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HomeMy WebLinkAbout1187 MARIPOSA RD; ; CB013984; Permit' \,,~ \ 1.'0 \v-..'v City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-31-2001 Electrical Permit Permit No:CB013984 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1187 MARIPOSA RD CBAD ELEC 2122213300 Lot#: 0 EBERT RES/ ELEC. LINE TO FOUNTAIN Owner: Status: ISSUED Applied: 12/31/2001 Entered By: CB Plan Approved: 12/31/2001 Issued: 12/31/2001 Inspect Area: 790B 12/31/01 0002 01 02 CGP 20-00 Applicant: PACIFIC VIEW LANDSCAPE STANDARD PACIFIC CORP 906 SANTA FLORENCIA SOLANA BEACH CA 92075 858 793-3590 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 Additional Fees TOTAL PERMIT FEES Inspector 5750 FLEET ST #200 CARLSBAD CA 92008 Total Payments To Date: $0.00 0 0 0 0 Balance Due: $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $20.00 $20.00 FINALAPPR z -f Date: VAL . I) l-Clearance: _____ _ NOTICE: Please take NOTICE that approval of your project includes the "lmpositionn 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 wHh 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 othe,wise e ired. ' FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.CM/3qff1-- CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Esr. VAL.---------- Plan Ck. Deposit ---,------- Validated By=--=C=:ffe:::....---,----- Date 1J-~(-Q/ '-J. PROJECT INFORMATION • '-l': , 1 e1: HA a tpo.SA Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel# Existing Use 11 o b--Z ccmt lkL L, .x i=9t ~t:'.W.t> Proposed Use H).J, )TY'\ I ..,J -f: .:f"t:l .5P<, \( .... TI Or,) 0 f Description of Work sa. FT. #of Stories ti of Bedrooms # of Bathrooms 2. CONTACT PERSON-Of different from·appUcant) Name Address 3. APPLICANT D Contractor O Agent for·Contractor D Owner Name Address PROPERTY OWNER He. €¼)lb ™c I If➔ Name Address 5. CONTRACTOR • COM,PAl!I-Y-NAME City D Agent for Owner City State/Zip State/Zip /CB G,r .l.S&4/? l'.A City State/Zip Telephone II Fax# Telephone II .:Z6o I.Jr-'1$b2.. 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 tor 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 ($500)). -f'Al.<£'.ic.., VtRW (At.JP~ 99b --'tw'M:: 6o&e .. X:iA Sc/.. /k,((H 0.'7z 'flo~r gr~ "19) · 3S::f0 Name Address City State ip Telephone II State license II C ~ ~ I, tfl.{.)t{t License Class C9 ~ City Business license II i :J. ( Q O 'ta Designer Name Address City State/Zip Telephone State license # _________ _ 6. WORKERS' COMPENSATION 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. ln---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 ~d. My worker's compensation insurance carrier and policy number are:(,/;_ 38 ,,f"'f"" -0(( / lnsu,ancaCompanvflJMe.Sr iJktJp.)A,( ..::G;4. Polley No. OQJO 1 ~) Expl,atlonData .3 02 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) } D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compe ion laws of California. WARNING: Failure to secure wor mpe aatlon coverage la unlawful, end shall subject an employer to criminal penahies and civil fines up to one hundred thousand dollar• {$ O 000), In d tot cost of compensation, damages as provided for In Section 3706 of the Labo'fode,li terest and attorney'• fees. _j SIGNATURE , DATE / 2. f-_j ( ~Q ( [\1. OWNER-BUiLDER DEC , 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 tor 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 tor 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). D 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 contractorts) licensed pursuant to the Contractor's License law). D I am exempt under Section ______ Business and Professions Code tor this reason: 1. I personally plan to provide the major labor and materials tor construction of the proposed property improvement. D YES ONO 2. I (have/ have not) signed an application for a building permit tor 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 portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ 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/ phone number/ type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ OATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS'ONLY 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 Act7 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? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued {Sec. 30970) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFJCATION 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 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 5'0~ deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official der e 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 s from I e date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commen d for a perio of ays action 106.4.4 Uniform Building Code). I l -j_ APPLICANT'S SIGNATURE __ -f........!l'---f'--~,#-1,..,,,:'-"""'=~--------DATE / G,( J, . 0 \ YELLOW: Applicant PINK: Finance ' City of Carlsbad Bldg Inspection Request For: 02/13/2002 Permit# CB013984 Title: EBERT RES/ ELEC. LINE TO Description: FOUNTAIN Type:ELEC Sub Type: Job Address: 1187 MARIPOSA RD Suite: Lot 0 Location: APPLICANT PACIFIC VIEW LANDSCAPE Owner: EBERT ROBERT R&DONNA C Remarks: Total Time: CD Description Act Comments Inspector Assignment: PD --- Phone: 6198137123 Inspector-&_ Requested By: MIKE Entered By: ROBIN 39 Final Electrical ~----- Associated PCRs Inspection History Date Description Act lnsp Comments 01/04/2002 31 Underground/Conduit-Wiring AP PD