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Home My WebLink About1730 ROGUE ISLE CT; ; CB132908; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 11-21-2013 Permit No: CB132908 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 1730 ROGUE ISLE CT CBAD PME 2072111500 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: ZAK RES -REPLACE FURNACE IN ATTIC & SOME EXISTING DUCT WORK Applicant: SURFSIDE HEATING AND AIR STE 362 663 S RANCHO SANTA FE RD SAN MARCOS CA 92078-3973 760-304-4882 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: ZAK FAMILY TRUST 01-27-02 1730 ROGUE ISLE CT CARLSBAD CA 92008 ISSUED 11/21/2013 SKS 11/21/2013 11/21/2013 $0.00 $0.00 $158.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Inspector: FINAL APPROVAL Date /f. 2 2 · 12 Clearance: $0.00 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 pennit 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 in fwhih hv rvi I ivn N Tl E imilr hi r hihh flimi in rvi l hrwi THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD ~, «,~, Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No.Cf-;> C, 08 ~ CITY OF Est. Value CARLSBAD SWPPP B ADDRESS 17.30 Ro # BATHROOMS CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) APPLICANT NAME (Primary Contact) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS ,2>0'Robuc:: IS. CITY C>-(2,L-...e,~ ZIP '.;;)c;>O f"' PHONE EMAIL ARCH/DESIGNER NAME & ADORESS STATE LIC. # PATIOS {SF) DECKS (SF) AIR CONDITIONING FIREPLACE YES0, N<O YES □No □ APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE FAX 'A EMAIL ) "-l r:-0 oJ S U /!:f"S I Dt"A v'l.. , S ATE UC.# CLASS q3(.,.8(7 c-Jo FIRE SPRINKLERS YES□No□ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to con uct, alter, improve, demolish or repair an)'. structure, l)rlor 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 JChapter 9, commending with Section 7000 of D1v1sion 3 of the Busi ess and Professions Code) or fhat he Is exem9.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a civ· enalty of not more than five hundred dollars {$500}). WORKERS' C Wor1':ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: B I have and wm maintain a certificate of consent to &elf-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this pemiit is issued I have and will maintain wor1':ars' compensation, as reQUired bv Section 3700 of the Labor Code, for the perfomiance of the work for which this pennil is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No. _____________ _ Expiration Date _________ _ Certificate of Exemption: I certify that in the perfonnance of the rk for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of l ection need not be completed if the permit is for one hundred dolla ($100) or less. mia. WARNING: Failure to secure workers' compensatlo erage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), in addition to the cost of compen,u11en;111,..g,as as provided for Section 3706 of the Labor code, Interest and attorney's fees. ',g CONTRACTOR SIGNATU □AGENT DATE 11-z I -f "3 OWNER#BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, wilt 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 himselt 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 sa~)- 1, 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes 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 (filTTl) to provide the proposed construdon (include name address I phone 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 I contractors' license number): 5. I wilt provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): 6$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOi? NON•l?ESIDENTIAL BUILDING PERMITS ONLY Is the applicant or Mure 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 1,000 feet of the outer boundary of a school site? Yes 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. the infonnation on the plans Is accurate. I agree to comptyYotth all Cllyoldinanoes and State lav.6 relating to buildlng construction. perty!Jr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD Y WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. ructk:ln of structures over 3 stories in height. shall expire by 1i'nitation and t:ecome null and vod if the tx.Jilding or v.ork. authorized by sudi permit is not commenced 'Mthin It is susl)::nded or abandoned at any Hme after the ViOrk. is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). DATE -;;;JI -I STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlgbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STA.TE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ ,,6$ APPLICANT'S SIGNATURE ASSOCIATEOCB#:------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP lnspettion List Permit#: Type: Date Inspection Item Inspector Act Comments Friday, November 22, 2013 Page 1 of 1