HomeMy WebLinkAbout2820 ROOSEVELT ST; MULTI-PERMIT FILE; CB071980; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008 '·.
07-10-2008 Sign Permit Permit No: CB071980
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2820 ROOSEVELT ST CBAD
SIGN ..:>,O¢lg:;,.Q'-j,Ou Lot#: 0
Valuation: $1,000.00 Construction Type: NEW
Reference #:
PC#:
Project Title:
Applicant:
OVERSEAS RESTAURANT-2 SIGNS
NO ELECTRIC
PROMOTIONAL SIGNS. INC
20361 HERMANA
LAKE FOREST CA 92630
949-458-1 000
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Electrical Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
Owner:
Total Fees: $35.19 Total Payments To Date:
Inspector:
FINAY'
Date:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/26/2007
JMA
07/27/2007
07/27/2007
$21.33
$0.00
$13.86
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.19
$35.19 Balance Due:
Clearance:
$0.00
NOTICE: Please lake NOTICE that approval of your project includes the 'lmpos1tion" of fees, dedications, reservations, 1.H other exactions hereafter collectively
referred to as 'fees/exactions.' You have 90 days from the date this permit was i5>!>ued to protest imposition of these fee~:exactions. lf 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 ,nformation with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bc.,r 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 wate1· 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 i n f I i n N Tl i ii r hi r hi h h s i·1
City. of _Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719 Est. Value
Fax: 760-602-8558 Plan Ck. Deposit
Building Permit Application Date
SUITEH/SPACE#/UNIT# APN
EDR00MS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE acc. GROUP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS {SF) DECKS (SF) AIR CONDITIONING FIRE SPRINKLERS
NOD YES □ NOD YES O NOD
CONTACT NAME (If Different Fom Applicant) APPLICANT NAME
ADDRESS ADDR
CITY STATE ZIP CITY
PHONE FAX
EMAIL
CITY
PHONE
EMAIL
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certlffcate of consent to self-Insure for workers' compensation as provided by Section 3700 of the labor Code, for the performance of the work for which this permit is issued.
I have and will maintain work:"' ~-m9:~qn, as required by Section 3700 of the labor Code, for the .perform an~ of !'JI Y(Ork fo! whiC-is pzrmit Is issued. My wo~e~• compensaUo~'!!_u7n.,:8 :a!r and policy
number are: Insurance Co._~~=~==L'-~-=lr ________________ Policy No. L.Coo OL 4 J.J' -Exp1rat1on Date ~ -Q~
This secUon need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of
California. WARNING: Fatlure to sec e rkers' com en sat verage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, d a f n S Jon 3706 of the Labor code, Interest and attorney's fees.
J!S CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structum is not intended or offered for sale {Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owoer 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 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: i
1. I personally plan lo provide !he major labor and materials for construction of the proposed property improvement □ Yes o
2. I (have / have r10t) signed an application for a building permit for the proposed work
3. I have contracted with the following person {firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan lo provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the wor'K indicated (include name I address / phone I type of work):
Is the applicant or future building occupant required to submit a bt1siness ~.acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Prestey-T anner Hcllardous Substance Account Act? □ Yes ~o
Is the appl_icant Of future building occupant required to obtain a permit from the air pollution control district or ~i ality management district? □ Yes "'l!ifio
Is the facil1ly to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED U ESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the appllcatlon and state that the above tnformetlorHScoireetend that the Information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building cxmstructlon.
lhereby aulhorize representawe of the City of Cartsbad 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. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations CJJer 5'0' deep and demolition or construction of slrucb.Jres over 3 stories in heght
EXPIRATION Every pem,lt tsSued by the BuIkfIng Official under the pfOVISIOflS of this Code shall expire by Ilm1tation and become null and void if the bu1ld11g or wor1< authorized by such permit IS not commenced ~Ill
180 days frtxn the date of such permit or if the building or ~°fYzed I pem,lt IS SU~ or abandon at any time after the v«lr1< IS commenced for a period r 180 days (Section 106 4 4 Unifoml Budding Gode)
APPLICANT'S SIGNATURE ___ -----~ .· ---·-·--···-·----AA.l~----)(_ --~ATE ______ ] 11.-~ IO 7
m City of Carlsbad Bldg Inspection Request
' For: 07/11/2008
'
Permit# CB071980
Title: OVERSEAS RESTAURANT-2 SIGNS
Description: NO ELECTRIC
Type:SIGN Sub Type:
Job Address:
Suite:
Location:
2820 ROOSEVELT ST
Lot: 0
APPLICANT PROMOTIONAL SIGNS. INC
Owner:
Inspector Assignment:
Phone: 9493222052
Inspector: ~
Remarks: RONNA AT 2804 ROOSEVELT ST PERMIT CARDS
Total Time:
CD Description
19 Final Structural
--·~ ~-----
~omments
Requested By: DAVID
Entered By: JANEAN
-----------------------------
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi-
sions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes-
sions Code, and my license Is In full force and ef-
fect.
OWNER-BUILDER DECLARATION
01 hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 7031.5,Buslness and Professions Code), Any
city or county which requires a permit to con-
struct, alter, Improve, demolish, or repair any
structure, prior to Its Issuance also requires the
applicant for such permit to file a signed state-
ment that he Is licensed pursuant to the provi-
sions of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that Is ex•
empt therefrom and the basis for the alleged ex-
emption. Any violation of Section 7031.5 by an ap-
plicant for a permit subjects the applicant to a
clvll penally of not more than five hundred dollars
($500).
0 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 of•
fered for sale (Sec. 70«, Business and Profes•
slons 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 of-
fered for sale. If, however, the building or improve-
ment 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).
:JI, as owner of the property. am exclusively con-
tra(;tlng with licensed contractors to construct
the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not ap-
ply to an owner of property ,.ho builds or Im-
proves thereon, and who contracts for such pro-
jects with a contractor(s) license pursuant to the
contractor's License Law). I am exempt under Sec _____ B. & P.C.
for this reaso.,._ ___________ _
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con-
sent to sell-insure, or a certificate of Workers'
Compensation Insurance, or a certified copy
thereof (Sec.~ f).bor Code). 77 POLICY NO. I 1. QO;\ -J t -
COMPANY ck,~ ese.
~y Is flied with ttie ~Y-
□Certifled copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the per-
mit Is for one hundred dollars (SH>O) or less).
I certify that In the performance of the work for
which this permit Is Issued, I shall not employ any
person In any manner so as to become subject to
the Workers' Compensation Laws of Callfomla.
NOTICE TO APPLICANT: If, after making this Cer·
tlflcate of Exemption, you should become subject
to the Workers' Compensation provisions of the
Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction len·
ding agency for the performance of the work for
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
NO. J08 ADDRESS
~VR~T-l:Sii ;P~AilON
'1.1P,. 'l..01 1 Q ~ c;tc.v Ir-,. L .. it 1 .SiT1 r~r2i L 1~1~A{) I I I I
OWNER OWNER'S PHONE PRIME CONTRACTOR , I
M Q ' 'Q.t,Co<SR.'T w\L~~ T\t€. cST~..._,r~e.o r.n,
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS <\4\JLA I) l'\ ~ ~ )( Y') \ C. I" An I <...~ 'A:{\ Gt ..l l, l""l ~ :J ~),. lJ0..1,-.l ~\, U\~'T~
LOT I BLOCK I SUBDIVISION , I ASSESSOR'S PARCEL NO. DESIGNER
I I I I I I I I I I I
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
eus. LICENSE PERMIT NUMBER
'l. '?-,1 81
STATE LICENSE
ol.Rt..24 h
CONTRACTOR'S
~.lo~l "'l_ot)
STATE LICENSE
+~~ ST.A...)F=<._")('2..p CD, ~St;t4i> DESCRIPTION OF WORK
t"'\\.'\6. (\\ S/F , i~T~t2 itf1e1d7 4 '1 \N~-r'4LL '\LLU M. , DESIGNER'S ADDRESS DESIGNER'S PHONE 17,00 c~,,•-x 8 10 10 -$\~~. .:lS~?. Nf\l~-St. c..v, f4.),.-a~oo v..,ALL 4.1.b \ 00, 1.~ li/0'.3181 '17 .00
CENSUS TRACT GP LAND USE ZONING II I RES. UNITS I PARKING SPACE NUMBER OF STORIES
~\.t\~A?,(') -n-5 Pl7 ~) I 7..A Not V1/id Un/lJss Mid,;,,. Clrtifi«I
BLDG SQ, FT. BLDG USE occ. GP I STANDARD PLAN II I PLAN ID II I TYPE CONST I occ. LOAD I
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT.
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU
EACH BUILDING SEWER OVER 100,000 BTU
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP ' EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP r"" EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN Sl~!GLE DUCT I
EACH LAWN SPRINKLER SYSTEM MEC!:1 EXHAUST -HOOD/DUCTS \.I n Q l. \ ,.. J-:r ~ liion
WATER SOFT~R RELOCATION OF EA FURNACE/HEATER BUILD~G PERMIT I . I /i.n . ..+-
\. },._ .J\ d 0 --=:t. c-..~ \ 1'\1'1,..() ~ .f""-tr SIGN PERMIT I . I I I
TOTAL PLUMBING -TOTAL MECHANICAL PLAN CHECK I . I I I
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I
ELECTRICAL PERMIT AMT. TOTAL PLUMBING I I I QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I 1/. +-
NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I' . I
1 PH .25 3 PH PORCH MOBILE HOME I I I
EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR I . I I I
1 PH .25 3 PH ~ RAMADA, CABANA C..' "ITA -n <fY'\ It\. r-;-A-. I . I I I
REMODEL/ALTER PER CIRCUIT ...l.-FENCE OVER 6' J I . I I I
TEMP POLE 200 AMPS TOTAL MOBILE HOME MI CD-FILM I . I I I
OVER 200 AMPS I I I ; I
TEMP OCCUPANCY (30 DAYS) I . I I I
,)\>..,1,,,\. ~ .N"' I . I I I
TOTAL ELECTRICAL '} TOTAL FEES PAYABLE I CONTRACTOR . I I . 1/11.--r-
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, A NO DO •AN OSHKPE1\t,11T IS REQUIRED FOR EXCAVATIONS OVER s~ +~ HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I ::~r,ti;~~~r:t77' FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY,
COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. l,ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM, ., / LESS THE CITY O F CARLSBAD AGAINST ALL LIABIL ITIES. JUDGMENTS, COSTS ANO \,/ -. EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE .
OF THE GRANTING OF THIS PERMIT. ~~l~A~'• il ~
0
0WNE~ CONTRACTOR□ IAPP,~V~ .BY V'lt1 Rr I AGENT □ BY PHONED -,, ~ -f
8;:!
"fV
• ... ~ ~
~ i=
1:rl a..
V)
~
SITE
ADDRESS: ,., . ~" OWNER: l'l _r_. "_:> J r.i ,. ..._ T" ~ PERMIT NO: ' . --. ·-.. 'I .._. .r ..,. -.. "! .• ~-.
FIELD INSPECTION RECORD
--INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR
✓
FOUNDATION • FORMS • SET BACK • TOILET -
UNDER FLOOR PLUMBING . I 'J !" .. ,·;,;" .-~ • .,,,..-r-_r-') -.l.4.-1 • -
UNDER FLOOR H~ATING ~-...,.., , ..... , ....... . ·-. . -• {,) .::-Jf.A,,_ . . M J,-'cJ( q·--. • ,-.,_ -'-1A ft'.:_---11 OK TO INSTALL SUB FLOOR t',:t-' ., ,, ,,_, .-I ., -----.• d~;;...{j ._ --,,~
. -· ~ ._~ .. ---"' /:i cl<--· t.,f If t µj l. .. ,.~;._.,,,.. ,'-1..:'l ,:., .J..i/f..JJ ~· ',.J \'-":I ~ "de
SLAB FLOOR I I
UNDER SLAB PLUMBING ,.:\ -'."."J ' \ . ' 1 -··<At_~ i ·.; . ,
FOOTING • FORMS • SETBACK • TOILET
OK TO POUR CONCRETE
FRAME .
ROUGH ELECTRICAL
ROUGH PLUMBING
ROUGH HEATING/VENTILATING
FRAME OK • PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK • PJ-ACE TAPE
EXTERIOR LATH o'K • PLACE STUCCO
~ '
FIREPLACE I ... . --I . ' ' .,. -•.•
DAMPER &STEEL
PLATE Tl Es/HEIGHT OF CHIMNEY ' .-
OTHER
TEMP POWER (POLE) ..
SEWER
GAS TEST
SWIM POOL• STEEL BONDING j ; --l~ • PRE DECK
~,, l
• FENCE PREPLASTER
SHOWN • FRAME
• PAN
FINAL INSP BY BLDG DEPT .-,; ,
-
OTHER DEPT'S REQ COMPLETED . ~ ~
ELEC METER-PERM-TEMP \
GAS METER-PERM-TEMP
·-~ -. -·
.
CERT Of OCCUPANCY ISSUED -~ ' .. . . .. -,