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Home My WebLink About2740 ROOSEVELT ST; ; 83-74; PermitIll z 0 i== C a: ~ i.l 0 C I[ 0 a: "' 0 .., 3 J "' z 3: 0 z 0 ~ Ill z "' Q. :I 0 0 Ill ic "' i,: a: 0 3: il USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO Fill IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT ' / O I hereby affirm that I am licensed under provisions of Chapter 9 (commencing wllh Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. Lie No ______ Class _____ _ ~:£2~~ d7SZ?~½o1Mftf- OWNE·Rt:ie~ wk- 1 <J~1W:E5;;;_ A~i_T.l~J~frjTIONI BUSINESS "j,l'MIT NUMBER ~ ~-~ CONTRACT ZONE { Ll-I hereby affirm lhat I am exempt lrom the Contrac-1or·s. Lanse uw tor the following reason (Sec 70315 Business and Professions Code: Arry city or county which re· quAres a permit to construct. alter, 1mprO'Je, demoltsn, or repair any structure. pnor 10 its issuance also requ.res the ap· pfrcant for su<h permit to lilt a si9ned statement that he is licensed pursuant to the l)fOVISIOf\S of the Contract0<'s i::.:. 1:1~~::e~s ~~~,g~:~h~~ ex~ empt therefrom and the basis 10< the aJlegea exempbon Any v101a11on ol Secuon 7031.5 by an apptrcant tor a permrt sub-jects the applicant to a c!Vil penalty of not more than !Ive hun-dred dollars 1$500). • · ow7!;A ;J;;00i/s ~~Meff LOT I BLOCK I sueo,v,s,oN I ASSES~SOR PARCtl NO OESCRIPTtON OF WORK ~".2.~+ co~ CONT RACTXSS DESIGNER DESIGNER'S ADDRESS F/P F LR ELEV, vO NO ~ STORIES TYPE CONST LICENSE NO. LICENSE " DESIGNER'S PHONE OCC GP EDU OCC LOAD FIRE SPA PLAN 1.0. # STANDARD PLAN# 2/1 oourt BL~,JO~ BUILDING SO. FOOt:PE l02 D I, as owner ol the property, or my employees wrtll wages as their sote compensation. Wlll do the work. and the struc-ture ,snot intended or offered for sa!e (Sec. 704'1. Business and Prolessiorls Code: The Contract0<"s License Law does not apply to an owner ot property who builds Of improves thereon ancl who does s~ch work fumselt Of through his own employees, provided that such improvements are not intend· ed Of offered tor sale II. however. the building Of Impnwe-ment is sokf witt11n one year of completion, the owner-builder will have Ille burden ol provmg that he did not build 0< im-prove f0< the purpose ol sale). CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS j GRADING f'.ERMIT ISSUED YO ND 1 REOEVELOZMEN AREA y NO vO NO Not Valid Unlt!ss Machine Certifit!d D I, as owner ol the property, am exclusively contracting ~~i~~;;~ ~!:1~~!0 c°:;,1'uf~~~=J~:"L~~~ QTY. uw does not apply to an owner of property who builds or im-PLUMBING PERMIT -ISSUE -7£!-QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER =:ct~~ji1.;,: ;t:,.:;:{a1~'t/: ~~~,~~fsL:~~-= EACH Fl XTURE TRAP ' INSTALL FURN. DUCTS UP TD 100,000 BTU uw). EACH BUILDING SEWER OVER 100,000 BTU BUILDING PERMIT SIGN PERMIT ~g :~~:i~. lam improving myhorne,andthe1"' EACH WATER HEATER AND/OR VENT -BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK ~: f~a:'~r!!le/::9~rt=r.:°'r!,°e1~•-ont EACH GAS SYSTEM 1 T040UTLETS BOILER/COMPRESSOR3-15HP f '°' to completion of this work. 3. lasl~r.:O:..~imed this exempt t---+-EA_C_H_G_A_S_S_Y_S_T_E_M_S_O_R_M_O_R_E ______ --+-------+----+-METAL FIREPLACE o IamexemptunderSec ____ --f-::;,,"' EACH INSTAl .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT tor !his reason -----EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS D 1 hereby afhrm that I ha'le a cer11hcate of consent to self.insure. or a cert,t,cate ot Workers· Compensation Insurance, or a cert1t1ed copy thereof (Sec 3800. LabO< Code> POLICY NO COMPANY 0 Copy IS filed w ith the CHy D Certified COP)' ,s hereby furn,shed CERTIFICATE OF EXEl,lPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ,t the perm11 1s tor one hundred dollars ($100) or less) 0 I cen,ty that in the performance of lhe work to, whteh this permit 1s issued, I shall not employ any person ,n any m~ner so as to become sub1ec 1 to the Woc1ters· Compensation Laws of Galltorma 1------ QTY. WATER SOFTNER RELOCATION OF EA FURNACE/HEATER EACH ROOF DRAIN (INSIDE) TOTAL MECHANICAL TOTAL PLUMBING -=--r- ELECTRICAL PERMIT -ISSUE Y' QTY. I SOLAR -ISSUE NEW CONST EA AMP SWT BKR COLLECTORS 1 PH 3 PH STORAGE TANKS EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE 1 PH 3 PH PUMP REMODEL/ALTER PER CIRCUI T PLAN CHECK FEE TEMP PO LE 200 AMPS OVER 200 AMPS TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILEHOME MOBILEHOME PARK INSP SOLAR STRONG MOTION FIRE SPRINKLERS PUBLIC FACILITIES FEE BRIDGE FEE SCHOOL FEE · DISTRICT Carlsbad Encinitas San Dieguito San Marcos 01-00-00-8220 ,z_q ,50 01-00-00-8221 01 ·00·00-8806 01 ·00·00-8222 01-00-00-8223 - 01-00-00-8224 01 ·00-00-8225 -- 01 ·00-QQ-8226 80-92-33-0519 t::Ji) 01-00-00-8227 32-00-00-8923 80-92-21-0519 80·92-22-0519 80-92-23-0519 80-92-24-0519 NOTICE TO APPLICANT H. afte, mak1n;1 this Cer11 hcale ot E•empt,on. you should beeome sub1ec1 t? !he Workers· Compensation prov1s1ons of the Labor Code. you must forthwith comply with such prov1s1ons or lh1s permit shall be oeemed revoked TEMP OCCUPANCY !30 DAYSI --1 ------------------------t----~~-------------l---------l O I hereby atlirm lhal there 1s a cons1ruct,on tend1rt9 agency t()f the performance of !he work 10, which this perm,1 1s issued 1Sec XJ97. C,v,I Codel Le.ndef s Name ___________ _ Leoder·s Address __________ _ TOTAL ELECTRICAL _I - I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND 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 GRANTING OF THIS PERt.llT. TOTAL SOLAR TOTAL FEES PAYABLE 1 Afi.11) Ex.ptrat1on. Every permit issued by the Bu1td1ng Omc,11 under the proY1S-1ons of this Code shall exp,re by limitation and become null and void If the bu,tding or work authorized by such permit 1s not commenced w1th1n 180 days from the date of such permit, or 1f the building or work authonzed by such perm_. 1t !J,,-Suspended or abandoned at any ~ter the work Is commenced 1or a pengol'"_Qf 180 davs 1 OWNER~ CONTRACTOR 0 BY PHONE 0 * AN OSHA PERMIT IS REOUIREO FOR EXCAVATIONS OVER 5' 0 .. DEEP "ND DEMOt.lTION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT APPROVED BY DATE ~ LZ · llo ·~ ~ u:: >-ni 0 C. E Ql I- I 'O 0 (!) c <ll E C. C. <( I ~ C a: 0 Ill "' Ql "' "' <( I 3: .2 Q) >- ui "' Cl) 0 0 0:: <ll <ii 0 ~ Ql 0 C <ll C u:: !:. C Ql Cl) (5 0 13 Ql a. "' C ~ .c: ~ INSPECTION TYPE DATE . --INSPECTOR BUILDING . FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME I SHEATHING I FRAME • EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWAL L PLUMBING - SEWER AND BL/CO I PLUMBING UNDERGROUND I PLUMBING TOP OUT TUB AND ~HOWER PAN GAS TEST ELECTRICAL - TEMPORARY POWER ~-., I ' 'v ~ ELECTRIC UNDERGROUND I . ,· ROUGH ELECTRIC .l ELECTRIC SERVICE I BONDING G. F. I. -SMOKE DETECTOR I MECHANICAL I DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS -VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN. APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL I MECHANICAL GAS BUILDING ;...i~-'6~ &11 SPECIAL CONDITIONS ' CERT OF OCCUPANCY ISSUED . ... <g~-,4 -.... FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS -INSPECTOR'S NOTES ~ ·' .... -- INSPECTION REO IF INSPECTORS DATE \~ -, ~ ·.,. I CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY -,.~ \ PILES•CAISSONS , (iJ ':Jf;"' 1, ,'>! -~ -,. . . c.., ' -· ' . - ( C ' r- . --. s,-1,~v- ' I ~ ?"· ' , __ , H,.-.. ► , . 'rl---c---~ -~, ~, . . -\' --.1-..., -... ., ~ ' ' _, APPLICATION FOR Bu QB ING PERMIT _.., 5045 Elcor Sp r a !sq, fHt) _________ ,Co11,1. Vala !Gt, f F et) ---'~~ll..~C)-___ im 8const. v·~.i ...... , ... , .... /Of'o.;;;_ ~----==----------- LEGAL DESCRIPTION Lot Block Subdivision ::c,t,d ,t _ ,2.7(20 __ ~------l".-___ -(?.-__ -_l!'-_._-__ e-___ -_~-&-.__,_ -_,-_ ---------~~~:s::::~~N-.-.-,-__ -_ d~--------_-_R_•_• 9_•~~~~~~~~~= Assigned House Number · LAND AREA ______ NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ----------(INDICATE SIZ!, USE AND LOCATION ON PLOT PLAN), WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR ADDITION? YES,___ NO ~- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION, 1f a check is tendered for p·ayment of the above fee and the check is not honored when presented for payment, your Building Permit will be immediately revoked. Front Yard Set Back .......... . Side Yard Set Back --------'<----- Rear Yard Set Baclc ----------',--- Distance Between Bldg. Sewage Disposal Syitem ------+------- Zone -Resldenttal ( Zone -Commercial Variance Eng. Check By --------------- Driveway Permit Required Yes ( Grading Permit Required Yes ( J No I No I I Sewer Disposal Plant Capital Cont. Fee ______ __, ______ _ Sewer Main Line Cost ____ _ Sewer Lateral Connection Charge ____ ,,,_ _________ _ Water Sfoc~ed Lands Charge ------,t------------ Water Main Pipe Line Fee ............................ 1 ___________ _ Water House Service Charge ----j'------------------ Water Meter Charge ------------------- Sub Tot,! ______________ _ Plans Approve1~.Y.•;--;y0,--·--·-n···-r----------Plan Check Fee ............................................. . Approved by ~-.... Js:;.6 .... t ~-~"'-............ B•~ilding Permit Fee ..... ~2 ~ Dote ·-··· 6-/,3 .-6.7 ...... _. ____ .. --Total Charges ----~2-:::":.e,::.":.":.":: ________ _