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Home My WebLink About2727 ROOSEVELT ST; ; CB970033; Permit.. ~-------Vllll v v V ,,vr, J. I . V FOR OFFICE USE ONLY PERMIT AF-PLICATION PLAN CHECK NO .. ____ _ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palrr-ias Dr., Carlsbad CA 92009 (619) 438-11~1 EST. VAL. _________ _ Plan Ck. Deposit------~-- Validated By _________ _ Date·---~---------- Ass&ssor's Parcel II Existing Use Proposed Use Dt>seription of Wor';, SQ. FT. #of Stories fl of Bedrooms It of Bathrooms Stt!-~ ;'i"~"~t;CQNTACT·PEf\SotJ tif c0tt,ront1((ifN~DRlfU~l:.:~:~;.~~~!ti~3(:~il~&i~~~~:;~~r:,~~)i?;};~:i~;~:1~:~;~:G:JJ~:Z~~:~~:t~~~t~J;~~:~~:•.~:,iJ_·; · .. -~ N&me Address TtlDphono II ii;•~lmJftMcffiJlf;co'1e.A?!YJi.Aii~~ -, · J.-· • ~-~trl~~:it,i, (51te. 7O31.!i E!u:;inoss anef Professiot1$ Coda: A.ny City or County which requires a permit to cOMtr\lCt, altar, improve, demoli(;h or repair any structure. prior to itt: i~suanco, 11lso require$ the applicant for such permit to file a signed $tfltemant th&t he is licensed pursuant to the provi$iona of the Conmictor'e Lic;enaa Law (Chapter 9, commanding with Section 7000 of Division 3 of the 8uslnU$ and Profenions Code) or that ho ia exempt therotivm, and tha t>HiS for tho alleged oxom t' Any viol11tion of Section 7031.5 t,y any applicant for a permit subiocts the applicant to a civil QtMlty of not more than five hund eef dollars (~5001). __ ..,,,,, ·SW/· Stste Liconse II _________ _ License Class _________ _ City Business Licel\$0 tr _______ _ Oesioner Namo Addrosi. City State/Zip Tolephon;, State Lleenso # _________ _ i°;..:.21w~o~r.~.c.oMP.EN.sAn,c~N~t~~11~:.~;~~e1i~~~~fflti~~~:~~~~~:~~·~~~~~~!;~~;~~;m,A»sw~1..~~~~n~;;t~~'.~:·1;~z~~\.;~::AA Workars' Comperu:~tion Oeeforation: I horoby elfirm und"' l)Dnaltv ot parjury on• of tha following doc:laratlol\$; 0 I hove and will maintain a certificate of consent to sett-insure for workers' compensation ts provld&d by Section 3700 of th1 Labor Code, for the pertorm:11,ce of the work Tor which this permit is iMUOCf, O I h11v11 and will rMil'llain worker&' compensation, u requitod by Seetion 370() of the Labor Code, for the perform1nce ot the worl( for which this permit is issued. My worker'$ eompans.,,tion insuronco carrier end policy number ore: IMuranco Company______________________ Polioy No._____________ Expiration Oate ____ .,.... __ _ (THIS SECTION NEED NO'r BE COMPLETE> IF THE PERMIT IS FOR ONE HUNOREO OOLLARS ($100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify ttmt in the pertorman¢~ of the work for which thi~ permit i$ i:Rued, I snail not Dmploy eny perion in any manner so as to become $Ubjact to the Worker~, Compenntion L11ws of California. WARNING; Failure to 1ocwe·worker1· c-ompenaatiOl'l coverage is unlawful, and ahall subject ·an employer to criminal i,.naltl1111 and civil flnH up t11 one hundred thous.and doll..,, (C100,000), in addition to me coat ot compen,11tlon, damages aa provided for in Section :po6 of the Lab<,' c:<>de, lnttrut and attomev•• faaa. SIGNATURE _____________________ __:_________ OATE _________ _ 'ri '' ::oWtJER.BU'LOER DECt:ARA1'10N··~••·'-~:1r:.;::·,,~;;,~i~,1.~"'t""'(<~·,i;"'.-·•,,".~:'.''..~,~;:·:·,-i'~;'.:".,:-,,~liA-,"-';.-.;"~Q,3;..n:.r~~~~z~~;,~,w::.'.w:..;j::i,:;.\"~f~i,'1..'fi:;"~i:,•.:;,.;. t:•. · ~H•--~ . i . o'l)'I,,,_·••-'•••"'" ... ••-•••~" ·•-••'••t(,.;,l.•(;~>\--•~-•l;,._,~,•:i'S..~-◄,••'..~,-,..,l,,l;,l•..&~"'-~( ... -ia.~~•~~f;,:t.'.'f.137~.m't~~;.,_j~,f'J.:;.\o-C.,!:,..,""' ... ".:.../"o, ... , ,~,1 I hereby affirm th;,t I am excirnpt from tho Contt11c:tor's Uc,;n$o Law for the following rea~on: O 1. 11$ 11wnar ot the property or my employs~ with wa90~ a& 1heir ~ole compenn1ion, will do the work and the s1ruct1.1ro Is not intended or offered for sale (Sec, 7044, Business ~nd Prolas~lons Code: The Contractot'& Lieen•• Lew doo,; not apply to efl ownc,r 01 propeny who bwlds or improves thereon, and who does suet\ work himself or throuQh his own employe~, provided that such improvemc,nts are not Intended or offortd for selo. If, however, th• building or impro11ement is sol~thin one yea, of completion, the owntr•builder will have the burden of proving that ha did not build or improve for tho purpose of ule). IT 1, as owner of the property, am t xc:luaivtty contrec:ting with licensed contnictors to construet tho project (Seo. 704:4, Bualn6$• and ProtauJons C:od•: The Conrrector', Llc•n:se Law dOU not apply to an owner 01 property who bultds or improvo, thereon, and eontracta for such projects With cootractor(s) liconsed pursuent to the Contractor's Ucenso Law). 0 I am exempt under Section ______ Bv~inaas and Professions Code for this ree$on: 1. I personally plan to provide tho maior labor end materials for construction of the proposed property improvement. 0 YES ONO 2. I (havo I hove not) :signed an appllc~tton for a building permit tor the proposed work, 3. I nave contracted with the following i,erson (firml to provide the proposed eonstructlon (inclvdo name / addres!J I pl'IOne numb1;1r / contractors license number); 4. I plan to provide portions ot the work, but I have hired 1h11 tollowin9 p11r,on to coordinat", supal'li~" nna provldll tl'le major work. (include nama / address I phone num~er I contractors license number): ____ -------------------------------------------- 5. I will provide soma of the work. but I have contracted (hired) tM following parson~ to provide the work indicate(! (include noma / oddre~ t phone number / typa of workl:. ___________ J..J.-------'-----,-,,:.--.---------------..... ------------------ PROPEATY OWNER SIGNATURE _j~.i.I.lf::1'.~~::!:,LJ.4"L..j(J_£J...£.d.,,.:l!J~!::2'.:::~-----OATE tQ...l\4~!S§£~1iO~l:OB:ND -, ....... ~ ... 1;P.1NG',4?~:ts~ti;g}a~..?!lflt~!~2'"'. -, , ts the applicant or fut1.1r• buildine occupant required to submit I business plan, acutely he:ardous material$ r•gistr11tlon form or risk manag,ment and prevention prognim under SectlOtl$ 25505, 25533 or 25534 of th~ Presley, TaMOr H~ardou& Substance Aecount Act7 0 YES O NO 1~ tha eppncent or ruture building occupant required to obt,in a permit from the air pollution control district or air quality management di•trlc.t? 0 Yl1S O NO ,~ the fl,cilitv to bo constJ'\ICted within 1,000 feet of tM outer bolJl'ldary of a ;<:hool ,ito7 0 YES O NO IF ANY OF THE 4.NSWEltS ARE Y~s. A FINAL CERTlflCATI! OF OCCUPANCY MAY NOT BE ISSUED UNL£SS THE APPLICANT HAS MET OR 1$ MEETING THE RE.QUIREMENTS OF THE OFFICE OF EMERGENCY SERVICl;S AND THE AIR POLLUTION CONTROL DISTRICT. ~I~:!.~CQJiS:tRif.cllo~~LENDlNG,A~ENc~~~~k~~,t:?7~g~;~Jt~t:·r.~~~l:~~~;s~~~~-♦~r~:~R%JNr~1~~Af~~~~11i~~~-~~~lW~~~UA§¥.D.~~:~~~~'.,;r.:~ ... ·· 1 hel&tly a1tirm that thore is a eon.truction landing •11ency for the parlormance ot the work for which this pormit is i$~uad (Soc:. 3097(i) Civil Codel. ~ENDER'S NAME ______________ _ ::;i.:,_ Af'P.UCANT.CERTIFICATION. •.• ·,.,,;::,_.·,:~,:} T'.;:; 1 ccnity rhat I have road tne opplication and suite that t he above inform3t ion is correc;t and th11t the information on the plans is accurate. I agree to comply with all Citv ordinances 3nd, State laws rol.,ting to building construction. I horeby authorizEi representatives of tha Citv of Carlsbad to Anter upon the ;it>oYo mentiond<l prope,ty for inspection purJ'\()&eS. I Al.SO AGREE "rO SAVE, INDEMNIFY ANO KEEP HARML£SS THE CITY OF CARLSBAD AGAINST ALL UA81LITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONS!;OUl:NCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavatio~ over 5'0" d11ap end demolition or construction of structures over 3 stories in height. EXPIRATION: Evory petrr,it i6sue<l by the 81,Jilding Official undar the 1)1"ovislons of th~ Code ghall expire by limitation and becomo null and void if t'ho building or work authorize(S by such perrni1 is no!J,011'1 ithin 366 day$ ftom thfl date of such permit or if the building or work authorized by suc;n ~rmit is suspended or Abandoned et anv tirno aftor t -worll..i co riod of 1 days (Section 106.4.4 Uniform Buildin O gACToEdol.~-~A'~ ,....APPLICANT'S SIGNATl,l~::::~~~2:Z:~z::~:=g~,tc.:::::______________ -~' '/ -:,__ { YELLOW; Applicont PINK: Finimce ---------- CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB970033 FOR 03/17/97 DESCRIPTION: WALL SIGN REDWOOD SANDBLASTED TYPE: SIGN JOB ADDRESS: 2727 ROOSEVELT ST APPLICANT: DOROTHY PATERSON CONTRACTOR: OWNER: PHONE: PHONE: 'PHONE: INSPECTOR AREA PY PLANCK# CB970033 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 729-1777 REMARKS: BJN/CAROLINE/720-3454 INSPECTOR SPECIAL INSTRUCT: NEEDS INSPECTION AFTER 10 A.M. -BUS.~I~N~E~Sc;;;t;~-1:-:::S~E~Dc-;::B~E~F~O~R~Ec-=T~H=EN CARLSBAD TRAVEL SERVICE 729-9282 TOTAL TIME: ;rco~j) CD LVL DESCRIPTION 38 EL Signs -------------------- ---------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION 022497 Signs ACT INSP NR PY COMMENTS NO PERMIT ON SITE