HomeMy WebLinkAbout2805 ROOSEVELT ST; ; 87-981; Permit.., z 0 ;::
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' Q I ,,.,.eby affirm that I am licensed under
pr0¥1alona of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Profaaalona Code, and my license is In
full force and effect.
hereby •ttirm tNI I am tx.eniot Jrom the Conu~ 1or s Ltcense law lor the tonow,ng reason (Ste 7031 ~
&Jsmess and Prottss1ons COde Any city or county whK.r, re· quires a i,erm,1 10 consuuct -aiter unprove demohsh or repair any structure poor 10 ,ts ,ssu,nce a1so requ,rts :heap-
plant !Of such oe,m.l lo hte a s,Q(led SliUemtnl that rte IS
licensed pursuant 10 the prov1s10nS ot rne l,;Ontr~1or s Lteanse Law (Chapter 9 commencing with Sec11on 7000 of
IJ,v,s,on 3 ol lht a.,..,.., ind Proltis,ons Coo,, or Iha!" ex-empt therefrom and lhe balm lor lhe auegeo eJempt10n Any
V10!al10n of Sect.on 7031 5 by an apphc.inl lor a perm11 sub·
Jetls 1ne apphcant to a CIY~ pentllty ot no1 mo,e than live hvn
dre<I dollars (S500)
I as owner 01 tile property, or my employees with wages
as lhetr s~ compensa1,on win do 1he WOl"k and !he suuc·
lure 1s not mlerlded or ottered IOI' sale (Sec 704' Business
Jncl ProfesStOf'I~ Code The Contr.actor·s lanse law does
no1 apply ro an owner or prQPefty who builds o, improves
ll'lereon and wMI does such wOfk htmseU Of through his own tmoloyees. provided lhat such unprovements are nos mlend·
ed Of ottered for sate II however the boil(hng or 1mpro,,-e-
men1 1s SOIO w1Unn one year of complebon. the owner·budder
w,n have lhe burden of provmg lhal he did not bu•ki or ,m
l)fOYe lor Ille purpose 01 Sile)
I. as owner ot the property am exclus,vety con1,ac11ng
with hcenSed contractors 10 coos1ruct the prOJICI (Sec 70◄4, Busmess and Protesst0ns Code The Conuactor·s Lecense
Uw does not appty to an owner of Pfoperly who bu1kls Of im-p(OVes: thereon ano whO conu acts tor each pn)tects with a
con1rac1or1s1 hcense pursuant 10 the Contractor's l~nse Law)
As a -ner I i1!1 ornprov,ng my homo •nd Ille l-ing Condlll(lf15 e,:1s1
1 The work 1s t>emg performed puor to sale
2 I have l1ve<J in my home !Of twelve fflOnlhS
pnor to compi.etlOf'I ot thrs wOfk
3 I have not claJITl!d this exemplion durmg lhe last three years
D I om exernpl under Sec _____ _ B&PC tor thts reason ___________ _
CJ I hereby at11rm that I ha\oe a c:ert1l1cate of consent 10
sett-insure Of a c:erhhca1e ol Wo,kers Compensa11on In-
surance Of a cer11t1ed copy 1hereo1 (Sec 3800. Labof Codel
POLICY NO
COMPANY
~ Copy IS hied With the Ctly
:J Cerlllted copy ,s l"lereoy furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
tTh,s section need nol tHt com~e1ed 1f the permit
1s tor one hundred dOllars ($ 1()0~ or less}
~ 'cen,ty lhat in lht pe,fo,mance QI !he WOfk t0f .... titCh
tl'\1s permit 1s issued I shall not employ any person in any
manner so as to t>ecome sub1ect lo the WOfkers Compen•
satt0n Laws of Californ,a
NOTICE TO APPLICANT; If. after making lhlS CemOcate
ol E11empt1on. you shOuld become sub1ect to the Workers
Compensa11on p,ov1s1ons ol the LabOf Code. you mus!
tor1nw1th comply with sueh P,0"'1s1ons or nus permit shilU
be deemed ,evoked
I 0 I hereby alf11m 1nat lhe,e 1s a construchon tending I
agency fOf lhe pe1formanceof the wort( to, which tl'tts per
m,t IS issued {Sec 3097 C1v1I Cooe) I
Lender s Name I
Lender s Address
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO flLL IN INt-Vn111"11vr1 n,, n n, ... , "''
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS J?~.d-A V:TRD THOMAS BROS NO.
v~z;TION
1
BUSINESS LICENSE • VALUATION -3/RMIT NUMBER
~5 g --
LOT BLOCK I sueD1v1s10N I ASSESSOR PARCEL NO CONTRACTOR ,I' CONTRACTORS PHONE • ZONE 9 t ( , .)O ~I V I 1...)...0Q "f'cf.t'
O~E/4/2< 1 7~9::;:~NE A0,b/ CONTRACTOR'S ADDRESS STATE LICENSE NO BUILDING SO. FOOT AGE
OWNER'S MAIL1N G ADDRESS ;/s¼
sc,m:
:J. '1-5/ df~ Ck:/c_ o ESIGNSc~ DESIGNER'S PHONE
OESCAtPTrQN 0:,/RK / -f7r _/4 1,/. _J. -1~ad~ Pc; di ,,,. ;-> -/ OEStGNER"S ADDRESS STATE LICENSE NO
£Id arl /JC'~# /?r,,n, ';I tt,, .-.1...L.-r:-zr sc;.m~
F p F LR ELEV NO ace GP EDU
~ £-/}i ¢.. I (\I' :r-~~r:J, STORIES . •. vO "D I CENSUS TRACT I PARl(ING SPACE l RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT T YPE ace LOAD FIRE SPP
I AREA CONST 0010 Nru~d~i~ach~ft~f,~t ,□ ND ,□ ... o v□ NO 15-0\
QTY. PLUMBING PERMIT -ISSUE 7~ QTY. MECHANICAL PERMIT · ISSUE IS~ SUMMARY/ACCOUNT NUMBER _..,,.i-
EACH FIXTURE TRAP INSTAL L FURN DUCTS t.JP TO 100 000 BTU BUILDING r t t<MlT oo 1-810·00·00-~au _,c:r,.,.
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001 ·810-00-00-8221 ,,, ~
EACH WATER HEATER ANO OR VENT BOILER1COMPRESSOR UP TO 3 HP PLAN CHECK ( ~ I . ~:8A:o08'Gl ~
EACH GAS SYSTEM l TO 4 OUTLETS BOILER/COMPRESSO R 3 15 HP TOTAL PLUMBING oo:-liioi~tt-8'21 -
EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL •. _ Q!)l-810-00-00-8223 L.J ;--
EACH INSTAL . ALIER, REPAIR WAT ER PIPE VENT FAN SINGLE DUCT MECHANICAL 1 1 t lie 1-A-1rloo-W~{4
EACH VACUUM BREAKER ME CH EXHAUST HOOO OUCTS MOBILEHOME -•• Ql) 1·810-00·00-8225
WATER SOFTNER . RELOCATION OF EA FURNACE HEATER SOLAR --••1 V&1-: V vu uu ~ -~D
EACH ROOF DRAIN IINSIOEI DRYER VENT .. _.,.f_ r -·· -UDV< STRONG Mu
TOT liL MECHANICAL FIRE SPRIN~LERS 001-810·00·00·8227
TOIAL PLUMBING I PUBLIC FACILITIES FEE 320·810-00-00·87 40 -s-~ BRIDGE FEE 360-810·00-00·87 40
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA )
NEW CONST EA AMP SWT HK R CAR PORT TIF 312-810·00·00-8835
I PH 3 PH AWNING ,..,....--'l.4!i~~ LA COSTA TIF 311-810·00·00·8835
EXIST HLOG EA AMP SW T SKA GARAGE // -u ~ FMF
I PH 3 PH . /.' . _? t). LICENSE TAX 001-810·00·00·8162
REMOOE L All t R PEA CIRCUIT ,n -I'? ... ,.n MFF 880·519-92-57
TEMP POLE 700 AMPS 7-I C\J ~w. i"-
OVER 200 AMPS 1::::1 V' ,I '"'~"-
TEMP OCCUPANCY 130 DAYSI \N c\'\'(,_,•":: \. ")on-'.._ I'!-. "
\~ " 'rt..'-""-· .-. I ; CREDIT DEPOSIT ~ l
TOTAL ELELTRICAL I ~,.. ~ T\)T_AL ' TOTAL FEES PAYABLE ( l / /$'~-'-n'
I HAVE CAREFULLY EXAMINED THE COMPLETED ' APPLICATION ANO PERMIT ANO 00 HEREBY E~p1r1t1on E'lery perm,t Jltued by the Bu,ld,ng Oft1c111 unoer the prov1s1on1 ot tn11 * AN OSHA Pf.~ D FOR £XCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exptre by hm1tat1on and become null and v0td It the building o, work S o·· DEEP AND ITION 011 CONSTIIUCTIOH Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ authonzed by such permit 11 not commenced w,th,n 180 days from the dat~ \)t such STIIUC'l'UflES II 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON =~n':o '!, •=~v ~,:•~.~~~':~,:~!"~~:'~led~~~ :=-~~1~fs~:g-:.~ or ' STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
APPU C~TURE • ✓ OWNERi-l"' CONTRACTOR [J APPROVED✓~~ DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS ANO v:./1 /,17 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE // Av,-BY PHONE rJ GRAl'lTING OF THIS PERMIT
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'E ,TE INSPECTOR 1 DATE
BUILDING I fl 7-7 f{/ -
F_ OUNDATION I FIELD INSPECTION RECORD
_REINFORCED STEEL 1 1------RE_O_U_I_RE_D_S_P_E_C_IA_L_I_N_SP_E_C_T_IO_N_S-----r-ir------lN_S_P_E_C-TO_R_'_S _N_O_TE_S _______________ ---i
_MASONRY ! REO IF INSPECTORS
_GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
s_ us FRAME o FLOOR □ CE1~1NG so1Ls coMPLIANcE
S_HEATHING □ ROOF □ SHEAR PRIOR TO FOUNDATION INSP J _ F_RAME I ' •
EXTERIOR LATH : ~;~:~~~~:~1CONCRETE ~-.. '. ___ -
.
INSULATION I PRESTRESSED
. I CONCRETE I
INTERIOR LATH & DRYWALL I POST TENSIONED .
I CONCRETE ,
PLUMBING I FIELD WELDING
D SEWER AND BUCO [J AUCO -HI_G_H_S-TR-E-NG_T_H---+---+--------+----1
UNDERGROUND □ WASTE □: WATER BOLTS ._ I
TOP OUT □ WASTE □ ~ATER ,__sP_E_c1_AL_M_A_s_o_NR_v ___ -+------+------+-------< -------------------.,.......-------
TUB AND SHOWER PAN I t----------+----+-------t------1 OcA,.ro"'w~~u bl«>Ul2~~,i i~A? '
GAS TEST ; PILES CAISSONS Cl+" oi CVh t: .... ~ .,..
□ WATER HEATER □ SOLAR WATER t--------+---+--------+----1 _ . , , ,.
l I • ~•-' t
I A 1--------·-+---1-------+----t ~ . ' ., , ~ ~ -.) "\
ELECTRICAL : / I -----------+----+-----! -....... T, ., " ...... □ ELECTRIC UNDERGROUND q UFFER / / .J l; l _t V j_l J.:.-J_,, ~
ROUGH ELECTRIC t ~g,~~r/ .IL_~ 1----------+----+-----+----< _ ~
D ELECTRIC SERVICE D TEMPCRARY ' --0 ,.__ ______ ,.__ _ ___, _______ ___, -
□ BONDING □ POOL 1 " ,. 1-----------t---t-------+----1
I f'L------7>, ~~ ••r-, ,r---..;f' ,· ~· -• ~ ,.,--i:' I \A..-.!-'r • ._....__) \......i~.J L-......... .,...'", ,. •
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING 1----"·_1 ____ 1----+-------+---
HEAT -AIR COND. SYSTEMS 1 ~ _
VENTILATING SYSTEMS : ·
!
CALL FOR FINAL /NSPEC~~ON WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I
PLUMBING 1
ELECTRICAL ; -
MECHANICAL I / ' / .. _ ' ...
GAS I • ~ I J ~ .... tE-/--=-~...::;__ __ -+----+-----+------i +-----------------------------
BUILDING 1 1:J•lV v /~-; ~~
SPEcrAL CONDITIONS : 1 __,--
1 ...,. V ,.___ ______ __._ ___ .__ ___ ___._ __ ~ _ _ ~
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