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Home My WebLink About2770 OLYMPIA DR; ; 86-252; PermitCl) z ~ II: I[ u ac ... 0 _, 5 • ii: ... z 3S 0 z 0 ;::: < Cl) z ... CL :Ii 0 u Cl) ic ... " ac 0 3 ;L if 0 I hereby a ~rm that I am llc~nsed 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 !hat I am e.xempr lrom the Contrac- tor's L,cense Law !or the lollowmg reason (Sec 7031 5 Business and Professions Code Any c11y or county whicr. re-Quires a perm1t to construct al1er. ,mprove. demolish, or repair any structure, prror to rls issuance also requires !heap-phcant tor such oennt1 10 file a s1pned statement that he 1s hcensed pursuant to fhe provisions of lhe conuacror s license law (Chapter 9 commencing w11h SecttOn 7000 of Division 3 of the Busroess and Professrons Code) or lhat 1s ex empt lherefrom and lhe basis (Of the alleged exemplton Any v1olahon ol Section 7031 . 5 by an apphcant tor a perm,1 sub· Jecls the apphc.ani to a CIVIi penally of not mo<e lhan five hun· are<l dollars ($5001 I, as owner of lhe property, Of my employees with wages as !heir safe compensation. w111 do lhe work and the s1ruc-1ure 1s noI intended or offered !or sate (Sec 7044 Business and Profess10n~ Code The Contractor"s Lteense Law does not apply to an owner ol properly who builds Of improves !hereon and who does such WCN'k n1msell °' through his own employees, provided that such improvements are not intend• ed or ollered for sa!e II, however, the building or 1mprovf'" ment ,s sold within one year of complelion. the owner-builder wlll have lhe burden ol proving that he did not build or im- prove for the purpose of saleJ ~I. as owner of the properly, am exclusively contractang /:f'fri hcensed contractors to coosuuct !he pro1ec1 (Sec 7044 Business ano Proless10ns Code The Contractor's Lanse law does no! apply lo an owner of property who builds or 1m· proves thereon and who contracts for each protects with a contractor(s) hcense pursuanl lo tne Conlraclor's license Law) 0 As a homeowner I am improving my home, and the lollow ing COndltlOns ex.1st· I The work Is being perto,med prior 10 sale 2 I have hved m my home IOf twelve months pnor 10 completion of 1h1s WOfk I have not cJa1me<1 1h1s e,cempflon dunng the last three years. ~r 1Ih~~r~~rn,rt under Sec ______ , B & PC ---------- 0 I hereby affirm that I ha.-e a cer11t.cate ot consen1 to self-insure. or a cemf1ca1e ol Wori..ers Compensa11on Insurance. or a cer11lted cooy 1hereo1 (Sec 3800. Labor Code) POLICY NO COMPANY □ Copy 1$ filed With the c,ty D Ceri1hed copy 1s hereby lum1shed CERTIFICATl OF EnMPTION FROM WORKERS· COMPENSATION INSURANCE (This section need not be compleled 11 !he permit ,s tor one hundred dollars {S100) or less) D I cert,ly that 1n !he performance of the wor<,. tor wn1ch !his permit ,s ,ssued I shall no1 employ any person in any manner so as lo become suoiect 10 lhe Wor1ters · Compensation Laws of Ca11torn,a NOTICE TO APPLICANT ti. alter makmJ 1t11s Cen1 hcate ol Exemp11on. yOV should t>ecome su1>1ec1 ,., !he Wor1ters· Compensa11on provisions ol the Lat>or Code you mus! for,h,,.,,,H', comply w11h such provisions or !his perm11 shall be oeemed revokeO 0 1 heret>y alf,rm Iha! !here ,s a consuuction 1end1ng agency !or the performance ot lhe won,. tor wh,ch this perm,1 ,s issued tSec :m1 C1v11 Cooe, Lender s Name ___________ _ Lender s Address __________ _ I I I USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT . JOB AOORESS AV ST, RO. NEAREST~/ PoAITl!re. I:;:,, :p;iATIONI BUSINESS LICENSE tt VALUATION PERMIT NUMBER ~170 DL.Y1U,t)/,4 D1Q . rSPl /,,J./S-;l-2':f5-? I~~, BLOCK ls#AJ~U-f.$f ASS Essy R PARCEL NO I ~o:_ /Jik CONTRACTORS PHONE • ZONE l,,, "'l '4-Z. I C~(9c) OWNER·s NAME , l(-~~~~NE A,,rmte f/e,.J~<;f)A.} CONTRACTOR'S ADDRESS LICENSE NO PLAN 1.0. # BLDG USE CODE OWNER·s MAILING ADDRESS 1-,.._770 OL.'r'~PIA Di-'-C.~'56A-0 l"A.. 'il.ooi'° DESIGNER LICENSE tt STANDARD PLAN # BUILDING SO. FOOTAGE DESCRIPTION OF WORK , p AT7 (\ r" C't..n=i:> .ii. -, .,. /"-,,(' DESIGNER'S ADDRESS OESIGNE R'S PHONE /~1'. ;.L V -~ T / Bl I PIB63!il6 ur~1e oooraar~·-,s1 101 -"ij I • ?8 ~ F/P FLA ELEV. NO OCC GP EDU ·•·• ,.,,--.. .c _ • 88 STORIES . vO NO -- CENSUS TRAC1 I GP L ANO USE I PARK ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPF> AREA CONST y D ND vO NO vO NO Not Valid Unlt!rs Machine Certified QTY. PLUMBING PERMIT · ISSUE -?~ QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARVACCOUNTNUMBER --EACH FIXTURE TRAP , INSTALL FURN. DUCTS iJP TO 100.000 BTU BUILDING PERMIT 01 ·00·00·8220 .-t. .c; EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01 ·00·00·8221 ,/ -EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 /?,~ EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00·8222 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 EACH INSTAI.. ALTER, REPAIR WATER PIPE VEN[ FAN SINGLE DUCT MECHANICAL 01 ·00·00·8224 -EACH VACUUM BREAKER MECH EXHAUST HOO 010 UCTS MOBILEHOME 01-00·00·8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN CINSIDEI SOLAR 01-00·00-R??fi i TOT/;L MECHANICA L STRONG MOTION 80·92·33·0519 .5Z7 -TOTAL PLUMBING J FIRE SPRINKLERS 01 ·00·00·8227 QTY. ELECTRICAL PERMIT· ISSUE y QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00·00·8930 BRIDGE FEE NEW CONST EA AMP SWI BKR COLLECTORS SCHOOL FEE · DISTRICT I PH J PH STORAGE T/\NKS Carlsbad 80-92-21-0519 EXIST BLDG EA AMP/SWT BKR ROCK STORAGE Encinilas 80-92-22·0519 I PH 3 PH PUMP San D1egu1to 80·92· 23·0519 REMOOE L AL HR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92· 24-0519 TEMP POLE 200 AMPS OVER 200 AMPS LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY 130 DAYS) MFF 80-92-57-0519 CREDIT DEPOSIT TOTAL ELECTRICAL I TOTAl SOLAR TOT AL FEES PAYABLE I .YI~ I HAVE CAREFULLY EXAMINED THE COMPLETED ·•APPLICATION ANO PERM Ir ANO DO HEREBY Expiration Every permit issued by the Building Oft1c1al under lhe prov1s1ons of th,s * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hmitation and become null and vo,d If lhe building or work 5· 0 .. DEEP ANO OEMOUTION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit is not commenced within 180 days from the dateof,such STRUCTVRES OVER 3 STORIES IN HEIGHT permit. or 1f the bu1ldinPt or work autho11zed by such permit 1$ suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON abandoned at any ttme a tar the work 1s commenced for a oenod of 180 days STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND CONTRACTOR 0 APPROVED8P • DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AN~~ S SIG~E~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE " BY PHONE 0 3rl6 -fC GRANTING OF THIS PERMIT , • ;,_~ ' ~ u:: >, oi 0 a. E (!) I- D 0 l'.) C @ w <l: I .:,:. C c:: 0 rt) rt) (!) rt) rt) <l: I 3 0 <ii >- rt) rt) (!) u 0 0:: (1) co 0 ~ (!) u C (1) C u:: :::::. C (!) ~ l'.) 0 u (!) a. rt) C (!) .t::. ~ TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL ... MASONRY , GUNITE.OR GROUT FLOOR & CEILING SUB FRAME SHEATHING □ ROOF □ SHEAR FRAME EXTERIOR LA TH INSULATION INTERIOR LATH & DRYWALL -~ PLUMBING SEWER AND BUCO DIPUCO UNDERGROUND □ WASTE □ 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 CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS I -'?f{.o .. ;}b~ I ~· I FIELD INSPECTION RECORD I I I . -REQUIRED SPECIAL INSPECTtONS INSPECTOR'S NOTES I I INSPECTORS INSPECTION REO IF DATE I CHECKED APPROVAL I "'~.,--~-_.· \ V, ,\-\ ;, ~I, "'i:.,, 1 SOILS COMPLIANCE I PRIOR TO -I FOUNDATION INSP . , h. i -... t .. ~ 1, I '· , .. ~ ... STRUCTURAL CONCRETE . t""\ , .. ~,, . .... "' , •:."" \ I .. I OVER 2000 PSI -\. -~ I -- PRESTRESSED ,, ""1 ___.. •. '-"'''', I CONCRETE . POST TENSIONED I CONCRETE r I FIELD WELDING I HIGH STRENGTH I BOLTS I I ~ ·, SPECIAL MASONRY -I I I PILES CAISSO1',S I I I I I I I I I I I l I I I I I I I I I I I I I I I I I I . I I PLAN CHECK NUMBER ----ADDREESS J. 77 0 ~ /h · PLANNING 0 w c:: => 0 w c::-+- V) z-.-+--o 1--....+-u ~ w Qj c:: ~ C! ·-Qj 0 > .... Qj "' ua::o 0 w c:: __ _ => 0 -\I z 0 I-~ u Qj w 31: a:: Qj c:: ·-Q) 0 > .... Qj "' U C:: 0 SCHOOL FEES: SAN DIEGUITO CARLSBAD SETBACKS: FRONT DISCRETIONARY ACTIONS: SIDE ENCINITAS SAN MARCOS REAR -------------------------- REDEVELOPMENT PERMIT REQUIRED: ----------------------- LANDSCAPE PLAN COMMENTS: ------------------------- ENVIRONMENTAL REQUIRED: -------------------------- ADDITIONAL COMMENTS: OK TO ISSUE: ~t?,/?-t DATE:_~--------- ENGINEERING LEGAL DESCRIPTION VERIFIED? APN CHECKED? ----------- P.F.F.: _________ PARK-IN-LIEU QUADRANT: _____ , FEE PER UNIT: ___ _ RIGHT-OF~WAY: TRAFFIC IMPACT FEE PER UNIT: --------- EASEMENTS: DRIVEWAY: ----·-------------- IMPROVEMENTS: FIELD CHECK DATE: INITIALS: ------------------------- E.D.U.: SEWER: ----------------------------- LATERAL: INDUSTRIAL WASTE PERMIT: GRADING PERMIT: ------------------~---------- GRADING COMPLETION CERTIFIED: ------------------- DRAINAGE: --------------------------------- ADDITIONAL COMMENTS: --------------------------- OK TO ISSUE:_L£;;...:::::Z.~~=====-----'DATE: dµo,@ DPD2:DPD6:O1/86 \