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HomeMy WebLinkAbout1808 ASTON AVE; ; CB053298; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Q9-20-2005 Electrical Permit Permit No: CB053298 Building Inspection Request Line (760) 602-2725 Job Address: 1808 ASTON AV CBAD Permit Type: ELEC Status: PENDING Parcel No: 2121200700 Lot#: 0 Applied: 09/20/2005 Entered By: LSM Reference #: Plan Approved: Issued: Project Title: CONVERA-ADD 2 NEW PANELS Inspect Area: NO WIRING DOWNSTREAM OF PANELS Applicant: Owner: BERG ELECTRIC M C R 6212 L L C C/0 GUY MCROSKEY 650 OPPER ST 1808 ASTON AVE #295 ESCONDIDO CA 92029 CARLSBAD CA 92008 760-746-1003 Electric Issue Fee $10.00 Single Phase per AMP 0 $0.00 Three Phase per AMP 0 $0.00 Three Phase 480 Per AMP 0 $0.00 Remodel/Alteration per AMP 625 $156.25 Remodel Fee $0.00 Temporary Service Fee $0.00 Test Meter Fee $0.00 Other Electrical Fees $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $166.25 Total Fees: $166.25 Total Payments To Date: $166.25 Balance Due: $0.00 PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M,C. 18.04.030 DATE q/(j (ffi>SIGNATURE Q. FINAL APPROVAL Inspector: 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 lees/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 oreviousrv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise exoired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By _ Date RMATION * A6VQ/1 AvfP C Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Phase No.Total # of units City D Owner State/Zip Telephones D Agent for Owner Faxff Address City State/Zip Telephone # Name Address City State/Zip Telephone # 5. 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, 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 apv applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). Name J State License #Ao~yt Address License Class City State/Zip City Business License #. Telehone # Designer Name J Address City State/Zip Telephone* State License # SkRWOiRKER'S COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 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 £-& (~\ C-JS. Policy No. j-Oj^L, "S V? ?Q loLCOExpiralion Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) n 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 dollarsf $100,000), irnaddHlorWo tmtf ost of competition, damages are provided for in Section 3706 of the Labor Code, interest and attorney's fees.. SIGNATURE DATE s fees., /4 f~io [o 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. 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). 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 properly who builds or improves thereon, and contracts for such projects with contractors) 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 materials 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 Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? n 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 1,000 feet of the outer boundary of a school site? d 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 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 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 a II 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 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 anytime after the work is commenced for a period pf 180 days ^Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE U M-/——r^-"-3? >^-— ^ ~y_ DATE . WHITE: File YELLOW: Applicant PINK: Finance Bergeiectric Corp. • Contractors & Engineers JOB LOCATION QATE www.bergelectric.com SHEET 2 >_z<2> & u: 3^_ CA&&+ 650 Opper Street, Escondido, CA 92029, Lie #C10-85046, Phone(760) 746-1003 Fax(760) 746-0675 License Detail Pagel of 2 California Home Thursday, Sepiem License Detail Contractor License # 85046 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 7071,17, 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 ont Board's license data base. * * * Extract Date: 09/08/2005 Business Information * * * BERGELECTRIC CORP P O BOX 45029 LOS ANGELES, CA 90045-0029 Business Phone Number: (310) 337-1377 Entity: Corporation Issue Date: 03/11/1946 Expire Date: 02/28/2007 * * *License Status * * This license is current and active. All information below should be reviewed. * * *Classifications * * * Class Description C10 ELECTRICAL GENERAL ENGINEERING CONTRACTOR B GENERAL BUILDING CONTRACTOR * * *Bonding Information * * * http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 09/08/2005 License Detail Page 2 of 2 CONTRACTOR'S BOND: This license filed Contractor's Bond number 3939780 in the arr $10,000 with the bonding company HARTFORD ACCIDENT AND INDEMNITY COMPANY. Effective Date: 01/01/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): This license filed Bond of Qualifying Individual i 72BSBAD4376 for HOWARD ALVA POWELL JR in the amount of $7,500 with the bon company HARTFORD FIRE INSURANCE COMPANY. Effective Date: 02/27/2002 BOND OF QUALIFYING INDIVIDUAL^): The Responsible Managing Officer (RMO) J< ROBERT BRISCOE certified that he/she owns 10 percent or more of the voting stock/equi corporation. A bond of qualifying individual is not required. Effective Date: 01/01/1980 BOND OF QUALIFYING INDIVIDUAL^): This license filed Bond of Qualifying Individual i 72BSBAD4375 for ROBERT MILES SHAW in the amount of $7,500 with the bonding coi HARTFQRD_F|RE INSURANCE COMPANY. Effective Date: 02/27/2002 * * * Workers Compensation Information * * * This license has workers compensation insurance with the ZURICH AMERICAN INSURANCE COMPANY (4581-5) Policy Number: WC367701200 Effective Date: 07/01/2005 Expire Date: 07/01/200* Workers Compensation History Personnel listed on this license (current or disassociated) are listed on other licei P_erspjjjieJ_Ljst Other Licenses •License Number Request • Contractor Name Request • Personnel Name Request: '. 1 •—;—^ ---..— _.-..--_.--— j • •• • — •Salesperson Request I Salesperson Name Request—L:.:,,,^,,.: : 1 ••-•--•""---" • • — © 2005 State of California. Conditions of Use Privacy Policy http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 09/08/2005