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Home My WebLink About2615 MADISON ST; ; CB161953; Permit05-18-2016 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB161953 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2615 MADISON ST CBAD PME Status: ISSUED 05/18/2016 SLE 05/18/2016 05/18/2016 Parcel No: 2031023100 Reference #: PC#: Project Title: SOTO: 125A PANEL UPGRADE Applicant: FOSHAY ELECTRIC CO INC 7676 ENGINEER ROAD SAN DIEGO, CA 92111 619-277-7676 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Lot#: 0 Applied: Entered By: Plan Approved: Owner: SOTO SOLEDAD 2615 MADISON ST CARLSBAD CA 92008 Issued: Inspect Area: $0.00 $163.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Rease take NOTICE Iha wo,a d yo..r ptjed includes the "lrrµ:sitiori' d fees, dedcaicns, reservaticns, er cther exa::ticns -cdledivay retene:l to as "feeslexa::tions." You rave 00 day.; frcrnthe-tns pemit ""8 issued to prctest irrµ,sitia, d trese feeslexa::tiais. If you protest Ital\ you nu;t fdloothe prctest ~ sel forth in G'.>lerTYrent Ccxle ~"' eooal(a), ancl file the protest ancl a,ycther ra:µred infooraim wth the Qty Mragerfcr JroOSSSirg ;, , amda rewth catsba:l Mridpa Ccxle~a, 3.32.lm. FalL.retotirrayfdlootha: Jl'OC"d.rewll tB' a,ysut,;,q.s,t leg; alioo toattad<, re..iie.v, set aside, vcid, a a'TU treir irrµ:sition. You ere hereoy R.RTI-ERNOTIREDttat yo..r ng1 to protest thespecifiedfeeslexa::tiCflS OCES NOT APPLYto""1er ancl ,.,,..,,oa,nectm fees and~ da'(J3S, nc, pmrg, m-irg ga:lrg crcther srrila' ,wicalioo JroOSSSirg c,,...,,;oefeas in oa,necta, wth tns ptjed. l'-(RIXES IT APPL Yto a,y f dv.h ·au,; _, . CE 'rrila' v.hchthe dlirritali ctherw ' □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: (city of Building Permit Application Plan Check No.(' fl-, I lo I q 5-3 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@ca~sbadca.gov www.carlsbadca.gov Date "5 -1 '3 -II ~ lswPPP JOB ADDRESS SUITEt/SPACEf/UNIT# IAPN 2.. lJ I "-r,...,.a,~~tJ 'i. ~a.G e-r --- CT/PROJECT# ILOT# I PHASE# I# OF lJNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~ E.a.v "-E U9' VO..._~\i:I f_ Q. 'c,..\ E. e,..."1.-, ~ ""°''-I" ... ~ EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING IF1RESPRINKLERS -...i::. ..... .:: . YESO. Nc{:J ves□No□ YES□No□ APPLICANT NAME PROPE~NER NAME ~\~,.\ 1'--11r1 \Cz:k ......... · "'·nt•ct ~.,~ ...... -t;_'" (.. -,,..,,:c., ,.jC)TC) ADDRESS ADDRESS i~~s '--•\J .. L r., ,.,. ..... I> .... le 2. -..,, "' r"\ b.--... ' .,.:,u :!:,, ~"' i;:.,:,_ -c CITY SIATE ZIP CITY STATE ZIP '!,,o,._. 0,\C:.k.> c. ... ... c.., S-4\ <--\ ~ ·--.. C-0 C\ .. .:,c.> l'I PHONE IFAX PHONE IFAX et.:'\-'Li'\. '"""'"'\.I 'oS !>· -Z.'\'\.-Z..V-Z."\ EMAIL EMAIL E. ~..,,' r'\-4, 40\ ' ,. e S::0•""4-... lc.,~c."1,a.\·c. . C:...>"" -:s: C: I"'-G, 4~i' ~'<IL. l'b\l.."t~i,;.<L:::,, '-ON DESIGN PROFESSIONAL ~NTRACTOR BUS. NAME o:i. e\.11::-,.,.,.:. ADDRESS ADDRESS l>r!i.& '-6"' ... -.."- ..,, __ "-• .... e CITY STATE ZIP CITY STATE ZIP .,..,. _ --\ ~ l;i,i,,.\) C..D, '\z;, s "'\ PHONE PHONE IFAX ~~ e,' 2.-., . , .... , ... IFAX 'o:SR. 2,-.. 2-.,-z,..q EMAIL EMAIL e~"'l .. -....--.... e Cu~-....-.... 1e.,£'---,.,..~'-' .....-.. I STATE UC.# STATE UC.# rASS l CITY BUS. UC.# \"\-"•·~ (...\A -z. c.> 'I.~ o<!> (Sec. 7031.5 Business and Professions Code: Any Crty or County which requires a permtt 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 JChapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code} or that he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any apphcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS· COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of pmjury one ofth8 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 perfonnance of the work for which this pennit is issued. ~ have and will maintain worker&' compensation, as required by Section 3700 of the labor Code, for the perfonnance of the work for which this pennit is issued. My worilers' compensation insurance carrier and policy number are: Insurance Co. Z €, ,... \. 1 ~ Policy No'."Z,. O-"' Al! ~ i 4, I O 4\ Expiration Date ~ ( • l ~ """"'\ itJii.section 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 work for which this pennit is issued, I sha• not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fallure to secure ers' compensation coverage ls unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar& (&100,000), In mage a rovi for In Section 3706 of Labor code, lntarest and attorney's fees. I hereby affirm that I am exempt from Contractor's Ucense Lsw for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the work a:id the structure is not intended or offered for sale (Sec. 7044, Business arid 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 empk>yees, 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, arid contracts for such projects with contractor(s) licensed pursuant to the Contractor's License law). I am exempt under Section ____ ,Business arid Professions Code for this reason: 1. I personally plan to provide the major tabor arid materials for construction of the proposed property improvement OYes []No 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 I phone I contractors' Ucense number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, super.iise and provide the major work (include name t address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provkle the work indicated (include name I address I phone/ type of work): 8.$ PROPERTY OWNER SIGNATURE □AGENT DATE 'c OM PL ET E T ff IS SECTION FOR NON· RESIDENTIAL BU I l DING PERM I TS ONLY Is the applicant or Mure building occupant required to submit a business plan, acutely hazardous materials registration 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 lending agency for the performance of the work this penmt 1s issued (Sec. 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the appllcatlon and state that the above information is correct and that the information on the plans Is accurate. I agree to comply mth all Clfy ordinances and State laws reladng ID building construction. I hereby authorize representative of the City of Carlsbad to enter upon the alxlve menooned i:roperty t:ir inspecoon purposes. I AL.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAALSBAD AG'IINST AlL LIABILITIES, JUDGMENTS, CO TS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOJENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA permit is required for excav over 5'0' deep and demolioon or construction of structures over 3 stories in hejJht. EXPIRATION: Every pennlt issued by the i Offcial under the provisions of this Code shall expire by imitation and become nuH and YOO if the building or 'Mll1< authorized by such permit is not commenced 'Mthin 180 days from the dale of such permit o · e bu· hg 'Ml aulhorized by such · · at any time after the w:>r1( is commenced for a period of 180 days (Section 106.4.4 Unit:inn Buikling Code). _,g APPLICANT'S SIGNATURE DATE S · \'6 . •• Inspection List Permit#: CB161953 Type: PME Date Inspection Item 06/27/2016 39 Final Electrical 06/16/2016 33 Service Change/Upgrade 06/16/2016 39 Final Electrical Wednesday,August17,2016 SOTO: 125A PANEL UPGRADE Inspector Act Comments PB AP PD AP PD AP Page 1 of 1