HomeMy WebLinkAbout2631 ROOSEVELT ST; ; CB950947; Permit07/14/95 13:49
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B U I L D I N G
Job Address: 2631 ROOSEVELT ST
Permit Type: MISCELLANEOUS
Parcel No: 203-101-22-00
Valuation: 0
Construction Type: VN
P E R M I T
Suite:
Lot#:
Permit No : CB950947
Project No : A9 501340
Development No:
2728 07/14/95 0001 01
C-PRMT
02
104-~10
Occupancy Group: Reference#: Status: ISSUED
07/14/95
07/14/95
MDP
Description: TWO NEW ROOF STRUCTURES ON
: EXISTING BLDGS .
Appl/Ownr : HUSTON, BETTY
***
2631 ROOSEVELT STREET
CARLSBAD, CA .. 92008
Fees Required *** ***
619
Applied:
Apr/Issue:
Entered By:
729-2295
Fees Collected & Credits *** ~-------------------------------------------
Fees:
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee #1
* MISCELLANEOUS TOTAL
104 .00
.00
104.00
Total Credits:
Total Payments:
Balance Due:
Units Fee/Unit
.oo
.00
104.00
Ext fee Data
104.00 PERMIT
104.00
/fmAf._APPROVAL
INS ~ DATE /o ·is, z ~
CLEARANCE _____ ,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building DepartlW!flt
2075 Las Pal•s Dr •• carlsbad, CA 92009 (619) 438-1161 F.Sf.VAL. ___________ _
1. pmtMJ"i 'NP£
PLAN CK DEPOSIT ________ _
VAUD.BY ___________ _
DATE
From Llst 1 (see back) give code of Permit-Type: ____________ _
-·--------------------------------·----------------------
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: _____________________ _
Net Loss/Gain of Dwelling Units
2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY
Address ~'-SJ ~ Building or Suite No.
Nearest Cross Street
LEGAL DESCRIPTION Lot No. SubchV1s1on Name/Number Unit No. Phase No.
CHECK BEWW IF sUBMI I I ED:
D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
DESCRIPTION OF WORK OA•
# OF BEDROOMS TIIROOMS
I I
NJ.ME (last.name first} 'D. ~ HVSTDN QETTY. ADDRESS
CllY ~~ STATE (!A.., ZIP CODE
4. AVPU RAclOR DAGEN! FOR CON IRACIOR
V'S.rt!}(../ ~B.errr" N, (last name first) ADDRESS
CI ~filf d STATE (]L. . ZIP CODE
-Z,G,3/ ~
DAY TELEPHONE 72-</-Z, Z9S
ADDREss ~ 6s I /?tx:1B~r
STATE ZIP CODE DAY TELEPHONE -'7 2 -2.. 'Zfl s-
NAME (last name first)
CllY STATE
STATE UC.#
ZIP CODE
LICENSE CIASS
ADDRESS
DAY TELEPHONE
CllY BUSINESS UC. #
DESIGNER NAM£ (last name brst) ADDRESS
CilY STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WoRKERs' 00MPENSAl1oN Workers' Compensation beclarauon: I hereby affirm that I have a ceru!Jcate of consent to sell-insure issued by the Director of lndusmal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certificate of Exempuon: I certify that in the performance of the work for which this permit 1s issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. oWNER-B00DER O£c:tAltA'i1oN
Owner-Builder Declaration: I hereby athrm that I am exempt from the Contractor's License Law for the following reason:
□
□
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044, Business 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 through his own employees, provided that such improvements are not intended
or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale.).
I, as owner of the property, am exclusively 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 of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500]).
SIGNATIJRE DATE
COMPLE'i E THIS SECl'ION FOR NON-RESiDEN'MAt BUILDING PERMI l's ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□ YES □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO ll' ANY OF THE ANSWERS ARE YF.S, A FINAL CERTIFICATE OF OCX:UPANCY MAY NOT BE ISSUED AFfER JULY 1, 1989 UNLESS THE APPUCANT
HAS MET OR IS MEETING nm REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND nm AIR POU.UTION CDNTilOL msnucr.
9. OONS'llt0CndN LENDING AGENcY
I hereby affirm iliac ihere 1s a construcuon lending agency for the performance of the work lor which this permit 1s issued (Sec 3097{1) CIVIi Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPDCAN I CfiltllFICAIION ,
I ceruly that I have read the applicauon and state that the above information 1s correct. I agree to comply with all City ordinances anel State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I AL50 AGREE 10 SAVE INDEMNIFY AND KEEP HAR.MLF.SS THE crJY OF CARISBAD AGAINST AIL UABDJTIF.S, JUDGMENTS, CX>STS
AND EXPENSES WHICH MAY IN ANY WAY ACXlUJE AGAINST SAID crJY IN CDNSF.QUENCE OF THE GRANTING OF TIDS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work au tho~·' ed by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspende or abandon at any time ter the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLlCANl"S SIGN1 RE --;:z ""W ~ DATE:
Wl-OTE ile YEllOW: Applicant PINK: Finance
0
~ V CITY OF CARLSBAD
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS .«,8 I !:~-£VE§' L T
2.
3.
4.
5.
*6.
7.
8.
9.
10.
11.
TYPE OF BUILDING: RESIDENTIAL COMMERCIAL
ROOF SLOPE: RISE ..f--inches in 12 inches
TYPE OF EXISTING ROOF COVERING eo;np SHEATHING 3/1 '' CD;< ,
NUMBER OF EXISTING ROOF COVERINGS
NEW ROOF MATERIAL (!D(Ylf?,
NUMBER OF SQUARES ;!},<;; ~-~---
(circle one) 1 2 3
CLASS __ WEIGHT PER SQUARE ___ _
TRADE NAME ___________ MANUFACTURER. _________ _
ROOF SYSTEM APPROVAL UL No._____ Other ____ _
IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF YES )<'.' NO ----
If the answer is no, a roof plan must be provided with this application.
Fire rating of roof: Class A __ Class B __
I understand the following inspections are required:
1. Tear Off/Pre-inspection prior to installing new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
7-/7'-95-
SIGN DATE
Contractor Owner Contractor Name ---------------------
*6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up.
'AUG-7-95 MON 10:31 EMPIRE ELECTRIC
To= c.. 1 ry or=-C(Hld,§ EAb
ATTENTION · fETE"" !Ju-Ybe //2is
r·RoM :;.fcrF /)N{)IYU.,pAI
FAX NO, 6194668647 P. 01
Fax Transmittal
DATli' ,_--"'Sr-l'"'-7-1-/-'--is __ _ r1
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Response R~quired? 0 Yes D No
0 Original has been mailed to your office. . :
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l'HONE: ((>19) 166-97117 • l'AX: (619) •i(16-tti>-i7
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JUL 1 4 i995
City of CARLSBAD
BUILDll\lG DEPT.
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