HomeMy WebLinkAbout2818 ROOSEVELT ST; ; CB930948; PermitY. · N
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PERMIT APPLICATION PLAN CHECK NO. Cf' 5-9'{ 8
City Of Carlsbad Building Departaent
2075 Las Palms Dr., carlsbed, CA 92009 (619) 438-1161 EST.VAL. ________ -~=
PLAN CK DEPOSIT, __ =--'.,.__5.;:,~,J~•-o_o_
VAUD. BY, ___ ..,/".'=D=,.r:,~~--
DATE °l.{7/85 I. PRRMII hPE
A ..\1Commerc1al
B -D Industrial
C -D Residential
U New Bu1ldmg bl I enant Improvement
□ New Building D Tenant Improvement
□ Apartment □ Condo □ Single Family Dwelling □Addition/Alteration
□Duplex □ Demolition
□ Mechanical □ Pool
D Relocation □ Mobile Home □ Electrical U Plumbing
□ Spa □ Retaining Wall □ Solar O Other
2. PROJECT INFORMATION
Add~
28l8 OOOSEVELT, CARLSBAD, CA Nearest Cross Street
BuUdmg or Suire No.
92008
FOR OFFICE USE ONLY
LEGAL DESCRIP I ION Lot No. Subd1vis1on Name/Number Omt No. Phase No.
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEi. EXISTING USE PROPOSED USE
DESCRIPTION OF WORK REPLACE (2) GAS/ELECTRIC UNITS
SQ. IT. # OF STORIES
3. WN IXCI PERSON (If dnierenl from apphcanf)
NAME ADDRESS
CilY STATE ZIP OODE DAY TELEPHONE
4. APPUCANI KiWNiRACIOR UAUtNI l"'UHCUNltt.ACIUH □OWNER DAGEN I FOR OWNER
NAME FIRE & ICE HEATING & A/C ADDRESS 12111 LAKESIDE AVE.
CilY LAKESIDE STATE CA ZIP CODE 92040 DAY TELEPHONE ( 619) 561-81 00
NAME OOOSEVELT PARTNERS L'ID ADDRESS 3969 PARK DR.
CilY CARLSBIID STATE CA ZIP CODE 92718 DAY TELEPHONE
NAME FIRE & ICE HEATING & A/C ADDRESS 12111 LAKESIDE AVE.
92040 DAY TELEPHONE CilY LAKESIDE STATE CA ZIP CODE (619) 561-8100
STATE UC.# 433333 IJCENSE CLASS C-20 CilY BUSINESS UC. # 1 200552
CilY SAME AS ABOVE STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WUIUCERS' WMPF.NSXIJUN
Workers' Compensation Oeclarat1on: I hereby afhrm that I have a cert1hcate of consent to seli-msure issued by the Director of lndustnai
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 In~tion Deeartment (Section 3800, Lab. C).
PWC-181 !l62-01
INSURANCE OOMPANY OOLDEN FAGLE INSURANCEroLlCY NO. EXPIRATION DATE APRIL 1994
Certificate of Exempt10n: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. oWNmt-BOllDEk DfilXkAIION
bwner-Bmlder Oeclarauon: I hereby affirm that I am exempt from the Contracto?s Llcense Law for the foliowmg 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 License 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.).
D 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 License 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 pennit co 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 license 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 IRIS SECIION FOR NON-RESIDENiiAt BUILDING PERMll's 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?
□YES □NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANY OF TiffiANSWRRS ARE YES, A FINAL CERTIFICATE OFoa:IJPANCY MAYNar BE ISSUED AITERJULY I, 1989 UN1J!SS THEAPPIJCANT
HAS MET OR IS MJ!ETING THE REQUIREMENTS OF nm OFFICE OF EMERGENCY Sl!RVICES AND THE AIR POLLUTION OONTII.OL DISfRICT.
9. WNSlkUCIION LENDING AGENCY
I hereby afhrm that there 1s a construcuon lending agency for the periormance of the work for which this permit 1s issued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
lb. APPl.itAN I CFJtllPICAfiON
I cenify that I have read the apphcat1on and state that the above mformatlon ts correct. I agree to comply with ail City ordinances and Staie 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 AL',() AGREE TO SAVE INDEMNIFY AND KEEP IIARMIJlSS nm Cl1Y OF CAR1SBAD AGAINsr AU. 1JABIUl1ES, JIJDGMENTS, CDSTS
AND EXPENSES WIIlCII MAY IN ANY WAY A£DUJE AGAINST SAID QTY IN OONSEQIJENCI! OF nm GRANTING OF TIIlS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permi · t commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandon ta y ti after th rk is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANTS SIGNATURE DATE: ______ _
PINK: Fmance
DATE: 08/15/94
TO: OCCUPANT
2818 ROOSEVELT ST
CARLSBAD CA 92008
City of Carlsbad
■ :j i I IN I I I I· I ·IA ·A I I I I ,IA, I I
PERMIT NUMBER: CB930948
ISSUE DATE: 09/08/93
LAST INSPECTION:
PLEASE CALL FOR AN INSPECTION
IF WORK IS COMPLETE
RE: BUILDING PERMIT EXPIRATION ADDRESS: 2818 ROOSEVELT ST
Our records indicate that your building permit will expire by limitation
of time on 09/08/94.
The provisions of UBC, Section 303(d) state: "EXPIRATION. Every permit issued
by the Building Official under the provisions of this code shall expire by
limitation and become null and void if the building or work authorized by such
permit is not commenced within one calendar year from the date of such permit,
or if the building or work authorized by such permit is stopped at any time
after the work is commenced for a period of six consecutive calendar months or
if the building or work authorized by such permit exceeds three calendar years
from the issuance date of permit. Work shall be presumed to have commenced if
the permittee has obtained a required inspection approval of work authorized
by the permit by the building official within one year of the date of permit
issuance. Work shall be presumed to be stopped if the permittee has not ob-
tained a required inspection approval of work by the building official within
each six month period upon the initial commencement of work authorized by such
permit.
Before such work can be recommenced, a new permit, or a renewal permit as
specified below, shall be obtained.
1. PERMITS WHERE WORK HAS NOT COMMENCED.
not commenced in the first calendar year from the
permit may be obtained provided:
For permits where work has
date of issuance, a renewal
(A) No changes have been made or will be made in the original plans and
specifications for such work.
(B) That the expiration has not exceeded three years from the original
issuance date.
(C) That the same edition of the model codes is in effect as used in
the initial plan check.
(D) That a fee equal to one-half the amount required for a new permit
be paid.
The renewal permit shall expire three calendar years from the date of initial
permit issuance.
2075 Las Palmas Drive • Carlsbad, California 92009-1576 • (619) 438-1161
08/16/94 INSPECTION HISTORY LISTING
FOR PERMIT# CB930948
DATE INSPECTION TYPE INSP ACT COMMENTS
09/22/93 Final Electrical RI RI MH/JEFF/
09/22/93 Final Electrical PD co
09/13/93 Rough/Ducts/Dampers RI RI RS/JEFF/561-8100
09/13/93 Rough/Ducts/Dampers PD co
09/09/93 Final Mechanical RI RI MH/JEFF/561-8100
09/09/93 Final Mechanical PK co NO PLANS/NO ACCESS
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