HomeMy WebLinkAbout2808 ROOSEVELT ST; ; CB921267; PermitCity of Carlsbad
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DATE: 11/17/93 PLAN CHECK EXPIRATION
TO: ROOSEVELT CENTER
PC# CB921267 DATE: 12/09/93
ADDRESS: 2808 ROOSEVELT ST
4 VENTURE SUITE 310
IRVINE, CA 92718 ,::r::
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.
PRO~ECT ABl'.J?DONED. PLANS MAY BE DESTROYED.
If you have any questions, please contact the Building
Department at (619) 438-1161.
DORIS COSMAN
Building Department
1 ' -L-o -'l3
2075 Las Palmas Drive • Carlsbad, California !:f~uu~ • \0, .::,1 ---, ......
--------------" ----~------------
City of Carlsbad Building Department
2075 Las Pal..,s Dr., Carlsbad, CA 92009 (619) 438·1161
I. PEltMl I hPE
A • U Commercial O New Bu1ldmg ){rt enant Improvement
B • D Industrial □ New Building D Tenant Improvement
C • □ Residential D Apanment D Condo □ Single Family Dwelling □ Addition/ Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical □ Pool D Spa □ Retaining Wall □ Solar □ Other
2. PROJECT INFORMATION
Address ,tez:::e, ~~.e::l?r ~T BuUdmg or Suite No.
Nearest Cross Street .f-7~e>-/evf' / ""1,:?7,,....,.....17
LEGAL DESCRIJfllUN Lot No. Sufx1IV1s1on Name/Number
~4~ ?/"'7 .::?I" ?e,,s. ~I~ !---,"<NI?-? _A.e,,e,,
CHECK BEWW IF SOBMI 11 ED:
□ I Addressed Envelope
PLAN CHECK NO.
F.sT. VAL_;;? /)-A--0
PLANCKDEPOOrf ,::>~
VAIID. BY b ,:._.
DATE uc2e2'2
FOR OFFICE USE ONLY
Omt No. Phase No.
□ 2 Energy Cales □ 2 Structural Cales □ ~ ~s Report
ASSESSOR'S PARCEi. Z(78?, lfn:? ' EXISTING USE ~le.¢? PROPOSED USE
DESCRIPTION OF WORK
SQ. Fr. I ,zo # OF SlORIES
N&'h~ ae?-41= ~ ADDRESS
CllY STATE ZIP CODE DAY TELEPHONE
NAME ADDRESS
CllY STATE ZIP ffiDE DAY TELEPHONE
STATE LIC. # LICENSE CLASS CilY BUSINESS UC. #
Workers' Compensation Uedaratton: I hereby afhrm that I have a cen1hcate of consent to self.insure issued by the Director of Industrial
Relations, or a cenificate 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 Inspection Department (Section 3800, Lab. C).
INSURANCE ffiMPANY POLICY NO. EXPIRATION DATE
Certlilcate of Exemption: 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 s. owNm-nonnm DECDJtX:huN
Owner•Bu1lder beciarat1on: I hereby afhnn that I am exempt from the COntracto?s Llcense 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 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).
D 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 to 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 permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$5001).
SIGNATURE DATE
C0MPLEI£ IRIS SECII0N FOR N0N-RESIDENIIAL BUILDING PERMt'l'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 pennit from the air pollution control district or air quality management district?
□ YES □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO IF ANY OF TIIEANSWERS ARI! YES, A FINAL CERTIFICATE OFoa:IJPANCYMAYNOT BE ISSUED AFTER JULY 1, 1989 UNIJ!SS Till!APPUCANT
HAS MET OR IS MEETING TIii! REQUIREMENl'S OF TIIE OFFICE OF EMERGENCY SERVICES AND TIii! AIR POlllT110N CDN11IOL DISl1UCT.
9. WNSIROCIION O:NDING AGENCY
I hereby afhnn that there 1s a construction iendmg agency for the performance of the work for which this permit 1s issued (Sec 3697(1J CavU Code).
LENDER'S NAME LENDER"S ADDRESS
lo. APPllt'.!AN I CF.kliFICAl10N
I certify that I have read the apphcatton and state that the above mformatmn 1s correct. I agree to comply wuh 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 AISO AGREE m SAVE INDEMNIFY AND KEEP HARMIBSS TIii! CI1Y OF CARISBAD AGAINST AIL LIAIIIUTIES, JUDGMENTS, CXlSTS
AND EXPENSES WIDCII MAY IN ANY WAY ACCRUE AGAINST SAID CI1Y IN CDNSF.QUENCE OF TIIE GRANTING OF TIIlS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
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 pennit is not commenced within 365 days from the date of such pennit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a pericxl of 180 days (Section 303(d) Uniform Building Code).
APPLICANTS SIGNATURE DATE: IZ-'}"lV
~~<eeA?Sb,.,..~ ~ ~ WH!File YELLOW: Applicant PINK: Finance