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Home My WebLink About2655 OCEAN ST; ; CB112258; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-21-2011 . Miscellaneous Permit Permit No: CBI 12258 Building Inspection Request Line (760) 602-2725 Job Address: 2655 OCEAN ST CBAD Permit Type: MISC Subtype: REPAIR Status: ISSUED Parcel No: 2031403702 Lot #: 0 Applied: 10/21/2011 Valuation: $000 Entered By: JMA Reference #: .: Plan Approved: 10/21/2011 PC#: Issued: 10/21/2011 Inspect Area: PD Project Title: BLAIR: REPAIR DECK W/FLASHIN Applicant: Owner: CURTIS CONSTRUCTION BLAIR MARTIN L&CYNTHIA S 3420 DONNA DR 2655 OCEAN ST CARLSBAD, CA 92008 CARLSBAD CA 92008 Miscelaneous Fee #1 $65.00 Miscelaneous Fee #2 $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $65.00 Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due: $0.00 FINAL APPIOVAL Inspector: Date: • Lf / Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of tees, dedications, reservations, or other exactions hereafter collectively referred to as lees/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 fo,th 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 / <<0 CITY OF. Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. Est. Value CARLSBAD Fax: 760-60Z8558 nan K. ueposut www.carlsbadca.Zov Date . swpP JOB ADDRESS SUITE#/SPACE#/UNIT# APN - - CT/PROJECT # PHASE # I a OF UNITS ITBEDROOMS # BATHROOMS I TENANT BUSINESS NAME CONSTR. TYPE I 0CC GROUP ESCRIPTION OF WORK: Include Square Feet of Affected Area(s) - p& j -, AIVAX 10 fttg1*. EXISTING USE PROPOSED USE I GARAGE (SF) PATIOS (SF) (SF) I FIREPLACE AIR CONDITIONING 1DECKS I YES D #_ NO D YES 0 NOD IFIRESPRINKLERS YES 0 NOD APPUCANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS . ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL poeERTY OVER NAME ONTRACIOR BUS. NAME 4UL 444uJL. / t*11A La4rL ADDRESS ei ds.2.-r- 7I CITY STA ZIP CflY STATE ZIP PHONE FAX P 0 E 'FAX I io lit) yt EMAIL EMAIL , r-r 7Ld/g Poe ARCH/DESIGNER NAME & ADDRESS STATE LIC. Si .T ATE IIC.# I# . < 9 f I I 2M 1 Cliv BUS. LIC.# 12109V d1 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any st!EtUie, 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 ($500)). .T .. . .. Workers' Compensation Declaration: I hereby affirm under penally of pe4ury one of the following declarations: 0 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 of the wont for which this permit is issued. and will maintain workers' compensation, as rpqpimd by Section 3700 of the Labor Code, for the pedormancegf the wofor which this permit is issued. My workers' compensation uren carrier and policy number are: Insurance Co._ Z 1) JIJ Policy No. - rJr O) 4piration Date_t( ,01Z ( a— This section need not be completed if the permit is for one hundred dollars ($100) or less. O 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 manner 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 Lab ' n attorney's fees. CONTRACTOR SIGNATURE 7 ."( •__4_ .____.__E.COdG4MlBT5StT1 l:IAGENT DATE 0 W11 40 IS1004 Ihereby affirm that lam exempt from Contractors 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). 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 loan owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). O 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. DYes 0 No 2.1(have / have not) signed an application for a building permit for the proposed work. - I have contracted with the following person (firm) to provide the proposed construction (include name address I phone! contractors' license number): 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): 5.1 will provide some of the work, butt have contracted (hired) the following persons to provide.the work Indicated (include name address /phone/type of work): PROPERTY OWNER SIGNATURE - -, OAGENT. DATE it / 9 ®(i]P(Oi?& i?WO3 ®(D ø 6rnlOtf OO)O C)tO1 cR 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? DYes 0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYes 0 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. . ( C®ffK)€1?OøO (MJ®O()@ (e&(€c 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 1OO€i OEQ® IcelUfythati have mad the application and state thatthe above information Iscon'ectandthattheinfonviationon the plans. isaccuiate. I agreetD complywith all City ordinances and State Lim relaUngtD building construction. I hereby authorize representative 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 .50 deep and demobtion or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the Budding Official under the provisions of this Code shall expire by fmitatbn and become nut and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or it the building or work authorized by such permit is suspended or abandon anytime after the work's commenced fora period of 180 days (Section 106.4.4 Uniform Building Code). LAPPUCANT'S SIGNATURE __•:,._.2( c:::I . DATE LA Inspection List Permit#: CB112258 Type: MISC REPAIR BLAIR: REPAIR DECK W!FLASHIN Date Inspection Item Inspector Act Comments: 05/04/2012 19 Final Structural PD AP 12/05/2011 14 Frame/Steel/Bolting/Weldin PD AP 11/15/201115 Roof/Reroof PD PA DECK 11/08/2011 15 Roof/Reroof PD PA DECK REPAIR Monday, June 04, 2012 Page lof I