HomeMy WebLinkAbout2740 ROOSEVELT ST; ; CB951489; Permit&_p; 1/%0 I B U I L D I N G P E R M I T Permit No: CB951489
Project No : A9502177
Development No :
10/18/95 1 6 :14
Page 1 of 1
Job Address: 2740 ROOSEVELT ST
Permit Type : SIGN
Parcel No : 203-102-05-00
Suite:
4221 10/10195 0001. 1
Lot#:
Valuation: 1,000
Occupan cy Grou p : Ref erence#:
Description: INSTALL MONUMENT GROUND SIGN
Construction Type:
Status :
Applied:
NEW
PENDING
10/18/95
: APPROVED BY HOUSING & REDEV-DEBBIE F. Apr/Issue :
Appl/Ownr : KAMAR BUILDERS
Entered By :
619-729-7911
RMA
325 CARL SBAD VILLAGE DR STE C2
CARL SBAD, CA 92008
Fees Required
Fees:
Adjustments:
Total Fees :
*** *** Fees Collected & Credits
Total Credits :
Total Payments:
Balan ce Due:
.00
.00
54.00
***
Fee description Units Fee/Unit Ext fee Data
Building Permit
Plan Check
Enter "Y" for Renewal
* SIGN TOTAL
CITY OF CARLSBAD
25 .00
16 .00
13 .00 Y
54 .00
FINAL APPROVAL
.... r Di:::_£ -DATE 11-J.1~ r,h,vv ~
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO. q
City of Carlsbad Building D-rt-.t
2075 Las PalllllS Dr., tarlsbad, CA 92009 (619) 438-1161
I. PkkMi I IYPR
~~o-~ ~~~ ~ ~~-~~k! -~~-c_°:1~ ~~~~~it--~~_~~?-~~-______________ _
For Residential Projects Only: From Use 2 (see back) give
Code of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units
2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY
LEGAL DESCRIP I ION Lot No. Subct1V1s1on Name/Number 0mt No. Phase No.
CHECK BEIDW IF S0BMII IED:
□ 2 Energy Cales □ 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK /h,tJ11AJ/¾.C11..-r-6/l()t/lt IJ S/6/t/
SQ. FT. # OF STORIES # OF BEDROOMS # OF BAIBROOMS
3. WN JACI PmlSON (IC dlIIerent from appltcanO
NAME(lastnamefirst) (<OIVV(Jc,TiS'I ll!M-i-(ADDRESS Iii' 315 CA,z,S~ y;'-'--Af:/ DIL St-tT< C-"L
Cl1Y ( AfLLS!3,10 STATE&in ZIPCODECrze>t> ~ DAY TELEPHONE 7 2-'1-7 7 //
4. XPPUCXNI IRdNIRACIOR OAGORCONIRACIOR 00 NER OAGENI FOR OWNER
NAME (last name first) KAMI!,(_ t,1,,1;LJ)P,i5 ADDRESS 3. 2..$ CM.LS&to II",<-;_ '1V p,,_ Sc.-, c ~ £. -Z-
Cl~,t.LS g,qo STATE e,.__ ZIP CODE C/2,(?~ DAY TELEPHONE 72'.z -77 I I s. PKUI' y oWNER
NAME (last name first) ·DA v: 5 3 A TVV $ ADDRESS f. 0 6o'f, I eq
6
_ ~~l]"Ti e g_ sTATE ~ z1p coDE q o & c, g DAY TELEPHONE 1-800 3 '-I~ .. I..( 7, ·L
NAME (last name first) ¥AMAtc. &,: ~If.> ~,._, L ADDRESS 3)S C,<JntS~~ Vic..L"45"e b1. S ,_..,,u_ C -"Z..
CI1Y Ct\lll5'!."1!) STATE ~ ZIP CODE q 2-0P $ DAY TELEPHONE 7Z.'t-7 ~/I
STATE !JC.# IJCENSE CIASS CITY BUSINESS !JC. # '-IDD
ast name 1rst
CI1Y STATE ZIP CODE DAY TELEPHONE STATE !JC.#
7. WuitkEkS' WMPENSAI ION
Workers' Compensation Declaration: I hereby affirm that I have a cert1hcate of consent to self-msure issued by the btrector of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INsuRANcE COMPANY 5 'Fv,vJ roIJCY No. o -?r 8'-1 b 3EXPIRATioN DATE ~ l I -c:,,.
xempt1on: ce ormance o t e war or w 1c t 1s permit JS issue , s a not emp oy any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNFll-B0rmmt m:cootAIION
D
D
□
Owner-BuiJder Declaration: I hereby athrm that I am exempt from the Confradofs License Law for ffie following reason:
I, as owner of the 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 Llcense 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 within 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 licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's Llcense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPLEIE !HIS SECIION FOR NON-RESIDENIIAL BUILDING PERMIIS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
0 YES ..S--NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
0 YES J;I-NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES .::tirNO
IF ANY OF TIIEANSWERS ARE YES, AFINAL CERTIFICATE OF □a:IJPANCY MAYNaf BE ISSUED AFTER JULY 1, 1989 UNLESS TIIE APPIJCANT
HAS MET OR IS MEIITING TIIE REQUlREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POLLUTION CDNTil.OL DISl1IICT.
9. WNS I KOCI ION IENOING AGENCY
I hereby afhnn that there 1s a construction lendmg agency for the performance of the work for which thts penn1t 1s 1SSued (Sec 3097(1) C1vl1 Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPIJCANI CER:l'lFICAIIUN
I certify chat I have read the apphcatton and state that the above mformauon ts correct. I agree to comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I AI.50 AGREE 1U SAVE INDEMNIFY AND KEEP HARMIJlSS TIIE Cl'IY OF CARISBAD AGAINST ALL IJABILITIES, JUDGMENTS, CDSTS
AND EXPENSES WHICH MAY IN ANY WAY ACDUIE AGAINST SAID Cl'IY IN CDNSEQUENCE OF TIIE GRANTING OF TIIIS PERMIT.
OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
, • CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB951489 FOR 11/01/95
DESCRIPTION: INSTALL MONUMENT GROUND SIGN
APPROVED BY HOUSING & REDEV-DEBBIE F.
TYPE: SIGN
INSPECTOR AREA
PLANCK# CB951489
OCC GRP
CONSTR. TYPE NEW
JOB ADDRESS: 2740 ROOSEVELT ST STE: LOT:
APPLICANT: KAMAR BUILDERS PHONE: 619-729-7911
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: MW/MARTY/729-7911 INSPECTOR SPECIAL INSTRUCT: ASKED FOR FINAL INSPECTION _,...._ ________ _
TOTAL TIME:
ACT COMMENTS CD LVL DESCRIPTION
38 EL Signs ~/ /;, 1v1 l/
-------------------------------------------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION
102395 Ftg/Foundation/Piers
ACT INSP
AP PD
COMMENTS
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