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Home My WebLink About2820 MADISON ST; ; CB052782; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-26-2005 Plumbing Permit Permit No: CB052782 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2820 MADISON ST CBAD PLUM Status: Parcel No: 2031103100 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: ROCK RES GAS AND ELEC FOR 3 WASHERS/DRYERS UNITS Applicant: ROCK PETER A&GEORGETTE TRS C/O DADS LIQUOR 2421 S EL CAMINO REAL SAN CLEMENTE CA 92672 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 3 0 0 1 0 1 0 Plan Approved: Issued: Inspect Area: Owner: ROCK PETER A&GEORGETTE TRS C/O DADS LIQUOR 2421 S EL CAMINO REAL SAN CLEMENTE CA 92672 ISSUED 07/26/2005 SB 07/26/2005 07/26/2005 $20.00 $21.00 $0.00 $0.00 $7.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 $75.00 Total Fees: $75.00 Total Payments To Date: $0.00 Balance Due: $75.00 3362 07/26/05 0002 01 02 CGP 75,00 Inspector: Clearance: NOTICE: Please take NOTICE at approval of your project includes the ulmposition" 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 will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. PERMIT APPLICATION FOR OFFICE USE ON~ 0 r z 7 a z._ PLAN CHECK No--C~_i1 ";> _:.> __ a CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit--------- Validated By, "':3:, 7-< / Date '7 (1 (o{~- ~ddress (Include Bldg/Suite I) C-r • 2--62.b ~ IY\1\-DlSo>-.) _,, Business Name (at this address) cs B co. g'U:J~& Legal Oucription Lot No. Subdivision Name/Number Unit No. Phan No. Total II of units Aasuaor'a Parcel I C..~S u tJE Proposed Use ,;><"Description of Work SQ. FT. #of Stories I of Bedrooms I of Bathrooms Name Address City State/Zip Telephone I Fax I <!it-,i\l'ai.!Uta\,~}m!l&ll!l!li'Millr,, ,,11m'Aillllt!ifm\g~;;,c::tiO.wniliLJJ1l A9fllt~or' Qwne,, , ,,, ,,',,, ,', ·;·;,-:,_'cf'• ,Pi:_ Name Addreas City State/Zip Telephone I 'f--.~~~a:':'~"~i~~!'/1-4il~'~:"~(~AUl'i~g,,,.d:C'''••···~1:'~1'.''' e's-' ,,,:",cf i'.t~t:::'<f,~s-,'' Name Address City S.tate/Zip Telephone I (Sec. 7031.6 Buaineaa and Profeasiona Code: Any City Of County which requirN 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500JI, Name Address City State/Zip Telephone I State License I _________ _ License Class ________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License , _________ _ ~•·rmt:nreea·rcr,tttmrlefflit8ii~tjw~~'.t'i:&a~:~~~~;:;.W~'W~::~~"itih~At·;iA~~H~,~~ttih1:t;,·~·OJ:di~1:~~~lk,:·::1:-'·::.0: Workers' CompenHtion Declaration: I hereby affirm under penalty of perjury one of the following dedaratlons: 0 I have end will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for th• performance of th• work for which this permit is iHued. 0 I have and will maintain wo,kers' compensation, as required by Section 3700 of tha Labo, Code, for the performance of the w01k for which this permit is issued. My worker's compenution inawanca carrier and policy number are: Insurance Company____________________ Policy No.,____________ Expiration Date _______ _ ITHIS SECTION NEED NOT BE COMPLETED If THE PERMIT IS FOR ONE HUNDRED DOLLARS lt100J OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in tha performance of the work for which this permit is iHued, I shall not employ any person in any manner so as to become subject to the Wo,kers' CompansatiQn Laws of California. WARNING: F..._ to ucan WOlbn' compenaatlon coverage la unlawful, and shall aubject an employ• to crimlnlll penelties and dvll finaa up to one hundred lhouund dollars lt100,000), In ■ddtion to the coat of compena■tlon, damages u p,ovided for In Secdon 3708 of the Labo, code, lnt ... 1 ■nd ettomey's fH•. SIGNATURE DATE ________ _ 1-.-11111 I Ill '[1 71 I U!ll-illli!!!!Mii!iilllilli11!11.iii,8!/lli'~',l'~' riiiJC)~l'iill5~Hi~~7,;,11;s,4.,,;• ,/1l,i(!f!l\,il!c~,., ,,'[, ·, •, , I ha;aby affirm that I am exempt from the Contractor's Ucense Law for the following reason: 0 I, u owner of the property or my employees with wages aa their 1ole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Buain ... and Profeslions Coda: The Contractor's License LaW' dou not apS)ly to an owner of propeny who builds or Improves thereon, and who does auch wo,k himulf or through his own ampJoyeaa, 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 ownar~buildar will have the burden of proving that he did not build or improve for the purpose of sale). 0 I, aa owner of the property, am exclusively contracting with licensed contractora to construct the project (Sac. 7044, Businua and Profuaiona Code: The Contractor'• Ucenae Law dop not apply to an owner of property who builds or improve• thereon, and contracts for auch projects with contractor(s) licensed pursuant to the Contractor'• Ucense Law). 0 I am exempt under Section ______ Buslneu and Profeulons Coda for this reason: 1. I personally plan to provide the majo, labor and materials for construction of the proposed property Improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit fo, the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction !include nsme / addreH / phone number / contractors license number): 4. I plan to provide ponlons of the work, but I have hired the following parson to coordinate, supervise and provide the major work linclude name / addreas / phone number/ contractor• license numberl: ____________________________________________ _ 6, I will provide aome of the work, but I have contracted (hired) the following parsons to provide the work Indicated (il}Cluda name/ addrea& / phone number/ type i t wo,kl: 97/' CJ.~ 1t';e &IVCU:,$.eO c.,:,p11;5, PROPERTY OWNER SIGNATURE ~~ /£ DATE , -----------~ a-~ r l,.~o'i~Jfif'fl\w~&';JiJ~t~~~~J~'!tl·~viMi;1>'; · , Is the •ppllcant or future building occupent required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program und,r Sections 26606, 26633 or 26534 of the Presley-Tanner Hazardous Substance Account Actl O YES O NO la the applicant or future building occupant required to obtain a permit from the air pollution control diatrict or air quality management district? O YES O NO la the facility to be constructed within 1,000 feet of the outer boundary of a school 1ite? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A ANAL 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. ";;;''' I hereby affirm that there is a construction lending agency for the performance of the work tor which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER"S ADDRESS,:,----,-.,.-------------------- , --ai~i~f;iidiq~i~'til~~t;f.R~W--;(fJl~~41;1~if::~4'~~~~ii~i;ii;~tt1~.(~~~"~~h\;,!fif$~:;,;'.iD;i~J'~':/;(!i'.,df1;,~_,;;; .. )ii'J, \::1 x-t;:r: , . 1: r , ,, I ~ertlfy that I have read the application ■nd atata that the above information is correct and that the Information on the plans is accurate: I agree to comply with all City ordinancea and State laws relating to building construction. I hereby authoriJ.e representatives of the Citt of Carlsbad to enter upon the above mentioned propany 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 tor excavations over 5•0• deep end demolition or construction of structures over 3 stories in height. EXPIR_ATION: Every pe_rmlt Issued by the bul~l~g Official under the provisions of this Code shall expire by limitation and become null and void if the building or work author12:ed by such pemut !s not co ed w1th1~ 180 days from the date of such permit or If the building or work authorized by such permit is suspended or abandoned at any time after the work 1s com f a r1 o 1 days (Section 106.4.4 Uniform Building Code). (_ ,PPLICANT"S SIGNATURE WHITE: file YELLOW: Applicant DATE ____________ _ PINK: Finance City of Carlsbad Bldg Inspection Request For 12/14/2005 Permit# CB052782 Title: ROCK RES GAS AND ELEC FOR 3 Description: WASHERS/DRYERS UNITS Type: PLUM Sub Type: Job Address: 2820 MADISON ST Suite: Lot 0 Location: APPLICANT ROCK PETER A&GEORGETTE TRS Owner: ROCK PETER A&GEORGETTE TRS Remarks: PERMIT IS AT ELECTRIC BOX- Total Time: Inspector Assignment: PY --- Phone: 9494125868 Inspector: ----- Requested By: PETER Entered By: CHRISTINE CD Description Act Comment 29 Final Plumbing ~------ Comments/Notices/Hold Associated PCRs/CVs lnsgection Histo[Jl Date Description Act lnsp Comments 10/25/2005 89 Final Combo co PY NEED SIDEWALK LANDING-CLEAN UP CONSTRUCTION DEBRIS. 08/22/2005 21 Underground/Under Floor AP PY 08/15/2005 24 Rough/Topout PA PY NEED UNDERGRND INSPECTION 08/15/2005 34 Rough Electric AP PY 08/02/2005 23 GasfTest/Repairs AP PY FROM METER TO OUTSIDE OF BLDG 08/02/2005 34 Rough Electric we PY --------~·-· LAUN/JRY .SCHACK. / ----/----{,.-~ 81-DG ltNe . -Exrsr. HOUSE j ' 0 A-5 1v1ere.e. . vG=XIST. HOUS€ PANEL ~-3 WA<f7fl6/2.,5 3 DR'le/25 NEN G/15 ANO EiECT/<JG L/Nc ow11e.e: Pe Te:1< RoU.. 2421 So,E../ CAttHNORL. $'. C. l)iJ • (12h7 2- 9Ll-9-tt-C/ 2. -81 ZI CJ7-:J6"-.2007 t.o c,4-r~cirJ: 2. ,J -z._o M /.+I) t t:o 1(/ 6 T C/t/'2t.5MD,. C'A 9Z.ooa7