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HomeMy WebLinkAbout1228 AVIARA PY; ; CB091754; Permit10721-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB091754 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title Applicant M & I ELECTRIC 1228AVIARAPYCBAD ELEC 0000000000 Lot# STU MILLR'S CHRISTMAS TREE LOT 200 AMP TEMP POWER POLE Status Applied Entered By Plan Approved Issued Inspect Area Owner ISSUED 10/21/2009 RMA 10/21/2009 10/21/2009 9301 SHOSHONEAVE 91325 818-882-0474 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 200 0 0 0 $1000 $5000 $000 $000 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $6000 Total Fees $60 00 Total Payments To Date $60 00 Balance Due $000 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the' Imposition of fees, dedications reservations, or other exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired , ,*- Building Permit Application Vs JJV, 1635 Faraday Ave , Carlsbad, CA 92008 NJX1 CITY OF 760-602-2717/2718/2719 /""*" A n 1 c*o A f™> Fax 76°-6°2-8558 I /ArCl ^KAi ' www carlsbadca aovV— e\ * \ 1— *J L//» »-x JOB ADDRESS ' Q,fc&jL>$t> 0 • SUiiEf/SPACEiyuNiTti ' <*- io r)ulAfZ-^ f'A J2/t to j* */ d /*k f &>o8 CT/PROJECT £ LOT # PHASE n f OF UNITS 1 # BEDROOMS 1 f BATHROOMS TENANT BUS r \ \ DESCRIPTION OF WORK Include Square Feet of Affected Area(s) <T \ C* \ \- "~~\ r 0"7""/y /?/) // / 1~~A i~ i- C~-O r cL&O rf l^^/f) T£/MA ^ fu/^) l__*^ EXISTING USE PROPOSED USE if T^RAGE (SF) CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS CITY STATE ZIP PHONE : FAX EMAIL ARCH/DLSIGNbR NAME & ADDRESS STATE LIC II PATIOS (SF) DECKS (SF) APPLICANT NAME Plan Check No ( $ Q^ 17~* *-} Est Value Plan Ck Deposit Date /D/J///) <? riA~ APN / ' / NESS NAME CONSTR TYPE I OCC GROUP -ZAf fy'tilrf/M-r• \- i ' / [ .•' - / -~s */ / FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NO Q YES D NO Q YES D NO D ADDRESS CITY STATE ZIP PHONE I FAX EMAIL CONTRACTOR BUS NAME . / L -T 1 1 . ^ /4 <¥ L Z^f^-CT/'? <L ^_o»jJI flrtu-s/ ADDRESS CITY PHONE -v EMAIL STATE LIC // — . , , f *S lAO 5 <AJ2yv^-£^' n D £, STATE ZIP f cK 9/3 ^-T\ p^3^?^ (ef8}8st-<=>Y?y CLASS CITY BUS LIC # « V 3 f "\& c /o aMjAJjiJtrJ 4f/\ (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter improve demolish or mpair any structure prior to its issu/nc/ 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 Sectipn ^)00 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 f031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)) Workers' Compensation Declaration I hereby affirm under penally of perjury one of the following declarations P I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued d I have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is issued My workers compensation insurance carrier and policy number are Insurance Co A t> "M. \*~C*I 1-tJ£ C^JC^A, pon^ Policy No C ft<5C>C3&//£&/- <9jT_ Expiration Date -&$~ /£~ /£> ' ' 3This section need not be completed if the permit is for one hundred dollars (S108) or less CD Certificate of Exemption I certify that in Ihe 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 addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees / JS*> CONTRACTOR SIGNATURE , £f ("* j .0AGENT DATE Sg . £ J ~O 9 / hereby affirm that I am exempt from Contractors License Law for the following reason n I as owner of the property or my employees with wages as their sole compensation wrl 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 Ihrough 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 contraclmg with licensed contractors to construct the project (Sec 7044 Business and Professions Code The Contractors License Law does no! apply to an owner of property who builds or improves Ihereon and contracts for such projects with conlractor(s) licensed pursuant to the Contraclor s License Law) D I am exempl 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 D Yes O 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) lo provide the proposed construction (include name address / phone / contractors license number) 4 I plan to provide portions of the work but I have hired trie following person to coordinate supervise and provide the maj or work (include name / address / phone / contractors license number) 5 I wrl! provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name/address/phone/type of work) ^PROPERTY OWNER SIGNATURE OAGENT DATE t ._<^-7^;.V-VvV>%- , W';: •"?«!^•:^"^&^M^^f: ,;;£: Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or n sk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act' d 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' n Yes d No Is the>facility to be constructed within 1 000 feet of the outer boundary of a school site' n Yes d No IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender s Address I certify that I have read the application and state that the above information is correct and that the mfomiation on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authonze representative 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, 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 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 Die work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code) DATE City of Carlsbad Bldg Inspection Request For 11/18/2009 Permit# CB091754 Title STU MILLR'S CHRISTMAS TREE LOT Description 200 AMP TEMP POWER POLE Inspector Assignment 1228 AVIARAPY Lot Type ELEC Job Address Suite Location APPLICANT M & I ELECTRIC Owner Remarks NOONISH Sub Type Phone 7607057791 Inspector Total Time CD Description 39 Final Electrical Act Comments Requested By NA Entered By JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments c i T v or STORM WATER COMPLIANCE EXEMPTION B-24 Development Services Building Department 1635 Faraday Avenue 760-602-2719 www carlsbadca gov I am applying to the City of Carlsbad for the following type(s) of construction permit Permit Q Right-of-Way Permit <-—""^ cMy project is categorically EXEMPT from / \he requirement to prepare a storm water / pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria* Wo Threat Assessment Criteria G My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level My project does not meet any of the High, Moderate or Low Threat criteria described below Tierl • Low Threat Assessment Criteria U My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria • Results in some soil disturbance, and/or • Includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling) Tier 2 - Moderate Threat Assessment Criteria Q My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15 16 of the Carlsbad Municipal Code), or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm dram inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct 1 through April 30) Tier 3 • Significant Threat Assessment Criteria G My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas and/or Q My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas or, U My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s) / certify to the best of my knowledge that the above checked statements are true and correct I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards 'The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted Project Address , . ..flu/ AH ft Assessor Parcel No Owner/Owner s Authorized Agent Name Owner/Owner s Authorized Agent Signature City Concurrence jifYES QNO ™e D/ s-f Dale B-24 Page 1 of 1 Rev 03/09 M & I Electric Company August 28 20C7 To whom u may concern 1, Domenic Jadevata ol \\ & I Eieotnc Company I State License tf4167^8) authorize Seasonal Adventures Inc . D.P A, Stu Miller s Pnce is Rjght Christmas Trees and pumpkins and any of their agents, to act as an authorized agent on my behalf and to sign applications tor Seasonal Adventures. Inc., D B A, Stu Miller's Pnce >s R)ghl Christmas Trees and pumpKins Tnis permission is for pumpkin and Christmas tree lighting and power only Also, this shall serve as authorization for Seasonal Adventures, Inc, D B A Stu Miller s Pnce is Right Christmas Trees and pumpkins to obtain any required electrical business licenses Sincerelv Yours, // r Doraemc A ladevaia State of California, Los Angetes CountySubscribed andswom to (or affirmed) before me on Hits ^Sl!bay of A^< . 20_oj k_ ^S. •• L.by—pgnKiiy*- n^- personally known to me or proved me on the basis ofsatisfactory evidence to be the personftfwho appeared before me f\ L—J^3> JOHN BAE S COMM #1692325 59 NOTARY PUBLIC-CALIFORNIA 2 LOS ANGELES COUNTY 3MyComm Expires Oct 2,2010 i, > SIASONAL , /we 207 W. Los Angeles Ave. #287, Moorpark, CA 93021 805.532.2333 • Fax: 805.532.2383 seasonaladvent@aol.com September 28,2009 To whom it may concern This letter is to introduce Ehas Gonzalez He is an employee of our company, Seasonal Adventures (dba Stu Miller's Price is Right Christmas Trees) Mr Gonzalez is in charge of getting the necessary permits for our pumpkin and Christmas tree lots. He has permission to sign anything necessary for the permit process as an authorized representative of our company. If you have any further questions please call me or my bookkeeper Monica Johnson at 805-532-2333. My extension is 103 and Monica's is 102 Thank you in advance for your help Sincerely, Grtg Cole President Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat Page 1 of 1 Department of Consumer Affairs <^=^ ,.':^ GOV Contractors State LicenseTBoard Contractor's License Detail - License # 416798 6--_» DISCLAIMER A license status check provides information taken from the CSLB license database Before relying 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 to public complaint disclosure a link for complaint disclosure will appear below Click on the link or button to obtain complaint and/or legal action information •• Per B?.P 70 '1 17 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 onto the Board's license database License Number Business Information Entity Issue Date Reissue Date Expire Date License Status Classifications Bonding Workers' Compensation Miscellaneous Information 416798 JxtracUJate _ 10/21 12009 M & I ELECTRIC COMPANY INC 9301 SHOSHONE AVE NORTHRIDGE CA91325 Business Phone Number (818) 882-0474 Corporation 01/12/1982 12/03/2001 12/31/2009 This license is current and active All information below should be reviewed CLASS DESCRIPTION C10 ELECTRICAL CONTRACTOR'S BONO This license filed Contractor's Bond number SC1030456 in the amount of $12,500 with the bonding company AMERICAN CONTRACTORS JNDEMNI.TY COMPANY Effective Date 03/02/2009 Contractor's Bonding History BOND OP QUALIFYING INDIVIDUAL 1 The Responsible Managing Officer (RMO) DOMENIC ANTHONY IADEVAIA certified that he/she owns 10 percent or more of the voting stock/equity of the corporation A bond of qualifying individual is not required Effective Date 12/03/2001 This license has workers compensation insurance with the STATE..COMPENSATION INSURANCE FUND Policy Number 1746882 Effective Date 08/01/2005 Expire Date 08/01/2010 12/03/2001 DESCRIPTION LICENSE REISSUED TO ANOTHER ENTITY C_ondj.tion.s_ofllse | Pnya_cy_P_oJicy Copyright © 2009 State of California hltps //ww\v2 cslb ca gov/OnhneServices/CheckLicense/LicenseDetail asp 10/21/2009 O o w O O<N h- Q. GO IT) 00 CQ uuu IStu w w 5 z£ So u. < «| eo. «_. o X •* t w2£25 rl*e*s^ «§E1^— a. \o ti, •<O U 80 OQ O wa. OS O O CD U CAos a: ilicgs!» 11-o S x >Z y) W u 1 ooo •= ' Ses r- T•O r< 2 S7 g -g 5 C9 X O yj H Io