HomeMy WebLinkAbout2770 OLYMPIA DR; ; 86-1061; PermitIll z 0 ;::
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O I hereby affirm that I am llcensad under
provlalona of Chapter 9 {commencing with
Section 7000, of Otvltlon 3 of the Butlnese
and ProfHalon, Code, and my license Is In
full force and effect.
I hereby a!lirm that I am exempt from Ille Contrac-
10<' s License Law fo, Ille following reason (Sec 7031 5 Bus,ness and Protess,ons cooe Any c,ty or county wlWi re-
quires , perrrnt to CCN'lSlruct . .ner ll'ftOrovt, detnohsh. « r~ir any structure. praor to lfS 1ssUince also requ,res !heap•
p11can1 tor such penm to Me • "lined statement tllal he " hcensed pursuant to the prov1sJons ot the 1,;on1r actor s L,cense Law (Chapter 9 commencing W•lh Secl,o,, 7000 ol
O,V,si0n 3 ol Jhe Business and Prol'ess10ns Code) or that is tx·
empt therefrom and the bases ror lhe a1~ exe.,,,phon Any VIOlat,on ol Sect,on 7031 .5 Dy an apphc,nt tor a perm,t sub•
,eels the applicant to a civil penalty ot not more than hve hun-
dred dollors ($500)
I, as owner ot tne property. or my emplOyeeS w,th wages
a, lhttr sole compensation. w,11 do the WOf1c. and lhe s1ruc-1ure ,s nor. intended or ottered tor sale (Sec 70,U. Business
and Pfo!ess10r1, Code The Contrat10< s L,cense Law does
not apply to an owner ot property w!\o builds °' rmproves
thereon a.no who does such work himself or through his own employffl. prav,ded thal such 1mprovemen1s a,e not intend·
ed or offered tor salt II. however, the bt.uldtng or 1,nprove-menl 1s SOid .. ,11\in one yu,-of compiehon. the owne<·bul'det'
.,,1 ha-.e the burden ot prov,ng that he did not bu•ld 0< im-
prove tor the purpose of sate)
• I, as owner ol the propeny_ am exclusM!ly contractrng
w,lll tocensed contractors to construct the prlJtOCI (Sec 7o«
BuSlness and ProltsS1011S Code The ContraclO< s L,cense Law does not apply to an owntr ol property who builds or im-proves !hereon. and who contracts fol uch prO(ects wllh a
contrac:tor(s} Jtcense pursuant to the Conlrac:tor·s Lanse Law)
□ As a homeowner I am ,mprovmg my home. ana the toffow
ang condiboos IXISI
1 The -~ ,s being perl0<med poor to sa1e
2 I ha-.e !Ned ,n my home lor tweMl months
3 r:: :"Pct,:: t
1
~1~ =~ptJOn during tl'le last three years
D llm"""'"lllUndefSec ------B&PC for this reason ____________ _
0 I hereby allirm tnat I na11e a cert1hcate or consent 10
$ell-1nsu,e °' a cert1ftca1e ol Workers Compensation In-t
SU1ance. °' a cert1f1ed copy thereof tSec. 3800. Labor Codel
POLICY NO
COMPANY
C Copy ,s t,1ed witn the coy
D Certified copy 1s nereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
ITh1s secltOn need nol be completed If the permit
is for one hundred dollars 1s100, °' less)
0 I certify that 1n the pedormance of the wOJk !Of which 1n11 J>efm1t is 1tsued, I shall nor employ any person 1n any
man~ so as to become subject to ttte Workers· Compen-
sa11on Laws of Caltfom11
NOTICE TO APPLICANT: If, aftef making this C8rtit1ca1e
of Exempuon. you should t>«ome sub1ect to the Workers·
Compensation provisions of tl'te Labor Code you must
forthwith eomplyw1th suctl p,OVisions 01 this permit shaH
be deemed revoked
::J I heteby alfirm that there Is a construction Mtnd1ng
agency fOt the per1ormance of the •Ork'°' \IWhlCh lh•S P«·
m1t Is issued (Sec 3097_ Civtl Code)
Lende(s Name ~
L.ende,·s Addfesa_______ _ ____ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ---. -· ----... -. ---.. ---. . ..... --
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-4859
JOB AOORESS AV ST RO. NEAREST CROSS ST I o/~o~ ?~10NI
BUSINESS LICENSE • VALUATION PERMIT NUMt!ER
:2-770 OL--'t/lf/JII} J)/L cs6. CA-a~
~db/ I~~ BLOCi< 1~0,v,s,oN I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORSpHONf.• ZONE
AJ~'N{en_ .
OWNER'S NAME I 'f-3 ;;:;~z; 5t-i.p-
Atlcur~ D. /-le.. ,11,....,.,so ~ CONTRACTOP'S ADDRESS STATE LICENSE NO BUILDING SO FOOTAGE
OWNE,.'S MA",LeNC, 4 0 DR!SS
.J_ J/0 C>t ... .''T "1 //1 l'J D12 ... DESIG,.ER OESIGNER"S PHONE
OE~~IPT •ON O F W()AK 61t126eu;LJC" !, : •
.."'I~ LINt:= 1b DESIGNER'S ADDRESS STATE LICENSE NO. iiiill iiiil liiiii7ia6ri<n,: ~) t lii.
-~ F•P FLR ELEV, NO OCCGP EDU
STORIES
vO "O -
~ --,-
I I PARK ING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
y D ND ,□ "'□ vO NO Not Va/rd Unlt!Ss ~chin~ C~rttl,«J
QTY. PLUMBING PERMIT -ISSUE 7!SE-QTY. MECHANICAL PERMIT -ISSUE 3.,-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 001-810-00·00-8220 f
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001-810-00·00-8221 ----------
EACH WATER HEATER ANO DR VENT --BOILE R COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8806
/ EACH GAS SYSTEM 1 TO 4 OUTLETS i.--2:::,----BOILER COMPRESSOR 3 IS HP TOTAL PLUMBING 001 ·810-00-00-8222 _J/2----r EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001-810-00-00-8223
EACH INSTAl ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224 ------·---------
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001-810-00·00-8225 s
WATER SOFTNER RELOCATION OF EA FURNACE HEATER SOLAR 001-810-00-00-8226
EACH ROOF DRAIN (i"ISIDEI DRYER VENT STRONG MOTION 880-519-92-33
----TOT.t;L MECHANICAL FIRE SPRINKLERS -i:: 001-810·00·00-8227 --~ I /() PUBLIC FACILITIES ii(& TOT Al PLUMBING 320-810-00-00-87 40
QTY ELECTRICAL PERMIT -ISSUE -~,,.-QTY. MOBILE HOME SETUP BRIDGE FEE ~
PARK-IN-LIEU (~ ) '
NEW CONST EA AMP SWT BK R CAR PORT TIF r.. 001-810-00-00-8835 ' '
1 PH 3 PH AWNING LICENSJ: TAX 001-810-00·00·8162 a
EXIST BLOG EA AMP SWT BKR GARAGE MF'7',. -880-519-92-5 7
I PH 3 PH I ,,
REMODEL ALTt R PER CIRCUIT --' ~
TEMP POLE 100 AMPS .
--OVER 200 AMPS -
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL ElELTRICAl I TOTAL TOTAL FEES PAYABLE I /lJ--r·
• HA~E CAREFU~LY 0:AMINED THE COMPLETED APPLICAi lON AND PERMIT" ANO CO-HEREBY E•p•ratton Eve,y permi1 •Hued by tt\e BuMct,ng OU1c111 under tMe pro>tI51ons 011nis * AN OSHA PERMIT IS REOUIN:O FOR EXCAVATIONS OYER
C.E:RTIFV l,NOER PENALTY OF PERJURY THAT ALL INFORMATION HE.REON INC.~UDING THE Code shall expire by ltm,l&liOll end b6come non 1!1d void If the b_u1ld,_ng,or w,.-;rk 5· o-DEEP t.ND DEMOLITION OR CONSTRUCTION or authonzed by such per_mit fS not com,,,onced w1ttun '180dayS: from the dateo.1 suet, m:.CL.AAATIONS ARE TRUE AND CORRECT II.ND FURTHEF1 CERTIFY AND AGR£:E: IF A PER.MO>T 15 ~'::::On':o ~Ii::\' ~,;!!':Xe~th=':~,:~c~!:'e~~~~-, /~~~~·\,':«:' Of
ST~S OYER 3 STORIES IN NE1GHT !SSUEO TO COMPU WITH ALL CITY COlJNTY AND STATE LAWS C.OVE<!N :-IG BUILOING CON
ST<!UCTION. WHETHER SPECIFIED HE'lflN OR NOT I ALSO AGRfi TO SAYE INDEMNIFY AND y . . --~ 1 APP<!OVEO BY ~ l DTE <E:EP HARMLESS THE CITY OF CARLSBt.D AGAINST ALL L A BIL •TIES. JlJDGMENTS. COSTS AND ~rGNAT_u;;,t_,, OWM ':ONTRACTOR [J (%4t EXPENSES WHICH MAV IN ANY WAY ACCRlJi' AGAINST SAID C.TY IN CONSEOUENCE: OF T'>ii.. JJ, ~.A BY PHONE [ ·
GRANT NG OF THIS PERMIT ,. • , A_,,..__
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TYPE
BUILDING
OUNDATION
IEINFORCED STEEL
F
R
M IASONRY .....
iUNITE OR GROUT G
,UB FRAME D FLOOR s
s
F
E
tfi
D CEILING
,HEATH ING □ ROOF □ SHEAR
RAME
XTERIOR LATH
iSULATTON ~ -.-. \
0
• _.: ! .'iiii
INTERIOR LATH & DRYWALL
PLUMBING
D SEWER AND BUCO D PUCO
UNDERGROUND □ WASTE D WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL ,._
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
DATE U"IC INSPECTOR
-. ' .
!"-.
·-
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING -
ELECTRICAL
MECHANICAL 11
GAS I J .I
BUILDING 10 ii-fl~ t-:-YJffe.
SPECIAL CONDITIONS I -------
• I 'if~ -IDCo!
FIELD INSPECTION RECORD I
I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES I
REO IF INSPECTORS I INSPECTION CHECKED APPROVAL DATE I
SOILS COMPLIANCE I
PRIOR TO
FOUNDATION INSP I
I
STRUCTURAL CONCRETE I
OVER 2000 PSI I
PRES TRESSED I
CONCRETE I
POST TENSIONED
CONCRETE I ~
FIELD WELDING I
I • HIGH STRENGTH I
BOLTS l
I SPECIAL MASONRY , -.. .. I
I
I
PILES CAISSONS I
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