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Home My WebLink About2615 MADISON ST; ; CB153626; Permit10-26-2015 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB 153626 Building Inspection Request Line (760) 602-2725 2615 MADISON ST CBAD PME 2031023100 SOTO RES-CONVERT ELECTRIC Lot#: 0 METER FROM OVERHEAD TO UNDERGROUND Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/26/2015 RMA 10/26/2015 10/26/2015 ZEPHYR CONSTRUCTION SERVICES INC SOTO SOLEDAD 700 2ND ST ENCINITAS CA 92024 858-461-5126 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees 2615 MADISON ST CARLSBAD CA 92008 $0.00 $163.00 $0.00 $0.00 TOTAL PERMIT FEES $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: Clearance: $0.00 I\OTICE: Rease take ~ ci \W" ~ect irdudes the ··1 iori' ci fees. declcalicrs, -= c, clhar e><aliCllS ta-eafter cdledivay refooed to'"' "fees'e><aliC11S."' ha"3 00 days from the -th• pemit v,m issu,d to p,ctest irrµisitirn ci these fees'e><aliCllS If )00 p,ctest lt"8l\ )00 rrust fella,, the ?"(Jtest procecl.res set fo'1h in G:>telrmrt Code Sedirn 60020(a). ard file the ?"(Jtest ard any clhar req..ired infooratirn wth the aty M,riager for proressirg in accorda'cewth Galsboo M.ndpa Code Sedirn 3.32.030. Falu-etotimayfclloothet p-ocai.rewll ba" any~ lega ectirn to~ reJie.,v, set asid9, vdd, c.-a-TU tt"eir irrpasitioo. Yoo are herEfy F\RTl-ER I\OTIRED thet \W" rigt to ?"(Jtest the spedfiEd fees'e><aliCllS OCES t-Or APPLY to ,aer ard se,e; OCJ1nedirn fees ard ~ c:ta,g:ls, ra plaTlng, z.cring, ga;:lng or ether sirrilcl" ~icati01 ptx:BS,Sing cr servire fees in arnecti01 Wth ths ptjed. I'm OCES IT~ Y tom-; fees/ 'Mi ha\.e NOTl sirril tti wi tre stalt Ii i ras d:hav.,; C City of Carlsbad Building Permit Application 1635 Faraday Ave .• Garlsbad, CA 92008 Ph: 780~02-2719 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Value JOB ADDRESS IS r(A'DISON SUITE#/SPACE# CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME OG-01 DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) lotJ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NO □ APPLICANT NAME SAAI.JJ f-{o1ST£ L""\I~ PROPERTY OWNER NAME Prima Contact Si:>1..-I Ql!l.'i:) ADDRESS ADDRESS OD 88:.o.oD ~ &,15 o,J CITY STATE ZIP CITY STATE El'-t..l .v L'\Af CA oCZoz.. PHONE FAX FAX 7GD EMAIL EMAIL s DESIGN PROFESSIONAL NAME ADDRESS CITY STATE ZIP ,~As PHONE FAX PHONE FAX ~ ( GI 'l.6 EMAIL EMAIL STATE LIC. # STATE UC.# 2-<1 s e C SWPP CONSTR. TYPE OCC. GROUP FIRE SPRINKLERS YES □ NOD YES O NOD ~ ZIP ZIP CITY BUS. LIC.# (Sec: 7031.5 Business and P_rofessions Code: Any City or Coun_ty which requires a permit to_ construct, alter, Improve, demolish or repair any structure, prior to its issuance, also requires the app!1cant for such permit to file a signed s~tement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License L,awJChapter 9, commending with Secti9n 7000 of D1v1s1on 3 of the Business and Professions Code) or that he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 by any applicant for a permit subJects the applicant to a c1v1I penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of pe,ju,y one of ffle following declarations: □ 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. □ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the worl( for which this permit is issued, My wcrl(ers' compensation insurance carrier and policy number are: Insurance Co ______________________ Policy No. ______________ Expiration Date _________ _ ~lion need not be completed if the permit is for one hundred dollars ($100) or less. [lJ Certificate of Exemption: I certify that in the performance of the worl( for which this perm~ is issued, I shall not empioy any person in any manner so as lo become sub}Elcl to the Worl(ers' Compensation Laws of California WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, dam a as provided for in Section 3706 of the La or code, Interest and attorney"s fees. ~ CONTRACTOR SIGNATURE I hereby efflrm that I am exempt from Contractor's Ucense Law for the following reason: □ I, as owner of ttie 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, arid who does such work himself or through his own employees, provided that such improvements are oot 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), Ji I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec, 7044, Business and ProfessKins 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). □ I am exempt under Section _____ ,Business and Professions Code for this reason: 1. I personally plan to provide the major laOOr and materials for construction of the proposed property improvement □ Yes □ No 2, I (have I have not) signed an application for a buikling permit for the proposed worl(. 3. I have contracted with the following person (firm} to provide the proposed construction {include name address I phone I contractors' license number): 4. I plan to provide portions of the worl(, but I have hired the foliowing 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 work): ,8$ PROPERTY OWNER SIGNATURE ~ENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registraHon form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lendmg agency for the performance of the work this permit Is issued (Sec 3097 (1) CIvrl Code) Lender's Name N Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and s1ate that the above infonnatlon Is correct and that the infonnation on the plans is accurate. I agree to comply W1h all Chy ordinances and State laws relating 1D building construction. I hereby authorize re~tative of the City of Ccr1sboo to enter upon the above mentioned ~rty br 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 M OSHA perm~ is re:iuired br excavations over 50' deep and derooldOn or construction of structures over 3 stores in height. EXPIRATION: Every pemilt issued by the B.Jilding Official under the pro-visions of this Code shall explre by limitatkln and become null and vod IT the OOikling or oork authorized by such permit is not commenced 'MIilin 180 days from lhe date of such pennit or ITlhe · i g or 'M:lrk aulhorized by such pennij is suspended or abandoned at anytime after the v.«k is commenced bra perbd of 180 days (Section 100.4.4 Uniform B.Jilding Code) ~ APPLICANT'S SIGNATURE ~ DATE /C> Inspection List Permit#: CB153626 Date Inspection Item .. 10/28/2015 39 Final Electrical 10/28/2015 39 Final Electrical Thursday, October 29, 2015 Type: PME SOTO RES-CONVERT ELECTRIC METER FROM OVERHEAD TO UNDERGR Inspector Act Comments RI PY AP Page 1 of 1