HomeMy WebLinkAbout1008 FOXGLOVE VW; ; CB981422; Permit,, B U I L D 1 N G P E R M I T
oi::.11l19& 1J: 37
Pc1QP 1 0f 1
T0b Address: 10C8 FOXGLOVE VIEW
Suite:
Pe>rm1t Type: MISCELLANEOUS Lot#:
Pc.1rcel No: 2'4-410-26-0U
Valuat1on: 6,625 Occupancy G oup: Reference#:
Description: REROOF 2500 ~FLIGHT WGHT TILE
: ICBO 4t>60
Appl/Ownr : ~ECl'RE ROOFING 2210 MYRES AVENUE
ESCONDIDO CA 92029
FC'eS Required *** -------------------------
F es:
Adjustments:
'I'ota l F ecs:
-------------------
Miscellaneous Fee#
* MISCELLANEOUS TOT
760
PPrmit Nu: Colb14G
Proi0ct Nu: A':lellll3:H:
D0vel0pment No:
C<>nstruc-t10n Type:
st~tus:
NEW
t. ... -u£D
05/ 12 /<JI:'<
or,;1i1':l8 Applied:
Apr/Is .. ue:
Entered By: JM
4j2-9084
***
----1,9"~<5""Mm-oooror--02-c-PR~J O 145-00
. () 0
145.00
Ext fee: uat 1 ----------------145.00 PERMIT f~E
145.00
APPROVAL
~ ............ _oATeS2-7·?o
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
FOR OFFICE USE 0
I I
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA· 92009
(760) 438-1161
EST.VAL.~--'~~;.,..£~~-.rr-~~
Pl an Ck. Oeposit-=-.......,'---"-..LL~q,,,.:;__ __
Validated By_,._._...__-r~~~~---
Date~--------4-.:...!::q._~.1--~-
Address Unclude Bldg/Suite #I Business Name (at this addressl
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total fl of units
Propos d Use
fl of Bedrooms fl of Bathrooms
',J
Name State/Zip Telephone fl Fax fl
State/Zip Telephone fl
i4!1VPliOPEiin',bwNEi\':f'fi!.':)i:1.r\Wl"'l!"?l'ftV:::J~.fll\ (i\·,1:::,, 11F '. .,. ",, ,"'''' ;·
· TDRIGO E (o6S 'R>;«;U>Vf:: \J(E W
Nama Address City
· QA Cf-Joo ?(pl) -'-Af3-, ~{) b
State/Zip Telephone fl
&."':i''boNiRACTOR '3'COMPANY NAME~"".'t""~"C"''.," •·•·~
(Sec. 7031. 6 Business and Profession• Code: Any City or County which requires a pe,mlt to construct, alter. Improve. demolish or repair any structure. prior to Its
Issuance, also requires the eppllcant for such permit to Ille a signed •tatement 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 Codel or that he Is exempt therefrom, and the bt1sls for the elleged
e emption. Ang_ol~ttl~.5 by any applicant for a permit subjectlb;.t1t'~"~~vil penalty ~,A moetz.8~ 1undre~;;;,s~$ 0011.:_ 'oS~
Name ~ 1 / Address City State/Zip Telephone fl
State License fl ~J O 8 c?, 't License Class City Business License fl /:Jo 3/p ;i~
Designer Name Address City State/Zip Telephone
State License fl ----------
&.' ' WbFU(ERS·· cbMPENsAtloN ?'"; ··~ y ~ .. ~ ,: t
Workers' Compensation Decleretlon: I hereby affirm .under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-Insure for workers ' compensstion es provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit Is Issued.
J:J-I have and will maintain workers' compensation, es required by Section 3700 of the Labor Code,. for the performance of the work for which this permit Is
Issued. My worker's com~n::on Insurance carrier an poli~y number ere:') oc-I/ fc) I ,-Cl/) /-/-ao
Insurance Company ~mm V::uN jl Polley No. ~ 0 a, _T..t> (0 .L~ Expiration Date_-'-----'-"-~--
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESSI
0 CERTIFICATE OF EXEMPTION: I certify that In the performance of Iha work for which this permit Is Issued, I shall not employ any person in any manner so as
to become subject to the Worker•' Compensation Lawe of C11lfornla.
WARNINO: Fellure to eacure workers' compenHtlon coverage le unlawful, and eheH 1ubJect 1n employer to crlmlnal penaltlH end clvll fln111 up to one hundred
. thouHnd doH1r1 C$100,0001, In 1ddltlon to thl,coet of eel enHtlon, d1m1gH H provided for In Section 3706 of the ~r c~, lnte~,t and 1ttomey'a feee.
Jf·SIGNATURE ~ ~ ' DATE ~/ =f. ~ ~
i t· oWNEri:auitbER~DECl!ARATIONff'f."1"~;0..•. );.:.·.~.,;, ... ·4~ ··,;"I::!·'/;~··,.···"· , •es: ' •;•I ' ' ·. ··, ',: .. ,"•, !
I hereby affirm that I em exempt from the Contr1ctor'a License Law for the following reason:
0 I, as owner of the property or my employees with. wages as their sole compensation, will do the work and the structure Is not Int anded or offered for sale
(Sec. 7044, Business ind Profeuiona 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 hie own employees, provided that such Improvements era not Intended or offered for sale. If, however, the building or Improvement Is
sold within one year of completion, the owner-builder wlll have the burden of proving that he did not build or Improve for the purpose of sale).
0 I, es owner of the property, am exclusively contrectlng with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: The
Contractor's License Lew does not apply to 1n owner of property who builds or Improves thereon, and contracts for such projects with contractorls) licensed
pursuant to the Contractor'• License Lew).
0 I em exempt under Section ------Business and Professions Code for this reason:
1. I personally pl1n to provide the major l1bor ind m1terlala for conetructlon of the proposed property Improvement. 0 YES ONO
2. I lh1va I have notl signed en 1pplic1tlon for • building permit for the proposed work.
3. I have contracted with the following parson lfirm) to provide Iha proposed construction lincluda name I address I phone number I contractors license numberl:
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 I contractors license number>=-------------------------------------------------
6. I will provide some of the work, but I have contrectad (hired) the following persons to provide the work Indicated (include name / eddress / phone number / type of work): ___________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE ------------
ls the 1pplicant or future building occupant required to submit • business plan, acutely hazardous materials raglstr1tlon form or risk management end prevention
program under Sections 26606, 2~633 or 26534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO
Is the applicant or. future building occupant required to ob~aln I permit from the air pollution control district or air quality management district? O YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of e school site 7 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 EMEROENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
~~'1:1'Rs'fftUCTititlltifDiNJ~tiENCY~~~4~r~~~,1il•l\Vl'1'1\rt'J:b!'!i°':'•;1'l'"·'· J..:.~"'.::t(;f''. 1.r...:·::·r· ,· ,/'
I hereby 1fflrm that there Is I construction landing 1gency for: the performance of the work for which this permit Is Issued I Sec. 3097(1) Civil Code I.
LENDER'S NAME LENDER'S ADDRESS -----------------------------!JI 'ff. iA I! P li C ANl\, CE R ti Fl CA ti O l'l/'¥H ~ f PW I~~ l .ffl' ij lEK~ ~ lil. ~ ~ ,w; 1 r w: ~ 1 l} l' l y." i-i•'fll" PW,f(f"ifl~"-l,,1l't ~,n ,1~ ,"' ·11;;.·" · ·• "', n . · .
I certify that I have reed the application and stete thlt the a~ove Information is correct and that the Information on the plans Is accurate. I agree to comply with all
City ordinances and State law, rel1tlng to building construction. I hereby authorize representatives of the Cltt of Cerlsbad to enter upon the above mentioned
property for Inspection purpo1111. I ALSO AOREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AOAINST ALL LIABILITIES,
JUDOMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TIIE ORANTINO OF THIS PERMIT.
OSHA: An OSHA permit Is required for excavations over 6'0" deep end demolition or construction of structures over 3 stories In height.
EXPIRATION: Every permit Issued by the Building Ofllclsl under the provisions of this Code shall expire by llmltetlon and become null and void if the building or
work authorlud by such permit Is not commenced within, 366 days from the data of such permit or If the building or work authorlzed ?t by su h permit Is suspended
or ebandonad 11 any time 1ftar the work Is co mane for I period of 180 days I lion 106.4.4 Uniform Building CodeJ. ~
APPLICANT'S SIGNATURE ' • DATE ~/ 9. ~
..
PERMIT# CB981422
DESCRIPTION: REROOF 2500 SF
ICBO 4660
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 05/22/98
LIGHT WGHT TILE
INSPECTOR AREA PD
PLANCK# CB981422
OCC GRP .
CONSTR. TYPE NEW
STE: LOT: JOB ADDRESS: 1008 FOXGLOVE VIEW
APPLICANT: SECURE ROOFING
CONTRACTOR:
760 432-9084
OWNER:
REMARKS: C/TERESA/432-9084
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
PERMIT# TYPE
CB950586 PLUM
STATUS
EXPIRED
ACT COMMENTS
_1_9~ _s_T ~F_i_n_a_1~s_t_ru~c_t_u_r_a_1~~~~~~-~ ~~~~~~~~~~~~~~~
DATE DESCRIPTION
051598 Roof/Reroof
***** INSPECTION HISTORY*****
ACT INSP
AP PD
COMMENTS