HomeMy WebLinkAbout2750 ROOSEVELT ST; ; 82-112; Permit0 z 0 ~ CIC C -' 0 "' 0
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O I !let.._ affirm that I am licensed under
l)ro'llslons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect.
Lie No.-------Class _____ _
I hereby affirm that I am exempt from the Con-
~:~:'~~!~,:'; ~ ~,=:~~~~i~
county which requires a pem,it to construct alter, improve, demolish, or repair ar.y structure.
pttOf' to its issuance also requires the apphcant for such pemut to file a signed statement that he ,s ltCensed pursuant to the provisions of the Con·
tractor's License Law (Chapter 9 commencing with
SecttOn 7000 of Otv1si0fl 3 of the Business and Pro-
fessions Code) or that ,s exempt therefrom and the
basis for the alleged exemptton. Any violation of Section 7031.5 by an ~plicant for a permit subjects
tne ac:,plicant to a civil penalty of not more than five
hundred doll= ($500).
0 I. i1S owner of the property, 0< my employees
'lltltl'I wages as their sote compensation, will do the •°"'· and the structure is not intended or ottered 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 Wont himself or through his own
empk>yees. prOYided that such Improveme:its are
not Intende1 or offered lor sale. II, however. the building or improvement 1s sok:S within one yur of
complett()f'I, the owner.builder will have the burden of prOY1ng that ~ did not build or improve tor the
purpose of sale).
□ I, as owner of lhe property, am exclusively
conlractir\9 with licensed contractors to construct the pco,ect (Sec. 70U, BusineSs and Professions
Code: The Cootractor·s License Law does not apply
to an owner of property who builds or improves
~~~f~ 7i~~nc:'~~!~~ ~~~h~,~~~;:~~•!
license Law).
0 I am exempt under Sec. _____ , B & P.C
tor this reason ___________ _
□ I hereby affirm that I have a cert1t,cate of consent to self-insure. or a cert1f1cate of Workers'
Compensation Insurance, or a certified copy thereof
(5« 3800. lal)()r Code).
POLICY NO
COMPANY
0 Copy 15 hied with the City
0 Certified copy Is hereby lurn,shed
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Tl'us section need not be completed 1f the permit Is fOJ one hundred dollars {S 100) or tess}
D I certify that in the perlormance of the woril. for
wtuch this permit Is issued. I shall not employ any
person 1n any manner so as to become subIec.1 to the Workers· Compensation Laws of Caltfom1a
NOnCE TO APPLICANT If. after makin~ ttus Cert•· hcate of E.emption. you should become subject I?
lhe Workers' Compensation provtstons ot the LabOr Cooe, you must forthwith comply with such
provisions or this permit shall be deemed reVOked
0 I he,eby athrm tnat lhere 1s a constructIon lend1nQ aoency lor lhe perlormance of the wont IOf
wtuch this permit Is issued lSec n1. Civil Code)
Lender's Name ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARO r' APPLICANT Tf"'"~LL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLS BAL . UILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (71 4) 438-5525 APt-LICATION & PERMIT
JOB ADDRESS l~,z;o· ~~EL-r A~iTr;E.:;A:g:z:1
BUSINESS LICENSE #
OWNV!'S NAME
tto~f?:r wuzt:N l 11,,:,:;;;;i=; PRIME CONTRACTOR I I
Ow--r-C>v ~ \0-W
CONTRACTORS PHONE t
0~14:rN~,=;i-r CONTRACTOR"$ ADDRESS LICENSE NO.
LOT BLOCK I SUBDIVISION I~ ':..1'ttz-05 -trl DESIGNER STATE LICENSE#
DESCRIPTION OF WORK
DESIGIIIER'S ADDRESS DESIGNER'S PHONE
VALUATION PERMIT NUMBER
Z,500-
ZONE BZ-1 tz.
PLAN 1.0. # BLDG USE CODE
~,A~-
STAN OARD PLAN# BUILDING SO. FOOTAGE
57~1/J.
2 u:::
>-:0 0 a.
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..catJ.~~\~-U, -~-F/P FLRELEV. NO OCCGP EDU I
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00 0 14772 011s1 sa
58.fl(l I g
58~[5n i n l':IIAi\l Jr!: STORIES
~ft/~ vO NO ---
CENSUS TRACT GRADING PERMIT ISSUED REDEVELOPMENT • AREA
YONO vONO
PLUMBING PERMIT · ISSUE 7. 5011 QTY. MECHANICAL PERMIT -ISSUE
EACH FIXTURE TRAP t::~Ol'. INSTALL FURN. DUCTS UP TO 100,000 BTU
EACH BUILDING SEWER ,7 OVER 100,000 BTU
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE
EACH INSTA~ .. ALTER , REPAIR WATER PIPE VENT FAN SINGLE DUCT
EACH VACUUM BREAKER
WATER SOFTNER
.... -··-····-.. I I I MECH EX HAUST -HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER
EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING
, A .___,
l~.~
TOT.C.L MECHANICAL
QTY. ELECTRICAL PERMIT -ISSUE 2. 0011 QTY. SOLAR -ISSUE
NEW CONST EA AMP/SWT /BK R COLLECTORS
1 PH 3 PH STORAGE TANKS
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE
1 PH 3 PH PUMP
1 REMODEL/ALTER PER CIRCUIT li,OCJ PLAN CHECK FEE
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
TOTAL ELECTRICAL l 7 .OIJ TOTAL SOLAR
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND Pl:RMIT" 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 PERMIT.
TYPE
CONST
3. oo I
A
• !t 1..-·--I
OCC LOAD FIRE SPA
vO NO Not Valid Unlffs Machine Cl!rtifi«J
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT I '7-a.S-o
SIGN PERMIT
PLAN CHEC~
ELECTRICAL 01-000-4223
MECHANICAL 01-000-4224
MOBILEHDME 01-000-4225
MOBILEHOME PARK INSP
SOLAR 01-000-4226
STRONG MOTION 65-640-0519 I ~50
FIRE SPRINKLERS 01-000-4227
PUBLIC FACILITIES FEE 25-000-4933
BRIDGE FEE
SCHOOL FEE • DISTRICT
Carlsbad 65-623-0519
Encinitas 65-624-0519
San Dieguito 65-625-0519
San Marcos 65-626-0519
TOTAL FEES PAYABLE l .§-?7
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BY PHONE 0
* AN 08HA P£AMIT IS AEQUIREO FOR EXCAVATIONS OVER s· o· DEEP ANO Dbl0UTION OR CONSTRUCTION OF
,'5µ~
STIIUC1\JRES OVER 3 S10RIES IN HEIGHT
i~nB.Y 1Z11-,
,\
-· -,. • ,. ... ,,-. .,.._ -J I. -
/ INSPECTION TYPE ' DATE INSPECTOR !'\,:"'~ \. \ \ ,•\ •x ~;)_ ~ \ \ d,. \"I; • \
: BUILDING ! l ' ·; ~-\. '. \ ' FIELD INSPECTION RECORD , 1 ' ~ ' .• \ ' ,t • FOUNDATION ~~=~~c!...._ ________ -;-1---t-----r-----REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REINFORCED STEEL t===============--~==============◄
I REQ IF INSPECTOR'S -~ ,r-MASON RY I INSPECTION CHECKED APPROVAL DATE -
GUNITE OR GROUT ! SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME f PRIOR TO
. FOUNDATION INSP
SH EA TH ING : t-s=-:T:-::R,,.-u-=c-=-r u-:R=--A-:L-:c:-::o::-:-N-=CR=Er=-:E::-+-----t------;-------,
F RAM E ! \ 1--o_vE=-=R-=2.,...o.,,..oo_P-=s,,...1 _~-~----+--------t-----1
PRESTRESSED EXTERIOR LATH lNSULATION I CONCRETE
l--::--=-::-:::--:::-:::--:c-::------~----+--------t-----1
INTERIOR LATH & DRYWALL 1
~g~~~~~:IONED
f---------~----+--------t-----1 PLUMBING FIELD WELDING
SEWER AND BL/CO HIGH STRENGTH
PLUMB I NG UN DE RG ROUND r-B_O_L T_S ____ --,---+-----11------;------1
PLUMBING TOP OUT SPECIAL MASONRY '--:!.("'\
TUB AND ~HOWER PAN
GAS TEST PILES CAISSONS
ELECTRICAL I
TEMPORARY POWER I t---------~----+------+-----1 ~ • "...,..,. --------------~.--+----;------'~ -~
ELECTRIC UNDERGROUND I 1----------+-----1--------t-----, '_ ,·('•...l ~ ,,, . ~--::). "-• :. __ "' -.· ·-""_ .-
ROUGH ELECTRIC ! t----------+------1-----t-----, · t:.: i.;; '--~ __,
"" .... ~ ELECTRICSERVICE I ':.... 1---------------------~•('. • :~
BONDING A ; -
G. F. I. -SMOKE DETECTOR 1
MECHANICAL ! 1------------+---+---------+-------1 ~-------------------------------l
DUCT & PLEM., REF. PIPING · .~. .,.. ;_;:,-1' t---....c..c'1....c1--,1_'--:-f _"'_r·_._. ----t----+------;------,
• ...._ .... , l~-.!l..._j . "-. _,.
HEAT -AIR COND. -SOLAR SYSTEMS ~ ~-_ _, 1---c=-----'•....,-,-,------'.':--;-' --t---t-----t---;
VENTILATING SYSTEMS ,i...: .._ '. , ' \.. -.. -
f---------~-----t------+-----4
CALL FOR FINAL INSPEcnoN WHEN ALL APPROPRIATE -, C \_-~ r·
_ _ _ _ _ • • r-:;, t ~ ~ 1---------------------------' ' ITE!yfS ABO VE HA VE BEEN APPROVED. / -._,..,'\' ~ 1 \.. , ,~v _ ,-1. ...... ,,.. JOB SITE FINAL ., ___, \... \ T ~.., , · · ·
PLUMBING , • ~ /'-\..,;;-----~-------+----t------;------, >-------------------------------, ELECTRICAL ' ...<) ~ • ··,._
MECHANICAL d ~~/ 11.. t----------+----r-----;-----1 ,, -'r--_,., • j ~..,
GAS ( JV/ _./4. I ' =•f ~ -• • ~\r !'" ....... "'• I ...
BUILDING \::;;V /"-V" -r----. ~ ~· '~ -✓• -~
SPECIAL CONDITIONS "' t------------+------1t------t'----------1 J
CERT OF ocr• 'DANCY ISSUED ------,,, ·:s. -~--------'·
,11 I a, ,------------------------'
~ ~ -lo f)/L1:e_J
INTERDEPARTMENTAL INFORMATION ~E~ --~EC E IVE D
. BUILDING
BUILDING
DEPARTMENT ~
ADDRESS : :2750 ~
A~/V d-o3-10J--c;;s-:
?LANNING DEPARTMENT
DATE: ---------
APR 20 1982
CITY OF CARLSBAD Building Department
toNE f_-P LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED /4 PROVIDED ____ 1~/~<f~------
% COVERAGE ALLOWED PROVIDED -------------
BU IL DING HEIGHT ALLOWED PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED ~
PROVIDED====:c:1:1:==
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
OK TO ________ DATE ____ _
ENGINEERING DEPARTMENT
R.O.W. INDUSTRIAL WASTE IMPROVEMENTS ---------------------
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT EASEMENTS __ ~ ______ DRAINAGE ____ _
LEGAL DESCRIPTION ¼.l--: 3f ~< ~
ADDITIONAL COMMENTS _____ ~---------------------
vv
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP . _______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS __________ LOCATION _________________ _
ADDITIONAL COMMENTS
'K TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
.L'ER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET __
•
,
Citp of QCarlsbab
Jt;RISDlCTlONt C'A:f3L.S 8 AD DATE J,/-t 'J -'i'1-.
i'P?JECT ADDRESS : 2. 7..S-0 'R o t;>S"J;'V£~'T
TC : A1' ~ L' ":A'.W..,-
PLAN CORRECTION SHEET
8 2..-,,2-G PIAn Ch••ck No. ________________ __,
' .,,. r,1an1 rO?cc.-1•,cd by Juri,.dictaon _____ _
· Hf' ,.i.,11 receivcd by plan checker 1./, 71-/f"L.
:ia:c 1n1t&el plan check co111pleud 1/-7, Z-by.:::!..5i.
t·!"q[;~,'11D I PLEASE READ
rlao check 11 li~1ted to t echnical requirement ■
c,ntaaned 1n th• Uniform Building Code, Uni fora
Plueb1ng Code, Uniform H~chanical Code, Nati onal
Electri cal Code and 1tate laws regulating energy
conse rvation, noise attenuation and access for
the ha~d i capped. The plan check ia based on
r~gulat1on1 enforced by the Ouildinq Inspection
Department, You 111ay have other correction,
based on law■ and ordinances enforced by the
Planning Department, Engineering D~partment
or other departments.
T~e 1te111s c i rcled below need clarif ication,
rodif1cat1on or change. All circled items have
t c be sati1f1ed before the plan ■ will be in
conforMance with the cited code■ and regulation■. re r Sec. lOl (cl, 1919 Unifora Build1n9 Code, the approval of the plan■ doe■ not permit the
v iolat ion of any ■tate, county or city law.
Pie••• 111Ake all correction, on the ori ginal
tracing• and submit two new sets of print■,
anJ any ori91nal plan 1et1 that 111ay have
b~en returned to you by the jurisdiction,
tc.:
To facilitate rechecking, please identi fy,
neKt to each circ led i tem, t he sheet of
the plans upon which each correction on
this 1heet has been made and return this
check 1heet with the revised plan■•
...J r ~V
V
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D APPLICANT COPY
~ITY COPY
D PLAN CHECKER COPY
A OD__!IA_(v 7:! JO~ I_L_ __ fil_:[?~ I,! S
Pi:.t{ (,{jjC., S EC. 3'?a-r(.:)
-~ ~c. .. 4 Zo V
~ll -2' \_:\~0\ S (\'{'v{/Ll~S
OtJl..~ +o s F ~\\ \Yl-~) _____
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1979 EDITION UNIFORM BUILDING CODE
Sec. 3305.
(j) Handrails. Stairways shall ha,·e handrails on each side, and every
stairway required to be more than 88 inches in width shall be provided
\loith not less than one intermediate handrail for each 88 inches of required
\loidth. Intermediate handrails shall be spaced approximately equal within
the entire width of the stairway.
EXCEPTIO~S: 1. Stairways 4-1 inches or less in "idth and stairway, •en-
in!!! one indi\"idual d"elling unit in Grc,up R. Di, isic,n 1 c,r 3 O.:.:upan.:1c< ma~
ha,e one handrail. ..-~cept that such stain,,ay< open on one or t'ioth s,de, <hall
ha\"e handrails pro\"ided on the open side or side,.
l 2. Prh·ate stairways 30 inches or less in height may ha'"e handrails c,n c,ne £ side only.
Handrails shall be placed not less than 30 inches nor more than 34
inches above the nosing of treads. They shall be continuous the full length
of the stairs and except for private stairways at least one handrail shall ex-
tend not less than 6 inches beyond the top and bottom risers, and ends
shall be returned or shall terminate in newel posts or safety terminals.
Handrails projecting from a wall shall have a space of not less than I ½
I inches between the wall and the handrail. The handgrip portion of hand-
rails shall be not less than I ¼ inches nor more than 2 inches in cross-sec-
tionaJ dimension and shall have a smooth surface with no sharp cornen.
114•1o2·
~c ! r=, I
,~-
MIN.
1~·11\&X.
NOT
ACCEPTABLE
-.
Prepared bys
J ~
Jurisdiction CA--1'..L. S f3AD
VALUATION AND PLAN CHECK FEE
, Bldg. Dept.
r;:i ne:, ,__
PLAN CHECK N0. __ 8_'2.._~ ......... J\_"2--_
BUILDING ADDRESS '2 '7 £0 (3. oo5 E vi£ 1--r
APPLICANT/CONTACT poA-1 Ro6£)';-t~ PHONE NO, L/3 4-l,JI~~
BUILDING OCCUPANCY 13,. '2-DESIGNER PHONE ,/ ~ ------TYPE OF CONSTRUCTION v ,,-i..1 ______ ;._ __ _ CONTRACTOR PHONE ____ _
BUILDING PORTION BUILDING AREA VALUATION VALUE
MULTIPLIER
f.e,,,._d ,:."---<-G' 1\ '-~ S-7, F 1
Air Conditionin~
Commercial -
Residential
Fire Sprinklers
Total Value z c;u-O I
Building Fermit Fee ____ 3_8_. _ _r-e:, _______ _
Plan Check Fee 2.. 5 • ;:.!:,__
core., ENTS '---:O=t..==O====S==F=D::-_r._C)_..;..ff_c_-_-=C;;..&1_A./ -=-=-="'~~=-:/2-'.:.=.7-:.-::.t=_-p..__ __ -r_C) __ CJ_(-;_-.;_f _1_c_E"_,,
VALIDATION
City of Carlsbad
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
1200 ELM 438-5525
Address where Business will be conducted ?7C:Q .. Roose1relt ~t. Buildini Permit o. p,r; -l\'2-
National Certif'ied Insurance Co. Business Name of Occupant Phone
Address of Home Office of Home Office Occupant if different from above Phone
Owner of Building Robert Wilson Address 27/i.7 Roosevelt Phone 729-C:917
' Type of Business
Describe exact use of all portions of each building and lot Insurance uffice
Previous use of Building Private Hesidence
Type of flammable or explosive liquids to be used, If any None
I certify that I have ,....,.. the statements contained in this application; that they are true and correct, and that t make this statement under penalty of perjury.
Dated th;s -::,;(-#: ,J • "'-• 1 J 1119 f)I/;, In the City of Carlsbad, State of California
Signature of l,i/'/i I ,J A ,,f_ ,I _.._ Signature of I JM, r /(l) kJ h Apphcant A _..,; -Building Official , -II ~-
D\ l
FOR DEPARTMENTAL USE ONLY
Use Zone ~-D Occupancy Group Type ot Construction
Planning
Department Date/{) /,:::,}'{d-Approved ' r;:I.._ Disapproved By
Engineering ~;,· J /Ja.--Department Date/0. f 2-/~Approved { DiHpproved By
Fire I • ~~
Prevention Date /0-'I:, f2-Approved / ~ Disapproved By
Health
Date ~'L.9-'8'2-.~1dl1' ,')...oOA_ ~ Disapproved Department By
Building
Date / I /2 -,/ /( l, ·-.;,,,~ Department Approved1 Disapproved By , /
White -Bulldlng Dept. Yellow -Applicant Pink -Finance Gold -Fire Dept. v