HomeMy WebLinkAbout1738 ROGUE ISLE CT; ; CB960009; PermitB U I L D I N G P E R M I T
01/03/96 14 :02
Permit No: CB96u uu9
Project No : A9600029
Development No: Page 1 of 1
Job Address: 1738 ROGUE ISLE CT Sui te:
Permit Type : MISCELLANEOUS
Parcel No: 207-211-19-00 Lot#:
Valuation: 2 ,208
Occupancy Group: Reference#:
Construction Type : NEW
Status : ISSUED
Applied: 01/03/96
Apr/Issue : 01/03/96
Entered By : PD
619-268-1215
Description: 23 SQUARE REROOf ,SHAK E TO
: METAL SHAKE
Appl/Ownr : CAL-PAC ROOFING
7748 OPPURTUNITY RD .
SAN DIEGO, CA.92111
fees Required ***
fees : 89 .06
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee #1
* MISCELLANEOUS TOTAL
Tot~l cre dits :
Tot-al Payment s:
Balance Du'e:
Units fee/Unit
CITY OF CAf?: ,:.~)io• ..
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
.00
.00
89.00
***
Ext fee Data
89 .00 PC/BP
89.00
PERMIT APPLICATION
City of Carlsbad Building Departaent
2075 Las Palms Dr~. carlsbad, CA 92009 (619) 438-1161
I. PIDtM1'i l"Yl'E
From Llst 1 (see back) give code of Permit-Type: __ ;i1~~l ~>~L=-----
For Residential Projects Only: From Llst 2 (see back) give
Code of Scruccure•Type: ____________________ _
Net Loss/Gain of Dwelling Units
2. PRQJF.Cf INFORMATION FOR OFFICE USE ONLY
Address 1138 flo6UE-:t6t£c.T" Bmldmg or Suite No.
N earesc Cross Street
LEGAL DESCRIP I ION Lot No. SufXhV1s1on Name/Number Omt No. Phase No.
CHECK BEWW IF SOBMII IED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PBOPQSED USE
DESCRIPTION OF WORK .f!r;:_'(Zcro,::: rtf.o ""-..S J.1-A-J< C 7o
SQ. IT. lt_ 300 .1 # OF STORIES # OF BEDROOMS # OF BA TIJROOMS
3. WN IACI PERSON (IC dnfereni from apphcant)
NAME (last name first) C,v'(()C../-l /YlAjl_cU S ADDRESS 77q tr o P/1'010.. TJm-4,,
.z. I I CI1Y
ADDRESS -71qtt OPf'o()..--rvnIT, ()..
ZIP CODE '/ 2-// / DAY TELEPHONE 2 bYl -I 2 IS-
NAME (last name first) t!)L.li!fllfbv~S-1 4LE'f) ADDRESS I 7 ?.6' P..o6'viz. :XSL/i.. CT"
b. ii,~i~I~$84.0 STATE CA-ZIP CODE 9 2ool5' DAY TELEPHONE bS'G°"-~01:,:J...
NAME (last name first) C4L-PAc.. fl..€>oFll'JD ADDRESS "1 7'1 r I!> /l/'op. Tv n lT'r r.c.J
CI1Y ~ 0186'0 STATE CA-ZIP CODE q2//) DAY TELEPHONE 26S' ~ f Z I 5-
STATE LIC. # (, 75'3 3 j LICENSE CLASS CI1Y BUSINESS LIC. #
ast name 1rst
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WOltkRRS' WMPRNSAIION
Workers; Compensanon Oedarauon: I hereby affirm that I have a cernhcate of consent to self-msure issued by the Director 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 &L-J)fln
SIGNATURE DATE
8. OWNRk-B0llDfilt Df!CIARAltuN
□
Uwner-BuHder Declaration: I hereby afhnn that I am exempt from the Confradofs License Law for the followmg reason:
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.) .
...---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).
□ I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031 .S 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, 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 permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPlliTE I HIS SECI ION FUR NON-RESIDEN I IXL BdltblNG PERM! IS ONLY:
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 Act?
□ YES □ NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES □NO
Is the facility to be constructed within 11000 feet of the outer boundary of a school site?
□YES □NO
IF ANY OF TIJEANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAYNITT BEJ!iSUED AITERJULY 1, 1989 IJNIBSS 11lE APPLICANT
HAS MET OR 15 MEIITING 11lE REQUlllEMENTS OF 11lE OFFICE OF EMERGENCY SERVICES AND 11lE AIR POLLUTION OONTil.OL DISlllICT.
9. WNSIROCJiUN LRNDING AGRNCY
I hereby afftrm ihat ihere lS a construction lendmg agency for the performance of ihe work for which this permit 1s issued (Sec 3097(1) Civil Ccxie).
LENDER'S NAME LENDER'S ADDRESS
10. APPllCANI CFJUIFICAJlON
I certify that I have read ihe application and state that the above mformatlon 1s correct. I agree to comply with all City ordmances 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 AISO AGREE 1U SAVE INDl!MNIFY AND KEEP HARMLESS 11lE CfIY OF CARISBAD AGAINST AIL IJABIUTIES, JUDGMENTS, CDSTS
AND EXPENSES WIIlCH MAY IN ANY WAY ACDU/E AGAINST SAID CfIY IN OONSEQUENCE OF 11lE GRANTING OF TI-US PERMIT.
OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every pennit 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 within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandon~_;y time after the work is commenced for a pericxl of 180 days (Section 303(d) Uniform Buildi e)
APPLICANTS SIGNATURE -0'?'~ ~~ DATE: 1.../-.:.2/-CZ..."'-
WJ-IlTE: File YELLOW: Applicant PINK: Fmance
0
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB960009 FOR 01/16/96
DESCRIPTION: 23 SQUARE REROOF,SHAKE TO
METAL SHAKE
TYPE: MISC
JOB ADDRESS: 1738 ROGUE ISLE CT
APPLICANT: CAL-PAC ROOFING
CONTRACTOR:
OWNER:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA
PLANCK# CB960009
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619-268-1215
REMARKS: MW/JULIE/268-1215
SPECIAL INSTRUCT:
INSPECTOR __________ _
TOTAL TIME:
CD LVL DESCRIPTION
15 ST Roof/Reroof
DATE DESCRIPTION
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ACT COMMENTS
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PECTION HISTORY*****
ACT INSP COMMENTS