HomeMy WebLinkAbout2774 OLYMPIA DR; ; 85-398; Permitu, z 0 .:: C a:: C .,J u Ill 0
IC
I[
8
C Ill a
.,J
3 ~ Ill z ~ 0
z' 0 .:: C u, z Ill CL 2 0 u u, a: Ill "' a:: 0 3
il
O I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
S.Ctlon 7000) or Division 3 or the Business
and Professions Code, and my license Is In
full for~,/ -gr_~ 13 c_ x' lie No~ Ons --
I hereby affirm that I am e-.empl lrom lhe Contrac-10r·s uc,nse Law lor lhe lollow,ng reason (Sec 7031 ~
Bus1~d Protessrons Code Any oty or county wh1Ch re· qu11es a permal to construe I. alter. 1mprove. c:temohSh. or repa,r any structure. poOf' to its issuance aiso requires the ap-
phcanl for such pemul to hie a s1Qned s1a1ement 1~1 he 1s 1.censed pursuant lo lhe P,OYISJOffS ol the ConlratlOI'. $
license Law (Chapter 9 commencing with Seclton 7000 ot O'lt.St0n 3 ol the Business and Pr0fess10ns COOe) 0' That ,sex•
empt thefelrom and the bas.is IDf' lht ai:egea exemption Any v,olahon of Sechon 7031.5 by an applicant tor a perm,t sub·
1ects the app1,canl lo a civil penalty o1 nol rnore than t,-;e h11n
dred dollars ($500)
1. as owntr 01 the property, or mv employees iN1th wages
as their sale compensatl()n. w•ll do lhe work, ar,d the S1ruc-
ture rs 001 intended or ottered tor sale (Sec 7044. Business and Protess,ons COde The Conlractor·s Ltcense Law does :,:gf:n~0 :::O :rs:~fw°:~,;:1 '::~~:Vn~::~
employee$. ptovided that such imptOYtments are not 1nlencl·
ed or offered for sale 11, hOwever. lhe bu1ld1ng o,1mprove· ment IS sold within one-yea, of completion 1he owner-bulldef
will ha'le the burden ot proving 1na1 ne d,d not build or 1m· prove for the purpose of sale)
.J I. as owner ot 1ne property, am exclusively contracting
w•lh lleensed conlrac10fS lo construct lhe proiect (Sec 7044. Busrness and Proless1ons Code_ The Con1racto( s Ucense Law ooe.s not apply 10 an owner of pt"operty who budds a, im-proves thereon. and who conlracts lof each pro,ects with a
conlractor(s} license pursuanl to the Con1ractor's License UWI
[ As• homeowner I am mpr0YIng my home. and lhe loliOW 1ng cond1hons ex1s1 1. The wOfk 1s being performed pnor to ~le,
2 I .have -., my home for iw.ve moolhs pnor to completion ot lh,s wort<
I have not claimed lhrs exemption during the
last three years
D i.m exempt uncter Sec ______ • B& PC
IOf this reason -------------
~tet,y affirm t~1 I l\a.-e • cen1t1ca1e of consen1
to sell insure, or ii cer11hca1e of Work.ers
Compen~hon Insurance Of a cert,hed cooy thereof
(Sec 3800 ulx>r Godel
POLICY NO
COMPANY SL CAMIAJO ~,., .5
D Copy ,s hied with the c,ty
0 Cen1t1ed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE (This sechon need nol be compIe1eo ,t lht perm,1
fS t~ one hundred doll1irs ($1001 Of Iess1
·cen1fy th.at ,n the per10fmance ol lhe .,Of'l 101
~ch 1h1s perm11 Is issued I shall no1 employ anv
person ,n any manner so ~ 10 become sub1ec1 10
!he Worti.e,s Compeny11on Laws of C1ihforn1a
NOTICE TO APPUCANT If. after maktnJ lhtS Cerh
hcale of Exemption. yoo shOOld become sub1ec1 !?
the WOt\.ers Compensahon prov1sIoos ol lhe ~' COOe. you must lorth-.rr.tlh comply w1lh sucn
prov1st0nS Of ttus perm11 s~II be deemed revoke<)
O I r,ereby attum thal there Is a cons1ruc1,0f\ 1el'\d1ng aigency 101 lhe perto,mance ot !he work tor
whteh lh,s perm11 ,s 1ssue<l 1Sec. )()97 C1v,1 Cooe
lenOer s Name ___________ _
Lenders A0<1,ess __________ _
1 USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -.. . -· . -----·-.. -... ---.. ·-----------.
.. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, Cahforn1a 92008-1989 (619) 438-5525 I -'1
,OB ADORES!! AV ST RO NEAREST CROSS ST I OA2; A;;;:1
BUSINESS LICENSE # _b ~"(JI OJif l/1,.,.£.E~MIT NUMBER
:J.?'19 6Lv.PJ~/4 /),<'. el/#? + ,PoAJT~~ .oia a?6i ov I , -J -,J ..,
37/ ~.siB,OCK . I sueo•v1s,0N ' I ASSE/6 ~RC~f 1 s-? CONTRACTOR r CONTRACTORS PHONE• ZONE
I'. I j I .1) o,A.JS~ctd/d ~ '").54"-Sfl,.j/
1 •WNE-R'S NAME I OWNER'S PHONE
El)(;<.#,/) b~a/)Sky '-IJ (/-Y<<' CON~ACTOA~ ADO RESS LICENSE NO PLAN 1.0. Ji BLDG USE CODE
~ C/.J l5~LhdJ/XT.7Je · 2,s-,,y y
0Wf\.EA'S MA1 NG ADDRESS
-:2?1V ~ L vll'IP14 /)~., (I dL_/ ( &/1-J!J DESIGNER LICENSE,, STANDARD PLAN# BUILDING SO FOOTAGE
<'.·""-A V (e, OESCA PT -nN OF WORK , ,
OES1GNl,.R S ADDRESS OESIGNE R'S PHONE
f}/J'17o Oou~~-/-~
~ 7---F/P FLA ELEV NO DCC GP EDU STORIES 6/U~/t:1~31/~ 31 ~3: '2-1 ~ vO NO . ---
CENSUS TRACT I GP LANO USE I PARKING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPA AREA CONST
y D ND ,o NO vO NO Not Valid Un~s Mach,ne Cert1/1ed
QTY. PLUMBING PERMIT · lSSUE r;s-n QTY. MECHANICAL PERMIT· ISSUE ~-SUMMARY/ACCOUNT NUMBER /2 -A.'
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100.000 BTU BUILDING PERMIT 01·00·00·8220 ;:);f'-=---,.,, -
>--<" EACH BUILDING SEWER ' OVER 100,000 BTU SIGN PERMIT 01·00·00·8221 -,,. I ~
EACH WATER HEATER ANO OR VENT BOILER COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 ol~ .,-.,.: -
EACH GAS SYSTEM I TO 4 OUTLETS 1-BOILER COMPRESSOR 3 15 HP TOTAL PLUMBING OHXl·00·8222 -
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223
EACH INSTA~. ALTER. REPAIR WAT ER PIPE VENT FAN SINGLE OUCT MECHANICAL 01 ·00·00·8224 ·-'-'
EACH VACUUM BREAKER MECH EXHAUST HOOO OUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN I INSIDE! SOLAR Q]-QQ.QQ.R??~
I TOTJ.L MECHANICAL STRONG MOTION 80·92·33·0519 , so ----
TOT Al PLUMBING I FIRE SPRINKLERS 01·00·00·8227
~-SOLAR · ISSUE
PUBLIC FACILITIES FEE 32·00·00·893)
QTY. ELECTRICAL PERMIT · ISSUE QTY.
BRIDGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE · DISTRICT
l PH 3 PH STORAGE TANKS Carlsbad 80·92·21·0519
EXIST BLDG EA AMP SWT BKR ROCK STORAGE Encinitas 80·92·22·0519
l PH 3 PH PUMP San o,egu1to 80·92· 23·0519
REMODEL ALTtR PER Cl R CU I 1 .. PLAN CHECK FEE San Marcos 80·92· 24·0519
TEMP POLE 200 AMPS . -
OVER 200 AMPS LICENSE TAX 01-00-00-8162 /
I TEMP OCCUPANCY 130 OAYSI MFF 80-92-57-0519 /\ __ ..
-I CREDIT DEPOSIT { .J--~,. ~ .... \.... I
I TOTAL ElELTRICAL I TOTAL SOLAR r ~---TOTAL FEES PAYABLE I I
I Expiration Every perm,t issued by the Building OU1c1ef under the prov1s1onsof tn,s I I HAVE CAREFULLY EXAMINED THE COMPLETED ' APPLICATION AND PERMIT" AND DO HEREBY * A;~FWl:l IS REQUIRED FOfl EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expHe by hm1t1hon and become nutl and vo10 It the building or work 5 O" AND DEMOl.lTION Ofl CONSTRUCTION OF
! DECLARA:rlq/llSJIAE,TRUE AND C~CT°l>.NO I FURTHER CERTIFY AND AGREE IF A PERMIT 15 authoraed by such permit 1s not commenced w1th1n 180 days from the date of such ST S OVER J STOfllES IN HEIGHT permit. or 1f the bu1ld1::ff or wort 1u1honzed by such permI1 1s suspended or
I ISSUED TO COMPLV WITH ALL'CITY, COUNlY AND STATE LAWS GOVERNING BUILDING CON 1bandoned 11 any lime I ter the work 1s commenced for a oenod of 180 davs ,. . .
I STAUCTION, V✓HETHER SPECIFIEp HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICA~RE Jf. OWNER □ CONTRACT~~ APPR[!f n \\ ~ /t;tff5 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY 1111 CONSEQUENCE OF THE
J ~()., .. ,fl /J ,~~ I GRANTING OF THIS PERMIT BY PHON 0
I .
~ u::
>-.;
0 a.
E
Q)
I-
I
'O 0 (.!)
C "' .~
a. a. <{
I
.Y.
C a:
0 "' "' Q)
"' "' <{
I
3 .Q
ai >-
rJ)
"' Q)
()
0 a:
"' cii Cl
~
Q)
()
C "' C
ii:
!:..
C Q) ~ (.!)
E ()
Q) a. "' C
~
.c ~
..
TYPE I DATE INSPECTOR
BUILDING t /)
FOUNDATION I L. i'/•'l"-,-'lc.,-7, c.,_J
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
I
SHEATHING □ ROOF □ SHHAR
FRAME I
I
EXTERIOR LATH I
INSULATION I
I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO □IPUCO I
I
UNDERGROUND □ WASTE □ WATER
TOP OUT D WASTE D W.ti,TER
TUB AND SHOWER PAN I
GAS TEST I
' □ WATER HEATER □ SOLAR WAiJ"ER
I
_1
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ OFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPIN'G
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVe BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
' -' x~-3 <z·y
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR S DATE CHECKED APPROVAL . . --. -.
SOILS COMPU A CE
PRIOR TO
FOUNDATION INSP '
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
-HIGH STR.ENl.!iT-H..
BOLTS
SPECIAL MASONRY
PILES CAISSONS
-•\ ....
'• , ...
-. -\ -. . • \ ~ .-1 . .-
~ -~
\ c·
-.
\r .
{ h <
'·
PLAN CHECK NUMBER ADDRESS ,)J7t_tf~ JJ~
TYPE OF STRUCTURE ~ ·_ . /Atio/>' 7-1'3/-s7
PLANNING: ZONE: -----
SCHOOL FEES: SAN DIEGUITO_______ ENCINITAS _______ _
CARLSBAD --------
% COVERAGE ·-----------
BUILDING HEIGHT ----------FENCES/ WALLS __________ _
SAN MARCOS ______ _
REQUIRED SETBAC~-----
FRONT ---------
• THO CAR GARAGE
SIOE __ &,,__-~-+~-;;.......--
REAR ____ .....:...~---~-~--a:
1.,1,J
.3 1.,1,J
-----------
;: ~ CO,'IMENTS:
1.,1,J < --------------------------0: C
~ □ REDEVELOPt1ENT A?PROVAL REQUIRED: 6 ~ □ _______________ ;.,._ __
L&J-
ffis• D 8~ LANDSCAPE PLAN CO~ENTS: ---------------------
ENV mar:~,, rnTAL REQU IREP: ---------------------
ADDITIONAL COMi'\1ENTS: ----------------------
OK TO ISSUE: ~ DATE:~ TO FINAL: ___ DATE: ___ _
ENGINEERING LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKED?_
P.F .F • ______ PARK IN LIEU _______________ _
R.0.1'4: ______ IMPROVEMENTS:---------------~
_______________ E.D.U: --------------:
SEWER: _________________ ..;._ _______ ___
LATERAL: __________ _ DRIVEWAY: __________ _
c::: ~ GRADING PERMIT: _______________________ _
-La.I > I-~ ~ DRAINAGE: _________________________ _
I-La.I u a: u.J-
EASEMENTS: ___________ ADDITIONAL COMMENTS: _____ _ ~-□ 80 □
~g o · ------------------------~=""'--
g~ OK TO ISSUE: __ ,.,,...& __ ·:::::=====~~--DATE: <::,/PL!
* ENGINEERING INSPECTION REQUIRED: _______________ _
PUBLIC ~ORKS INSPECTOR: __________________ _
FINAL OK: -----------DATE: ___________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE All INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)