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Home My WebLink About2605 MADISON ST; ; CB111820; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-23-2011 Electrical Permit Permit No: CB111820 "Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2605 MADISON ST CBAD ELEC 2031023200 Lot#: MORENO: INSTALL 200AMP PANEL FROM 100AMP 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/23/2011 JMA 08/23/2011 08/23/2011 REED SERVICES 143 S. CEDROS #A-105 MORENO JOSE&MARY F FAMILY TRUST 06-08-04 SOLANA BEACH 92075 760-822-5349 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 100 0 0 0 2605 MADISON ST CARLSBAD CA 92008 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due: FINAL APPROVAL Date: 0 ~1 ,s/ ll Clearance: $0.00 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 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 fees and capacity changes, nor planning, zoning, grading or other similar application processing or service tees in connection with this project. NOA DOES IT APPLY to any I x i n f whi h hav tevio I be n iven N Tl E imilar hi r w i h h f Ii h r vi IW. «~~ ~ CITY OF CARLSBAD APPLICANT NAME (Primary Contact) ADDRESS CITY PHONE PHONE AIL ARCH/DESIGNER NAME & ADDRESS Building Permit Application 1635 Faraday Ave .• Garlsbad. CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No.0 Est. Value Plan Ck. Deposit Date <;?( 2--3 { 1 SUITE#/SPACE#/UNIT# APN PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINE NAME APPLICANT NAME (Secondary Contact} ADDRESS STATE ZIP CITY STATE FM PHONE FM STATE ZIP FM STATE LIC. # I l l J"'ZD SWPP CONSTR. TYPE ZIP -loS (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 issuan , Isa 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 O O 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 applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)). '"WOlU<l!IO' !:OMPEI\UATION ' Workers' Compensation Declaration: I hereby affirm under penalty of peljury 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 perfonnance 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 perfonnance of the work for which this pe1mit is issued. My workers' compensation insurance carrier ar.d policy number are: Insurance Co. Policy No. ______________ Expiration Date _________ _ his section need not be completed if the permit is for one hundred dollars ($100) or less ertiflcate of Exemption: I certify that in the performance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Ia. WARNING: Failure to secure workers' compensation coverage is unlawful, a shall subject an employer to criminal penalties and civil fines up to ona hundred thousand dollars (&100,000), in addition to the cost of compensation, dam a s provided for ctlon 3706 of the la r code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the foll □ 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 wrth contraclor(s) licensed pursuant lo the Contractor's License Law). O 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. □ Yes □ No 2. I (have I have noQ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) lo provide the proposed construcHon (include name address/ phone I contractors' license number): 4. I plan lo provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I 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 I address I phone I type of WJrk): ,.IS PROPERTY OWNER SIGNATURE l:]AGENT DATE ~-¥ ¥ -~ COMPLll!tll! THIS lll!CTION FOR NoN-RIUIPIIINtlAL BUILPINB PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program tJnder Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occtJpant required to obtain a permit 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 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. I certify that I have read the application and state that the above lnfonnatlon Is conactand that the infoITT1ation on the plans Is accurate. I agree 1D comply with all Ctly oldinances and State laws relating 1D buUdlng oonstruction. I hereby authorize representative of the City of Carlsbad to enterup:>n the atxJve mentioned i:roperty tlr inspectioo purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY CF CARLSBAD AGAINST ALL LIABILITIES, JUD3MENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA M OSHA permrt is required tlr excavatklns over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Buik::ling Ofocial under the provisions of this Code shall expire by ~mitation and berome null and void if the buik::ling or '.\Olk authorized by such perm rt is not comrner.ced Wthin 180 day,; from the date of suet, permit or if the buiding oroork au · by such perm rt is uspended or abandoned at any time after the 'MJrk is oommenood for ape of 180 da~ ( 00 100.4.4 Uniform Buik::ling C.ode) . ..@S" APPLICANT'S SIGNATURE • DATE ' . City of Carlsbad Bldg Inspection Request For: 09/15/2011 Permit# CB111820 Title: MORENO: INSTALL 200AMP PANEL Description: FROM 100 AMP Type: ELEC Sub Type: Job Address: 2605 MADISON ST Suite: Lot: 0 Location: APPLICANT REED SERVICES Inspector Assignment: PD --- Phone: 7603007514 Inspector: fvt,o _ __,_ __ Owner: MORENO JOSE&MARY F FAMILY TRUST 06-08-04 Remarks: Total Time: ----- Description Act Comments Requested By: RONNIE Entered By: BINSPECT CD 33 Service Change/Upgrade -k _ __,,P:::..,,:IZ,j1cUE.,..=,,,,_(L-.,(a._,/Z.l>w=~N"'--'-b..._--"~==-+----+l3-=~::..:.:,uE:._.:::,__.t-""---__ ... ... . . M~ c.J? ~ !.--A-Ii!€.~ ot~ ____ _r:J ___ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments 08/30/2011 33 Service Change/Upgrade AP PD NOT FINAL -RELEASED