The URL can be used to link to this page

Home My WebLink About2808 ROOSEVELT ST; ; 83-496; Permitell z 0 ;:: C ac C ... 0 w 0 ti ~[ C II: 1-z 0 0 II: Ill 0 ... 5 ~ Ill z ~ z 0 ~ ell z Ill A. 2 0 0 ell cc Ill :,,: ac 0 :f; ![ ~ I he<eby affirm that I am licensed under prO'ilalona of Chapter 9 (commenc;ing with Section 7000) of Division 3 of the Business and Profeaalons Code, afid~my license Is In full for~~dM . lie No -i)~ Class _ ,. I hereby affirm that I am exempt 1rom the Contrac-tor's Lteense Law for the following reason (Sec 7031 5 Business and Professions Code. Any city or county which re-quires a permit to construcl altet. unprove, demohsh. or repair any structure, priDf lo its issuance also requires !heap- phcanl for such permit to lile a s19ned statement lhat he is ttcensed pursuant to the prov1s10nS of the Contractor's l1tense Law (Chapter 9 commencing w1lh Section 7000 o1 Dtv1s1on J ol lhe Business and Profess,ons Cooe) or that 1s ex-empt therefrom and the basis for lhe allegeo exemption Any W>laflon ol Section 7031.5 by an applicant lor a perm11 sub· iec1s the applicant to a civtt penalty ol not mo.-e than tive hun· dre<I dollars ($500), O I, as owner ot the property, or my employees with wages as their sole compensat.on, will do the work, and lhe struc- ture 1s not Intended or ottered tor sa'6 (Sec 7044. Business and Profess,ons Code: The Contractor's License Law does ryot appty to an owner ot property who builds Of improves thereon and who does such wo:rk h1msetf or through his own employees, provided that such improvements are not mtend· ed Of offered for saJe. II, however. the building or improve- ment Is sold wittlin one year Ol completion, the owner-buolder will have the burden of prwmg that he did not build or im-prove for the purpose ot sale). D I, as owner ol the property, am exclusively contracting wnh licensed contractors to construct the prOfOCI (Sec. 7044, Business and Protesst0ns Code: The contractor's Lkense Law does not apply to an owner of property who builds or im- proves thereon. and who contracts tor each projects with a contractOf(s) license pursuant lo the Contractor"s License Law). O As a homeowner I am improving my home. and the lollow· mg cooditions exist: t. The -k is being perlormed prior to sale. 2_ I haYO lived in my holre tor twelve months prior to comptetion of this work. I have not claimed !his exemption during the last three years. g :hf.'r::ftundef Sec ------, 8 & P.C. ------------- □ I hereby affirm thal I have a cert1t1cate ot consent to self.insure. or a cert,f,cate of Wonters Compensation Insurance. o, a cen1t1ed cooy !hereof CSec 3800. Labo< Code! POLICY NO COMPANY □ Copy IS hied with tile city □ Cer11hed copy 1s hereby tu,n1she0 CERTtFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section nee-cl not be completed 1I !he perm11 .,. 1s tor one hundred dolla1s IS 1()0) or less) !, cer11ty that tn the per1ormance ot the wo,t,. tor ich this permit 1s issued. I sh.Ill no1 employ any son in any manner so as to t>ecome sub1ect 10 lhe wons.e,s· Compem;a11on Laws ol Ca11forn1a NOTICE TO APPLICANT If. after malun~ lh1s Cert• hcate ol Exemptt0n. you shOuk:1 bee~ sub1ect I'> the WOB;ers· Compensa1,on prov1s1ons ot the LabOr Code, you must torthy..1th comply w,th such prov,s,ons Of th,s perm,1 shall be deemed revoke-a 0 I rlereby attum 11'\al lhere ,s a construc.t1on 1en<11ng agency to, lhe periormance ot lhe wO<k to, w·h,ch this perm•I ,s issued tSec .)097 C,v,I Code! Lenoer s Name ___________ _ Lendef"sAddress __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ---. - t -; CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 JOarob vi'k~An'\ lQ~iV ST.RO. NEAREST CROSS ST. I OA;~1~~r~;N1 BUSINESS LICENSE " VALUATION -;PERMIT NUMBER 8· J.-1 G LOT BLOCK sueo, VISION I ASSESSOR PARCEL NO CONTRACTOR • \, CONTRACTORS PHONE • ZONE ?2"/-'t{.._'O, ~ -- ~\N:Ev, H-~ !\ I OWNER'S PHONE N nt)l. 1 lh/2__ r r "J n CONTRACTOR'S ADDRESS LICENSE NO. PLAN LO.# BLOG USE CODE 2-511.1-5. ~~ ~ /_jq,4. 3,~~-3 10/ ~l 63S 6 ta 7 .or owNeR·s MA1uQ0Ress G \ ,\J ~~~ _.. , -...-~ ~M-, t"l. i C"lt .uY •• o~"~ DESIGNER I LICENSE# STANcl.t.iRl;i't~ I t: ~Dl~Q!SO-FOQj.-b£U ;- 0ESC'1tPTION OF WORK ' - , .. T_ ,& ; . ~rt...A..ICi:i c~,r "°~.~-t.,JJ.,.,,,:_S DESIGNER'S ADDRESS 0ESIGNER"S PtiONE ---. -I, -~ -, . ---~-~---. F/P FLR ELEV. NO OCC GP EDU STORIES vO NO -· .. ------ CENSUS TRACT I GP LANO USE l PARKING SPACE l RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST YO ND vO NO vO NO Nor Valid Unlt!fs Machine Certified QTY_ PLUMBING PERMIT · ISSUE 7£!-QTY. MECHANICAL PERMIT · ISSUE ~-:-SUMMARY/ACCO UNT NUMBER -.. EACH FIXTURE TRAP 7 I INSTALL FURN. DUCTS UP TO 100,000 BTU u.... -BUILDING PERMIT 01 ·00·00·8220 EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00-8806 -EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00·00-8222 EACH GAS SYSTEMS OR MORE METAL FIREPLACE ELECTRICAL OHl0·00-8223 - EACH INSTA~ .• ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00-00-8224 .. , ---EACH VACUUM BREAKER MECH EXHAUST • HOOD/DUCTS -MOBILEHOME 01·00·00-8225 , WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR n1-00-00-000C TOTAL MECHANICAL STRONG MOTION -80-92-33·0519 ~ TOT AL PLUMBING I /. ,-FIRE SPRINXLERS 01-00-00·8227 5'--I PUBLIC FACILITIES FEE 32·00·00-8933 QTY. ELECTRICAL PERMIT · ISSUE QTY_ SOLAR · ISSUE I BRIDGE FEE NEW CONST EA AMP/SWT 1BKR COLLECTORS SCHOOL FEE -DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21·0519 EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE --~ Encinitas 80-92·22·0519 1 PH 3 PH PUMP San Dieguito 80-92· 23·0519 REMODEL.'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519 TEMP POLE 200 AMPS OVER 200 AMPS LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY (30 DAYS) CREDIT DEPOSIT TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I 7- Exp,rabOn Ewry permit issued by the Building Offic11t undet the prov1S1ons of this I I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION ANO PERMIT" AND DO HEREBY * AN OSHA PERMIT IS RfOUIAfD FOA EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shalt exp,re by limttattOn and become null and v01<1 11 the bu1t<1,ng or wortt 5' O"' DEEP AND DEMOLITION OR CONSTRUCTION OJ DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit ts not commenced w111Mn 180 days lrom the date o>I such STAUCT\JAE.S OVER 3 STORIES IH HEIGHT permit. or 1f lhe buddt::ff or work aulhoraed by such perm1l ,s suspeneled or ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned at any ltme a er the work•• comrnellald tor a Denod ol 1Ail ...... .. STRUCTI0N. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO ~$SIGNATURE ,,.G .O OOERO CONTRACTORol!'f" J;BY --,Dr11tf/t-s KEEP HARMLESS THE CITY OF qARlSBAO AGAINST ALL LIABILITIES JUDGMENTS, COSTS AND ---..... EXPENSES WHICl1 MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 .. j ,I • ~-GRANTING OF THIS PERMIT. boJ?)• . -- \l u LJ l I 2 u:: >-;;; 0 a_ E Q) f- l ~ ~ c Ol 0 a_ a_ <( I X: C il: 0 (/) (/) Q) (/) (/) <( I ,:: .2 Q5 >- (/) (/) Q) 0 0 a: Ol ;;; 0 ~ Q) 0 C Ol C u:: s C Q) ~ (!} 0 0 Q) a_ (/) C ~ ~ ~ TYPE I BUILDING I FOUNDATION ! I REINFORCED STEEL I MASONRY I GUNITE OR GROUT ! FLOOR & CEILING SUB FRAME I SHEATHING D ROOF D SH~AR FRAME I EXTE!AIOR LA TH I INSULATION I INTERIOR LATH & DRYWALL I I PLUMBING ' I SEWER AND BUCO DI PUCO I UNDERGROUND D WASTE D WATER TOP OUT D WASTE D W,6,TER TUB AND SHOWER PAN I GAS TEST I D WATER HEATER D SOLAR W~TER I ELECTRICAL I D ELECTRIC UNDERGROUND D µFFER ROUGH ELECTRIC I D ELECTRIC SERVICE D TEMPORARY D BONDING D POOL I I I MECHANICAL I D DUCT & PLEM., D REF. PIPl~G HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I I DATE INSPECTOR - .. I . ----C ~-- FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PREST-RESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS " ' REQ IF I INSPECTOR'S CHECKED APPROVAL ' f_~ I. -~ 8 3 ::<f4(,,,..., INSPECTOR'S NOTES DATE -- I PLUMBING CALL FOR F/NAL/NSPECTION WHEN ALL APPROPRIATE I . I I I I ITEMS ABOVE HA VE BE.EN APPROVED. ; -v •' ; 1 r.,.. -, --i ' FINAL : I I ' r -, • •-f: • 1 ' · _ '-~ .... -: ~ .. ELECTRICAL • MECHANICAL GAS ' BUILDING SPECIAL CONDITIONS