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Home My WebLink About2817 ROOSEVELT ST; ; 85-925; Permit"' z 0 ;::: C a:: C .., CJ ... 0 a: I[ 0 CJ a: ... 0 .., 5 !!! a: ... z ~ 0 z 0 ;::: C "' z ... A. ~ 0 CJ "' a: w ,.: a:: 0 3 il O I hereby affirm that 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. Lie No ____ _ Class I hereby amrm thal I am ex.empt trom the Conlrac· tor's l1Cense Law tor the lollowmg reason (Sec 7031 5 Busmess aoo Profess,ons Code Any city or county which re· quires a permit to consuucl. alter, improve. demohsh. Of repair any structure. prior to its issuance also requires :heap• pl,cani tor such permit 10 111e a signed s1atemen1 lhat he 1s lteensed pursuant to the p:ov,s,ons of the contractor s License Law (Chapter 9 commencing with Section 7000 of 0w1st0n 3 of !he Business and Protessmns COde) or Iha! ,sex-empt lherefrom and the basis tor the allege<' exempllon Any v1~at1on ol Section 7031 5 by an applicant for a perm,I sub· 1ecls the apphcant to a c1v1I penaltY of not more lhan live hun· dre<l dollars ($500) r I. as owner of the property. or my employees with wages as lhe,r ~e compensaltOn. will do the work. and the srruc· lure 1s not intended or oltered !or sale (Sec 7044 Business and Professions Code The Con1ractor's License Law does not apply to an owner of property whO builds or improves thereon and who does such work tumsell or through h1s own employees. provided that such improvements are no11n1end- ed or offered for sale II, however. the bu1ld1ng or ,mprove- ment •s sold within one year ol completion. the owner-builder will have the burden ol proving lhat he did not bu1'd or ,m- prM lor the purpose of sal!) fl I. as owner of the property. am elCclus1vely conIract1ng with ltCensed conIracIors to construct the proiect (Sec 7044. Business and Professions Code The Conrractor's License Law does not apply 10 an owner of property who builds or ,m- proves thereon. and who conlracls lor each pr01ects with a contractor(s) license pursuant 10 the Contractor's license Law). D As a homeowner I am improving my home. and lhe follow ing cond1t1ons exist 1. The work Is bemg performed pnor to sa"'. 2 I have hved in my home tor twelve months prior to comptehon o1 lh4s work 3 1 have not clatmed lh1s exemption during the last three years D lam exempt under Sec ______ • B & P C lor this reason ____________ _ 0 I hereby afl1rm that I have a certthcate ol consent to self-insure. or a cert1hcate of Workers Compensation In• surance. or a certified copy lhereol (Sec. 3800. Labor Code) POLICY NO. COMPANY ~ Copy is hied with lhe city 0 Certified copy Is he,eby furnished CERTIFICATE OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) or less) D I certify !hat m the performance of the work for which this permit 1s issued. I shall no! employ any person in any manner so as lo become subject to the WOfkers· Compen- sation Laws of California. NOTICE TO APPLICANT: tt. after making tt11s Certificate of Ev.emption you should become subiect to th~ Workers· Compensation provisions of the Labor Code. you must forthwith comply with suer, provisions or this permit shall be deemed revoked. D I hereby affirm that there Is a construction tending agency for the performance ol the work for which this per- m,t is issued (Sec. 3097. Cwll Code) Lender·s Name ____________ _ Lender's Address ____________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO Fill IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS --- "~17 CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-1989 (619) 438-5525 JOB ADDRESS ,;fO?!:)$(:q/@-"T AV, ST.RD. NEAREST CROSS ST 0 7~h.rt BUSINESS LICENSE ;, VALUATION /PERMIT NUMBER ~'Jtt G~~·.o . ~ J9<;~ B?j / LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO /JJQl;;/) (_Jt_~ Vg;&);;;;i~ ZONE --y--~ ~ OWNER'S NAME I OWNER'S PHONE <TtJ/tl,Y Y~O CONTRACTOR0S ADDRESS ~ /'K(J~t' LICENSE NO. PLAN 1.0 . # BUILDING SO. FOOTAGE O WNE:R'S MAIL NG ADDRESS V£9/l~LtJ(K 51 W~ %n39 II~ '/1~;/(.r. DES GNER OESIG~ER'S PHONE oescA1PTlON OF WOAI( J /1 DESIGNER'S ADDRESS LICENSE NO. ,~ 4-l<d-r ~L;LS T2/161e6BD4fl eo;01 ..._. -F/P FLRELEV. NO OCC GP EDU STORIES ~GCJ~o,~·ye,167B6 ·ao;oE vO NO -- CENSUS TRACT I GP LAND USE I PARKING SPACE I AES UNITS I GRADING PERMIT ISSUED I RE DEVELOPMENT TYPE DCC LOAD FIAESPR AREA CONST v O N 0 vO NO vO NO Not Valid Unless Machine Certified QTY. PLUMBING PERMIT · ISSUE 1-7~ QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER __., EACH FIXTURE TRAP I/ INSTALL FURN OUCTS i.JP TO 100,000 BTU BUILDING PERMIT 001-810·00-00-8220 _.;;,c._7.-t:>_ i.... EACH BUI LO ING SEWER OVER 100,000 BTU SIGN PERMIT 001·810-00-00·8221 -- EACH WATER HEATER ANO,OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810·00·00·8806 EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810-00·00·8222 -- EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001-810-00·00·8223 EACH INSTA~. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810·00·00-8224 - EACH VACUUM BREAKER MECH EXHAUST HOOO OUCTS MOBILEHOME 001-810·00-00-8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) \ SOLAR 001-810·00-00-8226 --TOT/.L MECHANICAL 17 STRONG MOTION 880·519-92-33 --·- TOT AL PLUMBING I FIRE SPRINKLERS 001-810-00·00·8227 I QTY. ELECTRICAL PERMIT· ISSUE <--QTY. SOLAR · ISSUE ,Ji PUBLIC FACILITIES FEE 332-810·00-00-8930 NEW ""'"CT CA AMP SWT BKR COLLECTORS \\ ' ll 1_ SCHOOL FEE · DISTRICT ·- I (H '"'\: \\ ill l'i -3 PH STORAGE TAN KS Carlsbad EXI~.:;:;:; •-,·· ·-BKR 0 \ l) Al.I V ~ ROCK STORAGE Encinitas I PH '~3 ftl -PUMP {'\. f-....1 y.1 San Olegu1to REMODEL AJ..T+-"~R f 1RCUIT PLAN CHECK FEE \ 1 San Marcos TEMP PO/£ _Ao AMPS \. ) OVER 20liAMPS LICENSE TAX 001-810-00-00-8162 TEMP OCCUPANCY 130 DAYS) MFF 880-519·92-57 -~------,___ ------. CREDIT DEPOSIT I TOTA L ELECTRICAL I TOTAL SOLAR TOT AL FEES PAYABLE I -io __ ._ I I I I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT°' ANO DO HEREBY Expiration Every permit issued by the Butld1ng Ofhctal under the provisions of this * AN OSHA PERMlT IS REQUIRED FOR EXCAVATIONS OVER I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exptre by hm1tat1on and become null and void If the bu1ld1ng or wort! 5 o·· DEEP AND DEMOUTION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenced within 180 days from the date ot such STRIJCT\JR£S OVER 3 STORIES IN HEIGHT I perm1l. ~~he bu1ld1~g or h~uthonzed b';_,Jtlh pe,m,t 1s suspended or I ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON abandon a anv 11me a er th o 1s com,-nc r a Dflrtod of 180 davs STRUCTIQN_ WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND m ~ k 1 ~ APPRO ED BY 1~1111/&r I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND APPLI S SI;;~ ~ ~ NER 0 CONTRACTO \ . ~ I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE // .,/ · -• _ BY PHONE 0 ,. ... ~ I GRANTING OF THIS PERMIT T /, -~ /) _. ~. I .... V ~ ✓ ip t Cit,-of ~arlsbab REQUEST FOR INSPECTION ftECORD ,..,..... TIME: -~i~~~~~--DATE: ~~~::TOR -f-'Ph 7 :Mff ,0 ADDRESf. : .• =~e;;SJ±= REQUESTED BY ______________ PHONE NO. _________ JL-t-;1'---- PERSON TAKING REPORT_,_&,,:::,~--- BUILDING □ FOUNDATION □ FOOTING □ SLAB [J REINFORCING STEEL CJ MASONRY I] GROUT· GUNITE [J FLOOR AND CEILING SUB FRAME t:i SHEATHING IJ ROOF r:J SHEAR r_·, FRAME IJ EXTERIOR LATH 1:i INSULATION l'i INTERIOR LATH OR DRYW LL [J FINAL ELECTRICAL lJ TEMPORARY SERVICE rJ UFFER GROUND □ ELECTRIC UNDERGROUND At [~ :~~~:i~~~:;1c~· ~ r / f,-, ELECTRIC SETI i" J FINAL r 'JJ.,{-. is t---:=-'"'.':'.".=:-::c:Pc:LU-:-M:-:-::-B:::IN-:-G::-:-=c-:-::--'t+---1 (; lh-+~'-------------l ll UNDERGROUND PLUMBING /4 1 IJ SEWER AND PU /}-\ U TOP OUT PLUMB N \ ~ ,/ j IJ TUB OR SHOWE P N \ 1• /1,.: [] GAS TEST I CJ WATER HEAT □ SOLAR WATER CJ FINAL ll SOLAR HEAT CJ PATIO Ll POOL [] SPA [J SIGN L7 GRADING [J DRIVEWAY [J FINAL SPECIAL INSTRUCTION$ ___________________________ _ Ready For Inspection: □ Monday n A.M. [] P.M. □ Tuesday [J Wednesday [J Thursday 0 Friday