HomeMy WebLinkAbout2571 ROOSEVELT ST; ; 87-570; PermitVI z 0 ;:
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O I hereby affirm that I am licensed under
provision, of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profe11lon1 Coda, and my license is in
lull force and affect.
I hereby affirm that I am e1.empt from !he Conuac-
lOI s License law for the lollow,ng reason (Sec 7031 5
Busaness and Professions Coae Any c,ty Of coonly whl(.r; re·
quires a perm,1 to construe! aner ,mprove demo11st1 or repatr any s1ruc1ure. pnOJ 1011s issuance also requires 1ne ap
ptican1 !Of such perm,~ to hie a s19ned statement ltla1 ne 1s
hcenseo pursuant to lhe prov1st0ns of the l,Onlractor s
Lanse Law (Chapter 9 commencmg wilh Section 7000 ol !)vision 3 o1 tne 8uS1ness an<1 Protesstons Code1 O!' that 1s ex
empt therelrom and the basis !or lhe allegeo eiemp11on Any vlO!at1on of section 7031 _ 5 by an apphcant tor a perm,t sub·
Iects !he applicant to a c1v1I penalty ol not more !h.an h~ hun·
dred dollars ($5001
I. as owner ol the property Of my empk)yees wllh wages
as 1he1r SOie comoensa\$0n, w~I do lhe w.ork and lhe Slroc
rure 1s not intended or ottered lor sale (Sec 7044 Busmess and Pro!esslOII~ Code The Con1ractor s License la~ does
not apply 10 an ownef of property who bWlds or improves
tl'lereon and wtto does such work tmnselt 01 through hts own
emoloyees. provided thal such 1mprovemen1s are no1 ml end-
ed or ollered forsale If. however. the building or improve-ment 1s SOkl w11hm one year ol comp1e11on. lhe owner'-bullder w1" have !he burden ot ptovtng Iha! he did not build Of ,m-
PfO'le for the purpose ol sate:1
1. as owner of 11,e property. am exclusively conlraetmg
with lcensed contractors 10 construct !he pro,ecf (Sec 7044 Business and Prolesstans Code The Con1rac1or· s Ucense
Law does not appty to an owne[ of property who builds or lffl pr011es thereon, and wt)o contracts IOf' each prOjects with a
contractOl'(S) tteense pu1suan1 10 lhe Con1rac1or·s license Lawl
As a homeowner I am Imprnvmg my hOme and the lol!ow
1ng cond1t1ons ex1s1 1 The work 1s being perlormeci prior to sale 2 I have ltved In my home for twelve months
prior to completion of 1hIs work
I have not claimed lh1s exemptlOO dunng the lasl lhree years
0 I am exempt under Sec ______ , B & P C
tor this reason -------------
~ I hereby affirm that I have a cerhficate of consent 10
~If insure or a cert1hca1e of Workers Compensat100 ln-
SOfance or a certified copy thereof (Sec 3800. LabOr Godel
POLICY NO
COMPANY
-Copy IS Med Wllh lhe city
::' Certitieo copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS· COMPENSATION INSURANCE
(Hus sec1Ion need not be completed 1t 1he permit
Is ror one hundred dolla1s (S 1001 or less)
~ I ce1t1fy that m the performance of !he work for which
1h15 perm11 is issued. I shall not employ any person many
manner so as to become subIect to the WO<kers· Compen-
saltOn Laws ot Cahtorma
NOTICE TO APPLICANT If. after making this Ce-rt1hcate
ol Exemption. you shOuld become subJect to the Workers
Compensa11on prows1ons ol the Labor Cooe. you mus1
torthwllh comply with such prov1s1ons or thts permit ShaJJ
be deemed revoked
0 I hereby atf,rm 1ha1 there is a construction lending
agency lor the pe:rlormance ot the work fCK which 1h15 per-
m,1 ,s ,ssued (Sec 3097. Civil Code)
Lenders Name ____ _
Lender s Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 APPLICATION & PERMIT
JO~?/ -----
/c,()(15,€ //,dr v :Sr THOMAS BROS NO.
C,l.ll®L} r~ _1~ 1;1~:2p~n ON1
BUSINESS LICENSE Jt (it~'~ ,
SUBDIVISION -~ u~
OWNER'S PHONE
LOT BLOCK CONTRACTORS PHONE • ZONE ..,
l-(_.l!~~~.)..J._~~-LLW_trL.,_q__.c__:__11.....__/, ~,o
PERMIT N U MBER
i1,YJ0
BUILDING SO. FOOTAGE
~
IL
DESIGNER
&m/f:..
DElflG NE R'S PHONE
"7.iti/-6 7q 4-0016 11/02 0101 02BldP!llt 58-sb ~
OESIGNER·s ADDRESS 1-.-L~~~~~~~,e:__~~--, ~/Z--
F P FLA ELEV.
vO NO
~
STORIES
STATE LICENSE NO.
r!--7S6_t/l_
OCC GP EDU
CENSUS TRACT PARKING SPACE RES UNITS l GRADING PERMIT ISSUED REDEVELOPMENT
AREA
TYPE
CONST
DCC LOAD I FIRE SPA
YO ~ D •O "□ vO NO Not Val,d Un~s Machine Ctrtrfied
QTY.I PLUMBING PERMIT · ISSUE 7SD QTY.I MECHANICAL PERMIT -ISSUE /500 SUMMARY/ACCOUNT NUMBER ,/'?
EACH FIXTURE rRAP INSTALL FURN DUCTS UP TD 100 000 BTU BUILDING PERMIT 001·810·00·00·8220 7Cf .,
EACH BUILDING SEWER OVER 100 .000 BTU SIGN PERMIT 001 ·810·00·00·8221
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00·00-8891 ,~ --
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER COMPRESSOR 3 1~ HP TOTAL PLUMBING 001 ·810·00·00-8222
EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL 001·810·00·00·8223
EACH INSTAL . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001 ·810·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001 ·810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE,HEATER SOLAR 001·810·00·00-8226
EACH ROOF DRAIN ll'JSIOEJ DRYER VENT STRONG MOTION 880·519·92·33 ~so
TOH,L MECHANICAL FIRE SPRINi<LERS 001·810·00-00-8227
TOT Al Pl UMBINL l PUBLIC FACILITIES FEE 320·810·00·00·8740
QTY ELECTRICAL PERMIT · ISSUE l ~oo QTY.
NEW CONST EA AMP SWI HKR CAR PORT
1 PH 3 PH AWNING
EXIST BLOG EA AMP SWT BKR GARAGE
1 PH 3 PH
REMODEL ALTtR PER CIRCUIT
TE-MP PO l E 700 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS!
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BRIDGE FEE 360·810·00·00·87 40
PARK·IN·LIEU (AREA c : II~ F.A 1) ~ n
TIF 312-810·00-00·8835 ...... , .... ~
LA COSTA TIF 311-810·00·00·883\fr11 I rl 4AA._
FMF T'lfUV 0 1:,01
LICENSE TAX 001·810·00·illi.&2.~ • --~~L~
MFF 8Wl.:i1aiW ,v, _..,._ .......... ... 11 PROCESSING SEIVS
CREDIT DEPOSIT t)fC= ......-r
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TOTAi ElELIRILAl r TOTAi TOTAL FEES PAYABLE .Lr~~~
I HAVE CAREFULLY EXAMINED THE COMPLETED' APPUCATION AND PERM'T ANO 00 HEREBY Exp,ratton Every permit issued by the Bu1ld1n90thc101 under the prov,s1ons ofth,s
CERTIFY UNDER PENALH OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exptre by ilm,1at,on and beCome null and void It the build,ng or work
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT I!, aulh0t1zed by such permit IS not commenced within 180days from the date ,>I such
ISSUED TO COMPLY WITH ALL CHY COUNlY AND STATE LAWS GOVERNING BUILDING CON permit, or if the bu1td,nPi or work authorized by such permit ,s suspended or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO abandOn . I en time a ter the work is commenced for a riod of 180 da s
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND APPLI ~SI ~TURE OWNER O CONTRACTOR f5
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE '--.,4o/?
GRANTING OF THIS PERMIT ~rr / BY PHONE rJ
V
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* AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVEII
S o·· DEEP AND OEMOI.ITION OR CONSTRUCTION OF
STRUCT\JR£S 01/EII 3 STORIES IN HEIGHT \
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TYPE I DATE INSPECTOR
&'7-5 7D BUILDING !
I
F FOUNDATION J FI ELD INSPE CTION RECORD
REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY ' I REQ IF INSPECTORS GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE . M
SUB FRAME □ FLOOR □ CEILING .,.. SOILS COMPLIANCE
SHEATHING □ ROOF □ SijEAR II PRIOR TO />, ,,
FOUNDATION INSP 1 · ,, FRAME I 1//. ~-,17 I /. 1 ✓ ,.-r ... :, --1:.t.!_:--: ·~ -
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•a lJ(t, t ~ t,I)..,.. •·· J "'' , : • ' . ~ , r,., STRUCTURAL CONCRETE ,
-r. •·t s:,t r-'°h-1·~~"lVr1 EXTERIOR LA TH I OVER 2000 PSI .
' ) PRESTRESSED ---INSULATION ' I ,,, CONCRETE .;,:'\:" -.~ INTERIOR LATH & DRYWALL I 1(-'5 ,~ I 1../" "" \..,, ~ :· :ow . POST TENSIONED
I CONCRETE \i :. .. rr f7'..-f K F' I) PLUMBING I ' FIELD WELDING I ~
□ SEWER AND BUCO CJ PUCO HIGH STRENGTH .... ~ T -
BOLTS ~ . . l UNDERGROUND □ WASTE □,WATER
TOP OUT □ WASTE □ \\\'ATER SPECIAL MASONRY
TUB AND SHOWER PAN I r
GAS TEST I PILES CAISSONS
□ WATER HEATER □ SOLAR WATER
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ELECTRICAL I
□ ELECTRIC UNDERGROUND q UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPG>RARY
□ BONDING □ POOL : ' '
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIP(NG -
HEAT -AIR COND. SYSTEMS I -VENTILATING SYSTEMS I . . -,
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CALL FOR FINAL INSPECTWN WHEN ALL APPROPRIATE \.
------~ r'\111111 --.ft .... -ITEMS ABOVE HA 'IE BEEN APPROVED. I.,~~'( ,tot ,vJ ~•v• ,.,.._. -. --
FINAL > ·. \ I . PLUMBING I ti ' I _l
ELECTRICAL NO f%00l· :l(WR'{., &\ ,.,~ .A r.;.t"\, l,,AJT1fV • • ' ' ' ; -
MECHANICAL I I""\
GAS I . ' ' --f\ -BUILDING I tl ·':> "b I -~
SPECIAL CONDITIONS ' \ I
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FINAL BUILDING INSPECTION
PLAN CHECK NUMBER:
RECEIVED NOVO 6 1987
11-S-7
DATE:
P roa Auto ody
PROJECT NAME: -------------------------------
2571 Roo., v It St.
ADDRESS:
PROJECT NO.: _______ UNIT NUMBER: _______ PHASE NO.: ______ _
Tl \
TYPE OF UNIT: ____________ NUMBER OF UNITS:
S.J. Cr m CONTACT PERSON: ______________________________ _
CONTACT TELEPHONE: _____________________________ _
~Ny~PECTED C, 6d c.L_-DATE ~111 ~ INSPECTED: APPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED
COMMENTS: /\ J·• 0Mmffl Ced>ST. 1:J/i -3 79 l/
K. DISAPPROVED
DISAPPROVED
DISAPPROVED
/.) D ~p~ I k)'K..lx:&5 I 0 ()'0.-,,
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Rev. 1/86 WHITE, S"'P,'~ BLUE, W,to, Dlst,iot GREEN, Eogl,.,riog CANARY, U<lll<lo, PINK,"'""'°' g
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