The URL can be used to link to this page

Home My WebLink About2812 ROOSEVELT ST; ; 81-511; Permitc . ,; ..d, I hereby affirm that I am licensed under o · ~lalona of Chapter 9 (commencing with ~ [ S.Ctlon 7000) of Division 3 of the Business C and Professions Code, and 2ll~bls In ....,c fullf~f19FJ., ~ Lie No,_..L.LnuoLF-f.-Class 8 fl) z 0 .: C IC C _, u ... a IC .., a _, 5 I .., z ~ z 0 .: ~ z .., ... :IE 0 u fl) a:: .., " IC 0 3 ![ 1 hereby affirm lhat I am exempt from the Con· ~~o;'~~~~,::: ~ ~,~~.~~~~~~'~ county which requires a pemi,t to construct alter. Im.prove, ~Ish, or repair any structure, pnor to ,ts issuance also requires tne applicant tor such pemut lo Me a s,gned statement that he 1s hcensed pursuant to the prov,s,ons ot the Con· tractor's License Law (Chapter 9 commencing w,th SecttOn 7000 of D1Y1s100 3 of the Buslnes.s and Pro• fess,ons Code) or that ,s exempt therefrom and the basis for the alleged exemptk>n. Any vt0~t1on of Section 7031 5 by Mi ~phcant for a permit sub1ects tne apphcant to a c1v11 penalty of not more than five hundred dollars (S5()()) . D I, as owner of the prop,erty, or my employees ,.,1h wages as their sole compensation. will do the wortc:, and the structure Is not intended or ottered fOf sale tsec 7044, Business ~ Professions Code The Contractor's License Law does not apply to an owner of property who btulds or improves thereon and who does such woo. himself or thrOIJOh h1s own employees, provided thal such 1mproveme:,ts are not intende-1 o, offered for sale If. however. the building or improvement Is sold w11h1n one year of comp~hon. the owner-budder will have lhe burden ot proving that he d1d no1 build or improve tor the purpose of sale}. C I, as owner of the property, am Hclus1vely contracting with licensed contractors 10 construct the protect (Sec 7~. Business and Protesst0ns Code: The Contractor's License Law does not apply 1 to an owner of prop,erty who builds or improves t.hereon, and who contracts IOC' each pro1ects with a contractOl(s) license pursuant to !he Contracto,·s License Law) • 0 lamexemplunderSec _____ ,B &PC fOf this reason _____ -______ _ □ 1 hereby alhrm that I have a cert1f1cate of consenl to sell-insure~ or a cert1t1cate of Workers' COmpensatIon Insurance, or a cert1t1ed coPy thereof :;::~L.loo< Code)~ (;JO ~~ COMPANY WJ;uMJz~·-· _ ' Copy IS hied With the city t-Certified copy IS hereby turn,s CERTIFICAT~ OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s section need not be completed 1f the perm,t Is tor one hundred dollars ($100) or less) D I certify that in the performance ot the wotk '°' which this permit 1s issued. I shall not employ any person m any manner so a.s to become sub1ect 10 the Worlite,s' Compensa.t1on Laws of California NOTICE TO APPLICANT If, aller malun~ lhIs Cert, hcate of Exemption, you should become subJe<:1 1,:, she Workers· Compensation provIs1ons of the Lat>or Code. you must forthwith compty with such prov,s,ons or this permit shall be deemed revoked D I hereby affirm lhal there 1s a cons1tuc1ton lending agency tor lhe performance of the wot1\ lor wtuch this perm1I ,s issued tSec 'J(J97 C,v,I Code) lendef s Name ___________ _ Lender's Address __________ _ USE BALL POINT PEN ONLY & PRE!S ltARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT -1200 Elm, Carlsbad, California 92008 (71-4) -438-5525 JOBJiicl RrY£61JALT Sr. {}:JJ?J,B~ f) /\ A~i.T· I,7:~op~g;tNI BUSINESS LICENSE II VALUATION /-AMIT NUMBER r;,;_ I :J. a J./ g- Q\lf!QE R'!l' NAME --., 1 'hl-WN//;p?/i ME CONT~/hR 1h CONTRACTORS PHONE• ZONE 1// Fl,J; ~-✓i21JA Jt; lk1FJe ;;ner "/i?t:. Ti yi_ I '1:J//-t gEo d?idL'.P~J/t-rtT ~APJ ( BJ+l> ;;TR~;;; 2;.; 5111) /YI l}&Yh LI,f}Jft};. NO. PLAN 1.0 . # BLOG USE CO0E 51,, )IJR'/1 LOT BLOCK I SUB0I VISION I ASSESSOR PARCEL NO. DESIGNER ~A1~fi STANDARD PLAN # BUILDING SO. FOOTAGE DESCRIPTION OF WORK -. DESIGNER'S ADDRESS DESIGNER'S PHONE I 1/i:W/~ I ::t ·"' IC. 'J , 11}/, _ JJ§a;r <9lcf_S~wca _ ~?7€.sr __ 000_1 ~~55 I 1 /20/ 81 liJ.D~ ~ -F/P FLA ELEV. NO OCCGP EDU 000,133 55 03 II/cl0/ STORIES vO NO -- CENSUS TRACT I GP LANO USE I PARKING SPACE l RES UNITS I GRA0ING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST VD ND vO NO vO NO Noc Valid Unless ~chine ~rcified QTY. PLUMBING PERMIT· ISSUE ?,,~O QTY. MECHANICAL PERMIT -ISSUE ~-Dr-, SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT - EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK .,.,,,, EACH GAS SYSTEM l TO 4 OUTLETS ..-:J .C...1 BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING /.,,,, :,...- EACH GAS SYSTEM 5 OR MORE , .....,, METAL FIREPLACE ELECTRICAL EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP -· EACH ROOF DRAIN (INSIDE) SOLAR TOT f;L MECHANICAL STRONG MOTION TOTAL PLUMBING I //).M. FIRE SPRINKLERS PUBLIC FACILITIES FEE QTY. ELECTRICAL PERMIT -ISSUE l~r-,"" QTY. SOLAR -ISSUE BRIDGE FEE NEW CONST EA AMP/SWT /BK R -COLLECTORS SCHOOL FEE · DISTRICT '\ l PH 3 PH STORAGE TANKS Carlsbad EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas - 1 PH 3 PH PUMP San OieguIto REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) ~ -.. TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I /✓-~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY E•ptrat,on EM<y permit issued by the Buotdtng Ofl1c1al under the provosIons of thos * AN OSHA PERMIT IS REOUIRED FOA EXCAVATIONS OVEII CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shal~tatien and become null and void If the bu1ld1ng or work s· O" DEEP Mro DEMOLITION OR CONSTmJCTION Of' DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS auth~~ uch permit Is not commenced within 180days from the date of such STRUCTURES OVEII 3 STONES IN HEIGHT permit, 11 the t>uIldI::I{ or work aulhonz~.,!'~ch permit Is suspended or ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-■ban ed at anv time a er the work ,. comm for a nanod of 180 Aau• STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND t , ~ O~ APPROVED BY ,?¾Ji KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AN~ 0,r S SIGNA~ · OWNER O CONTRACTOR ~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE '-·•y . . "'-BY PHONE 0 GRANTING OF THIS PERMIT /' • C_ : . --. --. / I I ~ u: c::: <O 0 a E Q) f- l 'O 0 0 C <O <.:) T~ a <( I ..l< C a: 0 er. er. a; er. er. <( ;;: C 'ii > 0 0 a ( C a ! ( C £ INSPECTION TYPE DATE INSPECTOR g1-s1 I BUILDING FIELD INSPECTION RECORD FOUNDATION REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY INSPECTION REQ. IF INSPECTOR'S DATE CHECKED APPROVAL GUNITE OR GROUT SOILS COMPLIANCE FLOOR & CEILING SUB FRAME PRIOR TO I FOUNOA TION INSP SHEATHING STRUCTURAL CONCRETE FRAME OVER 2000 PSI -" EXTERIOR LATH lNSULATION ' PRESTRESSED CONCRETE INTERIOR LATH & DRYWALL POST TENSIONED CONCRETE PLUMBING I FIELD WELDING -- SEWER AND BL/CO I ' HIGH STRENGTH PLUMBING UNDERGROUND . BOLTS -- PLUMBING TOP OUT ' SPECIAL MASONRY I• - TUB AND ~HOWER PAN I I GAS TEST I PILES CAISSONS ELECTRICAL I ' TEMPORARY POWER I ' ELECTRIC UNDERGROUND I ROUGH ELECTRIC I ELECTRIC SERVICE I ' A . --BONDING I ~ G. F. I. -SMOKE DETECTOR'. .. 1 . MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS ----~ ----CALL FOR FINAL INSP~WHEft! ALL APPROPRIATE ' ) ITEMS ABOV HAVE BEEN APPROVED. / -. JOB SITE Fll'/AL ll•ZD~I. ~ I/ PLUMBING I ELECTRICAL r ....... ~ MECHANICAL \ GAS ' BUILDING -" \ SPE;CIAL CONDITIONS ... , . CEAT1 0F OCCUPANCY ISSUED ---