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Home My WebLink About2820 MADISON ST; ; CB030767; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB030767 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2820 MADISON ST CBAD MISC 2031103100 $2,975.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: ROCK RES-2500 SF HOT MOP/GRAVL Inspect Area: Applicant: CARLSBAD ROOFING 4144 TERRY ST OCEANSIDE CA 92054 760-729-1077 PERMIT FEE Owner: ROCK PETER A&GEORGETTE TRS C/O DADS LIQUOR 2421 S EL CAMINO REAL SAN CLEMENTE CA 92672 ISSUED 03/17/2003 RMA 03/17/2003 03/17/2003 $77.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees 0477 <i:£2;03 0002 01 02 CGP 77-00 TOTAL PERMIT FEES $77.00 Total Fees: $77.00 Total Payments To Date: $0.00 Balance Due: $77.00 FINAL APPROVAL CLEARANCE -------· ·---··--------------- PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECKn0. Cf>o307~ 7 EST. VAL. '-t/,__D__?) Plan Ck. Deposit ______ __,....,....., Validated By ____ ~~,+--,J_..,.l),_Y'-- Date, __ -----4J--1-(\14-, l-1-I =~~- Bus ness Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel # Existing Use Proposed Use Name Address City State/Zip Telephone# Name Addres City ate/Zip Telephone # il\&iilililMlllllliliiiiMiWIIIIIIIDI I I &IIIIH!lllllllll!llll-~~----~ (Sec. 7031.6 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 ption. Any vi Jation of Section 70?) .5 by any applicant for a permit subjects the applipant to a civil penalty of not more than five hundred dollars {$6001). " q I -r ~ r,,u_ :i.o.s-0> o--"7 Address City State/Zi~ LTelephone # State License# £$q(p<!JO License Class C;? ~ City Business License# ( J... I0C!/L{ Designer Name Address City State/Zip Telephone State License II --llllliill!~-ID--~sl,J;;\$l'l,,i;/:1!1Ji:ljf,!i$,W:'&li'.'l~1j;!4B~{i@ic,'~,@f~~~i1{1c,! Workers' Compensation Declaration: 1 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. IQ(' I 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 ifsued. My worker's compensation insurance rrier and policy number are: Insurance Company "'4 Policy No.OCJ0/0'/G.-p<.op ~ Expiration Date~/-,2-oo(/ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aecure worker•• compenution coverage I• unlawful, and ahaR aubject en employer to crlmlnal penalties and civil fines up to one hundred thouaand dollara ($100,000), It to the coat of compenaation, damagea u provided for In Section 3706 of the Labor code, Interest and attorney'• feea. SIGNATUREiii~~~ti~~~iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii DATE J-/?--0 '3 ~BIIIICiiiil Ht JlllJ II IIIIHllll-11111.IHllll!I! !! ,iit'~ili!ll-!i01\1.'1~'1,11!l:fflffl!il I hei'eby affirm that I 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 &ale). D 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). D 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. D YES ONO 2. I {have/ have not) signed an application for a building permit for the proposed work. 3. I 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):, ___________________________________________________________ _ ls the applicant or future building oc:cupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26506, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 D YES D NO Is the applicant or future building occupant required to obtain.a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES D 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. ---•--!!fl!8~J-.1,@~!!'!!!!!~;l~llllliN~~~,i~i,~~~•lii~-M~~~illii ... Hici~~~~:_;~)•~~:w:"'~~:,·~~e:-:i:'i~~~~:~ ':i-~, · .. ;,,..,,; • I hereby affi_rm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS, ________________________ _ ,_llla,.IIIIQl---!-!n!IMll!ll;',Ui,111L-O!-ll~::=i!lt:,r.,_,•l!tll!la~~J:.C.~-i~t:4:tf'f8U-1) I certify that I have reed 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 Citt of Carlsbad to 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 at any tir , after the work is comm need for a erio o 80 days (Section rn6.4.4 Uniform Building Code). DATE J -/ 7 ,I)~ WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: .s215J, O /J,1 CJdi Jo ..v 2. TYPE OF BUILDING: RESIDENTIAL 't(' COMMERCIAL ___ _, 3. ROOF SLOPE: RISE / inches in 12 inches I 4. NUMBER OF EXISTING ROOF COVERING ( circle one) (!) 2 3 5. TYPE OF EXISTING ROOF COVERING /h,-1-SHEATHING 50/1 c) . *6. NEW ROOF MATERIAL Gttf--CLASSAWEIGHT PER SQUARE /./4✓ w-op ,~ 7. -NUMBER OF SQUARES a S: 8. TRADE NAME Mk: MANUFACTURER '--------' 9. ROOF SYSTEM LISTING UL No., ___ ~_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 are prohibited. I understand the following inspections are required: x, 1. Tear Off/Pre-inspection prior to instalfnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signatu~ ~----- Contractor-¥--Owner ____ Contractor Naire · *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. ---·.-------- City of Carlsbad Bldg Inspection Request For: 07/16/2003 Permit# CB030767 Title: ROCK RES-2500 SF HOT MOP/GRAVL Description: Type: MISC Sub Type: REROOF Job Address: Suite: Location: 2820 MADISON ST Lot APPLICANT CARLSBAD ROOFING 0 Owner: ROCK PETER A&GEORGETTE TRS Remarks: CAN YOU FINAL?? Total Time: CD 19 Description Final Structural Act Comment ~ //Dia-- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: JE --- Phone: Inspector: ---- Requested By: CHRISTINE Entered By: CHRISTINE tr'ct;:1~) 03/20/2003 15 Roof/Reroof AP JE OK TO COVER -CALL FOR FINAL