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Home My WebLink About1010 FOXGLOVE VW; ; CB992421; PermitCity of Carlsbad 06/30/1999 Miscellaneous Permit Permit No:CB992421 Building Inspection Request Line (760) 438-3101 Job Address: 1010 FOXGLOVE VIEW CBAD Permit Type: MISC Subtype: Parcel No: 2144102700 Lot#: Valuation: $5,565.00 Reference #: Project Title: REROOF 2100 SF LITE TILE Applicant: SECURE ROOF INC 2210 MEYERS ESCONDIDO CA 92029 760-432-9084 REROOF 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/30/1999 JM 06/30/1999 06/30/1999 144 7 06/30/99 0001 01 C-PRMT Total Fees: $131.00 " . 'Total Payments To ~;~~i $0.00 · 1':rance Due: $131.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: ~ '+ ' FINAL APPROVAL Date: """\ I '$:>/~9 ••• 4 < . ' :a1~1.oo , • '., $0.00 :lll't31.00 Clearance: NOTICE: Please take NOTICE that approval of your project includes the "lmpQSition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/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 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 capactiy 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 vou have oreviouslv been oiven a NOTICE similar to this. or as to which the statute of limitations has nreviouslv otheiwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 131-00 , • PERMIT APPLICATION FOR OFFICE USE 0~7 LI~( PLAN CH ECK NO .--'-TI_____.___U__,-i_.___, CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST.VAL._~~~~~~~~~ Plan Ck. Deposit -±::,L-------, Validated By __ y.~==--=-_,,.+:;:i,....-n-....v_f Date _________ -'<'-"<l~l,CJ"'~.v 1. PROJECT INFORMATIOtj \D\O £ox_e\..o\/e,. \ftevJ Business Name (at this address) Address (include Bldg/Suite #) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel f--.. I ¥'DD~'--' Ltte-T\e Existi~O'O Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms ,2. CONT ACT PERSON (It different from applicant) Name State/Zip Telephone# Fax# Address Contract~ · 0 Agent for Contractor . ~e_ ()'?) City D Agent for Owne'<::-. . .. .:St-u D C?ala-l l.o(i-Co<:r~-'l<o~-.:3 Address City State/Zip Telephone # Ws~ -G1o~ City State/Zip Telephone# 6. '· CONTRACTOR • COMPANY NAM.E (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, a11d the basis for the alleged ex~~ f Section 7~c'.:y ap~ant f~rmit subject~plican~ a civil~~ of noc,m~\t!l~.te hundre~ dl9a~ l~~~:_l")(p~._:) Name Address fl 'J :: City State/Zip Telephone # State License # License Class ~ _j_ City Business License # -------- Designer Name Address City State/Zip Telephone State License # ---------- 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 . .,,t:(' 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 :~:~::~c~~:;:~:s compensa . policy number are: Policy No. 3::8 s= ( \.y ~ 0 q 9/ Expiration Date 1 ( , I OE) (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 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 11 unlawful, and shall aubjact an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 00), In addition t the coat of,compenaatlon. damages•• provided for in Section 3706 of thafia ~. r c c20 · tereat and attorney's fees. SIGNATURE ' . • DATE __ .J..:-;:;{.J=:::;::~--1.--'~-- 7. I hereby affirm that I am exempt from the Contractor's 1cense 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 L11w 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(sJ licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ------Business and Prof,essions Code for this reason: 1·. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D 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. I will provide some of the work, but I have contracted (hfredJ the following persons to provide the work indicated (include name I address I phone number I type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE----------------------- COMPLETE THIS SECTION FOR NON41ESIDENTIAL BUILDING PERMITS ONLY DATE _________ ~ 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? 0 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 D NO L:; the fsc!!i!\.' !:: b:: ::o~::tr~~!s'i with;~ 1,000 feet of the out~r boundary of a s~~nol sitf:I? 0 YES Cl 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. 8. . CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30971i) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _ 9. 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. I hereby authorize representatives of the Cit\' 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 365 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 com c for a period"of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ' J . DATE YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2. TYPE OF BUILDING, R~i'DENTIAL ,/ COMMERCIAL. __ _,_ 3. ROOF SLOPE: RISE inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (i) 2 3 5. TYPE OF EXISTING ROOF COVERINGv-1d5\,\oJ:~EATHING ___ _,_ *6. NEW ROOF MATERIAL u+e-ti 1€.CLASS ·A WEIGHT PER SQUARE 7. NUMBER OF SQUARES ;;)._ I ____ _,_ 8. TRADE NAME Eo<3\e\\ \;-e.., MANUFACTURER (" 0,3\e 9. ROOF SYSTEM LISTING UL No. ICBO No. Lf:lo {Qf) 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-inspection 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 __ lY\ __ ._J_·_~-------4>-\ GD ___ Date Contractor Xi Owner ____ Contractor Name &~ ~ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Inspection Request For: 7 /27 /99 Permit# CB992421 Title: REROOF 2100 SF LITE TILE Description: Type:MISC Sub Type: REROOF Job Address: 1010 FOXGLOVE VIEW Suite: Lot 0 Location: APPLICANT SECURE ROOF INC Owner: NYLANDER JOHN A Remarks: Total Time: Description Act Comments Inspector Assignment: SR --- Phone: 0000000000 Inspector: SR Requested By: TERESA Entered By: CHRISTINE CD 19 Final Structural ~~F~~·~~~~~~~ Inspection History Date Description Act lnsp Comments 7/16/99 15 Roof/Reroof AP SR 7/15/99 15 Roof/Reroof co SR NOT ENOUGH NAILING IN SHEATHING