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Home My WebLink About2717 SOUTHAMPTON RD; ; CB071440; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB071440 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2717 SOUTHAMPTON RD CBAD ELEC Status: Parcel No: 2081540800 Lot #: D Applied: Reference #: Project Title: JENSEN RES-ADD 100 AMP SUB PANEL.OUTLETS & SINK@ GARAGE Applicant: JENSEN MICHAEL J 2717 SOUTHAMPTON RD CARLSBAD CA 92010 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 100 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: JENSEN MICHAEL J 2717 SOUTHAMPTON RD CARLSBAD CA 92010 ISSUED 05/24/2007 RMA 05/24/2007 05/24/2007 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 $0.00 $62.00 Total Fees: $62.00 Total Payments To Date: $62.00 Balance Due: Inspector: Clearance: $0.00 at 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 ol 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 x i ns f which u hav r vi I Tl E imil r hi r as o whi h h I Ii i i n h r vi u I therwis x ir d. City of Carlsbad 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 ,Fax: 760-602-8558 Building Permit Application TENANT BUSINESS NAME Plan Check No. Est. Value Plan Ck. Deposit Date TYPE OF CONST. acc. GROUP BUILDING AREA (SF) ADDITION AREA (SF) GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES O # AIR CONDITIONING FIRE SPRINKLERS YES □ NOD CONTACT NAME (ff Different Fom App/leant) STATE ZIP PHONE FAX EMAIL ADDRESS CllY STATE ZIP 0 PHONE FAX EMAIL STATE UC.# CLASS CITY BUS. LIC.H {Sec. 7031.5 Busineu and Professions Code: Any City or Count;: which requires a permit to construct. alter/ improve, demoli1h or reP.air any structure, prior to its iuuance, also requirn the applicant for such permit to file a signed mtement that he is rtcensedJrnrsuant to the provi1ions of die Contractor's Licenie Law {Chapter 9, commending witfi ltction 000 of Division 3 of the Bu1ine11 and Prormiom Code} or that he i1 exempt therefrom, and the ball! for the alleged exemption. Any violation of Section 703U by any applicant for a permit subjecu the applicant to a civil penalty of not more than five hundred dollars {$500}). lll!ORl!LERS' CC!'Ml':IINSALT\ION 1_,i ~ , ; '"""i.b,"' c ,,, 1 ~ ~ ~ ~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent lo 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 workers' compensation insurance carrier and policy number are: Insurance Co _____________________________ Policy No ___________ Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. □ 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 secure workers' compensation coverage Is 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 code, interest and attorney's fees. ,,65 CONTRACTOR SIGNATURE DATE 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} □ 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} □ I am empt under Section _____ Business and Professions Code for this reason 1 on ally plan to provide the major labor and materials for construction of the proposed property improvement □ No 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/ phone/ contractors' license number}: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone/ 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 / address I phone I type of work): Is the applicant or future 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 app!icant or future building occupant required lo 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. 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 representative of the City of Carlsbad to enter upon the above mentioned property for 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: 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 permit is not commenced within 180 days from the date of such permit or if the building or wo uthorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code) _NS APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 06/04/2007 Permit# CB071440 Title: JENSEN RES-ADD 100 AMP SUB Description: PANEL,OUTLETS & SINK@ GARAGE Type:ELEC Sub Type: Job Address: 2717 SOUTHAMPTON RD Suite: Lot: 0 Inspector Assignment: Phone: 7608030702 Location: Inspector: OWNER JENSEN MICHAEL J Owner: JENSEN MICHAEL J Remarks: Total Time: CD Description 14 Frame/Steel/Bolting/Welding 24 Rough/Topout 34 Rough Electric 44 Rough/Ducts/Dampers Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments ---- Requested By: NA Entered By: CHRISTINE ·~~('{.ID\~ ~ Y'-'j ~N\ fay~ G~\~-~ ~-~~'.X ~~~ .__~-£\~--- @ h~-l<;"~(('° -~T ~ c~\d -~~~-hbrv-_ \~-rL\ X"t>~M. -d f ~ -<hC9M ~-c '"\ (oo \Is-\ City of CARLSBAD BUILDING DEPT ~{JO 7 ll-( 4 0