HomeMy WebLinkAbout2800 ROOSEVELT ST; E; CB900271; PermitDATE: 01/31/91
TO: WHITE CONSTRUCTION, INC.
7720 EL CAMINO REAL
CARLSBAD, CA 92009
PLAN CHECK EXPIRATION
PC# CB900271 DATE: 02/16/91 "
ADDRESS: 2800 ROOSEVELT ST "E
You have applied to have your plans checked on the date shown
above, and you have not obtained your building permit.
The provisions of Section 304(d) of the Uniform Building Code
state:
"Section 304(d) Expiration of Plan Review
Applications for which no permit is issued
within one year following the date of
application shall expire by limitation, and
plans and other data submitted for review
may thereafter be returned to the applicant
or destroyed by the Building Official.
In order to renew action on an application
after expiration, the applicant shall resubmit
plans and pay a new plan review fee."
Please check the appropriate box indicating your choice
and return this letter to the BUILDING DEPARTMENT.
PROJECT ABANDONED. I WILL PICK UP PLANS WITHIN 10 DAYS.
PROJECT ABANDONED. PLANS MAY BE DESTROYED.
If you have any questions, please contact the Building
Department at (619) 438-1161.
DORIS COSMAN
Building Department
PERMIT APPLICATION ~ V
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL. ___ ~LJ;..,;~:;,..L-----
PLAN CK DEPOSIT, __ -4...,<.,~~~----
1.
A
B
C
2.
PERMIT TYPE 0 COMMERCIAL
0 INDUSTRIAL □NEW
□RESIDENTIAL □APARTMENT
□DUPLEX □DEMOLITION
QMECIIANICAL □POOL
Nearest Cross Streets
TENANT IMPROVEMENT
kNANT IMPROVEMENT
□CONDO □SINGLE FAMILY DWELLING 0 ADD IT ION/AL TERAT !ON
0RELOCATlc»I □MOBILE HOME □ELECTRICAL
□SPA □RETAINING WALL □SOLAR □OTHER
□PLUMBING
VALID. BYr _______ __,:::!:'._..;:_:.._, __
DATE _________ :::JL.J.-'-~LL>L
3'11.2 02/.i..6/';"'0
F
000) i)J.
C:-F'riMT
LEGAL DESCRIPTION lot No. Subdiv1s1on Name/NI.Jl'ber Unit No. Phase No.
c11ea:; BEUM If SUBIU TTED: 0 1 Addressed Envelope
3.
4.
5.
7.
8.
1!k, Energy Cates 02 Structural Cales
ASSESSOR'S PARCEL
BLDG. sa. FTG.
SIGNATURE
NAME~
CI TY
SIGNATURE
CITY
02 Soils Report
EXISTING USE
# OF STORIES
,?2-0 E.C ADDRESS
STATE ~IP CODE q~
0 AGENT FOR CONTRACTOR
ADDRESS
STATE ZIP CODE
Oo\.JNER
ADDRESS 7 72-0
21, coo,q t-lJO°}
LICENSE
PROPOSED USE
DAY TELEPH°'E [ 0-"Jz_ 7 z..
0 AGENT FOR 0\.JNER
DAY TELEPHONE
EC.. c~ }'t.e J
DAY TELEPHONE 7 5"3-7 2 7 z_
CITY BUSINESS L!C. #
E LIC. #
WORKERS' COMPENSATION Workers• Corrpensation Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of workers' Corrpensation Insurance by an aelllitted insurer, or an exact copy or duplicate thereof certified by the Director of the
insurer thereof f led wi h the Sui ing Jnspec on Department (Section 3800, Lab. C).
INSURANCE COMPANY '5:-r,_.-.•,,f'u<~ POLICY N0.~~3-~ <f~TION DATE
Certificate of E11emption: 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' Corrpensation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION Owner-Builder Declaration: l hereby affirm that I am eu~mpt from the Contractor's License Law for the following reason:
DI 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.).
D I, as owner of the property, am e11clusively 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:
(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 is licensed pursuant to the provisions of the
Contractor's License Law (Chapter 9, coornencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is elleJ!llt tnerefrom,
and the basis for the alleged exerrption. 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 do l l ars [$500] ) .
SIGNATURE DATE
COMPLETE THIS SECTION FOR IWN·RESIDEMTIAL 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'
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES □,o
□YES
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES
IF ANT OF TM£ ANSWERS ARE TES, A FINAL CERTIFICATE OF OCCU:-ANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 LllLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIRENENTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POI.Ll/TICM CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(il Civil Code).
LENDER IS NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE 1 certify that J have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating
to building construction. I hereby authorize r('presentatives of the City of Carlsbad to enter upon th(' above mentioned property for inspection purposes. I ALSO
AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JLOGMENTS, COSTS AND E)(PENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall e)(pire by limitation and become null and void if
work authoriz('d by such permit is not cO!flTienced within 180 days from the date of such permit or it the building or .iork authorized by such permit
corrrnenced for a period of 180 days (Section 303(d) Uniform Building Code).
D O\.JNE~NTRACTOR D BY PHONE APPROVED BY;
DATE:
WHITE: File YELLOW: Applicant PINK: Finance
the building
is suspended