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Home My WebLink About2569 ROOSEVELT ST; ; PC2019-0105; PermitPERMIT REPORT Plan Check Permit Print Date: 06/02/2023 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: 2569 ROOSEVELT ST, CARLSBAD, CA 92008-1612 BLDG-Plan Check Work Class: 2031013500 Track#: $0.00 Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Project Title: ROOSEVELT TOWN HOMES Residential CT2017-0006 DEV2017-0213 (cityof Carlsbad Permit No: PC2019-0105 Status: Closed -Expired Applfed: 12/27/2019 Issued: Finaled Close Out: Final Inspection: INSPECTOR: Description: ROOSEVELT TOWN HOMES: 3 DETACHED CONDOS AND 1 DUPLEX, 5 DWELLINGS (8455 SF LIVING// 2140 SF GARAGE// 351 SF DECK) Applicant: FRONTIS ARCHITECTURE SCOT FRONTIS Property Owner: 2569 ROOSEVELT LLC PO BOX448 1020 GRAND AVE SAN DIEGO, CA 92109-4117 (858) 837-2078 CORONA DEL MAR, CA 92625-0448 (949) 887-3795 FEE BUILDING PLAN REVIEW-MINOR PROJECTS (LOE) BUILDING PLAN REVIEW-MINOR PROJECTS (PLN) MANUAL BLDG PLAN CHECK FEE Total Fees: $2,292.00 Total Payments To Date: Building Division $2,000.00 Balance Due: 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov AMOUNT $194.00 $98.00 $2,000.00 $292.00 Page 1 of 1 (_ City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 ,, Job Address /,Sb'\ CT/Project#: @S#?:\J@C..,"l;"? T. lA«.::i0A\), U\ Suite: ____ APN: '2.(i?:r-lo l -$ S--0 0 e..12.011-codu I Lot#: ·Zk Fire Sprinklers:e'§) no Air Conditioning: @! no Electrical Panel Upgrade: yes ;Q BRIEF DESCRIPTION OF WORK: Lot,.)~1'12-;vi;,T & t:>eTl:\Lk&Q Po>~ DE tJIS ~ 1,.... DupL.&:X D""-l6l-<,.A. Nl;:2 'N l'T"'\.-\ 60:l,\:\ JO \.\A.'3tz: 2-: Ck Q.-v:¥4e':!4Cg;:z. Addition~ 8,yt;;;~ LivingSF, ~\ DeckSF, -PatioSF,7:1\...\Q GarageSF Is this to create an Accessory Dwelling Unit? Yes@ New Fireplace? Yes !Glif yes how many? __ D Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No 0 Pool/Spa: ~---SF Additional Gas or Electrical Features? ------------ □ Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground , Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No Panel Upgrade: Yes/ No D Reroof: ___________________________________ _ D Plumbing/Mechanical/Electrical Only: ________________________ _ D Other: ------------------------------------- APPLICANT (PRIMARY CONTACT) Name: St-0I FJZo\,\T\ :Z Address: l0?-0 t'.:-£Ah\p A\)6 1;t.J q'6 D City: .S¾-', D t'GQO State: C ft\ Zip: -,-2JQ1 PROPERTY OWNER Name: s\uj,.,IA;N J:QC)MA Address: ft-;, &".i?' HY 2 City: eoc;~DEt9 ~A£.., State: Ctt\ Zip: "1Z0Z-:5: Phone: --~-_£: -3-7e:ic:;;: Phone: 8~..-,g:3---7-Zc(J~ Email: f,.£eoNTis@. ""1"v141 k, <.a M i Email: ,h2,_t4-N .-rooMA~ GMA\L:,LOM DESIGN PROFESSIONAL Name: fu< OT R-Ot,H"'\7 Address: \DZ.0 tpeA.\)D NJ'fz ~V\Ifi S2 City: S,,e:.t,) l?:U5C:-><> State: CA Zip: qu0 Phone: oS°"o-8:';?7'.·-2£>76 Email: -S,.£?-0\Jl:\4:@ C, MA\L, .. CQM Architect State License: V'S::\ '"'\0 CONTRACTOR BUSINESS Name: Z--S::G '?] i?o::>";,f::;qc,c..;Z--1 LL L- Address: Po i&,x: 4'-1 Z City: ~)..),\ QEL Mlj..State: CA Zip: '?I 2-hZ--S:: Phone: 1Y'i-2v-~ 571S- Email: duk:lAy ,·,oowAC? C-;,,MA\LaUJ JV\ State License: ______ Bus. License: _____ _ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he/she is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760·602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-1 Page 1 of 2 Rev. 06/18 . OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty af perjury QM. of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. □ I have and will maintain worker's 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 polfcy number are: Insurance Company Name: _____________________ _ Policy No. ______________ Expiration Date: _________ _ 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, t shall not employ any person in any manner so as to be come 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 civil fines up to $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code, Interest and attorney's fees. CONTRACTOR SIGNATURE: __________________ □AGENT DATE: _____ _ ( OPTION B ): OWNER-BUILDER DECLARATION: 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 sate. 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. □ 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 r have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): OWNER SIGNATURE: __________________ □AGENT DATE: _____ _ CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name: ____________________ _ lender's Address: ____________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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 □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ 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 POUUTION CONTROL DISTRICT. APPLICANT CERTIFICATION: l certify that I have read the application 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 building construction. I hereby authorize representative of the City of carlsbad to enter upon the above mentioned property for inspection purposes. 1 ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINSTSA1D CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations overS'O' deep and demolition or construction of structures over3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 da ram th date of s h pe it or if he building or work authorized by such permit is suspended or abandoned at anytime aftertheworkiscommencedforaperiodofl ys( onl06. un· rmB ingCode). 1635 Faraday Ave Carlsbad, CA 92008 B-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of 2 Email: Building@carlsbadca.gov Rev. 06/18