HomeMy WebLinkAbout2715 ROOSEVELT ST; ; 82-421; PermitCl) z 0 ~ a: j
&l 0
a:
i[
8
a: "' a .. :i ~ "' z 3 0
z 0 ~ z "' IL :I 0 0
Cl)
ic "' "' a: 0 3
1[
O I hereby affirm that I am licensed under
provlalona 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.
Lte No ______ Class _____ _
I herel)y affirm that I am exempt trom the Contrac· tor's License t.aw tor the tollowing reason (Sec. 7031.5 Busmess and Professions Code: Any city or county which re-
quires a permit to construct, alter, impr0\19, demolish, or repair any structure, prk>r to its issuance also requires the ap· plicant for such permit to tile a signed statement that he Is
licensed pursuant to Ille provisions of the Contract0<'s License Law (Chapter 9 ccrnmenclng with Section 7000 of Divls10n 3 ot the Business and Professions Code) or that is ex-empt therefrom and the basis tor the alleged exemption. Any
violation of Sect,on 7031.5 by an appl,cant for a permit sub· jects the applicant to a civil penally ot not 11101• than five hun-
dred dollars (S500).
0 I, as owner of the property. or my employees with wages
as their sole compensation, will do the WOfk, and tht struc· ture Is not intended or offered tor sale (Sec. 7044. Business
and Professions Code: The Contractor's License Law does not apply to an owner ot property who builds or improves
thereon and who does such work himself or through his own employees, provided that such Improvements are not intend·
ed or offered for sale. It, however, Ille building or improve-ment is sold within one year of completion, the owner-builder
will have the burden ol proving that he did not build or im-prove for the purpose ol salt).
0 I, as owner ol the property. am exctustvety contracting with licensed contractors to construct the project (Sec. 7044.
Business and Professions Code: The Contractor's License Law does not apply to an owner ol property who builds or Im·
proves thereon. and who contracts for each protects with a contractor(sY license pursuant to the Contractor's License Law).
0 As a homeowner I am Improving my home, and the loliow· ing condiOons exist: t /'t:'~~ be/~g ~rt= r~ior i!°e~•;,,onths
3. r~.:.-':i~1~ol :i: ::~plion during the last three years.
0 I am exempt under Sec.----,:--. B & P.C. for this reason
D l hereby affirm that I have a cen,ticate of consent to self-insure, or a cert1f1ca1e of Workers'
Compensation Insurance. or a cen1f1ed coPy thereof
(Sec 3800, Labor Code)
POLICYNO __
COMPANY
□ Copy IS hied Wilh the Ctly
0 Certified copy 1s ttereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
{This section need not be completed 1f the permit
1s tor one hundred dollars ($100) o, less)
0 I certify that in the performance of the woriil fO<
which 1h1s pemut ,s issued. I shall not employ any
person in any manner so as to become subiect to
the Wor1ilers· Compensation Laws of Cahfomia
NOTICE TO APPUCANT It, after makin" trus Cert, flea.le of Exemption. you should become sub1ect l'l
the Wo'1ters· Compensation prov,sIons ot the L..abof
Code. you must IOf'1hw1th comply w11h such provisions o, this perml1 shall be deemed ,~oked
D I hereby affirm lhat !here Is a construc11on
1end,r19 agency tor the performance of lhe work 101 which this permit ,s issued (Se<: J/Yj7. C1v1I Code)
Lenders Name ___________ _
Lender·s 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 (714) 438-5525 APPLICATION PERMIT
JOB 27i~,,PC)t:)" ~ r/ J:l-( '-1.
3 5
_;) .)O~ A~i.T-,D/~0:A;l~T~ BUSINESSLICENSEtt VALUATION rg-:;_~TNUMBER
'ft';-; 0 0 0 V ' tf, EC s ,II ,f /<;'. I , ....... =•• °'"'"'°''" =,--~""" '°"' 1:;;. I !
owNER·s MAILING ADDRESS/ , .._ CONTRACTOR"S AODRESS LICENSE NO. PLAN 1.0. # BLOG usE CODE I
0--0;, 'i S jf Ill~ OC&AA/ s r Oe.L ~ --:2
LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. ,,. DESIGNER LICENSE., STANDARD PLAN# BUILDING so. FOOTAGE c3
1,1 .. --. -DESCRIPTION OF WORK __ _ _
DESIGNER'S ADDRESS DESIGNER'S PHONE "'"' u).., I c:. I 1 ' r;':;J., · 1 C
t----,,-1-.---,-/-----:,-. 1 -/l e._-C.~hJ.----/,---------. -~
L-,,-/)_/rl p r .1}_µ \..._S (E;.,/~ y -----F/P F LR ELEV. NO OCC GP EDU • ~
STORIES ~
~NO --I
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRAOING PERMIT ISSUED I REDEVELOPMENT TYPE occ LOAD FIRE SPR ""' . AREA CONST E
YD N D vO NO vO NO Not Valid Unlffs M.chine <Artifi«I a.
QTY. PLUMBING PERMIT · ISSUE 7 §;!.-QTY. MECHANICAL PERMIT· ISSUE 3 '!:!-SUMMARY/ACCOUNT NUMBER pt!} g
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100.000 BTU BUILDING PERMIT 01·00-00-8220 .,,.;;./. ~ --gi
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01·00-00·8221 ' ~ ,-.....-....-----------------+-------+--+---------------------t-------1i--------------------i---------, <
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 I
EACH GAS SYSTEM I TO 4 OUTLETS BO ILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00-8222 ;;::
0 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE _ ELECTRICAL 01-00·00·8223 ~
EACH INSTAl-. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00-00-8224 >-
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP ---+----------, ~-
EACH ROOF ORAIN (INSIOE) <:n1 •" n1 .nn.nn.oooc e
0 -TOT.t;L MECHANICAL STRONG MOTION 80·92-33-0519 -0::: ....... -~--------------~---------,1
TOTAL PLUMBING I FIRE SPRINKLERS 01·00·00·8227 ~
<O
QTY. ELECTRICAL PERMIT -ISSUE '1 iJ'!!.-QTY. SOLAR. ISSUE PUBUC FACIUTIES FEE 32·00-00-8923 ~ ~ --BRIDGE FEE -
' Q) NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE. DISTRICT g
I PH 3 PH STORAGE TANKS l Carlsbad 80·92·21·0519 ~
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92·22·0519 U:
I PH 3 PH PUMP San Dieguito 80·92·23·0519 ~ -I REMODE L/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519 c
TEMP POLE 200 AMPS --------t--------➔---t--------------------t---------111-----------------+---------1 ~
OVER 200 AMPS C,
TEMP OCCUPANCY 130 DAYS) -----,--1·
0
TOTAL ELECTRICAL I -, . TOTAL SOLAR I TOTAL FEES PAYABLE c:?(5,:J-0 l
C
I HAVE CAREFULLY EXAMINED THE COMPLETED ·'APPLICATION AND PERMIT"' AND DO HEREBY Explral,on Ewirypermit •ssued t,ytheBu~cltngOfflcial~ndertheprovis1onsofth,s * AN 06HA P£RMIT IS AE0UIRE1> FOA EXCAVATIONS OVER -1 I
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ahatl expore by llmttat,on and become null and vo,d fl the buold,ng or work 5' O" DEEP ANO 08110U110N QA CONSTRUCTION OF
S author,zed by such permit 11 not commenced w1lh1n 180daya from thedateolsuch --or a, · DECLAR.ATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I permit or 11 the building or won,, author,zed by such ptrmit 11 suepended or STRUC,~ EA 3 STORIES IN HEIGHT _
ISSUED· TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned at any tune after the wortc ,s commenced for a le;;;,;:,• ol 180 dav• •
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE ~ 0)/\NE CONTRAC O APPROVED BY ~" ~1/( ½ V,. ~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND TOA 'I-Vi t
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE Y'7 r,;-;;-, A\ /71 A .II BY PHONE O ....,.,... I
GRANTING oF THIs PERMIT. /r"'......'it-lk"r , ,. , .. ~ .,n-,,JL v ~ l L
INSPECTION TYPE DATE -· ··-INSPECTOR .. -
BUILDING
-FOUNDATION
REINFORCED STEEL >
MASONRY
I
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME .
SHEATHING
I FRAME
EXTERIOR LATH lNSULATION '
~ INTERIOR LATH & DRYWALL
PLUMBING --
SEWER AND BL/CO .
PLUMBING UNDERGROUND
"' PLUMBING TOP OUT
TUB AND ~HOWER PAN
GAS TEST ''
ELECTRICAL t 1·
TEMPORARY POWER I,.
~
ELECTRIC UNDERGROUND '.
'
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 HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
.
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPEC TION REO IF INSPECTOR'S
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH ..
BOLTS
SPECIAL MASONRY
-.
~
PILES CAISSONS ' .
j
'
-
-. ....
-
-
-. ~:).rLJ ~\ V --
1
INSPECTOR'S NOTES
DATE
--~
1 -
,,
,, •.
" '
'. ' . ..
'
;,.
·' . C
.
l . -· .
~ f"\ 1 ,-' ;J -,,
1 L \t_' -
.. i '
-
. ,: ----.
"
-
\
.
-. I ~ -. , . .,
t. CUfilf' l. TT-\1\f(. t:. GI:. ITT fl· J. CA 11 U ~
(Section 221 (d) ·2 (f) National Ho using Act)
IONE ELSNER, 2034 SOUTH HILL STREET,.OCEANSIDE, CALIFORNIA ,(92054 )
Mortgagee · ------,---------
Property Address:
271 5 Roosevel t Street Car1sbad 10 Ca li forni~ 92 008
Street City Zip
IT IS HEREBY CERTI FI ED by the Undersigned:
1. That he is the Buildi ng In spe~tor of the --------;(r,;:o-=-t f-::-,i~c...,.,i~,....,,1:--:T~i t:-::-1-e~} ---------
Carlsbad, San Diego County f City-County)
Ca 1 i forni a·
State
2. That it i s ·a part of his official duties to inspect and/m· determi ne whether
buildings, structures, real property or premises meet or comply with the
requi r ements of State and local Laws , Ordinances·, Codes, or Regulations relating
to Public Health, Safety, Zoning or otherwise, whi ch may be applicable t hereto .
3. That on .October 5th , 19 ~ , t he property of premi ses above
descrjbed was inspected and as of that date said property or premises and the
structures and buildings located thereon did meet and comply with the require-
ments of all said laws~ codes and ordinances applicable t he~eto.
4. That on · •, 19 , t he property or premises above
described was inspected and as of t hat date said p1~operty or premises and the
.. structures and bui ldings located thereon did not meet and comply with the
requiirements of all said laws , codes and ordinances applicable thereto fo r the following reasons: · ·
DATED This __ 5_t_h ______ ::: g::·-d-}~_-_\----=O::=-ct..;__' o;...:b..::.e_r -~---.s...:~--~-,~ •
~NS~
Title
(Name Print ed)
BUILDING INSPECTOR I
_..,. .... ·--.,_ ..... ,.. --~ .,,,•-::--· .. -.. :.,. _____ . ____ · . .:....-------~--·-· ... --~-... --~----~·---
( D l.-U'-<OM l+ rv-1~ c(7f\J~~ .
(}N ~ (!)~w~~\ 1cq~2--, _1 \~Sy..;)~
---rvff:1 ~U l L-0 J N6 IA-~ 'd 115 ,/2o-P$~~
{JA-QL/4f3/2r0 J /4100 ;::-cn_,1 f.-JO t 1 7iJ gt//8 --
. 577Ml Tl i;1·1,,v( (JoY> .f»w-d11 ~ Ap u~
&/O@S &f=' t:Nl2 Jv~\~D10nav--J
~-... ""-·'C~
~t=rt--'tJ I ~ Jo rf~~
73u1 e-,01 tJ6 T., 1y0ez r mL