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Home My WebLink About2631 ROOSEVELT ST; ; CB004061; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05/08/2001 Plumbing Permit Permit No:CB004061 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2631 ROOSEVELT ST CBAD PLUM 2031012200 Lot#: 0 Construction Type: NEW BETTE RES/ WATER AND SEWER REROUT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/03/2000 CB 11/03/2000 11/03/2000 PY PRO-TECH PLUMBING HUSTON FAMILY TRUST 05-18-92 14037 POWAY RD POWAY CA 92064 858-486-4011 Total Fees: $42.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees 2631 ROOSEVELT ST CARLSBAD CA 92008 Total Payments To Date: $42.00 0 1 0 1 0 0 0 Balance Due: $20.00 $0.00 $15.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Master Drainage Fee Sewer Fee Additional Fees F:'""'~~-1 PERMIT TOTAL PERMIT FEES l AC~ WITH U.B.C. ,v-i-'~ ., S--1 ,:<2 \ SIGNA11IIE A~ FINAL APPROVAL Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has oreviouslv otherwise exoired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO.C!3mY-i(i/J/ CIT'r' OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit-~~------ Validated ByC(!;:, Date ///2, Tz,orr{) , j 1. _ PROJ~/ IN,::;TION II<} L, 6...5 oc,s:e Ve Address (include Bldg/Suite #) Business Name (at this address) Legal Description Unit No. Phase No. Total # of units Proposed Use e # of Bedrcoms # of Bathrooms 2. CONTACT PERSON fff dfffennt from appUcant) Name State/Zip Telephone# Fax# ddress State/Zip ZC.3 I Ko<2seve(/ 51 Name Address State/Zip Telephone# 6. CONTRACTOR • COMPANY NAME Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance or which this permit is issued. have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's com _en ation insupmce carrier andpalicy nu ber are: _/ Insurance Company · l b(,..(.,("c M, PolicyNo.WL0/2.S i2'. S Expiration Date <;("2-96 / !THIS SECTION NEED NOT BE COMPLETED F THE PERMIT IS FOR ONe HUNDRED DOLLARS [$1001 OR I.E$S) D CERTIFICATE OF EXEMPTION: l certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so aa'.i to become subject to the Workers' Compensation Laws of Cal'1fornia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thouaand dollars 1$100, 01, I dd t he cost of compensation, damages as provided for In Section 3706 of the L coda, nterest and attorney's fees. SIGNATURE• ..... ~~~~~~~~~----_:_ ____ .:._ _ _:_______ DATE //, O_j> C) 7. J hereby affirm that I a xempt from the Contractor's License Law for the following reason: D 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 sale. lf, 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). 0 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 contractorfs) licensed pursuant to the Contractor's License Law). D 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. 0 YES ONO 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 number I 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 number/ contractors license number):. ________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phOne number/ type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONl Y 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES D 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 POLLUTION CONTROL DISTRICT. 8, CONSTRUCTION LENDING AGENCY I hereby affirm that 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 ________________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information Oi'l the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. 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. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 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 mo days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced f a do 8 (Section 106.4.4 Uniform Building Code). DATE ~-fa ~ ~~ APPLICANT'S SIGNATURE _.=,::::.__£,L._,-,¢:;~~,Z...J,-_______________ _I/.!_~~ <../ t YELLOW: Applicant PINK: Finance City of Carl'sbad Bldg Inspection Request For: 12/7/2000 Permit# CB004061 Title: BETTE RES/ WATER AND SEWER Description: REROUT Type:PLUM Sub Type: Job Address: Suite: Location: 2631 ROOSEVELT ST Lot APPLICANT PRO-TECH PLUMBING 0 Owner: HUSTON FAMILY TRUST 05-18-92 Remarks: Total Time: Act Comments Inspector Assignment: JJ --- Phone: Inspector: ----- Requested By: NA Entered By: CHRISTINE CD Description 29 Final Plumbing ;ltZ 1(/()@'V---~ Associated PCRs lnsgectiQn HistQ~ Date Description Act lnsp Comments 1118/2000 22 Sewer/Water Service co JJ 111712000 22 Sewer/Water Service co JJ 111612000 22 Sewer/Water Service AP JJ SEWER ONLY