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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 . G-ENE -FO!(~yTA-. ;2Jllfo ,4. &tlsce_i~.J-..L Sr: (!11~Jsi11-I. ~ tl,;0,1_t_,,,__ ·' s..r~N I ,. ' [A] ~- Sft,:i,:L_ . "Fl<'.A\V\IE. . 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