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Home My WebLink About1709 CATALPA RD; ; CB022540; Permit08-28-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB022540 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1709 CATALPA RD CBAD MISC 2155121500 $2,220 00 Subtype Lot# REROOF 0 ROGUL RES/ 20 SQ,S COMP ROOF REMOVE EXISTING SHAKE Applicant ROGUL FAMILY TRUST 12-04-00 1709 CATALPA RD CARLSBAD CA 92009 804-1870 Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 08/28/2002 CB 08/28/2002 08/28/2002 Owner 5034 08/28/02 0002 01 ROGUL FAMILY TRUST 12-04-00 CGF" 1709 CATALPA RD CARLSBAD CA 92009 02 77. Total Fees $7700 Total Payments To Date $000 Balance Due $7700 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $7700 $000 $000 $7700 Inspector FINAL APPROVAL Date f-Clearance 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 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 lees/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 (his project NOR DOES IT APPLY to any fees/exactions of which you have previouslv_been given a NOTICE similar to this, or as to which the statute of limitationj_has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 Addresiaincldde Bldg/Suite~#) FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated By Date ff"£? Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total ff of units Description of Work CbNTACrpERSON Name /AddressJdress . City Contractor^ tnTowneT"""" Q AgerVpf or .Owner'• - - - ^- - - State/Zip Telephone ff Fax Name Address City State/Zip Telephone .ilUjffi. Name Telephone #Address City State/Zip (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 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]} Name State License # Address License Class City State/Zip City Business License # Telephone # Designer Name State License # Address Cityi State/Zip Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations d 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 Q 1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code for the performance of the work for which this permit is issued My worker's compensation insurance carrier and policy number are Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) f~] CERTtFfCATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ1 any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney s fees SIGNATURE DATE / I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason / O 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 (tr 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 doss not apply to an owner of property who builds or improves thereon, end contracts for such projects with contractors) licensed I pursuant to the Contractor's License Law) C] 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 £3 YES CJNO 2 I (have / have not) signed an application for a building permit for the proposed work 3 t have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / 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 / phone number / 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 / address / phone number / type of work) _. __^___^__^^ DATE Og Is the applicant or future building occupait required to submit£a^busine35 plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 orvJJb34 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES D Is the facility to be constructed withtn 1,000 feet of the outer boundary of a school site? Q VES Q 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 " '" ~~ '' "' " ~ "' " NO i ' , ' , ,- I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDER'S NAME LENDER S ADDRESS 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 CitV of Carlsbad 10 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 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 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 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 al any time after the work is commencedJor a period of 180 days (Section 106 4 4 Uniform Building Code) Of- 3g-03PPLICANT'S SIGNATURE DATE PINK Finance City of Carlsbad Bldg Inspection Request For 09/04/2002 Permit# CB022540 Title ROGUL RES/ 20 SQ,S COMP ROOF Description REMOVE EXISTING SHAKE Inspector Assignment RB v- 1709 CATALPARD Lot Type MISC Sub Type REROOF Job Address Suite Location APPLICANT ROGUL FAMILY TRUST 12-04-00 Owner ROGUL FAMILY TRUST 12-04-00 Remarks Phone 7608041870 Inspector Total Time CD Description 19 Final Structural Act Comments A? Requested By PHIL Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 08/29/2002 15 Roof/Reroof AP RB