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Home My WebLink About1691 CONOSA WAY; ; CB990013; Permit01/04/1999 City of Carlsbad Electrical Permit Permit No CB990013 Building Inspection Request Line (760)438-3101 Job Address Permit Type Parcel No Reference # Project Title 1691 CONOSAWYCBAD ELEC SERENATA METER PED Lot# Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 12/31/1998 MDP 12/31/1998 Applicant WIPPER JENNIFER 2835 CAMINO DEL RIO SOUTH 92109 6192937090 Owner / ( Total Fees / 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 \ ! ' .. V • •' . ' - . \ $35 00;..-.... Total Payments To Date $35 00 •V '••••-• ,.;-::•-• '-::;: "':-r>' '' \ ^/' $'1000 100 -> " -/ .,-) '/'-•-• , $2500 ."o-. ^"^ . *' />y \',. ,; $000 /•po "'v ' .,,/ r' /-,:*;'•;'/• " ' ^00° '-./I/O :<'• '/ / '.\N\."'y / $000 "'i'N,-. !- ,:' '' ?-: ;-x / '$000. • / \/; ./'••:,.. • s-' ; $000 \ / ,• Y •'-••• '-• "" -' .•• $000 \ V'" :-!COP:' .VPIATF-'. r_, ' r- . - $000 TOTAL PERMIT FEES $3500 APPROVAL Inspector Date Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition of fees dedications reservations or other exactions hereafter collectively referred to as fees/exactions You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you must follow the protest procedures set forth in Government Code Section 66020(a) and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack review set aside void or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes nor planning zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE gjT14aCi|0fttlls' giLjgjQ^lwA^Statute of limitations has previously otherwise expired 2075 Las PalmasDr, Carlsbad, CA 92009 (760)438-1161 PERMIT fAPPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Patmas Dr, Carlsbad CA 92009 (760)438-1161 1 PROJECT INFORMATION \lo<\\ CorNQS^v FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Lf Address (include Bldg/Suite 0)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total * of units Assessor s Parcel #Existing Use 0001 01 02 Tiption of Work ~^. X, y / SQ^fiT /' /' /»of Storms^ ~ * of/fiedroortis/J^ fltefa* &d<$fcl_. jKr .CIA. J/?£f-- CONTACT PERSON (If drff«r«nt from applicant) " " , " ^^ / /^ J7 3-c.^fr^- vv^fp^ jy>s-r».*..*..^*-'S *» c^» ^'^ e ~ *^ Address City State/Zip Tel U-rWlBathrooms35 » 00Description of Work 2 Name 3 APPLICANT Q'Cqntraetor D Agent for Contractor D Owner Q Agent for Owner Telephone #Fax'* Name 4 PROPERTY OWNER Address City State/Zip Telephone # Address City State/Zip Telephone #Name S CONTRACTOR - COMPANY NAME (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 ($5001) O/" «_ Uv <v-, Name State License » &" ? ° Address License Class City State/Zip City Business License 9 Telephone * 0-S Lt V Designer Name Address City State/Zip Telephone State License # 6 WORKERS COMPENSATION " ~ " ~T~" Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 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 compensetion msurence 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) Q 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 workers compensation coverage la unlawful and ahall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars |S1p6-OOuT)ln addition to the cost of compensation damages as provided tor hi Section 3706 of the Labor code Interest and attorney a fees SIGNATURE /*_ ^ ^' ^ ""~IX " DATE ' ."*'/** * ' 7 OWNER BTJ^fRliECLARATIQN^^'^ " ' **'f •>'''* ' Tr~ 1 hereby affirm that! am exempt from the Contractor s License Law for the following reason Q 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 (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 are not Intended or offered for aale If however, the building or Improvement Is sold WHthln one year of completion the owner builder will have the burden of proving that he did not build or Improve for the purpose of aale) JEgf I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Coda The Contractor s License Law does not apply to an owner of property who builds or improves thereon and contracts for such projects with contractors) licensed pursuant to the Contractor s License Law) 0 ' *m 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 Q YES QNO 2 I (have / have not) 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 / address / phona number / contractors license numbed 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) ___^__^________^___________^_________^_____^___________^___^__ii_^^______ 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 work) ^ N -—•PROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR ^~-~ju TKuWlLDING PEI DATE /I ,/ S f ILDING PERMITS ONLY" Is the applicant or future building occupant required to submit a business plan acutely hazardous matanala registration form or riak management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? D 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 AND 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(0 Civil Code) LENDER S NAME LENDER S ADDRESS 9 APPLICANT CERTIFICATION " ~ *—,™ --.-,,- -.-,_.»„,-™rt - —,Tr,_,,I, I certify that I have read the application and state that the above information is con-act 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 authonze representatives of the CrtV 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 notjammenced 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 afterjlWwork is corjiiirja'nced for a period of 180 days (Section 106 4 4 Uniform Building Code) .PPLICANT S SIGNATURE DATE 'HITE File YELLOW Applicant PINK Finance City of Carlsbad Inspection Request For 01/06/1999 Permit# CB990013 Description THIS IS A TEST TO SEE IF THIS WILL DDIMT Type ELEC Sub Type Job Address 1691 CONOSAWY Suite Lot I Location APPLICANT WIPPER JENNIFER Owner Remarks Inspector Assignmen Phone (760)930-8980 Inspector Total Time Requested By RON Entered By CHRISTINE CD Description 32 Const Service/agricultural Act Comments 12A3 0/98 15 38 FAX 619 234 0349 PROJECT DESIGN CONS ( V — IIIo ^lii.1>> -l-r -t i ' K f>>! - -Hi'^i:>ii *. ^