HomeMy WebLinkAbout2717 ROOSEVELT ST | 2719 ROOSEVELT ST; ; 83-60; PermitII:
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O I hereby afflnn that I am licensed
provisions of Chapter 9 (commenc
Section 7000) of Division 3 of the
and Professions Code, and my llce
lull force and effect. Loe No _______ Class __ _ ---
Contrac-
. 7031.5
I hereby affirm that I am exempt from 11 tor's License Law tor the followir111 reason (Sec Business and Professions Code: Any city or coon!) quires a pemut to construct, alter. improve, de1 repair any structure, prior to its issuance also req plic.ant for such permit to file a signed stateme locensed pursuant to the provisions of tho
which re-IOlish, Of ostheap-hat he is
~~;~ ~ ~;~fi1~is =:~~!'g~ ,tractor's
empt therefrom and the basis for tho alleged exe violation of Section 7031.5 by an applicant tor a • jects the apphcant to a civil penalty of not mcxe tha dred dollars ($500).
O I, as owner of tho property, or my employees as their sole compensation, will do the work, and lure Is not Intended or offered for sale (Sec. 704, and Professions Code: Tho Contractor's Llcen• not apply to an owner of property who builds c
thereon and who does such work himself or throo, employees, provided that such improvements are ed o, offered lor sale. If. however. the building c ment Is >old within ooe year of completion, tho ow will have the btlrden of pr0Yir111 ttlat he did not prove fo, tho purpose of sale).
0 I. as owner of tho property, am exclusively with licensed contractors to construct the project
Business and Professions Gode: The Contract.1 Law does not apply to an owner of property who _ proves thereon, and who contracts fo, each proj contracto,(s) license pursuant to the Contract Law).
0 As a homeowner I am lmprOYing my homo, and ing conditions exist:
1. The work is boir111 perfo,mod prior to 2. I have INed in my home for fwe
3. rt.: 1:1:1:t ::i~ :ption last three years.
7000 ol
hat is ex-Ion. Any rmit sub-five hun-
th wages
he struc·
Business .aw does
i~rovos
1 his own II Intend· Improve· tr-builder Id o, Im-
ntractlng
IC. 7044, , License
dsorim-Is with a License
le follow· •. moolhs
iring the
_, B&P.C. g /:'r":..8;:' under Sec. _____ _ ------
D I hereby affirm that I ha'le a certificate
to self-insure. or a cen,t,cate ot
Compensation Insurance, or a cen,t1ed c
of consent Workers·
(Sec. 3800. Labor Code)
>PY thereat
POLICY NO \: t\ --
COMPANY ---
□ Copy IS filed With the Cl
0 Cen,fied copy ,s hereby t
CERTIFICA Tl OF EXEMPTION F WORKERS' COMPENSATION INSU
(This section need not be completed 11
,s for one hundred dollars (S 1<>0) or
D I certlty that in the performance of I
which this perrrut 1s issued, I shall not e, person 1n any manner so as to beCome
the Workers· Compensation Laws of ca
)M INCE
~ pemut ess)
i work tor "!ploy any
,ub1ect to
orn,a
:tus Cen1-NOTICE TO APPLICANT If, alter mak•n1
hcate of Exemption, you shoold become
the Workers' Compensation prov1s1ons o
Code. you must forthwith comply ,
provisions or this pemut shall be deemed w s
e<l
0 I hereby affirm that there 1s a c
lending agency tor the performance of 1
which this permit ,s issued (Sec 3097. C
1struct10n
i woO\ tor
Ill COde)
Lenders Name _______ _ ---
Lende,., Aeklress ______ _ ---
USE BALL POINT PEN ONLY & PRESS HARD -----------------APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -----------.
CARLSBAD BUILDING DEPARTMENT APr':!<;JITION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS
Ai;_T.I~ }7}:SONIP'?~9J'PE.
VALUATION PERMIT NUMBER
.-::2'//7-/9 Kbo..::z <..,,~ t':T (;r: ~3-
~CJ OWNER'S NAME OWNER'S PHONE CONTRACTOR . • r . CONTRACTOR$ PHONE f ZONE . . ~ ...... _.L..,., ...>/, , t~.,,,s.7~ /4-, C . 'r1f-lt/// &:cZHr,~ ,-¥~/CL 7Z"J-Z/cJ z_
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS {7 LICENSE NO. PLAN 1.0. # BLOG use CODE
. :i..6 s ·.3 -C' -;t;fy. ,._;.; 6:: t-<:.: L.T ~T . .-2'~ S-3 ·L &✓.51!"..~/~ ~7 d1,,1 i/J -~
LOT I BLOCK I SUBDIVISION 1 A'Jl..SSOR PA~EL NO. ·Jj. 6~ -'Of_-/
DESIGNER LICENSE# STANDARD PLAN # BUILDING SO. FOOTAGE
OESCR~ _OF WORK --..ti_-,...· >··-, 0 -~;r ,lJ~ '/-1Ld-~·. OE~NER'S r;RESS DESIGNER'S PHONE
-Jj,;,?) -1c ,Y>-z_ 729,Z/<J -1
F/P FLA ELEV. NO OCC GP EDU STORIES
vO NO --
CENSUS TRACT I GP LAND use I PARKING SPACE I RES UNITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
YO N 0 v O NO vO NO Not Valid Unlt!Ss ~chine Certifi«J
3~o QTY. PLUMBIN G PERMIT· ISSUE 7 .S-u QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER Ad)_
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT 01 ·00-00·B220 //./~
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00·8221 .
EACH WATER HEATER AND/DR VENT BOI LER/COMPRESSOR UP TD 3 HP PLAN CHECK 01 ·00·00·8806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOI LER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00·8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00-8223
EACH INSTAl .. ALTER. REPAIR WATER PI PE VENT FAN SING LE DUCT MECHANICAL 01 ·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE} -----SOLAR 01 ·00·00-A??I,
TOTkL MEC~ STRONG MOTION 80-92-33-0519
TOTAL PLUMBING FIRE SPRINKLERS 01 ·00-00-8227 -~AR-ISSUE
PUBLIC FACILITIES FEE 32·00·00·8923 QTY. ELECTRICAL PERMIT· IS~UE d,,()Q QTY. --BRIDGE FEE
NEW CONST EA AMP/SWT/BKR ii __,~ COLLECTORS ri SCHOOL FEE • DISTRICT
I PH I' 3 PH /J ___,.,..---STORAGE TANKS ... Carlsbad 80·92·21·0519
EXIST BLOG ~P/SWT/BKR j -----ROCK STORAGE 'j,/"V Encinitas 80·92·22·0519
1 PH ./ I ~~->-/(\., PUMP n , ll San Dieguito 80·92·23·0519
REMOOEUALTJ R.-,PE_jl..ef'lfcuft, .-, / LL .. _A· _L__ PLAN CHECK FEE V./ San Marcos 80·92·24·0519
TEMP POLE~MPS -.. / / / -, 11,4 "A./ o v~jf' A! ~s t / V L • ,.}✓-/VT I y .,
_.,,-..-TEMP otcu1 ~NCY (30 OAYt) -·-L 'u1 J[ I'!>.. )--1 ' I
I \ I
TO AL ELECTRICAL ~ ' TOTAL SOLAR I /t7~ 1, TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration Eve,y permit ...-by the Building OffiCial unw the provisions of 11111 * AN 06HA PERMIT IS RE0UIIED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code lhall expire by limitation and become null and YOid II the budding or work S' O" DEEP AND DEM0UTION OR CONSTRUCTION Of' autllOflZed by auch pemut is not commenced wotlllf'I 1110 ~~m the date ol auch DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS perm,~ Ot of the buildl::I o, work autllo,lzed by such ,a -pended or STRUCTURES OYER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· abandoned at any time er the work Is commenced for a od of 180 ......,_ STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , ~ '"-CONTRACTOR 0 APPROVED BY
ID~
KEEP HARMLESS THE ClTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS At:!~ ~PLICANT S SIONA -z. If, ~E
/,u# EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFT ·---.I~-BY PHONE 0 GRANTING OF THlS PERMIT. (' ) ---
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INSPECTION TYPE DATE -···-INSPECTOR ··--· ---
BUILDING I
FOUNDATION
REINFORCED STEEL -
' MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING '
FRAME
' ..
EXTERIOR LATH lNSULATION ..
INTERIOR LATH & DRYWALL
PLUMBING I I --
SEWER AND BL/CO .
PLUMBING UNDERGROUND ~
PLUMBING TOP OUT '' . f , I
..
"'I\UB AND ~HOWER PAN i
G\s TEST ~ r.
1. l
ELECTRICAL ..
TEMPORARY POWER -f -. . .. I
ELECTRIC UNDERGROUND '
ROUGH ELECTRIC -I ' .
• . ... -ELECTRIC SERVICE . ·'
BONDING : -.
G. F. I. -SMOKE DETECTOR I
MECHANICAL 1 -. . ~ DUCT & PLEM., REF. PIPING
HEAT -AIR CONO. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
'
---.
' -
-
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ. IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO ' FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
" HIGH STRENGTH . ~ -· . \·
BOLTS
SPECIAL MASONRY
. · PILES,CAISSONS ' , ... ,.1
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INSPECTOR'S NOTES
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@ SAN DIEGO GAS & ELEGTRl.c ... COMPANY
P.O. BOX 1831, SAN DIEGO, CALIFORNIA 92112
'•
Notice of Service Discontinuance
~T DEPARTMENT
~ OR COUNTY OF
~/O~ERVICE TO
i).7/7 ~ ,;)7/j eDOS£V£L T
AOORE SS
WILL BE DISCONTINUED. AND AL L SERVICE LI NES WILL OE REMOVED
OY---'-/:=......:;~"'--'-=----'7_-=--1__;,'1_~;;;_~=------
DA TE
THIS BUILDI NG CA N BE MOVED OR RAZED AFTER THE AOOVE DATE .
FORM 106•2l 52A
SAN DIEGO GAS & ELECTR IC COMPANY
BY JJ 1 ~ c/7t<A3)
DATE J-l!Jr-1 1 9 ~3
TELEPHONE oc1j.3g It; D l./({