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Home My WebLink About2781 SOUTHAMPTON RD; ; CB993006; PermitCity of Carlsbad 08/f2/1999 Electrical Permit Permit No:CB993006 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 2781 SOUTHAMPTON RD CBAD ELEC Status: ISSUED 08/12/1999 DT 08/12/1999 08/12/1999 Parcel No: 2081401800 Lot#: 0 Applied: Entered By: Reference #: Plan Approved: Issued: Project Title: HEPNER RESIDENCE Inspect Area: ELEC LINE FOR LIGHTS ON RET WALL Applicant: Owner: . HEPNER RICHARD H JR&LYNDA R 2781 SOUTHAMPTON RD CARLSBAD CA 92008 760-729-0459 Hl:Rllfl!!el:AICHAAD H JR&L YNDA R .. 2781 60l:!TH,\Ml=!roN RD ,CAAbSBAO:CA. ~ ..• : 2880 08/ 12/99 0001 01 C-PRMT 9?000'' >:, 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 Jolal 'Payments To Date: 0 0 0 0 $0.00 FINAL APPROVAL Date: f (t. fl :sal;Jnce Due: Clearance: $1'0.00 . $0.00 $0.00 ·so.oo $0.00 $10.00 $0.00 $0.00 $0.00 $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 Ca~sbad 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 r~ht 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 oreviouslu been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslu otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 20-00 FOR OFFICE USE ONLY PERl\nlT APPLICATION PLAN CHECK NoCB 91~ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. __________ _ Plan Ck. Deposit-~~------ ~:~:•ted By orfl/;z/11 1. • . PROJECT IN~RMA_!ION _ LI bH[~ ,J. NS/ p,LL,tO t.J~• WALL Addr_ess (include Bl.pg/Suite #) _. (2..n Business Name !at this address) Z.]0/ ~\ou[,-f P,rr-. pi br-; ~9,!. Description ·) Lot No, Subdivision Name/Number Unit No. Phase No. Total # of units ( Kt s; oe:...x:L mrtp 1/Z.Slo ; o '-I C0(('.U,6C\O J:=I. D'f-/'-{ 2-I Assessor's Parcel # Existing Use Z()'2r140 -19 -lO f5it-s:iQ<i' s-ic'-" Proposed Use f~i-5 I Qi.l'C ~ "o-.-,-c-rip-t-;o_n_o7f7W~o-,7k-=-,~-----~-----SQ. FT. lLl Ci e._' r ct L, L1 ·•--ii-0N I (,, 1 Z. #of Stories 2-- # of Bedrooms 3 # o~ Bathrooms z-2--2. CONTACT PERSON m different from applicant) ~ Ll, /..-o(l Name Address 3. APPLICANT 0 Contractor D Agent for Contractor H.owner Name Address Address 5. CONTRACTOR -COMPANY NAME ' ~>ltf~it.,o(l.. L 0 >-11s City 0 Agent for Owner City State/Zip Telephone# Fax# State/Zip Telephone# (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 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 1$5001). 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 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 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 ($1001 OR LESS) ~ CERTIFl-cATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aecure workers' compensation coverage la unlawful, and 1hall aubject an employer to criminal penaltiu and civil flnea up to one hundred thousand dollars ($ 0,000), In addition to ":he coat of compenutlon, damages u provided for In Section 3706 of the Labor code, Interest and attorney's fen. SIGNATURE • · DATE (;1, I 2-,Q,:,. 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: !I' 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 fSec. 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. lf, however, the building or improvement is sold within one year of completion, the owner-builder wilt have the burden of proving that he did not build or improve for the purpose of sale). D I, 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 for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. '\)a YES ONO 2. l ~/have nq_t~ 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 I address/ phone number I contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provipe 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 workl: ___________ =-----c-----,,---------------------cc-------,~,-------------- PROPERTY OWNER SIGNATURE Ru.J.vl H,.Jc_.., /2'-DATE _e,~·_-_I_Z~---C_;_'j~-- C0MPLETE THIS SECTION FOR NON-RESIDENT/At auklNGPeR\aTs ONLY ts 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 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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 ANO 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. 3097(i) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS __________________________ _ 9. APPLICANT CERTIACA TI0N 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. l 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 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 365 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 th work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE -~(3c..•_J_2.._•_,9'--'f-'------ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 8/13/99 Permit# CB993006 Title: HEPNER RESIDENCE Description: ELEC LINE FOR LIGHTS ON RET WALL Type:ELEC Sub Type: Job Address: 2781 SOUTHAMPTON RD Suite: Lot 0 Location: APPLICANT HEPNER RICHARD H JR&L YNDA R Owner: HEPNER RICHARD H JR&L YNDA R Remarks: LIGHTS ON RETAINING WALL Total Time: Inspector Assignment: Phone: 7607290459 lnspector(J L Requested By: RICK Entered By: CHRISTINE CD 34 Description Act Comments _R_o_u_g_h_E-le-ct-ri_c _____ t_ hr/111----: Inspection History Date Description Act lnsp Comments