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Home My WebLink About2621 ROOSEVELT ST; ; 83-134; Permit,,,. ;I ' .,, z 0 ~ CZ: C ... lil a C I[ 0 u C Ill a ... 5 ! Ill z ~ 0 z .. 0 ;:: ~ z ": :IE 0 u .,, a:: "' ><: CZ: 0 3 ![ O I hereby affirm that I am licensed under pro,,lalona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. L,c No ___ __ Cllss I hereby afl1t111 that I am ~I Iron, the Contrac-1or· s Licensa Law lor the following reason (Sec. 7031.5 Business and Prof es..,,,, Code Any city or county which re- qu•es a pemMt to construe!. alter. improve demohsh, or reparr any structure. poor lo its tssuance also requtres the ap-plicant for such perm,I to hie a Sljlned statement that he is lansed pursuant to the prOVIS,ons ot the Contractor· s L-Law (Chapter 9 commonc,ng ,.,th Sectoon 7000 01 O,v,sion 3 DI the Business and Protessions Code) or that Is ex· empt the<efrorn and the basis lor the alleged exemplJDn; Any VIOtatoon 01 Sect,on 7031.5 by an appl,cant for a perm,t sub- jects the applioint to a c,vil penalty ol not more than f,,e ltlrn· <Ired dollars ($500) □ t. as owner ot tho properly. or my employees with wages as the,r sde cornpensatoon. wlll do the worl<. and the struc- ture Is not intended or ottered for sale (Sec 71J.1◄, Bus,ness and ProfeSSl00S Code , !The Contractor's License Law does not apply to an -01 propesty WIICI btJolds or Improves thereon and who does such work hmself or th!ough hlS own employees. provtded that such lmp,cwements are not Intend· eel or ottered for sale II, howeffl, 11,e buitd•ng or """'°'"' ment Is sold w,tt11n or,e year 01 completion, the owner-bu11der will have the burden ol proving that ho did not build or Im-prove for the purpose 01 sale) □ t, as owner of lhe property, am excluslvlly contracting ,.,th licensed conlractors to construct the proiect (Ser: 704◄ Business and Profess,ons Code The Contractor's License Law does not apply 10 an owner ol property who bUllds or Im-proves thereon. and who contracts tor each projects with a conlractor{s) licoose pursuant to the Contractor's License Law). □ As a -ner I am lmprovmg my home. and the follow· mg conditions exist i· r~ 11.::l·:~ ~~ r.:,"" :~'" rnonlhs 3 rt: ::'p::.Oof t~i': ~tlon during the lasl lhree years □ lamexemptunderSec ' ;,. ,B&PC lor U.s reason □ I hereby att,rm 11\a.1 IN~ a cet11hca1e ot consen1 to self-insure. or a cer11t,cate of Workers Compensation insurance. or a cert1f1ed capy thereol !Sec 3800 LaOO< Code) POLICY NO _ COMPANY O Copy 1s hied w,th the city 0 Certified coc,y 1s hereby tum,sfled CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sechon need not be completed 1f lhe permit ~e hundred dollars ($1001 ot less) ~I ~ett1ty that 1n the per1otmance ot lhe work IOJ ~ ttus permit 1s issued. I shall no! employ any person ,n ~Y manner so as to beeome subtt'CI lo the Wor1'ers Compensahon Laws ot Gahfomta NOTICE TO APPLICANT If. alter mol<in, tn!S Cent ltcate of Exemption. you shouk! become sut>Ject ,., the WOtkers· Compensation prov,s1ons of !he Labor Cooe you must fonhw1lh compty wtlh such prov1sK>ns o, ttus perm,t shall be deemed re~ecl 0 I hereby affirm 1Nt 1here ,s a construction lendmQ agency tor the performance of !he wofk tor wh,ch lhtS perm,1 IS IS$Ued tSec 3097 C,v,1 Code) Lenders Name ___________ _ Lendef • A<klren __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT JOB AODRESS M~~r AV. ST. DATE OF APPLICATION 8USINESS LICENSE # ~!21 RD. ?,-'3-0-53 C:i,O { OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE • SLAW S ~ ~ -2.o.s-s- OWNER'S MA,, NG AOORESS b-:i.. t -WJ ~v~T BLOCK SUBDI V ·SION ASSESS,S~E)~~ J. 'l:IW DESIGNER LICENSE# .'.la-S'"7 ~-, Dr;/R1PT10N oF woRK ~ K Pp ~ 11....i _ OESIGNER'$ ADDRESS 0£$tGNER'S PHQIIIE 2 VALUATION PERM IT NUMBER u:: ~--?:-,~ <O ZONE . 0 a. E Q) I-PLAN 1.0. # BLOG USE CODE I 'O 0 STANDARD PLAN# I BUILDING SO. FOOTAGE I (!) c <O ~---I F/P FLRELEV., I vO NO --- ~ STORIES I occ GP I EDU etteSi oo"b1ie&e ~ ,ji.101,.~3 OfJOrlj6 ti'eO~] JP· ~1a~0 ~· 1-,4ei, i3J CENSUS TRACT GP LANO USE PARKING SPACE RES UNITS GRAOJNG ~ERMIT ISSUED REDEVELOPMENT I AREA YO H □ vO NO QTY. PLUMBING PERMIT · ISSUE /~ QTY. MECHANICAL PERMIT · ISSUE 1 EACH FIXTURE TRAP ~ 42, INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT BOILER /COMPRESSOR UP TO 3 HP BOILER /COMPRESSOR 3-15 HP EACH GAS SYSTEM I TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE METAL FIRE.PLACE +------+---+- EACH INSTA~. ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOFTNER EACH ROOF DRAIN (INSIDE) - TOTAL PLUMBING I QTY. ELECTRICAL PERMIT · ISSUE NEW CONST EA AMP SWT BKR I PH 3 PH EXIST BLDG EA AMP/SWT/BKR 1 PH 3 PH REMODEL ALTER PER CIRCUIT TEMP PO LE 200 AMPS I I OVER200AMPS TEMP OCCUPANCY 130 DAYS) 1--+ ------~ ----+- L/9-:-;; 5-- . TOTAL ELECTRICAL -l ~ ~ --~ VENT FAN SINGLE DUCT MECH EXHAUST -HOOO/OUCTS RELOCATION OF EA FURNACE/HEATER TOTJ.L MECHANICAL QTY. SOLAR · ISSUE COLLECTORS STORAGE TANKS ROCK STORAGE ' PUMP PLAN CHECK FEE - TOTAL SOLAR CONST I TYPE ,"?- I occ LOAO I FIRE SPR vO NO Not Valid Unlffs MKhiM ~rtifi«J SUMMARY/ACCOUNT NUMBER BUILDING PERMIT SIGN PERMIT Pl.AN CHECK TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE.HOME MOBlLEHOME PARK INSP OH)O·OO·B220 OH)0-00-8221 01 ·00-00-8806 01·00-00-8222 /I!) .tfl) 01·00-00-822L_l----------t 01 ·00·00-8224 01 ·00-00·8225 SOLAR 01·00-00·8226 I STRONG MOTION 80-92·33·0519 FIRE SPRINKLERS 01·00-00-8227 PUBLIC FACILITIES FEE 32·00-00-8923 I I BRIDGE FEE SCHOOL FEE • DISTRICT Garlsbad 80-92·21·0519 ------------1 Encinitas 80-92 -22·0519 San Dieguilo 80-92· 23·0519 San Marcos 80-92·24·0519 TOTAL FEES PAYABLE 7 \0 ':!f:__. ER .. NO DO HEREBY E•prabon Everypem11tisMiedbylllla8uildingOfficial...--pro,,i9oOnSoftllta I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION ANO p MIT A Code altatl ••p,re by limitat,on ancn,ecoma null and YOicl II the bulldif111 or won * AN (attA W a NQIMEO ~ EXCAVATIONS OVER 5' O"' DEEP .0 D8IOUTl0N OIi OONSTAUCTION Of S1IIUC1UMS OWSI 3S10RES IC HEIGHT CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authO<IZad by SUICh permit,. not commenc:ecl Within ,.,c1ay,1rom llledalllofluch DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit or ,f Ille buildong or -au1horiacl by 1UC11 permit • ....,,._ or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• L!aban!!!!!!!-!!!!!!!!!..!al!!_!a!!l_,!!:-!!!!,~a!!;fter!!_!the!!!_!-~JiS!.~~!!!!!!!!:!!!..!!'°'!!.!a~!!2!.2L1!JIIJIIIIL.,:::;-r~~~~~----------~-::------, STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICArmt RE If, OWNER□ CONTRACTOR APPROVED BY OATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO ~ ftt2~ ~ k~ EXPENSES WHICH MAY IN A"Y WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE X BY PHONE O \ I "2.. GRANTING OF THIS PERMIT. _ __ ../ ~ 7 / .:,,: C a: 0 rn rn Q) rn "' <( I ~ .2 ~ >- rn rn CII 0 0 c[_ <O '° 0 §: Q) 0 C <O C u:: C Q) ~ (!) 0 0 Q) a. "' C ~ C. ~ J .... ... . INSPECTION TYPE DATE INSPECTOR -- BUILDING I FOUNDATION REINFORCED STEEL = MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME ' SHEATHING FRAME EXTERIOR LATH lNSULATION ' JI INTERIOR LATH & DRYWALL PLUMBING i -- , SEWER AND BL/CO ~ I PLUM.BING UNDERGROUND PLUMBING TOP OUT --TUB AND $HOWER PAN GAS TEST ' I - ELECTRICAL ! I TEMPORARY POWER ' ELECTRIC UNDERGROUND ROUGH ELECTRIC . ELECTRIC SERVICE I ' BONDING I G. F. I. -SMOKE DETECTOR I ' MECHANICAL I I DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN All APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. JOB SITE FINAL PLUMBIN"G ELECTRICAL ' MECHANICAL GAS BUILDING SPECIAL CONDITIONS ' CERT OF OCCUPANCY ISSUED - I 8 3--I ~Y, -- FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES REQ IF INSPECTOR'S ' INSPECTION CHECKED APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED j' CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY - - --PILES CAISSONS ! - .. -- ~r" - -... ~ - nr :19;,~a t~ ~,'. \~~ r ~,·l!i:==--~~C~lE.: :I ~• ~-•': ' ..... -_ c;_ ,,,.. •• ~,~:,,~-3~~ I . ~= •. •- ' - ! re - ' ' ' ~ . ,_