HomeMy WebLinkAbout2699 OLYMPIA DR; ; CBR2021-3042; PermitPERMIT REPORT
Residential Permit
Print Date: 12/29/2021
Job Address: 2699 OLYMPIA DR, CARLSBAD, CA 92010-2180
Permit Type:
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Project Title:
BLDG-Residential
1674330500
$12,958.94
Description: GRANICH; LIFT & RELAY 29 SQ OF TILE
FEE
STRONG MOTION -RESIDENTIAL (SMIP)
SB1473-GREEN BUILDING STATE STANDARDS FEE
REROOFING -RESIDENTIAL
Work Class:
Track#:
Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Re roof
Total Fees: $91.68 Total Payments To Date: $91.68
( City of
Carlsbad
Permit No: CBR2021-3042
Status:
Applied:
Issued:
Finaled Close Out:
Inspector:
Final Inspection:
Contractor:
JOSEPH ZAMORA
Closed -Finaled
10/06/2021
10/06/2021
12/29/2021
CRenf
10/26/2021
3460 MARRON RD, # STE 103
OCEANSIDE, CA 92056-4675
(760) 688-5419
Balance Due:
AMOUNT
$1.68
$1.00
$89.00
$0.00
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 of these
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 IT 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.
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
(city of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check (I__ I?, fl... 2. D :Z..( -3 D'1
Est. Value 61, I 2:z '\. 5 ~-Cf 'i
PC Deposit
Date 1 0 -IP · -Z O 2-I
JobAddress2 6f9 a Lym pift Unit: _____ .APN: __________ _
CT/Project #: _________________ Lot #: ____ Year Built: ________ _
Fire Sprinklers:OEs(»No Air Conditioning:QYES@No Electrical Panel Upgrade0Es@No
BRIEF DESCRIPTION OF WORK: ,/:evuut-e ,,t;(p._ (..~ /Uf?1. _ 1¥« ,(✓1,(;t,/, auuf /4,._
0 New SF : _____ Living SF,·---~ Deck SF, ____ Patio SF, ____ Garage SF __ _
Is this to create an Accessory Dwelling Unit?Qv€'.)N New Fireplace? Qv~N, if yes how many? __ _
D Remodel:. _____ SF of affected area Is the area a conversion or change of use? Ov QN
Additional Gas or Electrical Features? 0 Pool/Spa: ____ SF ------------
osolar: ___ KW, ___ Modules, MountedOoofO;round, TiltOvON, RMA:QvQN,
Battery:Qv 0, Panel Upgra~ Qi'< /' ·ft ~/
~eroof: ~ ·-t2&_ Mee. ,vvwf-1
D Plumbing/Mechanical/Electrical
0 Only: Other:
PRIMARY~All ucANT ~ PROPERTY o~~ER .I. ;J /. '' /
Name,....,. _____ _,__.._ __ '-'-'~...,.......,..-.,....,.--Name: /}'~ ~/\
Address: . • ~-ttio-, Address:~/ yn:J,U~ z: .
City: Q;;;;;;;.J; ~t;;;:;:i;;,, '7'.2.o 5"t City: e State: q, Zip: '/ ;J. oo f5
Phone: Z6u-6-lti-rYr7 Phone: 760 -"5:0 -042</,
Email: J oe5 (c>qf,,iy i€..-:} ma: I. ('o,.,,_ Email: rv'l &--tt.etu t< JI L A,o""-cl fl.v,.1\/A/ 2~ · c. •' ;'V\
Name: /V 1 '/1: Business Name: ~~ DESIGN PROFESSIO~A}' j CO~TRACTOR OF. R~EC D 1 ~'
Address: _______________ Address: J'-160 · f2 • ff/q 3
City: _______ state: ___ Zip: ____ City:Ug4a3 4,;e(p Statet'A Zip: /.;i t:>5':6
Phone: ________________ Phone: 71 e, -6-8'< -f:(I :l
Email:. _________________ Email: ) QCS (CQ f i tl/,@,.1{>-' '.;JOY'! ; /. Com
Architect State License: ___________ CSLB License#: 7 //0 7 / Class: C -3 C/
Carlsbad Business License# {Required): 4, {j -?3
APPLICANT CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the
information on the plans is accurate. I agree to comply with all City ordjJ)ances and State laws relating to building
NAME (PRINT): J?xeH: 7A,y1of;.A SIGN: ,' ' }~ DATE:/ 0 /6 ~d .ZcJ
construction. ~-~-;? / /
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 ~0-6-8; Email: Building@carlsbadca.gov
REV. 07/21
/
THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: _______ _
A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON
SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO
PERMIT ISSUANCE.
(OPTION A): LICENSED CONTRACTOR DECLARATION:
I hereby of firmunderpenaltyof perjury that I am licensed under provisions of Chapter9 (commencing with Section 7000/af Division]
of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the
following declarations (CHOOSE ONE):
Q1 have_ and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued. Policy No._
-DR-
~I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the erforman o..!J,he work which this permit is issued.
~orkers' com..,pensation_ insurance carrier and policy number are: lnsuranceCompany Name: _ __,CL· =L.=-'f--S---.F.' t~//4_,..:1fc--__,c-----------
Policy No. tj J / b J (, J Expiration Date: ~=.e· c_J_-,L..L...e=c_ ______ _
-OR-I , I
Qcertificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become
subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage is unlawful and shall subject an employer to
criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,
interest and attorney's fees.
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: _____________________ lender's Address:
CONTRACTOR CERTIFICATION: I certify that I have read the application and state that the above information is correct and that
the information an the plans is accurate. I agree to comply with all City ordinances and State laws relating to building
construction.
NAME (PRINT): S05lfP/:t 2.Amo~ SIGNATURE: 'l<-----DATE: __ /_o.,._/4 .... ~_/2_2 a_'2...___._I_
Note: If the person signing above is an authorized agent for the contractor provide 8 I
R
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason: Q 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 builds 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 building or improvement is sold
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).
-OR-O I, as owner of the property, am exclusively 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).
-OR-O I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND,
D FORM B-61 "Owner Buitder Acknowledgement and Verification Form" is required for any permit issued to d property owner.
By my signature below I acknowledge that, exec-pt for my personal residence in which I must have resided for at least one year prior to completion of the
improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed
contractors. / understand that a copy of the applicable law, Section 7044of the Business and Professions Code, is available upon request when this application is
submitted or at the following Web site: http:/lwww.leginfo.ca.gov/ ca/aw.html.
OWNER CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the
information an the plans is accurate. /agree to comply with all City ordinances and State laws relating to building
construction. /7
NAME (PRINT): C iL I A Zkfld:l SIGN: DATE. t
Note: If the person signing above is an authorized agent for the property owner inc d by property owner.
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Email: Building@carlsbadca.gov
2 REV. 07/21
Building Permit Inspection History Finaled
(city of
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2021-3042)
Permit Type: BLDG-Residential Application Date: 10/06/2021 Owner: TRUST GRANICH MARK A AND VICKI L
REVOCABLE LIVING TRUST
Work Class: Reroof Issue Date: 10/06/2021 Subdivision: CARLSBAD TCT#74-04
Status: Closed -Finaled Expiration Date: 04/05/2022 Address: 2699 OLYMPIA DR
IVR Number: 36328 CARLSBAD, CA 92010-2180
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
10/07/2021 10/07/2021 BLDG-15 Roof/ReRoof 168121-2021 Passed Chris Renfro Complete
(Patio)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
10/26/2021 10/26/2021 BLDG-Final Inspection 169331-2021 Passed Chris Renfro Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Structural Final Yes
Wednesday, December 29, 2021 Page 1 of 1