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Home My WebLink About2705 MADISON ST; ; CB060889; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-30-2006 Electrical Permit Permit No: CB060889 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2705 MADISON ST CBAD ELEC Status: Parcel No: 2031021800 Lot#: o Applied: Entered By: Reference #: Plan Approved: Issued: Project Title: BARLOW 4-PLEX-SERVICE CHANGE TO 250 AMP 5 METER ELECTRIC PACK Inspect Area: Applicant: VIKING ELECTRIC 2017 SEQUOIA CREST VISTA, CA 92083 619-940-9400 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 250 o o o Owner: BARLOW KAREN J TRUST 07-11-90 C/O NANCY RUSSEL PROP MGMT 226 E BROADWAY VISTA CA 92084 ISSUED 03/30/2006 RMA 03/30/2006 03/30/2006 $10.00 $62.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $72.50 Total Fees: $72.50 Total Payments To Date: $72.50 Balance Due: Inspector: Clearance: $0,00 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 Car1sbad 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, nm planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any f x in f vi I en iv n N Tl imil r hi i h flimi in I h i PERMiT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. ClJdC2/!f EST. VAL. _________ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit -----7'f~.--- Validated BY'-tl,-r-:---..--b.~fl=--- Date,_"'-:::.,}.-f'--c,,1-~h':,,''-{5;,..._ ___ _ ;'l(Ci''iil!limeTIIIIFail~i:ioN'" ••.. ;::>· 7c:,.r /><.,~'DI OA/ Address (Include Bldg/Suite #I Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # ell!FC, 7[?tC.,¢ L Existing Use C ,.,,,.,,.., Cr< C Proposed Use lJ C/✓ C D[t-' {;. #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax# a)l~li~jj![~~"'~(jp~ii,,,'li!Y~ij~(i)£~~~1~~~ •• :t(li!iiii~•··•S. •SAeent•{or'<>Y/Mi 1///<:IH& Gl~t-r~rc 16/t-/f .s /Y\r:'C.fZ<>Sc /)/l :1.'}< VtS7/f" Name Address City State/Zip Telephone # ~~h1tltlfQ1tm'.~E,R:.;10'-·:·if':i7:,,, · ·,>:ttJ'jJ' }j:ij\:r.:rJ;:il'~t~•:1 ?> /Cl: R <!'N 13 .,.. cu " 1../ D Name Address City S.tate/Zip Telephone# (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 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 ($500]). K/1-1(,-(E-l.€C"f'fZ<<-//:,If-MiF'LTZoic: 'DIL;ll,r vt,t.-r,-r tli,i-1 7&o 9'f',:,-'1f'l)o Name Address City State License # --''f'-'6'--'-7-'7'-""'9_'(,_ __ License Class ___ C_~·/_o ___ _ City Business License II Designer Name Address City State/Zip State License # _________ _ ~S28~f;t••~rrii11s;?tr?&fu0;;;;J111:a;;;_;,/1::'::t::-.: ,, .. " , .. ,.,. ;::,. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following 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. D 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company______________________ Policy No. ____________ _ Expiration Date _______ _ ITHIS SECTION NEEO NOT BE COMPlETEO IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) g CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aecure workers' compenaatlon coverage la unlawful, and ahall aubject an employer to criminal penaltle• and civil fines up to one hundred thouaand dollar• ($WO,OOO), I addhlon to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's teas. SIGNATURE f\ DATE j -.J e:,-6 6 i'f~~!ll '. I hei'eby affirm that I am exempt from the Co , .. D 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). 0 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). 0 I llm 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 I address / phone number / contractors license number): 4. I plsn to provide portions of the work, but I have hired the following person to coordinate, supervise snd provide the major work (include name/ address / phone number I contractors license number): ________________________________________________ _ 6. 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): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE_______________________ DATE _________ _ 1C!i~iii~r«!~!lilll:lnliBBT~t!!!~lillllll!il!SIIMlmilllli<Yf,:1i;bl:n\:?s!l+!iJllie,;n;l~i,:1liilil:1~1m!!~iit~li!Jii~!i!"~~;~\'i,;01P.tificJ: .:,7,,J1!!ll11iij Is the applicant or future building occupant required to submit e business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26606, 26633 or 25534 of the Presley-Tanner Hazardous Substance Account Act1 0 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? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D 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. I hereby affirm thet there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097U) Civil Code). LENDER'S NAME______________ LENDER'S ADDPll!!SS ________________________ _ -~---IDll~iJi1t~i?iti:rJ,1;;,~.~J;,:_;t;;it;,\~,t::?i£ ·-f ;_~,:t:;:,,,ifr•::-!i:~::~1:;,::·:;:~;;J::;;;1\':-.,ii)i:2,it?i:i::!~i~r1~~~r.ii'~!ifii·f~~:,:~~!t~ B;i~~•t?~§t1t~rilf.t,~~1y~1i i~~;-,::;:\~J,·11~f;·1/ I certify that I have read 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 ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO 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 pennit 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 time after the work is comITl!!)jed for a period of 180 days (Section 106 4.4 Uniform Bulldmg Code). APPLICANT'S SIGNATURE '/('t/ 8 DATE S,.S0-·0 ti WHITE: File YELLOW: Apphcant PINK· Fmance City of Carlsbad Bldg Inspection Request For: 05/11/2006 Permit# CB060889 Title: BARLOW 4-PLEX-SERVICE CHANGE Description: TO 250 AMP 5 METER ELECTRIC PACK Type: ELEC Sub Type: Job Address: Suite: Location: 2705 MADISON ST Lot APPLICANT VIKING ELECTRIC Owner: HANIFIN ANGELA D Remarks: Total Time: CD Description 0 Act Comment 3_9 __ :in-al_E_le-ct_r_ic_a_l _____ -~ Phone: 7608221222 Inspector: ---- Requested By: RAY Entered By: CHRISTINE ------------------------~ Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description 05/03/2006 33 Service Change/Upgrade 05/03/2006 33 Service Change/Upgrade Act 1nsp Comments AP PY EMR (5METERS) WC PY NOT FINAL YET