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Home My WebLink About1856 LOTUS CT; ; CB993409; PermitCity of Carlsbad 09/15/1999 Electrical Permit Permit No:CB993409 Job Address: Permit Type: Parcel No: Reference #: Project Tille: Building Inspection Request Line (760) 438-3101 1856 LOTUS CT CBAD ELEC 2155501600 RUBY RESIDENCE Lot#: 0 UP GRADE SERVICE FROM 100 TO 200 AMPS Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/15/1999 MDP 09/15/1999 09/15/1999 3953 09/15/99 0001 01. 02 Applicant: RUBY JIM&VICKI REVOCABLE TRUST 0 1856 LOTUS CT CARLSBAD CA 92009 Total Fees: Electric Issue Fee $35.00 Single Phase per AMP Three Phase per AMP Ii Three Phase 480 Per AMPY Remodel/Alteration per AM Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees TOTAL PERMIT FEES pr:J?MIT HAS EXPIRED ft ACCORDANCE wrrn U.B.C • . :DN 106.4.4 IGNATIH ...... s~½~«w>~-- FINAL APPROVAL Inspector: Date: Clearance: C-PRMT 35 • 00 $35.00 $35.00 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 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 aiven a NOTICE similar to this or as to which the statute of limitations has orevious1v otheiwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. f9'" CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date _____________ _ 1. PROJECT INFORM~TION l35t. /:,nnx Address (include Bldg/Suite #) 4 Legal ascription Lot No. Su division Name/Number ~~ s-s-o Assessor's Parcel # /(o Oo B:;;; s xfsting Use Description of Work / h S)>t:V/ '1'2£c-, ;2. 00 ~ u-,.;:7 SO. FT. #of Stories s ~ 1,,-l..O LC...e.-- # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If dtfferant from-applicant} / Name Address '3. APPLICANT O Contractor □ ;6,gent foi-:Contractor City Owner D' Agent for Owner • State/Zip Telephone# Fax# Name Address / P<"b Zo,i.,S 4. PROPERTYOWNER c)/IJ,11-Ut<..i</ /2v(/'7 City Ca;;,.:s6 State/Zip CA--Telephone #76(1 f'.Jr-S-J..19' Name Address City State/Zip Telephone# 6. CONTRACTOR-COMPANY NAME (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 basfs 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]). Name Address City State/Zip Telephone# State license # _________ _ license Class _________ _ City Business license # _______ _ Designer Name Address City State/Zip Telephone State license # _________ _ 6. WORKERS' COMPENSATION Wor?'s' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations! GJ,'" 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 parmit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company---,,--..,;------------------Policy No. Expiration Date, _______ _ (THIS SECTION NEED N BE C PLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS"($100) OR LESS) ~RTIFICATE EXEMPTIO : 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 subjec o the Workers' ompensation Laws of California. WARNING: F wful, and shall subject an employer to criminal penalties and civil fines up to one hundred , damages as provided for in Section 3706 of the Labor code, Interest and attomer's fees. DATE 7 ;," r-?7 D I, as owner f 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 wj}lfln 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). [].A," 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 contractor(s) 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 for construction of the proposed property improvement. D YES ONO 2. I (have / have not) signed an application f 3. erson (firm) to rovide the proposed construction (include name / address / phone number / contractors license number): · 4. u I have hir d the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license nu 5. I will provide .some of th of work): fl_ _provide the work indicated (include name I address / phone number / type DATE COMPLETE THIS SECT cupant 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? 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? O YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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. 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. 30971i) Civil Code). LENDER'S NAME 4 A LENDER'S ADDRESS, ______________________ _ 9. APPLICANT CERTIFICATION 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 SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPE WHICH MAY IN A ~ WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. under the provisions of this Code shall expire by limitation and become null and void if the building or 365 days from the date of it or if the building or work authorized by such permit is suspended for eriod f 1 action 1 .4 Uniform Building Code). DATE -Z--2'----4...,,__5-',L__ PINK: Finance