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Home My WebLink About2705 MADISON ST; A; CB132069; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-28-2013 Residential Permit Permit No: CB132069 Building Inspection Request Line (760) 602-2725 Job Address: 2705 MADISON ST CBAD St: A Permit Type: Parcel No: Valuation: RESDNTL Sub Type: RAD 2031021800 Lot#: 0 $5,000.00 Constuction Type: NEW Status: ISSUED Applied: 08/27/2013 Entered By: JMA Occupancy Group: # Dwelling Units: Bedrooms: 0 0 Reference#: Structure Type: Bathrooms: O Orig PC#: Plan Approved: 08/28/2013 Issued: 08/28/2013 Inspect Area: Plan Check#: Project Title: BARLOW: CHANGE OUT 2 SLIDER DOOR TO 2 WINDOWS/ SAME HEADER, MINOR FRAMING Applicant: BARLOW KAREN J TRUST 07-11-90 C/0 NANCY RUSSEL PROP MGMT 226 E BROADWAY VISTA CA 92084 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park in Lieu Fee Park Fee LFM Fee Bridge Fee Other Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee HMP Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee Green Bldg Stands Plan Chk Fee $77.87 $0.00 $54.51 $0.00 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 $0.00 Owner: BARLOW KAREN J TRUST 07-11-90 C/O NANCY RUSSEL PROP MGMT 226 E BROADWAY VISTA CA 92084 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFD Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) Sidewalk Fee PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing lnlieu Fee Housing Credit Fee Master Drainage Fee Sewer Fee Additional Fees Fire Sprinkler Fees TOTAL PERMIT FEES Total Fees: $134.38 Total Payments to Date: $134.38 Balance Due: Inspector: FINAL APPROVAL Date f,t,f-f] Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $134.38 $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 fees in connection with this project. NOR DOES IT APPLY to any f tw· h rvl I TIEiilr whi h fl' rvi I THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING OBIJILOING □FIRE □HEALTH 0 HAZMAT/APCD <_(~ ~ CITY OF Plan Check No. C Est. Value Plan Ck. Deposit CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SWPPP CONSTR. PE OCC. GROUP DESCRIPTION OF WORK: Include Sq&lant Feet of Affected Area(s) ft;t/41',e 7klt? .54,0,,,5" ~sS ~ u.11,f If .=-2 11/~0 t-1-j /tJu.Jk /,bw M.,~w5 ~ff wk/r/1, 1sif w,,,,,./ot<,, /JO ttlu .. --j~ /'~1i-t IJ,J-,(,,-, dh1'. ,?~ 4,r;1.. .71, /ii-,., _.,?(' _s..);, /ii ;e,~.,:;:r 7tJf:z.. w,,/74 ./;,.fr,,,.,,_ m;q.;nr ,~ _,,.L.~, EXISTING USE PROPOSED USE GARAGE (SF) ~ h/t,/ ZIP STATE UC.# PATIOS (SF) 4",,:> DECKS (SF) ;z.,,,,,_-FIREPLACE YES[}t. AIR CONDITIONING NoeJ YESONo0 APPLICANT NAME (Secondary Contact} ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE LIC.# ClASS CITY BUS. LIC.# FIRE SPRINKLERS YES□Not;g (Sec. 7031.5 Business and Professions Code: Any Cij.y 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 ttiat 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 CodeJ 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 {$5001). 'WORl(ltlfS' COMPIINSATJON Women• Compensation Declaration: I hereby arrnn under penalty of perjury one of the following declarations: D I have and wtll maintain a certificate of consent to Nlf-lnlllf't 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 wlll maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for whCh this permit is issued. My workers' compensation insurance carrier and policy numbef are: Insurance Co. Policy No. ______________ Expiration Date _________ _ ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: l 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 suti;ect to the Workers' Comp8nsalion Laws of California. WARNING: Failure to secure worhn' compenlltlon coverage ii unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor coda, interest and attorney's fees. ,IS CONTRACTOR SIGNATURE □AGENT DATE ',1U!INIIR•BUlLOIIIR DECLAl'IATION I hereby affilm that I am exempt from Cxmtractots Lk:ense Law for the following reason: □ 1fJ □ I, as owner of the property or my eqiloyees 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 ye.-of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 1, as owner of the property, am exclusively contra::ling with licensed contractors to construct the pro_iect (Sec. 7044, Business and Professions Code: The Contractofs License Law does not apply to an owner of property who builds or improves th8f800, and contracts for such projects with contractor(s) licensed pursuant to the Contractofs License Law). I a-n exempt under Section ____ ,Business and Professions Code for this reason: 1. I personafty plan to provide the major tabor and materials construction of the proposed property improvement. Oves Oo 2. I (have/ have not) signed oo application for a building pe r the proposed wo1k. 3. I have contracted with the following person (firm) to provide proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the wo but I I g person to coordinate, supervise and provide the major wofk (include name/ address I phone I contractors' license number): 5. I will provide some of the WOfk, but I llowing persons to provide the work indicated ~nclude name I address I phone/ type of work): ,IS PROPERTY OWMER SIGNATURE ~GENT DATE Is the applicant or future building occupant required i> submit a business pl.-i, a'}Uj:ely hazardous materials registrabon form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley. Tanner Haza'dous Substance Account Act? □ Yes □ No Is the applicant ocfuture 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 feel of the outer boundary of a school site? □ Yes □ No IF Aff'f OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS TltE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I h8'le read the application and state that the a~ il'lformation Is oorrectand that the lnfoonatton on the plans Is aa:urate. I agree lxl oomplywilh all Cily 01tlinanoosand Ste laws relating ID bulkllngoonstruction. I hel8by au1holize 1eprese,ilative d1he City d C..-llenlert.l)OO lhe above rrenlionod propeey for ilspec:tion l'JIPll'E'S. I ALSO AGREE TO SAVE, INIJEl,tllFY AND KEEP HARM..ESS THE CITY OF CARLSWID AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES 'MllCH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: MOSHA pemito requied forexcavations a.er 5~' dee!> and demaiion c, conslruclion d slruciues <Nflf 3 slllries n height EXPIRATION: Ewry pemit-bylhe aikli1g Ollciai ooderlhe l)l1M6'll1S rilho Codeshal expie by ,.,_,and become nul and void I 1he buldi1g c,-aulhclized by such pemiti; n.Aro111eiced ""'1il 180 dayslrom 1he dale dsuch pemil c, Wlhe boidi1g c,-aulhaizl!d by such pem,l is suspended or abandoned at any line allerlhe-• romeicedfor a period d 180days (section 1116.4.4 Urifonn Bui~i1g Code). _15 APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB132069 Type: RESDNTL RAD Date lnspectio11 Item Inspector 09/24/2013 19 Final Structural 09/24/2013 19 Final Structural PB 09/18/2013 17 Interior Lath/Drywall PB 09/18/2013 18 Exterior Lath/Drywall 09/18/2013 18 Exterior Lath/Drywall PB 09/18/2013 34 Rough Electric 09/18/2013 34 Rough Electric PB 09/12/2013 14 Frame/Steel/Bolting/Weldin 09/12/2013 14 Frame/Steel/Bolting/Weldin PB 09/12/2013 34 Rough Electric 09/12/2013 34 Rough Electric PB Tuesday, September 24, 2013 Act RI AP AP RI AP RI AP RI AP RI AP BARLOW: CHANGE OUT 2 SLIDER DOOR TO 2 WINDOWS / SAME HEADER, Comments AFTER 12 PLS AFTER 12 PM "FOLLOW UP" AFTER 12 PM "FOLLOW UP" AFTER 1PM AFTER 1PM Page 1 of 1