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HomeMy WebLinkAbout1903 CASSIA RD; ; CB042150; Permit06-03> City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB042150 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type; Parcel No: Reference #: Project Title: 1903 CASSIA RDCBAD ELEC Lot#: MANZANITA APTS-100 AMP METERED PEDISTAL-IRRIGATION Status: ISSUED Applied: 06/03/2004 Entered By: RMA Plan Approved: 06/03/2004 Issued: 06/03/2004 Inspect Area: Applicant: CONTINENTAIL AMERICAN PROPERTIES SUITE #100 3990RUFFIN RD 92123 858-614-7200 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 TOTAL PERMIT FEES 100 0 0 0 $10.00 $25.00 $0.00 $0.00 $0.00 $0,00 $0.00 $0.00 $0.00 $0.00 $35.00 Total Fees: $35.00 Total Payments To Date:$0,00 Balance Due:$35.00 3547 06/03/04 0002 01 02 35-00 PERMIT APPLICATION CITY Of, CARLSBAD BUILDING^EPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. CS O V EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite #) «=\ 2^ l o 9 /fofarz^f /t Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #/oo Existing Use Proposed Use Description of Work SQ. FT.#of Stories * of Bedrooms # of Bathrooms Name Address liM^^qi^^^^l^'iCSMniiif! City '^iftKt "(or/jQwner; State/Zip Telephone Fax * Name Address City State/Zip Telephone * Name Address City State/Zip Telephone * (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 ProfesawnsrCpdel or that he is exempt therefrom, and the basts for the alleged exemption. Any violation of Section 7031.5 by any applicant lorj permit subjects the~appliB(mt to a civil penalty of not more than fivejiundred dollars [*500 ' Name State License # Address License Class City State/Zip City Business License *a i eifpnone t -U-U/ Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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: __ ^— Insurance Company2n.t£JtC-N flwUL^LDMy ,^j*A/i .tTft.il U C*-'Policy No. U^C^j (jffi-^ilg 'Oj Expiration Date > "O I ~~ ~~* (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNINO: FalhireHd secure/ftorket*' compensation covengej* unlawful, and shaH subject an employer to criminal penalties end civil fines up to one hundred thousand dollars \4ifeo.OOOj/js/addMyf to the cost of^comfmsatton, damage* as provided for in Section 3706 of the Labor code, interest and attorney's fees. DATE 6 - *$r~&~f 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 es their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business end 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 win have the burden of proving that he did not build or improve for the purpose of sale). Q I, as owner of the property, em 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). Q 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 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 2S534 of the Presley-Tanner Hazardous Substance Account Aot? G 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*cNonstructed within 1 ,000 feet of the outer boundary of a school site? Q YES Q NO IF ANY OF THE ANSWERS ARE YES, A RNAL 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. 1 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 t 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. 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 coramenced/Wjlhin 180 days from the date of suchjjermit or rf the building or work authorized by such permit is suspended or abandoned at any time after the work is coj^lnced j^a/per£d*3t 180 days (Sectoji-46c^4Uniform Building Code). f _ APPLICANT'S SiGNATl DATE WHITE: Rle YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request . For: 01/19/2005 Permit* CB042150 Title: MANZANITA APTS-100 AMP METERED Description: PEDISTAL-IRRIGATION Inspector Assignment: 1979 CASSIA RD Lot Type: ELEC Sub Type: Job Address: Suite: Location: APPLICANT CONTINENTAL AMERICAN PROPERTIES Owner: Remarks: Phone: 6197267591 Inspector: Total Time: CD Description 39 Final Electrical Act Comment Requested By: GABRIEL Entered By: KAREN Associated PCRs/CVs Inspection History Date Description Act Insp Comments S»p 24 O3 Monzoniti. Aortrne Cassia Road uiuniiiininimniiimiHHittiiiMi^ = ni OJ •sf (OOJ OJ X n;§)^ & i ooro\o \^ o.ow 0o > 03 n 0 1oa License Detail Page 1 of2 California Home Thursday, June 03, 2004 License Detail Contractor License # 324285 CALIFORNIA CONTRACTORS STATE LICENSE BOARD DISCLAIMER A license status check provides information taken from the CSLB license data base. 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 7071.17, only construction related civil judgments known 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 data base. Extract Date: 06/03/2004 * * * Business Information * * * CONTINENTAL AMERICAN PROPERTIES LTD 3990 RUFFINRDSTE 100 SAN DIEGO, CA 92123-1826 Business Phone Number: (858) 614-7200 Entity: Partnership Issue Date: 08/25/1976 Expire Date: 09/30/2005 License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * Class B Description GENERAL BUILDING CONTRACTOR * * ** * *Bonding Information CONTRACTOR'S BOND: This license filed Contractor's Bond number 1484182 in the http://www2.cslb.ca.gov/CSLB_LIBRARY/License+DetaiI.asp 06/03/2004 License Detail Page 2 of 2 amount of $10,000 with the bonding company INSURANCE COMPANY OF THE WEST. Effective Date: 01/01/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): This license filed Bond of Qualifying Individual number 1477940 for CAROL ANN FOX in the amount of $7,500 with the bonding company INSURANCE COMPANY OF THE WEST. Effective Date: 08/18/1996 BQI's Bonding History * * * Workers Compensation Information * * * This license has workers compensation insurance with the ZURICH AMERICAN INSURANCE COMPANY (4581-5) Policy Number: WC9299326-03 Effective Date: 01/01/2003 Expire Date: 01/01/2005 Workers Compensation History Personnel listed on this license (current or disassociated) are listed on other licenses. Personnel List Other Licenses License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request © 2003 State of California. Conditions of Use Privacy Policy http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 06/03/2004