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HomeMy WebLinkAbout2754 OLYMPIA DR; ; 86-92; PermitIll z 0 ;::: < ac < ... CJ Ill 0 C I[ 0 CJ ac Ill 0 ... 5 • ii: Ill z 3 0 z 0 ;::: < Ill z Ill CL 2 0 CJ Ill cc Ill "' ac 0 3 1[ 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 affirm lhal I am exempl lrom the Conlrac· tor's l,cense Law tor lhe following reason (Sec. 7031.5 Business and Professions COde. Any city or county which re-quires a permit 10 construct. alter, improve, demohsh, or repair any structure. prior to its issuance also requires !heap- phcanl for sucn permrt to lile a s,gned statement lhat he 1s licensed pursuant to lhe pravts1ons ol the Comrac1o(s License Law (Chapter 9 commencmg with Section 7000 ol Div1s1on 3 of the Business and ProlesSK>ns Code} or that 1s ex- empl therefrom and the basis lor the alleged exemption Any violat10n of SectlOn 7031.5 by an apphcant for a permit sub- iects the applicant to a CIVIi penalty o1 not more than five hun- dred dollars ($500). 0 I, as OW"ner of the property, or my employees w1lh wages as their sole compensation, wt11 do the work, and lhe struc-ture 1s not intended or offered for sate (Sec. 7044, Business and Protess10ns Code The Contraclor's License Law does not apply to an owner of property who butlds or unproves thereon and who does such work himself or lhrough his own employees, pr0V1ded that such improvements are not intend-ed 01 offered for sale. II, however. the building or improve- ment Is sold within one year ol complellon, the OW"ner-bu1kier will have !he burden of proving that he did not build or im- prove lor the purpose of sale) 0 I. as owner of the property, am exclus1vety contracting with lteensed contractOfs lo construct the protect {Sec 7044, Business and Professions Code: The Conlractof's license law does not apply to an owner of property who builds or im-proves !hereon. and who contracts lor each projects with a contractor(s) license pursuant lo the Contractor's license Law). D As a homeowner I am improving my home. and the follow- Ing conditions exist: 1. The work is being performed prior to sale. 2. I have lived in my home tor twelve months prior to comp\etiOn Of this work. 3. I have nol claimed this exempt10n dunng the last three years. D I am exempt under Sec. ______ , B & P.C. for this reason ------------- D I hereby aflirm that I have a certificale of consent to self-insure. or a certificate of Workers· Compensation In- surance. or a cert1hed copy thereof (Sec_ 3800. Labor Code) POLICY NO. COMPANY D Copy is filed with lhe city D Certified copy is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ii the permit 1s tor one hundred dollars ($100) or less) 0 I certify that in the performance of the work tor which this permit is Issued. I shall not employ any person in any manner so as to become subject to the Workers· Compen- sation Laws of California. NOTICE TO APPLICANT: If, after making this Certificate of Exemption. you should become sub1ect to the W0<kers· Compensation pt'Ovisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. 0 I hereby affirm that there is a construction lending agency for the performance of the work for which this Pef· mit Is issued (5ec. 3097. Civil Code) Lender's Name ____________ _ Lencter·s Address ____________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ---- ' CARLSBAD BUILDING DEPARTMENT · APPLICAT)PN & PERMIT Carlsbad, California 92008-1989 (619) 438-5525 JOB AOORESS AV. ST.AO. NEARESfc,_-sr;. IDATE OF Al'l'I.ICATIONI I rN:SS LICENSE I/ VALUATION PERMIT NUMBER f)c._ -,...., lt!J, • .lJA I • ,. P<,#J" 'L7S-Y '£1--/.' :' -i.--i.'1-V6 fVf/0 ~T~BLOCK I s~/~':"t/N I ASSESSOR PARCEL NO. I. CONTRACTOR ODNTAACTORS PHONE• ZONE ' ~M>__., lu-,/b,,f ' OWNER'S NAME OWNER'S PHONE 1-~-776 "L 'f?JL l.. UJE,,,,,u, , 72,-71 l,./ CONTAACTOA"S AODAESS LICENSENO. PLAN 1.0. # BUILDING SO. FOOTAGE OWNER'S MAILING ADDRESS '1?7'1-41f.b~o M '171 o,o '-7>1/ 0(/2 """/!},,, JJ/1 DESIGNER_ OESIGNEA"S PHONE s~ ) OESCRIPTION OF WORK i;i ~~,--·-[!1241862811 39~0 "1.. 71.. ~ T'TVf ,;L lt:7,L 1 .... OESIGNE,007 LICENSE NO. OOCl!Bfl -l!:le47 ee 39~0 . ' , • -L. ~ -- -· . . -----~---·-·· --~ FLRELEV . NO DCC GP EDU II STORIES ./ vO NO -- CENSUS TRACl 1 GP LANO USE I PARKING SPACE I RES UNITS hADl~~ED I REDEVELOPMENT TYPE OCC LOAD f l RE SPA AREA CONST vO NO vO NO Nor Valid Unlffs Machine Certified ~ [lrY. ~ECHANICAL PERMIT -ISSUE \J / QTY. PLUMBING PERMIT · ISSUE ~-SUMMARY/ACCOUNT NUMBER --' EACH FIXTURE TRAP , r . .,, \.. INSTALL FURN. DUCTS UP TO 100.000 BTlJ ... BUILDING PERMIT 001 ·810·00·00-8220 z::.v=-- EACH BUILDING SEWER /'-'\.. OVER 100.000 B'I'\,{ "U SIGN PERMIT 001·810-00·00·8221 .c EACH WATER HEATER AND10R V~T --"' .,BOILER/COMPRESSOR UP TD 3 HP_ \ PLAN CHECK 001-810-00-00·8806 .,;z 5 ::.------ EACH GAS SYSTEM I TO 4 OUTL/TS I -80 I LE R /COMPRESSOR 3-15 HP r '\-TOTAL PLUMBING 001·810-00-00-8222 EACH GAS SYSTEM 5 0 R MORE/ /'I L,. METAL FIREPLACE \ / ELECTRICAL 001-810-00-00-8223 EACH INSTAl .• ALTER, REPAIR ~ PlfE 7 VENT FAN SINGLE DUCT MECHANICAL 001·810-00·00-8224 EACH VACUUM BREAKER I 7 MECH EXHAUST HOOD/DUCTS MOBILEHOME 001-810-00·00-8225 I WATER SOFTNER ( / RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP I EACH ROOF DRAIN (INSIDE) ~ SOL.AR 001-810-00-00·8226 I TOTJ;L MECHANICAL STRONG MOTION 880-519-92-33 .• s_;:-- I TOTAL PLUMBING I FIRE SPRINKLERS ' I 001-810-00-00-8227 I PUBLIC FACILITIES FEE 332·810-00-00-8930 ; I QTY. ELECTRICAL PERMIT -ISSUE ..!>--QTY. SOLAR • ISSUE ' I l: I NEW CONST EA AMP'SWT BKR COLLECTORS SCHOOL FEE · DISTRICT \>. ·~· ~ ., ; ~ -I I PH 3 PH STORAGE TAN KS I Carlsbad I EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas I 1 PH 3 PH PUMP San Oieguito I I REMODEL 'Al TfR PER CIRCUIT PLAN CHECK FEE San Marcos I TEMP POLE 200 AMPS I I OVER 200 AMPS LICENSE TAX 001 ·810·00·00·8162 I fEMP OCCUPANCY 130 DAYS) MFF 880·519·92-57 ---. I CREDIT DEPOSIT < 2.s~7 I I TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I 39~ I I I I HAVE CAREFULLY EXAMINEO THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY Expo-Every permtl ,_ by the Buoldtng Offocoel undet' the provoslOfls olth11 * AN OSHA PERMIT IS IIECIIMIEO FOIi EXCAVAT10NS OVEA I CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ahell expire by 11m,1a11on and become null and vood II Ille bu1ld1n9 or work s· o·· DEEP ANO DElltlOUTlON OR OONSTRUCTION 0, I DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorozed by such perm,111 not commenced wothon 180 days lrom the date of such / STRUCT\IMS OYER 3 STONES IN HEIGHT permit. or of Ille bu•~ WOik authonzed by auch permot ,s suspended or I ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON· -cloned at any tome• the work IS commenced tor a -ood of 1llil A••·· -~ I STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE • OWNER □ CONTRACT~ Atw.,Y DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND ~Ct-12 ~-i/111'1 I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE /.-I GRANTING OF THIS PERMIT -BYPHONE 0 ,,fl-' I ~ u::: >-;;; 0 a. E a, f- l 'O 0 CJ c BP ~TL a. a. <{ I X: C ii: 0 "' "' a, "' "' <{ I 3: 0 ~ "' "' a, (.) 0 a:: "' <ii 0 ~ a, (.) C "' C u::: :::. C a, ~ CJ 0 ti a, a. "' C ~ .c. ~ TYPE I DATE INSPECTOR BUILDING I ~ 8t4 -q d-,. FOUNDATION I FIELD INSPECTION RECORD ' REINFORCED STEEL I I MASONRY I '- REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES GUNITE OR GROUT I -REO IF INSPECTORS -INSPECTION CHECKED APPROVAL DATE SUB FRAME □ FLOOR □ CEl~ING SHEATHING □ ROOF D SHEAR '. ; I SOILS COMPLIANCE PRIOR TO FRAME ' I FOUNOA TION INSP EXTERIOR LATH I I STRUCTURAL CONCRETE I OVER 2000 PSI INSULATION I PRESTRESSED INTERIOR LATH & DRYWALL I CONCRETE POST TENSIONED I CONCRETE . ...I PLUMBING I □ SEWER AND BU CO □ PVCO UNDERGROUND D WASTE D WATER TOP OUT D WASTE D WATER FIELD WELDING «-No '7~,.,sr., JI P II f..) ~ f -1..C_., l . · J!-erM :1-r L¥-/:> l('-r'-t«\ HIGH STRENGTH BOLTS • , iAA l-1::... SPECIAL MASONRY TUB AND SHOWER PAN I I ~ . GAS TEST I PILES CAISSONS D WATER HEATER D SOLAR WATER I I ... I . ' ; . ELECTRICAL I \ \ D ELECTRIC UNDERGROUND Di UFFER _,... .... ...c -.. ROUGH ELECTRIC I I -' ; D ELECTRIC SERVICE D TEMPC,RARY ' I . D BONDING D POOL I I . , ·• .. ·' ,, ~- I ; MECHANICAL I .•· D DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS I I ,, -. VENTILATING SYSTEMS I I CALL FOR FINAL /NSPEC~ON WHEN ALL APPROPRIATE " ITEMS ABOVE HA E BEEN APPROVE~. ··· . -' n ·. . j1 ' '." , t' ! if•' ,~~L-. ~-•1_., " •_ ..,., -,; -. ,. ...... I . -_,, ...,_ . FINAL I PLUMBING '', " ' I ·'• ~ -. -. . '·, . . ' \ ELECTRICAL I I MECHANICAL I . .. . t • .. :· ....... , .. . -. , ' . L ' .. ' GAS I ,~,. ' ,..c ~-• . ·-( BUILDING I ' }1 .._,. SPECIAL CONDITIONS I -. -· -" . . I ' .