HomeMy WebLinkAbout2772 ROOSEVELT ST; ; CB901859; PermitCity of Carlsbad
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•' •<?,\ DATE: 10/21/91 ') 'vt-r:,:; PLAN CHECK EXPIRATION
TO:
~~ PC# CB901859 DATE: 11/27/91
GALLEGOS, PAUL ~~ 0,'1-ADDRESS: 2772 ROOSEVELT ST
8033 LIMDA VISTA RD~· ......-,-,
SAN DIEGO, CA 92111 ,__._,
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.
_x_ PROJECT ABANDONED. PLANS MAY BE DESTROYED.
If you have any questions, please contact the Building
Department at (619) 438-1161.
DORIS COSMAN
Building Department
2075 Las Palmas Drive•Carlsbad. California 92009-4859•(619) 438-1161
PERMIT APPLICATION
City of Carl'sbad B.tllding Department l!A. '1P
2075 Las Palmas Dr., Carlsbad, CA 92009 (6191 438-1161
1.
A
C
2.
PERMIT TYPE
COMMERCIAL
0 INDUSTRIAL □NEW
□RESIDENTIAL 0 APARTMENT
□DUPLEX □DEMOLITION
□MECHANICAL □POOL
ENANT IMPROVEMENT
□TENANT IMPROVEMENT
□CONDO OSJfiGLE FAMILY DWELLING □ADDITION/Al TERAT ION
OREL0CAT!Otl □MOBILE Hc»1E □ELECTRICAL □PLUMBING
QSPA □RETAINING WALL □SOLAR QOTHER
PROJECT INFORMATION PLAN CHECK No.
'"''"' '211 '2.
Nearest Cross Streets
VALID.
DATE -~"-<--"2:::..C.-C.-=._,,:. _____ _
LEGAL DESCRIPTIOM Unit No, Phase No.
CHECK BELOW IF SUBNITTED:
2 Energy Cales ,ce,. PROPOSED USE r,.-e..
3. CoN~CT PE1RSON
NAME f-"AtJt-~ l,l.i:&OS ADDRESS Li',-11:>A Vis.A '2-t> .
CITY STATE Ce,, ZIP COOE DAY TELEPHONE ':51.fl-(.,9,11
4. APPLIC NT J_ QCO!j.l~ACT0R
"" ~lloe '\ Qjl.SA ~°tECIS
CITY ? °<><' 10.-.. 0::,
ENT FOR CONTRACTOR OD'wNER lt\C,-ADDRESS Eo"33 LI~
GENT FOR OWNER
\JIST'\ Po.
STATE C,,a.. ZIP COOE \ DAY TELEPHO'-IE
Cl_ _ _ LE~~E □TENANT
ADDRESS 3'l'b0 .:,r,.er~ ..,,.. • ( '£\e... tL)C::, I <;~
STATE Ce.~ ZIP CODE Zl12xc:. DAY TELEPHONE 51 -S-2.\0
OWNER
6. CONTRACTOR ADDRESS
ZIP CODE
7.
8.
NAME
Cl TY STATE DAY TELEPHONE
STATE LIC. #, ____ _ LICENSE CLASS _____ _ CITY BUSINESS UC. #
SIGNATURE TITLE DATE
DESIGNER NAME
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE STATE LIC. #
WORKERS' COMPENSATION
Workers• C~nsation Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of workers' C~nsation Insurance by an aanitted insurer, or an e,;act copy or duplicate thereof certified by the Director of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
certificate of E,;~tion: I certify that in the performance of the work for which this permit is issued, I shall not ~loy any person in any manner
so as to become subject to the \,lorkers• C~nsation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am e,;empt from the Contractor's License Law for the following reason:
0 I as owner of the property or my errployees 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 irrproves thereon,, and who
does such work himself or through his own ~loyees, provided that such irrprovements are not intended or offered for sate. If, however, the building
or 1rrproverrent is sold within one year of C011l)letion, the owner-builder will have the burden of proving that he did not build or irrprove for the purpose
of sale.).
D I, as owner of the property, am e,;clusively contracting with licensed contractors to construct the proiect (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 ex~t 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, in-prove, 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, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ex~t therefrom,
and the basis for the alleged ex~tion. 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] ).
SIGNATURE DATE
COMPLETE THIS SECTlot,I FOR ND'-'·RESIDENTIAL BUILDING PERMITS O'-'LY:
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 occ~ant required to obtain a permit from the air pollution control district or air quality management district' □YES □,o
□YES ON0
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES
IF ANT OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCJPANCT NAY NOT BE ISSUED AFTER JULT l, 1969 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE OF ENERGENCY SERVICES AND THE AIR POLLUTION CCWHROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm t'hat there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to COrf"4')lY with all City ordinances and State laws relating
to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO
AGREE TO SAVE INDEMNIFY AND KEEP HARfllLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, Jll)GMENTS, COSTS ANO EXPENSES \,IHICH MAY IN ANT 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 expire by limitation and become null and void if the building
k authorized by such permit is not conmenced within 180 days from the date of such permit or if the bu1ld1ng or work authorized by such permit is suspended
ab ndoned at any time after the work is comnenced for a period of 180 days (Section 303(d) Uniform Eluilding Code).
0 O\.JNER O CONTRACTOR 0 BY PHONE APPROVED BY:
DATE:
( A.j.,.,-c\; 4k l>.S.£>.S .) WHITE: File YELLOW: Applicant PINK: Finance