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Home My WebLink About1001 GOLDENEYE VW; ; CB990326; Permit( . l-\~{~ .j \ City of Carlsbad 01/21/1999 Electrical Permit Permit No:CB990326 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: 1001 GOLDENEYE VW CBAD ELEC 2110900800 Lot #: GAS AND ELEC LINE TO BBQ SUN UP LANDSCAPE 167 N VULCAN AVENUE ENCINITAS CA 92024 760-944-1152 Total Fees: $47.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AM Remodel Fee Temporary SeNice Fee Test Meter Fee Other Electrical Fees TOTAL PERMIT FEES 0 FINAL AP RO\/J L Date: 22' q'l Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Clearance: ISSUED 01/21/1999 JM 01/21/1999 01/21/1999 01/;21/9t-/ 0001 01. 02 .00 .00 .00 0.00 0.00 10.00 $0.00 $0.00 $27.00 $47.00 C-·PRMT $47.00 NOTICE: Please ta~e NO E 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 ou have reviousl been iven a NOTICE similar to this, or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION FOR OFFICE USE 0~ PLAN CHECK NO. 7'1(jJ 2(; CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. -----""M~---:r-;;"7- Plan Ck. Deposit -..:;--.....,:-.!:....,;~~~- Validated By __ """'-l-"+--rl':::--::-1":::=:;-'7?" Date·~~~~~~~~-'-,-...""+--"-~ 1. PROJECT INFORMATION Ad~ress hnclude Bldg/Suite I) /l>O/ tz>pc..OE.A.J t:o/& Business Name let this address) I !<..fa.SJ 0/u.J&.r- Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II ot unrts fJ..a ~ I O fl-,..:, 4§: Proposed Use Assessor's Parcel II Existing Use <z. l.&_c.. r '1../~ l,.//v/i... Description of Work t.,.;,v,e SQ. FT. ttof 'Stories It of Bedrooms II of Bathrooms Name Address City State/Zip Telephone# Fax# 3. APPLICANT Mcontractor O Agent for Contnictor O Owner ... "O Agent tot Owner Name Address City Stete/Zip Telephone# 4. PROPERTY OWNER K~N +-C,4,C.C<-W''-'°S> Joo/ ko<-t:J§c'&'i/£. (/1/eW c.hzc...5~r.J ~' q;zco:f 7bO f>/ C/02..8 Name Address City State/Zip Telephone II 5. CONTRACTOR • COMPANY NAME ISec. 7031.5 Business and Professions Code: Any City or County which requires e 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 Lew (Chapter 9, commending witti Section 7000 of Division 3 of the Business end Professions Code) or that he is exempt therefrom, end the basis tor the alleged exemption. Anv violation of Section 7031.5 by any applicant for I permit subjects the applicant to I civil penalty of not more than five tiundred dollars 19500)). ${.)1v {)() t.A,..J&s4:l:lf1£. lkz ,M {kl.f:rtN /kllf.-. fzivt:-t.,wt714-S .Git, fl).02...<f 24<2 9:¥$(//S2- Name Address City State/Zip Telephone II State License II t/5:: 47 er I 2.... License Class C. -2.? City Busines1 Ucense , / 2. 0 s 2.. 7 7 Designer Name Address City State/Zip Telephone State License # ---------- 6. WORKERS' COMPENSATION kers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following decl1retions: 1 have and will maintain II cenificate of.consent to self-insure for workers' compens1tion es provided by Section 3700 of the Labor Code, for the performance he work for which this permit is issued. 'B, 1 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 i~urance carrier and policy number are: . . I.I . c::ltl".,i Insurance Company :5-r1rrt Fe) rJ !) Policy No. 2 ':f tJt>O! 0 7$:-42' g Expiration Date Li I I I ? (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESSI O CERTIFICATE OF EXEMPTION: I cenify that in the performance of the work ·for which this permit i11 issued, I shall not employ eny ;:.;, .. on in .iny manner so as to become subject to the Worlters' Compensntion Laws of California. t secure worken' compe119etlon coverage is unlawful, end lhllH aub;ect en employer to c:rklNnel peneltlu end clvll fines up to -hundred 0.0001, In addit t at of compensation. damages u provided for In Section 3706 of the Labor code, lnt-t end attorney'• teea. DATE j.-. ~ /-91 " . '···,i· ~· .. -· ..... ~~·.; ..... ~,\-:~.-; .••• ~-,·'St"'?: .. pt from the Contrector' icense Lew for the following reason: D I, es owner of the propeny or my employee ith wages as their sole compensation, will do the work and the structure is not intended or offered tor eele (Sec. 7044, Business end Professions Code: The Contractor's License Law does not epply to en owner of property who builds or improves thereon, end who does such work himself or through his own employees, provided that such improvements are not Intended or offered for Ale. 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 eele). D I, as owner of the propeny, em exclusively contracting with licensed contractors to construct the project (Sec. 7044, Buainess end Prote11ions Code: The Contractor's License Lew does not apply to en owner of propeny who builds or improves thereon. end contracts for euch projects with contrectorlsl licensed pursuant to the Contractor's License Lew). 0 I em exempt under Section ------Business end Professions Code for this reason: 1 . I personally plan to provide the major labor end materials for construction of the proposed propeny Improvement. 0 YES ONO 2. I (have I 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 I address I phone number I contractors license number): 4. I plan to provide ponions of the work, but I have hired the following person to coordinate, supervise end provide the major work !include name/ address I phone number I contractors license numberl=----------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated llnclude name/ address I phone number I type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE DATE _________ _ 'COMPLETE THIS SECTION FOR NON-RESIDENTIAJ. BUILDING PERMITS ONL\;:;; ,:-,--~-·.; ·--='.. ., .,..,. -.,..,..,,..,,,,... ... , :;.~:::;:::-,'''""''"'·""~', :<. . • ,.. .......... . ls the applicant or future building occupant required to submit a business plen, •cut•IY hazardous meterieis registration form or risk management end prevention program under Sections 25505, 25533 or 25534 of the Presley-Tenner Hezerdous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of• school site? 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. ,8. CONSTRUCTION LENDING AGENCY .. -· .. ~' ··.~·· -~,,,..., .,.,. ,,,,,,,,~'"-., · ..... , · __ .... • · · ·· I hereby affirm that there is a construction landing agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ---------------------LENDER'S ADDRESS------------------------ : 9. APPLICANT CERTIFICATiON I cenity 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 ell City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned propeny 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 end demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued the uilding Official under the provisions of this Code shell expire by limitation end become null and void if the building or work authorized by such permit is co enced 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 time after commenced r I period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE C DATE /, 2.0 /' 99 YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 7 /21 /99 Permit# CB990326 Title: GAS AND ELEC LINE TO BBQ Description: Type:ELEC Sub Type: Job Address: 1001 GOLDENEYE VW Suite: Lot 0 Location: APPLICANT SUN UP LANDSCAPE Owner: GROSS KENNETH L&CAROL A Remarks: Total Time: Inspector Assignment: PY --- Phone: 7608010411 Inspector: ----- Requested By: NOEL Entered By: BARBARA CD Description Act Comments 29 Final Plumbing ~ 39 Final Electrical Inspection History Date Description Act lnsp Comments 7/16/99 29 Final Plumbing AP PY 7/16/99 39 Final Electrical co PY SUPPORT ELEC BOX 2/22/99 21 Underground/Under Floor PA PY CONDUIT ONLY 2/22/99 23 Gas/Test/Repairs AP PY 2/22/99 31 Underground/Conduit-Wiring WC PY