HomeMy WebLinkAbout2752 Olympia Dr; ; 85-546; Permitf/1 z . 0 ~ a:: < ~ 0 "' 0
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'fit I hereby affirm that I am licensed under
prOYlslons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full fore' :nd epect ;_ /1._
lie No %G.'fc;S Class ~
I hereby 1ttum that I am exempt from the Con-
¥oo~o;;·9~~~:'= ~ ~,~~.~-~~~~~~
county which requires a pemut to construct
alter, improve, demohsh. or repair any structure.
p,ior to its 1ssUMK:e also requires the applicant tor
such permit to file a signed statement that he 1s
hcensed pursuant to the prov1st00s of the Con-tractor's License Ulw (Chapter 9 commencing with
SectK>I'\ 7000 of o,v,s,on 3 of the Business and Pro-
fessions Code) or that 1s exempt therefrom and the basis for the alleged e:x.emptt<>n. Any YK>fation of
Section 7031.5 by an applicant tor a permit subjects
tne applicant to a c,v,1 penalty of not more than live hundred OOUars ($500).
0 I, as owner ol the property, 0< my employees
,.,th wages as their safe compensation, will do the
wM, and the s1ructure ,snot intended or offered tor saae (Sec 7().M, Business and Profess,on.s Code
The Contractor's License Law does not apply to an
owner of property who builds 01" improves thereon and wtK> does such Wont himself or through his own
employees. provtded that such 1mproveme;its are not intende1 01 offered for sale. II, however, the
building or improvement 1s sold within one year of
completion, the owner-builder will have the burden of proving that he did not build or improve tor the
purpose ol sale).
C I, as owner of the property, am e:,cclus1vel)'
contrachn9 with licensed contractors to constf the pr<)feCt (Sec 70.U, Business and Profess, .s
Code: The Contractor's License Law does not ap ly to an owner of propeny who builds or ,mpro es ~~~-~ 7i~nc;1~~!~~ ~~~h~r~~~~• -:
lteense Law).
□ 1 am exempt under Sec
to, this reason -----------1--
D I hereby affirm that I ha¥e a cert1hcaite ot
to seU-1nsure, or a cert1f1ca1e of 1
Compensation Insurance. or a certified COC>y t ~reof
(Sec 3800,~
POLICY NO __¥,. ~ _ :l
COMPANY~k~,
~y IS hied with the Ctty
0 Cert1hed CoPY ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This section need not be completed 1f the permit
1s tor one hundred dollars ($100) or less)
0 t certify that in the performance ol the wOfil tor
which this pemul 1s issued, I shall not employ any
person ,n any manner so as to become subJect to
the Wor1'ers· Co,npens.at.oo Laws of Gahtorn1a
NOTICE TO APPLICANT If, atter malon~ lh•s Cert•
hcate of Exemption, you should beeome sub1ect t,::i
1he·wo111.e,s· Compensation p,ov1s1ons of lhe Laboe
Code. you must f0f1hw1th comply with such
prov1st0ns or 1h15 permtl shall be deemed re'IOked
D I hereby affirm lhat there 1s a construct10n
lend1no agency tor lhe pertormance ol the wotk lor
which lh•s permit 1s ,ssued (Sec 3097. Civil Godel
Lenders Name ___________ _
Lender's Address __________ _
Ul>t D"ll l"UIIU l"tll UIILI 6 I"ll~,>,> n"IIU ~• , -•-~", • -• •--•·· •··· ...... ·· -·· ••,-
CARLSBAD BUILDING DEPARTMENT APPLICATION .. n~MIT \.\.\"'
, 1200 Elm, Carlsbad, Callfornla 92008 (714) 438-5525 ~ni \ ~
J1_~AC:2-(C\ O. •~-=_l-, \2)A (G.\ ~4) A~i.T19r~~LI ;~ ~~~SS~ ;L~' \.~~~ITNUMBEA
~':'.'.''"'' ""' /J n -I / -!;"'J.J."o"' •~c=•r•c,os -' r..~c,-~·" ,o., b'/b --,\l!o...,._,J..~\,-x \',A.r lt:C 14~.-.-• <~ 9'-.Y"'-\w:,~ ~ L.lr-l_\.t;"t-\l"-\8~~-~\~4 ~7-sq Al~NG;Ct:S,--~ ~M-t ~....: C\l..\\i\ C\~~TOR':~~O:E~\.~ ~ ~,.,'\ .. ~ ~Sr4l_~ PLANl,0.# BLOG USE CODE
LOT BLOCK I SUBOIVISION I ASSESSOR PARCEL NO. / DESIGNER ' ~ STATE LICENSE,; ~TANDARD PLAN# BUILDING so. FOOTAGE
DESCRIPTION OF WORK..-, \ ' \ L (! ._l -------~ \ iA. ._. \._l • M° .::,..._ i '1"'-4" ""-.-... OESIG~ i~ONE
__, -----• -• -F/P FLR ELEV. NO 0CC GP EDU
STORIES
vO NO 7/Bd/b;;i7b 1-l 'I BoC
AREA CONST CENSUS TRACT I GP LANO use I PARKING SPACE I RES UNITS 1 GRADING ~EAMIT ISSUED I REOEVELOPMENT TYPE occ LOAO FIRE SPA _
Y D N D v O NO vO NO Not Valid Unkss Machine ~rtifi«J •
QTY. PLUMBING PERMIT. ISSUE QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT
EACH BUILDING SEWER OVER lOD,000 BTU SIGN PERMIT
EACH WATER HEATER AND /OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3·15 HP TOTAL PLUMBING
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR \ ~ t-' ~
TOTl<L MECHANICAL STRONG MOTION
TOTAL PLUMBING .J 1---F-IR_E_S_P-RI-N-KL-E-RS-----------+-----------1
PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR · ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT /BK R COLLECTORS SCHOOL FEE · DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad
EXIST BLDG EA AMP/SWT /BKR ROCK STORAGE Encinitas
1 PH 3 PH PUMP San D1eguito
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
TOTAL ELECTRICAL I TOTAL SOLAR ~ \ s '.()'~ TOTAL FEES PAYABLE I l~ . ~ ~
I HAVE C AREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Exp,ratton. Everypermtt19auedbytheBuddingOtt,c,alunoertheprov,soonsolthis * AN OSHA PERMIT IS R£QUtAED F0A EXCAVATIOftS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hmotat,on and become null and void If the building or work 5· O" DEEP ANO DEMOllTION Ofl CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS author1Zed by such permit Is not commenced w,th'" 180 days from the date of such STRUCT\JMS OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• =::o.:i 1~t ~" ~:•~e~h=-=~r:~t:O~la::~~ r-i::::,i1•0t~ or. -i<-,
~~:~c:!~~-l~~;~~~Rcf~eg~~fR~!:!~ A~~~~~ AIL~~~fB~i~~~i:i~i~~i~~~~~i~~~ ~~g ~!CANT'S SIGN~A RE ... OWNER O CONTRACTOR~ APPROVED BBr ~T; K
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ('1\ . • BY PHONE O I'
GRANTING OF THIS PERMIT o.\.J,-. • , ..., . ~
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO ' -IV•
PLUMBING UNDERGROUND 't" _...1
PLUMBING TOP OUT w., ~
TUB AND ~HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR'
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
. .
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REO IF INSPECTORS INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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INSPECTOR'S NOTES ·,
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DATE . . '· ~
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