HomeMy WebLinkAbout2800 ROOSEVELT ST; B; CB900269; PermitDATE: 01/31/91
TO: WHITE, STEVE
7720 EL CAMINO REAL
CARLSAD,CA 92009
PLAN CHECK EXPIRATION
PC# CB900269 DATE: 02/16/91
ADDRESS: 2800 ROOSEVELT ST e
You have applied to have your plans checked on the date shown
above, and you have not obtained your building permit.
The provisions of Section 304(d) of the Uniform Building Code
state:
"Section 304(d) Expiration of Plan Review
Applications for which no permit is issued
within one year following the date of
application shall expire by limitation, and
plans and other data submitted for review
may thereafter be returned to the applicant
or destroyed by the Building Official.
In order to renew action on an application
after expiration, the applicant shall resubmit
plans and pay a new plan review fee."
Please check the appropriate box indicating your choice
and return this letter to the BUILDING DEPARTMENT.
PROJECT ABANDONED. I WILL PICK UP PLANS WITHIN 10 DAYS.
PROJECT ABANDONED. PLANS MAY BE DESTROYED.
If you have any questions, please contact the Building
Department at (619) 438-1161.
DORIS COSMAN
Building Department
PERMIT APPLICATION
•
City of Carlsbad Building Department
EST. VA 2075 Las Palmas Dr., Carlsbad, CA 92009 1619) 438-1161 .
1.
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2.
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VALID. BY_5hf---~-'---<>------
PERMIT TYPE 0 COMMERCIAL TENANT IMPROVEMENT
. . DATE
D INDUSTRIAL
□RESIDENTIAL
0NE'w ~NANT IMPROVEMENT
□APARTMENT QCONOO 0SHJGLE FAMILY Dl.'ELLING □ADDITION/ALTERATION }!t_1,.2 )2/J.6/9(~
□DUPLEX □DEMOLITION
0 ME CHAN I CAL O POOL
□RELOCATION □MOBILE HOME □ELECTRICAL r:11',tl~ CJ, ..JJ.,./'J "JI I l"\ . □SPA □RETAINING WALL □SOLAR o -IV 1\ J-1--7 d '-1-V
()C!0.1. C.:'.
G--::''?MT
LEGAL DESCRIPTION lot No. Unit No. Phase No.
CHECK BELCII IF SUBMITTED:
3.
4.
7.
Q2 Energy Cates pz Structural Cales
ASSESSOR'S PARCEL
btSERIPt ION OF
A=o.!)
BLDG. SQ. FTG.
CITY
CITY
02 Soils Report Q 1 Addressed Envelope
EXISTING USE PROPOSED USE
51~ '(IIIG1P)
# OF STORIES
STATE Cit
ADDRESS
ZIP CODE
77ZD El ~L~~J WZ,,/.5
qz.,ct5°j DAY TELEPHONE '7S-5-'9z. 7 z._
0 AGENT FOR CO"-!TRACTOR
ADDRESS
STATE ZIP CODE
OIJNER Z-32-8"2...
ADDRESS
STATE ZIP COOE
STATE
0owNER 0 AGENT FOR O\JNER
DAY TELEPHONE
STATE LIC. #
'o/orkers' C~nsation Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of 'workers' C~nsation Insurance by an ad-nitted insurer, or an exact copy or duplicate thereof certified by the Director of the
insurer thereof filed with the Building Ins ction Department (Section l800, Lab. CJ.
INSURANCE COMPANY .l~-.•r.;;. POLICY NO. ?':T3-fi'{-{f/o2,.-,,pJRATJON DATE
this permit is issued, ! shall not ('fl'Ploy any person in any manner
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
Owner-Builder Declaration; I hereby affirm that ! am exempt from the Contractor's License Law for the following reason:
DI 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 ottered 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 sate. 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 e)(clusive\y contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:
The Cootractor•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).
D I am e)(empt 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 permit to file a signed statement that he is licensed pursuant to the provisions of the
Contractor's License Law (Chapter 9, coomencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is e)(eirpt therefrom,
and the basis for the alleged e)(~tion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not
more than five hundred do l l ars [$5001 ) .
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON·RES!DENTJAL BUILDING PERMITS ONLY:
ls 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 □,o
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
OYEs ONo
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site'
□YES 0,0
IF ANY Of THE AN5'1::RS ARE YES, A FINAL CERTIFICATE OF OCCl..f'ANCY IIIAT NOT 8E ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICAHT HAS NET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENaING AGENCY
hereby affirm that there is a construction lending agency for the performance of the work for i.hich this permit is issued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE
I certify that J have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating
to building construction. l hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO
AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JWl>IENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAT ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GR.ANTING OF THIS PERMIT.
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 corrmenced i.i thin 180 days from the date of such permit or if the bu, ldi ng or work authorized by such permit is suspended
or abandoned at any fter the work i orrmenccd for a period of 180 days (Section 303(d) Uniform Building Code).
D BY PHONE APPROVED BY:
DATE:
PINK: Finance