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HomeMy WebLinkAbout1018 FOXGLOVE VW; ; CB012632; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-08-2001 Miscellaneous Permit Permit No:CB012632 Building Inspection Request Line (760) 602-2725 Job Address: 1018 FOXGLOVE VIEW CBAD Permit Type: MISC Subtype: REROOF 0 Status: ISSUED Parcel No: 2144103100 Lot#: Applied: 08/08/2001 Valuation: $11,240.00 Reference #: Entered By: AMA Plan Approved: 08/08/2001 Issued: 08/08/2001 Project Title: PURNELL RES-3954 SF LT WT CONC Inspect Afi?~ 08/08/01 0002 01 CGP Applicant: PURNELL HOW ARD G&FRANCES 1018 FOXGLOVE VW CARLSBAD CA 92009 Total Fees: $192.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: M,.? ; .. Owner: PURNELL HOWARD G&FRANCES 1018 FOXGLOVE VW CARLSBAD CA 92009 Total Payments To Date: $0.00 PERMIT FEE Balance Due: $192.00 $192.00 $0.00 $0.00 $192.00 FINAL APPROVAL Date: 9-(, -(21 Clearance: NOTICE: Please take NOTICE that approval of your project includes the ~1mpositionff of fees, dedk:ations, 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 ln 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 specHied fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been oiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise evnired. 02 192-00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. C(J{) /;lb,} ~ EST. VAL. /0 .:l yL) Plan Ck. Deposit ~ Validated By lo'. , ~ Date j'/4()( Business Name lat this address) Legal Description Lot No. ubdivision Name/Number Unit No. Phase No. Total # of units Existing Use # of Bathrooms 2~ CONTACT· PERSON (If different: from ·applicant) Name Address ·a. APPLICANT gcontractor O Agent for Contractor Name Address 6, CONTRACT()R • COMPANY NAMe City 0 Owner O Agent·for Owner City State/Zip State/Zip Telephone# Fax# 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 tor the alleged exemption. Any viola ·on of ction 7031.5 by any applicant for a per ·t subj ts the appli!,ll'lt ~~ civil penalty of n t m r than five hundred dollars !$500)J. uHt/ • 2-'G'· ~ p Name State Uconso •-~~~-0~f~3~l/~--license Class -~----;,~'.2~----- City State/Zip Telephone # City Business License# /).{)Jf, (S''2- Designer Name Address City State/Zip Telephone State license # ---------- 8, WOR~EFIS' COMPENSATION Woyters' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: l!l' I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work tor which this permit is issued. My worker's compensation insurary:e carrier and policy number are: lnsuronco Company /'$\;c:h4d.. (( flll&1J:h[},t ~ Policy No. :Ji'5 1'/~ I/ Expiration Cate t!>/ -0/ -0, {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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. WARNING: Failure to secure workers' compensation coverage la unlawful, and shall subject en employer to criminal penalties and civil fines up to one hundred thousand dollars O. 001, In ddltlon to 1 cost of compensation, damages u provlded for In Section 3706 of the Labor code, Interest end attorney's fees. • DATE <f'-g--..-~f 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 Code: The Contractor's license law does not apply to en 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 I contractors license number): 4. I plan to provide portions of the work, but J have hired the following person to coordinate, supervise and provide the major work (include name / 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 I type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE----------------------- COMPLETE THIS.SECTION FOR NON-RES1DEN17AL. BUILOINO 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? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES D 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 8, CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME--------------LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION I certify that l 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 ANO 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 lhe building Official under lhe provisions of lhis Code shall expire by limilation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any lime after the work is comm f r a perio of 180 days Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: /19/ [s r~V/!5 /lt·e;t<J 2. TYPE OF BUILDING: RESIDENTIAL v"" COMMERCIAL. __ ~ 3. ROOF SLOPE: RISE t//(z,, inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) cf) 2 3 5. TYPE OF EXISTING ROOF COVERING 5ffed/crsHEATHING S/(!.l fJ . *6. NEW ROOF MATERIAL Uqftl-119Gf?~LASS..lt:_WEIGHT PER SQUARE 7. NUMBER OF SQUARES~ 5~ i 8. TRADE NAME (Ylwl c::,}L MANUFACTURER 1(/oµ,6&,. 9. ROOF SYSTEM LISTING UL No. ICBO No. (i tfttt!t~ 10. 1s THE EXISTING STRUCTURAL DESIGN SUFFICIENT To su~¥H;f, WEIGHT OF THE PROPOSED ROOF? 6i)) 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 install 'new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature __ ],__~_, _ __.~.__-+-~-"'----· __ Date_f?'._-_g'_-_O_( __ Contractor ___ Owner ____ Contractor Narrie Scv.."/2€ f2dJ Pv *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 09/05/2001 Permit# CB012632 Title: PURNELL RES-3954 SF LT WT CONC Description: Type:MISC Sub Type: REROOF Job Address: 1018 FOXGLOVE VIEW Suite: Lot 0 Location: APPLICANT PURNELL HOWARD G&FRANCES Owner: PURNELL HOWARD G&FRANCES Remarks: Total Time: CD Description 19 Final Structural Associated PCRs Inspection History Date Description 08/10/2001 15 Roof/Re roof 08/09/2001 15 Roof/Reroof Act Comments Act lnsp Comments AP GG NR GG Inspector Assignment: GG --- Phone: 8586937663 Inspector; ---- Requested By: TAMI Entered By: CHRISTINE