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Home My WebLink About2775 ROOSEVELT ST; 4; 82-387; Permit{I) z 0 ~ II: ~ u ~ ~[ : ... z 8 II: II.I 0 ~ 5 ! II.I z i ' z 0 ;:: ~ z w ~ 2' 0 u {I) a: w CttA ~ 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 forJ f \•~(), /1 -3L. Lie No · Class v • I hereby affirm th.It I am exempt from the Con- ~~0{~~!~,:'; ~ Jr~,~~.~~~e~~i\~ county which requires a permit to construct alter, improve. demolish. or repair any structure, prk>r to its issuance also requires the applicant tor such penn,t to file a signed statement that Ile is Hcensed pursuant to the prov1s1ons of the Con· tractOf's License Law (Chapter 9 commencing with Section 70JO or o,v1s1on 3 of the Business and Pro-tesstOOs Code) or that 1s exempt therefrom and the basis for the alleged exemptK>n. Any violation of Section 7031.!> by an applicant for a permit subjects tne applicant to a civil penally of not more than five hundred dollarS ($500). □ I, as owner of the property, or my employees •ith wages as their sole compensation, will do the wont. and the structure is not intended or ottered tor sale (Sec 704A, Business and Professions Code. The Contractor's license Law does not apply to an owner of property who builds or improves thereon and whO does such wOfk himself or through his own employees, provided that such 1mproveme,1ts are not intende1 or offered for sale. If, however. the building or Improvemen1 1s sold within one y83/ of comp~lton, the owner-builder will have the burden of proving that he did no1 build or improve tor the purpose of sale) □ I, as owner ot the property, am exclusively contractin" with hcensed contr~tors to construct the pro1ect (Sec. 70U, Business and Professions Code: The Contractor's License Law does not ai,pty to an owner of property wno builds or improves thereon. and who contracts for each proJects with a contract0t1s) license pursuant to the Controetor·s License Law) 0 I am exempl un<le< Sec _____ , B & PC for this reason □ I hereby affirm that I hat'e a certificate of consent to self-insure. or a cert1f1cate of Workers' Compensation Insurance. or a cert,f1ed copy thereof (Sec 3800. Labo< Codel POLICY NO _ COMPANY □ Copy IS hied with the city. 0 Cen,hed copy 1s hereby furnished CERTIFICA Tl OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE (This section need not be completed 1f the permit 1s tor one hundred dollars ($100) or Jess) V ' certify that m the pertormance of the work tor ~h this permit •s issued, I shall not employ any person m any manner so as 10 become sub1ec1 10 the Workers· Compensation Laws ot Cahtom,a NOTICE TO A.PPLICANT If after mak,n~ this Cet11 flcate of Exemption, you should become subJect t? lhe WOf'kers· Compens.ation provIs1ons of the L.abOf Code. you must forthwith comply with such provIs,ons or this permit shall be deemed revokect 0 I hereby affirm thal there Is a cons1ructIon tend1no ilgency IC>f the perlormance of the work for which this permit 1s issued (Sec 3097, C1v1I Codel Lenders Name ___________ _ Lencler's:Address __________ _ USE BALL POINT PEN ONLY & PRE!S HARD " APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDI_;;.; ;=pARTMENT APPI_JCA'tlON & PERMIT 1200 Elm, Carlsbad, Callfornl~ /t,f<4) ~5525 7l 71iP" JOB;tR; ?S /<oc.se_.v£{,-r71:t~~T1 ) A~iT, Dq~Fi;L::v;1 rJsi;j;)7E# VALUATION g~~MITNUMBER OWNER!/ME ~'SPHONE P,tttCONTRACTOR CONTRACTORS PHONE• ZONE 3?7 K 111,J L~/5"10 de,IIJ-L rv Ut ..;{ ,C° < /lv,,.;1 ~ .. :J/ ?,J tf-P16/ OWNER'S MAILING ADDRESS / CONTRACTOR"S ADDRESS LICENSE NO. PLAN I.D. # BLDG USE CODE -~I I)~ ,.,_,., 5,t'). ,&.,NJ 011-Atf;.~Ab ,;/ ,.,, ~ (}{. LOT I BLOCK T SUBDIVISION I ASSESSOR PARCEL NO. DESIGNER STATE LICENSE# STANDARD PLAN # BUILDING SQ. FOOTAGE DESCRIPTION OF WORK t----=c----------------------------a DESIGNER'S ADDRESS DESIGNER'S PHONE ~ r'L.A.t',,,,. .I,, -<'. J ·c C 4-: r /, :,~ < • F/P FLRELEV. STi ~ES OCCGP EDU ~/10/82!!517 ,1 0;00 1 v□ NO --~oo,1·~s.17 ~/)□!Be •l·0 '0C CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRACING ~ERMIT ISSUED I REOEVELOPMENT TYPE occ LOAD FI RE SPR , AREA CONST y D N O v □ NO vO NO Not Valid Unlffs Machine <Arrifilld QTY. PLUMBING PERMIT -ISSUE 7.JO QTY. MECHANICAL PERMIT· ISSUE I i,,d# SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. OUCTS UP TO 100,000 BTU BUILDING PERMIT nv= .,,,., EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 0HJ00·4221 EACH WATER HEATER ANO/OR VE NT ----;.,o . BOILER/COMPRESSOR UP TO 3 HP --PlAN CHECK 0Hl00·4806 • - / EACHGASSYSTEM1 T040UTLETS ,..J-:'-' 801LER/COMPRESSOR 3-15HP..,........... -----:-,.._ TOTALPLUMBING 0HJ00-4222 .//J~ EACH GAS SYSTEM 5 DR MORE METAL FIREPLACE / _/ \ ELECTRICAL OHJ00·4223 - EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE OiJCT / MECHANICAL 01-000·4224 EACH VACUUM BREAKER MECH EXHAUST -HOOO/OU.,tTS M0BILEH0ME 01·000·4225 WATER S0FTNER RELOCATION OF EA FURi'iACE/HEATER M0BILEH0ME PARK INSP EACH ROOF DRAIN (INSIDE) / ~ SOLAR 01-000-4226 1-----'--------------,---J._--,.-,,-/P J)"½..11-TOTt;L MECHANf AL r STRONG MOTION 65-640-0519 TOTAL PLUMBING I /Ju/ f \ _,...l / FIRESPRINKLERS 01·"""-4"7 . /. t N \ ~ I PUBLIC FACILITIES FEE 25-000-4933 QTY. ELECTRICAL PERMIT -ISSUE ,J.,/}() QTY. SOLAR .,ssu°' \ 1 .l \ ~\ ~ BRIDGE FEE NEW CONST EA AMP/SWT 1B KR COLLECTORS / \. l-"\ \" f\ / SCHOOL FEE -DISTRICT 1 PH 3 PH STORAGE TANKS / " V '-/ . carlsbad 65-623-0519 EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE °\_ \ / Encinitas 65·624·0519 1 PH 3 PH PUMP V / San Oieguito 65·625-0519 REM ODEL/ALTER PER CIRCUIT PLAN CHECK FEE 7 San Marcos 65·626·0519 TEMP PO LE 200 AMPS / OVER200 AMPS / TEMP OCCUPANCY (30 DAYSI -------+--------\ / -~----------· -t-----~"-....----/---,,1-'----4-----ll-------------+--------l TOTAL ELECTRICAL --I TOTAL SOLAR TOTAL FEES PAYABLE I ./L1 ~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. E .. ry perm,t -bylhe8uilding O!IIC1al under the prov1sionsofthi1 * AN 06HA PEflillT IS AEQU1RED FOfl EXCAVATIONS OYEA CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by hmitatlon and beCOme null an<I v0td If the buflding or work !f O" DEEP ANO DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhor,zed by such permit la not commenced withIn 180 days from the dale of such STRUCTURES OYEA 3 STORIES IN HEIGHT permit, or 11 the building or work authorized by such permit II suspended or ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON· l...!;aban!!!!!~do~ned!!!!.__!al:._!a!!!nvl..!!!lime~a!!aft!!•:!...' lhe!!!!__!!W:!!!Orlc~isL!C,!10:!!;m!!!men!!!!!ced:!!!_~lo!!_r_!a.J!!! -r:!£1od!!!...Jlot!,_f 1!1M!Q,~ "•ut1-•---.~--------------------.... ~~:~C:!~~L~~;~~~Rcfr\-Eg~~fR~~=~~ A~~I%i~-AIL~~~fB~~~~;.~~5~~~~~~~~;~~ :~g ZlPPLI Nrs SIGNATURE ;i owNER □ coNTRACToRP( APPROVED BY DAT¾ ,. / EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE r / J "-~ BY PHONE O ~ fJl'y GRANTING OF THIS PERMIT ~/{ • --J""~. ( I 4 . -, ~ u::: >-:0 0 a. E Q) ~ I -0 0 (!) c "' .S! a. 1Q. t C a: 0 (/) (/) Q) (/) (/) <t: I ~ .Q ai >- ui (/) Q) 0 0 a.: "' ;; 0 ff Q) u C a, C u::: ?:. C Q) Q) c'.5 0 0 Q) a. (/) C ~ .c ~ ' INSPECTION TYPE DATE -· . -INSPECTOR .. -. --. - BUILDING : FOUNDATION I I REINFORCED STEEL I MASONRY I ' GUNITE OR GROUT FLOOR & CEILING SUB FRAME I SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO ' I PLUMBING UNDERGROUND I PLUMBING TOP OUT I TUB AND $HOWER PAN ' I GAS TEST I • ELECTRICAL I TEMPORARY POWER ' I ELECTRIC UNDERGROUND I ROUGH ELECTRIC ELECTRIC SERVICE ~ONDING y. F. I. -SMOKE DETECTOR I ' -MECHANICAL I DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS ' VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED ' g;;..<'3(57 FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES REQ. IF INSPECTOR'S ' INSPECTION CHECKED APPROVAL DATE . - SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS - - .. 'C \. . C "'---l., -w . \ '-. ' . 1 - '--