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Home My WebLink About2750 OLYMPIA DR; ; CB961890; PermitB U I L D : N G P E R M I T Permit No: CB9~1890 ProJect No: A9u02b 4 Development No: 1 I 1/96 17:08 Page 1 of 1 ' Job Address: 2750 OLYMPIA DR Suite: P•rm1t Type: PLUMBING PaLcel No: 167-4~2-~2-0 Lot#: Valuation: 0 Occupancy Group: Reference#: Des,-r1pt1on: REPLACE WA' ER HEA.,,ER Appl/Ownr : WARYK, ANN 2750 OLYMPIA DR CARLSBAD CA 92008 Fees Require 1 Fees: Adjustments: Total Fees: Fee desci:1.ption Enter "Y" for Plumb Each Water Heater a * PLUMBING TOTAL b19 Construction Type: Statu : Applied: Apr/Issue: Entered By: 434-5302 NEW ISSUED /01/9t. 10/01/9(, RMA ---009z1~102796-00OIo1--02- c-P~~~lo .. 7. .00 27.00 Ext fee Datu 20.00 Y 7.00 27.00 , I , L APPROV/11 }_ DATE &5"/ u Af \ru vC ---------1 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 Pl!RMIT APPIJCATION Pl.AN CHECK NO. City a( CarlsbO<l luildlna Depert-,t 2015 l• P■l-Dr., CarlsbO<l, CA 92009 (619) 4311-1161 I. Pi.'JIMII I Vi1k rrum ljs1 I (,r.e back) 1ivc cudc,of Pcnnit•Type: -------~---- ... -........... --. -............. -.... -............ . fur 11csidcntlal rrujccts Only: From Usl 2 (see back) give : C1xlt ur s1ructun:-Typc:: _____ _..,._..,,__ ____________ _ Nc1 t.os.vGain or Dwcllin1 Uniu 2. PIIUJIX:r INfURMA:llON AJJ,°'2750 Olympia Dr. FOil Ol'FIC'J\ us,; ONI.Y DudJmg or Sune No, 11••'"'' Cross~'l"lsbad Village Dr. llt,AL UtsclllP I ION c,:,, No. SulxJ1Y1s1on Namr/Numbcr r • Oun No. Pirnioc No. tilt.Ck UFJDW IF S0UMII 1£D: D 2 F.nr.rRy \.ales □ 2 Struc~ural Cales 0 2 Soll, llrport D I /uldrr,s,,ed ~nvelope J\SS[Sscm·s PN\C~ DtSCHIPTION OF er Heater Replacement PHOPDSFD USE SQ. FT. # OF smnirs # OF DEDIIOOMS J. WN IACI 1'1-.ilSON (Ii i)iilch:,m 1ruin apphcani) N 01' ll/\Tllll<~JMS NMIE (last narn~K, Aflil ADDliJis~O 01 ympia Dr. rttMlsbad Wneajon !,. PliOPDtiY Ow~ NMIE (last na~!iljk, '-lsbad 6. (l)N lltllCIOll A~ & J NMIE (last namclint) J8.r,Cajon Ann Foster, Inc. STIITF. 1.1e,3SJ120 DtSIGNtll NM1£ (las[ name Uni) ig way ite B 011v 1,;1.r.rri8Rr.44 77 Allflfi~ Olympia Dr. 1.1~Jt8 DIIY Til.ri~AN~302 13/06 Highway 8 Business, Suite B ADDI\ESS 91977 390-4477 ZIP COOi! DIIY TELEPHONE r 36 1 ?00354 LICENSE Cl.1155 CllY BUSINESS Lit:. 11 ADUitf.5S • r.ll'Y STIITI 7.IP COIJE DIIY TILF.rllONE STIITE I.IC. # T.""WmtkFllS' WMPl·'.NSJ\l ltJN . , . '., Worken' Compcnsuuon Declarauon: I hereby all1rm lhat I have a cerulicate ol consent toscll-msure Issued fiy 1hc D1rcctorol lmlus11ml Relations, or a ccnilicate or Workcn' Compensation Insurance by an admitted Insurer, or an exact copy or duplicate thcrcur ccrli(icJ by the Director ol the Insurer thereol filed with the Dulldln1 Inspection Dcpart/!lenl (Seed on 3800, lab. C). , • Farmers N2007-56-51 5-1-97 INSUR/\NCE-COMl'IINY l'OIJCY NO. EXl'IIIATION DIITI Ccrt1hcate ol £lem1Jt1on: I cert1iy dial m the per1onnance ul 1he work. lor wl11ch Uus pcnnil ii 1ssu@, I shall not employ any 1,c1s011 111 any manner so as 10 become subject to the Worken' CompcRSatlon Law, or California. SIGN/\TIJRE DIITE 8. OWNll(.DOilDI.]( OlttAllAIION Owncr-DuUdci U&:laraliun: I hereby aihrm Uta( I am bcmpl irum Ute Uihliadoh Ucensc Law tor Dae lollowmg reason: □ I, as owner or the propeny or my employees with wages as lhclr sole compensation, will do the work and the· slhlcture I, not inlcmJcd or orrcrcd for sale (Sec. 7044, Business and Prorcsslons Code: The <:ontractor's Ucense Law docs not apply to an owner or properly who builds or Improves thereon, and who does such work hlmsclr or through his own employees, provided tbal such lmprovcmcn1, arc not Intended or ocrercd for sale. Ir, however, the buildin1 ur Improvement Is sold within one year or completlon, tbc owner-builder will have the burden or provin1 lhac he did noc build or Improve !or tl1e purpose or sale.). □ I, as owner oCtlif! property, am exclusively contncdna with licensed contracton to consll\lct the project (Sec. 7044, Business and 11,orcs.~lons Qxle: 11u: Conlractor's Ucense Law docs not apply to an owner or propeny who builds or Improves thereon, and contraclS for such project., whh contractor(s) licensed punuant to the Contractor's Ucense Law). □ I am exempt under Section _______ Business and Prorcsslons Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or QJunty which requires a permit lo conslfUcl, aher, improve, demoli5h, or 1epair any sll\lcture, prior 10 ils Issuance, also requires the applicant £or such pennlt to me a signed 11atcmcnt that he Is llcen5ed Jmr.mant to lhe provisions or the Conlraclor's Ucensc Law (Chaplcr 9, commcncln1 with Section 7000 or Division 3 or 11,e Business and l'rofes.,lons Cotle) or d,ac he Is e1empt lhcrelrom, and lhe basis !or the alleged exempclon. Any violation or Secclon 7031.S by any applicant for a per mil subjc,:IJ lire applicant lo a civil penally ol not more lhan five hundred dollan ($500]). SIGN/11111\E DA11! WMPU: I£ I 111S S£CI ION FOil NON-ilESIQfN I IAL D0IWING PEllMI JS ONLY: Is the applicant or ru1ure building occupant required to submit a business plan, acutely hazardous ma1crials registration form or risk management and prevenlion program under Sccllons 25505, 25533 or 25S34 or the Preslcy~Tanner llazardous Substance Account Act7 □YES ONO ls 1hc applicant or future building occ~pant required 10 obtain a pcnnlt from the a_lr pollulion control district or air 11ualhy management diiclticl7 a YES a NO Is the racility to be consll\lctcd whhln 1,000 feet or the outer boundary or ■ Khool she1 a YES a NO IP IINYOP TIIE r\NSWFJIS Ml! YF.S, I\FINIILCEltTiflCAll!OPoa;up/\Ncr MIIY Hur BR l!,SUED /\YllillJUI.Y I, 1989 UNIJ,'i.', 11m /\l'l'IJC/\N'r 111\S MET on IS MElmNG TI II! RF.QUllll!MllNTS OP 1111! OPPICI! OP l!Ml!IIGP.NCI' SERVICE.~ /IND 111£ 11111 l'OIJ.lfllON {l)tflllOI, 1mm11<:r. 9. CDNSIII0CIION IJJUJING AGENCY I hereby •~1a( Ulerc IS a c:onstrucuon i~nilmg agency lur U,e pcrlonnance oi Uie work lor winch Uus penml 1s wucil (Sec'.309/(1) Civil Code}. LENDER'S NIIME LENDER'S ADDRESS iO. Ki1PIJCXN( UllllflCAIION I cen1iy ilia( I have read U,e applu:abon and slaie that ihe above mlormallun 11 correci. I ~grce iu comply w1ih all Cny ordmam:es and State la"WS relating to building construction. I hereby authorb.e representatives or the City or Cerlsbad to enter upon lhc above mcn1ionetl pro()('rty for ins1)('('1ion purposes. I MSO IIGREI! TO SAVE INDEMNIFY r\ND IUlEP IIARMLESS nm Cl1Y OP CAl\1581\D IIGI\INST I\IJ. IJl\11111111'.'i, JUIX:MI\NTS, {l)!;tS r\ND EXl'ENSES WIUCJI MAY IN r\NY WAY MD\UB IIGAINST SAID Cl1Y IN CDNSllQUENCE OP 111E GIIAlfllNG OP 11115 l'mlMIT. OSI lA: An OSI IA permit Is required (or excavallons over 510" deep anJ demo Ii lion or conslruction or structures over 3 stories in height. Expiralion Every pennil issued by the Building Official under 1he f,rovislons or this Code 1hall expire by limitation and l,ccomc null and vuid ir the building o; work authoriud by such ptrrnlt Is not commenced wlth n 36S days rrom the date or such pcmtlt or If the builtlinit ~r wmk a,u1hori1.cd hy such pennil Is suspended or a~n o cd at any lime alter tl1e work Is commenced lor • period ol 180 days (Section JOJ(d) Umforrn lhnldlng Cod<;!., 11rr1J,.1\N'rS SIGNATIJnF. /'"YYl:,Q:_) (J IIA 11. / {J-f?,'-f(. a -~-~-------------.. -• • d• CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB961890 FOR 11/15/96 DESCRIPTION: REPLACE WATER HEATER TYPE: PLUM INSPECTOR AREA PLANCK# CB961890 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 2750 OLYMPIA DR APPLICANT: WARYK, ANN CONTRACTOR: STE: LOT: OWNER: REMARKS: MW/STEVE SPECIAL INSTRUCT: FRIDAY AM PLS TOTAL TIME: CD 25 LVL DESCRIPTION PL Water Heater/Vents -------------------- PHONE: 619 434-5302 PHONE: PHONE: INSPECTO~~----------- ACT COMMENTS d fit/#,--' -------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS