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Home My WebLink About1011 FOXGLOVE VW; ; CB031056; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-14-2003 Miscellaneous Permit Permit No: CB031056 Building Inspection Request Line (760) 602-2725 Job Address: 1011 FOXGLOVE VIEW CBAD Permit Type: MISC Subtype: REROOF Status: ISSUED 04/14/2003 RMA 04/14/2003 04/14/2003 Parcel No: 2144101900 Lot#: 0 Applied: Valuation: $8,430.00 Reference #: Project Title: NAVAREZ RES-3000 SF LT WT CONG Applicant: WILLIAM GAUTHIER ROOFING CO 2005 ACACIA DR SAN MARCOS CA 92069 760 598-7545 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Entered By: Plan Approved: Issued: Inspect Area: Owner: NEVAREZ ISMAEL SR&LUDVINA 28375 CARRIAGE HILL DR HIGHLAND CA 92346 2685 04/14/03 0002 01 02 $153.00 $0.00 $0.00 $153.00 CGP 153.00 Total Fees: $153.00 Total Payments To Date: $0.00 Balance Due: $153.00 LAPPROVAL INSP. ~~::;.....-DATE n6, e:1'?_;> CLEARANCE PERMIT APPLICATION las~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE QYJ-1= PLAN CHECK NO .~ EST. VAL. ?}f 3 i) Plan Ck. Deposit ----=,------ Validated~y f . /;t4= Date _ f . Y / __ ( I < 1, Address (include Bldg/S ,te #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel # Existing Use Proposed Use SQ. FT. #of Stories # of Bedrooms # of Bathrooms 30 I Address City State/Zip Telephone # Fax II 0 Agenj for Contractor Q()wner 0 -Agerit for Owner Name Address City State/Zip Telephone # Name Address City State/Zip Telephone# 6. CONTRACTOR • COMf'A.NY ~AM!; (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 exempti n. Any violation of Section 7031.5 b'>i'i!ny applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). (,.J rv-,... CA h.,e-1_ ((.oo '\\r (_c, ;)v 6!' AcA,;.~ '>Ar C.o\ (A_ /(.o S'f&7Sl/) Name State License # _Lf_._....8------''1~1 ~(,~~--- Addre City State/Zip / Telephone # License Class ( -j 1'. City Business License # / J .C, 'I I J Address City State/Zip Telephone I hereby affirm under penalty of perjury one of the following declarations: Ii] 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 ;;?,he 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 injance carrier and policy number are: ("J Insurance Company 5'4 F '-1 f'"'~ Policy No. 0 77 Z: l( G ~ Expiration Date { {-0 ( ~ 0 J (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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. 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 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. 0 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 / address / phone number I 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------------------------ 1COMPLETE THIS SECTION FOR NON..flESIOENnAL BUILDING PERMITS ONL YJ1.. " 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 7 O YE:S O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O 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. L8. <;ONS'TRYCTION LENC>ING.AGENCY 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). LENDER'S NAME--------------LENDER'S ADDRESS -----------------------------r$, APPLICA['ff 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 Citt of Carlsbad to enter upon the above mentioned ·property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 tim• after the work is commence r a period f 180 days (Section 106.4.4 Uniform Building Code). APPLICA S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING I 1. JOB ADDRESS: (Q I / Fo {_ Clove... u IF-w 2. TYPE OF BUILDING: RESIDENTIAL 'X COMMERCIAL. __ ~ ' 3. ROOF SLOPE: RISE Y inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (j) 2 3 5. TYPE OF EXISTING ROOF COVERING 50".:::a_ SHEATHING ___ __, *6. NEW ROOF MATERIAL C( A CLASS5'76WEIGHT PER SQUARE 7. -NUMBER OF SQUARES Jo . 8. TRADE NAME<£" I ( e CAf 1s-\rtP<"'JANUFACTURER tAC;t LQ__ 9. ROOF SYSTEM LISTING UL No. ICBO No. lf G GO 10. IS THE EXISTING STRUCTURAL DESl~ICIENT 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 instalfnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Contractor _J(__ Owner Contractor Narrie W ~ { I , f\ """-GA LA.. -f-~ ~ e) *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 05/23/2003 Permit# CB031056 Title: NAVAREZ RES-3000 SF LT WT CONC Description: Type: MISC Sub Type: REROOF Job Address: 1011 FOXGLOVE VIEW Suite: Lot 0 Location: APPLICANT WILLIAM GAUTHIER ROOFING CO Inspector Assignment: RB --- Phone: 7605987545 Inspector: .::rE-, Owner: NEVAREZ ISMAEL&LUDVINA O REVOCABLE INTER VIVOS T Remarks: Total Time: CD Description 19 Flnal Structural Act Comment _fl{!_ p/J:?L Associated PCRs/CVs Inspection History Date Description 04/29/2003 15 Roof/Reroof Act lnsp Comments AP RB Requested By: NA Entered By: KAREN \ ~ ---