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Home My WebLink About1255 MARIPOSA RD; ; CB040145; Permitc~ -. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB040145 ~ r-Building Inspection Request Line (760) 602-2725 Job Address: 1255 MARIPOSA RD CBAD Permit Type: Status: Parcel No: ELEC 2122204200 Lot#: 0 Applied: ISSUED 01/13/2004 SB 01/13/2004 01/13/2004 PD Reference #: Project Title: NEELEMAN RES MISC. ELEC OUTLET FOR YARD AREA Applicant: NEELEMAN FAMILY TRUST 04-09-93 1255 MARIPOSA RD CARLSBAD CA 92009 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 Additional Fees TOTAL PERMIT FEES 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: NEELEMAN FAMILY TRUST 04-09-93 1255 MARIPOSA RD CARLSBAD CA 92009 $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $10.00 $0.00 $30.00 Total Fees: $30.00 Total Payments To Date: $20.00 Balance Due: $10.00 Inspector: FINAL Date: .PPR.OVAL -Zf-t 0894 09 /10/04 0002 OJ CGP 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. 02 10.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-13-2004 Electrical Permit Permit No: CB040145 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant Building Inspection Request Line (760) 602-2725 1255 MARIPOSA RD CBAD ELEC 2122204200 Lot#: NEELEMAN RES MISC. ELEC OUTLET FOR YARD AREA 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/13/2004 SB 01/13/2004 01/13/2004 NEELEMAN FAMILY TRUST 04-09-93 NEELEMAN FAMILY TRUST 04-09-93 (:,'.t;_;;j;,,, 1255 MARIPOSA RD CARLSBAD CA 92009 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 Additional Fees TOTAL PERMIT FEES Total Fees: $20.00 Inspector: 0 0 0 0 1255 MARIPOSA RD CARLSBAD CA 92009 Total Payments To Date: $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $20.00 Balance Due: $20.00 EXPIRED PERMIT ,:.:DIN ACCORDANCE WITH U.B.C- SEC fil.i,~ I JG.ii..:! DATE ::, \ :Z u ~ 4, . SIGNATlJRF. . .,,of.,,,{.._1 (...____._ FINAL APPROVAL 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 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 capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f s f hi h h i I N Tl ·1 r hi h fli i h -------~-------------- i';"1 )' ., PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Subdivision Name/Number Assessor's Parcel # ascription of Work 61' $<-, ei..£ c., DJr l., er ..s .. PW P Name Existing Use SQ. FT. #of Stories IDM TFlllllllii 7 Address City FOR OFFICE USE ONL V PLAN CHECK No. l ~c{ C) I ~s- EST. VAL. _________ _ Plan Ck. Deposit=---,,=------ Validated s,, __ _,..4 .L----- Date,_++-l---:7'1--€9-'-,~------ Unit No. Phase No. Total II of units Proposed Use II of Bedrooms II of Bathrooms State/Zip Telephone II Fax II . 111&11111111111BBllil!llilli~,1'tfi.isfflA*+~l Name Address City S.tate/Zip Telephone # I ill! 44tW1 g ■1111111111 lllllLlllll!IH■ I tWIIIIHlllllll!ll&l lffi111111£711 tlllfillf711$!1l&MMI'! (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 apP'icant 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 7031.6 by any appllcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($6001). Name Address City State/Zip Telephone# State License # _________ _ License Class ________ _ City Business License # _______ _ Designer Name State License , Address City State/Zip Telephone EHH&H 119 rm&r:111111:rm1t4I'M91.iARililll!lllllltll!ilil&M-llil!!!lll~il!!~,,-Jj!~!l,;>;..O!,:,;l;;~,,~.±"1:,,'.!;';, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 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 carrier and policy number are: Insurance Company____________________ Policy No. ___________ _ Expiration Date _______ _ ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (t100J 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: Fdure to Hcure worken' compenution coverage la oolawful, Md lhal IUbject an employer to crlmlnal penaltlea and clvll ftnu up to one hundred thouand dollara Ct100,000J, ln addition to the con of compensation, damagu u provkled for In Section 3708 of the Labor code, Interest and attorney'• fen. SIGNATURE DATE Y I hereby offlrm that I am exempt from tho Contractor·• License Law for the following reason, ri. I, as owner of the property or my emP'oyees with wages as their sole compensation, will do the work and the structure Is not intended or offered for sale isec. 7044, Business and Professions Code: The Contrai;tor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work hlmseJf or through his own employen, provided that such improvements are not intended or offered for sale. If, however, the building or improvement Is sold within one year-of comP'etlon, the owner~builder will have the burden of proving that he did not build or Improve for the purpose of sale). 0 I, as owner of the property, am exclusiveJy 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'• License Law). 0 I am exempt under Section ______ Buaineu and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property Improvement. 0 YES ONO 2. I lhave / have not) signed an appllciltion for a building permit for the proposed work. 3. I have contracted with the following pe,son (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).,_-------------------------------------------- 6. 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 i::>1 /1 3 /or: -llllll;lt- ls the applicant or future building occupant required to submit a business plan, acutely hazardous materia/11 registration form or risk management and prevention program under Sections 26606, 26633 or 26634 of the Presley-Tenner HezardoUs Substance Account Act? D YES D NO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO la tho facility to be cornstructed within 1,000 feet of the outer boundarv of a school sitel O 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 OFACE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. fl] INifflllll!iMtffliNWHHli! T lt'P! 'T®M !! Tf~~Ji~-li!~~~~0~£i£il:X:>;:·~,~;~;iJ~'.;'.:1; ''.l'~,~:~,~;: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(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS ' ,,,,,, iJ iii--""'57717 Rill Jlllll llillilliiiillt71Pi111Fi 71 17 ZIIP!l/lll7P TK1_"_iiilliiil'il! 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 repreaentatives 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 ~xcavations 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 en for riod of 180 days (Section 106.4.4 Unlfonn·Building Code). (J APPllCA' ,r·s SIGNATUR WHITE: File YELLOW: Applicant DATE -'o"--'-,1,f-!.!t~~'l-lo"'"'f'-------- PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/27/2004 Permit# CB040145 Title: NEELEMAN RES MISC. ELEC OUTLET Description: FOR YARD AREA Type: ELEC Sub Type: Job Address: Suite: Location: 1255 MARIPOSA RD Lot 0 APPLICANT NEELEMAN FAMILY TRUST 04-09-93 Owner: NEELEMAN FAMILY TRUST 04-09-93 Remarks: Total Time: Associated PCRs/CVs lns(lection Histo!Y Date Description Act lnsp Comments 09/15/2004 39 Final Electrical co PD Inspector Assignment: PD --- '"'"7!z,'Z- lnspecto A Requested By: DEBRA Entered By: CHRISTINE 09/13/2004 39 Final Electrical NS NO INSPECTOR AVAILABLE 04/05/2004 39 Final Electrical co PD GFI REQ. ON RECEPS 01/26/2004 31 Underground/Conduit-Wiring AP PD MISC. CONDUIT