HomeMy WebLinkAbout1737 ROGUE ISLE CT; ; CB950410; PermitE,U[LDING PERMIT
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,.TOil Addresr : 17 .57 ROi]llE I.s:::.,E CT
l?erni1. t Ty[.>P : M ~ SCELLANE<)U~
Parcel No : 2ll7-211-lll-(J()
ValLtat1.on : 1,728
Cunstruct1on Type: VN
L, t-#:
uccupancy Ur >U[>: Refer,~nce#:
Descr1.pt 1.c.,t1 : 18 S()UARES OF CUMP . RE-ROUF
Pe.tm1.t N ,: 1'B9-ll411J
Prr, 71:•ct Nu : ACJ 5 l) tJ51;1~)
_, =-vP lnomen t to :
1150 03/22/95 0001 01 02
C-PRMT 68-00
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Appl i e, 1: o 31 .!. t. 1 ➔ •
Apr/Is~ue: o./22/~S
F~nt:e1 e,J E,y : MDP
Appl/Ownr HACIENDA ROOFING INC . 619 t,JU-785U
4 '.:11 < JLIVE AVE
Fees :
A,1 Ju.:::tm<"nts :
Tot al Fee..;:
Fee dE-s,-r1ption
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
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fJ8 . UlJ PER!'-PT
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PERMIT '..I\PPUCATION
City of Carlsbad Building Departaent
2075 Las PalES Dr., Carlsbad, CA 92009 (619) 438·1161
PLAN CHECK NO. G( (' t-{_ L Q
ES!". VAL I, 1, -z.._8 __ ,
PIAN CK DEPOSIT ______ ..._.,._.,_· _,.X' '-U 0-I. P£kMI I l"YPR VAIID. BY __________ _
DATE
From Llst 1 (see back) give code of Pennit-Type: ___________ _
For Residential Projects Only: From Llst 2 (see back) give
Ccxle of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units
2. PR<llF.CT INFORMATION FOR OFFICE USE ONLY
Address \717 li:0~\)~ \Sl..E. C't, Hu1ldmgorSu1teNo.
Nearest Cross Street
LEGAL DESCRIPI ION Loe No. Sub(hvis1on Name/Number 0mt No. Phase No.
CHECK BEWW IF SOBMI 11 ED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEi, F~SE PROPOSED USE
DESCRIPTION OF WORK / 8 s Cf'. (_6~
SQ. Ff. # OF STORIES # OF BEDROOMS # OF BATHROOMS
3. WN iACI PERSON (II dlIIerent from applicant)
NAME (last.name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. APPLICANI UCONiRACIOR DAGEN I FORWNIRACIOR
ADDRESS
□ OWNER □ AGEN I FOR OWNER
NAME (last name first)
CITY STATE ZIPmDE DAY TELEPHONE
S. PROPEkIY OWNEit
NAME (last name first) S '>t..OMf'lt--l ADDREss n,.., R01tv€ b I.,~
CITY CA-~~IJi\...-1) STATE e..A zIPmDE °t?--00-i? DAY TELEPHONE '7d-A ~ 1~11)
6. WNliW!luk Ar A .r NAME(lastnamefirst) \--\'lvlfl\}'() ~001'-tlJ(r iM:.ADDRESS t..{';,'\ Ql--LV~ A°V•:c
CITY Vts i'4 STATE Cit ZIPmDE 110.01, DAY TELEPHONE b? o--)9 :,-0
STATELlC. #?,l:,.:;'~l"t LlCENSECLASS C.., 7,l'j CITY BUSINESS LlC. # i:\ ~ is' '-100
DESIGNER NAME (last name hrst) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LlC. #
7. WOkkP.ilS' WMPENSA ilUN
Workers' Compensation Declarat1on: I hereby afhrm that I have a cert1hcate 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).
SIGNATURE DATE
8. OWNmt-B0lllli:k. DECCARA.UON
Owner-Builder Declaration: I hereby afhrm that I am exempt from the Confraciofs license Law for the followmg reason:
D 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. 7031.5 Business and Professions Code: Any City or County which requires a pennit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennit 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 pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
toMPLEIE IRIS SECIION FOR NON-RESIDEN IIAL B0lilllNG PERMII'S ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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 pennit 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 YFS, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE JliSUED AFTER JULY 1, 1989 UNLESS THE APPLlCANT
HAS MET OR IS MEITING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE Aill POLLUTION illNTROL DISTRICT.
9. WNSIR0CliON il!NDING AGENCY
I hereby afhrm that there 1s a consfrucbon lend mg agency for the performance of the work for which this permit IS 1SSued (sec 3097 llJ C.vtl Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPIJCAN I CERIIFICAIION
I certllY that I have read the apphcat1on and state that the a&ive mformat1on ts correct. I agree to comply wtth all Ctty ordinances 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 ALSO AGRE!! ro SAVE INDEMNIFY AND KI!EP HARMLESS THE CTIY OF CARlSBAD AGAINST AIL LlABIIITIES, JUDGMENTS, CDSTS
AND EXPENSES wmrn MAY IN ANY WAY AOCRIJE AGAINST SAID CTIY IN mNSEQIJENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O'' 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 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or aban ned at time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLlCANTS SIGNATURE -\)Vy) DATE: 03. ,!.}-').,.
WHITE: File YEil.OW: App 1cant PINK= Fmance
0
CITY OF CARLSBAD
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS __ \_1_~'-/-'----_(R_{)_G-_V_6 ___ '-s_· -=l-...,_f: __ IL_r-_, _______ _
2. TYPE OF BUILDING: RESIDENTIAL-2_ CO1t4ERCIAL __
3. ROOF SLOPE: RISE Y inches in 12 inches
4. TYPE OF EXISTING ROOF COVERING SK,11-l""r.,_ SHEATHING s:,pfk.,G,'l)
5. NUMBER OF EXISTING ROOF COVERINGS (circle one) Q) 2 3
*6. NEW ROOF MATERIAL lt-11>/cR.(y(,,/\--5, S\-11).}G-l-(5,ClASS A WEIGHT PER SQUARE. ___ _
7. NUMBER OF SQUARES \ i ---'-----8. TRADE NAME ___________ MA.NUFACTURER _________ _
9. ROOF SYSTEM APPROVAL UL No. _____ Other ___ _
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF YES ><'. NO __ _
If the answer is no, a roof plan must be provided with this application.
11. Fire rating of roof: Class A..1:5..._ Class B __
I understand the following inspections are required: •
1. Tear Off/Pre-inspection prior to installing new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
SIGN DATE
Contractor X Owner __ _ Contractor Name \--\ ft--G 11:, tJ Cr\ ~ r-/lJv-IIJ"C. •
*6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/C011p Fiberglass, Built up.
CITY OF CARLSBAD , INSPECTION REQUEST
PERMIT# C8950410 FOR 03/31/95
DESCRIPTION: 18 SQUARES OF COMP, RE-ROOF
TYPE: MISC
JOB ADDRESS: 1737 ROGUE ISLE CT
APPLICANT: HACIENDA ROOFING INC,
CONTRACTOR:
PHONE:
PHONE:
STE:
INSPECTOR AREA PD
PLANCK# CB950410
OCC GRP
CONSTR. TYPE VN
LOT:
619 630-7850
OWNER: PHONE: 0
INSPECTOR ___ 1_-~ (~~-=~-----REMARKS: MW/HACIENDA/630-7850
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
/
ACT COMMENTS
_is __ sT _R_o_o_f_l_R_e_r_o_o_f __ -..:J-,-"-'-",1,""if"----'-'tf!-_ ============================
DATE DESCRIPTION
032795 Roof/Reroof
***** INSPECTION HISTORY*****
ACT INSP
AP PD
COMMENTS
SHEATHING