HomeMy WebLinkAbout2801 ROOSEVELT ST; MULTI-PERMIT FILE; 87-11; PermitCl) z 0 ~ C a:: C ..J u w 0
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I .er< hereby affirm that I am licensed under I
pro,,lalona of Chapter 9 (commencing with I
Section 7000) of Division 3 of the Business I
and Profeaslons Code, and my license is In I
lull force and effect. I
I hereby a1hrm that I am exempt from lhe Contrac· I !or's Licens, Law !or !he lollow1ng reason (Sec 7031 5 I :::~5es; ~:io~:s=:,,~:~ 31~;~ ~~P~~~u~z~~~;: r: I
repair any structure, pnor 10 I1s issuance also requires !heap· pMcant tor such perffllt 10 me a signed s1a1emen1 lhat he ,s
licensed pursuant lo the provisions of the Con1rac10, s License Law {Chapter 9 commencing with Section 7000 ol
Otv1s.on 3 ol the Business and Professions Cocte) or thal 1s ex-
empt lheretrom and the basis tor the allege<! exemphon Any
v1CMa1ton of SechDn 7031.5 by an apphcanl lor a permit sub· Jecls the applicant to a c,v,I penalty or not mOfe than INe hun-
dred dollars ($500).
I I I, as owner of lhe property, or my employees with wages
as tr'le1r sole compensation. will do lhe work. and the strut·
lure ,s not ml ended or offered !or sa1e (Sec 704•, Busmess and Profe~ons COde The Conlract°''s license law does
not apply to an owner ol properly wno burlds °' improves
thereon and who does such wo,k himself or through nIs own employees. provided Iha! such ImprcwemenIs are no1 intend-
ed or otlered fo, sale II, however. the bu1\d1ng or improve-ment is sold within one year of complelt0n, lhe owner-builder
will have the burden of proving Iha! he did nol bUJld or im-prove lo, !he purpos, ol sale)
n I, as owner ot lhe property, am exclusively con1racl1ng with licensed contractors to construct the prOJect (Sec 7044, Busmess and Proless1ons Code The Conlractor·s License law does not apply to an owner ot property who builds or 1m-1
:~:c:~~f~n~ ;:=~:a~s,~: ~~~'!~15t;~~s! I Law)
□ As a homeowner I am 1mprov1ng my home. and the follow ing cond1t1ons exIs1:
1. The work 1s being performed prior 10 sale 2 I have lrved 1n my home for twelve months prior to com pie hon of this work.
I have not clainted this exemptlOO during lhe lasI three years
P.r /ht~r":.':g1 under Sec ______ , B & PC -------------
~ereby aftum that I have a cert1hcate of consent to :
sell•1nsure. Of a cert11tcate of Workers· Compensation In-I
surance. or a certified copy thereof (Sec. 3800. Labor Code) l
POLICY NO
COMPANY
Z""copy IS filed With the city
D Certified copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed U the permit
is for one hundred dollars ($11)0) or less)
0 I certify !hat in the performance of !he work for which t
this permit is issued, I shall not employ any person in any I
manner so as to become sub1ect to the Workers· Campen-I
sation Laws of Cahtorn,a. I :,~r~;!P~~:~:;1~~~i~ ~:~ ~::ji;:, !~'~heCA!~~~'~:r~~ I
Compensation provisions of the labor COde. you rnust I
lorthwilh comply with such provisions or this permit shall I
be deemed revoked. I
I
I
I 0 I hereby affirm that there is a construction lending I
agency for tile performance of the work for which 1h1s per-f
mlt ls issued (Sec. 3097. Civil Code} I
Lender"s Name _____________ 1
Lender's Address, ____________ ,
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
JOB ADDRESS AV ST.AO, NEAREST CROSS ST. I DATE OF APPLICATION' BUSINESS LICENSE # VALUATION PERMIT NUMBER
Z.rot Roos~v€c. T sr I-P--~7 I J 9'J-:2. fl/ I\ LOT I BLOCK I SUBOIVISION I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE
V'//::::/N(; (:(F°Cr r?tC 9'10-c,,voo OWNER'S NAME I OWNER'S PHONE
/)oN \ CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SC . FOOTAGE
0€<-v' /-lvf2S T Po a<>x-6 < t:J l./67 79<(' OWNER'S MAILING ADDRESS
2,~ol 'R. oQr" t!ve=-c r DESIGNER DESIGNER'S PHONE
DESCAIPT,ON OF WORK 2 00/1 S~f<.v1cE C/.JANC.~ -ro L.//"f'7./ DESIGNE!l'S ADDRESS STATE LICENSE NO.
_ 2-/00~ ncrAlJ' -----F/P FLA ELEV. NO DCC GP EDU STORIES 0016 001 01/08/87PRMT 15. I vO NO --
I
I PARKING SPACE I AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPA AREA CONST
r □ ND vO NO vO NO Not Valid Unless Machine Certtfied
QTY. PLUMBING PERMIT -ISSUE "7,~ QTY. MECHANICAL PERMIT· ISSUE 3 . t:)0 SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 001 ·810-00·00·8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT .,._D01·810·00·00-8221
EACH WATER HEATER AND OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK ~ _\))01·810-00·00·8821
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBINQ(l Y 001-810·00-00-8222 -
ELECTRJCA~,-.
----,o EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE .801·810-00-00·8223
EACH INSTA~. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MjC~t / ._0-i'qJ01·81_Qa .am,• -
EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS ~Olid:HOME ~ 7:, 001W o~-~~2s
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER ~R ' ) u .... Y-a~--:-oo-8226
EACH ROOF DRAIN (INSIDE) DRYER VENT STRONG MOTION V~ (;;,{..~80-519-92·33
TOTAL MECHANICAL FIRE SPRINi<LERS~~01·810·00·00·8227
TO I AL PLUMBING I PUBLIC F'~-:'Ac. ~;« 320-810-00-00-87 40
BRIDGE FEC.-.,CJ·• 360·810·00·00-87 40
QTY. ELECTRICAL PERMIT -ISSUE S.tJO QTY. MOBILE HOME SETUP PARK·IN,t{EU (AREA )
NEW CONST EA AMP SWT BKR CAR PORT TIF 134·810·00-00-8835 -1 PH 3 PH AWNING LA COSTA TIF 133-810-00·00·8835
EXIST BLDG EA AMP/SWT BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001 ·810-00-00·8162
REMODEL ALT ER PER CIRCUIT /() MFF 880-519-92·57
TEMP PO LE ]00 AMPS
OVER 700 AMPS
TEMP OCCUPANCY (30 DAYSI
CREDIT DEPOSIT
TOTAL ElE(;lRICAL I /S--TOTAL TOTAL FEES PAYABLE I is--
I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION ANO PERMIT" AND DO HEREBY Exprrat,on Every perrmt JSsued by the Bu,td1ng Oft,c,al under the provisions of this * A.: OSHA PERM:T IS REQUIRED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exptre by hm,1at1on and become null anct void II the bu1ldmg or work s· O" ~~r.DEMOUTION Ofl CONSTRUCTION OF authonzed by such permit 1s not commenced wtlhtn 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I!:-:~~n~ ·~1 t=~y ~::1:Pt.~~h:~:r:~tc~~~e~le~f~~ :'~~~1~,sr~~~~ or
STRUC S OVER 3 STOfltES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE .,. OWNER □ CONTRACTORJ2:1' APPROVED BY flf 1D?;t/P7 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -,r o;:11 /r/ ~ BY PHONE 0 GRANTING OF THIS PERMIT ( .
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TYPE I
BUILDING l
OUNDATION j
,EINFORCED STEEL j
IASONRY :
iUNITE OR GROUT I
F
R
M
G
s
s
F
UB FRAME D FLOOR D CEILING
HEATHING □ ROOF □ St:tEAR
'RAME I
EXTERIOR LATH I
INSULATION 1
INTERIOR LATH & DRYWALL J
I
PLUMBING j
I
D SEWER AND BU CO D RL/CO
UNDERGROUND □ WASTE □1 WATER
TOP OUT □ WASTE □ ',\'ATER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR ~ATER
l
ELECTRICAL l
□ ELECTRIC UNDERGROUND [;I UFFER
ROUGH ELECTRIC l
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
I
l
MECHANICAL I
□ DUCT & PLEM., □ REF. Plf>ll NG
HEAT -AIR COND. SYSTEMS I
I VENTILATING SYSTEMS !
I -
DATE INSPECTOR
·-
CALL FOR FINAL INSPECTION WHEN ALL APPROP,~ATE
ITEMS ABOVE HAVE BEEN APPROVED. .1
FINAL t ' I
PLUMBING I . V 0//\
ELECTRICAL I ,. .A ,1rl I
MECHANICAL : }'\ l\/J JV\
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, \ ._,,._ -------,_ . ----.Jl . --------I . ·-
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--'i'7-I I '\' . \
FIELD INSPECTION RECORD .. -.. , -REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ' .. -REQ. IF INSPECTOR'S -. INSPEC·TION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTl)€lAL. CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS ~ ~ t . SPECIAL MASONRY ·"'
r ,, . _,, . , C ~~
f ~.,.. -'-..
-· PILES CAISSONS -~~•:} '""" .,,,·· r . '. <· • • j-· -
✓"',:" -• -~·, ~-!-;...-~ -\i}
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ELECTRICAL PERMIT APPLICAT10N :!~t O' 7t•1t•,u*,.UO
"% ,/1/JZ,1 Applicant to complete niunhered spaces only. one -Permit No. r
City of CARLSBAD, CALIFORNIA 92008
Ph 729 1181
J°fiR\El)S ~o u~rv-4, \
LOT NO. I BLK. TRACT (QSEE ATTACHED SHEET) 1 ~~~~~.
-· L~ ,-•,
D;: f ~ ri, MAIL ADDREC _\ \ ' ZIP
(1,110/,/Ht 2 ,.__ :-..... ,J/n \ l Vvl ~ L (}J,-1
3 CONjiD., ·P-to r lr<t~"-MAI L ADDRESS ,J.:ett,··t(. :t:_, -~ STATE LIC. NO. CITY LIC, NO. --('rt:.' .::i J .-r .,j 7 t,. IA---;..)[) L ~. -1 J
ARCHITECT OR DESIGNER MAIL AODRESS PHONE LICENSE NO. I ,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: □NEW 0 ADDITION ML TE RATION 0 REPAIR
9 Dascribe work: n Uc" h t,. <\ t (C 1-t--, ~ ~D UtA cl,.. C #.-.l1v, /1 -1
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
..
NEW CONSTRUCTION, FOR EACH . AMPERES OF MAIN SERVICE, SWITCH, Anll&A7(~ PLANS CHECKED BY :::,:IZht FUSE OR BREAKER
NEW SERVICE ON EXISTING BLDG. , FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCEO. IN SERVICE, FOR EA. AMPERE OF _5, I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE //"" APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE!> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
~ t:<\s6'~ fc/) t ,., I,
TEMP. SERVICE OVER 200 AMP.
PER 100
I
S'IGNA'l,URE OF CONTRACTOR OR AUTHOR I ZEO AGENT (DATE)
ISSUANCE FEE __::; /'_ ~ I ... -.
' TOTAL FEES 7 ~LL/ :-..n,a.iATURE OF OWNER IF OWNER BUI DER DATE
WHEN PROPERLY VALIDATED UN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
ELECTRICAL PERMIT APPLICATION S~~~.
City of CARLSBAD, CALIFORNIA 92008 7-1_,;;, -,/ b j'I L Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No / tt /~✓ /
JOB~o/ Kuv~~t\
LOT NO, I aLK. I TRACT (OSEE ATTACHED SHEET) 1 ~~~~~.
'
2 ow4b~ ,1 H-ovvMJ _\_ MAIL ADDRESS ~7y;;---Z-P PHONE
-hA ~c) (I~ ~ .e .. J .... \
3 CON~,C;:\, ~ ~ \e, ~ ADDRESS PHO~ STATE LIC. NO. c,?7-Lo \ (.... .?')"l'J,, A-I~ J8c;i, 7J-t: ,, -'
4
ARCHITECT OT DESIGNER MAIL ADDRESS PHONE LICENSE NO,
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
USE O~NG ... 7 . C. 1--,r..' ~ ...:;.\ Lu <-' -
~LTERATION 8 Class of work : □NEW 0 AOOITION 0 REPAIR
9 Describe work:
DvtA ~ l e,. c_\ f' ( r't. t-~,; ---\o u ~ d @ ., Cr--d_
• ' PERMIT FEES ,.,_
No. Each Fee
SPECIAL CONDITIONS: \. SWIMMING POOL WIRING, ' "\. NO INCREASE IN SERVICE
-
NEW CONSTRUCTION, FOR EACH
Al'l'LICATION ACCEPTEO ev, PLANS CHECKEO av APPROVEO FOR ISSUANCE av AMPERES OF MAIN SERVICE, SWITCH,
./ FUSE OR BREAKER
_./,f' DATE NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC• OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM REMODEL, ALTERATION, NO CHANGE
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCE~ GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO ANO INC LUO· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
~ rr~-4t.-t~
TEMP. SERVICE OVER 200 AMP.
€~17.J, PER 100
~E OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
ISSUANCE FEE
/
,,_
TOTAL FEES / c;:1r..NATURE nr nwNER IF' OWNER BUILDER) (DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
I
INSPECTOR
INSPECTION REPORTS -
OA,:E ITEM REMARKS INSPECTOR
>------
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USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.