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Home My WebLink About2660 DAVIS AVE; ; CB040514; Permit02-17-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB040514 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2660 DAVIS AV CBAD MISC 1552710100 $1 332 00 Subtype REROOF Lot# 0 MALONE RES-1200 SF COMPOSITION Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 02/17/2004 RMA 02/17/2004 02/17/2004 Applicant KINCAID WILLIAMS CONSTRUCTION 972 LACUNA DR 92008 760 720-1456 TOTAL PERMIT FEES Owner MALONE SHAWN P&HEATHER B 2660 DAVIS AVE CARLSBAD CA 92008 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees $4700 $000 $000 $4700 Total Fees $4700 Total Payments To Date $000 Balance Due $4700 5396 02/17/04 QOQ2 01 02 iP 47.00 AL APPROVAL CLEARANCE SIGNATURE PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By<>•<«n/v/y .s. r C A* °l T- 0 Address (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 #Existing Use Proposed Use Description of Work SQ FT #of Stories tt of Bedrooms tt of Bathrooms CONTACT PERSON (If different from applicant) j,^,,^ ti: *? ^ X. ^Cn.!);•<T*r//<W/ Name Address ' D Contractor <••. EJi:Aa^nt|for:'Cpntractor.&ffl;r£| City 'for Owner State/Zip Telephone tt ^^ Fax # Name 4 € PROPERTY OWNER »-C ' Address City State/Zip Telephone # o /O. Name Address City State/Zip Telephone # (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 applicantjor a permit subjects the applicant toa civil penalty of not more than five hundred dollars (S500J) * - Name State License tt Address License Class City State/Zip City Business License # Designer Name Address City State/Zip Telephone State License tt _ 8"" WORKERS' COMPENSATION- •'• ;.„ .. . ' '", :" ': 1- ' j ' * Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations [~| | 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 D 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) $& 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 toj»Scuje workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollnrs(£1TO»000) m addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees DATE Z — / "> - >> V TAipWNiERTByjLp^ ,.::..,,;..; ,: ,.::.,,:... .,., ,,.:.. .,::;;;;i; , , .,. ;. ...I:,?. ...:,..„,.. I hereby affirm that I am exempt from the Contractor s License Law for the following reason n 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) [~1 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) 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 l~l YES flNO 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 / 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 NO 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 Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? (ZI YES Q 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 '$., , :.,:PON.SJRUCTONr:tieNplNG; AGENCY: £,.,,.;•;::.,:.. :;1 . ________ ...... ' "llf^i*'1 i" ri: ''. ;. ,i; I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER S NAME _ LENDER S ADDRESS 1 ; APPLICANT CERTIFICATION i 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 at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS ££60 ./%.// f J> 2. TYPE OF BUILDING RESIDENTIAL i/ COMMERCIAL 3 ROOF SLOPE RISE 'L inches in 12 inches 4 NUMBER OF EXISTING ROOF COVERING (cirqle one) > 2 3 5 TYPE OF EXISTING ROOF COVERING ^ ^" ^SHEATHING *6 NEW ROOF MATERIAL XJ>,n^, CLASS fr WEIGHT PER SQUARE 7 -NUMBER OF SQUARES I J •••*••• •— * ^^^n • f^ **• v^ / ^8 TRADE NAME ^ <i^^ Qr»L,* MANUFACTURER 77^ i> 9 ROOF SYSTEM LISTING UL No _ ICBO No. 10 IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF' (^> 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-mspection 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 /^^ Date "*- " ' Contractor ^_ Owner Contractor Name ^- r"~ *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 03/16/2004 Permit* CB040514 Title MALONE RES-1200 SF COMPOSITION Description Type MISC Sub Type REROOF Job Address 2660 DAVIS AV Suite Lot 0 Location APPLICANT KINCAID WILLIAMS CONSTRUCTION Owner MALONE SHAWN P&HEATHER B Remarks Inspector Assignment JM Phone 7608891767 Inspector Total Time CD Description 19 Final Structural Act Comment Requested By ERIC WILLIAMS Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 03/05/2004 15 Roof/Reroof AP JM OK TO COVER EXISTING PLY GARAGE & HOUSE