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Home My WebLink About1278 VERONICA CT; ; CB992213; PermitCity of Carlsbad 01/11/2000 Electrical Permit Permit No:CB992213 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 1278 VERONICA CT CBAD ELEC Status: Parcel No: 2145511600 Lot#: 0 Applied: ISSUED 06/14/2099 JM 06/14/2099 06/14/2099 TL Entered By: Reference #: Plan Approved: Issued: Project Title: GAS LINE TO FIREPIT&ELEC Inspect Area: Applicant: LEIGH DOUGLAS M&ARIANNE 0 1278 VERONICA CT CARLSBAD CA 92009 Total Fees: $59.00 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 TOTAL PERMIT FEES Owner: LEIGH DOUGLAS M&ARIANNE 0 1278 VERONICA CT CARLSBAD CA 92009 Total Payments To Date: $59.00 Balance Due: $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $39.00 $59.00 $0.00 lnspe~ FINAL APPROVAL Date: /-//-~ Clearance: _____ _ 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been qiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION FOR OFFICE USE ONJ,;n PLAN CHECK No. u2'U f CITY' OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. _________ _ Plan Ck. Deposit-.,....--------......-- (760) 438-1161 Validated By ____ __..._~__,,,..,.,,....,..,,.,,,.~ Date ________ __.....,'7--""--W-----'.:.......I- 1. ROjE<;J INFORMATION tb}'&' l/L;P..11µ1cq Address (include Bldg/Suite #) _ i'7 Business Name (at this address) 1,,IJ0€;,.,,1,vr.)5 5 legal Description lot No. Subdivision Name/Number ~ t~ 5 I 'J I:.' ,v C.. ~ Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use {l,€S JQ t::rVCc£ Proposed Use :1, '2,. OCJ J 3 Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms Name 3. APPLICANT 1J Cgn;w:~ r Ol'.1/k LC 11, 1--I Name 4. ROff!lTY OWm,1 n eel, ,11-f'/1 Name 5, b 4S {', l7C F1tl.l-/'I ; • 1/..v/V C 4;-c.. ;~ 1c.11tc.. ,I Address City State/Zip CJ.AeTut =-.i-a per, } 7..7S( V~ ll <2,v 1C,ll l .?./a, r C 0(USt3f}O Address City State/Zip Address City S.tate/Zip 7J ~ FPI//VT/J ovJ Telephone # Fax # Telephone# 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 ( $ 5001). Name Address City State/Zlp Telephone# State license II _________ _ license Class _________ _ City Business l icense II _______ _ Designer Name Address City State/Zip Telephone State license II _________ _ 6. ORKERS' COMPENSAllON 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 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 _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) D 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 es to become subject to the Workers' Compensation laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, end shall subject an employer to criminal panaldes end civil fine• up to one hundred thousand dollars ($100,000), in addition to the coat of compensation, damages ea provided for In Section 3706 of the labor code, lntereat end attomey'a fees. SIGNATURE. ______________________________ DATE _________ ,_ 7. OWNER-BUILD_fflPEg.t\RATIQt,I I hereby affirm that I am exempt from the Contractor's license law for the following reason: 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 Contrector'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 contractorls) licensed pursuant to the Contractor's license Law). D I am 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 (firml to provide the proposed construction (include name / address / phone number / 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 I phone number/ contractors license number): ______________________________________________ _ 6. I will provide some of the work, but ave contra tad (hirod) the following persons to provide the work indicated (Include name/ address / phone number / type of work): ___________ +---.'-----+----+1--------------------,,....-~h-.,--.,.-.....,"'f--------- PROPERTY OWNER SIGNATURE -~--------~------------- COMPL~E THIS SECTION FOIJ NON 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 26505, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D 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? 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. 6. CONSTiiUOTION LEND_!NG AGEN~ ________ _.. ---- 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ ,.... e.PLIC~ CEJJT)F1~"1li>N. I certify that I have read the application and state that the ebove 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 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 6'0" deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit issued by the Building Official under the pro~sions 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 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any t ime after the work Is commenced for a periodtlof 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~~ '79--, : \' DATE & / ! j / ~ ") ~ r I WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 1/10/2000 Permit# CB992213 Title: GAS LINE TO FIREPIT&ELEC Description: Type:ELEC Sub Type: Job Address: Suite: Location: 1278 VERONICA CT Lot 0 APPLICANT LEIGH DOUGLAS M&ARIANNE 0 Owner: LEIGH DOUGLAS M&ARIANNE 0 Remarks: Total Time: CD Description Act Comments Inspector Assignment: SR --- Phone: ~JL-lnspector: _ _.__ __ _ Requested By: HOMEOWNER Entered By: CHRISTINE 29 39 Final Plumbing Final Electrical _Af_ ________ _ _M_ ________ _ Associated PCRs lnsoection History Date Description 6/18/1999 34 Rough Electric 6/16/1999 21 Underground/Under Floor 6/16/1999 31 Underground/Conduit-Wiring 1/'J.-'1 (3 ·5' Act lnsp Comments AP SR AP SR CO SR UNDR GRND CONDUIT & WIRING NOT COMPLETE