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Home My WebLink About2238 VISTA LA NISA; ; CB994512; PermitCity of Carlsbad 12/07/1999 Electrical Permit Permit No:CB994512 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: SIERRA MESA 2238 VISTA LA NISA CBAD ELEC 2552700300 KEFFER RESIDENCE ADD THREE OUTLETS 917 HAWTHORNE CARLSBAD CA 92009 760-632-6211 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: KEFFER JOHN W&PAMELA S 2238 VISTA LA NISA CARLSBAD CA 92009 ISSUED 12/07/1999 MOP 12/07/1999 12/07/1999 6904 12./07 /99 0001 01 02 Total Fees: $20.00 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 Inspector: Total Payments To Date: FINAL APPROVAL Date: ir4,~{~q Balance Due: Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 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 Cartsbad 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 aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PE-~MIT ·APPLICATION FOR OFFICE USE ONLY ~ \ PLAN CHECK NO. tt t { ry CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. C/1 ·-.' '4 $°'/? Plan Ck. Deposit __ ___... _____ _ (760) 438-1161 Validated By ____ ~-f--,~P...- Date, ______ +..;'4-+..!,-1.1..--- ~ •I"-/Sui ,, Bu1inus N1me Cat th11 addr■H) AddrMI CInclude ., wv te Lagal D"crlptlon Lot No. Subdivi1ion Name/Number Unit No. PhHe No. Total • of units Exi1ting UH Propo11d Use a..L.v', r .,, 3 ~ SO. FT. I of Bedrooms I of Bathrooms Sta /Zip Telephone I Fax /I ~~--J,.~·•.:.3-z.__·_:_ bL( 1 Name Addreu City S.t■te/Zip Telephone II s~ •. ... . ~ CS 7031 5 e · nd Prof■Hione Code· Any City or County which raquirH ■ permit to conltruct, altar, Improve, demolish or repair any structure,_ proor to Its iH~~nce 1j10 ;:~::: ~he epplicent for a~h permit to file • aigned statement that ha ia lic-•d pursuant to the provisions of the Contract~r·s License Law (Chapte,' 9, commending with Section 7000 of Division 3 of the Business and Proteas!~• Code) or_ that he Is exempt therefro~, and the basrs for the alleged exemption. Any violation of Section 7031.5 by any applicant fDf ■ permit aubjecuthe ■pphc■nt to• CIVIi pen1ttv of not more th■n ftve hundred dollars ($500H • ..S,¢1Z:fl::~--N€¼. Name Address City State/Zip Telephona # .s ao-, i~8 Stat• Licanae I _._..__I;...._~ __ ., ___ _ Ucenee Clau __ L._-_Z,_7 __ _ City Bu1in111 License # _______ _ De■igner Name Addr911 City Stat./Zlp Telephone State Licenae I ~.bJJoB-rm-·: -_i1fttll-.-•• -.-m--ro-lb--eES----.~~~~™'~~~~t?t~~;~"'.l-":'P' -~·"' .... · , • .,. • Workers' Compen11tlon Decl■retlon: I hereby effirm und■r penalty of perjury one of th• following decl■r1tions: ref I heve and will mfint■in ■ certiflc■t• of consent to Hlf-in1ur■ for workers' compen1■tion ■s provid■d by Section 3700 of the L■bor Code, tor the performance Thha work for which thi1 permit 11 i11ued. O I have and will m1intaln workers' compena■tion, ■s required by S1ctlon 3700 of the Labor Code, for the perform1nce of the work for which this permit is iuued. My worker'■ ::ren11tion Insurance carrier end policy number ■re: Insurance Company ~-r ~-Pv,.,/D Polley No. Expiration Date LQrlTt...Jt,J\, ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT 19 FOR ONE HUNDRED DOLLARS ( .• 100] OR LESSI O CERTIFICATE OF EXEMPTION: I c■rtify th■t In the perlormance of th• work for which this permit is issued, I shell not employ any person In 1ny manner 1o·as to become subject to th■ Workers' Compen111tion Laws of C1~forni1. WARNING: Fellln to Hein wortier.' compenutlon coverage II Lnllwful, ■nd lhel eubj■ct ■n employer to crirnln■I pen■lti■s end civil fin■s up to one hundred thoua■nd dol .. 1•100,0001, In addition to the coat of compMHtion, d■m1g■1 ■1 pravided for In Sec:tlon 3708 of th■ labor cod■, lnterHt end ettom■y'1 feH. ;;~ii:iiuiill!DiDt'li-'~-;• ;. i,:,;i1i;·~~·-nii-~-,~u~b1l~i:...~·~;. ,i...ii\::.,,i~~:· ~~=-i;-a:i~-~ ... ~•t~m~: ii"'~a&Jii;-~ .• ~;;;,~•.,_-urn;,.~.~.: .. _~. r.tr:i.~~ .. i-~~;i;~~~~':'~/J~.:r1:~irJJit-.. ~J~is":.;~~'~it}t:i~•t:iP,';,;·:;;_:,;;:;,·,. ,, ····.·:,·"7••• ··::·· .. ,, :· I hereby affirm th■t I ■m exempt from the Contractor'■ LicenH Law for the following reason: 0 I, ■s owner of the property or my employee■ with w■g■a ■1 their 1ole compen11tion, will do the work and the structure is not intended or offered for sale (Sec. 7044, Buline■1 ■nd Prof■uion■ Code: The Contractor'■ Lic■nH Law do■1 not apply to 1n owner of property who builds or improves thereon. end who doss such work hlmaelf or through his own employees, provided that such improvements are not intended or offefld for Hie. If, however, the building or improvement is sold within one yHr of completion, the own■r•builder will have the burden of proving thlt he did not build or lmprov1 for the purpose of salel. 0 I, ■s owner of th■ property, em HClu■lvelv contracting with llc-ed contractors to construct the project (Sac. 7044, BuslnHs and Profession• Code: The Contractor's Licen■e Law does not apply to 1n owner of propeny who builds or improve■ thereon, and contrscts tor 1uch projects with conttector(s) licensed pursuant to the Contr1ctor'1 Uc1nae I.aw). D I 1m exempt under S1ctlon ______ BU9ine■1 ■nd ProfHsions Code for this r111on: 1. I per■onally plan to provide the major labor ■nd m■t•ri•I• for con1tructlon of the proposed prop1ny improvement. 0 YES ONO 2. I (heve / heve not) signed en 1pplic1tion for e building parmit for the proposed work. 3. I hive contracted with the following person Cfirm) to p,ovlde the propo11d construction (include name I address / phone number I contractors license numbert: 4. I pl■n to provide portions of the work, but I have hired the following person to coordinate, ■uperviae and provide the major work !include name / address / phone number/ contractors licenH number).:_----------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicetad Cinclud1 neme / address I phone number / type of work): • PROPERTY OWNER SIGNATURE rca,_,~• DATE _________ _ Is the applicant or future building occup1nt required to submit a bu1inH1 pl1n, ■cutely hezardoU9 m1terl1lll registration form or risk men1gement ■nd prevention progrem under Sections 2!5!505, 25533 or 2!5534 of th■ Prulev-Tanner H1zardou1 Sub1t1nce Account Act7 0 YES O NO Is th■ applicant or future building occupant required to obtain e permit from the air pollution control district or air qualitv management district? O YES O NO 11 the facility to be construct id within 1,000 feet of the outer boundary of • 1chool alte 7 0 YES O 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. lif~Q.fliY~ilL~i~lff.~'!i:~tif.tt'~~~~~;~~:#1{fM1~~;~,..~~~•7~ .... ~:-. I hereby affirm that there is• construction lending a91ncy for the parform1nc1 of the WDfk for which this permit is issued (Sec. 3097(11 Civil Code). ~~i: ii· i··-~.:ii-ije41ti0~-i·i--ii··itii\~ ... ~-~i.·.aii.~~~-iiiiMll!liii.liiii!iiii&iWI. ~-.-·~ ... ~.~=;~---.. ,.,-_ .-.~-.. ...,-.--~i::.-.,-~-.b-;,;.,-.~-~--~-:t-~-:"'-.e-?:-:ft'-•.. -::t-t-;~-,r-~,-:ii-:C•-';..-;:-~--. -,.:-:,"-.. ~--_-: ---------- ' certify that I hive re■d the 1ppiic■tlon and state that the abova information ii correct and that the information on the plans is accurate. I agree to comply with all City ordinance■ and State l■w1 raleting to building construction. I hereby 1.uthorize repreHntetlv■s of the Cit1' cf Carlsbad to enter upon the above mentioned property for Inspection purpoH1. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAR.LSBAO AGAINST All LIA81LITIES. 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 i1 required for axcavationa over !5'0" dNp and demolition or conatruction of ■tructures aver 3 ■tories in height. EXPIRATION: Every permit i11ued by the Building Official under the provi1ion1 of this Code shell expire by limitetlon end become null end void if the building o, work authorized by 1uch permit is not commenced within 385 days from the date of 1uch permit or If the building or work euthorized by such permit Is suspended or eb1ndoned et any time efter the wor menc■d for a pen of 180 days CSection 108.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ->1:;~-~=-,,-cg;,._µ-...1.c::...-,~,-.-------_-_-_-_":__________ DATE J')CL. -, , q 1 YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 12/14/1999 Permit# CB994512 Title: KEFFER RESIDENCE Description: ADD THREE OUTLETS Type: ELEC Sub Type: Job Address: Suite: Location: 2238 VISTA LA NISA Lot APPLICANT SIERRA MESA 0 Owner: KEFFER JOHN W&PAMELA S Remarks: Total Time: CD 31 Description Underground/Conduit-Wiring Act Comments AP Inspector Assignment: ~ Phone: 7606326211 Inspector: ~ /J47-F2- Requested By: NA Entered By: CHRISTINE ----+-------- Associated PCRs Inspection History Date Description Act lnsp Comments