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Home My WebLink About1004 FOXGLOVE VW; ; CB921239; Permit• t ' I' •. " . '. ~ • * , t r lf l t! f,P( t M· ·.:~A.I£ I ( 'T 'A ""'' :.J V .w 1 • ( "271 1 !/1()/~ • • r {. , L APPROVil {_-~3 ~;_-DATE ' 1· IN CLEARANCE-----, CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION ~ V PLAN CHECK NO. City of Carlsbad Building Departllent 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 PIAN CK DEPOSIT ________ _ VAIJD.BY __________ ~ I. PRRMI I I YPE DATE A -D COmmerctal B -D Industrial LI New Bu1ld1ng Li lenant Improvement Li New Building D Tenant Improvement C -Li Residential D Apartment D Condo D Single Family Dwelling a Addition/ Alteration D Duplex C Demolition C Mechanical D Pool D Relocation D Mobile Home D Electrical D Plumbing D Spa Cl Retaining Wall D Solar D Other 2. PR<llECf INFORMATION FOR OFFICE USE ONLY Building or Suite No. LEGAL DESCRIP I ION int No. Subchvis1on Name/Number Unit No. Phase No. CHECK 8£WW IF SOBMII IED: CJ 2 Energy Cales D 2 Structural Cales D 2 Soils Report D I Addressed Envelope ASSESSOR'S PARCEi, EXIS7!G USE PBO~EDUSE DESCRIPTION OF WORK SQ. Ff. # OF STORIES 3. WN IACI PFJtSCJN (1£ dliierenl from applicant) NAME ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 4. APPUCANI NAME UWNIRACIOR UAGENI FOR WNIRACIOR DOWNER DAGEN I FUR OWNER ADDRESS 7. CllY STATE ZIP CODE DAY TELEPHONE NAME.S k,>1-o ,v C)A,Y..'4t ADDRESS CllY STATE ZIP CODE DAY TELEPHONE NAME ADDRESS CllY STATE ZIP CODE DAY TELEPHONE STATE IJC. # IJCENSE CLASS CI1Y BUSINESS IJC. # CI1Y STATE ZIP CODE DAY TELEPHONE STATE IJC. # WOkkERS' WMPENSXIIUN workers· compensation uec1arat1on: I hereby affirm that I have a cert1hcate of consent toself .1nsure issued by the b1rector of lndustnal Relations, or a certificate of Workers• Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POIJCYNO. EXPIRATION DATE Certthcale of Exemption: I certify that 1n the performance of the work for which this pennU 1s issued, I shall not employ any person 1n any manner so as to become subject to the Workers' Compensation Laws of c.alifomia. SIGNATURE DATE 8. UWNrut-BOilDER DECLAkAIION 6wner-8u1lder Oeclarat1on: I hereby affirm that I am exempt from the Contracto?s Lcense Law for the follow1ng 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 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.). CJ 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). D I am exempt under Section --------Business and Professions Code for this reason: (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 iMuance, 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, commencing 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars {$500]). SIGNATIIRE DATE COMPLETE IHIS SECI ION FOR NON-RES1b£N'I1At HOlilllNG P£RMI I'S ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES ONO Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? CYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF THE ANSWERS ARE YES, A FINAL CER11FICATE OF oa:tlPANCY MAY NOT Bl! ISSUED AFTER JULY I, 1989 UNlJ!SS THE APPIJCANT HAS MIIT OR IS Ml!lmNG THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POILIJllON OONTROL DISl1UCT. 9. UJNSIRUCIIUN LENDING AGENCY I hereby afhrm that there ts a construcnon lending agency for the performance of the work for which this penn1t 1s IMued (Sec 3097(1} Civil C&ie). LENDER'S NAME LENDER'S ADDRESS 10. XPPIJCXNI <EtliPICAIIUN I cen1fy that I have read the apphcauon and state that the above 1nformat1on 1s correct. 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 AL'D AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CTIY OF CARISBAD AGAINST AIJ. IJAB1U11ES, JUDGMENTS, CXlSTS AND EXPENSES WIIlCH MAY IN ANY WAY Nil\UE AGAINST SAID CTIY IN OONSEQUENCE OF THE GRANTING OF TIIlS 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 pennit is not commenced within 365 days from the date of such permit or if the building or work authorized by such pennit is suspended or abandoned at any time after the war · co en for a period of 180 days (Section 303(d) Uniform Building Code). DATE:R'4ffL APPIJCANTS SIGNATURE PINK: Finance i • PERMIT# CB921239 DESCRIPTION: 3 SKYLIGHTS IN CITY OF CARLSBAD INSPECTION REQUEST FOR 12/31/92 DEN ICBO 3933 INSPECTOR AREA PY PLANCK# CB921239 OCC GRP CONSTR. TYPE NEW TYPE: MISC JOB ADDRESS: APPLICANT: 1004 FOXGLOVE VIEW OAKLEY, STEPHEN STR: FL: STE: PHONE: 619 431-7541 'vf__ PHONE: ~ CONTRACTOR: OWNER: REMARKS: MH/STEVE/431-7541 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION PHONE: ~ INSPECTO • ACT COMMENTS _19 __ s_T _F_i_n_a_1_s_t_r_u_c_t_u_r_a_1 _______ r--------------- ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS -7'.. . l I -r 0 ~ 'I c.. \ / h:xe , ' ! \"'\"11)!5 I i I ... l ' -:;Ky U:)-\ ? X i.J l I/ \ l i l .,., ;- \ ~~ ro' C ...: zdi G) 5i1 0 r.; !o DJ! -1>1 . cl ~ ' ' z 0 c:: w C U\ :x: --.(_ r-,. V' :, -< ;p 0-Q- r -- C (., ~ u ~ L \ \ \ .J . l, t"f<;',,7;{~ > 'f) .,... I -C. -r)~J +- ~'1''\ ('>\S" ~ ~ I i --- ., - - 0 J ;;) ~ r::::-,, ~ ::p 1oJ --" r {}J C .;i e G -ll -. T ~ I' ,- ~ V ' .~ ·r: y· > l:::::::,., 'l, '<-' ..z .,. .. , I -( ,.::...~ ~ • t---- "1 " ..... l I', --- ------~ --.L- \ \ '':-' I ' I :\I u .• ., 1.:# I I --~-.. ·--- ~ \ ) /' / I / / ' i -. 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