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Home My WebLink About2630 DAVIS AVE; ; CB030828; Permit03-20-2063 Job Address Permit Type Parcel No Valuation Reference # Project Title Applicant NAOMI ELLIS 2630 DAVIS PL 92008 729-9520 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB030828 Building Inspection Request Line (760) 602-2725 2630 DAVIS-Pt CBAD MISC $2,442 00 Subtype REROOF Lot# 0 ELLIS RES 2200SF REROOF COMP COMP Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 03/20/2003 SB 03/20/2003 03/20/2003 Owner 0868 03/20/03 OUteM 02*-*'i.3«~*77-00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $7700 $000 $000 $7700 Total Fees $7700 Total Payments To Date $000 Balance Due $7700 FINAL Clearance NOTICE Please take NO'jK that ajjffKal of your project includes the "Imposiffcn" of fee^dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactiw^1 You hj^ 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 capacity 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has jjreviouslv otherwise expired PERMIT APPLICATION CITY OF CARL.SBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 A PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL ^ Plan Ck Deposit ^_ Validated By_ 'XAa'dress (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel tt . ^w Description of Work J\ Proposed Use " 'f£> 2 CONTACT PERSON (if different from applicant) \C~ SQ FT #of Stories tt of Bedrooms tt of Bathrooms Name Address City 3 APPLICANT vCH Contractor:JM-jQ Agent for Contractor Q Owners- . Q'Agent for Owner •,,•• State/Zip Telephone #Fax # | Name [4 PROPERTY OWNER Address City State/Zip Telephone # Address City CONTRACTOR-COMPANY NAME State/Zip Telephone tt ••:%:-• " (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, commending with Section 7000 of Division 3 of the Business and Professions Code! or that he 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 I $5001) Name State License tt Address License Class City State/Zip City Business License it Telephone # Designer Name .State License # Address City State/Zip Telephone "IWORKERS'LCOMPENSATlbN :-: :ri,. ,iii: * " > .,..V ' ': " .• ,- """ • V'-""- •. ' •• ':i':'.: Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations 1 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 of the work for which this permit is issued n I 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 compensation insurance carrier and policy number are Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) [~l CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manrter so as to become 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 one hundred thousand dollars ($100 000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees /^SIGNATURE DATE i OWNER-BUILDER DECLARATION '; :"' ,.-W:W' "" z.'-"" ' ..-.,,:. '''V ;; v^ J: -:- :"" ,...-.. '" i'"-'-'" I hereby affirm that I am exempt from the Contractor's License Law for the following reason / O 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 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) [3 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 J^YES ONO 2 /(havej)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 / 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) 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 f work) ((PROPERTY OWNER SIGNATURE DATE COMPLETE THIS'-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? Q YES f~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES [3 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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- " :v::f Si; 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) LENDERS NAME LENDER'S ADDRESS 9 APPLICANT CERTIFICATION ; if ": I 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 representatives of the City 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 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned 3H any time after the work is-tfSnimenced for a period oLtapday.sJS^ction 106 4 4 Uniform Building Code) y APPLICANT S SIGNATURED yCK-6^L^ C_L»^C 9^ DATE ~y • * _^/HITE File YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: g?4A> 1^4oiS "RrtGg 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL 3. ROOF SLOPE: RISE inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 123 5. TYPE OF EXISTING ROOF COVERING SHEATHING /2. n 97<;L/2*6. NEW ROOF MATERIAL 4^ CLASS ££> WEIGHT PER SQUARE 1. -NUMBER OF SQUARES 8. TRADE NAME ROOF SYSTEM LISTING UL No. ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? <^f§§? NO All roof coverings are required to be CLASS A. Combustible roof coverings of any type or classification are prohibited. I understand the following inspections are required: 1. Tear Off/Pre-inspection prior to install new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature T a****^ T 7^^^ Date" C"fc V Contractor Owner i/^- Contractor Name *6 - Rolled Roofing, Standard/Lite Tile,<^sphalt/Comp Fiberglass^Built up, Other. * City of Carlsbad Bldg Inspection Request For 04/04/2003 Permit* CB030828 Title ELLIS RES 2200SF REROOF COMP Description COMP Inspector Assignment PS // Type MISC Sub Type REROOF Job Address 2630 DAVIS PL Suite Lot 0 Location APPLICANT NAOMI ELLIS Owner ELLIS TSUKIKO M Remarks Phone 7607299520 Inspector Total Time CD Description 19 Final Structural Act Comment. Requested By NA Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 03/26/2003 15 Roof/Reroof AP JE OK TO COVER 03/21/2003 15 Roof/Reroof NR PS