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Home My WebLink About2621 ROOSEVELT ST; ; 83-135; Permit,,,.,, • Cl) z 0 ~ IC C ..J (.) .., 0 ~[ ~ 1-z 0 (.) IC .., 0 ... 5 ~ .., z ~ z 0 .: ~ ..: z .., A. :IE 0 (.) Cl) ir .. .., "' IC 0 :t ;l D I hereby affirm that I am licensed under provisions 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 _______ Class I hereby allinn lhal I am exempt from the coouac-tor's License Law lor the lollowlng reason (Sec. 7031.5 Business and Professions Code: Any city or county which re- Quires a permit to construct, alter, Improve, demohsh. °' ~~i~t3r& ~itu~~o11i~5 ~s~~~e :~e=r~;~t licensed pursuant lo the pc-OVisioos of the Contractor's License Law (Chaple, 9 commencing wllh Secoon 7000 of Division 3 of the Bosiness and Professions Code) or that is ex-empt therefrom and the basis lor the alleged exemption. Aff'f , VJOlallon of Seclion 7031.5 by an applicant for a perm,, sub-ieets lhe applicant to a clvtl penatty of no! more than fr,e hup-dred dollars 15500). D I, as owner ol lhe property, or my employees with wages as their sole compensatiOn, wm do the work. and the struc• ture Is not lntende<l or offered for sale (See 7044, Bus,ness 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 lhrough his own employees, provided thal such Improvements are not intend· ed or offered lor sale. ii. how&Yer, the 0011o,ng or imorov.- ment is sold within one year of.comp1etJon, the owneHx.1ilder will have lhe burden of pr .. ,ng Iha! he did not build Of Im-- -tor the purpose ot sale). D I, as owner of lhe property, am exclusively conlract,ng wilh ffcensed contractors 10 construct the projecl (Sec. 704◄, Buslne,s and Professions Code: The Contractor's License Law does not apply 10 an owner of property who builds or im-proves theleon. and who contracts fo, each projects with a contractor(s) license pursuant lo the Contractor's License Law). D As a"""-""' I am i!nproving my home, and the follow-ing conditions exist: 1. The work is being performed pr,or lo sale. 2. I have lived in my home for twelve months prior to completton of this work. 3. I have not claimed this exemption during the last three years. □ I am exempt under Sec ______ , B & P.C. tor this reason D I hereby afhrm lttal I ha..-e a cer'hfaea.te of consent to self-insure, or a cert1f1ca1e of Workers Compensation Insurance, or a cert,hed copy thereof (Sec Jl!OO ut>or Code) POLICYNO __ COMPANY □ Copy IS hied With the City 0 Cen1t1ed COi))' Is hereby furnished CERTJFICA Tl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 11 the permit ,s tor one hundred dollars (S 100, or less) 0 I cen,ty that 1n the performance. of the wQOI. tor -,h1ch this perm11 1s issued, I shall noI employ aoy person m any manner so a.s 10 become sub1ec1 10 the Workers· Compensation Laws of Calltom,a NOTICE TO APPLICANT II. alter makm1 th,s Cert• f,cate of Exemption, you should t>ecome sub1ec1 ,., lhe Wor1<e1s· Compensation prov,s,ons of !he Labor Code, you must t0t1nw1tn comply w11h such prov1s1ons or lhtS permit shall be deemed revoked 0 I nereby affum lhal there ,s a construc11on tendmg ~ency tor 11"\e perfOfmance ol 11"\e work for whtCh ll'HS perm1I IS issued lSec J097 C1v1I Code) Lendef s Name ___________ _ Lenders Address __________ _ 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 ADDRESS UZI /k;SeNBL-r ¥. A~-i-Tr~ ~~Le3NI BUSINESS LICENSE # OWNER'S NAME "': OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE • ~ VALUATION e,,d 8-: PERMIT NUMBER u::: LP->Sl=,-3->-~ ZONE 13=5 0 a. E Q) L-2 ~Al~ l 7zf1_-4448 &o_~C~ 741 ....-C,.-T-:1 OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS I Q,z(' d:G/2,A-tJ O 4i I&? LICENSE NO. PLAN 1.0. # I BLOG use CODE I >-I 'O ~€, "3S2-llZ. LOT l BLOCK I SUBDIVISION I ASSE~~J~Ai8.8Et N~ ~ G o DESIGNER I g:secJ,.JD, IX) LICENSE # STANDARD PLAN # I BUILDING SO. FOOTAGE IS DESCR•PTIO"' OF WORK DESIGNER'S ADORESS ~7YZ{k:::(' /gt) 'vF W~t.-T1J ~ 4-of?C:1C:BS r;;!i:!"L' <;.,... \ ~ 6,. CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS GRADING ~ERMIT ISSUED YO ND F/P FLR ELEV. vO NO REDEVELOPMENT AREA vO NO ~ STORIES TYPE CONST DESIGNER'S PHONE OCC GP EDU OCC LOAD FIRE SPA vO NO -~--'ia6' ·1SoulliasiJ,:ii;s~o, ~i: --~ Nor Valid Unkss Abchine Certili«I •lati.e tsu.H QTY.I PLUMBING PERMIT -ISSUE l-f!. QTY.I MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER \.<S>l-CC EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER AND/OR 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 METAL FIREPLACE 1----1--------------- EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS _____ .,_. ___ __:._-4 __ ,._ __ WATER SOFTNER RELOCATION OF EA FURNACE/HEATER EACH ROOF DRAIN (INSIDE) LI -TOTAL PLUMBING I TOT.I.L MECHAN>CAL ~ QTY. ELECTRICAL PERMIT· ISSUE s--QTY. SOLAR -ISSUE _/ .. ~I\ NEW CONST EA AMP/SWT BKR co/iECTORS :7' // 7 1 PH 3 PH EXIST BLDG EA AMP/SWTIBKR :At I s#AGE TANJY" /]7 / Rf;~AG/,.., '\ :¥7 1 PH 3 PH • I ~ k~P/ J J Y / A~ ,1 fl/ REMODEL/ALTER PER CIRCUIT , • TEMP POLE 200 AMPS ------~--~r--~-r lt---+--JJ--r OVER 200 AMPS -----------------r-./ TEMP OCCUPANCY (30 DAYS) I I BUILDING PERMIT \(, '7--01-00-D0-8220 SIGN PERMIT 01-00-00-8221 PLAN CHECK 01-00-00-8806 ~-~ TOTAL PLUMBING 01-00-00-8222 ELECTRICAL 01-00-00-8223 MECHANICAL 01-00-00-8224 MOBILEHOME 01-00-00-8225 :71~ MOBILEHDME PARK INSP -- SOLAR 01-00-Q0-8226 STRONG MOTION 80-92-33-0519 <n FIRE SPRINKLERS 01-00-00-8227 PUBLIC FACILITIES FEE 32-00-00-8923 BRIDGE FEE SCHOOL FEE -DISTRICT Carlsbad 80-92-21-0519 Encinitas 80-92-22-0519 San Dieguilo 80·92-23-0519 San Marcos 80-92-24-0519 ----~ ------1----------t--------11----------------------+------------t .L --------;-· TOTAL SOLAR TOTAL FEES PAYABLE J 134 .3?' I HAVE CAREFULLY EXAMIN~HE COMPLETED 'APPLICATION AND PERMIT" AND DO HEREBY . Expiration Every permit ISsued by the Building OfflC!al under the provis1onsoflh1s CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm,tellon and become null and void II the bu,ld,ng or work DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS author,zed by sucn perm,! 15 not commenced w,th,n 180 days from the date of such * AN OSHA PUMIT IS REOOIAEO FOR EXCAVATIONS OVER 5· 0" DEEP AND DEM<ll.lTION OR CONSTRUCTION OF STRUCT\JR£S OVER 3 ST~ES IN HEIGHT ISSUED· TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON ~•m::o ~•f the build•nx or woric •uthorized by auch rm 15 suspended or STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO '-:8:::8n77,:;':n:7.':-;:1;:-t '::1"':'=''"''m"'=e_,,a=•r~l~h:!.e:.w~o~rk~••~c~o~m~m!!:e!!!n~c:!!!ed!!..!!10:!!'...!8!.f:~00!!!..!0~1...!1.!!80!!..!!d!!.11'.JSL __ .,_ ...... _____________________ .... KEEP HARMLESS THE CITY Of-' CARLSBI\D AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICANTS SIGNATURE • OWNE CONTRACTOR O APPROVED BY DATE EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE.,..... Ila ~17',-r ~ GRANTING OF THIS PERMIT. ~ J,1 "---BY PHONE 0 • _,,J '\ ~ 13·3?·~ c Cl! .!:! a. a. <Cpp, I '1: .,i:. C a: 0 f/) f/) Q) f/) f/) <( I 3: ~ Q) >- r/) f/) Q) 0 0 it Cll <ii 0 ~ Q) 0 C Cll C u::: C Q) ~ <.!l 0 u Q) a. f/) C ~ .c 3: .. INSPECTION TYPE DATE INSPECTOR - BUILDING I I FOUNDATION I . REINFORCED STEEL . MASONRY GUNITE OR GROUT I I FLOOR & CEILING SUB FRAME SHEATHING ' I , FRAME I EXTERIOR LATH lNSULATION I ' INTERIOR LATH & DRYWALL I ' PLUMBING ' -- ._ SEWER AND BL/CO ' ! ...... ' PLUMBING UNDERGROUND I PLUMBING TOP OUT I TUB AND $HOWER PAN j I GAS TEST j ELECTRICAL 1 I TEMPORARY POWER I ELECTRIC UNDERGROUND I ROUGH ELECTRIC I I ELECTRIC SERVICE I BONDING G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL ' MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED g.,-c -( "&S- I FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ. IF INSPECTOR'S DATE CHECKED APPROVAL - SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI ,. PRES TRESSED CONCRETE ,, ,. POST TENSIONED . CONCRETE FIELD WELDING HIGH STRENGTH ' BOLTS SPECIAL MASONRY PILES CAISSONS ' -C - ,. .rtr~CJ ~\~r:~::; i;j• -!'" l . .\'2\ir,,eJ E!~~ I tlJ I, : r.: • . - ) ,,. - ,......_ \ - ' ,, ;