HomeMy WebLinkAbout2750 ROOSEVELT ST; ; CB880307; Permitl
.,, z 0 ,=
C a: C .... u ... 0
2[ : 1-z 8
a: ... 0 ..,
3 I ... z ~
•
z 0 ,= ~ z ... CL :I 0 u .,, a: w "" a: 0 3
![
0 I hereby affirm that I am llcansed under
prov1,1on, of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Proteulona Code, and my llcense is In
full fo,ca and effect.
I nereby altirm lh.1I t am exemp1 from lhe Contrac-10,·s License uw for lhe lallow+ng ,.,son (Sec 7031 5
Busultss and Protessms Cooe Any c,ty or county wn.cr. ,e
quues a pe1m.i1 10 construct. ,alter improve Otmoltsh or repair any struclure, puor lo its •s~nce also requues !heap• pl.uni lor such oermd 10 hte a ~Qned statement th.11 he 1s
ticensect pursuant 10 the provisions ot lhe ton1rac.1or s License Law (Cllapltr 9 commenong w+lh Se<:\,on 1000 ol
Ofv1s10n J of lhe Busmess and ProttsslOAS Code) or 1nat ,sex empl t~retrom and the basis !Of lhe atlegeo exemplion Any
YKl'lat10n oC Section 7031.5 Dy an app1ant tor a perm,, sot>
,ects lhe applanl 10 a cMI penalty ot ~ more lh.ln hvt hun
dred dollars ($5001
I. as owner oC lhe Ofoperty_ or my emptoyees with wages
as 1hefr sole compensaoon will dO lhe work anci the siruc
lure 1s not mlencttd Of ottered tor sate (Sec 700 Bus,ness
and Proless.ons cooe The Conirac.tof s License Law does
nol appiy lo an owner ol Pfopefty whO builds or unprows
1nereon ana who dOtS such work h1msett or through his own empk)yees. provtOed lhat sucn ,mprovements ,,e not mteno-
ed Of ollereCI lor sale II however the bu1tc:hng or improve• menl Is sold within one yur of comp&e:tion. 1he owner-bu,~r
will hJive the buroen of orovmg thal he did not bu11C1 or im-prove lor the purpose ot saleJ
I as owner ol lhe proper1y am eicluSIV!fy con11ac11ng with 1-censed contractors 10 construct the protect ISec 7044
Bus,ness and ProtessK>ns Cooe The Contractor s lttense
law does no1 apply 10 an owner of propeny who bu,5ds °' im-
proves thereon. t1nd who conlr1tls lor each pro,ects with a
contractor{s) lar,se pursuant to the Contractor s license Law)
I As a homeowne, I am mp,o,,ng my home and ll1e tallow
•no condd!OnS IXISI t The work 1s being perk>rmed pr!Of lo sate
2 I have hved in my home '°' twelve months pr'°' 10 complehon ol this wOfk
3 I !\ave not clauned this exemphon dunno the Last 1nree yurs
f; 11h~;,::1 under Sec _____ _ B&PC
C I nereby atfum 1ha;t I ha"'e a cert1hcate ot consent 10
sell-insure or a cer1111cate of Workers Compensation tn,
su,ance or a cer11t1ed copy thereof (5ec. 3800 Labor Cooe)
POLICY NO
COMPANY
Copy ,s hied .._,,.,,n the city
D Certified copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This sechon need not be complettd ,t tne permit
,s tor one nundred dollars 1s100} °' Ins)
~ I cerflly u,a1 in the perfOfmance of tne wOtk lor which
this oermI11s issued. I shall not emplOy any persoo in any
manner so as to become subJKI to ttle WOfkers Compen
sat,on Laws ot California
NOTICE TO APPLICANT II. after making lh1s Cemhcate
ot Exemption you should bec.ome subject to the W01kers
Compensa11on provIs1ons of the Labof Code. you must
lot1hw1th comply with such oroY1s1ons or this oermil shall
be deemed leYOked
0 I hereby afhrm that there Is a consIruc1Ion lending
agency fOf the performance ol the work for wh,ch th,s pe,
fflll IS ISSUecJ (Sec 3097 C1vtl Code)
Lenders N.,.,e
Lenders Address _____ _ ___ _
_IJ~E BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
;O~D7~0 /t.oo:L.vilf RD /:irr;;,rOS Na~~ I 0g~/ /~YAfNI IIUSINESS LICENSE • VALUATION PERMIT NUMBER
r--4 -;;t../D c/H,&o~o=J. L~,B~ I sueo1 v1S10N j AS~:1':cj ~~ -(';!6 CONTRACTOR ~ CONTRACTORS PHONE • ZONE'
S.J:C/t,tlf/ CoJ/61. 7$1-J7'14 OWNER'S NAME OWNER'S PHONE
A1ll ul#I 0,4.Vi<, tf8tl--6eJs8 CONTRACTOR"S ADDRESS
,s[ CM STATE LICENSE NO BUILDING SO FOOTAGE
iag76 hJJIJ,~AI 'l-7.J6'fl Q)
OWNER'S MA L+NG ADDRESS ii
~~&,-lt//Jn1 /AM/ 11~-CM a . ..,,.,_~ DESIGNER ,-OESIGNER"S PHONE >, SV:ou,,, ~NSt ,. 11,_<,;:4< 7 ~-;V,J((cf ;;;
OESCR1PT1Qfrl. OF WOR ~//E,J,/ WAA_,.4.,, -~n 0 P-0:R·g;,,s~S CM v,~ STATE LICt;NSE NO 0.
E V' Q)
v-..4v v,-,, v.._v.._ V..ClJ.1.1.K •ll. -J...I.J • I.A. 1.A, FI P F LR ELEV NO OCC GP EDU L
STORIES ~ ~
v□ r.O --0 <.'.) I CENSUS TRACT I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPP AREA CONST
y D ND vO NO vO NO Not Valid Unlffs Machine Cerldt«f c ;,5D )5'-oO <O
QTY. PLUMBING PERMIT . ISSUE QTY. MECHANICAL PERMIT · ISSUE SUMMARY/ACCOUNT NUMBER u
0.
0. EACH FIXTURE TRAP INSTALL FURN DUCTS i.JP TO 100 000 BTU ~UILUINI, ~tttMI I UUl·H lU·UU·UU·oau ,_,~ <t
EACH BUILOING SEWER OVE A 100,000 BTU SIGN PERMIT tlQ,l(.150 ~2 "() 01 02Bldf'llt 11 '. O(i I
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·B lO·OO·OO·B891 f_u .:£ C
EACH GAS SYSTEM I IO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00·8222 , 0:::
EACH GAS SYSlEM ~ OR MORE METAL FIREPLACE ELECTRICAL 001·810·00·00·8223 I~
EACH INSTAL. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810·00·00·8224 r 0 1/)
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001 ·810·00·00·8225 1/)
Q)
1/)
WATER SOFTNER RELOCATION OF EA FURNACE1HEATER SOLAR 001 ·810·00·00·8226 1/)
<t
fACH ROOF DRAIN IINSiOE 1 DRYER VENT STRONG MOTIO~ 880·519·92·33 I I
TOTl;L MECHANICAL FIRE SPRIN~LERS 001 ·810·00·00·8227 ~
TOIAL PLUMBINL I _........_ 4n1on.,;;;:--.....
0
?UBLIC FACILITIES FEE 320·810·00·00·8740 Q)
5,00 1c)1,>?.u -,., ½ BRIDGE FEE 360·810-00·00·8740 >-
QTY. ELECTRICAL PERMIT· ISSUE QTY. MOBILE H ETUP y ?~-PARK-IN-LIEU (AREA l
NEW CONST EA AMP SW 1 BK A CAR POAT /rti , r~ 312·810-00·00·8835
Q) .. TIF u
C
1 PH 3 PH AWNING .;:! NIH'( l~lio :;.i LA COSTA TIF 311·810·00·00·8835 <O C
EXIST BLOG EA AMP SWT BKR GARAGE I r,-., .t, CD FMF u:
1 PH 3 PH ,::.. (,11) (lr Jf? LICENSE TAX 001·810·00·00·8162 -
REMODEL AL TtA PER CIRCUIT \~ l,,lf..,S,, 'le, _.0/ MFF 880·519·92·57 I
C
TEMP POLE 700 AMPS ,o~ ,1;"1/ Q)
Q)
OVER 700 AMPS ,"7c:'".-.. i:11 '1/ <'.5
T(_MP OCCUPANCY 130 OAYSI ~-~c. .-
I /lo _." I JO . -CREDIT DEPOSIT £(. f/,,nJ/ 0
IOIAL ElEl.TRICAl I fit, TOT Al l /15 --u
I< TOTAL FEES PAYABLE Q) 0. 1/)
E:.pirat,on Every permit issued by the 8u1h1mg OU1c1al under the p,o._.l5,ons ot 1h,s E
I HAVE CAREFULLY EXAM+NEO THE COMPLETED APPLICATION AND PERMIT AND 00 HEREBY * AN OSHA PEAM:T IS MOUIMO FOfl EXCAVATIONS OVER I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shill expire by 11m,tatIon and become null and void If the building o, vwork 5 0 DEEP AND DU+IIOlfTION 0A CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT 1'ND I FURTHER CERTIFY ANO AGREE IF A PERMIT I', authorized by such permit 1s not commenced within l80days trom the date ol such STRUCl\JM:S OVER 3 STORIES IN HEIGHT Q) permit. or 1f the bulfd•l o, work authonzed by such pe,m,t 1s suspended or / ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON abandoned at anv tune a er the work 15 commenced to, 1i oeriOd of 180 ria wc -.c. STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND A~P~07-RE • OWNERn CONTRACTOR ~
A.Ph::;~ 10;/4 /ff ~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY •N ANY WAY ACCRUE AGAINST SAID CITY !N CONSEOUENCE OF THE BY PHONE rj/ GRANTING OF THIS PERMIT ~ -~
TYPE DATE INSPECTOR
BUILDING
FOUNDATION A~-~ .,d LL~u
REINFORCED STEEL I"""\ •• r u ...
MASONRY
GUNITE OR GROUT ~ '
SUB FRAME D FLOOR D CEILING
SHEATHING ef"ROOF D SHEAR ·~'3o-<l~ ~
FRAME ~·'3l>----~ ~
EXTERIOR LATH '1,-1 Jrr -J
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
D SEWER ANO BUCO D PUCO
'UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
1TUB AND SHOWER PAN •
GAS TEST
D WATER HEATER 0 SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC ~·~ ~
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS .
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROV~D.
FINAL -... ,, .
PLUMBING "-. ......
ELECTRICAL •. ~ -
MECHANICAL ---~ .
GAS ·~ ~ ~
BUILDING -~~ .
SPECIAL CONDITIONS ~ ...... --
.
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REQ IF INSPECTORS INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO /..
FOUNDATION INSP /. '?
STRUCTURAL CONCRETE .fcc/ OVER 2000 PSI / c.,
I I PRESTRESSED
CONCRETE
POST TENSIONED \~. CONCRETE
FIELD WELDING ~
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
~
.
' ~ . ~ .. ~ .. ,:~ .. '' ., -",i... . "' -,._ <\ ~!. I ... ... C , ..
'" ) .. ...:,
.
I . ·' .. :,, --~
.,_ -~ ·.-'\(_ ... _.· i \
--
-~ (!J68<6U :3b7 .
INSPECTOR'S NOTES
DATE .
...
v
--..
~ ,_
' . -C"'
r---=,..~ .. ..
r '
"
' .,
. ,,, ;
' -
' --..... ~ ~ ·-,--'r ·:, 1.-: ,-,-\,.\ .. . .. ., ..
\ . ') . -,r • _ _. •
~ ;. \ ..... , .. a·-'\: '. ~~~ .. \•·~-
\ ·-... .;. -'--C, \, __ , -· t: / ... : ~-. , . . . .. · . ' -• ' .. .. . -. ' ~ ''"\ ..
~ . . --) ' ' . . ~ .