al PLUMBING I 1f".00 FIRE SPRINKLERS 001·810·00·00·8227
QTY. ELECTRICAL PERMIT • ISS UE 5 ,.--
QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 332·810·00·00·8930 1--
NEW CONST EA AMP SWT BK R COLLECTORS SCHOOL FEE · DISTRICT -
l PH 3 PH STORAGE TANKS Carlsbad
EXIST SLOG EA AMP SWT SKR ROCK STORAGE Encinitas ·-1 PH 3 PH PUMP San D1egu110
,) REMOOEL AL HR PER CIRCUIT /O .fJC PlAN CHECK FEE San Marcos
IEMP POLE 200 AMPS --LICENSE TAX OVER 200 AMPS 001·810·00·00·8162
TEMP OCCUPANCY 130 OAYS) MFF 880·519·92·57 / -~ --'
C REDIT DEPOSIT ~.::Jfl.~ /
TOTAL ELECTRICAL I I 5-tf'b TOTAL SOLAR TOTAL FEES PAYABLE I // 7. 7__'z_
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT' AND DO HEREBY Exp1rat1on Every permit issued by the Bu,ldtng Off1c111I under the prov1sIons of this
~-:T E1'ff~Ji#Wf TIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL )NFORMA TION HEREON INCLUDING THE Code shall eicp,re by lim,tatton and become null and vo,d II the budd,ng or worl( P D OE ITl0N C TION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized Dy such perm111s not commenced *llh1n 180 days from the oate o f such ,T / OJER STOA N permit. or 1f the bu1ldm .?nwork autho11zed by such permit 15 suspended or 1SSUED TO COMPLY WHH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON 1bandoned at anv lime a •r work is commenced for a oeriod of 180 davs
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLIC, ~T~ PNATU ~' OWNER□ CONTRACTO~ /APPR7'0/~ .f HiDATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CliY IN CONSEQUENCE OF THE I(~~ BV PHONE DI ~~ 1.S-: t . ~b GRANTING OF THIS PERMIT
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TYPE I DATE INSPECTOR
BUILDING I
I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
SUB FRAME D FLOOR □ CEILING
SHEATHING D ROOF D SH):AR
FRAME I
EXTERIOR LATH I • -.
INSULATION I
I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
D SEWER AND BUCO D Pl/CO
UNDERGROUND D WASTE □,WATER
TOP OUT D WASTE D VVATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WP,TER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND □: UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPQRARY
D BONDING D POOL I
I
MECHANICAL I
I
D DUCT & PLEM., D REF. PIP-NG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I r,.,.. I -~ ;-C I
I
CALL FOR FINAL INSPECTI/ON WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL I •
GAS
BUILDING
SPECIAL CONDITIONS
... "
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTIOl;I REQ IF INSPECTORS
CHECKED APPROVAL
SOILS COMPL"ANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000·PSI
PRESTRESSEO . .,
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASON~Y •
PILES CAISSONS . . --. . '"": ~ . )
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INSPECTOR'S NOTES
DATE . . .
.
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PLAN CHECK NUMBER 86-Za:,ADDREESS 62 rJio(;,ta;1,@efL--
PLANNING
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SCHOOL FEES: SAN DIEGUITO
CARLSBAD
SETBACKS: FRONT SIDE
ENCINITAS
SAN MARCOS
REAR
DISCRETIONARY ACTIONS: _______________________ _
REDEVELOPMENT PERMIT REQUIRED: ---------------------
LANDSCAPE PLAN COMMENTS:. _______________________ _
ENVIRONMENTAL REQUIRED: ------------------------
ADDITIONAL COMMENTS: -------------------------
OK TO ISSUE:
ENGINEERING
LEGAL DESCRIPTION VERIFIED? ___ fJ_,~..._,___ APN CHECKED?
P.F.F.: PARK-IN-LIEU QUADRANT: , FEE PER UNIT: -----------------
RIGHT-OF~WAY: TRAFFIC IMPACT FEE PER UNIT: ---------
EASEMENTS: -------------DRIVEWAY: ------·------
IMPROVEMENTS:
FIELD CHECK DATE: INITIALS: ------
E.D.U.: _____________ ~ SEWER: --------------
INDUSTRIAL WASTE PERMIT: ------LATERAL:
GRADING PF.R~IT: ___ _
___________________ GRADING COMPLETION CERTIFIED:_, __ _
DRAINAGE: ------------------------------
ADDITIONAL COMMENTS: --------------------------
OK TO ISSUE: ______ ~--~-----DATE: __ ~--i...1~,~-/~1:;....·_,1, ____ _
OPD2:DPD6:01/86