HomeMy WebLinkAbout2800 ROOSEVELT ST; ; 82-328; Permit"' z 0 ~ "' .. -' (.) .. a
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O I hereby a ;hat I am licensed 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.
L,c No Class
I hereby affirm th.al I am exempt tram the Con
tractor's License U.w !or the following reason (Sec
7031 'i Business and Proless,ons Code Any city o; county wh,ch requires a permit to construc-t
alter, improve, demolish. or repair any structure,
prior to ,ts issuance also requires the applicant tor
such pem11t to Irle ii signed stalement that he ,s hcensed pursuant to the prov1s1ons ol the Con·
tractor's License Law (Chapter 9 commencing with
Sectior, 7000 of D1v1s1on 3 of the Business and Pro-
fessions Gode! or that ,s exempt theretrom and the ti.sn, tor the alleged exemplIon. Any v1ola11on of
sect,on 7031 5 by an applicant !Of a perm,t subJects tne applicant to a c,v,I penally o! not more than live
hundred 0ollars (S5CXJ)
0 I. as owner of the property, or my emp!<>yees ,,.,th wages as the,r sole compensat1on, w,11 do the
won<. an0 the structure ,snot intended or ollered for
sale {Sec 70,U, Susmess ¥10 Profess,otis Code
The Contractor's License Law does not apply to an
owner of property who b1.11I0s or improves thereon
an<I who ooes such won<. h1msell or through his own
employees. provided that such improvements are
not mtende'.l or ottered for sale II, however. the
buold,ng or ,mprovement ,s sold w,th•n Ofle year ol
comp!et,on. the owner builder w,11 have the burden
ol proving that he 0,d not bu<ld or ,mprove for the
purpose of salel
□ I, as owner of the property. am exclus,vely
contracting w,th hcensed contraclors to construct
the pro1ecl (Sec 7044. Sus,ness and Protessmns Code The Contractor's license Law does not apply
to an owner at property who builds or improves
thereon, and who contracts for each pro1ects woth a
contractor1s) license pursuant to the Contr..ctor's
License Law)
0 I am exempt under Sec
tor th,s reason
,8 &PC
□ I hereby atf,rm that I ha1e a cert,t,cate of consent
to sel!-,nsure. or a cert,t,cate ot Workers·
Compensation Insurance. or a cemt,ed copy thereof
(Sec 3800 Labo• Codel
POLICY NO
COMPANY _ -:__--~
~,shied with the Cl~
D Certified copy ,s hereby lum,shed
CERTIFICATE. OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(Th,s section need no! be completed ,f the perm,!
,s to, one hundred OOllars (SHlO) or less)
D I cert,ty that ,n the perlormance o! the work !or
which th,s permit ,s ,ssued, I shall not employ any
person m any manner so as to become subiec! 10
the Worllers· Compensat,on Laws at Cal,forrna
NOTICE TO APPLICANT It, af1er mak,n:;J th,s Cert,
1,cate ot Exemption. you should become sub1ect t'J
the Worlle,s· Cornpensat,on prov,s,ons o! 1he Labor
Code. ~ou must forthwith comply w11h such
p,ov,s,ons or this perm,! shall be deemed revoked
O I he,eby att"m That there ,s a cons1ruct,on
lend,ng agency !or me perlormance 011he worll for wr>,ch this perm,1 ,s ,ssued {Sec 3097 C,v,1 Code)
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRE~S HARD
CARLSBAD BUILDING DEPARTMENT
PLUMBING PERMIT -ISSUE
y D ND
AV.ST.
RO,
F/P F LR ELEV.
vO NO
REDEVELOPMENT
AREA
vD NO
MECHANICAL PERMIT· ISSUE
INSTALL FURN. DUCTS UP TO 100,000 BTU
OVER 100,000 BTU
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA A>'n DECLARATIONS.
APPLICATION & PERMIT
NO
STORIES
TYPE
CONST
BUSINESS LICENSE# VALUATION PERMIT NUM8ER
CONTFl.-,CTORS PHONE JI ZONE g-:r32-8
LICENSE NO. PLAN 1.0. # SLOG USE CODE
STATE LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE
DESIGNER'S PHONE
OCC GP EDU
:, I ; 1::2 !! : ..
OCC LOAD j FIRE SPA Dt~ Ii~,:~ -;1: I
vO NO U W01ivi.lNM1ess AIJhine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT ___ Q1~000-4220
SIGN PERMIT 01-000-4221_
I t EACH ~ATER HEATER AND/OR VENT BOILER /COMPRESS□ R UP_T_:0:_3:_H:_Pc_ ____ .J.-___ .__.._
---'---+---+801LERtcoMPRESSOR 3-15 HP I I ,v,r
PLAN CHECK 01-000-4806
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
1--+-EACH INSTA~ .. ALTER, REPAIR WATER PIPE
METAL FIREPLACE
VENT FAN SINGLE DUCT
TnTtr.L PLUMBING 01-000-4222
tltCTRICAL 01-000-4223
·---·
MECHANICAL 01-000-4224
EACH VACUUM BREAKER --+--
--+-MECH EXHAUST -HOQQ/QUCTS I '"'~W -+-R-El-□-CATIQN Of EA FURNACE/HEATER _7' I unn,
MnAILEHOME
IYIUDILEHOME PARK INSP
01-000-4225
WATER SOFTNER
1--+-E_A_C_H ROOF DRAIN ( INSIDE)'------
TOTAL PLUMBING
QTY. ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP/SWT.-·BKR
lPH 3 PH
EXIST BLDG EA AMP/SWT/BKR
I---+-'=-'=-"'------3~ REMODEL/ALTER PER CIRCUIT
"TOTAL ELECTRICAL
.-THE COMPLETE. . D "AP_PLICA'PP!I_ ... ·ANO_~_ . llN_ 000 tu;fl. _""'; PERJURY• TfJAT ALL INfOAM~ HERS)t't ~-;·-
OORREGT' JdilO l FURTHER' ~,A~D ~JF A PEffM :ctl"L, c:ouN'(V ANO STA!S--t:AWS·~ Bt.Hlbl.NG (
ED·=· O!t NOT.· I ALSO-~-..... T_O_ 'Y>Y•.INP_ . -... ,111,118 -~T = ~ Jl.JP(iMEN)'S. COSTa
·,y. -SAl1'".-c:(f'C1N~( ~ ,t4~_(_', ,' ''--J:;:~··,,·;;,><--' -" ,-.:,f'/'
TOTAL SOLAR
----SOLAR 01-000-4226
STRONG MOTION 65-640-0519
FIRE SPRINKLERS 0_1_-000-4227
PUBLIC FACILITIES FEE 25-000-4933
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad 65-623-0519
Encinitas 65-624-0519
San Oieguito 65-625-0519
San Marcos 65-626-0519
TOTAL FEES PAYABLE ,JO
* AN OSHA PEMtlT IS REQUIRED FOR EXCAVATIONS OVER
·S' O" 0EEP AHO DIMOUTION 0A CONSTRUCl10H Of
STIIJClURE$ ~ 3 STOAtES IN HEIGHT
APPROVED BY DATE
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PERMITS
ISSUED FOR
2791 MADISON ST
HAVE BEEN SCANNED
UNDER
2800 ROOSEVELT ST