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HomeMy WebLinkAbout2173 SALK AVE; 200; CB102054; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-09-2010 Electrical Permit Permit No: CB102054 Building Inspection Request Line (760) 602-2725 Job Address: 2173 SALK AV CBAD St: 200 Permit Type: ELEC Status: ISSUED Parcel No: 2120210700 Lot#: 0 Applied: 11/04/2010 Entered By: KG Reference*: Plan Approved: 11/09/2010 PC#: Issued: 11/09/2010 Project Title: BEYOND TRUST-ADDITION OF Inspect Area: CONVENIENCE OUTLETS/2 NEW J-BOX Applicant: Owner: PRIME ELECTRIC RIO SD PLAZA II MASTER LLC C/O NEWPORT NATIONAL CORPORATION 480 ENTERPRISE ST 1525 FARADAY AVE #100 SAN MARCOS CA 92078 CARLSBAD CA 92008 760471-6634 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 0 $0.00 Remodel Fee $10.00 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/ f)Inspector: L^r ^ 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 "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 tees/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. Building Permit Appli< 1635 Faraday Ave., Carlsbad, CA N^ CITY OF 760-602-2717/2718/27 PAR I TOAD Fax:760-602-8558 V»»/»l\l— *JUr\lL*f www.carlsbadca.gov JOB ADDRESS CT/PROJECT # LOT # FtWSE # # OF UNITS # BEDROOMS Plan Check N<C U/ ^Jf)^fcation 92008 Est. ValuelaPlan Ck. Deposit Datejj-^j-^lo SWPP SUITE#/SPACE#/UNIT# APN SuUTQ- 2. CO - . - . - # BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCC. GROUP '^'E.'t'tiMVp TRAxST DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) A '4-' -JT ' 4\ -V- EXISTING USE PROPOS 0-ffic^ Of CONTACT NAME (Vf Different Font Applicant) ED USE GARAGE (SF) f ,' C«L ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS =&- .1 ^ t CITY STATE ZIP (_ iCWUV-S A op , C f^ 'T "2- OO z> PHONE ' FAX EMAIL ARCH/DESIGNER NAME & ADDRESS ~C>G:5 \fc»K»CO*~ «* STATE LIC. # PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESD # NOD YES D NO D YES D NOD APPLICANT NAME ADDRESS I M^MM C.olli^a.c^jooa. n>rij«i CITY 1 STATE • ZIP 3ft. n '^h\ J^ C O f *& £\Q,\ O^ PHONE " ' FAX 858 -~MM- ^2^ v3o2_ EMAIL CONTRACTOR BUS. NAME P* R.vM.e 'ELue'cxn.i «LA.L. ?se«ixj L <-.e r AODRESS MS>O C^-t-^rprlst^ S-tr«t CITY m STATE ZIP PHONE FAX r~7 fe? o^) M"7 I - 6^- 3 H EMAIL -^ STATEJH^.*. x-, x-y , f'""7 CLASS CITl'PUf'jySif Xf7 >t"~S / (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 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 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: O Lbave 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 I have and will maintain workeraf compensation, as required by Section 3700 of the Labor Code, for the performance of the work fptwhisjUfe permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. OflpCtfgg- Policy No ^%ti &?*:>*'? ° / Expiration Date /«g-~/O This section need not be completed if the permit is for one hundred dollars ($100) or less. O Certificate of Exemption: I certify that in the performance of the work for whictjjhispermit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure tosecujxjiwckaislgompensation coveraje-lsunlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8.100,000), in addition to the cost of compen^cffiorTdamages as pro^jdajd fof in Section 3706 of the Labor code, interest and attorney's fees. .^ JS$ CONTRACTOR SIGNATURE -—'T" » <yCf " ~ ~ '• ' CjAOENT DATE (( I hereby affirm that I am exempt from Contractor's License Law for 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. 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). n 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). d 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. O Yes O No 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 work, but I have hired the following person to coordinate, supervise and provide the maj or work (include name / address /phone / contractors' license number): 5.1 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 OAGENT DATE Is the" applicant of 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? ElYes 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? O Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? d Yes G 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 permit is issued (Sec. 3097 (i) 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 .1 agree to comply witti all Ci^orelinances and State laws relating to building construction. 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 constnictbn of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of thispaoe 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 q|^H building 61 jwrk authorized by sup>permit is suspended or abandoned al any time after the work is commenced foe a period of 180 days (Section 106.4.4 Uniform Building Code). ^APPLICANT'S SIGNATURE UNSCHEDULED Development Services BUILDING Building Division CITY OF lamm-Ai-iAii 1635 Faraday Avenue ' Carlsbad CA 92008 . B-44 760-602-2700 DATE: vv.vUAO INSPECTOR: PERMIT*: vn'XOJS'A CONTACT: PHONE #: JOB ADDRESS: ^ ATX DESCRIPTION: CODE DESCRIPTION ACT COMMENTS . fcf Bldg inspection Form Page 1 of 1 Rev, 06/09 Check a License - Contractors State License Board Page 1 of 1 Department of Consumer Affairs Contractors State Li Contractor's License Detail - License # 818947 oard 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&PJ7124.6) 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&E,7,Q71.17 , 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 818947 Extract Date: 11/4/2010 PRIME ELECTRICAL SERVICES INC 480 ENTERPRISE STREET SAN MARCOS, CA 92078 Entity: _ _ Corporation ...Issue Date " 04/18/2p03_ Jxpjrejate______ 04/30/201J License Status This license is current and active. All information below should be reviewed. ^AddHtotuUStatus: CLASS DESCRIPTIONClassifications:_cip_ .ILECJIBJCAJ, _ CONTRACTOR'S BOND This license filed Contractor's Bond number 763105C in the amount of $12,500 with the bonding companyDmELQEms.mB£jy.mDjmmBm..cQMPmy. Effective Date: 01/01/2009 ContractQr's,BoD.dlD.Q, .History Bonding: """"""" '"" ' "BOND OF QUALIFYING INDIVIDUAL 1. The Responsible Managing Officer (RMO) HARRIS JAMES LOUIS 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: 04/18/2003 BQI's Bonding History This license has workers compensation insurance with the CYPRESS INSURANCE COMPANY Policy Number:3380008353091 Workers'Compensation: _„ . ..„,„..,„„„„Effective Date: 12/01/2009 Expire Date: 12/01/2010 Workers' Compensation History Personnel listed on this license (current or disassociated) are listed on other licenses. BBBBi .C.Qnd..!.tio.o..s.o.l.Use | Piiyacy._Policy. 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