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Home My WebLink About2823 RANCHO PANCHO; MP; CB990492; Permit.. City of Carlsbad 02/04/1999 Electrical Permit Permit No:CB990492 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 438-3101 2823 RANCHO PANCHO CBAD ELEC Lot#: 0 IRRIGATION METER PEDESTAL Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/04/1999 DT 02/04/1999 02/04/1999 Applicant: PATTERSON BROS CONTINENT-A HOMES 6127 02/04/99 0001 01 02 12047 RIVERSIDE DR LAKESIDE CA 92040 619-390-3797 Total Fees: $35.00 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 TOTAL PERMIT FEES Inspector: Total Payments To Date: FINAL APPROVAL Date: ;) ',?~-~ Clearance: $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 C-PRMT 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 oreviouslv otherwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 ·PERMIT APP~ICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Or., Carlsbad CA 92009 (760) 438-1161 :r:, . ~~~£~-e:t"~~' Ch cJ FOR OFFICE USE ONLY PLAN CHECK NO.<ii/5o/'JQ1 92- EST. VAL. _________ _ Plan Ck. Deposit "1""!1-.-------- Validated By _ _.;"""'0:.....i..) -""?l""+:r+7,7?rr-:.- Date. _____ ...,.67-;...,/.__~...,./___,+'-o/-'-- Businen N■m• (at this address) Legel Description Lot No. Subdivi1ion N■m■/Number Unit No. Phase No. Total II ot units l :,isting u .. fr\..12 tt .,_. & ~~ ) t a. { Proposed Use SQ. FT. lot Stories II of Bedrooms. I ot Bathrooms Name Addr■u City State/Zip Telephone II Fax II ,,, . ..., .'¼r-' ... Mli~q;~~:31~rfri1q·-2· Telephone II N■me Add,... City State/Zip Telephone I li'~okriUltl'dfi,S"ct>MPANY.'NAMf',fi~ •··· -~. ark ~.J,.'fi;~~~~i:':i:.;:g?:;;¥.,, (Sec. 7031.5 Bu1in■ss ■nd Profu1ions Cod■: Any City or County which requires a permit to constNCt, alter, improve, demolish or repair any structure, prior to its issuance, ■lao requires the ■pplic■nt for such permit to file • 1igned ■t■tement that he 11 lic■naed purauent to the provi1ions of the Contractor's License Lew (Chapter 9, commending with Section 7000 of Divi1ion 3 of the Businen and Professions Code! or that h• la exempt therefrom, and the beais tor the alleged tion. ny violstion of Se on 7031.5 by any epplic■nt for 1 ~rmit subjects th• applicant to• civil penalty of not IJ)ore than five hundred dollars ($5001). ~ .,.-j O 1.,,--. 0 () Y I · v--e_ v' 1 • • L i,q ,;/J.. ~ "'r· 2..tl '-fO 3 (/ .--I City State/Zip Tele.phone II State Ucense I .SO l 5 ? '-/ Lie-• Clan <. ~ I () City Businen License I S I I l O 0 Designer N■m• Addr■u City State/Zip Telephone State License I _________ _ ,;:::;rwoRu11r:coMPENSAT10NG~~;~w~m~~~.1W~::-~ .. ~~~~~!£~~~;~r::r~~~ .. :t~;"~~-:-~rrr;;~(.Jf;;7~~-::~:::r~r··· Workers' Compensation Declaration: I hereby affirm under penalty ot perjury on• ot the following decl■r■tion■: 0 I have and will maintain a certific■t■ of connnt to Hit-insure for workers' compensation II provided by Section 3700 ot the Labor Code, for the performance ot the work tor which this permit is iSlued. Jl(" I h■v• and will maintain workers' com~ens.■tion, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is tSsued. My worker's compena■tion insurance carrier end policy number ■re: _ Insurance Company ~ ,, tcL kl, z ✓-1 ::l ~ Policy No.11 w C. L.{ 1 ' r..1 2 i) 0 Expiration Date 7 -I -q q (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESSI 0 CERTIFICATE OF EXEMPTION: I certify th■t in th■ performance ot the work for which this permit is issued, I shell not employ any person in eny manner 10 ea to become subject to the Workers' Compensation Laws of Celifomi■. WARNING: F■llun /1:llljffllpe,,-,.li191'1 covenge le ..,_wful, end ■hd ■ubject an employer to crtmlnal penaltltt■ and civil flnH up to one hundl'9d thouaend clollan ($ thl.,.■-~ccc1m1--11on. d-ve■ .. provided fo, In Section 3708 of the Labor cod■, lnterHt and attorney'■ fN1. SIGNATURE n,,r,,c:i__ . DATE 2,-C.../-q q 7 •. ·,;:nfWNER.:au· ·. . S':~zy:~fmi~"1:..~.J:..:~..;~~~~~~;.'l:£i':;t~;,;~1;_~~:~~i::::i~~x~~¾!7:4;_:::;.::0t:.:r~~I;'.?,"~tfi1!i~~-~ I hereby affirm that I ■m exempt from the Contrecto,'s Ucenae Law for the following reuon: 0 I, as owner ot the property or my employen with wages II their sole compensation, will do the work ■nd the ■tructure is not intended or offered for 11le (Sec. 7044, Busine11 and Professions Code: The Contrector's U-• Law doe1 not apply to ■n owner of property who build• or improves thereon, and who doe■ such work himself or through his own employe■1, provided that ■uch improvements ■re not intended or offered for 11le. If, however, the building or improvement ia sold within one ve■r ot completion, the owner-builder will have th• burden of proving that he did not build or improve for the purpose of sale I. 0 I, ■s owner of the property, ■m exclusively contrecting with llc-ed contractors to construct the project (Sec. 7044, Bu1in■as and Profe11ion1 Code: The Contractor's License Law do■a not apply to ■n o-of property who builds or improv■a thereon, and contrect1 fOT such projects with contr■ctor(1I licenaed pursuant to the Contrector'1 Ucensa Law). 0 I am exempt under Section ______ 8U1inen and Profenions Code for this ruson: 1. I personally plan to provide the major lebor and m1t■rial1 for construction of the proposed property improvement. 0 YES ONO 2, I (have / h■v• not) signed ■n application for I building permit for the propo1ed work. 3. I have contracted with the following person (firml to provide the proposed construction (include n■m• / 1ddrus / 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 / eddre11 / phone number/ contractors license number): ______________________________________________ _ 5. I will provide some ot the work, but I h1v■ contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type at work): _________________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE -----------COM Ptm 'Jil IS ~EdiON:FOlf,No~emA1.9lJiUititl~J;Q_~$,W~~~~tt'~~~.,f~H,=.::~\:~.:'~.:~~~ZGf'Z!.!-~~-: Is the applicant or future building occupant required to 1ubmlt ■ bUlineu plan, ecut9ly huardoUI m1teri1l1 regi■tr■tion form or risk management ■nd prevention program under Sections 25505, 25533 or 25534 of the Pr■al■y-T■nner Huerdou1 Substance Account Actr D VEIi O NO - Is the applicant or future building occupant required to obtain • permit from the eir pollution control district or ■ir quality management district? 0 YES O NO Is the facility to be constructed within 1,000 fNt of the outer boundary of • 1Chool 1ite? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFtCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF TME OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. -,.;..; .. 'l;.l:~Nmiicn~'tEND1Nci'l{ctii~~~~m.~™~~~;.fl.:."~:t:g~;BiJffrn'':~-:;.i;.iJ:::-:.;~~.-,i::;;.:;;;:~·:;· I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(11 Civil Codel. LENDER'S NAME ;;;;;;;:;:;;~~;;;;;;;;;;;;;;:;;;~~;;:;:;....,~LE;N;.D;;E~R~'S~A~D;D~~R;_E;S;S;;;;;;;;i;;;;;;;;;;;;;;_;;;;;;;;;:;;;;;;;::::;;:;,-;;;;;:;;,::;:::::;::-;:;:::-:;::::::;:-:::::;::::::;:;;:::::: •~\?',:;AP.fU"cAtmCSl'tiRC'Amk:-t:~~~.:a..™™~g-w-iM,t.t.t~m't:';4.1:-:..~~:~.m~~::..-:,,..:,:'.-f.:::t:::..::._.:..:...':::I::,~- 1 certify that I have re■d the application ■nd ■tate that the above information is correct ■nd that the information on the plans is accurate. I ■grn to comply with all City ordinsnces ■nd State laws relating to building con■truction, 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 AU 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 ■xc■vetiona over 5'0" deep ■nd demolition or con■truction of structures over 3 stories in height. EXPIRATION: Every permit i11ued by the Building Official under the provillons of this Coda shell expire by limitation and become null and void if the building or work authorized by such permit is commenced w· · 365 d■vs from th• date of 1uch permit or if the building or work authorized by such permit is suspended or abandoned at any time after t or a · of 1 60 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ......:::...;::_=-'~.::;..i..--H --"'-'i,,'--..l::::;:::..i,~~_£-:_:_:"________ DATE L -L{ -----q q PINK: Finance