HomeMy WebLinkAbout2829 ROOSEVELT ST; ; 82-10; PermitIll z 0 j::
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0 I her•~ .)!Inn that I am licensed under
provlalona of ~.hapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalona Code, and my license is In
full force and effect.
UC No -------Class
I hefeby oftinn lhat I om exempt horn tile Con-
~~~·~t!fr:':: ~ ~f~~:~~~~i~
county which requires a permit to construct
alter, impro~. demot1sh, or repair arty structure, pnor to its issuance also requires lhe appHca.nt tor
such pemut to tile a signed statement that he is licensed pursuant to the provisions of the Con-
tractor's License Law (Chapter 9 commencing with
SecUon 7000 of Otv1sk>n 3 of the Business and Pro-fesst0ns Code) or that is exempt therefrom Mld the
basis for the alleged e,cemptton. Any violaOon of
Sectt0n 1031.5 by an applicant for a permit sut>teets
tne ~icant to a ci'l1l penaJty of not more than five
hundred dollars ($500).
ll!r I. as owner of Ille p,c,perty. or my emplOy-
~th wages as their sole compensation, will do the
WOf'k. and the structure 1s not intended or offered for
sale (Sec 70,U, Business anil Protessiol1s Code: The Contractor's License Law does not apply to an
owner of property who builds or imprO¥eS thereon
and who does such wOtk hims.elf Of through his own
employees. provided that such improvements are
not mtende-'l or offered for safe. II, howevef. the buHding or improvement Is sokS within one year of
completion, the owner-builder will have the burden of p,ov,09 that he dtd not build Of improve 10< the
purpose of sale).
C I, as owner ot the property, am exclusively
contracting with hcensed contr~tors 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
~1:~i~ ~~n~~~!~ ~~~~,~~~.;;:.:
License Law).
D I am exempt unde1 Sec ______ 8. & PC.
tor this reason ___________ _
0 I hereby affirm that I ha.·-,e a cert1f1ca1e of consent to self-insure. or a certificate ot WC>fiters·
Compensation Insurance. or a certified copy thereof
(Sec. 3800. Labor Codel
POLICY NO
COMPANY
□ Copy IS hied with the city
□ Certified copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(This section need not be completed 1t the permit 1s fOf one hundred dollars ($100) or less)
~I certify that m the performance of the wOtk to,
;fh,ch this permit 1s issued, I shall not employ any
person in any manner so as to become subIect to
the Woni.ers· Compensation Laws of Callforma
NOTICE TO APPLICANT If. after makm~ this Cert, f1cate of Exemption, you should become subfect I~
the Wor-..ers· Compensation prov1s1ons of the Labot Code. you must lorthw,th comply with such
prov,s,ons 0f this permit shall be deemed revoked
0 I hereby affirm that there ,s a construc1ton
lend.ng agency tor lhe perl()(mance of the wOf'k tor
wtuch this permit 1s issued !Sec 3097, C1v1I Code>
Lenders Name ___________ _
Lender's Address __________ _ I
U~lt DI\LL ..-u,n1 J"Ln unLI Cl ..-,u.~.> nftftU -.... ---· ..... -·p ....... -.
CARLSBAD UILDING DEPARTMENT AP~ __ ,CATION & PERMIT
1200 Elm, Carlsbad, Callfomla 92008 (714) 438-5525
JOB ADDRESS AV. ST. I DATE OF APPLICATION I BUSINESS LICENSE # VALUATION P~~UMBER
:/9':,]., 1 /e,66&-~ 11£ 1-t RO. /-.2. 5"-8'2. -
o;;;~/. £.'it<J, • i 'J. ~~II~ 'RA{/JE l ii 7.2.f...:; :;;Ng PRIME CONTRACTOR CONTRACTORS PHONE• ZONE )1-16
~ -
OWNER'S MAILING ADOIIIESS ,· -· CONTRACTOR"S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE
:i. <I'-< 1 µ-,9/!//Et-r --
LOT BLOCK 1 suao, VISIOl'I I ASSESSOR PARCEL NO. DESIGNER STATE LICENSE# STANDARD PLAN # BUILOtNG SQ. FOOTAGE --DESCRIPTION OF WORIC
6' x i s-r':-• I/.' 'Ja. "11! • U-l!f..1# TE. i!' '1?1'.rJJ...•, -DESIGNER'S ADDRESS DESIGNER'S PHONE 1/25/82737~ 1 ?,0( --_ _llsrAJ..L I.J ~ 811-II.J~~'~L4'Sli.T blirll-NO 0D017:373 I /c6/ 82 17~0( F/P FLA ELEV. OCC GP EDU I I,_ -•""'
f)u, /..L I! J.1-ij;;u J.,ttriiq>JHJ...11£.._, ~"JJ ~ 'b,.£, STORIES
vO NO
CENSUS TRACT I GP LAND USE I PARKING SPACE RES UNITS GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA 00017373 DI j/25/ l AREA CONST
YO N 0 vO NO vO NO Not' Vah"d Unlffs ~chine Certifi«t
QTY. PLUMBING PERMIT· ISSUE 7~{1 QTY. MECHANICAL PERMIT· ISSUE SUMMARVACCOUNTNUMBER
EACH FIXTURE TRAP I . INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01 ·000·4220
EACH BUILDING SEWER -OVER 100,000 BTU SIGN PERMIT 01·000·4221
EA CH WATER HEATER AND/OR VENT -,;-.~v BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·000·4806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01·000·4222 IC.I --
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·000·4223 -J ---EACH INSTA~ .• ALTER. REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 01 ·000-4224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01·000·4225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01 ·000·4226
TOH.L MECHANICAL STRONG MOTION 65·640·0519
TOTAL PLUMBING I IO --FIRE SPRINKLERS 01·000·4227
PUBLIC FACILITIES FEE 25--000·4933
QTY. ELECTRICAL PERMIT · ISSUE L----,,. QTY. SOLAR · ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TAN KS Carlsbad 65--623·0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65·624-0519
1 PH 3 PH PUMP San Dieguito 65--625-0519
REMODEL/Al TER PER CIRCUIT -\. -PLAN CHECK FEE San Marcos 65--626·0519
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
TOTAL ELECTR ICAL l 7_,-TOTAL SOLAR TOTAL FEES PAYABLE I /-J ~
. . . . , Expiration. Ew,y permit....,_. byllle Building Offic:iel undar Ille p,o-• of this
,
I HAVE CAREFUU.Y EXAllll9~~TION ANO PaWIT?" AND DO HEREBY * AN 0IHA P£AMff • REIQUI& FOR EXCAVATIONS OVEfl
cemFY UNDER PENALTY 0/-. '. THAT'·M.i. INFORMATlON H$11:0N INCLUDING THE Cade ..... , ...... by Imitation and become null -void. " the building Of wort< ·S'O" DEEP NC> DEIIOLll10N Oii CONSTAUCTION OF
IIECLAAATIO= TRUE IIHO OORAECT AHO I FURTHER CERTIFY AND AGRft IF A PERMIT IS aulllorlnCI by suc:11 pem,it ia no1 commenced within 1 IO claya from !he date of suet, STRUCIURES OVER 3 S10ReS .. HEIGHT permit. or II Ille ::I.°' work authotiZed by such permit is or
ISSUED: TO Y WIJtf AU. CITY, COUNTY ANO STATE LAWS GOVEANING 8UII.DING CON-...,ICIOlled • --lime 111e wor11 is commenced "" a _....,. nt 111n J----.
STAUCTION, WHETftll,a,B:11'1£D HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPL NATURE llf-, .& OWNER9'° CONTRACTOR 0 AP]E~
1
07-7-1 (-i, KEEP HARMLESS THl!Cl1Y'OFGARL88ADAGAINSF AU UA8ILITIES, JUDGMENTS, COSTS AND a Az_ AA. ~;. -~ff EXPENSES WHICH •Y • AWi WAY~ AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS H!lllili'Fl . . . . . .
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' " --. ~ INSPECTION TYPE DATE INSPECTOR . -' ~d-JlJ . ,_ ' .,,
~-' BUILDING
' FIELD INSPECTION RECORD FOUNDATION '
REINFORCED STEEL ' REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I INSPECTION REQ IF INSPECTOR'S DATE -
I CHECKED APPRO VAL c;•
GUNITE OR GROUT ,
SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME I PRIOR TO FOUNDATION INSP SHEATHING ' ' STRUCTURAL CONCRETE
FRAME I OVER 2000 PSI
EXTERIOR LATH lNSULATION I PRESTRESSED
I CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE PLUMBING I --I FIELD WELDING
SEWER AND BL/CO I • HIGH STRENGTH
PLUMBING UNDERGROUND I BOLTS -
-
PLUMBING TOP OUT I SPECIAL MASONRY I
TUB AND ~HOWER PAN I I
GAS TEST I PILES CAISSONS
ELECTRICAL .
I
TEMPORARY POWER I '~ I -) -ELECTRIC UNDERGROUND \r -I ' ROUGH ELECTRIC I
ELECTRIC SERVICE I
I .
BONDING A I ·-·
G. F. I. -SMOKE DETECTOR I
MECHANICAL I
' ---
DUCT & PLEM., REF. PIPING I _\ ., . .
. . ~· -
HEAT -AIR COND. -SOLAR SYSTEMS . . --.
VENT! LA Tl NG SYSTEMS \ . --.•
. -I , •
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ~
ITEMS ABOVE HAVE BEEN APPROVED. ·-
JOB SITE FINAL .
PLUMBIN'G I -.... ~ ~----.
ELECTRICAL i' -........ '\'""' -/ •· ' •. , MECHANICAL 1 . , -~v ' ---" .~ .... ..,,. " ' GAS ( -....---; "h~ /' ... ·--... ~
~ ,.._
BUILDING ,/ "lJ • ',/J. '/V' .. . .
SPECIAL,. CONDJTIONS 'f/ ·-
CERT OF occ• •~I\NCY ISSUED ' ' ,a! I L ' _,