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Home My WebLink About2223 CAMINO ROBLEDO; ; CB003779; Permit10/11/2000 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No:CB003779 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2223 CAMINO ROBLEDO CBAD ELEC 2552615300 Lot#: VIGNIERI RESIDENCE GAS & ELEC LINE TO FUTURE SPA Status: ISSUED Applied: 10/11/2000 Entered By: JM Plan Approved: 10/11/2000 Issued: 10/11/2000 Inspect Area: Applicant: YASKIL LANDSCAPE PO BOX 831 DEL MAR CA 92014 858-509-0517 0771 10/H/OO 0001 01 02 47-00 Total Fees: $47.0Q/ents $47.00 Electric Issue Fee Single Phase per AMP Three Phase per Three Phase 480 Remodel/Alteration Remodel Fee Temporary Service Test Meter Fee Other Electrical Fees'. TOTAL PERMIT FEES Inspector: FINAL APPROVAL Date: V IffodD 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 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST. VAL. Plan Ck. Deposit . Validated Bv Date Address (include Bldg/Sutte #>Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work SQ.FT.*of Stories # of Bedrooms # of Bathrooms Name Address D Agent for Contractor City D Agent for Owner State/Zip Telephone #Fax* (Sec. 7031.5 Business and Professions Code: Any City or County which requires * 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, commanding 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]). Name State Lic<se Address License Class Q. f* City State/Zip City Business License # Telephone # Designer Name ' Address City State/Zip Telephone State License # ;&;::»rfit»^^ •' .' ." . ' . • •• • ..-• • '• '. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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 carrier and policy number are: Insurance Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [MOO] OR LESS) Q 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 anal subject an employer to criminal penalties and chrH fines up to one hundred thousand doHara ($100,000), in addition to the cost of compensation, damages as provMed for ki Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE I hereby affirm that I em exempt from the Contractor's License Law for the following reason: L"3 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 ere not intended or offered for ssle. 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 prefect (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 contractors) licensed pursuant to the Contractor's License Law). Q 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 QNO 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 ii$iiiiftm$w :'.....;,-"••'. ..",:..; : • • • : .. ;: • ..'v.;'- 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 25506, 25533 or 25534 of the Presley-Tenner 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 Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q 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. Jl^itSaiN*!*^ ".•'.."•'• 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 iTiO-fi'^-'i*''' '' •'"' ~:° "••'••• ^j.""L'-:5''"1"'1'1^" -,:'•:' •"i-''°^:I'7v''^;';"^::"'''^ •.'"'.>• !;:;lL '-.'.I'-.'.. •' " • - • . "!' !• '. ^ -:.>".:' •' ; ••.>.' '.. '' '• • ' ' • .v " . • ,-,. '" . I certify that I have reed 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 lews relating to building construction. I hereby authorize representatives of the Cttt of Carlsbad to enter upon the above mentioned property for inspection purposes. 1 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 not commenced within 180 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 the work is commenced for ajjejiod of 180 days (Section 106.4.4yiprtiform Building Code). / to/iiAPPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For 10/12/2000 Permit* CB003779 Title: VIGNIERI RESIDENCE Description: GAS & ELEC LINE TO FUTURE SPA Sub Type: 2223 CAMINO ROBLEDO Lot 0 Type: ELEC Job Address: Suite: Location: APPLICANT YASKIL LANDSCAPE Owner: SHEA HOMES LTD PARTNERSHIP Remarks: inspector Assignment: Phone: 8585090517 Inspector: / Total Time: CD Description 21 Underground/Under Floor 31 Underground/Conduit-Wiring At Act Comments AP Requested By: NA Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments ACOSD. CERTIFICATE OF LIABILITY INSURANC «*THIIflWWMlllilttUEDAiA^ONLV AND CONFERSNO,WOHTt UPON TM CEfmFWATE HOlCBt THM emiFIQATEDOet NOT AMEND, IXTEND OR ALTER THE COVERAGE AFFORDED 1Y TJJPOUCIEt BELOW ifc'imiiJI—————XniurancM OnliaitadCA UMBM Me. 0173960 »«»» Tiacra Ocaada f202 •an Dia?o CA 92126 MOM: iSf-877-2170 »»Jt:8Bi-B77-21«0 MWREM AFPORD1NO COVIMAOI MKMERA frontier Pmaifio Incttraao* Co. MMMCH* MMMCMO: OOVIIUOVft TW KXJCJM OP IMUMHC1 UfRD KLOW HWK «CN (HUB TO TW MMMO N*M»«OVeM«tHEPOUOVIW»Of«ieATiO.HOTOm«TOIOI»IQ^MOMNHWir.TeRlllO«OONDmONOF^CO»inWCT«OTW MAY KRTMN, THB WMfUNCf MONMDIIMNWNWVpoucat.m TVflWWWWIO IMKV tW* 9OM «WK» IV MD CLAMf. MUeV •MHMM.UMMJTV OOMMWOW.3PWW UUUTV OiNl AQOMEOATB LMIT JVPLin KRr koc tACHOCCUWlNOe POMOIUI.4AOVMJURV nooucn - COMNOP AM AvraMoauLuau AHVAUrO AaOWNiDAUTOt NMBOAlim NOHOWNCOM/TCW YMJURV •OMXRUUKY MMMUAMUTV WTO OW.V . U ACODBfT AMVMTtO amv moaHLuaufY | OCCUR UOHOeOUMMMOB ClAMBMADe AOQMMA1I WOWQM9 OOmMAfm MB E-LEAOHACODeHT E-LDnCABC-CABWlOVU I Contractor'*LVM0300295 10/31/M 10/30/00 »ond |7,500 All oparatioaa CERTIFICATE HOLDaK Us!lUTTMl CANCVUATMW City of Carlabad tax * 760-602-E35S Attn: Building Daparl cxnocA •nt. MWAA AM* W1MMOM DMQMND nUCHN DATlT1liMOF.Tmi»MM»i*UIM»Ma»0«AVeBTOII*IL 10 WTlC«TOTWC«n»WATtHOU»HAJ«OroTWL«n.lUTWUUfl«TOOO»OIMAU «»OMWOiUMTIOHORUAilUTTQflwnHOirw»TmlMW»l,ITlAOB(TlW 901:01 69:60 Hy 00. 6^90 ZO£'°N 31Iil