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Home My WebLink About2630 DAVIS PL; ; CBR2021-3928; PermitPrint Date: 06/10/2022 Permit No: CBR2021-3928 PERMIT REPORT Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 2630 DAVIS PL, CARLSBAD, CA 92008-1461 BLDG-Residential 1552710600 $0.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 12/28/2021 12/31/2021 Finaled Close Out:04/14/2022#of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Orig. Plan Check #:Bathrooms: Final Inspection:04/14/2022Bedrooms:Construction Type: INSPECTOR:Renfro, Chris 125A PANEL UPGRADE (EVSE READY) (E-REVIEW)Description:Project Title: Applicant: DOUGLAS ELLIS2654 DAVIS PL CARLSBAD, CA 92008-1461-SAN DIEGO (760) 822-6986 Property Owner: TSUKIKO ELLIS2630 DAVIS PL CARLSBAD, CA 92008 AMOUNTFEE PLUMBING, MECHANICAL & ELECTRICAL PERMITS $193.00 Total Fees:$193.00 Total Payments To Date:$193.00 Balance Due:$0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 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 limitation has previously otherwise expired. 1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 442-339-2719 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad CBR2021-392812/28/21. Cicyof Carlstiad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check ---------Est. Value PC Deposit Date Job Address (}Cp?x:> 'i)Av~S t>lJ\Gt Unit: ______ APN: __________ _ CT/Project #: _________________ Lot #: ____ Year Built: ________ _ Fire Sprinklers:0,E:QNo Air Conditioning:QYESQNO Electrical Panel Upgrade.YESQNO BRIEF DESCRIPTION OF WORK: €1.£~ p~ uPGAWE_ QL\) ~"Sk A~ 1 C.. M4S-f<;;, 'Tu J...£>N ,oo AMPP4a_ 0 New SF : _____ Living SF,~~--Deck SF, ____ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit?QvQN New Fireplace? QvQN, if yes how many? __ _ D Remodel: _____ SF of affected area Is the area a conversion or change of use?Qv QN 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _ OSolar: ___ KW, ___ Modules, Mounted:OoofO;round, Tilt:O vO N, RMA:QvQN, Batterv:Ov 0-J, Panel Upgrade: Or~ D Re roof: __________________________________ _ D Plumbing/Mechanical/Electrical 0 Only: Other: PRIMARY APPLICANT Name: ~~ Q_, t\_~ Address: 3 le:5½ ~ l ~ A.J\~ City: e.A2J.S8;0 State: CA Zip: ~ice~ Phone: ··7"9 \3 Ur~ Email: eJi :s2,,4c.h &\~ 12: sbc.ftlok,.i -.S;Jrn, PROPERTY OWNER Name: i,JtloM l ·-r. CL\...lS Address: s1k{~D 'l:).\v l} F>\.Ac£ City: <!.AQ..L'Sl3'1::) State: C'4 Zip: c:\;).u, 8 Phone: Ibo I aut, "\ $ l..o Email: __________________ _ DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: _________________ Business Name: _______________ _ Address: Address: _________________ _ City: _______ State: ___ Zip: ____ City: _______ State: ___ .Zip:. ______ _ Phone: Phone: __________________ _ Email: Email: __________________ _ Architect State License: ___________ CSLB License #: _______ Class: ______ _ Carlsbad Business License# (Required): _______ _ APPLICANT CERTIFICATION: 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. NAME (PRINT): '1::t)u'j f.LLJ..S DATE: , l-/a,t,li0u 1635 Faraday Ave Carlsbad, CA 92008 SIGN:O,,A> \.! ~ Ph: 760-602-2719 Fax: 760-602-8;:s Email: Building@carlsbadca.gov REV. 07/21 THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _ lherebyaffirmunderpenaltyofperjurythat/amlicensedunderprovisionsofChapter9(commencingwithSectionl000)ofDivision3 of the Business and Professions Code, and my license is in full force and ef feet. I also affirm under penalty of perjury one of the following declarations (CHOOSE ONE): 0 1 have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. Policy No. _____________________________________________ _ -OR- DI have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Company Name: ________________________ _ Policy No. _____________________________ Expiration Date:-----------------• -OR- D 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 $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. 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: ________________________ _ CONTRACTOR CERT/FICA T/ON: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. All improvements existing on the property were completed in accordance with all regulations in existence at the time of their construction, unless otherwise noted. NAME (PRINT): __________ SIGNATURE: __________ DATE: ______ _ Note: If the person signing above is an authorized agent for the contractor provide a letter of authorization on contractor letterhead. I hereby affirm that I am exempt from 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. 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). -OR-8 1, 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). -OR-DI am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, D FORM B-61 "Owner Builder Acknowledgement and Verification Form" is required for any permit issued to a property owner. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors./ understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Website: http://www.leginfo.ca.gov/calaw.html. OWNER CERT/FICA TION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. All improvements existing on the property were completed in accordance with all regulations in existence at the time of their construction, unless otherwise noted. NAME (PRINT}: /JP-OM., 1', (;U...l 5 SIGN:/1,:uo;,w.: T ~ATE:_l ___ ?._\~Me-..t,.a..i ...... 01_, Note: If the person signing above is an authorized agent for the property owner include form B-62 signed by properfy owner. ' 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 2 Email: REV.10/2 Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2021-3928) BLDG-Residential 12/28/2021Application Date:Permit Type:Owner:TSUKIKO ELLIS P/M/E 12/31/2021Work Class:Issue Date:Subdivision:KNOWLES PK 10/11/2022Expiration Date:Status: IVR Number: 37845 Closed - Finaled 2630 DAVIS PL CARLSBAD, CA 92008-1461 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 04/14/2022 04/14/2022 BLDG-33 Service Change/Upgrade 180537-2022 Passed Chris Renfro Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Final Inspection 180688-2022 Passed Chris Renfro Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes Thursday, April 14, 2022 Page 1 of 1 {cityof Carlsbad