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HomeMy WebLinkAbout1947 CAMINO VIDA ROBLE; 104; CB090241; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-12-2009 Electrical Permit Permit No CB090241 Building Inspection Request Line (760) 602-2725 Job Address 1947 CAMINO VIDA ROBLE CBAD St 104 Permit Type ELEC Status ISSUED Parcel No 2120921700 Lot# 0 Applied 02/12/2009 Entered By KG Reference* Plan Approved 02/12/2009 PC# Issued 02/12/2009 Project Title PALOMAR VENTURE-REPAIR Inspect Area DAMAGED METER PANEL HOUSING 200 AMP Applicant Owner A M LASALLE ROBINSON BETTY A TRUST 06-06-86 C/O MORRISON BROKERAGE SUITE M 1947 CAMINO VIDA ROBLE #104 300 ENTERPRISE 92029 CARLSBAD CA 92008 746-6414 Electric Issue Fee $1000 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 0 $0 00 Remodel Fee $1000 Temporary Service Fee $0 00 Test Meter Fee $0 00 Other Electrical Fees $0 00 Additional Fees $0 00 TOTAL PERMIT FEES $20 00 Total Fees $20 00 Total Payments To Date $20 00 Balance Due $0 00 FINAL APPROVAL Inspector ft* L&M^- Date ^/ O4/^ Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition of fees, dedications reservations or other exactions hereafter collectively referred to as 'fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes nor planning zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired City of Carlsbad 1635 Faraday Ave , Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www carlsbadca gov Building Permit Application Plan Check No Est Value Plan Ck Deposit JOB ADDRESS DESCRIPTION OF WORK Include Square Feet of Affected Area's) 3-b / EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC # PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NO D YES D NO D YES D NO D APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS NAME / ^- , -11AH /w? CH$ (I? . 1- /£*c.f77c $ A/a/tr//cc ADDRESS ' sj \j^0 &/L-~f~£/^{D/~/'e>£^ «5"7~ CITY _ 'STATE " ZIP PHONE ' FAX EMAIL STATE LIC » CUSS CITY BUS LIC ft ' C /6" if/«T%?.T c,-/<^ (iec 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 \ License law {Chapter 9 commending with Section 7000 ol Division 3 of the Business and Professions Code} or that he is exempt there from and the basis for the alleged exemption Any violation of Section 70] 15 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {5500}) Workers' Compensation Declaration / hereby affirm under penalty ot perjury one ol 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 I^T I have and will maintain workers.' compensation as requireiby 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 fa ^OfT^tLfJj. O^ -\rkj£^ (jjCL&f Policy No L,)£j} 1 I £3 <J ^ *?(-)<-> Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less LTI 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 Sectioj/3706 of the Labor code, interest and attorney s fees V ' CONTRACTOR SIGNATURE provided for in Sectioj/37 X^,W,DATE / hereby affirm that / am exempt from Contractors License Law lor 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 for sale II 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 propels with contractor(s) 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 O 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) to provide the proposed construction (include name address / phone / 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 / 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 / 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 25534 of the Presley Tanner Hazardous Substance Account Act' O 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 district9 d Yes CI No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site9 O Yes O 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 permrt is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address "SSfc-ti^tfv 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 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 stones 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 authonzed by such permit is not commenced within 180 days from the date of such permit w if the buildinaor work authonzed byysuch permit 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) bier.APPLICANT S SIGNATURE DATE t , City of Carlsbad Bldg Inspection Request For 02/13/2009 Permit* CB090241 Title PALOMAR VENTURE-REPAIR Description DAMAGED METER PANEL HOUSING 200 AMP Inspector Assignment 1947 CAMINO VIDA ROBLE 104 Lot 0 Type ELEC Sub Type Job Address Suite Location OWNER ROBINSON BETTY A TRUST 06-06-86 Owner Remarks DAMAGED METER REPLACEMENT Phone 7602502250 Inspector Total Time Requested By GARY Entered By CHRISTINE CD Description 34 Rough Electric Act Comments OF Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date * Description Act Insp Comments CITY OF CARLSBAD •« ELECTRIC AND GAS METER CLEARANCE INTER-DEPARTMENT ADDRESS: |^>4"7 <^AHl/4o V/lfc>A S E O Service Equipment Only YES NO Reason, If Denied ELECTRIC METER COMMERCIAL RESIDENCE NEW SERVICE YES RELOCATE NO TSPB TEMP P/P UP-GRADE TEST METER IRR PEDESTAL GAS METER COMMERCIAL YES RESIDENCE NO TEST METER Building Inspector Signature Date Time Called In By Date Time Called In To Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat Page 1 of 1 Department of Consumer Affairs »^.., fcbv Contractors State Licence Board^.***s Contractor's License Detail - License # 418433 t*\ 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 71._246) 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 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 418433 Extract Date 02/12/2009 Entity Issue Date Expire Date A M LA SALLE ELECTRIC INC 28-853 AVENIDA MARQUESA CATHEDRAL CITY, CA 92234 Business Phone Number (760) 328-1088 Corporation _°2/2_5/1_982_ ___ 02/28/2010 License Status This license is current and active All information below should be reviewed Classifications CLASS DESCRIPTION _C10 E.LECIRICAL D28 DOORS ...GATES ANP.ACTIVATING.PEVICES. Bonding CONTRACTOR'S BOND This license filed Contractor's Bond number 62799 in the amount of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY Effective Date 01/01/2007 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL The Responsible Managing Officer (RMO) ALVIN MORRIS LA SALLE 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 02/25/1982 The Responsible Managing Officer (RMO) GARY ANTHONY LA SALLE 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 04/22/2004 BOJ's:. Bonding History This license has workers compensation insurance with the Workers' Compensation Policy Number WSD21 6392901 Effective Date 10/01/2008 Expire Date 10/01/2009 Wj3Lkers.'_Co.rnpensa.tipn..Histqry Personnel List Cpoditionspf Use | Privacy.Pohcy Copyright © 2009 State of California http //www2 cslb ca gov/OnhneServices/CheckLicense/LicenseDetail asp 02/12/2009 Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat Page 1 of 1 Department of Consumer Affairs Contractors State LicenseBoard Contractor's License Detail - License # 418433 /'\ 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,.71_24 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...7.P.Z.1 ...1.7 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 418433 Extract Date 02/12/2009 Business Information Entity Issue Date Expire Date License Status A M LA SALLE ELECTRIC INC 28-853 AVENIDA MARQUESA CATHEDRAL CITY CA 92234 Business Phone Number (760) 328-1088 Corporation 02/25/1982 02/28/2010 This license is current and active All information below should be reviewed Classifications CLASS DESCRIPTION C10 D28 _ELECTRICAL DOORS1_GATES_.A.N.D.AC_IIVATING..DEyiCES Bonding CONTRACTOR'S BOND This license filed Contractor's Bond number 62799 in the amount of $12,500 with the bonding company AMERiCAN.CaNTR.ACLQRSJNDENlNJT_Y COMPANY Effective Date 01/01/2007 C_o_ntr_acior^_BQac}ing_H!SiQry BOND OF QUALIFYING INDIVIDUAL 1 The Responsible Managing Officer (RMO) ALVIN MORRIS LA SALLE 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 02/25/1982 2 The Responsible Managing Officer (RMO) GARY ANTHONY LA SALLE 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 04/22/2004 B_QLs.Bond.Lna.Histo.ry Workers' Compensation This license has workers compensation insurance with the INSURANCE ...COMPANY OF THE WEST Policy Number WSD216392901 Effective Date 10/01/2008 Expire Date 10/01/2009 Workers' Compensation History Personnel List Conditions, of Use | Privacy Policy Copyright © 2009 State of California http //www2 cslb ca gov/OnlmeServices/CheckLicense/LicenseDetail asp 02/12/2009