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Home My WebLink About2876 CARRILLO WAY; ; CB984355; Permit01/04/1999 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: City of Carlsbad Building Permit Permit No:CB984355 Building Inspection Request Line (760) 438-3101 2876 CARRILLO WY CBAD ELEC Sub Type: Lot#: $0.00 Construction Type: VN Reference #: 100 AMP ELECTRIC METER RED. 'VILLAGE Q2" Status: ISSUED Applied: 12/14/1998 Entered By: MDP Appr/lssued: 12/14/1998 Inspect Area: Applicant: RAPPAPORT JERRY 6317ELFUERTE CARLSBAD CA 92009 92009 760 603-8567 Owner:4947 01/04/99 0001 01 02 C-PRHT 35-00 Description * ELECTRICAL TOTAL FINAL APPROVAL Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carisbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. CITY OF CARLSBAD You are hereby FURTHER NOTIFIED tSt£SrI#K 9sAta^&s^^1^ti^m^9SSf^ ^HMo*9$rfiMiewer 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. 'tRMlT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT ,2075 Us Palmas Dr., Carlsbad CA 92009 (760)438-1161 1. PROJECT INFORMATION l-UH OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit Validated By Date _ AddrMi (include Bldg/Sufto -i \ ^Business Nam* tot this address! Legs! Description Lot No.Subdivision Name/Number UnftNo.Phase No.Total * of unto A«t «•«'• Parct ~&d*tingUse Proposed Use Description of Work' SO-WT f of StoriM * of Bedrooms f of Bathrooms '2. - COOTMTKmONWeliJett " l.^rH-". -••> i--;:- Address Oty State/Zip ^ Telephone* Fsxf ^?"'.' .Addrns aty Telephone*- Name Address Ctty State/Zip Telephone* •s. • coNTRACTORi coreWuffl^rjURflW!^ (Sec. 7031.6 Business and Professions, Code: Any Ctay or County which require* • permit to construct* *her, improve, demolish or teptta any structurt, prior to Its fssusrtcs, alto requires thi applicant for such permit to file • signed statement that h* Is licensed pursuant to the provisions of the Contractor's License Lew (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that ho to exempt tharafrcm, ond th* basfa for tho axvmption. Any violation of Section 7031.5 by any applicant for • permit aubjtcta the applicant to • dvfl penalty of not more than five hundred doNare 11600]). Name State Ucenae* Addreti UeenMOeM Crty State/Zip Cttv Buelneea Ueenea 9 Telephono ff DeiigrAr Name Stale Ucenae f ... r .___ 0. WOHKSPJ'COMPiNSATlOM Telephono Workert' Companaation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q I have and will maintain a certificate of content to self-insure for workers' compensation es provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Q I have end wiH maintain workers' comptmatkm, es required by Section 3700 of the Labor Code, tor the performance of the work for which this permit it issued. My worker's compensation insurance carrier end policy number are: Insurance Company _____ __ Wcy Mo. _ Expiration Date _ (THIS SECTION NEED NOT K COMPLETED IF THE PERMIT « FOR ONE HUNDRED DOLLARS 1*1001 OR LESS) 2fi3 CERTIFICATE OF EXEMPTION: I certify ttm In the perl orrrance of tr» work lor which thtt permit la issued, I aha> not employ any person in any manner so as to become tubtect to the Worksrs' Compensation Lews of CeUlomia. WARNING; Failure to aecute workers' compeneetton umeieeje b unlawful, and ahsi eUbJect an employer to enminei ponaMea and dvi fines up to em hundred trwHMMd doNara I« 100,0001, In MfdMon to the coct ol compeneetinn, damagee ee provided fot In Section 3708 of the Labor cede. Merest end snomey's few. SIGNATURE *JE^BB-"r-> ^Afff^^J^z^-^^T _ . _ DATE t^Jtl j^^ _ 7. owwwuuwi MIMMT™ I hereby sflifm that I am exampt horn the Contractor** License Law for the foftowtng feeton: Q I. as owner of the property or my emptoyee* with waoet as their sole compeneatbri, wM do the work and the structure )e not Intended or offered for eeto (Sac. 7044. Business and Professions Code: The Contractor'* licence Uw doe* not eppty to an owner ol property who buMa or Improvee thereon, and who doe* such work himself or through his own employees, provided that such Improvements are not Intended or offered fot sale. H, however, the buUdkio or improvement Is sold within one yesr of completion, tho ownsf-butlder wtt have tho burden of proving thet he did not buUd or Improve for the purpoae of aale). }S 1, as owner of the property, em exchalvory contracting with licensed contractors to construct the prefect (Sec. 7044, Business and Protaastana Code: The Contractor's License Law does not apply to en owner of property who builds or Improves thereon, end contracts for auch projects with contrsctor(s) licensed pursuant to the Contractor's License Lew). O I «rn •••mm mid* Section Bualnee* end Profeaetene Code for thto reason: 1. 1 personsHy plan to provide the me)or tabor end metarWa for construction of the proposed property Improvement. D V68 QtiO 2. I lhavs / have not) signed en epplicatlon for e building permit for the proposed work. 3. I hsva contracted with the following person (firm* to provide the proposed construction (todudo name / address / phone number / contractors Hcenee number): 4. I plsn to provide portions of the work, but I have hired the f oHowing person to coordinate, supervise and provide the major work (Include nemo / address / phone number / contractor* license number); ____ ____ __ --- ---- 6. I wW provide some of the work, but I neve contracted Owed) the foOowing persons to provide the work indteated (Include name / address / phone number / type of work}; ___ ______ --- ---- ------- ---- ----- PATEPROPERTY OWNER SIGNATURE _ _ 'coMftcn THIS SECTION FOB jWflMflfeaWyiiiTMtfi^ffl'aM^y Is the applicant or future building occupant required to submit • busmen plan, •cutely hazardous materials registration form or risk menagement and pravontlon program under Section* 2CI06, 26633 or 26634 of the Piest«y Tenner Htzatdoue Substence Account Act? Q YES Q NO Is the eppMcant or futura txJdtnfl occupant reejuired to ebtefr a permit from the elr poeufton control district or elf quaHty manegement dtolrtct? D YES D NO lathefed«tytobecofietnjctedwWiin1.000feeto1theouterbouridar^ D YES Q NO IF ANY OF THE ANSWERS ARE YCS. A FINAL CERWCATf OF OCCUPAIICY KUY NOT U ISSUED UTiltt* TMf AfVUCAW REQUIREMENTS OF THE OFFICff OF OOROENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. iS. . : CONSTRUCTIONO I hereby affirm thet there ie a construction (endbig agency lor the performance of the work for which IN* permit to issued (Sec. 30S70I CMt Code). LENDER'S NAME _ UNDER1*, ADDRESS _ -_. - ». ••JtfHiCAIeTCi*tl>i^1to1iy^^ I certify thet I neve reed the application end state thet the above Information I* comet and that the Information en the plena to eeourate. I egrae to comply wtth *• City ordirMtneea and State lew* relating to buMno construction, l hereby euthonzs representatives of the Ctty of Cwtabad to enter upon the above mentioned property for Inspection purpose*. I ALSO AGREE TO SAVE. tNOOtteVY AND KEEP HARMLESS THE CITY OP CARLSBAD AGAINST ALL UARUTKS. JUDQMENTS. COSTS AND CCPENSEff VVMCH MAY M AT4Y WAY ACCI^ OSHA; An OSHA permit is required for excavation* over 6'0'deep end demoirtion or cotmruction of ttrociur** over a stotiM in tMloht. EXPIRATION: Every permit issued by the Butdlng Otfldet under the piBtfMeiie ol tWe Code ehall «q*e by limitation and become nuN end void H the buHdmg or work euthoriMd by euch permit is not commenced within 3SB day* from the date of such permit or If the buHoIng or work autnoriied by *uch permit Is suspended or abandoned st any time after the work Is commenced for a period of ISO day* (Section 10A.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE City of Carlsbad Inspection Request For: 2/12/99 Permit# CB984355 Title: 100 AMP ELECTRIC METER FED. Description: "VILLAGE Q2" Inspector Assignment: 2876 CARRILLO WY Lot Type: ELEC Sub Type: Job Address: Suite: Location: APPLICANT: RAPPAPORTJERRY Owner: METER PED. Remarks: Phone: 6198439911 Inspector:A/3 Total Time: CD Description Act Comments 32 Const. Service/Agricultural Requested By: JEREMY Entered By: CHRISTINE Date Inspection History Description Act Insp Comments