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Home My WebLink About1250 CARLSBAD VILLAGE DR; ; CB001379; Permit04/11/2000 City of Carlsbad Electrical Permit Permit No.CB001379 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1250 CARLSBAD VILLAGE DR CBAD ELEC Lot# COLE LIBRARY/ELECTRIC-NO FEE Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/11/2000 RS 04/11/2000 04/11/2000 Applicant VASTOLA ELECTRIC PO BOX 86461 SAN DIEGO CA92138 c- Owner CITY Orfc'ARUSBAD t V, . / <6 t -Ml Total Fees $000 Total Payments To Date $0 00\ 'vv • Balance Due $000 V V ,<• Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMPt Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees TOTAL PERMIT FEES . "». \/s-\\ v. .._, - . \ \ *. ""-N ^V, f.— '' '\ ^ - —-' N v/^*,/ , --—,.}'..---- ''\SV' ^J \ ^s-7'/' - .- '^>^A- / X , / // , , -^ ,., £ VX *., J.- / v "- / ' • ' / (—' ' •— \' ^ ' \ xv '-^ ;•'/.»• f > ) • s v vj f *^ -~s i I ^ V .X ' \ J —' X -v _ " "-—•" , **>" """"•• . , ^-"^' ,$000 looo '$000 /$0 00 / $0 00 ' $000 $000 $000 $000 $000 Inspector 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 sewei 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 INFORMATION9 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date l2-^c? OvgC£C-o Address (include Bldg/Suite #} Business Legal Description Lot No Subdivision Name/Number Assessor's Parcel tt Existing Use Description of Work __.-— -«— -. ^n SQ^FJT #of Stones 2"Ai CON t ACT PERSON (i^dilfa^ant frdm applicant) ' ^ V T^f ] Vf C *< '"' *" /^Vi^ J4 i 4, Name (at this address) ' Unit No Phase No Proposed Use If of Bedrooms Total ft of units # of Bathrooms Address I I Cr I C<_*City tate/Zip Telephone #Fax* Address City State/Zip Telephone It (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 l$500]l £. -OQx, ^_zt\o u t'i -T/U y Name V ^ ^SlO^-/1" State License ff *$~^ CrUS-*^*"*- Address C *^ i[ ^ License Class t_"~ V Q City State/Zip City Business License # Telephone # • Designer Name State License # Address City State/Zip Telephone 6^, WORKERS:*COMPENSATION,; ', 1X1 0,4 U, 3L . .luCXJ^'iJi „ , >€!;=' w.1 ;U^'iflt;Li,^^ ,!% t! ^ iu: ^IClwJ^?^''*^ "'!•"' *• ", '"' Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations&^x JgL 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 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 earner and policy number are Insurance Company ^XVVTiL ¥:<J> V^Oi. .......... Policy No V Ofc=> ip'O *A ts> Expiration Date Z-"2t\'~CA (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) n 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 dollar£4*-tflO,000), in addition/to the ftat&Scpfhpensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees SIGNATUKfT^X V'4^7''*? f/ t*Z^&^*%—' DATE -C ( U ( <J & I her&byarfirm that I am exempt from the Contractor's License Law for the following reason C] 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) Q 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) n 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 Q YES f"lNO 2 I (have / 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 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 / 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 DATE 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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? CJ YES Q 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^ "IT "-I'j,0! Jjlt^'fc.aVIS'iJ^sIt^r.V "' B^^l(8"' j^'lL' ".lU'f" ^ "Sf'K M* - !l r's ."I1""" I 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 LENDER'S ADDRESS __ 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 City of Carlsbtid 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 notj at any time after the work^s-tfomme APPLICANT S SIC nced within 1 80 days from the date ol such permit or if the building or work authorized by such permit is suspended or abandoned ced for a penodj>H8p_day^(Secj|on 106 4 4 Uniform Building Code) DATE // / ^*V f S/ &C*—L / WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 4/13/2000 Permit# CB001379 Title COLE LIBRARY/ELECTRIC-NO FEE Description r Inspector Assignment 1 250 CARLSBAD VILLAGE DR Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT VASTOLA ELECTRIC Owner CITY OF CARLSBAD Remarks LIBRARY ELECTRIC INSPECTION Phone 6196817198 Inspector Total Time CD Description 34 Rough Electric Act Comments Requested By NA Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments \ [oo oo Stole of California CONTRACTORS STATE LICENSE BOARD ACTIVE LICENSE License N«ta Oo099O htmuNiH VASTOLA ELECTRIC INDIV 11/30/2001 SD COMPENSATION INSURANCE FUND PO BOX 807, SAN FRANCISCO,CA 94101-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 02-24-00 POLICY NUMBER 1065046 - 00 CERTIFICATE EXPIRES 02-24-01 CONTRACTORS STATE LICENSE BOARD ATTN: WORKERS' COMP. UNIT BOX 26000 SACRAMENTO CA 95826 JOB LIC 7580996 INCEPTION DATE 02-24-00 D Q SAN DIEGO This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated Thts policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer We will also gtve you 30 days' advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance ts not an insurance policy and does not amend, extend or alter 1he coverage afforded by the policies listed herein Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein 15 subject to all the terms exclusions and conditions of* such policies * • EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE' COSTS $1,000,OOO 00, PER OCCURRENCE STANDARD EXCLUSION INDIVIDUAL EMPLOYERS AND HUSBAND AND WIFE EMPLOYERS ARE NOT ELIGIBLE FOR BENEFITS AS EMPLOYEES UNDER THIS POLICY ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 02/24/00 IS ATTACHED TO AND FORMS A PART OF THIS POLICY EMPLOYER LEGAL NAME VASTOLA ELECTRIC PO BOX 86^61 SAN DIEGO CA 92138 VASTOLA, JOSEPH LEO AND VASTOLA, MICHELLE THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND PRINTED 01-19-OO P0409 SCIF 10265 (REV. 2-95)