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HomeMy WebLinkAbout2631 ROOSEVELT ST; ; CB950947; Permit07/14/95 13:49 Page 1 of 1 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 TOTAL PAGES 2 (including-co-v""'e"-r..-)-. -- l<F.FER.ENCE C';ftZ,,/S,&o/) JZ, I/. f?J.AzA ~ 4ry Atrnl4l?: ~~-.k:f:J ~-6/ ~~ ~----- 9~ ---•-·-------------------------- Response R~quired? 0 Yes D No 0 Original has been mailed to your office. . : 'Jiji7 Sl'KIN<i STkEl:T • LA MESA. CALll'OKNIA 919-i I l'HONE: ((>19) 166-97117 • l'AX: (619) •i(16-tti>-i7 Al(G~-7-95 MON 10: 32 ,, I ~ . I : I I I .; i ·, 1 ' I ' I ! : ; i . l ·I : ' ' '! 1l I ·1 : I I • I \ \ . . l : I ·' : ' I :_\ i i I i ·1 I I ,I ! I i • :i ZO'd . ~e •I TOO/TO O ti] EMPIRE ELECTRI C "'1 ~ tJ '.)~ --~ a~ ~I lJli 5~ ~ e .. 0£ 'ON xv~ f5850-£LZC606) 531\::lS NO~t:Stl KS S3l -.~ P.02 ~i ~~ ~ i;s~ ~i _J( +-I .JI ; --., I\.:: •, l l"\ .W~M ~Nij81IW 89:l I~d ga-ea-,nr ~1 :60 ~~/)~ tGOO lLt 619,0, st:80 S6 1s:1LO • 2 0 5 I /{ 0 o5Ef/t:--l.T 5 T C/!/5L5 ;JP/.J C.../4 °/zoo&-' ByAP~D JUL 1 4 i995 City of CARLSBAD BUILDll\lG DEPT. .,. • . ··~ ~ ~ ~ ~ I'\ ~ ~ ~ f?= CX) ; ~ ~ C) ~ i ~ vt I'\ ,. ~} ,, ~ ~ l\i :i:,. ~ \)\ ·~ 'i {J;; ---- -' /,Z ~ ,:j ,/' ' ~ll ~ ', ~ ' . . ~ " --I •. -----i"i i------I .__ I I I f'-1 I I , I t: I , ),; •··· ~ ' I I r: ~ I ! I ' ~·. t .,. . -. . I f ! I ' I . ' ~ • I : I I ~ r-I 1 I ~ G I --~ " I t ✓-~ ~ : I ~ . "'- I I ' f I I . I I I , I ' I I , I -----___ _JI . ' "- 'l\ "