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HomeMy WebLinkAbout2748 OLYMPIA DR; ; CB940382; Permit- B U I L D I N G 04/08/94 09 :43 1 Page 1 of 1 Job Address: 2748 OLYMPIA DR Permit Type: ELECTRICAL Parcel No : 167-432-41-00 Valuation: 0 Con struction Type : NEW P E R M I T Suite : Lot#: Permit No: CB94038Z Project No: A9400538 Development No : Occupancy Group: Reference#: Status : Applied: ISSUED 04/08/94 04/08/94 MDP Description: ADD LIGHT TO EXTERIOR OF BLDG Appl/Ownr : WEBER, DEWEY *** 2748 OLYMPIA DRIVE CARLSBAD, CA. 92008 Fees Required *** *** 619 Apr/Issue: Entered By: 434-8091 Fees Collected & Credits *** -------------------------------------------- Fees: Adjustme nts : Total Fees : Fee description 20 .00 .00 20 .00 Total Credits: Total Payments: Balance Due : Units Fee/Unit .00 .00 20.00 Ext fee Data --------------------------------------------------------------------------- Enter "Y" for Electric Issue Fee Enter "Y" for Remodel * ELECTR ICAL TOTAL - CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 10.00 Y 10.00 Y 20 .00 PERMIT APPLICATION City of Carlsbad Building DepartRnt 2075 Las PalES Dr., Carlsbad, CA 92009 (619) 438·1161 e • . . . PLAN CHECK NO. EST.VAL. _________ _ 1. PkitMli rwn PLAN CK DEPOSIT _______ _ VAIID. BY __________ _ DATE From List 1 (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PRCllECT INFORMATION FOR OFFICE USE ONLY Address ..2 ?'-f,Y OLy,vt,,0/~ tJ~ Butldmg or Suite No. Nearest Cross Street llGAL DESCRIPIION p tJ /V r/ ;J-e- Lot No. Subd1V1s1on Name/Number 0mt No. Phase No. CHECK BEWW IF SOBMI 11 Eb: 0 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL DESCRIPTION OF WORK AOD EXISTING 1 ISE Q, ~OPOSEQ )JSE I '5 k .\- sQ. Ff. # OF S1DRIES # OF BEDROOMS # OF BAIBROOMS 3. WN IALI PFJlSON (IC dlHerent from applicant) NAME (last.name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPUCANJ UCONiRACIOR DAGEN I FORWNIRACIOR ADDRESS Li OWNER Li AGEN I FOR OWNER NAME (last name first) CITY STATE ZIPOODE DAY TELEPHONE S. PROP£kiY0WNER ,_ / ~ ,,=,, NAME (last name first) l'VC ,(3 C7C / ',(/<.,.-.-vc3"-<f' ADDRESS 0 ,:,_,,,--r ,-,<?/,? )? /4 j/ 6" "r'J C,C-J7t:7 '7 / CITY ~ ,6,,f-,o STATE 'Q4 ZIP OODE 7',Z,C/t:/tf DAY TELEPHONE 6. rnNIRACIOK NAME (last name first) t:,{_,I ez:5 ,:Y,(_'_ s?'L~ c=-'),-ADDRESS 0 t-y -,;<7 ,,-,?-_£) pf!-/ VG- y ~ ~ -ef"r:79' / CITY ~.& ,f,:J STATE C;J. ZIP OODE 9 zo,:,tf DAY TELEPHONE STATE LIC. # DESIGNER NAME (last name hrst) LICENSE CLASS CITY BUSINESS LIC. # ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WOIUMts OOMP£NSA:11UN Workers1 Compensation Declarat1on: I hereby affirm that I have a cert1hcate of consent to self-msure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Ceruhcate of Exempuon: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNF.R-B0llDfj[ DWAkXfiON □ □ Owner-Builder Declaration: I hereby afnrm that I am exempt from the Contradofs license Law for the followmg reason: I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Llcense Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Llcense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Llcense Law). I am exempt under Section ________ Business and Professions Code for this reason: Is the applicant or future b !ding occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □YES □NO ls the applicant or future building occupant required to obtain a pennic from the air pollution control district or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANYOFTIIEANSWERS ARE YES, A FINAL CERTIFICATE OF CXDJPANCY MAYNITT BE I!iSUfil) AFTER.JULY I, 1989 UNLF.SSTIIE APPLICANT HAS MET OR IS MEETING TilE RF.QIJIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICF.5 AND TIIE Aill POLLUTION CX>N1ROL DISI1UCT. 9. WNSIRUCIION LENDING AGENCY I hereby afftnn that there ts a construcuon lendmg agency for the performance of the work for which this penntt ts tsSued (Sec 3097(1) CIVli Code). LENDER'S NAME LENDER'S ADDRESS 10. APPDCAN I tlkllFR..!AIION I certify that I have read the application and state that the above mformataon 1s correct. I agree to comply with all City ordmances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREI! TO SAVE INDEMNIFY AND KEEP HARMIEiS TIIE CITY OF CARlSBAD AGAINSf ALL IJABIUTIF.S, JUDGMENTS, cnsrs AND EXPENSES WHICH MAY IN ANY WAY Afx:IUJE AGAINSf SAID CITY IN CX>NSEQIJENCE OF TIIE GRANTING OF TillS PERMIT. OSHA: An OSHA pennit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height. - PERMIT# CB940382 DESCRIPTION: ADD LIGHT TO TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 04/14/94 EXTERIOR OF BLDG STE: INSPECTOR AREA PD PLANCK# CB940382 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2748 OLYMPIA DR APPLICANT: WEBER, DEWEY CONTRACTOR: PHONE: 619 434-8091 OWNER: REMARKS: MH/WEBER/434-8091 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# TYPE CB930862 ELEC PHONE: L PHONE: INSPECTOOk~ " STATUS ISSUED ACT COMMENTS _3_4 __ E_L _R_o_u_g_h_E_l_e_c_t_r_i_c ________ f ______________ _ ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION 041194 Underground/Conduit-Wiring ACT INSP CO PD COMMENTS