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Home My WebLink About2774 Olympia Dr; ; CBR2017-1566; PermitPrint Date: 08/08/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2774 Olympia Dr BLDG-Residential 1674315700 $6,834.27 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www .carlsbadca.gov Work Class: Alteration Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Status: Applied: Issued: Finaled: Inspector: Permit No: CBR2017-1566 Closed -Withdrawn 07/12/2017 08/08/2017 Description: GROOSKY: REMODEL 2 BATHROOMS (100 SF), INSTALL NEW WATER HEATER & CONDENSER, REPLACE WOOD PATIO W/ ALUMAWOOD, INSTALL WHOLE HOUSE FAN Applicant: Owner: Contractor: TERRY MONTELLO 4715 60Th St TRUST GRODSKY EDWARD FAMILY TRUST 11-22-06 JACKSON DESIGN AND REMODELING San Diego, CA 92115-3802 619-994-SSS7 BUILDING PERMIT FEE $2000+ BUILDING PLAN CHECK FEE (BLDG) 4025 Canario St, 139 CARLSBAD, CA 92008 ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL MECHANICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL SB1473 BUILDING STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $281.08 Total Payments To Date: $61.84 4797 Mercury St, B San Diego, CA 92111-2122 619-442-612S Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition ofthese fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES 1T APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. f/6/1'1 ~ ½ w\\\ V\m --Do /11 sp<:'"c-+-. · 0 n s $219.24 $88.3S $61.84 $41.00 $39.00 $49.00 $1.00 $0.89 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □HEALTH 0HAZMAT/APCD Est. Value ·C_cityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@ca~sbadca.gov www.carlsbadca.gov Plan Ck. Deposit SWPPP JOB ADDRESS 1..17 1./011 surrn; P CEt/UNrrt 7 -t,3/ ->7 -O{J CT/PROJECT# #BEDROOMS J DESCRIPTION OF WORK: Include Square Feet of Affected Area(•) ◄C,1 r G' <: ::J" tbca, I r? ss:? "'1 JJJ JI , 27 P:. tc--17~..... b-dl,, l-. \\Vii\( EXISTING USE _f;. ... p,.,.,, APPLICANT NAME Prtn1 Co ct ADDRESS ( \O"I '>F-') 71.:; STATE ZIP (,. q-z.110 FAX /P\ ZIP .,_,, fl) # BATHROOMS Z-- PATIOS (SF) 0 CITY CAo PHONE 7, EMAIL ADDRESS '-(7't CITY .fM PHONE (ft-'I TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP FIREPtACE AIR CONDITIONING FIRE SPRINKLERS YES0, No0 YES[E)No□ YES□NOl:i?] ~-STATE ZIP ~A Cf?. 10 i) FAX ,s ,., ff STATE ZIP 11;. 0 CA 4'l.ll/ FAX ~ -( I z_.S ~J .., (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement ttiat he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of DIVlslon 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a clvll penalty of not more than five hundred dollars {$500)). WORl<ERS' COMPENSATION Worken1' Comptnsatlon Declaration: I hen,by afflmr under penalty ofpetjury one of the fol/owing declarations: [lZ] I have and will maintain a certlflcata of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfOITllance of the work for which this permit is issued. [}:(I I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy numberare, Insurance Co. > !An c.,,.,.p /.,/( FUAJI> Policy No. f{(J 77 q z 1-I( E><pirallon Date NJ/or/17 lbii.section need not be completed ii the permit is for one hundred dollars ($100) or less. LJ Cartlficatt of Exemption: I certify that ln the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become suti;ect to the Workers' Compensation Laws of Cellfomia. WARNING: Failure to secure worken1' compensation coverage la unlawful, and aha II subject an employer to criminal penalties and clvll fines up to one hundred thousand doll1n1 (&100,000), In addition to the coat of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's feaa. ~ CONTRACTOR SIGNATURE I hereby affimr that I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale {Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buikls or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the buHding or Improvement is sokl within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of sale). I, as owner of the property, am exdusively contracting with licensed contractors to construct the project {Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section ____ .,,usiness and Professions Code for this reason: 1. I personaly plan to provide the major labor and materials for construction of the proposed property improvement. Oves Do 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (incude name/ address/ phone/ contractors' license number): 5. I will provide some of the work, but I have contracted {hired) the following persons to provide the work indicated (Include name/ address I phone/ type of work): NS PROPERTY OWNER SIGNATURE □AGENT DATE COMPl,..ETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presle{-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUllON CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work this permit is issued (5ec. 3097 (1) Civil Code) lender's Name lender's Address APPLICANT CERTIFICATION I certify that I llave read the applcatlon aid state that the abcve Information Is correct and that the lnfonnatlon on the plans ls accurate. I agree to comply Mth all City ordinances and State laws relatilg 1D btJUdlng construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for ilspection purposes. IN.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD A~NST All UABLmES, JUDGMENTS, COSTS AND EXPENSES WHK:H MAY IN ANYWAY ACCRUE ~NST SAD CITY IN CONSEQUENCE OF THE GRANTU'JG OF THIS PERMIT. OSHA: AA OSHA permit is requred for excavations over 5'0' deep and deroolilion or construcoon of structlJres over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by Imitation and become nuH and void if the bulldi'lg or 'Mll'k authorized by such penn~ is not commenced 'Mlhin 180 days from the date of such pennlt or if the buikling or WOfk authorized by such pennlt is suspended or abandoned at any time after the IMlfk is commenced bra period of 180 day.; (Section 106.4.4 Uniform Buiklilg Code). AS APPLICANT'S SIGNATURE DATE 7 ---~•- 8/1/17 To the Carlsbad Building Department, We would like to cancel the permit CBR2017-1566 located at 2774 Olympia Dr. and pick up the plans that were submitted. Thanks, Terry Montello ,;,-; I ,'