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Home My WebLink About1731 POINSETTIA LN; MP; CB994377; Permit✓\(;)°'°'' 11/23/1999 City of Carlsbad Electrical Permit Permit No:CB994377 Building Inspection Request Line (760) 438-3101 Job Address: 1731 POINSETTIA LN CBAD Mf Permit Type: ELEC Parcel No: Lot#: 0 Reference #: Status: Applied: Entered By: Plan Approved: Issued: ISSUED 11/23/1999 RMA 11/23/1999 11/23/1999 Project Title: VIADANA-100 AMP METERED PEDIST Inspect Area: Applicant: WESTERN PACIFIC HOUSING STE 107 2385 CAMINO VIDA ROBLE CARLSBAD CA 92009 92009 760 929-1600 Total Fees: $35.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP ' t R z , Owlle,: = 0 00 !; . "' ,, ' • ; :tqia~ayments To Dal&: · • . ' 100 . • . .. 0 0 $0.00" 6518 11/23/99 0001 01 02 d3alance Due: '.$~0.00 '$°L5.00 . '$0.00 C-PRHT 35-00 $35.00 Remodel/ Alteration per AMF>'. '. ,0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees TOTAL PERMIT FEES Inspector: ¥ \ j ¢ .. ' . • ' . • 1 <I' "'½ ' .. /2 ' *; > n ,, : : 1 + + ': 1 + < , " $35.00 EXJiiRED· PERM:T PERMIT HAS EXPIRED ft AccaillllH U BC SECTION 106.4.4 . . • INAL 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 Carisbad 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 specffied 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 • 'PERMIT APPLICATION FOR OFFICE USE OM 37 PLAN CHECK NO. 'Jj_ y _ 7 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit------++-+.,-- Validated BY--,--,--,-,~-.-..+-?rl~-=1--- Date ___ ---i4-+-~--+-H---,H'1---- Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units S.tate/Zip (Sec. 7031.5 Business and Professions Code: Any City or County which requires • 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 ~•rmit subjects the applicant to a civil p alty of not more i18n five hund ed dollars ($50011. 1' '('("\.C..D -\-\_~ ":. \ V'-~C.. ~ '8 S ~ i' \/"\O \fZ_o le._ -dJ. C.\A- Nam■ Address City State/Zip Telephone # License Class _b..:,...._ ______ _ State License # City Business License # _______ _ Designer Name State License # ... "' ··~•~~-mo . Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone O 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 ... ofY,e work for which this permit is issued. · 1'-._ 1 have end will maintain workers' compensation, es required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compitnsation insurance carrier and pol'cy number are: \ ( Insurance Company C...'M;: 0...: ' PollcyNo. ~°\,9..O3,1:?-,<s,.'.d:C:i~ExpirationDate G J l°j D O (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [t100J OR LESS) O 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: Fallura to secure worken' compen11tlon coverage la unlawful, and 1han tubject an employer to criminal penahies and clvll fines up to one hundred thousand doU 100,000), addition to the It of com 1atlon, damages H provided for In Section 3706 of the labor code, Interest and attomey'a fees. DATE _________ _ -£ce,ffil~Wii~~~-~~~.:i~,HZ1l6~~~~ ~;rr:i:: t. ,,. •.• , •• ~.";':'"Pn' :·. ' am exempt from the Contractor's License Law for the following reason: 0 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 Lew 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. If, however, the building or improvement is sold within one year of completion, 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 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 conttactor(s) licensed pursuant to the Contractor's License Law). 0 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. 0 YES ONO 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 / 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 l)rovide 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 work): ________________________________________________________ _ ;;;~:;~;:;;;;ENij~ij-.~~~ .. i·ij~ij_ tii:_fi·ij_i_~jG];~~ij· ij~i"Jij_ij_iijiii-i··i~i,mi:~~~• .j. ·iiMft!iiE:S.:~-~-r-bi-,~-.. l-,~-.' .-~-y.-t_-.. ~---.,,-.. ~-;t--,. ;::-.:::J·. >l' :.:.', Is 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 Su~stance Account Act? 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? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school slte7 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 AND THE AIR POLLUTION CONTROL DISTRICT. I -ONif.BU'C'ffo!'}'i'(ffif)lNGAR -~~~£a,m:.~~~~~¥Ji~::..¼~ ,-. · ~ · ~ 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). ~:~:;~~¢~~-:g;;;~~CA:;;_tno~·-~;;,m;;· :;. -~;;;:;;·,~;;· ;;;;:;;;;;m,;;;;:;:;;;e;;;~;;. ,.LEN~-~-~---~-~-}~-.. ---.-. -.~-.-~ -.. -.-.£'-."t-·,1~-.:-,,-,~-:----.. -. -. -.. ,----- I certify that I have read the application and state that the above Information Is co"ect and that the information on the plans is accurate. 1 agree to comply with all City ordinances and State laws relating to building construction. 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 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 e work is commenced for a period of 1 0 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE ~U_·_L_S_, _/_1-+----- PINK: Finance