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HomeMy WebLinkAbout1228 AVIARA PY; TP; CB102108; Permit11-09-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB102108 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: M & I ELECTRIC 1228 AVIARA PY CBAD St: TP ELEC 0000000000 Lot#: SEASONAL VENTURES TREE LOT TEMP POWER POLE 200 AMP Status: ISSUED Applied: 11/09/2010 Entered By: KG Plan Approved: 11/09/2010 Issued: 11/09/2010 Inspect Area: Owner; 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 $10.00$so.oo $0.00moo$0.00 $0.00; $o.oq< $0.00: $0.00;; $0.00; TOTAL PERMIT FEES IBO.Ol Total Fees:$60.00 Total Payments To Date:$60.00 Balance Due:$0.00 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. -4^;;; Building Permit Appli x^*f/^ 1635 Faraday Ave., Carlsbad, CA ^ CITY OF 760-602-2717/2718/27 f"*ARI *sRAn Fax:760-602-8558V-.A\i\L.«,JDjr\Lx www.carlsbadca.eov / 'JOB ADDRESS ,, ._ /->1 /tz% f*\/iA/tA rMufii &Uf&o. a CT/PROJECT* LOT* PHASE* # OF UNITS # BEDROOMS cation Plan Check Nof^/A^ |O& CQtIOn "^ VT-* 92008 Est. ValueiyPlan Ck. Deposit Date//.^-/O SWPP SUITE#/SPACE#/UNIT# IAPN # BATHROOMS KN/SNT BUSINESS NAMB / 1 CONSTR.TYPE OCC. GROUPSfetfm / m forrs DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) •ScTtfo/JtrTL, ~TEimP®/iA<u, CMtoj-T/rtof 'T/uv? &?7^ / //7^^. Mw&<^ /P&TJL <2OO&fr^p // v / " EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME / ADDRESS / CITY STATE ZIP / PHONE FAX 1 EMAIL \ ARCH/DESIGNER NAME & ADDRESS STATE LIC.# V PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRESPRINKLERS YESD# NOD Y£S d NOO YES P NOd APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL f • • CONTRACTOR BUS. NAME -_ g si- /—) S~m $3. (3-&c,7fac. C0, ADDR£SSfib/ J^^/o^^ AS& CITY fatftwtrtS- Z. ™*?tfZ^ PHONE ^ , FAXm tfrvto EMAIL STATE LIC.# , _ CLASS CITY aiSJUtKL— •«, _^(oin . cio tiffl&r? (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 theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: 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 of the work for which this permit is issued. '{2 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work fouwhich this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. f£*Clg~ Policy No. /> i0/(l£fOO Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. G 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 coveragejnmlawful, 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^vided/Mfln Secticji^Tw of the Labor code, interest and attorney's fees. f hereby affirm that I am exempt from Contractor's License Law for the following reason: O 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 tor 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). O 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 contractors) licensed pursuant to the Contractor's License Law). O I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes D No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracts;] (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE DAGENT DATE 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 Substance Account Act? O Yes a 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 Q No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O 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). I hereby authorize representative of the City of Carlsbad to enterupon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THECITYOF 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 excavafionswer 5'0' deep and demolition or construction of structures over 3 stories inheight. EXPIRATION: Every permit issued by the Building Official under the provisions ofttis 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 ton Hie date of such permit or if (he building ortrork aujberfied'by simj&nnit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ^APPLICANT'SSIGNATURE /^J^- //£„;£** DATE /f~'^" City of Carlsbad Bldg Inspection Request For: 11/18/2010 Permit* CB102108 Title: SEASONAL VENTURES TREE LOT Description: TEMP POWER POLE 200 AMP Inspector Assignment: 1228 AVIARAPY TP Lot: Type: ELEC Job Address: Suite: Location: APPLICANT M& I ELECTRIC Owner: Remarks: Sub Type: Phone: 2084844471 Inspector: Total Time: CD Description 34 Rough Electric 39 Final Electrical Act Comments Requested By: MIKE Entered By: JANEAN Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments Check a License - Contractors State License Board Page 1 of 1 Department of Consumer Affairs Contractors State Li Contractor's License Detail - License # 416798 e Board 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&P7124.6) 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&E.ZQZ1J..Z., 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 416798 Extract Date: 11/9/2010 _,.^^^_^-_ 9301 SHOSHONE AVE Business Information NORTHRIDGE, CA 91325 _,j^nessjn . Jntityj, _ _ ,Cqrppratton__ JtesueJDjrte 01/12/1982 J*sMssueJDate J^OJ^OOj Expire Date 12/31/2011 License Status This license is current and active. All information below should be reviewed. jw^ CLASS DESCRIPTION Classifications: CONTRACTOR'S BOND This license filed Contractor's Bond number SC1030456 in the amount of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 03/02/2009 Contractor's Bonding History Bonding: " ~" ~ BOND OF QUALIFYING INDIVIDUAL 1. The Responsible Managing Officer (RMO) IADEVAIA DOMENIC ANTHONY 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 BQI's Bonding History This license has workers compensation insurance with the TRUCK INSURANCE EXCHANGE •"* Policy Number:A20111900 Workers' Compensation: , ,Effective Date: 08/01/2010 Expire Date: 08/01/2011 WQrKeC5!,CsmRgn§.a..ti.QD..HiS.tQ.ty DATE DESCRIPTION Miscellaneous Information: 12/03/2001 LICENSE REISSUED TO ANOTHER ENTITY Conditions of Use | Privacy Policy Copyright © 2010 State of California https://www2.cslb.ca.gov/OnlmeServices/CheckLicenseII/LicenseDetail.aspx?LicNum=4... 11/09/2010 5_.. §ii5 Itn w w «> 2^*002 03 OdO3ii* sO * 2 Q. t/3 mre "-1 » T35 srB <-»•i* »3 w I*n 9\S *- O r ^x^Si- H %^o5i o2^50HOS2i^ 6J S1 O?? ? oo g?? L»» ^"VI is)ls»U> iUU) 00u> u> u>ls>K> K> O3 o n O ^H£3 ^2^^ ^B » M« C/5 N§• OQ 8 H ^1 JP*JEL wgrw o E9 O H c/i T) HO O W toOo O HOS</\OIAO M & I Electric Company Nnrr.rid.js.Cl SloJ.i August 28, 2007 To whom ir may concern: I. Domenic ladevaiaot'M & I Electric Company (State License #416798) authorize Seasonal Adventures. Inc., D.B.A. Stu Miller's Price is Right Christmas Trees and pumpkins, and any of their agents, to act as an authorized agent on my behalf said to sign applications for Seasonal Adventures. Inc., D.B.A. Stu Miller's Price is Right Cliristmas Trees and pumpkins. This permission is for pumpkin and Christmas tree lighting and power ody. Also, this shall serve as authorization for Seasonal Adventures, Inc., D.B.A. Stu Miller s Price is Right Christmas Trees and pumpkins to obtain any required electrical business licenses. Domenic A. ladevaia State of Cftttfontta, LM Angeteg County Subscribed andswm to (oraffimwd) befon me on Mi Jt-^^Uavof /£< .20 0 "7. by J^) o n\ •£ h T «. / peraorwiy known to me or proved nw on ttw baste o*sttMartory evldvnct to bt the pMion(tfjAo tppianobefore m«. JOHNBAE N COMM, #1692325 g NOTARY PUBUC-CAUWRN1A 2LOS ANGELES COUMTY wMyComm.ExplmOct.2,2010 i,