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Home My WebLink About2777 ROOSEVELT ST; ; 81-71; PermitLICENSED 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• slons Code, and my license is in full force and el• feet. OWNER-BUILDER DECLARATION D I hereby affirm that I am exempt from the Con· tractor's License Law for the following reason (Sec. 7031.5.Business 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 Ille a signed state- ment that he Is licensed pursuant to the provi• slons 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 lo a clvll penalty of not more than five hundred dollars ($500). 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 of- fered for sale (Sec. 7044, Business and Profes· sions Code: The Contractor's License Law does not apply lo 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- tracting 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 1•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. \ '{/3 for this reasonL ,. , Date Owneq~ l' f\d. V WORi"tERS' COMPENSA I hereby affirm that I~ sent to self-Insure, or ertiflcate of Workers' Comper.sation lnsuran • or a certified copy thereof (1¥c, 3800, Labor ode). POLICY NO, ___________ _ COMPANY ___________ _ □Copy is filed with the city. □Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per• mlt Is for one hundred dollars ($100) or less). I certify that In the performance of the work for i ich this permit Is issued, I shall not employ any rson in any manner so as to become subject to Workers' Compensation Laws of Califomla. NOf lCE TO APPLICANT: If, after making this Cer• t~'f ate at Exemption, you should become subject t the Vl~rkers' Compensation provisions of the 1. r Code, you must forthwith comply with such provisions 9r this permit shall be deemed revoked. ' ', CONtTRUCTION LENDING AGENCY • I hereby affirm that there Is a construction len- ding agency for the performance of the work for which this Dermlt Is Issued (Sec 3097, Civil Code). CITY OF CARLSBAD-BUILDING D EPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES·. JOB ADDRESS AV.ST. DATE OF APPLICATION BUS. LICENSE a;ERM IT NUMBER r-RD )-_.. 2.,2.r/ 7--(:, 0 ' - O.b O /,vt.J5,.S-r;" OWNER'S PHONE PRIME co:;~TOR (~c,I~ '7 1, OWNER'S MAILl~R~ ~. CONTRACTOR'S 27~~ (£U£~ CA~# 7~~-ri// LOT I BLOCK I sueo1V1s10N I ASSESSOR'S PARCEL NO, I I I I I I I I I I I DESCRIPTION Of" WORK ~OLL_ft,.._ ~✓ ~ ..l:,,v "-~(./$:.l!i:_ DESIGNER /'/.,4.. l 'sTATE LICENSE DESIGNER-'$ ADDRESS DESIGNER'S PHONE _L CENSUS TRACT GP LANO USE ZONING I RES. UNITS I PARKING SPACE l TYPE CONST l NUMBER OF STORIES 2/0Ll/8141 15 3011.il 16 2/n!i/i::q flit VaKd ·Unless Madim1 "Ciii1fillll BLDG SQ, FT. I BLDG USE acc. GP J ST AND ARD PLAN # 1 PLAN ID II I oc~c~ LOAD ~ QTY.I PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU / EACH BUILDING SEWER ~ -~~ OVER 100,000 BTU I"' EACH WATER HEATER ANOl\'l'R 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 EACH INSTAL, ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS ~ WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT ./.AA./ J .1.,-,, C. -? .(Jo ---./.-A.-../ ., ,,__,,.. ~.a Il SIGN PERMIT , CONTRACTOR TOTAL PLUMBING ~ ~ .~CONTRACTOR TOTAL MECHANICAL PLAN CHECK ALL INCLUSIVE PERMIT - QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT I TOTAL PLUMBING AMT. ELECTRICAL NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL 1 PH .25 3 PH PORCH EXIST BLOG EA AMP/SWT/BKR SET-UP 1 PH .25 3 PH RAMADA, CABANA REMODEL/ALTER PER CIRCUIT FENCE OVER 6' TEMP PO LE 200 AMPS TOTAL MOBILE HOME OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) (.A.A/11.-,,' MICO·FI LM I I I I I . I I I ' I I I I I I ~~01 'j Fi• 0 I I I I TOTAL ELECTRICAL CONTRACTOR TOTAL FEES PAYABLE l . I I ' ~~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT AND DO •AN OSHA PERMIT IS REQUIRED FDR EXCAVATIO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ;.ND I 5'-0" DEEP AND DEMOLITION OR CONSTRUC FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP H~----1r--------~-- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COST EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. -AGENT D I ( f • ... < 0 ~ > ~ j::: ~ Q. V') ~ p TL SITE 0 ADDRESS: I ' . . ' OWNER: . PERMIT NO: · • . . • ~-,-. FIELD INSPECTION RECORD . 4 INSPECTION DATE IN SP-ECTOR ·•. INSPECTOR'S NOTES - WOOD FLOOR ., ', .. \ -- FOUNDATION • FORMS• SET BACK • TOILET - UNDER FLOOR PLUMBING '"-~ -~ '-~ . -C UNDER FLOOR HEATING ' • ~ ..?.•.-,rt ... •·v ·-,, \·, ,i, •✓·-__ .., 'II " "'-"( '-\ ' . < \ ~. ~ OK TO INSTALL SUB FLOOR .... --.... ' SLAB.FLOOR - UNDER SLAB PLUMBING FOOTING • FORMS• SETBACK• TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING t ·~ ... _ . • ROUGH HEATING/VENTILATING , FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE EXTERIOR LATH OK • PLACE STUCCO FIREPLACE . '· 4 . -C - DAMPER &STEEL ~-.. l i' ·---. PLATE Tl Es/HEIGHT OF CHIMNEY. ......... ,. C ., ,. OTHER TEMP POWER (POLE) ' SEWER GAS TEST SWIM POOL • STEEL BONDING " • PRE DECK • FENCE PREP LASTER SHOWN • FRAME • PAN FINAL INSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP . GAS METER-PERM-TEMP ~ .. ~-~ --... ~ -. ~ ;. r. ) -. -~ ' -~-J CERT oF occ;_uPANCY 1ssuED ;: .. • . ..i .. . " ~ w--.. ~~ ~-v .. ·-J: ~ SAN DIEGO GAS & ELECTRIC COMPANY ~ P.O. BOX 1B31, SAN OIEGO, CALIFORNIA 92112 Notice of Service Discontinuance PERMIT DEPARTMENT CITY OR COUNTY OF ELECTRIC AND/OR GAS SERVICE TO /?oo.sev~lt: Sr AOORESS \..WI LL BE O I SC ONT I NUED. BY 2-'/--8/ AND ALL SERVICE LINES WILL BE REMOVED DATE THIS BUILDING CAN BE MOVED OR RAZED AFTER THE ABOVE DATE. f \ 'FORM 106·2152A ·------- SAN DIEGO GAS & ELECTRIC COMPANY BYJ?~/MadJ DATE ;;2 -4-~ I TELEPHONE