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Home My WebLink About1016 FOXGLOVE VW; ; CB053398; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-18-2005 Miscellaneous Permit Permit No: CB053398 Building Inspection Request Line (760) 602-2725 Job Address: 1016 FOXGLOVE VIEW CBAD Permit Type: MISC Subtype: REROOF Status: Parcel No: 2144103000 Lot#: 0 Applied: Valuation: $10,914.00 Reference #: Project Title: KAVOUNAS RES-3400 SF STD WT CONCRETE TILE Applicant: SECURE ROOF INC 7356 TRADE ST SAN DIEGO CA 92121 800 338-6868 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Entered By: Plan Approved: Issued: Inspect Area: Owner: KAVOUNAS FAMILY TRUST 03-13-01 1016 FOXGLOVE VW CARLSBAD CA 92009 ISSUED 09/26/2005 RMA 09/26/2005 09/26/2005 PC $179.00 $0.00 $0.00 $179.00 Total Fees: $179.00 Total Payments To Date: $179.00 Balance Due: FINA Inspector-: Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "lmpositi n" of fee , 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 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 fees in connection with this project. NOR DOES IT APPLY to any f fwhi h hav r vi I iv n N Tl E imil r whi h h t t t oflimita· h vi I therwiseex ire. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C1J oSJJ r? CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST.VAL.~~~~~~~~~~- Plan Ck. Deposit ______ __,,..,....,._ ~::ated By ~ ? t?/;(Ui V Legal Description Assessor's Parcel # Designer Name State License II Business Name (at this address) Lot No. Unit No. Phase No. Total # of units Existing Use Proposed Use Address L3C/ License Class--------- Address City State/Zip Telephone ~~-~~AllQ '.{.;.,~~~~, ¢:J~~~~~~;:1;;_~-p:,;·;m;1t~~ Workers' Compensation Declaration:. I hereby affirm under penalty of perjury one of the following declarations: O I hava and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Coda, for the performance of the work for which this permit is Issued. '&r I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performan.ce of the work for which this permit is ~ad. My worker's compensation insurance carrier and policy number are: I Insurance Company N:'.:ih,oro\ lJrnon ft rE (bS,UY-~nc< PolicyNo.lf){<'.'.'.4 l '&llC,'.2-: Expiration Date ?>/?:> I Ob (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) · 0 ON: 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 orkers' Compensation Laws of California. WARNING: Falk.I t -:ulla.J!!!!?,!~~J:Oll!)P41flll8"tion coverage Is unlawful, end shal subject an employer to criminal ~ ltlaa and civil flnaa up to one hundred thousand dollara $ coat of companaatlon, damage, aa provided for In Sactlon 3706 of the ~. In a d attorney's fees. SIGNATURE DATE ~ D ~ oW:rf~iA?i:iYJ~1~tP.~[lit~ffiiic~~~-iie6i~i,.,izi~~~i:jji;ii;~~:jij~iji.·~''~~-~.t~~·~~-~~~.~;~ .... ;,~~~,~.~t;;;;~~;;;:.;;;:;::;;. 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 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 Coda: 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(sl 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 tha 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 I phone number I contractors license number): _____________________________________________ _ 6. 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 ElfqM~iTi!T~seci:['QKf~~~·-~-jJ@i~~~~--tt=iauij1~i,·iri~~:~~'1iffi~i1n,3·~-oii:f·~i.jii;!;iii,i~ii Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration forin or risk management and prevention program under Sections 26506, 26633 or 25634 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 tho outer boundary of a school site 1 0 YES O NO IF ANY OF THE ANSWERS ARE YES. A ANAL 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 POUUTION CONTROL DISTRICT. /JR· ~;g~§r!\1CTl61! ~N~lf~oe~"li~.,g~~~~~!~?'1)~;~-.%~-:-~~=~i.-&:~'!iJtJ:l!:~~~~r~-"tiS'i~i';;;'.""+::-r~:;-:~?,Y:·x~~ .. 1 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issuad (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS------------------------ ~AM_cf~Jt~ffillfl'_c~ o . _..~~~~~-~~~!~~ .. ~~r.,:!%!\!~n;&·:t1rn~~=~~1-, 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 ALS.O 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 s•o• deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit lssueabythe building Official under the provisions of this Code shall expire by limitation and become null and void If the building or wor1( authorized by such permit Is t co~ · from the.date of such pennlt or If the building or work authorized by s~e t Is su nded or abandoned at any tin'·· after the work co r 'od days (Section 106.4.4 Uniform Building Code). (/ ~ 0 APPLICA r·s SIGNATU DATE---~---+--"":;._ __ _ WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING t. JOB ADDRESS: I O I b FD X £3 l D V' C:.. V 1-eu..) 2. TYPE OF BUILDING: RESIDENTIAL )< COMMERCIAL __ ...., 3. ROOF SLOPE: RISE ~ Inches in 12 Inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) G 2 3 5. TYPE OF EXISTING ROOF COVERING SHEATHING . *6. NEW ROOF MATERIAL;trodctvd f,~SS~W~IGHT PER SQUARE 7. -NUMBER OF SQUARES 2;>4 . . 8. TRADE NAME:t:5d A-iv MANUFACTURER fc1~\e . 9. ROOF SYSTEM LISTING UL No. . ICBO No. 4Gb0 . 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 instali new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for lnopoctlon. ~~: . Signature U{(lY~ Date 9/cJb@S ~ t Contractor~Owner Contractor Nal!'e ~~ _, ~ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 10/17/2005 Permit# CB053398 Title: KAVOUNAS RES-3400 SF STD WT Description: CONCRETE TILE Type: MISC Sub Type: REROOF Job Address: 1016 FOXGLOVE VIEW Suite: Lot O Location: APPLICANT SECURE ROOF INC Owner: KAVOUNAS FAMILY TRUST 03-13-01 Remarks: Total Time: CD Description 19 Flnal Structural ~Comment Associated PCRs/CVs Inspection History Date Description 09/28/2005 15 Roof/Reroof 09/27/2005 15 Roof/Reroof Act lnsp Comments CA PC AP PC Inspector Assignment: PC --- Phone: 7605460254 Inspector: Requested By: CHARLA Entered By: JANEAN