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HomeMy WebLinkAbout1729 ROGUE ISLE CT; ; CB004259; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11/15/2000 Miscellaneous Permit Permit No:CB004259 Building Inspection Request Line (760) 602-2725 Job Address: 1729 ROGUE ISLE CT CBAD Permit Type: MISC Subtype: REROOF 0 Status: Parcel No: 2072112400 Lot#: Applied: Valuation: $1,664.00 Reference #: Project Title: SINN RES/ 16 SQ COMP REROOF Applicant: PIVA ROOFING, BOB 1192 INDUSTRIAL AV ESCONDIDO, CA 92029 619-745-4700 Entered By: Plan Approved: Issued: Inspect l4re1t Owner: SINN KAREN A 1729 ROGUE ISLE CT CARLSBAD CA 92008 ISSUED 11/15/2000 CB 11/15/2000 11/15/2000 lL .15/0C: )0·'.:2 }!. Total Fees: $63.00 Total Payments To Date: $0.00 Balance Due: $63.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES PERMIT FEE FINAL /PROVAL Date: I/ J-0 /,o Clearance: $63.00 $0.00 $63.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must foUow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have nreviouslv been niven a NOTICE similar to this, or as to which the statute of limitations has nreviouslv otherw-ise exnired. j..:., .,.') FOR OFFICE USE ONLY PEkMIT APPLICATION PLAN CHECK No .CWt::f~r-tJ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit--,,--.,,..------- Validated Bv-.....,,,..-+G ... ~-~------ Date I I IJ S:: JJrf5._ Busin1N N1me tat thi1 addrHsl Legal Description Lot No. Subdivision Na"\9/Number , / Unit No. Phase No. Total I of units ,,? o 7~tR /I -/.I' ,C,:;,,,11k , 't;<.a,., re Asaeasor's Parcel I fl I L Proposed Use /c· .4<1ot..:, qf'tc,. f:< ,-k, &,~ DHcription of Work SO. FT. lot Storiea I of Bedrooms I of Bathrooms Addrns City State/Zlp Telephone II Fax II Name •~~~~~~=~$ii~~~~ City Stata/Zlp Telephone II ~--:z:::0~~::t~~~~Zz; 1 ~d q ~ ~ Isle cl~~~~~1~,.~~;r~·~JJ\~,,;· Name Addr-7 City S.t1t1/Zlp Telephone I ti'~ON:riOC-cl'OR,~PANY,~~Nmru:z..~ ..... tii;.a "™~m~=t"t:~:::.~.:.~t:-:.~~~;:, (Sec. 7031.5 Buainess and Profasions Cod■: Any City or County which requira I permit to conatruct. alter, improve, demolish or repair any structure, prior to its issuance, 1110 requires the 1pplic1nt for such permit to file a aigned statement th■t he la lic■Ned purauant to th■ provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Diviaion 3 of the Busine11 and Prof111ioN Code) or that he la exempt therefrom, and the basis for the alleged exam tion. A')l_ violation of Sa ion 7031.5 by any applicant for ~permit subjects th■ applicant to a civil P.enalty of not more than five hundred dollars [$50011. ~l, ,/','vc.. ~(la ,',,J /9,< //V,C{u,!-r,"...I t:'e=~ds..J.,,._,/ lA-. '1',,.!d,2.'f 7' -C(7qa Nam■ City State/Zip Telephone II St■te License II 6 I ~ 9 J 8 Lie-• Class C 3 1 C. F City Businea1 Uc■N■ I / ,J Cl '3 / f l) . DHign■r N■me Addr111 City State/Zlp Telephone Stat• License II _________ _ ,,:~!~":VJ0AllRr:-C0MP£NSATJO.tr1i~W~~v~~~~~~lrn;~~~~,,!f~J11l~~(i~;;~i:-:r~~~!~Jt~~·.~!tr':.;;=.Jt~~~~~-~:?~~-~~~~----·· Workers' CompeNltion Declaration: I heteby affirm under penalty of perjury one of th■ following declaration■: 0 I have end will maintain a certificate of eonaent to aelf•inaure for workers' compensation ■s provided by Section 3700 of the Labor Code, for the performance of the work for which this permit i1 lasued. '2sl I hava 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 com~e~tion insurance carrier end policy number are: { lnsuranceCompany l/,/fo..e <Jv'tA PolicyNo. 'IO;lJJ$97 ExpirationDate -0/ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRm DOUARS ($100[ OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify th■t in th■ performance of the work for which this permit is i11u1d, I 1h■II not employ any person in any manner so ■s to become subject to the Workera' Compensation Lews of California. WARNING: Flliknl to •-wort,-• compenutlon coverage la IA'li■wful, and ■hll aubject _, employer to c:llminal penaltlu and civil fin11 up to one hundred thouaand dollar• t~OO~OOJ~ of compenaatlon. demagea u _provided for In Section 3708 of the Labor Codi, lnt■reat end lttomey·a fNa. SIGNATURE--J~'"""""'"./t:-='---=~:;;a:a-----='----------------DATE I(-/ ':J', 0 ~ .. ~-,.-..-.... I.;.; . ' '. ' -. ~--...~"": :-:.:--....,-· .. ---~----··-···•t~>-·'\;~~ '\-,1:",t":q,¥ ~~-.-.. -~•~-.. ~~ .. ~--.. "'·~·"t··•~··'"'-~ ......... •'--"'~ ........ l:'lf"l ... ~,:<t';"'-;T"lm' 7 •1.-•-=.)uWN1:11-IIUU)!R:D!CEARA1 ~{.:"':'1•~\~A~.M.i~!i:.~~~.J--...W~·-!lt~N-'1~..-it~~:!;~~ (:~~.3;'~t!-:v~1-::.;;-:::,:,:. /~ ;t~~~~~:.r.;-:••~:~:~-:--:~·:".::.:.:.,.~-:i.~.~•·t::Jt¥*,~~.; I hereby affirm that I am exempt from th■ Contractor'• Ucenae Lew for the following reuon: 0 I, ■s owner of the property or my amployea with wagn •• their 1011 compensation, will do the work and the structure is not intended or offered for Hie (S■c. 7044, Busine11 ■nd Professions Cod■: The Contractor's uc-e Law doea not apply to an owner of property who build• or improvH thereon, and who doea such work himself or through his own employe■s, provided that 1uch improvements are not intended or offered for sale. If, however, the building or improvement la sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for th■ purpose of sale). 0 I, ■s owner of the property, am exclusively contracting with licenaed corrtractora to construct the project' (Sec. 7044, Busin11s ■nd Profesalons Code: The Contractor' 1 License Law don not apply to an owner of property who builds or improv■s thereon, and contract, for such projects with contractortsl licensed pursuant to the Contractor's Ucanae Lawl. 0 I am exempt under Section ______ Bualne11 and Profession, Coda for this rnson: 1. I personally plan to provide th■ m■jor labor and mat1ri1l1 for construction of the proposed property improvement. 0 YES ONO 2. I (h■ve / h■ve not) signed an application for • building pe,mit for the proposed work. 3. I have contracted with th■ following panaon (firm) to provide the proposed construction (include name / address / phone number / contractors license numbarJ: 4. I pl■n to provide po"ions 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 numberl: ______________________________________________ _ 5. I will provide some of the work, but I h■v■ contracted (hired I the following peraON to provide th■ work indicated (include name / address / phone number / type of workl: _________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE -----------COMPl:EtE:ri:IIS-SECl'ION'FOR.~ENtiA'L:IUmtio~#;Q~~~-~'71J.:.,.~,f;.~~~"-":;:::'~~'1"!:!;E:;;::;;;';;.i.5B~. 11 tha applicant or future building occupant required t o 1ubmit a buainua plan, acutely hulrdoua material• registration form or risk management and prevention program under Sections 25505. 25533 or 25534 of the Prealay-Tanner Huardoua Substance Account Actr D ¥Eli O NO . Is the applicant or future building occupant required to obtain • permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility t o be constructed within 1,000 fNt of the outer boundary of a 1chool aite7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE 1ssum UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF TI1E OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT. l:~-cqNmucn~:-tffiD1N~ti~~~;1j~~lli.~L~:g-~1B;:~;;-;:::!/'~'·;~::,i,;ij}.~-::·:~--.• ::~:.z~-;;~.~:;· I hereby affirm that there is• construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(11 Civil Codel. I ce"ify th■t I h■ve re■d the application and state that th■ ■bov■ information is correct and th■t th■ information on the plans is accurate. I agree to comply with all City ordinances and Stat■ laws relating to building construction. I hereby authorize representativn of the Citt of Carlsbad to enter upon the above mentioned prope"y for inspection purpose,. ( ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU 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 raquir■d for excavations over 5"0" deep ■nd demolition or construction of structures over 3 storiH in height. EXPIRATION: Every permit isaued by tha Building Official under the proviaioN 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 abandoned at any time afte::?: is co~enced for • period of 180 d■ys (Section 108.4.4 Uniform Building Codel. APPLICANT'S SIGNATURE ~ ~ DATE /,? / C-<J'(J WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING l. JOB ADDRESS: / 7 /) 1 ~ 0/1,,.. e Is le Ci. 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL,____~ 3. ROOF SLOPE: RISE 7" incl1c~ in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle o ne) W 2 3 5. TYPE OF EXISTING ROOF COVERING,fK1 -.?7 SHEATHING 5'h'~/re... 7 *6. NEW ROOF MATERIAL. _ _._A..:....--_CLASS ;2-;a W EIGHT PER SQUARE 7. NUMBER OF SQUARES_--1-/_,(; __ 8. TRADE NAME. CA F MANUFACTURER~-~~A_F ___ ~ 9. ROOF SYSTEM LISTING UL No. R-J) ICBO No .. ____ __,_ 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF'? ~ NO All roof coverings are required-to be CLASS A. Combustible roof coverings of any type or classification arc prohibited. I understand the following inspection~; arc requirecl: 1. Tear Off/Pre-ins pection prior to instal l new roof c overing. 2. Final Inspection I agree to provide a ·1adder extencli11~J ;1t le;1st 2 nm~Js above the roof for inspection. Signature_,/:r _____ ..... % ___ =(2._.___ ___ __;::::___ ______ D.itc /I-IS -Q G Contractor .X Owner Contracto r Name po ~ /,r.c.. d ucJ fj;;· *6 -Rolled Roofing,·Standard/Litc Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 11/30/2000 Permit# CB004259 Title: SINN RES/ 16 SQ COMP REROOF Description: Type:MISC Sub Type: REROOF Job Address: Suite: Location: 1729 ROGUE ISLE CT Lot APPLICANT PIVA ROOFING, BOB Owner: SINN KAREN A Remarks: Total Time: CD Description 0 Act Comments Inspector Assignment: PY --- Phone: 7607454700 Inspector: ---- Requested By: PETER Entered By: CHRISTINE 19 Final Structural -+¥12----- Associated PCRs Inspection History Date Description 11/22/2000 15 Roof/Reroof Act lnsp Comments AP PY SHEATHING