HomeMy WebLinkAbout2750 ROOSEVELT ST; B; 83-459; PermitUI z 0 ~ C ac C ... 0 ... 0
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0 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.
lie No ______ Clas$
I hereby affirm thal I am exempl from the Conlfac• l0<'s License Law lor Ille tallowing reason (Sec 7031 .S
Business and Professions COde Any c,ty or county whicli re-quires a permII 10 conslruet alter. improve. den'lo'1sh, or
repair any structure, poor 10 ,ts issuance also requires !heap--phcant for such permit to tile a sI9ned statement that he Is
licensed pursuant 10 the prov1s1ons ol the Contracto(s
License Law (Chapler 9 commencing wIlh SeclM>n 7000 of Otv1s1on 3 ol lhe Business and Profess,ons Code} Of lhal 1s ex·
empt lheretrom and lhe baSls tor the illegea exemption Any YlOlauon of Sectt0n 7031.5 by an apphcant lor a perm11 sub· Jeels the apphcant to a c,v,1 penalty ol not more than five hun•
dred dollars ($500)
0 I. as owner of lhe property, or my employees with wages
as lheir sole compensalion. will do lhe work. and lhe siruc-ture is not intended or oflered for saJe (Sec 7044, Business
and Prolession5, Code The Con1ractor's License Law does not apply to an owner ol property who buikts 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. If. however. the buddmg or ,mprove--
ment is sold wilhin one year of completion, the owner-builder wlll have the burden of proving that he did not bulld or im-
prove 10< the purpose ol sale).
□ I, as owner of the property, am excluswely conlractIng with licensed contractors to construct the prCJiect (Sec. 7044,
Bos1ness and Profess,ons Code: The Contractor's License Law does not apply to an owner ot property who builds or im·
proves thereon, and who contracts !Of each projects with a contractOl'(s) license pursuant to the ContractOl''s License Law).
□ As a homeowner I am improving my ha<ne, and the fallow· ing conditions exist:
1. The w0<k is bling pertormed prior 10 sale. 2. I have lived in my home for twelve months
prior to completiOn o1 this work.
3. I have not claimed lhis exempllOn during the last three years.
□ l amexemptunderSec. ______ ,B&P.C.
for this reason
D I hereby affirm that I na·-te: a certificate of consent
to sell-insure. or a cer11t1cate of Workers·
Compensation Insurance. Of a cen1he<1 copy thereof
(Sec 3800, Labo< ~,
POLICY NO
COMPANY
Q Copy 1s filed with the city
0 Cert1hed copy Is hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This sectton need not be compleled ,f !he perm,t Is fOf one hundred dollars IS 11))) Of less)
0 I certify that In the perlormance ot the wor11. tor
which this pemut 1s issued. I shall not employ an.,
person ,n tll"ly manner so a.s 10 become svb1ec1 to
lhe Workers· Compensa11on Laws of Cahforn,a
NOTICE TO APPLICANT If. afler matunJ this Cen1 hcate of Exemp11on. you shoukl become sub1e-ct I'>
lhe WOt1te-rs· Compensation prov1s1ons ol the L.abOr
Code. you must l0f1hw1lh comply with such
provIs1ons or lh1s perm,1 shall be deemed revokeo
O I hereby alt.rm lhat lhere ,s a conslfuct,on
Iend1ng .tgency tor the penormance 01 the worti. to,
which this permI1 Is ,ssuea (Sec J097 Cr.,tl Cooe1
Lenders Name ___________ _
Lenoe,·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 (619) 438-5525 APPLICATION & PERMIT
,2l07~n B ~U:lt-RO. NEARES~ li~Z;Ji;0
NI
l~BLOCK l SUBDIVISION
BUSINESS LICENSE # VALUATION PERMIT NUMBER
~Od:>0 i~,4£1 I I
DESIGNER
0ESCR1PT10N OF woll•
,,,........,._ 1 I _1
~~~~ti~()
DESIGNER'S ADDRESS
F/P FLA ELEV.I
vO NO ---
~ENSUS TRACT j GP LA,(,D USE !PARKING SPACE RES UNITS l GRADING PERMIT ISSUED
y D ND
REDEVE LOPMENT
I AREA
vO NO
l~Y-PLUMBING PERMIT -ISSUE 7:!!:!-QTY. MECHANICAL PERMIT -ISSUE
l'J EACH FIXTURE TRAP / iJ.C 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
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3·15 HP
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE
EACH INSTAl.. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
EACH ROOF DRAIN ( INSIDE)
TOTM MECHANICAL
TOTAL PLUMBING I LL-
'QTY. ELECTRICAL PERMIT -ISSUE .:s=-QTY. SOLAR -ISSUE
NEW CONST EA AMPISWT1BKR COLLECTORS
I PH 3 PH STORAGE TANKS
EXIST BLOG EA AMP/SWT /BKR ROCK STORAGE
I PH 3 PH --PUMP
REMODEL 'AL HR PER CIRCUIT " ,.. PLAN CHECK FEE
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 OAYS)
lOTAL ELECTRICAL -1 /()_.-11"" TOTAL SOLAR
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" AND DO HEREBY
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH ALL ClTY, COUNlY AND STATE LAWS GOVERNING BUILDING CON-
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARlS8AD AGAINST AU LIABILITIES. JUDGMENTS. COSTS A!'(D
I
NO
STORIES
CONST I TYPE
3'.r::_
lJ-. ---I
1_.
1~:~a
LICENSE NO.
LICENSE#
DESIGNER'S PHONE
I DCC GP I EDU
ZONE
PLAN 1.0 . #
STANDARD PLAN #
I 0/ J Bt' o·eo,~aa
I BLOG USE CODE
I BUILDING SO. FOOTAGE
t!Bf.
18/1~1 •83 .... ,
182,50
1ae~s
I CCC LOAD I FIRE SPA
vO NO Nol Valid Un~s ~chine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00-00-8220
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 01-00-0Q-8225
MOBILEHOME PARK INSP
SOLAR Ol ·OO·QQ·B226
-•••-••-VV ...... '-IU 'U~l..O I STRONG MOTION 80-92-33-0519
FIRE SPRINKLERS 01-00-00-8227
PUBLIC FACILITIES FEE 32-00-00-8933
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad 80-92-21-0519
Encinitas 80-92-22-0519
San Oieguito 80-92-23-0519 '-~ SanMJICO~ 80-92-24-0519 ,/"'/ I {)I), Vli
LICENSE TAX 01-00-00-8162 ./ V ~---"'-LI ?,J.-., y I) I/ ~. ,
CREDIT DEPOSIT ,-.....?
TOT AL FEES PAYABLE I I/-,, . .ft
* AN~ PENffl IS AEouaa> FOfl EXCAVATIONS OV£R S' er DEEP AND 0EMOUTlON 011 CONSTRUCTION OF
STRUClUAES OY£A 3 STOAIES IN HEIGHT
_L_
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ..
GRANTING OF THIS PER~T. BY PHONE 0 AP~
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TYPE I DATE INSPECTOR
BUILDING I
-.
' .
-~ ' " 83--Y6"1 \ \ i \ --
FOUNDATION I " FIELD INSPECTION RECORD )\
REINFORCED STEEL ! REQUIRED SPECIAL INSPECTIONS .
INSPECTOR'S NOTES ' MASONRY !
GUNITE OR GROUT I
, .
INSPECTION REO IF INSPECTORS .
CHECKED APPROVAL DATE .
FLOO R & CEILING SUB FRAME I I ';. I
SOILS COMPLIANCE \ I .
SHEATHING □ ROOF □ SHIEAR
FRAME I lh,1C/Jj;3 elf I
EXTERIOR LATH I V
PRIOR TO .,.. . { I•~-. I --· '\ FOUNDATION INSP \ .... ~ ' ' -
STRUCTURAL CONCRETE : "-..... ~ '\ ' \ . \l OVER 2000 PSI' i ..
INSULATION ,, I ..
INTERIOR LATH & DRYWALL I ,n,1.,c;~ m--I
PRESTRESSE'D -_ ..
CONCRETE I
POST TENSIONED
I l(J COt<,JCRETE
PLUMBING I • F E_LD WELDING . .jj •
SEWER AND BUCO □IPUCO I .• I
I
UNDERGROUND )a] WASTE □ WATER , fl,7,t; -~ (lH-
TOP OUT □ WASTE; □ WATER I I
HIGH STRENG TH I . ,,
' '-'-BOLTS , ' ', •
~ ,_\ . I SPE.:::IAL MAS, •I\IRY ---~
TUB AND SHOWER PAN : ' t ) -· -
GAS TEST I
□ WATER HEATER □ SOLAR WATER '
l
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ i}FFER
ROUGH ELECTRIC l
I
□ ELECTRIC SERVICE_ 0 TEMPOflAF3Y '
' PILES CAISSO!',,:O -.. I ~ r---. -'· :
I ·. '"': * .
,~,...
':' ':,, .. ~ . -~ -. .... _
1 ---... :-o;r :. ~·-· '~ '!' ,,. ~ .. ~ /L:: ~ . . -..
□ BONDING -□ POOL I .;_ ,. -L . I
'I I
l ,, -.
I -
MECHANICAL I . .
□ DUCT & PLEM., □ REF. PIPING ~ ... ~ \ ' . ' . ~ ,: ~ I
-... --
r ... ,. --' .
HEAT -AIR COND. SYSTEMS I
I
tt:~• •'
-.
VENTILATING SYSTEMS I ' C ,,, ' \1 :. • ~ t' -! :; ' • ~ : . -.;. -I ,,
1 n,. t iJ• ~ ,-.cj ;.~ .. ,,
e I
CALL FOR FINAL INSPECT{~N WHEN ALL AePROPRIATE ITEMS ABOVE HA V BEEN APPROVED. ., 1
. . '
' • , . I
FINAL I '·
PLUMBING I -.
I ,, I
I . -·,,~ ' -
ELECTRICAL I -~
MECHANICAL I . -.· .
GAS I
I '....-{"'\ I
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~ , .,.,
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BUILDING (A'-',~ ll ,'i>PA ~ ~
SPECIAL CONDITIONS \"I ' -.I
l 1~
I
,'
ESGIL CORPORATION
0320 CHE!,o,APEAKE DR., FllTITE 122
SAN DIEGO, CA 02123
(619) 560-146H
--4e r7lan~ st:,/.£s-l-,m,1h~y
~//y Jt.JI~ ~e .~
;P----ff?e hcu,r~col~
~ ~o/J,-7 ~~v~es
Co dtt -:1/;e ~~
o2.__ #/9-3 ~-
't
•
Jurisdiction ~~
Pr~d by1
VALUATION AND PLAN CHECK FEE
PLAN CHECK NO, cJ 3 -t'f5o/
BUILDING ADDRESS d-7 S-o ½;t:?.Se/,/ez-r-
□ Bldg, Dept.
O Esgil
APPLICANT/CONTACT ---PHONE NO. _______ _
BUILDING occuPANCY B-2@t-c,r) DESIGNER PHONE
TYPE OF CONSTRUCTION 1(-1.J CONTRACTOR PHO-NE ____ _
BUILDING PORTION
/l"J!Jlflj; C/1,, ,IT
(/ (I
Air Conditionin~
co:nmerc1al
Residential
Res. or Comm.
Fire S"Orinklers
Total Value
Fee AdJusted To Reflect
BUILDING AREA VALUATION VALUE
MULTIPLIER
, ,,,
~~-It. -~ ~r,,1
/
@ 2.80
(<l 2. ,1n
@ 1.50
SZJoo-er;7
/
X I. J) 0 Energy Regulations (Fee
□Handicapped Regulations (fee x 1.065)
Building Permit Fee$ Sci• -~-0 ---------------------~-------
p Ian C herk f ee___c$,:.___.;::"")_.-:,_c:::;._'?_, _8_._s_-____________ _:e.$ ______ _
f UM MI NI S,_: -----------------------------
8/4/82 ·•
, ., __________ _
City of Carlsbad
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
1200 ELM 438-5525
Address where Business ~ 7 <""-.,.., will be conducted -£. ..,;, V
Name of Occupant
B
Address of Home Office of
Occupant if diffe,ent from above 2 7 50 'A' RooheveLt S:t.
VALIDATION
Building
Permit No.
Business Phone
Owne, of Building Tiobe.Jr,t w. Wilion Address P.O. Box 1215 Phone 729-5917
Type of Business · anal 6aod i nd,,1,t11,y.
Describe exact use of all portions of each building and lot
Previous use of Building
_ _Iype of flammable or explosive liquids to be used, it any NOYIO
I certify that l have read the statements contained in this application; that they are true and correct, and that I make this statement under penalty of perjury.
Dated this
Signature of Applicant
Use Zone
Planning
Department
Engineering
Department
Fire Prevention
Health
Department
Building Department
Date
Date
Date
Date
Whit
Signature of
Building Official
FOR DEPARTMENTAL USE ONLY
Disapproved
Disapproved
Disapproved
Disapproved
ellow -Applicant Pink -Finance
A.. 5-.,,___
N
By
By
BY
BY
By
Gold -Fire Dept.