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Home My WebLink About2808 ROOSEVELT ST; 103; CB122591; Permit• 12-04-2012 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB122591 Building Inspection Request Line (760) 602-2725 2808 ROOSEVELT ST CBAD St: 103 PME 2031820400 Lot #: OCEAN DRY CLEANERS -REPLACE 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: COMMERCIAL WATER HEATER IN CLOSET. 50 GAL. NAT. GAS. Owner: ISSUED 12/04/2012 SKS 12/04/2012 12/04/2012 ANDERSON PLUMBING INC.WALTER ROOSEVELT TAMARACK INVESTMENTS LP 1150 N MARSHALL AV EL CAJON CA 92020 619-449-7646 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 6 VENTURE #215 IRVINE CA 92618 $31.00 $0.00 $0.00 $64.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: FINAL APPROVAL Inspector: f'10 · ~ Date: I Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f T i ii hi h h I ' ' «'~ ~ CITY OF CARLSBAD JOB ADDRESS CT/PROJECT# ADDRESS CITY PHON -ARCH/DESIGNER NAME & ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 I 2718 / 2719 Fax 760-602-8558 STATE LIC. #. Plan Check No. Est. Value Plan Ck. Deposit FAX FIRE SPRINKLERS vesONoO tl() (Sec. 7031.5 Business ~nd Professions Code: Any Clty or Coun_ty which requires a permit to_construct, alter, improve, demolish or repair any structure, prior t9 Its issuance, also req\Jires the applicant for such permit to file a sl~ed statement that he Is licensed pursuant to the provisions of the Contractor's License Law )Chapter 9, commending with Section 7000 of Dlv1s1on 3 of the Business and Professions Code} or {hat he Is exem~ therefrom, and the basis for the alleged exemption. Any vlolatlon of Section 031.5 by any appllcanffor a permit subjects the applicant to a clvll penalty of not more than five hundred dollars {$5001), WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of petju,y one of the following declarations: D I !}ave and will maintain a certificate of consent to self.Insure b workers' compensation as provided by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. g(t;ave and will maintain workers' comperisatlon, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation insurance carrier and policy numberare:lnsuranceCo , ' • PolicyNo. ==I 11iY53 ExpirationDate 1,111i ,,a 'P!i§,section need not be completed if the permit is for ooe hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in lhe perfoonance of the work fa which this pem1it is issued, I shall not employ any person in any manner so as to become subject to the Wor1<ers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage le unlawful, and s~all subject an emplayerto criminal penanies and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, d vlded for in Se 6 e Laber code, lnte ta d attomay's f I 6$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ D I, as owner of the property or my employees with wages as !heir 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 Ymo 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 Ylithin one year of completion, lite owner-builder will have the burden of proving Iha! he did not bulld or improve for lite purpose of sale). l, as oYll\er of the property, am e,cclusively 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 Cootractor's License Law). I am exempt under Section _____ ,Business and Professions Code for this reason: 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes 0No 2. I (have/ have not) signed an applicallon for a building permit for the proposed work. 3. 1 have contracted with the following person (fim1) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the follO'Mng person to coordinate, supervise and provide the major work (include name/ address/ phone I contractors' license number): 5. J will provide some of the worl<, but 1 have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone I type of work): ,K! PROPERTY OWNER SIGNATURE □••··· DATE r COMPLETE THIS SECTION FOR NON·RESIPENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a busine~Ci.llely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-TS11ner Hazardous Substance Account Ad.? D Yes o 'I.< .. Is the applicant or future building occupant required to obtain a permit lhe Ir pollution control district or:l&r ity management district? Dves p,uo Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Oves IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUE NLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT, CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read the appllcatlon and slatelhatlhe above lnfonnatlon Is conectand that the lnfomlatlon on the plans Is acrurate. I agree to comply'Mth all City onllnances and state laws relating to bulldlng construction. I hereby authorize representative of the City of Carlsbad to enter upon the above meotioned prq>ertyb inspeclioo p.rposes. J ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS TI-IE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS /IIIID EXPENSES WHICH MAY IN AfNWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or oonstnJdion of structures over 3 stories In height EXPIRATION: Every pemilt issued by the Ellildlng Official lllderthe pra,.,;sioos of !tis Code shall expi'e by llrritatioo 800 beccrne nuU and wid If the buUcing CM"work authorized by such pemilt Is not commenced \Whin 180 daysfromthedateofsuch pemvt~orlf ooildingocwolkaulhorized bv · issuspendedoraband at anytime fterlheWOOC isa:mnencedfora ·oo of1 days (Section 106.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE "' DATE ' t ....,;_----,f .>.<C..~ ____ _::.____,_,,.__+'-V"""------___J l Inspection List Permit#: CB122591 Type: PME Date lnsp.,ctioll_item 05/29/2013 25 Water HeaterNents 05/29/2013 25 Water HeaterNents 05/29/2013 29 Final Plumbing 05/29/2013 29 Final Plumbing Thursday, May 30, 2013 Inspector Act MC MC RI AP RI Fl OCEAN DRY CLEANERS -REPLACE COMMERCIAL WATER HEATER IN CLOS Comments EXISTING LOCATION CALL W/ETA Page 1 of 1