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Home My WebLink About1004 FOXGLOVE VW; ; CB031550; PermitCity of Carlsbad e;c6 1635 Faraday Av Carlsbad, CA 92008 06-u4-2003 Miscellaneous Permit Permit No: CB031550 Building Inspection Request Line (760) 602-2725 Job Address: 1004 FOXGLOVE VIEW CBAD Permit Type: MISC Subtype: REROOF Status: Parcel No: 2144102400 Lot#: 0 Applied: Valuation: $4,496.00 Entered By: Reference #: Plan Approved: ISSUED 06/04/2003 SB 06/04/2003 06/04/2003 Project Title: OAKLEY RES 1600 SF REROOF WD SHAKE TO LT WT CON TILE Applicant: OAKLEY STEPHEN&JENNIFER 1004 FOXGLOVE VW CARLSBAD CA 92009 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Issued: Inspect Area: Owner: OAKLEY STEPHEN&JENNIFER 1004 FOXGLOVE VW CARLSBAD CA 92009 660? )6./04,/')3 ,'.)002 )J .. ;c~ {Jr:" $102.00 $0.00 $0.00 $102.00 Total Fees: $102.00 Total Payments To Date: $0.00 Balance Due: $102.00 Inspector: FINA Date: Clearance: 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." 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 lorth in Governrnenl 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 fees in connection with this project. NOR DOES IT APPLY to any I I x ion of w · h v r vi I imil t hi wh' f limital\ n I h rwi -'-'~ .. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1. PROJECT INFORMATION Add~<i~Yu:e BZs'fJl"ee. Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Assessor's Parcel # ~ Existing Use t2.t -ea,t1::.. I '-o o I Descric~m ~ J..~~ Jo l, 7 :r ~OfV 2. CO~T PERSON (If different from applicant) # of Stories Name State/Zip FOR OFFICE USE ONLY PLAN CHECK NO. C ~ 3 /--6~ ""'o EST. VAL 4(1 l.{ 't .t:) Plan Ck. Deposit ________ _ Validated By ..... s=--.... B'"'-------- Date e/fµ>J Phase No. Total# of units Proposed Use ~ # of Bedrooms # of Bathrooms Telephone# Fax# 0 Contractor 0 Agent for Owner 'A Telephone # 4. PROPERTY OWNER i1'iA & t u:f tA l -/&,50 State/Zip Telephone# 5. CONTRACTOR • COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennlt to construct, alter. improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such pennit 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 hundred dollars ($500]). Name Address City State/Zip Telephone# State License#----------License Class------------City Business License# ___________ _ Designer Name Address City State/Zip Telephone# State License# ________ _ 6. WORKER'S COMPENSATION Wmers· Compensation Deciaration: I hereby affinn under penalty of perjury one of the following declarations: O 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 perfonnance of the work for which this permit is issued. O I have and will maintain worker's compensation. as required by Section 3700 of the labor Code, for the performance of the work for which this pennit is issued. My wmer's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date, ____________ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fallurw to securw wort<ers' compensation coven,ge Is unlawful, and shall subject an employer to crfmlnal penalties and clYII fines up to one hundntd thousand dollara($100,000), In addition to the cost of compensation, damages are provided for In Section 3706 of the Labor Code, Interest and attorney's fees. SIGNATURE DATE 7. OWNER-BUILDER DECLARATION ·------::==:=:=:==--, I hereby affinn 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 d 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). O I, as owner of the property, am exclusively contracting with licensed contractors to oonstruct 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. tif YES O NO 2. I (have/have not) signed an application for a building pennit for the proposed work. 3. I have contracted with the following person (finn) 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 /ontractors license number): ----------------------------------------------- 5. I will provide some of the work, but I have work indicated (include name I address I phone number I type of work): !PROPERTY OWNER SIGNATUR WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION .. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for 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 Is 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. 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. 3097(1) 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 City 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, JUDGEMENTS, 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 of 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 withi O days from the date of such permit or if the uilding or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period 1 d (Secti .4.4 Un' Bui · e). WHITE: File YELLOW: Applicant PINK: Finance , City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: /OO f /o'L]/v,ve. th ~Lv 2. TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL. __ ....., 3. ROOF SLOPE: RISE i inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) ~ 2 3 5. TYPE OF EXISTING ROOF COVERING '50.4:6,_SHEATHING S1<; P . *6. NEW ROOF MATERIAL 7J LL (t:k)CLASS 7c:O WEIGHT PER SQUARE 7. -NUMBER OF SQUARES Jt·~ 3Q 8. TRADE NAME Eflj 4, (; k MANUFACTURER £15<!&?, k 9. ROOF SYSTEM LISTING UL No. ICBO No. £ !2 -'/t6l). 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 instalfnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signal~~ Date_~A_v_~_~3 __ _ Contractor ___ Owner ~ Contractor Narrie ______ _ *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 07/09/2003 Permit# CB031550 Title: OAKLEY RES 1600 SF REROOF Description: WO SHAKE TO LT WT CON TILE Type: MISC Sub Type: REROOF Job Address: 1004 FOXGLOVE VIEW Suite: Lot 0 Location: APPLICANT OAKLEY STEPHEN&JENNIFER Owner: OAKLEY STEPHEN&JENNIFER Remarks: Total Time: Inspector Assignment: JM --- Phone: 7149201959 Inspector: Y vV'\ Requested By: STEVE Entered By: CHRISTINE e~ Comrr;ept ) I h /'JI-ii r ,t.u,JJ u.10 CD Description 19 Flnal Structural Associated PCRs/CVs Inspection History Date Description 06/09/2003 13 Shear Panels/HD's 06/09/2003 15 Roof/Reroof Act lnsp Comments WC JM CO JM NEED 1/8 GAP AROUND PERIMETER OF CDX PLYWD