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Home My WebLink About2814 ROOSEVELT ST; ; CB090706; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-29-2009 Sign Permit Permit No: CB090706 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2814 ROOSEVELT ST CBAD SIGN Lot#: 0 2031820400 $1,200.00 Construction Type: NEW DR. DAVID BLOCH-INSTALL ONE PANEL WALL SIGN Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/2912009 KG 04/29/2009 0412912009 ROOSEVELT TAMARACK INVESTMENTS LP ROOSEVELT TAMARACK INVESTMENTS LP 6 VENTURE #215 IRVINE CA 92618 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES 6 VENTURE #215 IRVINE CA 92618 $29.14 $0.00 $18.94 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $48.08 Total Fees: $48.08 Total Payments To Date: $48.08 Balance Due: Inspector: Date: Clearance: $0,00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" o ees, dedi lions, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' You have 90 days from the date this permit was issued 1o protest imposition of these fees/exactions. If you protest them, you must foltow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030, Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f h I n iv n N Tl E imil r hi r hi h h I f limi i n h ·city of Carlsbad ~--Plan Check N ('.I. 1635 Faraday Ave., Carlsbad, CA 92008 ,·d Est. Value £2/J{) 760-602-2717,/ 2718 / 2719 Fax: 760-602-8558 ' www.carlsbadca.gov .. Plan Ck. Deposit - Date 1/-/1-cJf I _p -Building Permit Application .,, -- JOB ADDR~k 1.. \~ Rocrs-e v;J ~ s+. SUITE#/SPACE#/UNIT# I APN --/-CT/PROJECT# I LOT # l PHASE # I # OF UNITS I If BEDROOMS # BATHROOMS ~A~lZi?vE~ I CONSTR. TYPE I acc. GROUP ' --··-------DESCRIPTION OF WORK: Include Square Feet of Affecirea(s) S'-fn.e. f Yli"Yc\--< ,' 1,..,_ " l EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) 'DECKS (SF) FIREPLACE I AIR CONDITIONING l FIRE SPRINKLERS YESIJ #_ NO □ YES O NOD YES □ NO □ CO_NTACT NAME (If Different Fom Appl/cant) APPLICANT NAME lrM{IJ\ i1~ ()0 ADDRESS ADDRESS M!A.tws· -'LI. 1.J YLtl CITY STATE ZIP CITY U-vv\~A STATE ZIP °11..co\/ CA PHONE PHONE I FAX I FAX ,bll 0 SUU-~~l)\) 7 !, o -7J1 -) 7~S" EMAIL EMAIL d\. u ulo l u e,k e -uv f.hl,'-'<. . nd- PROPERTY OWNER NAM~\/ t\ ~ ~tu,-'½1.1 CONTRACTOR BUS. NAME ADDRESS ~ ✓~ (, .,te., 1.1<; ADDRESS CITY 't-,; l"t STATE CA ZIPl\U,I ~ CITY STATE ZIP PHONf 7 IFAX PHONE I FAX -I'{ -'L~ U.-YSL,10 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# I CLASS I CITY BUS. LIC.# fSec. 701U Business and Pr4?f~mons Code; Any C!ty, or _County which requ1re1 a pernut .to co~struct, _alter improve, ~emohsh or reP.a1r. any 1tructure pror to 1t1 1smnce, al1~ requ1rt1 the apJlhunt for such p_erm1t to filt a 11gned 11a1emtnt th~t h' 11 ticensed _pursuant to the prov111ons or the Contractor I license Law {Chapter 9, commending with Section 'iOOO of D1v11,on 3 of the Bumlf!I! and Profernons Code} or that he 11 exempt there from, and the ham for the alleged exemption. Any v1olatron of S«tion 7031.5 by any applicant for a ptrmn subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, lor the performance of the work for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. _______________ Expiration Date __________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvlt fines upto one hundred thousand dollars (&100,000), in addltion to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. 2$ CONTRACTOR SIGNATURE DATE • I hereby affirm that I am exempt from 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement O Yes □ No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work {include name/ address/ phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone/ type of work): Is the applicant or future building occupant required to submit a business plan, acutely hazardous ma!erials registration lorm or risk management and prevention program under Sections 25505, 25533 or 25534 of the Pres!ey-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? D Yes □ No Is !he facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above infonnatlon is correct and that the infonnatlon on the plans is accurate. I agree to complyw!th all City ordinances and State laws relating to buildingconsbuction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demomion or construction of structures over 3 stories in height EXPIRATION: Every perm~ issued by the Buifding Official under the provisions of this Code shall expire by lim~a_tion and become null and void if the building or work authoriZed by such permit is l'lOI commenced within 180 da}'s from the date of such permit or if the ilding or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Un Worm Building Code). ~ APPLICANT'S SIGNATURE ~ (/p DATE Inspection List Permit#: CB090706 Type: SIGN Date Inspection Item 07/16/2009 38 Signs Thursday, July 16, 2009 Inspector Act PC Fl DR. DAVID BLOCH-INSTALL ONE PANEL WALL SIGN Comments Page 1 of 1 ____ "..,_,, ___ . '.