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Home My WebLink About2748 OLYMPIA DR; ; CB973764; PermitB U I L D I N G 1.2 /09/97 10:28 Paqe 1 of 1 Job Address: 2748 OLYMPIA Permit Type: PLUMBING Parcel No: 167-432-41-0U Valuation: 0 DR P E R M I T Suite : Lot#: Permit No: CB9737o4 ProJect No: A9704852 Development No: 2102 12/09/97 0001 01 Construction ~~: 02 Occupancy Group: Reference#: Status: NEW 54-00 ISSUED 12/09/97 12/09/97 RMA Description: REMODEL KITCHEN,MOVE SINK,ADD Applied: : GAS LINE FOR STOVE.MOVE ELECT OUTLETS Apr/Issue: Appl/Ownr : WEBER, DEWEY 2748 OLYMPIA DR CARLSBAD CA *** Fees Required *** Fees: Adjustments: Total Fees: 92008 *** Entered By: 760 434-8091 Fees Collected & Credits Total Credits: Total Payments: Balance Due: .00 .00 54.00 *** Fee description Units Fee/Unit Ext fee Data Enter "Y" for Plumbina Issue Fee > Each Plumbing Fixture or Trap > Gas Piping System > Other > * PLUMBING TOTAL 1 1 20.00 20.00 Y 7 .00 7.00 2 0 . 00 ELECT FEI 54.00 R ROVAL ~:.:::;u_ DATE~~~- CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY • • PERMIT APPLICATION PLAN CHECK NO. g,J 37, Lf EST. VAL. _________ _ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Validated B,;v:;-~'::!1--,-::------- Date,_-l-~s../--!4./-!4--+----- AddreJ.\' (include Bldg/Suite #) Business Name (at this address) L~ ,d M Of 7' 2 oo cf' Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Name ,9. APPLICANT 0 Contractor Address City D Agent iOr C:oirtrid:or '~net e '□·Agiii,i'iOrowner State/Zip Telephone# Fllx # Name 4. Address City State/Zip Tale phone # i7 Bvc..'o/ · wt!356~ ;z -Y¥!-"7:5c'y a:t"?",,-~ &-'":..S ~-~"f l .,f' ;;,2~0;> PROPERTY OWNER Name Address City State/Zip Telephone # 6. CONTilAC:TOR • COMPANY NAME QU/7l~·ft~et:CY'l'j2:.•. 7(~ktliJ~A;J7:",l:.'-:':c:···'"· lSec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement thet he Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he Is· exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Name Address City State/Zip Telephone I State License # _________ _ License Class ________ _ City Businua License I _______ _ Designer Name Address City State/Zip Telephone State License I _________ _ 6. WORKERS' COMPENSATION «'I ,'.,,::;·;,_-. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company____________________ Policy No. Expiration Date, _______ _ ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS! 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is i11ued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compenaatlon coverage la oolawful, and shall subject an employ., to· crlmlnal penalties and clvll fines up to one hundred thousand dollars 1$100,000>, In addhion to the cost of compensation, demagu u provided for In Section 3708 of the Labor code, lnterut and attorney's fH•. SIGNATURE,____________________________ DATE ________ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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 License Law doas 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 1■le. If, however, the building or Improvement Is sold __,,{thin one year of completion, th• owner-builder will have the burden of proving that he did not build or Improve for the purpose of Hie). [9"'" I, as owner of the property, am exclusively contractin\l with licensed contractors to construct the project ISec. 7044, Business and Professions Code: The Contractor's License Law does not apply to •n owner of property who builds or improves thereon, and contracts for such projects with contractor(s> licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the mejor labor and materials for construction of the proposed property Improvement. 0 YES ONO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (Include name/ address/ phone number/ contractors license number):._=--,,----------------------------------------- wing persons to provide the work Indicated (Include name / address / phone number I type 5. I will provide some of the wor of work): ________ 7 :...._-,,£.-f--~::e::--::--'s::~-:-,6''---------------,--,~----------- PROPERTY OWNER SIGNATUR DATE 'COMPLETE THIS SECti<iN FOR NON-liEslo .. u1LbtNd PERMlti'otJLf."'i~•!~H .. , ·.··: -~7;:'.':fl~jtr:y''s(:·r~':':'1~f'.>~~~~,\-. a. ,, ts the .applicant or future building occupant required to submit ■ business plan, acutely hazardous materials registration form or risk management and prev•ntlon program under Sections 26606, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control dlstr~ct or air quality management district? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. !a. .. coliistliUCTiON i.ENbiNii AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(1) Civil Code). I certify that I have read the application and state that the above Information Is correct and that the Information on the plans la accurate. I egrea to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cltt of Carlsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5•0• deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit Issued by work authorized by such permit is or abandoned at any time after t DATE __ /_·z._,,/2c....L.,t;,_/2~z~-- PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB973764 FOR 02/05/98 DESCRIPTION: REMODEL KITCHEN,MOVE SINK,ADD GAS LINE FOR STOVE,MOVE ELECT OUTLETS TYPE: PLUM STE: INSPECTOR AREA PS PLANCK# CB973764 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2748 OLYMPIA DR APPLICANT: WEBER, DEWEY CONTRACTOR: PHONE: 760 434-8091 OWNER: REMARKS: C/434-8091 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- LVL DESCRIPTION PERMIT# TYPE CB940382 ELEC CD 19 ST Final Structural PHONE: PHONE: ~ INSPECTOR-~--+_::=:;._ _____ _ STATUS EXPIRED ACT COMMENTS Jp ___ _ ------------------ DATE 121797 121697 DESCRIPTION Gas/Test/Repairs Rough Electric ***** INSPECTION HISTORY***** ACT INSP AP PS AP PS COMMENTS NEW ELEC IN WALLS