HomeMy WebLinkAbout2748 OLYMPIA DR; ; CB962092; Permit£
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Descr1pt1 n: REPLA:E WATER HEATEF
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
Pl!RMIT APPUCI\TION PL/\N CHECK NO.
Cl ty of C.rhbod lulldfng D-rt_,t
20~ lN Pol-Dr., C.rlllbod, CA 92009 (619) 438•1161
I. PfllMti IVPR
F.'IT. VAl.:-::c=-c---------
P1.AN Cit DEPOSIT VAIJD. DY -------,,-,-;-
rrum Us1 I (Jtt hack) 1ive cue.Jc.or Pennit-Type: -------~----IJATI!
······-························--·-------················
fur l\csidcntlal rrojetts Only: From Ust 2 (~ back) give :
Cod" or Structure-Type: ________ S_FR ____________ _
Net l.oss/Gain or Dwelling Uniu
2. PllUIF.r.T INtuf\MA'llON
AJJrcss 2748 Olympia Dr.
tlf';1rr.s1 Cross Slreet
FOR Ol'l'ICE us1; ONI.Y
Dul!Jmg or Suue No.
r
tll,At DtscHil1 I ION LDt No. SuGJ1vis1on NamrJNumber •
Omt No. Phmic No.
CIIF.CR uunw IF SUDMII 1£0: □ 2 F.nrrgy C.alcs □ 2 Struc\ural C.alcs O 2 Soils Report O I Addres.,ed ~nw,lope
ASSESSOR'S PAIICEL rnrnNG .lls• DESCRIPTION OF wo,iE&LeI neater Rcpiace:metrt?50 ~lsR PDOPPSFU USI~
SQ. FT. # OF sromr.s # OF BEDROOMS
l. WN IXCI PtltSON ~~Ill m>m~11hcalll) :2748 Olympia Dr. NAME (last name fom;--~ ' =way ADDRESS"
# OF ll/\Tllll!X)MS
err.Carlsbad STA-rfA ZIP CODE 92008 DAY TEI.EPIIO"ti3t4-8091
•. APl'IJCAR I a W@IA'i Wl' 5™ FOR WN I RAC "·"'3 7 WM. ""'w~El§i.MffWllWl Suite B NAME (last name Ont)':Jlle .J.. Y ADDRESS"' '::::fll c.-q
cnf1 Cajon STA.,P z1rcoD~2021 DAYTEI.EPHoJ/0-4477
!,. PR0Putii 0WNmtWeber Deway 2 /48 orympia Dr.
NMIE (lasl name forslJ ' ADDRESS
cr&arlsbad STATfA ZIPCOi~008
6. UJN'11txtiOR A & J ~•ester, rnc.
NAME (last name On1)
434-8091 DIIY TEI.EPll~NE 1~'7fl6 Hig1way 8 Basb.te55, 0ui1=.e D
c,rltl Cajon CA STAT!! ZIP CODE
ADDIIF.SS 91977 390-4477
DAY TELEPHONE 630120 STATE I.IC.# C-36 IJCENSE Cl.ASS
D£51GN[I( NAM£ (las[ name Uni) ADOllESS
1200354 CITY BUSINESS LIC. #
• CITY STAT!! ZIP CODE 1. WOitktllS1 WMJif:RSA I ION . DAY TELEPHONE STATE I.IC.#
Workcn' Cumpensauon DCdarauon: I hereby all1rm thal I have a cerul1cate ol consent to sell-insure Issued by the IJ1rccl0r ol lnilustnal
Relations, or a cenilicate of Workers' Compensation Insurance by an admitted Insurer, or an exact copy or duplicate thereof certified
. by lhe DirccuF;~;~urcr thereof filed whh lhe Oulldln1 fn~le, ~~nl (Sec~on 3800, Lab.§! 1-9 7
INSUl1J\NCE·COMPIINY l'OIJCY NO. EXPIRATION DIITI!
Ccrulicate ol Exempuon: I cen1iy that m the per1onnance oi che work lor which th11 penmt 1s 1ssucJ, I shall not employ any person III any manner so as 10 become subject to the Worken' Compensation Law, or Caliromi8.
SIGNATIJRE DATE
8. OWNUt-d0IIDWl Ui-lllitXl1UN
Uwner-DuUder Declaration! I bere6Y alhrm ilia( lam bempl lro"1 ffie Cofifracloh license LaW iur Die iollowmg reason:
□ I, as owner or the propeny or my employees whh wages as lhelr sole compensation, wlll do the work.and the~ slhlcture I, not l111ended or
orrercd for sale (Sec. 7044, Business and Pro(esslon1 Code: The Contractor's Ucense Law does not apply to an owner or properly who builds
or Improves thereon, and who does such work himself or through his own employees, provided that such Improvement,. are not Intended
or offert!d for sale. Ir, however, tlte building or Improvement 11 soid"within one year of complel.ion, the owner-builder will have the burden
ul provin1 lhat he did not build or Improve for the purpose of sale.).
□ I, as owner of th~ property, am e..cluslvcly contracting with licensed contracton to construct the project (Sec. 7044, Duslncss and l'rorCMions
Code: The Contractor's Ucense Law·does not apply to an owner of propeny who builds or Improves thereon, and contraclJ for such projects wi1h conlractor(s) licensed pursuant to the Contractor's Ucense Law).
□ I am exempt under Section _______ Business and Prorcsslons Code £or this reason:
(Sec. 7031.S Business and Professions Code: Any City or O>unty which requires a permh 10 consuuc1, aher, Improve, demoli,h, or repair
any structure, prior 10 Its lssuance, also requires the applicant for such permit to file a signed statement that he Is licensed pursuant to 1hc
provisions of the Contractor's Uccnse Law (Chapter 9, commenclns with Section 7000 of Division 3 or the Dusiness and l'rufos.,ions Code)
or that he Is exempt therefrom, and the basis for the alle3ed exemption. Any vlolatlon or Section 7031.5 by any applicant for a permit
subject, lhe applicant lo a civil penalty of not more lhan five hundred dollars ($5001).
~lGNAll/RE DATI!
COMPUIE I HIS Stci ION FOR NON-HESJQEN I 11\L DOIWING PtilMI IS ONLY:
'
Is the applicant or ruture building occupant required to submit a business plan, acutely hazardous ma1crials registration Conn or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley~Tanner Hazardous Substance Account Act1
C YF.S □ NO
Is the applicant or ru1ure building occupant required to obtain a permit from the air pollution control district or air quality management di11trict1 C YES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school she7 □ YES □ NO
II' AHYOFTIIEANSWERSAIIR YES, AFINALCERTIPICATI! OF OCX:UPANCY MAY NITTDI! ISSUED AFl'ffiJULY I, 1989 UNI.F.<;S 111E Al'l'UC/INT
II/IS MEr on IS MEETING 111E RF.QUIREMENlS OF 1111! omCP. OF 1!MEIIGF.NCY SERVICES ANll 111E AIR POIJ.lTl10N U)lflllOI. IJIS1111Gr.
9. WNS I R0C I ION D..NDING AGENCY
I hereby alhnnii.ii.Qicre II a consirucUon l~ndmg agency lor Ule perlormance ol U1e work ior wl11ch Uus penml 1s 1SSucJ (Sc..-c 3091(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. KPPUCMl CEtltFICAIION
I certify ffiai I have read U.e applicallon and slate lhal lhe alxive inlormallon ll correct. I agree lo comply with all Cny ordinances and Slate laws
relating to building construction. I hereby authorize representatives or the City orc.arlsbad to enter upon lhe above mentionetl pro1>erty for insptttion
purposcs. I N.ro I\GRl!I! TO SAVE INDEMNIFY AND KEEP IWIMLl!SS 111E CITY OF C/IRI.SDAI) Nli\lNS'r AIJ.1JADll.fllF.'i, Jmx;MElfl'S, U)Sl'S
AND EXPENSES wmm MAY IN ANY WAY ll(D\UR AGAINST SAID CITY IN CDNSF.QUENCI! OF TIIE GRANTING OF 11IIS rEIIMIT.
OSUA: An 0511A pennil is required for excavations over 5'0" deep Ind demolition or construction of structures over 3 stories in height,
•
Expiration. Every permil Issued by the Building Official under lhe provision, of lhls Code shall expire by llml1a1ion and "',come null and void ii the
building or work authorized by such permh Is not commenced within 365 days from the dale of such pennll or If lhe building or work au1horized by
such permil Is suspended or_;1ba~ned al any lime afler the work Is commenced for I period of 180 days (Section 303(d) Uniform_ Uuilding uxlc)h 1,
APP1JC11Nrs srGNATIJR't'\-'c._P\"\f·(\.()On u1111.. \ I )<31.l--, "
-~··-·--------~.-----····•
PERMIT# CB962092
DESCRIPTION: REPLACE WATER
TYPE: PLUM
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 11/06/96
HEATER
STE:
INSPECTOR AREA
PLANCK# CB962092
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2748 OLYMPIA DR
APPLICANT: WEBER, DEWAY
CONTRACTOR:
PHONE: 619 434-8091
PHONE:
OWNER:
REMARKS: MW/WEBER/434-8091
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
PERMIT# TYPE
CB940382 ELEC
25 PL Water Heater/Vents
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PHONE: .
INSPECTOg_Q-"'-------------
STATUS
EXPIRED
ACT COMMENTS -pi!. i 1JJV
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS