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Home My WebLink About1735 ROGUE ISLE CT; ; CB091855; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-05-2009 Miscellaneous Permit Permit No: CB091855 Building Inspection Request Line (760) 602-2725 Job Address: 1735 ROGUE ISLE CT CBAD Permit Type: MISC Subtype: REROOF Status: Parcel No: 2072112100 Lot#: 0 Applied: Valuation: $2,646.00 Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: TRUJILLO: 2100SF WOOD SHAKE TO Applicant: TRUJILLO DOUGLAS&KARIN 1735 ROGUE ISLE CT CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: lnspecto . $91.00 Owner: TRUJILLO DOUGLAS&KARIN PERMIT FEE 1735 ROGUE ISLE CT CARLSBAD CA 92008 Total Payments To Date: $91.00 FINAL APPROVAL Date /_ / , 2, 'f ,.,-0 f . ' Balance Due: Clearance: ISSUED 11/05/2009 JMA 11/05/2009 11/05/2009 $91.00 $0.00 $0.00 $91.00 $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 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 wHI 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 hi h h v i I n iv n N T i ·1 r . h h flimi in h «~ Building Permit Application Plan Check No.C a::, l?::.~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD WWW.~[l~bi:U;!fd,'I g,QV Date l s 0 ✓~ SUITE#/SPACE#/UNIT# #BA NAM GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS{SF) FIREPLACE YES □#_ NOD AIR CONDITIONING FIRE SPRINKLERS YES □ NOD YES O NO □ CONTACT NAME (It Different Fom Appllcltnt) APPLICANT NAME AOORESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP FAX ARCH/DESIGNER NAME & AOORESS STATE UC.# STATE UC.# CIASS CITY BUS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish Of' repair any structure, prior to Its issuance, also ~uires the applicant for such permit to file a signed statement that he is Ucensed pursuant to the provisions of the Contractor's License Law I Chapter 9, commending with Section 7000 of Division 3 of the Business end Professioos Code) or that he Is exem_(>t therefrom, and the basis for the alleged exemption. Any 11lolatlon of Section 7031.5 by eny applicant for a permit subjects the appllcent to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workert' Compansatlon Dectntion: / hereby affirm under penalty of perjury one of the following clec:larooons: 0 I hlv, and wll malnWn a wtfflcate of conHnl to Nlf-in■ura for workers' compen&alion as provided by Section 3700 of the Labor Code, for the performance of the work. for which f1il permit is issued. 0 I hlvt and wll malntlin workn' compenlltion, as required by Section 3700 of the labor Code, for the performance of the wont for which this permit is Issued. My workers' compensation inslnnce carrier and polcy number are: Insurance Co. ____________________ Poky No. _____________ Expiration Dae ________ _ This seclion need not be completed if the pennlt Is br one hundred dollars ($Hl0) or less. □ Certificate of Exemption: I certify that In the performance ol lhe. work for which this permit Is Issued, I shall not employ any person in any manner so as to becoma suqect to the Workas' Compensation Laws of California. WARNING: Failure to MCUJ1 worbrs' compansation cowrag, ts unlawful, and shall tubJ•ct an employer to crimlnal penalties and clvtl fines up to one hunctr.d thouund doll■r1 (&100,000~ In addition to th• cost of compansation, damagn u providld fot In Section 3706 of thl Labor cod,, lnttrest and attom.y's fen. AS CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I htQff llffirm that I am exempt from Connctor's License Law for lhe following reason: cr/' 1: as O'M'l8I' of the property or my employees with wages as their sole compensation, will do the work. and the structin ls not lnllncled or offered for sale (Sec. 7044, Business and Proleaslons Coda: The Connctor's Ucenae law don not apply to ai O'M'l8I' of property who buikl$ or improvee thereon, and who doe6 such work himsef or ttvough his own employees, provided !hat $UCh improvementa are not imendtd or offered for salt. If, hoNever, the building or iffljltlYefflenl Is sold ~none yea of completion, the owner-bullderv.;11 have the burden d proving Iha! he did not build or improve for the PlfpOSI of ult). □ I, as owner olthe propll'ly, am exclusively contracting with licensed conlractors to connvct the prqecl (Sec. 7044, Business aid Professions Code: The Contractor's Ucenae Lew does not apply to an owner cf property who builds or lmproll8S thereon, and contracts for such projects with contractor(s) licensed pu11uent to the Contractor's Uc.ense Law). □ I am exempt under Section ____ .Business and Professions Code for this reason: 1. I personally plan lo provide the major labor and materials for conslruc:tion of lhe propo:sed property improvement. □ Yes □ No 2. l (have f have not) signed an applcatlon for a building pa-mil for the proposed work. 3.1 h8118 contracted wtlh the foliowlng person (fl de the proposed construction (Include name address f phone/ contractors' license 111.l1n)8f): 4.1 plan to provide portions of the Mll'k, but I h tillowlng person to coordinate, supervise and provide the major WOl'k (Include name I address/ phone/ contractors' Moense number): 5.1 wll provide some cf the WOl'k, ¥1"'"'~"',;/i~~\,d) the following persons to provide the work indicated (include name/ addlass I phone f type of'Mlrk): AS PROPERTY OWNER SIGNATURE □AGENT OATIS • COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is lht 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 Iha Presley-Tanner Hazardous substance Account~ □ Yes □ No Is lhe applicant or futtn btildlng occupant required to obtain a penntt from the air pollution control dlsiicl: or air quality management district? □ Yes □ No Is the facility to be conslruded 'Mlhin 1,000 feet of lhe outer boundary d a school site? □ Yes □ No F ANY OF THE ANSWERS ARE YES, A FINAL CER11FICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREIENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROt. DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there "a conslruction lendl'IJ agency for the pertormance of the worl< this permit ,s issued (Sec 3097 Q) c,~I Code). Lender's Name lender's Address APPLICANT CERTIFICATION I certfythat I haw 198d the appllcallon and state that the abow lnfonnatlon Is coned:and that the Information on the plans Is ICCUl'lte. I ag,eeto complywlth all Cl!Jordlncwlces and Stale laws relating to building construcl6on. I henlt>y aui101i2s _,.live of"" Ciyof Cansbad benlerl4)al"""""" ll'Ollfuned property for ffll)8cii,n purpolll!a I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM..ES5 TIE CITY OF CARLSBAD AGAINST ALL LIABLmES, JUDGMENTS, COSTS AND S WHK:H MAY IN ANYWAY ACCRLE AGAINST SAID CrTY IN CONSEQUENCE OF TIE GRANTINGOF 7H~ PERMIT. OSHA:An OSHApemil olOQIJi9d i, · -cx.,,,...-o1siuclutes°""3-• "1igl<. EXPIRATION: Eve!y perml issued by . . ollhis Qide shal e,cpie by~-and beailro ,._. and wid '"" buidi'lgcx...t< aullorimd byoudl perml II not oommeooed v.itlin 180 days Ian "" dale ol oudl perml ex . by IUdl pemil ;, ,uspanded ex abandored at iff/ line allor "" -• oommeooed b' a period ol 180 days (5ediln 106.4A l.nbm Buitli1g Qide) AS' APPllCANrs SIGNATURE DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION ·1. JOB ADDRESS: /1=35"' 1ZO<ru& l~le;-~ ~~k,J) er-+ 9 ZOb 5/ 8-10 2. TYPE OF BUILDING: RESIDENTIAL .X COMMERCIAL. ___ _ 3. ROOF SLOPE: RISE t/: INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) (!)'3 5. TYPE OF EXISTING ROOF COVERINGt-vOVD ~/+t,K.f: SHEATHING __ _ *6. NEW ROOF MATERIAL 3 '1ttp CLAss---JlwEIGHT PER SQ. __ 7. NUMBER OF SQUARES 2--/ ( z_.. 8. TRADE NAME (d.i,p: EI I::, 9. ROOF SYSTEM LISTING: I.C.C.E.S. Report# ______ _ ASTM ------ 10.IS THE EXISTING STRUCTURAL D~ SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? e::v 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 prov'de a lad e xtending at least 2 rungs above the roof for inspection. Contractor ____ Owner X Contractor Name ¥$ ~ WV n *6. Rolled Roofing, Standard/Lite Tile~/Comp fiberglass, Built Up, Other Page 5 of 5 Rev. 03/09