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Home My WebLink About1012 FOXGLOVE VW; ; CB021355; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-02-2002 Miscellaneous Permit Permit No: CB021355 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 1012 FOXGLOVE VIEW CBAD MISC 2144102800 $8,992.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: ISSUED 05/02/2002 CB 05/02/2002 05/02/2002 Issued: Project Title: SILVA RES/ REMOVE SHAKE, APPLY Inspect Area: 32 SO'S-LIGHT WEIGHT TILE ROOF (DURALITE) Applicant: SECURE ROOF INC 7356 TRADE ST SAN DIEGO CA 92121 800 338-6868 Total Fees: $153.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Owner: SILVA FAMILY TRUST 03-31-00 1012 FOXGLOVE VW CARLSBAD CA 92009 Total Payments To Date: $0.00 PERMIT FEE FINA~~VAL Date:· f{,-02-.. 6345 05/02/02 0002 01 CGP Balance Due: Clearance: $153.00 $0.00 $0.00 $153.00 $153.00 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.ff 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 nght to protest the specitied fees/exactions DOES NOT APPLY to water and sewer connection tees and capacity changes, nor planning, zoning, grading or other similar application processing or seNice fees in connection with this project. NOR DOES IT APPLY to any . r 02 153-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No@2/.3S5 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST.VAL. _________ _ Plan Ck. Deposit ~=-------- Validated By_.,.C:..:::;;..t:B=:...._ _____ _ Date 5"-"2-CJ'?_,, 1. PROJECT INFORMATION t IO 1 &, /=O'l( GLD YE Business Name (at this address) Lot No. Subdivision,Name/Number ~FD Unit No. Phase No. Legal Description Assessor's Parcel # (<..£-Root= Existing Use Description of Work SQ. FT, f2G~OV I tv&-51-}A Le A-Pf'L-)1!.n (;,-CT ~-CONTACT PEF!~ON (If different frorn applicant) €, A-W7 (;; Proposed Use #of Stories d r.,v T n<...G ~ 2-/tCI # of Bedrooms Total # of units # of Bathrooms Name Address City State/Zip Telephone # Fax # tB' A9.ent for Contractor /1-,.JC c:PC:S5 Address _[] OwneJ .O ·Agent for Owner G')f!.. T-3~~ b1,. ~ City trz~z.1 C!A ~~ (7roo) S-c/6 'O~ State/Zip Telephone # 3. APPLICANT O Co~traotor toEW~ R0or::) Name ,4. PROPE~T'(OWNEIJ GILVA iC>f:Z VIG w1 Name Address City S.tate/Zip Telephone # L6. CONTF!ACTOR • COMPANY NAMJ; (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 h\!!'dred dollars )$5001). 5 EU-L-~ R..oor= ,1vc., :;J. ~S-S-P.;cv,.J.--., tn · · E-S<! C-A-t:j'-zoo~, rt.<) $'ll6 -o;;..~<-1, Name J Address City State/Zip Telephone # State License # 'S '10 8' 3 c/ License Class (! ? '1 City Business License # -------- Designer Name Address City State/Zip Telephone State License # ----------- 6. WORl(ERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 'E;f 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, W 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 6 ·r,,.. TE-r--u.N /) Policy No. 'J.fi'':::-fc./[ilo -6?-. Expiration Date __ 1+/_c_1,_f_o_3 __ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) c:;tJ 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, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ~.p(?O), in ~itl~ to the c;pst of'l;,ompensation, dam~es as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE ~~ ~~ DATE 5 -,;2.. -{> ~ . ,1. OWNER-~1:1iu::i~R DECLARATION • · · · · ~ ···· ·· ·.· · • · · I hereby affirm that I am exempt from the Contractor's 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 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 improvement ot 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 o .vi g that he did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with I' sed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of pr y who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D 1. 2. 3. or and materials for construction of the proposed property improvement. 0 YES ONO I (have I have not) signed any 1cation for a building permit for the proposed work, I have contracted with e'1ollowing person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 4. I plan to prov· 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 numb~/co~ o~licensenumben: _______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) 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 NON-RESIDENTIAL BUILQING 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 O NO 1s 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. [8. .CONSTRUCTl,ON l,ENDING 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 --------------- ~. APPLJCANT 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 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 permi1 issued by the building Official under 1he provisions of 1his Code shall expire by limitation and become null and void if the building or work authorized by such permit is no1 commenced within 180 days from the date of such permit or ii the building or work authorized by such permit is suspended or abandoned at any time alter the work is c~~ced for a p~d of 18~ days (Section 106.4.4 Uniform Building Code), APPLICANT'S SIGNATURE ~ ~ ' DATE €-62 -0'2.... WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: /0 r :?-FOKC:rUJvE:" VIE-w 2. TYPE OF BUILDING: RESIDENTIAL )<? COMMERCIAL --~ 3. ROOF SLOPE: RISE Lf inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) G 2 3 5. TYPE OF EXISTING ROOF COVERING S/-1At:c SHEATHING ye.1 · I *6. NEW ROOF MATERIAL Tl Lt CLASS A WEIGHT PER SQUARE 7. -NUMBER OF SQUARES __ :z,=-;:;,.-~ 8. TRADE NAME '1,Uf2M..,n:: MANUFACTURER MON l~Q_. 9. ROOF SYSTEM LISTING UL No. ICBO No. 4 l,C, D 10. IS THE EXISTING STRUCTURAL DESIG~IENT 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: :,; (d)'Tear Off/Pre-inspection prior to instal(~ew roof covering. (:) Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Contractor Y:: Owner Contractor Name See~-----.. *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 05/14/2002 Permit# CB021355 Inspector Assignment: PD --- Title: SILVA RES/ REMOVE SHAKE, APPLY Description: 32 SQ'S-LIGHT WEIGHT TILE ROOF (DURALITE) Type:MISC Sub Type: REROOF Job Address: 1012 FOXGLOVE VIEW Suite: Lot 0 Location: APPLICANT SECURE ROOF INC Owner: SILVA FAMILY TRUST 03-31-00 Remarks: Total Time: CD Description Act Comments Phone: 76°,J!;!:Z- lnspector:?/ A ---- Requested By: TUA Entered By: CHRISTINE 19 Final Structural ¥------ ----------- Associated PCRs Inspection History Date Description 05/07/2002 15 Roof/Reroof 05/07/2002 15 Roof/Reroof Act lnsp Comments NR PD 5-6-2002 AP PD