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Home My WebLink About2569 ROOSEVELT ST; ; CB081647; PermitCity of Carlsbad I 1635 Faraday Av Carlsbad, CA 92008 08-29-2008 Electrical Permit Permit No: CB081647 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2569 ROOSEVELT ST CBAD ELEC 2031013500 Lot#: 0 LEWIS:UPGRADE-60 TO 100 AMPS Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/29/2008 JMA 08/29/2008 08/29/2008 CLINE ELECTRIC LEWIS BETTY FAMILY TRUST 06-20-03 1222 JADE PL SAN MARCOS, CA 92069 619-753-4487 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 40 0 0 0 2569 ROOSEVELT ST CARLSBAD CA 92008 $10.00 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due: Inspector: fV\ {o._,(J,,,? FINALAPPR VAL Date: o 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 pelTTlit 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 infom,ation 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 ~nd sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this projl:)t';t. NOR DOES IT APPLY to any City of Carlsbad 1635 Faraday A~e., carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Bulldlng Pea 111ft Application NO • Include Square Ffff of Affect9d • !Sl-e.c.ft-,u,..,/ Se.,,. v/c.. c:.. "f ':Jra..Jz::._ Pt q_~ -e-1-;.c)f_ t-tc;} tJcr,l-t- ADDRESS CITY PHONE EMAIL PROP£RTY OWNER NAME PROPOSED USE Sa..me. STATE FAX PHONE ?£o -?:21'-St I 2.. FAA EMAIL ARCl-l/0£SIGNER NAME & ADDRESS ZIP STATE UC.# Plan Check No. C '8 D f { w 41 Est. Value Plan Ck. Deposit GARAGE (SF) PATIOS (SF) FIREPU.CE AIR CONDITIONING FIRE PRINK vESO NcQ vES ONo D vESONoO APPLICANT NAME oO, Cc:>~ ADDRESS CITY STATE ZIP PHONE FAA EMAIL C -/0 Cl.ASS CITY BUS. UC.# 'f-12-2. (Sec. 7031.5 Business and Professions Code: My Ci1y or Coun1Y Which requires a pem,lt to construct. alter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such pem,lt to file a silDled statement that Ile iS licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business end Professions Code) or !hat he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for II permit subjects the applicant to a cMI penalty of not more than filie hundred dollars {S5001). Woftln' ~ Dldanllon: / hflfllby alfinn imet penally of /J8lllrt 01111 of the fol/owing dedalations: B I have and w11 mai.ain I certlllclll• of content ui self.mure for wortteis' oompensation as~ I¥ Section 3700 of tile Labor Code. for Ille peffooniW:e of the WOik for which this pellllit is issued. I hive and wlff maintain worllers' c:on.,enudon, as reo~ed bv Section 3700 ol the labor Code. for Ille perfonnance of tile WOfk for whi:h this oermil is Issued. My workefs' compensalion insurance carrier and ~ number are: inSWnceCo Policy No. ____________ Expirallon Date _______ _ 17 need not be oompleted w lhe pennl Is for one hundred dolars ($100) or less. Cel1fflcataof Extmpllon: I Cfflfythalln lhe peiformanceotlhewort< for which this pemvt is Issued, I shall ool en"4)loy anypet'SOll in any mamerso as kl become subject klllle Workers' Compen$3llon Lawsol WARIMG: Flluntto NClftWOllln' l:OIIIP8lluioncovenge Is , and shlll lUbject an ~to c:rimk1II i-aHJes and civff fkles up to one hundred thoulllld doll .. (&100.000). In lddltlon to the COIi of compenutlon, ~ pr~for In the labor code, lnlet'llt and attorney's re.. / ,I$ CONTl!ACTORSGNAlURE '-C. ':--DATE b ( C) I hereby 8lllnn that I iW11 eJlfJrlfl( from Contacb's Uotnse Law for the lololmg /N$01'1." D t. as owner ot Ille property or my 8ffll)loyees wWI wages as their sole compensation, will do the wort< and the slrUCture is not inlended or offered to,-sate (Sec. 7044, Business and Professions Code: The Conlractll's l.Jcense Law does ro apply IO an owner ot property who builds or inproves lheleon, and who does such wort< himself or UYough his own employees. provided thal such inprovements ..-e ool Intended or offel1ld for sale. ff, howe¥«, lhe bublg or irnprovemenl is sold wffllln one yeat ot ~-the owner-OUilder wl have lhe burden ot proving Iha! he did 1101 huild or Improve t>r tile purpose ot sale). D 1. as owner of the property, am exclusively aintracting wMh tlc:ensed contractors IO coostruct the project (sec. 7044. Business and Professions Code: The Conlraclo(s license law does not apply to an ownef ol property who bulcls °' ~ thell!on, and oonlrads for such l)rojects wtffl contraclor(s) licensed pursuant to lhe Contrac~s License Law). D I am exelrC)I llldef Secllon_Business and Plaessions Code klr this reason: 1. I personaly plan kl proYtde lhe map labor and malerials b-construction of the proposed propeft)' improvement Oves Do 2. I (haYe I ha'l8 1101) S91ed an application for a bublg permit for lhe proposed worlt. 3. I have coolJQld wi1tl lhe folowi1g person (film) kl proYtde lhe proposed construction fmdude name address I phone I contradors' li::ense number): 4. I plan kl provide portions ot the wort<. but I have hired the followilg pe,son lo coordinate, supe,vlse and proYtde tile major WOik (include name I address I phone I contraclors' license number): 5. I w1 proYtde some ol lhe wort<. but I have CXlllraCled (hied) lhe folklwiiO persons kl provide lhe wor1t ildicaled {incaJde name I address/ phone I type ot WOlt): 65 PROPERTY OWNER SIGNATURE DATE Is the applicant or futurit building oq;upant required to submtt a buslness_a, acutely hazardous materials reglstration form or risk management and irevention program under Sections 25505, 25533 or 25534 of the Presley-TannerHazardousSUbstanceAccountAct? 0Yes LJNo Is the applicant or future building occupant required to obi.in a pem1it from the .if pollution control.l!§lrici or ail'~lity management dlstrr::t? Dves D No Is the facility to be cons'1Jeted within 1,000 leetotthe outer boundary of a school Sffl!? LJYes LJNo 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 OFflCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I 0811ffylhatl hM IINtheapplcallocland llllllthatthe ai-lnfunnalloll lscon9Ctandlhatthe lnfunnalloll onfle plan lsaccuna. I aeN1Dcomplyl14111 al CllrOldllllllC8SandStale M ~111 bullditCoonstluc:tlon. I hereb',' aJ1horize repesen1ative cl the City of Calsboo to~ upoo the above mentioned popeey br ~ ~-1 ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU. LJABIUTIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA pemit is ~ br excavalioos CMY 5<1 ooep and demolition or oonstructm of strudlJes ove: 3 smes 1n hei<ilt. 100 days from the dale of such penrit or W the IIOf1t authorizsd bV such · or abanoooed at any tire aftlll' the IIOf1t is cxmnena!d bra · of 100 ~Sedilo 100.4.4 Unibm lluHY,I Code). EXPIRATION: Eve,;, permit issued bV the EukfrQ~ under the~ of this Code eiqte bV lmtaion and beoome nul and -.oo Wthe ooldng or IIOf1t aulhorized bV such permit is ool oommenced 'Mthn 6$ APPLICANT'S SIGNATURE ~ ' ~ -DATE _2. ~ (C) 6 ·, City of Carlsbad Bldg Inspection Request For: 09/18/2008 Permit# CB081647 Title: LEWIS:UPGRADE-60 TO 100 AMPS Description: Type: ELEC Sub Type: Job Address: Suite: Location: 2569 ROOSEVELT ST Lot: APPLICANT CLINE ELECTRIC 0 Owner: LEWIS BETTY FAMILY TRUST 06-20-03 Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: Inspector: (viL- Requested By: NA Entered By: CHRISTINE 33 Service Change/Upgrade ~ tbC> AM1? t?'~, ~ -btz-~v~ 39 Final Electrical ?\ ~J , C>lt---rt> 1Z~~.E, t,~-12:. Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments