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Home My WebLink About1414 SAPPHIRE DR; MP; CB001153; PermitCity of Carlsbad 03/28/2000 Electrical Permit Permit No:CB001153 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1414 SAPPHIRE DR CBAD St: MP ELEC Parcel No: Lot#: 0 Reference #: Project Title: INSTALL METERED PEDESTAL Applicant: Total Fees: $20.00 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: Owner: Total Payments To Date: FINAL Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/28/2000 GMF 03/28/2000 03/28/2000 2661 03/28/00 0001 01 02 Balance Due: Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 C-PRMT 20-00 $20.00 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 Cartsbad 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY · PERMIT APPLICATION PLAN CHECK NO . q;co ll'.P,3 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit _________ _ Validated By_.__.:o"---'..._--f-_______ _ tf:.:;~~i'llll:fJecr.1NF.ORM~trar1: • ·.::-t,..1;sz.:1 ~-Hi::.;..::~;;,,/ 1~-.:;')!-,~~f~mm~~,n vi~ .... ~;;;;:.t •••• Pl/If S/'9/'l'-'/-1 /Ac M. Date 'J>(wa, (o-o Address (include Bldg/Suite I) Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use /JJ./lCI:: /{){) ,,f}Nf' £il'C77<JC //'J£7E/<. /JE{)£S m L Description of Work SQ. FT. /rof Stories # of Bedrooms fl of Bathrooms Name Address City State/Zip ~?trj. Pu&'N""t74;U.coii{(actor'1,.°'i"(Dl)i,~nl].lbt;.E.E'iftr'acffi"::Q0'1'J~n~r~:i~en't_tb~J.Owm,~~~A,..'.~ ~. :v,:·,t ·. ~-.. ·, Telephone I/ Fax // ')Ml€L.S e&t3L~VI..S ION' ~o. Box. 3J./'-/ C8RI-_Sl3/J/J C/? CJ:zoog 7'70-.t../38-771// Telephone // Name Address City State/Zip Telephone II G"i'l:t7ffl:>NfflAt!'Fl!it~~MP7'N'i''NAM~jW'.?~•i_;;:.f~ll.ii!~~,a;r.: •• •~"i~'i.{a;wi{;.Tv;~:r.!t.o•~:r,;;,J;.::~ ~,;~~~$i~..;,i:-=;=~ .• ·;-,;., ·•.; (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any struc~ure,_ 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 (Chapte,' 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt therefro~, 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 hve hundred dollars I$ 5001) OSlll£L GOMP/l/1/Y wk&. f);geo.l?r ~,1 . Ck;t;'MS/l)E 09 q;zo51/ fh0-'167~73O Name Address City State/Zip Telephone II Stele License II _,.4,"-"7J.JZ..__.9_~"-'2c..-__ _ License Class A.L 7 City Business License I //(Jfst:,8~ Designer Name Address City State/Zip Telephone State License II _________ _ !li",¥1.WOl'IKEIU! lcOMl>~A'tlofl;~~~.d:":~t.w~r}m~~liHl~'l¼t ~~-~i:;;-i?,'i-i;i=(:~nr,,~;:;?1~;:;;,,r-,:::, -:v.. F !"!::::. ; ;"' • ' . Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ I have and will mliintain a certificate of consent to self-insura for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 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 curler end policy number are: Insurance Company c.N/9 Policy No. WL 19/ 2'178 2. I Expiration Date 6~ /-0 0 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) 0 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 worker,' compeneatlon coverage la unlawful, end shal subject an employer to criminal penalties and clvil fines up to one hundred thousand dollar• ($100,000), In addition lo the coal of compenutlon. damagea ea provided for In Section 3706 of the labor code, lnterHt and attorney's fees. SIGNATURE;;::;;:;:;;;:;;;;;;;;;;;::;;;;;:;::::::-:;~~=::;:;~;:::;;;:;;:~:::;;:;;:;::;:;:::;;;:;:::;;;:;:;;:;:;;:;:;;:;-:;::;:::;;:_;;:;::--:;:;;:;:-;;:--; DA TE ________ _ '1. • 'c5WfiElf.amroe1t'tl~t:t.A11~t1oN~~r;-~m;,; ::wr.;.·.n~h~1.,,~~r;w,;.•·:r1''" ... ~'-'wh1::: ·--:~;:-r:,"':"l';t,:ti::•; .-·: --;;,-·-· I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages es 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 era 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 1hat ha did not build or Improve for the purpose of sale). 0 I, es owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business end Professions Code: Tho Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with conttactor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Sec1ion ______ Business and Professions Coda for this reason: 1. I personally plan to provide tha major labor and materlsls for construction of the proposed property improvement. 0 YES ONO 2. I (have/ have not) signed an application for a building parmit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address I 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 I 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 I type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE _________________________ DATE __________ _ 'COMPLETE THI~ SEC110}1~bl! A'ON-!tlSJD.tNff.AlalJILblN(j 1"~1n:,i1l'A;t1'NL!Y1il~fff::W..~r.:1£nr.1~~~::if:ilt'.:V~q:if''.t··· ,,~, .. < Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk menagement and provention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Haurdous Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district 7 O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O 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 ANO THE AIR POLLUTION CONTROL DISTRICT. ;f'~."t!lffisfRV'CTii5NTINt.i1N'tfA'GtNciV'1;!:?''i'f',._'V;;;J;Wf'"""-"ZM~~~-;-:;-i,~t·,:;-;;~•~,:;~;:;"_.£; ;~ ,,:;i-:' 1 ~; ·,:. ~ 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 Code). LENDER'S NAME ______________ LENDER'S ADDRESS. _________________________ _ [9, AAPUC.I\Nf(~RtlFICA tloff';:"/'l'"• -,-,~:"'l ~-r---~~--~·t:~-~: .;):~" II~': f~ ;t:; m !½~!i' ~•! :,:~ .... ,.,. •• 'T 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 Cit~ of Carlsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY ANO 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 construc1ion of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under 1he provisions of this Code shall expire by limitation and become null and void if the building or work outhorized by auch permit Is not commenced within 385 doys from the date of such permit or If the building or work authorized by such permit is suspended or ebandoned at any time after the work Is c for period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE ----------------YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/28/2001 Permit# CBml'l115533 ____ _ Ti : INSTALL METERED PEDESTAL Type:ELEC Sub Type: Job Address: 1414 SAPPHIRE DR Suite: MP Lot Location: ONTRACTOR FISHEL COMPANY, THE Owner: Remarks: Total Time: 0 Inspector Assignment: g_ Phone: 7607570352 Inspector: lL Requested By: RON ? Entered By: CHRISTINE 1127-B3 39 CD Description Act Comments Fl~I EIKtriul i:-----1'<1-~ ___ ~ __ Q_a_o_❖_g_J_,_"3._,,_--6_\ cO-lJ Associated PCRs Inspection History Date Description Act lnsp Comments