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Home My WebLink About2772 ROOSEVELT ST; ; CB994285; PermitCity of Carlsbad 02/01/2000 Commercial/Industrial Permit Permit No: CB994285 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 02/01/2000 Applicant: GOLDMAN, DON STE200 660 NINTH AVE 2772 ROOSEVELT ST CBAD Tl Sub Type: 2031820800 Lot #: $128,128.00 Construction Type: Reference #: REMODEL WORKROOM & LOBBY COMM 0 NEW Owner: Status: Applied: Entered By: Issued: Inspect Area: BEAZLEY BRENT W SAN DIEGO, CA 92101 619-239-9292 16844 CLARK ST ENCINO CA 91436 APPROVED 11/17/1999 GMF Plan Approved: Total Fees: $1,303.17 Total Payments To Date: $469.68 Balance Due: $833.49 Building Permit Add'\ Building Permit Fee Plan Check Add'\ Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'\ Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'\ Pot. Water Con. Fee Reel. Water Con. Fee Inspector: $722.58 $0.00 $469.68 $0.00 $0.00 $26.91 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Meter Size Add'\ Reel. Water Con. Fee Meter Fee SDCWAFee CFO Payoff Fee PFF PFF (CFO Fund} License Tax License Tax (CFO Fund} Traffic Impact Fee Traffic Impact (CFO Fund) LFMZ Transportation Fee PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee: Sewer Fee: Redev Parking Fee: TOTAL PERMIT FEES FINAL APPROVAL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $60.00 $24.00 $0.00 $0.00 $0.00 $1,303.17 Date: ) l • ;Jf){m Clearance: _____ _ 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 infonnation 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired . . --··-·--·----------~--·----·•· -~··· ✓Lf88j PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. <.,(l,"'MJ:'l5 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. __ 1 'l_y~_t.:2._y.,a__.. ____ _ Plan Ck. Deposit ~!i~"-l_(,~'1~·-c,_y~--- Validated By_--14-~.;..._ _______ _ 1. PROJECT INFORMATION Address (include Bldg/Suite #) 2.:11z Legal Description Lot No. ~ aj ?1 Business Name (at this address) qioog ~~~D l).£.:p.c::; · Subdivision Name/Number Unit No. Phase No. Sr/'6 l DE LAµo<::; Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms OF ~t-fa::M ' L.Dw--i t 4?7 b -=:,. f · -1.co ~ ,.,N,..a_m_e_4 """"""1.,.,._-l12,;,U.....,"'-'4i,.,::::4--'L--'f-'""---A~90'-L--J-"-'.U.~...c1.-+-'-"-'=--r-=....i...:=--c=i,-ty=---~..a:~~=~~:::....:=---=t=--'--:-''-'<~+F.:::....-'::-....>..::--.1 3. APPLICANT O Contractor O Agent for Contractor O Owner ~ Agent for Owner :Q>tJ c;;o1.-p MA b) lc::£:D t \ 10tl-l At£ ~ -zco ~ l2(~ Name ~ddfe';;s / City 4. PROPERTY OWNER \ J.c;. f.S · Name 6. CONTRACTOR. COMPANY NAME (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, commending 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). Name Address City State/Zip Telephone# State License # __________ _ License Class ----------City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate 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. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company ______________________ · Policy No. ____________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 0 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: Failure to secure workers' compensation coverage 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, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE______________________________ DATE _________ _ 7. OWNER-BUILDER DECLARATION I he~y affirm that I am exempt from the Contractor's License Law for the following reason: ,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 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). 0 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). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have/ have not) 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 / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number): _________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): __________ -;--;rr.+:--r--:if-:=,--------:::::---=----------------,,--1--------------- PROPERTY OWNER SIGNATUREl--f-~~-1,,,..L/~~.,=.....:::i..=--....!d;.::......:....:==:=..e.....==:.._-- COMPLETE THIS SECTION FOR 11 Is the applicant or future building pant 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8 , CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME -----------------LENDER'S ADDRESS _______________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' 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, 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 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 permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the wor need for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE /-~--'--='-"-_._'l--""""~--+'::....:...........::.__c...::~:::::::....::....:....._d_W_:______ DATE __ l_t+-/_1_1'--1!1--'~-°1+-------( f PINK: Finance 09/14/2000 GOLDMAN, DON STE 200 660 NINTH AVE SAN DIEGO, CA92101 Re: Application Date: 11/17/1999 Plan Check#: CB994285 Address: 2772 ROOSEVELT ST Expiration Date: 11/16/2000 You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained. The original plan review application will expire as no building permit has been issued. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. The provisions of sections 304 (d) of the Uniform Building Code state: "Section 304 9d) 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." In order to provide better service, please indicate your handling choice for the plans originally submitted 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 (760) 602-2718. Raenette Abbey Building Department