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Home My WebLink About2720 ROOSEVELT ST; C | D | E; CB110250; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-02-2011 Plumbing Permit Permit No: CB110250 Job Address: Permit Type: Parcel No: Reference#: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2720 ROOSEVELT ST CBAD PLUM 2031022000 Lot#: 0 Construction Type: NEW JACKSON APTS-INSTAL NEW GAS SERVICE@APT #C AND #D, REPAIR LEAK IN APT. #E Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/02/2011 KG 02/02/2011 02/02/2011 JACKSON GARY L&JACKSON JESSICA L JACKSON GARY L&JACKSON JESSICA L 2718 ROOSEVELT ST #F CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Total Fees: Inspector: $41.00 0 0 0 0 0 3 0 2718 ROOSEVELT ST #F CARLSBAD CA 92008 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $21.00 $0.00 $0.00 $0.00 $0.00 $0.00 $41.00 Total Payments To Date: $41.00 Balance Due: FINA~:.PPROVAL Date: • 'S: · ( ( Clearance: $0.00 NOT!CE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." 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 lees 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 le x tin I hih hv rvi N Tl i ilr hi r o hihth flimi in h rvi I ohrwi «~~ Building Permit Application 1635 Faraday Ave., Csrlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check NrL {!>//OZ S"V ~ CITY OF CARLSBAD Fax: 760-602-8558 www.carlsbadca.gov PHASE # # OF UNITS DESCRIPTION OF WORK: Include Square Feet of A"9cted Atea(a) ·' 1.-~ if if l,r;t-tt... t I ,_;) Est. Value Plan Ck. Deposit Dateo'Zi I I p APN THROOMS TENANT BUSINESS NAME OCC. GROUP e D EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) NO□ AIR CONDITIONING YES D NOD fl RE SPRINKLERS YES O NOD CONTACT NAME (If Dfffetent Fom Applicant) ADDRESS CITY STATE ZIP CITY PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LlC. # , (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an)' structure. prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the proviSions of the Contractor's License Law !Chapter 9, commending with Section 7000 of OiviStOl'I 3 of the Business and Professions Code} or Dlat he is exemJ:!t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {'500)). WORKERS' COMPENSATION Worktn' CampenuHon Declaration: I hereby afflml under penalty of peijury one of the following declarafions: 0 I have and wlH maintain a cartlficate of consent to nlf-inaure for workers' compenS!!tion as provided by Section 3700 of the Labor Code, for the performance of lhe work for which lhis pem,il is issued. 0 I have and wlU maintain workers' compensation, es required by Section 3700 of the Labor Code, lor lhe perfoonance of lhe work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _ II Is issued, I shall not employ any person in any manner so as to become subject lo the Wor1{ers' Compensation laws of I, and shall sub,iact an employer to crimtnal penalties and dvll fines up to one hundred thousand doHars (&100,000), In I hereby affirm that I am exempt tom Contractor's License Law for the following reason: □ I, as owner of lhe 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 wilhin 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 exclusively contracting with licansed 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 thnon, and contracts for such pro;ects with contractor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section _____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property Improvement. □ Yes □ No 2. I (have f have not) signed an application for a building permit for the pr wont. l!)o-,vooos,lcconstruction {include name address/ phone I contractors' license number): I) lo coordinate, supervise and provide the major work (include name I address f phone f contractors' license number): · g persons to provide the work indicated{include name/ address I phone I type of work): CJAGENT DAlt A ~;;z ~11 ---··- COMPLETE THIS SECTION FOR NON~RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or Mure buHding occupant required lo submit a business plan, acutely t\azardous materials registration form or risk management and prevention prcgrarn under $actions 25505, 25533 or 25534 of the Pr&sley-T anner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future bu~ding occupant required lo obtain a permit from the air pollution control disbict « air quality management district? □ Yes □ No Is the facility lo be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No F 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 POLLUTION CONTROL DmTRICT. CONSTRUCTION LENDING AGENCY I hereby affinn that there 1s a oonstruction lending agency for the performance of the work this pennit 1s issued (Sec 3097 0) CMI Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certfythat I haYe read the appflcatlon and state that the al>l:>¥e Information Is COfftld:and that the lnformatkln on the plans Is accurate. I agree to complywM:h all City oldlnances and Stale laws retattngto bulldklg construdkln. I hen!by aulhorize -live of Ile Cilyof Ca,_ l:>rilr upon lhe above mentiJr,d property for r,spedi)n purposes. I ALSO AGREE TO SAVE, l~NIFY AND KEEP HARMESS THE CITY OF CAR.SBAD AGAINST ALL LLABILmES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAJO CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSWI pemit • n,quinld tJr excavations """5'0' deep and derroliioo orconsU.-p.ras ... 3-i1 height. EXPIRATION: Every permit issued by the Buik:ling . I under the provisk,ns of this I ire linitali:>n and become null and void if lie bta:lilg or 'Ml'k autiorized by suet, penrit is not airrmn:ed Mm 180days torn Ile daleof sudl pem;t c,Wlle . ~ -. by such ;; , . abandoned at any 1ml after lhe -• corMl80C8d for a period of 180 days (Sedion 106.4.4 U1bm IUdilg Code). AS° APPLICANT'S SICNATURE _ -·'<'-k:{'..... _ DATle _ fi _ r-· I City of Carlsbad Bldg Inspection Request For: 06/14/2011 Permit# CB110250 Inspector Assignment: PD --- Title: JACKSON APTS-INSTAL NEW GAS Description: SERVICE@APT #C AND #D, REPAIR LEAK IN APT. #E Type:PLUM Sub Type: Job Address: Suite: Location: 2720 ROOSEVELT ST Lot: 0 OWNER JACKSON GARY L&JACKSON JESSICA L Owner: JACKSON GARY L&JACKSON JESSICA L Remarks: Can you final or shall I send a letter? Total Time: CD Description Act Comments Phone: 00700,00 lnspectLl J1L -~--- Requested By: CHRISTINE Entered By: CHRISTINE 29 Final Plumbing if-bAltn-- ____________ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description 02/03/2011 23 Gas/TesURepairs Act lnsp Comments AP PD NOT FINAL