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HomeMy WebLinkAbout2100 COSTA DEL MAR RD; ; CB110192; Permit01-26-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB110192 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: BERG ELECTRIC 2100 COSTA DEL MAR RD CBAD ELEC 0000000000 Lot #: LA COSTA RESORT INSTALL 200 AMP SUBPANEL W/ XFORMER ( Owner: KSL Status: ISSUED Applied: 01/26/2011 Entered By: MDP Plan Approved: 01/26/2011 Issued: 01/26/2011 Inspect Area: PD POINSETTIA 650 OPPER ST ESCONDIDO CA 92029 760-746-1003 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 0 0 0 200 $|0.00 $0.00 $6.00 $0,00 $5Q'.QO$po $100$6.00 $0.00 $0.00 TOTAL PERMIT FEES $60.00 Total Fees:$60.00 Total Payments To Date:$60.00 Balance Due:$0.00 Inspector:--, FINAL APPROVAL Date: 7 - "7 ' V 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 Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 wvinw.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date JOB ADDRESS 2100 Costa Del Mar, Carlsbad, C A 92009 SUITE#/SPACE#/UNIT# CT/PROJECT ## OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Installation of new electrical in ballroom, Installation of new breaker, transformer and panel in electrical room. Installation of new circuits on walls in ballroom feed from new panel in electrical room. EXISTING USE Ballroom PROPOSED USE Ballroom GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING YES[71NO| | FIRE SPRINKLERS YES [7] N0| | CONTACT NAME (If Different Fom Applicant)APPLICANT NAME Carlos Vidaurri ADDRESS ADDRESS 650 Opper Street CITY STATE ZIP CITY Escondido STATE CA ZIP 92029 PHONE FAX PHONE 760-746-1003 FAX 760-746-0675 EMAIL EMAIL Gvidaurri@bergelectriG.com PROPERTY OWNER NAME KSI Resorts CONTRACTOR BUS. NAME Berqelectric Corporation ADDRESS 50-905 Avenida Bermudas ADDRESS 650 Opper Street CITY LaQuinta STATE CA ZIP 92253 CITY Escondido STATE CA ZIP 92029 PHONE 760-564-8029 FAX 760-564-8007 PHONE 760-7464003 FAX 760-746-0675 EMAIL EMAIL ARCH/DESIGNER NAMES ADDRESS STATE LIC. # C10-85046 CLASS CITY BU (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 issnance, also requires theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: L_j 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. l/J I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the wort for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co :: : "•': ': ' Travelers Insurance : : ! | p0|jcy N0i VTC2JUB9494A68308 Expiration Date ' •• • \ mm This section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the performance of the wort for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. >£$" CONTRACTOR SIGNATURE AGENT DATE / hereby affirm that I am exempt from Contractor's License Law for the following reason: [ | 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). I | 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 contractors) licensed pursuant to the Contractor's License Law). I am exempt under Section __Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. I [Yes I iNo 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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): 5.1 will provide some of the wort, but I have contracted (hired) the following persons to provide the wort indicated (include name / address / phone / type of wort): ^"PROPERTY OWNER SIGNATURE []AGENT 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? I I Yes I / iNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or ainjuality management district? I JYes [71 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I JYes F/lNo 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 permit is issued (Sec. 3097 (i) Civil Code). Lender's Name •: • . , Lender's Address OSHA: An OSHA permit is required for excavations over 50 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 perniit is not commenced within ^APPLICANT'S SIGNATURE I 'L-DATE I City of Carlsbad Bldg Inspection Request For: 02/03/2011 Permit* CB110192 Title: LA COSTA RESORT Description: INSTALL 200 AMP SUBPANEL VW XFORMER POINSETTIA BALL ROOM Type: ELEC Sub Type: Job Address: 2100 COSTA DEL MAR RD Suite: Lot: 0 Location: APPLICANT BERG ELECTRIC Owner: Remarks: Inspector Assignment: PD Phone: 7604986677 Inspect Total Time: CD Description 34 Rough Electric Act Comments Requested By: JEFF Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments 01/27/2011 34 Rough Electric PA PD Check a License - Contractors State License Board Page 1 of2 Of Contractors State License Board Contractor's License Detail - License # 85046 eta 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 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 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 jB5046_ BERGELlCTRIC CORP P O BOX 45029 LOS ANGELES, CA 90045-0029 Extract Date: 1/26/2011 JExpireJDate__ License Status Additional Status: Classifications: Bonding: This license is current and active. All information below should be reviewed. CONTRACTOR'S BOND This license filed Contractor's Bond number 3939780 in the amount of $12,500 with the bonding company HARIFQRD.ACCJDENIANmNDEMNJIY.CQMPANY, Effective Date: 01/01/2007 Contractoj^s^gorjdjnojjisjojy^ BOND OF QUALIFYING INDIVIDUAL 1. This license filed Bond of Qualifying Individual number 72BSBAD4376 for POWELL HOWARD ALVA JR in the amount of $12,500 with the bonding company HARTFORD FIRE INSURANCE COMPANY. Effective Date: 01/01/2007 Cancellation Date: 02/27/2011 2. 3. The Responsible Managing Officer (RMO) BRISCOE JOHN ROBERT 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: 01/01/1980 BQI's Bonding History This license filed Bond of Qualifying Individual number 72BSBAD4375 for SHAW ROBERT MILES in the amount of $12,500 with the bonding company HARTFORD FIRE INSURANCE COMPANY. Effective Date: 01/01/2007 https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=8... 01/26/2011 Check a License - Contractors State License Board Page 2 of2 Cancellation Date: 02/27/2011 BQI's Bonding History Workers' Compensation: This license has workers compensation insurance with the TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy Number:VTC2JUB9494A68310 Effective Date: 07/01/2010 Expire Date: 07/01/2011 Workers' Compensation History Personnel listed on this license (current or disassociated) are listed on other licenses. Conditions of Use | Prh@cy...P.Qiicy Copyright © 2016 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=8... 01/26/2011