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Home My WebLink About2729 MADISON ST; ; CB101454; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-05-2010 Plumbing Permit Permit No: CB101454 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2729 MADISON ST CBAD PLUM 2031021100 Lot#: 0 Construction Type: NEW JOHNSON PROPERTY-REPLACE EXISITING DAMAGED GAS LINE FROM FRONT APT (2725) Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: NON STOP PLUMBING JOHNSON FAMILY TRUST (12-27-85) 336 SUMMIT AV 92028 760 889 2078 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 0 1 0 4513 COVE DR #12 CARLSBAD CA 92008 ISSUED 08/05/2010 LSM 08/05/2010 08/05/2010 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: FINAL A Date: g Clearance: $0.00 pproval of your project includes the "Imposition~ of tees, 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 fees/exactions DOES NOT APPLY to water and sewer connection lees 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 x ti n f which ou have revious n iven a N Tl E imil rt this or as to which h sat e f limitation has reviousl oh rwi x ir d. • «f~' W CITY OF CARLSBAD JOB AD";J'] 0, '1 /PR JECT # Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No.CB f Est. Value Plan Ck. Deposit Date (D #OFUNITS #BEDR MS #BATHROOMS TENANT BUSINESS NAME SWPP co OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) AIR CONDITIONING FIRE SPRINKLERS NO □ YES □NO □ YES D NOD CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL EMAIL ADDRESS CITY ~/,9 q ZIP ~, CITY NE <?'-, o)%"05-o ✓31 FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# CLASS CITY BUS. UC.# c.. (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 1031.5 by any applicanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). . WORKERS' COMPENSATION Workers' Compensation O.Claratlon: I hereby affirm under penalty of perjury one of the following dec/arBlions: D I have and will maintain a certificate of constnt to stlf-lnaure for workers' compensation as provided by Section 3700 of the Labor Code, for the pllfformance of the work for which this pennit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the WOO( for which this pennit is Issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _ ~on need not be cooipleted if the permit is for one hundred dollars ($100) Of less. W"Certlflcate of Exemption: l certify that in the perfomiance of the work for which this pennlt is Issued, I shall not employ any person In any manner so as to become sutJ;ect to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage unlawful, and shall subject an employer to criminal penalties and civil fines up to one hulldntd thousand dollars (&100,000), In addition to the cost of compensation, damages as pr lded f In St n 06 of the labor code, Interest and attorney's fees. ,..S CONTRACTOR SIGNATURE _L_lL'=:ll ~ I hereby effirm that I am exempt from Contracto,'s License Law for the following reason: □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the slruclure is oot 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 Iha! such improvements are not lntanded or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have lhe burden of proving that he did not build or improve for the porpoge of sale). □ I, as owner of the property, am exclusively contracting with licensed contractors lo construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of property who builds or Improves thereon, and contracts for such projects wtth contractor(s) licensed pursuant to Iha Contractor's License Law). □ I am exempt under Section ____ _.,uslness and Professions Coda for this reason: 1. I personally plan to provide the major lalx>r and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have I have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (!Inn) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but l have·hlred the following person to coordinate, supervise and provide lhe m"or work (include name/ address/ phone/ contractofs' license number): 5.1 wiU provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone/ type of woltc): ,,,5 PROPERTY OWNER SIGNATURE □AGENT DATE COM~LETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ls the applicant or future buMding occupant required to submit a business plan, acutely hazardoos materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Ad? □ Yes □ No Is lhe appllcant or future building occupant required to obtain a pennit from the air pollution conlrol district or air quallty management district? □ Yes □ No Is lhe facility to be constructed within 1,000 reet of Iha 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. CONSTRUCTION LENDING AGENCY I hereby affim1 that there is a construction lendmg agency for the performance of the work this permit 1s issued (Sec 3097 (1) Civil Code) Lender's Name lender's Address APPLICANT CERTIFICATION I certlythat I have read the application and state that the a_bove infonnatlon Is c:onectand that the infonnatlon on the plaos is acct1rat8. I agree tocomplywllh all C11f oldlnances and State laws relating to bulkllng 0DRSbuctlon. I he,eby aullorire ,epmsentalM, of lhe Qty of Carlsbad I) -Up)ll Ile above mentioned property ilr nspecoon puiposes. I Al.SO AGREE TO SAVE, l'-OEMNIFY AND KEEP HARMLESS TIE CITY OF CA.IUlSAD AGAINST ALL L~ILrTIES, JUDGMENTS, COSTS IWl EXPENSES WHICH MAY IN /#YWAY ACCRUE AGAJNST SAID CITY IN CONSEQUENCE OFTHE GRANT~G OF THIS PERMIT. OSHA: AA OSHA permit is requred tir excavations over 5'0' deep and deroolik>n or construcoon of strucb.Jres CN8f 3 si>ries fl heght. EXPIRATION: Every permit issued by the . . I under . s of this Code shall expi'e by li'nilation and become nu~ and void iflhe bul:lilg or 180 days from tie da1e of sudi pemil er · , v.ork sucti pennl is suspended or abandoned at any time aftel'" lhe v.ak is convnenced by suc11 pemito rotconmmed l'Atil of 180 days (-1116.4.4 lhl:inn 8uildilg Code). ,-,-,.,.., ...-! APPLICANT'S SIGNATURE DATE D 4\ -City of Carlsbad Bldg Inspection Request For 08/06/2010 Permit# CB101454 Inspector Assignment: Title: JOHNSON PROPERTY-REPLACE Description: EXISITING DAMAGED GAS LINE FROM FRONT APT (2725) TO REAR APT (2729) Type:PLUM Sub Type: Job Address: Suite: 2729 MADISON ST Lot: Phone: 7605359515 0 Location: Inspector: ___ _ OWNER JOHNSON FAMILY TRUST (12-27-85) Owner: Remarks: GAS LINE FROM FRONT TO REAR Total Time: Requested By: MIKE Entered By: CHRISTINE CD Description 23 Gas/Test/Repairs ~om~,_ bfi11' Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments C:~ rP <.J ~ ~ -. 5 '-" ~ ~ C ~t ~ ti\ ~ ~ ~ '\ 0 J