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HomeMy WebLinkAbout1113 CAMINO DE LAS ONDAS; ; CB070749; Permit03-19-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB070749 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1113CAMINO DE LAS ONDAS CBAD ELEC 0000000000 Lot # SBC CABINET-100 AMP PED FOR AT&T Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 03/19/2007 RMA 03/19/2007 03/19/2007 Applicant PAR ELECTRICAL CONTRACTORS 2410 VINEYARD AV 92029 760-291-1192 Owner 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 100 0 0 0 $1000 $2500 $000 $000 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $3500 Total Fees $35 00 Total Payments To Date $35 00 Balance Due:$000 Inspector FINAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition1 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 FOR OFFICE USE OML PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Ond&>>S&C Cfikbme.4 Address (include Bldg/Suite #) . i /t. ,. _"Bbsiness Name (at this address)(sa.6 ; Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel # i l\Oesc Existing Use Proposed Use ^Description of Work£i •uesuipuun wi vvuin F\ loo /Wf)N(ir SQ FT n of Stones # of Bedrooms CONTACT PERSON (if different from applicant) # of Bathrooms Name Address Telephone # PROPERTY OWNER Name Address City Stale/Zip Telephone # 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, pnor 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 [$500]) fer glecJrtc. Mo lAVicnotfcJl flue £scg*>cJUc)Lo C/t <J2Q>J\ 7&O Name ., , State License # (0v I Designer Name State License # - . . -, Address -~^ License Class Address /I- - e/o City City Slate/Zip Jn... _ .. " State/Zip Telephone # Telephone # [67~W6RkER'SrCOMPENSATlbrr Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations ^r 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 DX"^ I have and will maintain worker's 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 Olcl K&J3l>puC IAS Co Policy NoPiLOC. \ VV8 /pOO Expiration Date_ (THIS SECTION NEED NOT BE-COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D 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 is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($100,000), in aejdjfle^i tq^fi^cost of co rattens atigfl^lamages are provided for in Section 3706 of the Labor Code, interest and attorney SIGNATURE i • Q8/O J I ;st and attorney's fees DATE 37'ffijL... ._.. -^ _ , ^gWNER^ILbE^DECIJMTUiJN I hereby affirm that I am exempt from the Contractor's License Law for the following reason D I as owner of the property or my employees with wages as their sole compensation will d the work and the structure is not intended or offered for sale (Sec 7044P| 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 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) 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 matenals for construction of the proposed property improvement D YES D NO 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 provide the major work (include name / address / phone number / /ontractors 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) PROPERTY OWNER SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration for or nsk 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? D YES D NO Is the facility to be constructed within 1,000feetof theouterboundaryofaschool site? O 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 CON^fRUCtToFl^l^mG'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(1) Civil Code) LENDER S NAME LENDER S ADDRESS [9 _ APPLICANT CERTIFICATION | 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 City 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, JUDGEMENTS, COSTS AND OSHA An OSHA permit is required for excavations of 5'0" deep and demolition or construction of structures over 3 stories m 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 authonzed by such permit is suspended or abandoned at any time after the work is commenced fora penod of 1 80 days (Section 10644 Uniform Budding Code) /APPLICANTS SIGNATURE /^^^ l^«^ ^fasC/C^' _ _____ __ DATE O I *l I \S / WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 03/21/2007 Permit# CB070749 Title SBCCABINET-100AMPPEDFOR Description AT&T Inspector Assignment 1113 CAMINO DE LAS ONDAS Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT PAR ELECTRICAL CONTRACTORS Owner > Remarks Phone 61 Inspect Total Time CD Description 39 Final Electrical Act Comment Requested By DAN Entered By JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments FROM (WED) 2 21 07 9 12/ST 9 1i/NO 4863758344 P 4 —=1 u...^' c^w * \* *f!^Vo r*-i-«*i :!*« ^ " ' Mi HIB .cB I $-p. 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License Detail Page 1 of2 California Home Monday, Mai License Detail Contractor License # 687343 CALIFORNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base Before on.this information, you should be aware of the following limitations • CSLB complaint disclosure is restricted by law (B&P 7124 6) If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below Click on the lin button to obtain complaint and/or legal action information • Per B&P 7_Q71_1Z, only construction related civil judgments reported to the CSLB are disclosed • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base * * * Extract Date 03/19/2007 Business Information * * * PAR ELECTRICAL CONTRACTORS INC 4770 N BELLEVIEW AVE STE 300 KANSAS CITY, MO 64116-2188 Business Phone Number (816) 474-9340 Entity Corporation Issue Date 04/12/1994 Expire Date 04/30/2008 * * * License Status * * * This license is current and active All information below should be reviewed. * * * Classifications * * * Class A C10 Description GENERAL ENGINEERING CONTRACTOR ELECTRICAL * * *Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 81634655 in the an http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 03/19/2007 License Detail ' Page 2 of 2 $12,500 with the bonding company FEDERAL INSURANCE COMPANY. Effective Date 01/01/2007 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): This license filed Bond of Qualifying Individual i 8163-44-58 for LARRY ALLEN BOEHLER in the amount of $12,500 with the bonding cor FEDERALJNSURANCE COMPANY. Effective Date 01/01/2007 BQi's Bonding History * * * Workers Compensation Information * * * This license has workers compensation insurance with the OLD REPUBLIC INSURANCE COMPANY Policy Number MWC111187600 Effective Date 08/01/2006 Expire Date 08/01/200' Workers Compensation History Personnel listed on this license (current or disassociated) are listed on other licet Personnel List Other Licenses License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request © 2006 State of California Conditig_n_s_of Use Privacy Policy http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 03/19/2007