HomeMy WebLinkAbout2683 ROOSEVELT ST; ; PC160024; PermitI
City of Carl shad
1635faraday Av Cadsbad, CA 92008
12-20-2016 Plan Check Permit No: PC160024
Job J>ddress:
Penn it Type:
Part:el No:
Valuation:
Reerence#:
Project Title:
Applicant:
Building Inspection Request Lire (760)602-2725
2683 ROOSEVELT ST C BAD
PLANCK
2031010200 Lot#: 0
$0.00 Construction Type:
CT140007
BEACHWAI.K@THE \/ILL/GE
COMPLETE DEMOLITION OF 3APARTMENT BUILDINGS
Owner:
Status:
Applied:
Entered By:
Plan /lpproved:
Issued:
1 nspect Area:
PENDING
0312~016
RMA
\/£STA PACIFIC DE\ELOPMENT INC CARLSBAD VI LL/GE TOWNH OME SL LC
18181 ST A\/£
SAN O IE GO CA 921 01-2662
858-686-9726
Plan Check Fee
P<lditional Fees
4444 ADN-d SST
CARLSBAD CA 92008
$195 00
$0.00
Total Fees: $195.00 Total Payments To Date: $195.00 Balance Due:
lflspecla:
FINAL APPROVAL
Dale: Cleara,ce:
$0.00
NOTICE: Pl!a&e-NOTI<EM_.djQll'p,oj&t_lle,.,posiilri'd-,-....,...........,.,...,..,...__,.odla:IMir
-ID a, 1ees/ ioes.• Yau 1B,e90,. IIDIII 11!-llis _ii,... issu!dlo~ impaaili>n d --ii,,._ 1,... .,.-u...,, )UP 01..t
lab,t,e~ ......... .,. blhirt-nCOdes.dioo11611!11a} mdllellepd..tadill\'-""'8"<1ilfam_,_.,.Clr ~la
pa,ossirg.,ama1>0lihCamlaclllllriopllCOdeS-J.J2.o:ll. F-1Di"1ay,_1181........,oillB'ay~logaaclimlD-, -.... -.¥Oil, ....... -.. ..-.
You IE ha,q, F\RTlER NOTIFE>tht jQII' ligN ID pde,1111, sp,ciiedfees' •...,, OOES NOT Al'PLY ID-ad ---and ""l"l'il'
dages, norpllfflirg,~gaclrgc,-""'lar~~<r--in-otillnsp,ojld. NCROOESIT N'PLY ID any
il!e.1 ii s .Jfwhal tae: · ban · a NOTICE sinartot am b lllhidlltle s&i!Meofliniam ha; · dhlNise ·
THE.FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD
{_ City of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITE#/SPACE#/UNIT
GARAGE {SF) PATIOS (SF) DECKS (SF)
Plan Check No._./:} (1 /b-l)Q2, U_
Est. Value ~ f·
FIREPLACE
YESO
AIR CONDITIONING
YES □No□
FIRE SPRINKLERS
YES0N00
(Sec, 7031.5 Business and P_rofessions Code: Any City or coun_ty 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 s1i;!ned statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law fChaoter 9. comme_nding with Section 7000 of Division 3 of the Business and Professions Code) or [hat he 1s exemP.t therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 1031.5 by any applicant for a permit subJects the applicant to a
civil penalty of not more than five hundred dollars {$500)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations 0 I have and wlll maintain a certificate of consent to self-insure for workers' c:ompensalioo as provided by Section 3700 of the Labor Code, for lhe performance of lhe work for which lhis permit is issued.
J)i1 have and will maintain workers' TmPTsation, as r ired by ection 3700 of the LaOOI" Code, for the_performance)Ue, %t5 which lhis p:1it igued. My workers' compensation insurance carriy and policy
numberare:lnsuranceCo,. __ t"e..-tc,.. PohcyNo. ij S--;t;t I ExpirationDate '/:lf:JtO
ll:!i§.sectioo need not be completed ii the pemiit is for one hundred dollars ($10 or less. LJ Certificate of Exemption: I certify that in the performance of the war which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensatioo Laws of
California. WARNING: Failure to secure workers' compensation erage is unlawful, and shall subject an employer to criminal penalties and cl\lH fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages vided fo Section 3 f th r code, interest and attorney's fees.
6$ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason-
□ I, _as owner of Iha property or my employees with wages as their sole compensation, will do the work and !he structure is not intended or offered for sale (Sec. 7044, Business and Professioos Code: The Cootractor's
License Law does not apply to an owner of property who builds er improves thereon, and who does such work himself or through his own employees, provided that such improvements are riot mlooded or offered for
sale. lf, however, the building or improvement is sold within one year of complelion, the owner-builder wilt have the burden of proving that he did not bu~d or improve for the purpose of sale).
rsa::,1, as owner of the property, am exdusively contracting wilh licensed _contractors to construct_the project (Sec. 7044, Business and Professioos Code: The Contractor's License Law does not apply to a!1 owner of
property who builds or improves thereon, and contracts for such prOJecls with contractor(s) licensed pursuant to the Contractor's License Law).
□ I am exempt under Section _____ ,Business and Professioos Code for this reason
1. I personally plan to provide the major labor and materials for construction of the proposed property improvemefll □Yes ONo
2. I (have/ have not) signed an applicabon for a building permit for the proposed work.
3. I have contracted with the following person {firm) to provide the proposed constructioo (indude name address/ phooe / contractors' license number)
4. I plan to provide portions of the work, but I have hired the following
5. J wilt provide scrne of the work, butt have contracted (hired) 1h
on to coordinate, supel'\l1se and provide the major work (include name I address I phone I contractors' license number):
·ng persons to provide the work indicated (include name/ address I phone I type of work)
DATE
--------
I certify that I have read the appllcadon and state that the above lnfonnadon Is colTI!cland that the lnfonnatlon on the plans Is accurate. I agree to compiy'Mth all City ontlnances and State laws relating to buldlng col!StrUctlon.
! hereby authorize representative oflhe Cily of Carlsbad to enter upon the above tioned property fa" inspectio, purposes. I Af.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL ll.Ai!ILITIES, JUDGMENTS, COSTS AND EXPENSES \.\-1-11 Y lN ANY WAY ACCRUE AGAINST SAID CITY IN CCNSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permit is required for excavatioos over5'0' deep and nor construction of structures OVff 3 stories in helJhl
EXPIRATION: Every permit issued by the Building Official under lhe · IOOS of this Code shall ex ·re by limitation and beccrne null and void if lhe building or work authorized by sudl perrnit is not rornmenced within
180 days from the date of such permit or if or work ed by sud'! it is s ed or abandooed at anytime aflerlhewai<: is ccrnmenced for a peood of 180 days (Sectioo 106.4.4 Uniform Building Code).
RS APPLICANT'S SIGNATURE DATE