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HomeMy WebLinkAbout2885 ROOSEVELT ST; ; CB082230; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-27-2011 Commercial/Industrial Permit Permit No: CB082230 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2885 ROOSEVELT ST CBAD Tl 0000000000 Sub Type: Lot#: $0.00 Construction Type: Reference #: DON'S COUNTRY KITCHEN-INSTALL NEW GREASE TRAP IN REAR ALLEY COMM 0 NEW Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: Applicant: Owner: D'ROYCE PETERSON GENERAL CONTRACTORS 31830 RITSON RD ESCONDIDO CA 92026 760 420 2364 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee STD #2 Fee STD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee Fire Expedited Plan Review $0.00 $0.00 $0.00 $0,00 $0.00 $0.00 $0,00 $0.00 $0,00 $0,00 $0.00 $0.00 $35.00 $65.00 $0.00 $0.00 $0,00 ?? ?? Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFD Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) 'Traffic Impact Fee (3105541) TraffiC'lmpact Fee (4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees HMP Fee TOTAL PERMIT FEES ISSUED 12/11/2008 RMA 02/12/2009 02/12/2009 PD Total Fees: $100.00 Total Payrryents To Date: $100.00 Balance Due: Inspector: FINAL AP,OVAL Date: S' · I( Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ?? $100.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reseivations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set fcrth 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 ttieir 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 I es/ xa i ns I whi h ou have reviousl been iven a NOT! E similar thi r s I whi h the ta ute of limit ti ns has reviousl otherwise ex ired. ,. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax:0760-602-8558 www.carlsbadca.gov Building Permit Application JOB ADDRESS CT/PROJECT# LOT# DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) L G~£. LIZ-.41' Plan Check No. Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# # OF UNITS # BEDROOMS # BATHROOMS OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) !!-etr1'V~NT ~~fl.ANT PATIOS (SF) DECKS (SF) FIREPLACE YES □# __ NO AIR CONDITIONING YES O NO FIRE SPRINKLERS YES O N0_,1 CONTACT NAME (If Different Fom App/leant) APPLICANT NAME s ~-ADDRESS CITY STATE ZIP STATE C-A Z.OU. r:.1- FAX PHONE PHONE 7Go. 7'-1'1-rlfoq EMAIL EMAIL PROPERTY OWNER NAME CONfflACTOR BUS. NAME ADDRESS CITY STATE ZIP ZIP "12.o~ PHONE FAX PHONE 1(90. '-f2-0-Z.,{b"/ EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE LIC.# CLASS CITY BUS. UC.# '!>7 8G,i'L B 1:z.2.2..,08 f\ec. 7011.5 8u.1int11 and Profusions Code: Any (ity or County which rtquirts a permil 10 constnm, aim improve, demolish or rtP.air any structure prior to its i11uance, also requim the ap,Plicant for 1uch P:l!rmil to file a signed llalement 1hat he is t.censed JIUnu;mt to the provisions of the (on1rac1or'1 License law {Chapler 9, commending with \ection :fooo of D1vi1ion J of the Bu1int11 and Profmiou Code} or th.it he is exempt thert from, and the buis for the alleged exemption. Any vi11la1ion of Section 7031.5 by any applicant for a ptrmit 1ubjecu die applicant to a civil penalty of not more than fivt hundred dollan {$500}). WORKER$' COMPENSATION 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, for the performance of the work for which this permit is issued. ~ I have and will maintain workers~ompensatlou required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worl<ers' compensation sur nee carrier and policy numberare:lnsuranceCo. ~T..&'Tf t°9C.,,,N,0 PolicyNo. 1,"'a.t2.C\2,.I ExpirationDate f f 01 This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 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 Worl<ers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage ia unlawful, and shall subject an employer to criminal pen a Hies and clvlt fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages a rovlded for in Section 3706 of the Labor code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE · ~ 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 ihe 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). D 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. D Yes □ No 2. I (have/ have not) signed an application for a building permit for the proposed worl<. 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 pro~de the major work (include name I address I phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the worl< indicated {include name I address/ phone/ type of work): 65 PROPERTY OWNER SIGNATURE DATE 'COMPLETE 'l'HU SECTION FOR NON•Rl!!SIOl!!NTIAL BUILDING PERMl'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 D No Is the applicant or lulu re building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes □ No Is the 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 AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the appHcation and state that the above Information Is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to bu tiding construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned prqierty for inspection putpOSeS. 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 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 !imitation and become null and void tt the building or work authorized by such permit is not commenced within 160 days from the date of such permit or if the building or work authorized by such perm~ is suspended or abandoned at any time after the worl< is commenced for a period of 180 days (Section 106.4.4 Un Woon Building Code). ~ APPLICANT'S SIGNATURE /~/A_ DATE ,Z -/2.. -0, ~- • City of Carlsbad Bldg Inspection Request For: 05/03/2011 Permit# CB082230 Title: DON'S COUNTRY KITCHEN-INSTALL Description: NEW GREASE TRAP IN REAR ALLEY Type:TI Job Address: Suite: Location: Sub Type: COMM 2885 ROOSEVELT ST Lot: 0 Inspector Assignment: PD --- Phone: 7604202364 lnspector(K APPLICANT D'ROYCE PETERSON GENERAL CONTRACTORS Owner: Remarks: Total Time: CD 29 Description Final Plumbing ------------ Act Comments Requested By: BEROYCE PETERSON Entered By: CHRISTINE A/-_,_f_,_;J_,_;t~v~------- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# lnsgection History Date Description Act lnsp Comments 0412812011 21 Underground/Under Floor AP PD 0412812011 89 Final Combo we PD 0212312010 92 Compliance Investigation co PD NO WORK DONE. PERMIT EXPIRED 08/2612009 92 Compliance Investigation Pl PD NO WORK DONE