HomeMy WebLinkAbout2754 Olympia Dr; ; 86-192; Permit<I.I z 0 ~ <I[ a: <I[ ..,
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect. Lie No ______ Class
I hereby au.rm that I am exempt from the Contrac• !or's l~ense Law l01 lhe lollowing reason (Sec 7031 5
Busmess and Protesst00s Code. Any city or county which re-quires a perm11 to conslruct, alter, improve demoltsh. or
repair any structure, pnor to its issuance also requires !heap-pUcant !or such perm11 to t~e a signed statement lhat he 1s
licensed pursuant to the prov1st0ns of lhe COntrac10..-s License Law {Chapter 9 commencing with Sett10n 7000 of
D1V1s1on 3 of the Business and ProtesS10ns Code) or !hat 1s ex-empt therefrom and the basis lor !he alleged exemption Any
v101a11on of Section 7031.5 by an apphcant lor a permit sub·
1ec1s lhe applicant to a CMI penalty ot nol more than live hun·
dred dollars ($500)
J I, as owner of lhe proPerty, or my employees with wages
as their sore compensation, witl do lhe worlt. and lhe struc-ture ,s not intended or ottered lor sare (Sec 7044 Business
and Professions Code. The Contraclor"s lJcense Law does not apply lo an owner ol property who builds Of improves
1hereon and who does such work ll1msell or lhrough his own
employees. provided !hat such ,mpr<Nements are not mtend-
ed or ottered for sate If, however the bwldtng or improve-ment ,s sold W1thin one year of completion. the owner-bUilder
will have the burden of proving that he did not btukl or im-prove !Of !he purpose ol sale)
D I, as owner of the property. am exclusively conlraclmg w11h licensed contrac1ors 10 cons1ruc1 lhe prOJecl (Sec. 7044,
Business and Protess10ns Code The Contractor's Ltcense Law does not apply to an owner of property who builds or Im•
proves thereon, and who contracls for each protects with a contraclor(s) ltcense pursuant to lhe Cootractor· s License Law)
D As a homeowner l am Improving my home, and the lollow mg conditions ex,st
1. The work is being performed pnor 10 sale
2. I have hved 1n my home for twelve months prior to complehon of !his work.
3. I have not clamled tl'Ns exemptmn during the last lhree years.
D I am exempt un<ler Sec. ______ . B & P C. for this reason ____________ _
0 I hereby .ithrm that I nave a cect1hcale ol consent 10
selt•msure. or a certiflca1e ot Workers Compensation In-
surance. or a certified copy thereof (Sec. 3800. Labor Code)
POLICY NO
COMPANY
0 Copy is filed with the city
D Certified copy 1s hereby furnished
CERTJFJCATE OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(This section need not be completed if the permit
1s for one hundred dollars ($100) Of less)
0 I certify that m the perlormance ot lhe wOfk tor which
this permit 1s issued. I shall not employ any person in any
manner so as to become subject to the Workers· Com pen•
sallon Laws of California.
NOTICE TO APPLICANT: II. alter making this Certificate
ol Exemption. you should become subject to the Workers·
Compensation provisions ol the Labor Code. you must
forthwith comply with such provisions or this permit shall
be deemed revoked.
0 I hereby afhrm that there LS a construction lending
agency for the performance of the work fOf which this per-
mit Is issued (Sec. 3097, Civil Code)
Lender's Name ____________ _
Lender's Address ___________ _
USE BALL POINT PEN ONLY & PRESS HARO ---APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
JOi;O;E~ O l\J M :v: :-RD, NEARES1'°;::·M-~ I Di~ i ;p~fZONI BUSINESS LICENSE. VALUATION 8{pE::IT NUMBER
LOT BLOCK
I
SUBOI VISION
1
1, ASSE$OR PARCEL NO :-.. CONTRACTOR CONTRACTORS PHONE. ZONE 1 a /) ./
lle14'I.\ 4-'"l ev (1} (~
owwE ·s NAME I ow Ne R"S PHONE ._ __ __!,£..__::A):.:::..._\.;.:....;~:......:~!....:==--........ -------ll---------11---------+------------i \ \ l .1,, ( 7 I" ( CONTRACTOR'S ADDRESS LICENSE NO PLAN 1.0. # BUILDING SO. FOOTAGE
tM.. w ~\.,\ ~\..,,> ..,,, -1 ~ 1-
owNER·s MA•LING AODR£lfs
~IN\.~ ~"::) ~ ~C' J --=-OESIG .. ER OESrGNER"S PHONE
OESClj!IPTION OF WOR,< (1 (
l.._..._..._\, . .,C, ~1IH~~'l. 6"'0 () l\.vo.,~ V-..,\J~ OESrGNER"SAOORESS LICENSE NO. .., , , . ) , e1251e6e93fi :To!ot
----• F/P FLA ELEV. NO occ GP EDU ooo_,_2~~~ -21/a5:t PJ~ ro~oo
STORIES 0001!9~1' or a/251
vO NO ---'
CENSUS TRACT I GP LANO USE I PARK, .. G SPACE I RES UNITS I GRADING PERMJT ISSUEO I REDEVELOPMENT TYPE occ LOAD FIRE SPA AREA CONST
YD N D v D NO YO NO Not Valid Unlt!Sr M~chine Certified
QTY. PLUMBING PERMIT· ISSUE 7 ~ QTY. MECHANICAL PERMIT· ISSUE _q -SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN . OUCTS UP TO 100.000 BTU BUILDING PERMIT 001·810·00·00·8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001·810·00·00·8221 _
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00·00·8806 A
1 EACH GAS SYSTEM 1 TO 4 OUTLETS 801LER /COMPRESSOR 315 HP TOTAL PLUMBING 001·810·00·00·8222 ~ ~
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001-810·00·00·8223
EACH INSTA~. ALTER. REPAIR WATER PIPE __ VENT FAN SING LE DUCT MECHANICAL 001·810-00·00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS MOBILEH0ME 001·810·00·00·8225
WATER SOFT NE R RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
1
EACH ROOF DRAIN (INSIDE) ,,...,0 SOLAR 001·810·00·00-8226
1 / ~.J/_ /., -~ . ~ '~ TOT/.LMECHANICAL STRONGMOTION 880·519·92·33 +----------1
1 l~ TOT AL PLUMBING I / I\ ::,.;;--~RE SPRINKLERS --001·810·00·00·8227
I --,
I PUBLIC FACILITIES FEE 332·810·00·00·8930
1 QTY. ELECTRICAL PERMIT· ISSUE s-QTY. SOLAR -ISSUE
11--+-----------------+--""'-----ill---+-----------------1-------1------------------+----------I
I NEW CONST EA AMP SWl BK R COLLECTORS SCHOOL FEE· DISTRICT
I 1 PH 3 PH STORAGE TANKS Carlsbad 1 l----+------------------+------11---+-----------------l--------ll---'-::.....:.:.::..: ____________ -+----------I
I EXISfBLDGEAAMP/SWT·BKR ROCK STORAGE Encrnitas
I 1 PH 3 PH PUMP San Dieguito
: REMOOELALTER PERCIRCUIT PLANCHECKFEE SanMarcos
t fEMPPOLE 200AMPS
I OVER 200 AMPS LICENSE TAX 001·810·00·00-8162 11----+------------------+-------ll----+------------------l------4------------------+---------l
I TEMP OCCUPANCY (30 DAYSI MFF 880·519·92·57
I CREDIT DEPOSIT
: TOTAL ELECTRICAL l TOTAL SOLAR TOTAL FEES PAYABLE I r-'12.
I 1 /t!J:-;---
1 I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT"' ANO 00 HERESY ExpHatron Every perm,) rssued_~°!'.t~e8u,!d,n~1?11•CIII under theprov15,onsof th'5 * AN OSHA PERMIT IS REQUIRED FOfl EXCAVATIONS OVER
I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hp!itat , and vo,d 111he building or work So·· DEEP 4NO DEMOLITION OR CONSTRUCTION OF
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t aulhoriz~~d by sue 1s n ... , __ --'ays from the date of such •. -DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS permit or ,t i/oidioa-15'rwork a.AhOrized b~uch 1!M,mt ,s suspended 0, STRUCT\JA£S OVER 3 STORIES IN HEIGHT
I ISSUED TO COMPLY WITH ALL CITY. COUNl'f ANO STATE LAWS GOVERNING BUILDING CON L!:•b~a~n~do~n~~t •~n~r'7!°"8.!•!!!_tt•e!!rr:1 tl~hh,e!_:w~o!!!r~kAt'_!SS!JC~o~...ln~,e~.&e~dd~fo!!!r_!a~\w.1!.oJ'~~•o~l...!1!!!80!!.£!!dB!!:i•v~•--=+~~~~~----------------,-1
1 STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO. '77_: ~ 1-X ~v O APPROVED BY 7 I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO APP T IG ATURE Jf. OWNER ONTAACTOR DATE / _;v/
--~ .c ~
1 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ----/·, , /, _ ;,, , BY PHONE O / / . I , --),,? 71'
I GRANTING OF THIS PERMIT f ---..;_VU/4~ ~ ""1-' /~ Y
' , /
TYPE I DATE INSPECTOR
BUILDING ' I
.. g-~ -c<q :i...
~
FOUNDATION I FIELD INSPECTION RECORD ~
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
·• ..
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES •
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEILilNG
SHEATHING D ROOF D SHFAR
FRAME '
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
EXTERIOR LATH ' I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
I
INTERIOR LATH & DRYWALL I
' I
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
PLUMBING I FIELD WELDING
□ SEWER AND BL/CO □ PIL/CO HIGH STRENGTH
UNDERGROUND D WASTE D WATER BOLTS ~
TOP OUT 0 WASTE 0 VI/ATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST ' I PILES CAISSONS
0 WATER HEATER D SOLAR W~TER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND 0 1 UFFER .
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I ,..
.
I
MECHANICAL ' I
D DUCT & PLEM., □ REF. PIPl'NG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
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ITEMS ABOVE HA VE BEEN APPROVED.
FINAL 1
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING --
SPECIAL CONDITIONS