HomeMy WebLinkAbout1003 FOXGLOVE VW; ; CB070937; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-05-2007 Patio/Deck Permit Permit No: CB070937
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
1003 FOXGLOVE VIEW CBAD
PATIO Status:
Lot#: 0 Applied:
Valuation:
2144100300
$6,810.00 Construction Type: NEW Entered By:
Reference #:
Project Title: HOYT: 380 SF DECK/74 SF STAIRS
Applicant:
HOYT GARY&CARMEN
1003 FOXGLOVE VW
CARLSBAD CA 92011
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Strong Motion Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
Owner:
HOYT GARY&CARMEN
1003 FOXGLOVE VW
CARLSBAD CA 92011
ISSUED
04/05/2007
JMA
04/05/2007
04/05/2007
$76.59
$0.00
$49.78
$0.00
$1.00
$0.00
$0.00
$0.00
$0.00
$127.37
Total Fees: $127.37 Total Payments To Date: $127.37 Balance Due:
Inspector: Clearance:
$0.00
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 pennit 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 infonnation 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.
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK No.CB oJq '37
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST.VAL. _________ ~
Plan Ck. Deposit---------
Validated By '> ~
Date $5U)1
Business Name (at this address)
~egal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel# Existing Use Proposed Use
Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms
/. Res:;:!t,.11k<.. ~e.u<-~ k~t.vr
CQ..NIAC..T...l'tillQ.N (If JJ1jfer1111t mim appllcentl
380 74'sF .Ctf\-j~
Name State/Zip Telephone# Fax#
Name Address City 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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
Name Address City State/Zip Telephone#
State License # ----------License Class ----------City Business License # --------
Designer Name
State License #
Address City
[§,, WQ.B El\$ C.OMPENSATl()t(
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
State/Zip Telephone
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 work for which this permit is issued.
0 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)
0 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, end 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 .
...J ~IGNATURE DATE
r-,"l OWNER,8!,IILD~J>E~i.AMilON ..:=:=:=::::::;:::;:;;:;;;:;;;;;;;;;;;;:;::;:::.....~--..... =,...
· I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
~ 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 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).
0 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.B YES ONO
2. I (have I 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 I address I 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 I address I phone
number I contractors license number):-------------------------------------------------
5.
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 Act7 D YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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.
,...,..,_,.~N~T,M!.C.D ~qA~G~EN~C~Y __ _
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).
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 Cltt 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 ANO 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 commenc d for a perlo of 180 days (Section 106.4.4 Uniform Building Code).
·"APPLICANT'S SIGNATURE DATE _'-f ........ /,,..rulu.tJ.__,_7 ______ _
WHITE: File YELLOW: Applicant PINK: Finance
lnspec~ion List
Permit#: CB070937 Type: PATIO
Date Inspection Item
06/26/2007 19 Final Structural
06/25/2007 19 Final Structural
06/07/2007 97 T-24 H-Cap Consultation
04/13/2007 11 Fig/Foundation/Piers
Monday, June 25, 2007
lnspec,tor
PC
PC
PC
HOYT: 380 SF DECK/74 SF STAIRS
Act Comments
RI
AP
AP
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Page 1 of 1
UNSCHEDULED BUILDING INSPECTION
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