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Home My WebLink About1411 CORAL WAY; ; CB044170; Permit11-17-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB044170 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1411 CORAL WYCBAD ELEC 2121903800 Lot# BOJANOWSKI RES-ELECT TO ABOVE GROUND APPLIANCE SPA Status Applied Entered By Plan Approved Issued Inspect Area 'icant URNER ELECTRICAL SERVICE 3155KAYWOOD 92026 760-743-5192 ISSUED 11/17/2004 RMA 11/17/2004 11/17/2004 Owner BOJANOWSKI RAYMOND T&DENISE 1411 CORAL WAY CARLSBAD CA 92009 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 $1000 $000 $000 $000 $000 $1000 $000 $000 $000 $000 TOTAL PERMIT FEES $2000 Total Fees $20 00 Total Payments To Date $0 00 Balance Due $2000 5681 11/17/04 0002 01 02 CGR 20 =.00 Inspector B. 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 ol limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 : CA I-UK Ut-l-llxb U&C UIVLY PLAN CHECK NO (Jl (J V <V/ 7Q EST VAL Plan Ck Deposit Validated By , Date // [ \~7 I ress (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use Proposed Use Vb / Description of Work SQ FT #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # Fax # Ul V"',- '-1 >*•-•'•:" ' : 5" "•••" I ''''f'^2, State/Zip Telephone ;rflWN Address City State/Zip Telephone # Ml SfTv-ait«"'• !«?«;»??**.-"^i.:*1 '.^?fc." S,;- : (Sec 7031 S 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, 1$S001)- ^ - I9y?s/tr_ Name State License # Address License Class ~ f C> City State/Zip City Business License # } Telephone CXZ-Of ? Designer Name /State License # X Sli Address City State/Zip Telephone -.''-' :- '-. ' "',.,, •„ „•*,"• / ^ Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations / JQ 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 Q 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 compensation insurance carrier and policy number are I / 'VO^O <-l _ Expiration Date 1 IInsurance Company Policy No (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 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 \ / "—j^ —i^ /} //iO //*} IV SIGNATURE / /^"\ I ^o^. DATE // /' 11^*^ I hereby affirm that I 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 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) Q 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) 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 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 / 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 / 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) PROPERTY OWNER SIGNATURE DATE Ic^titeftrHisi'sigrro^ i^u? ,. ,„;•>. ;u-i;,a ••„«*„. <£•••.. 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? Q 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? Q 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 ifeto^rw^ ........ ^..u.: _ .......... 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) LENDER S NAME _ LENDER S ADDRESS _ li^>Sfe!lfeSll^S*i^ i-:«i ' W",. '•" *ik •; '!•?" '••,*•;,'>:. "\ A,1,'' n&K-.j».-.l« 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 JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT SHA An OSHA permit is required for excavations over 5 0" deep and demolition or construction of structures over 3 stones in height ATION 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 lonzed 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 the work is ccmrnerjced-for a periodjjMJJO days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE / CV<-^> f—<^-— DATE // WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 11/22/2004 Permit* CB044170 Title BOJANOWSKI RES-ELECT TO ABOVE Description GROUND APPLIANCE SPA Inspector Assignment 1411 CORAL WY Lot Type ELEC Sub Type Job Address Suite Location OWNER BOJANOWSKI RAYMOND T&DENISE Owner BOJANOWSKI RAYMOND T&DENISE Remarks Phone 7607435192 Inspector I \yi Total Time CD Description 34 Rough Electric Act Comment I yv |» 3*1 Associated PCRs/CVs Requested By TURNER ELEC Entered By CHRISTINE Date Inspection History Description Act Insp Comments •- „,/;•' Vi.f.W-r?.7T Com cu f A- c/v THIS DOCUMENT HAS A TRUE DEFENSA™ WATERMARK AND VISIBLE FIBERS DISCERNIBLE FROM BOTH SIDES BUS NUMBER 1202018 DATE ISSUED 09/27/2004 SIC CODE 17 OWNER FIRM OR CORPORATION NAME BUSINESS NAME MAILING ADDRESS CITY AND STATE . CITY OF CARLSBAD BUSINESS REGISTRATION CERTIFICATE POST IN CONSPICUOUS PLACE The person firm or corporation named beiow is granlod this business certificate pursuant to the provisions of the City Business License Ord nances to engage in carry on or conduct Ihe business trade calling profession exhibition or occupal on described betotv Issusrice of the certificate is not an endorsement nor certification of compliance with other ordinances or laws This license is issued without verification that the licensee is subject to or exempt Irom licensing by the State of California BUSINESS LOCATION 3155KAYWOODDR SIC DESCRIPTION Construction-Special Trade Contractors TURNER TED TURNER SERVICE 3155 KAYWOOD DR ESCONDIDO CA 92026 8412 EXPIRATION DATE 10/31/2005 THIS DOCUMENT IS ALTERATION PROTECTED AND REFLECTS FLUORESCENT FIBERS UNDER UV LIGHT Turner Electric Service L/C #C-10 665869 Cell (760) 855-7827 Ph (760; 743-5192 Specializing in Spa's and Hot Tubs Todd Turner k<—. OONIKAOIOHbblAlt LIOtNbt BUAHU 5-1 ACTIVE LICENSECuiLsumir \tfuin. ,.. „,,,. 665869 t „ INDIV ,i „„ TURNER ELECTRIC SERVICE ' C10HIC 03/31/2005 SCIF To 7607430679,16 Nov 04, 13 41 Page 001 CERTHOLDER COPY P O BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATION INSURANCE FUN D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 11-16-2004 GROUP POLICY NUMBER 1780521-2004 CERTIFICATE ID 5 CERTIFICATE EXPIRES 01-01-2005 04-21-2004/OJ-01-2005 OFFICIAL STATECITY OF 1635 F. CARLSBAD CA 92008 FUND DOCUMENT This is to certify that we have issued a valid Worker s Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy IS n We will also g \epu rljn panrj»llatinnji)^Jhp Fiinri p«r.ppt upon 30 daFs*adv jnceVnotjce jhoujB^is |>oli|y be ttpn gntir.fj in the employer This certificate of insurance is not an insurance policy and does not amend extend or alter the coverage afforded by the policy listed heTBTTl llUlWLItet3|K>ngwny requiremaTCteafret c^flQfWn cnbyiUUIILrcitl.J^ ull|UI|UI|cument with respect to whiclrliisfcer|fil3ulo| insurance may bi isafed of t> whicri it rnliw)prfnli|t|iy|sur|nce afforded by the policy described heroins sabfeoAoMll umerms exclusim«/amU«)rraUiem9)i«r alien AUTHORIZED REPUPFICIAITSTATE STANDARD POLICY EXCLUSIONS: INDIVIDUAL EMPLOYERS, HUSBAND AND WIFE EMPLOYERS, EMPLOYED npyFTfffl tjHgBR CPL nT" iTjUWT-p-frTTD -JJITT Wgrji BBgiHTm TjltTftTT CALIFORNIA WORKERS EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 09-16-2004 IS ATTACHED TO AND FORMS A PART OF THIS POLICY OFFICIAL STATE FUND DOCUMENT EMPLOYER OFFICIAL STATE MY ANN DBA TURNER DOCUMENT TURNER, TED CRANE AND TURNER, TAMMY ANN DBA TURNER ELECTRIC SBI 3155 KAYNOb ESCONDIDO±1 Accept Ihis cectficsto oriy if you see a foul wateimaik (Mot reads OFFICIAL STATE FUND DOCUMENT" [NDSD] PRINTED 11 16-2004 PAGE 1 OF 1