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2040 CARACOL CT; ; CB072594; Permit
10-09-2007 I City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB072594 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title Applicant NEAL ELECTRIC 13250KIRKHAM WY 92064 858 513 2525 2040 CARACOL CT CBAD ELEC 2151202000 Lot# POWERS RESIDENCE UPGRADE SERVICE TO 200 AMPS Status Applied Entered By Plan Approved Issued Inspect Area Owner POWERS TANYA 2040 CARACOL CT CARLSBAD CA 92009 ISSUED 10/09/2007 MDP 10/09/2007 10/09/2007 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 100 0 0 0 $1000 $2500 $000 $000 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $3500 Total Fees $35 00 Total Payments To Date $35 00 Balance Due $000 Inspector! FINAL APPROVAL Date /O'fl'07 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 / 2721 Fax 760 602 8558 Building Permit Application Plan Check No Est Value Plan Ck Deposit Date (See 7031S Bunnesi and Professions Code Any City or County which requires i ptrmii to construct, alter improve dtmolnh or repair any structure, pnor to in issuance also requires the applicant for such permit to file a signed statement that he licensed pursuant to the provisions of the Contractors License Law {Chapter 9 commending with Section 7000 of Division 3 ol the Business and Professions Code} or that he is eumpt therefrom, and the basis for the alleged exemption Any violatioiSection 7031S by any apoliont for a permit lubiects the applicant to a mil penalty of not more than fin hundred dollan {$5001)wlation of Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations 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 have and will maintain workers compensation, as required by Section 3700 of the Labor Code' for the performance of the work forwrjjch this permit Is issued My workers compensation insurance earner and policy number are Insurance Co ^^Ji(CJr\ r\fY<(iX lC"CLj\ j_ Policy No hiC 2Pf-^Lf^Q\~ Qtp Expiration Date *f- i This section need not be completed if the permit is for one hundred dollars ($100) or less 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 compensatior/demages as provided for In Section 3JHf of the Labor code' interest and attorney s fees Jt£ CONTRACTOR SIGNATURE / hereby affirm that I am exempt from Contractors License Law for the following reason I as owner of the properly 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) 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) I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement Yes 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 wort 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 wort indicated (include name / address / phone / type of work) ^PROPERTY OWNER SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 10/11/2007 Permit# CB072594 Title POWERS RESIDENCE Description UPGRADE SERVICE TO 200 AMPS Inspector Assignment 2040 CARACOLCT Lot Type ELEC Sub Type Job Address Suite Location OWNER POWERS TANYA Owner HARTWIG DOUGLAS&NANCY Remarks Phone 619S434465 Inspe Total Time CD Description 34 Rouh Electric Act^, Comment S Requested By MARK Entered By JANEAN ?<?A Jl ^€ ' 1)1j (/ \~ i r.i^i/ MiV'vVJ V* _ \ A_ \ Comments/Notices/Holds x \\ ~ Associated PCRs/CVs Inspection History \^v . Original PC# ^ ACQRCl CERTIFICATE OF LIABILITY INSURANCE PRODUCER (952)707-8200 „ FAX (952)890-0535 Kraus-Anderson Risk & Management Services, Inc 420 Gateway Boulevard ' Burnsville, MN 55337-2790 INSURED Neal Electric Corp dba Nealectnc Inc 13250 Kirkham Way Poway, CA 92064 DATE (MM/DD/VYYY) 03/28/2007 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURER A Zurich American Insurance Compan INSURERS Scottsdale Insurance Co (Midwes INSURER c American Guarantee & Liability I INSURER D INSURER E NAIC# f : General) isurance Co COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSRLTR A C B A AODLNSRC TYPE OF INSURANCE GENERAL LIABILITY _x_ ~x~ X COMMERCIAL GENERAL LIABILITY ~ ] CLAIMS MADE | X | OCCUR Contractual Liab RR Exclus Removed GEN L AGGREGATE LIMIT APPLIES PER "H POLICY flTI JECT (TlLOC AUTOMOBILE LIABILITY X X X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS OARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY ~X~| OCCUR | ( CLAIMS MADE X DEDUCTIBLE RETENTION * 10, OOC WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If y«« describe under SPECIAL PROVISIONS below OTHER POLICY NUMBER GL0591924301-01 BAP5919244-01 UMS0021102 WC2990531-06 \ POLICY EFFECTIVEDATE IHM/nD/YYI 04/01/2007 04/01/2007 04/01/2007 04/01/2007 POLICY EXPIRATIONDATE (MM/DD/WI 04/01/2008 04/01/2008 04/01/2008 04/01/2008 LIMITS EACH OCCURRENCE DAMAGE TO RENTEDPRFMIRFR (Fa nmiranm} MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS COMP/OPAGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY EA ACCIDENT OTHER THAN EA ACC AUTO ONLY AGQ EACH OCCURRENCE AGGREGATE Y | WCSTATU- 1 IOTHA 1 TORY LIMITS 1 1 ER E L EACH ACCIDENT EL DISEASE EA EMPLOYEE EL DISEASE POLICY LIMIT * 1,000, OOC s 300, OOC s 10, OOC * 1,000, OOC * 2,000, OOC * 2,000, OOC 1,000,000 s s $ s $ $ * 10, 000, OOC * 10 ,000, OOC $ *t $ 1,000, OOC $ 1,000, OOC t 1,000, OOC DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ) o CERTIFICATE HOLDER CANCELLATION For Informational Purposes Only SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE j,^ (^ ^_ / Mark N Kampf /TAMMY ~t> ACORD 25 (2001/08)©ACORD CORPORATION 1988