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Home My WebLink About1014 FOXGLOVE VW; ; CB050338; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-02-2005 Miscellaneous Permit Permit No: CB050338 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 1014 FOXGLOVE VIEW CBAD MISC 2144102900 $8,430.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: REI CK RES 3000 SF REROOF WD S AKE TO STAND WT CON TILE Applicant: . SECURE ROOF INC 7356 TRAD ....__-.:iJ!l.1'1-tH'E:GO CA 92121 800 338-6868 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Issued: Inspect Area: Owner: REINECK DANIEL&RAEBURN MARY 1014 FOXGLOVE VW CARLSBAD CA 92009 Total Fees: $153.00 Total Payments To Date: $0.00 Balance Due: ISSUED 02/02/2005 SB 02/02/2005 02/02/2005 $153.00 $0.00 $0.00 $153.00 $153.00 0967 02/02/05 0002 01 Inspector: FINAL A~/P.~~~L Date: ) J Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseNations, 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 capacity changes, nor planning, zoning, grading or other similar application processing or service tees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or a to which the statut f limitations has reviousl otherwise ex ired. 02 153-00 PERMIT APPLICATION CITY'OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE O~~??() PLAN CHE~NoDI c>_:,:,L) EST. VAL. (..,{_ S 1..-(c) 1.. PRQ./l;C.T INFOBM,;TION Address (inclu~Bldg/SuiJe #) Business Name (at this address) loJ'I rm<.& ta ve Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total! of units Assessor's Parcel # #of Stories # of Bathrooms Name Address [a:. . Al'PLICANT . D Co.ntradtor . )El, Ag'em for Contractor 57.e):e_ 5£ I \)G'Q Name Address Name Address [5 ... :' C9fH8ACTOR • COM.P~l'('f N_AM_g . City 0 Owner · 0 Agent for Owner City City 760 fo't 01<: State/Zip Telephone # Fax# State/Zip Telephone# 7 b 6 'l. {,<?5 l@tj1 S_tate/Zip 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 exem tion. Any v.' lation of Section 7031.5 by any ap licant for a rmit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]). . !Fo---e Address License Class _ _...:C~_J'--j..L.. ____ _ City State/Zip . Telephone # City Business License # JZ/S b 53 Designer Name Address City State/Zip Telephone State License # ---------- (6. 'llliQflKERS' COMPEfllSATIQN Workers' Compensation Declaration: 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' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. "lo 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 /i;;ued. My worker's compensation i~surance carrier and policy number are: S ,.r: ~ / _ / Insurance Company S'T A"({ fl-ltV D Policy No. 2 ~ \ '"\. ~G D J Expiration Date _ { -l) b (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. thousand dollars ($100,00 addition tot c of compensation, damages as provided for in Section 3706 of the labor code, interest and attorney's fees. WARNING: Failure to~ecu*orkera' compe satlon coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred SIGNATURE • DA TE ::t.,·-'2, -0 5 ,~, _ --Jjw~~ij;ji:iiLDeil,;oEcliA · )·10111 . 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, w ill 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/ 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 (hired) the following persons to provide the work indicated (include name I address I phone number / type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE----------------------- fCOMPl;ETE TJ-11~ SECTION' FOR •f!I.ON•RESIDENTIAL.BUllDING !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 Act7 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 Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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 .• 11:;: ... <;9t-1:sTRUCTION lENDII\IG A GEN.CY 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--------------- l'lj',, .• · A;P~J.JCA.NlT C~RTIF(CATIOI\I • LENDER'S ADDRESS _________________________ _ 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 lhe provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commence within 180 day om 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 commenced f period of 18 ~a\_ <:~:~n 106.4.4 Uniform Building Code). 2 _ L -() 5 APPLICANT'S SIGNATURE v---r-DATE ------------- WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOBADDRESS: [014 f:"e'f,.QbQYe V,e'-w c~J 2. TYPE OF BUILDING: RESIDENTIAL h, COMMERCIAL. __ __. 3. ROOF SLOPE: RISE f inches in 12 inches ~ 4. NUMBER OF EXISTING ROOF COVERING (!!ircle one) (LJ! 2 3 5. TYPE OF EXISTING ROOF COVERINGShcJ(t, SHEATHING f~S *6. NEW ROOF MATERIALeo.vciL.t-c&ss 10 WEIGHT PER SQUARE ff 7. -NUMBER OF SQUARES 3 . 8. TRADE NAME &?'~OI... MANUFACTURER &, k. 9. ROOF SYSTEM LISTING UL No. ICBO No. 4 6 b V 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ~ NO ~4~ 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. Signature __ _,~'--"-.--'-'. +·____.£L_. __ -_'w...id __ · ____ Date __ :z._-_2-_-_6_5_-__ Contractor -4-£. Owner Contractor Na!fle--=---'---'---:=..¥-- *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built Other. City of Carlsbad Bldg Inspection Request For: 02/28/2005 Permit# CB050338 Title: REINECK RES 3000 SF REROOF Description: WD SHAKE TO STAND WT CON TILE Type: MISC Sub Type: REROOF Job Address: 1014 FOXGLOVE VIEW Suite: Lot O Location: APPLICANT SECURE ROOF INC Owner: REINECK DANIEL&RAEBURN MARY Remarks: Total Time: Inspector Assignment: PD --- Phone:~7 Inspect~ Requested By: CHARLA Entered By: JANEAN CD Description Act Comment _1_9 __ Final Str-uc_t_u_ra_i _____ £ _ -------- Associated PCRs/CVs Inspection History Date Description 02/10/2005 15 Roof/Reroof Act lnsp Comments AP PD -----------