HomeMy WebLinkAbout2800 ROOSEVELT ST; A; CB900270; PermitDATE: 01/31/91
TO: WHITE, STEVE
7720 EL CAMINO REAL
CARLSBAD,CA 92009
PLAN CHECK EXPIRATION
PC# CB900270 DATE: 02/16/91
ADDRESS: 2800 ROOSEVELT ST A
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 ~ w
City of Carlsbad Building Department EST. VAL. __ _:_-'<'..._~_J'..._-,-.,,r---2075 Las Palmas Dr., Carlsbad, CA 92009 c,1,1 438-1161 PLAN
1. PERMIT TYPE
A COMMERCIAL
0 INDUSTRIAL □NEIi
C 0RESJOENT!AL 0 APARTMENT
□DUPLEX QOEM0LITI0N
□MECHANICAL □POOL
2.
Nearest Cross Streets
TENANT IMPROVEMENT
~NANT IMPROVEMENT
□CONDO □SINGLE FAMILY DWELLING
□RELOCATION
0SPA
OADDJTI0N/AL TE RATION
QPLUMBIMG
VALID. BY _ _,,__,, ___________ _
DATE -----~&-....!:..j...t,L..>,e:c~'U.l.
3412 02/16/90
C,A-tt-13L/D
F
000.J. G!.
G-PF.:MT
LEGAL DESCRIPTION Lot No. Subdivision Name/NI.Mlber Unit No. Phase No.
CHECX BELOW IF SUBMITTED:
Q2 Energy Cales qz Structural Ca\cs 02 Soils Repart 01 Addressed Envelope
ASSESSOR'$ PARCEL EICISTING USE PROPOSED USE
;\pij0
' ~ 1'( ~ ~ Wtrl--L 11) .Jr' d< DE
BLDG. SQ. FTG. ( s; 1 JI,) # OF STORIES
3. 77W E.C ~,vio
ADDRESS
STATE CA-ZIP CODE Cj ZCXJ") DAY TELEPHONE
4. AP_!'L,lClmT
NAME~ ~T~TOR w\.u?
0 AGENT FOR CONTRACTOR
ADORESS
QOIJNER 0 AGENT FOR O.!NER
7.
8.
Cl TY
CIT
STATE ZIP CODE DAY TELEPHONE
TE LIC. #
Workers' Compensation Declaration: hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of Workers' Compensation lnsuran,e by an aallitted insurer, or an exact copy or duplicate thereof certified by the Director of the
fil w·th the Building lnspec ion Oepartment (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO.~-g'{_ 'f(O~PJRATJON DATE
Certificate of Ex~tion: certify that in the performance of the work for which this permit is issued, I shall not ~loy any person in any manner
so as to become subject to the 'workers' Compensation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
DI as owner of the property or my efll>loyees 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 irrproves thereon,, and who
does such work himself or through his own ~loyees, provided that such irrprovements are not intended or offered for sale. !f, however, the building
or 1rrprovement is sold within one year of c~letion, the owner-builder will have the burden of proving that he did not build or irrprove for the purpose
of sale.).
0 J, 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)
t icensed pursuant to the Contractor's License Law).
0 I am exen-pt 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, in-prove, 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, cOllfllencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ex~t therefrom,
and the basis for the alleged ex~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 dollars [$500]).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building oc,;:upant 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?
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district'
QYES □,o
0YES 0NO
Is the facility to be constructed within 1,000 feet of the outer bouodary of a school site'
QYES
If AllY OF THE ANSMERS ARE YES, A FINAL CERTIFICATE OF OCOFANCY NAY NOT BE ISSll:O AFTER JULY 1, 1969 UNLESS THE APPLICANT. HAS MET OR IS tEETING THE REQUIREMENTS
Of THE OFFICE Of EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performan~e of the work for which this permit is issued (Sec 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE
I certify that I 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 INDE~IFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUJGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING 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 comnenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned after the work Is cO!flllenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPL I CA,!j,>f.'.::..4,,.)1! OI./NER ~NTRACTOR □ BY PHONE APPROVED BY: ______ _
DATE:
WHITE: File YELLOW: Applicant PINK: Finance