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Home My WebLink About2295 CAMEO RD; ; CB991650; Permit04/29/1999 City of Carlsbad Electrical Permit Permit No:CB991650 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2295 CAMEO RD CBAD ELEC 1670804000 Lot#: VREDENBURGH RESIDENCE REPLACE RUSTED SERVICE CAN Applicant: MORE POWER ELECTRIC STEE 8878 CLAIREMONT MESA BLVD SAN DIEGO CA 92123 619-566-1363 Status: ISSUED Applied: 04/29/1999 Entered By: MDP Plan Approved: 04/29/1999 Issued: 04/29/1999 Inspect Area: 9175 04/29/99 0001 01 02 JOSEPH M&ALISON G C-PRHT 20-00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AM Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees TOTAL PERMIT FEES 50.00 $0.00 $0.00 $20.00 Inspector: FINAL APPROVAL 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 capactiy 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 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATIONCITY OF CARLSBAD BUILDING DEPARTMENT2075 Las Palmas Dr., Carlsbad CA 92009(760)438-11611. PROJECT WTO FOR OFFICE USE ONLYPLAN CHECK NO.EST. VAL.Plan Ck. DepositValidated ByDateAddress (include Bldg/Suite *)SFftLegal DescriptionAssessor's Parcel fP.t/'wf^- fo<0AT*WDescription of Work Business Name (at this address)Lot No. Subdivision Name/Numberi . Existing Use , ~L /SQ. FT. ' #of Stories Unit No. Phase No.Proposed Use9 of Bedrooms Total # of unitsz~* of Bathrooms 2. CONTACT PEHSON(Hitff«m« from •ppicentl Name 3. APPLICANT 'filcomraotor Address City 'Q^w1i^r:T^^i|^n^^OwriaTV" State/Zip Telephone f Fax # Name Address City State/Zip Telephone # OPERTY OWNER ' i Address City State/Zip Telephone fName 6. "'CONTRACTOR- COMPANY NAME : '-:-;•>•; -:-.-- >„>_ •-> •-. : „.-•• . -• ,-.-^~^-:^r^^:^.,.i^..~j.:^-^^'.J^-.^ -.r-l. -K^..,*.. ,. • ,- - (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 Professions Code] or that ha 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 I$5001). Name State License # AJl/ Address License Class City State/Zip City Business License # VjjnTelephone * Designer Name Address City State/Zip Telephone State License # 6. WORKERS'COMPENSATION 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. S— I have and will maintain workers' compensation, as required.by Section 3700 of the Labor Code, for the performance of the work for wNch this permit is issued. My worker's compensation insurance earner and policy number are: Insurance Company C t<MC Pn«/9 Policy No. 2-1^^ U*"T flflfW? expiration Date °( ~ °f' &> ° (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [S100] OR LESS) n 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: FaHure to secure workers' compensation coverage la unlawful, and shall subject an employer to criminal penalties and dvU 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. SIGNATURE DATE 7. OWNER-BUILDER DECLARATION . I hereby affirm that I am exempt from the Contractor's License Law for the following reason: G I, as o)vner 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 himsetrsrthrough 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 or-completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). Q 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 nclNaDply 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 L«X Q I am exempt under Section ^XJusiness end Professions Code for this reason: 1. I personally plan to provide the major labor and matatjals for construction of the proposed property improvement. Q YES QNO 2. I (have / have not) signed an application for a building permitfor the proposed work. 3. I have contracted with the following person {firm} to provide thepKjoosed 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 toSeqrdinate, supervise and provide the major work (include name / address / phone number / contractors license number): ^-s^ 5. I will provide some of the work, but I have contracted (hired) the following persons to provMethe work indicated (include name / address / phone number / type of work): ^x^ risk management and prevention PROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR NONJIESIDENTIAL BUILDING PERMITSSNLY Is the applicant or future building occupant required to submit s business plan, acutely hazardous materials registration program under Sections 25505, 25533 or 25534 of the Presley-Tenner Hazardous Substance Account Act? Q YES 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 constructed within 1,000 feet of the outer boundary of a school site? Q YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL 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. I 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 ^ / A LENDER'S ADDRESS 3. AFWCAIlffCEinTFICATlON ^ :.".:, ^-;^5£^^U^; ;™r*^r~. "•"' ' '' " . 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 representatives of the Crty 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 &nrf3snced within 365 days from the date of such permit or If the building or work authorized by such permit is suspended or abandoned at anytime after the work ft/ommenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE JQ OATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 5/3/99 Permit* CB991650 Title: VREDENBURGH RESIDENCE Description: REPLACE RUSTED SERVICE CAN Inspector Assignment: Type: ELEC Sub Type: Job Address: 2295 CAMEO RD Suite: Lot 0 Location: APPLICANT : MORE POWER ELECTRIC Owner: VREDENBURGH JOSEPH M&ALISON G Remarks: PM PLEASE Phone: 6195083762 Inspector: Total Time: CD Description 33 Service Change/Upgrade 39 Final Electrical Act Comments Requested By: STEVE Entered By: CHRISTINE Date Inspection History Description Act Insp Comments SD P.O. BOX 807, SAN FRAIMCISCO.CA 94101-0807 COMPENSATION INSURANCE I—LJND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 01-01-99 POLICY NUMBER: 229-99 UNIT 0017197 CERTIFICATE EXPIRES: 01-01-00 CONTRACTORS STATE LICENSE BOARD ATTN: WORKERS' COMP. UNIT BOX 26000 SACRAMENTO CA 95826 JOB: LIC #527973 INCEPTION DATE: 01-01-99 D.O.: SAN DIEGO This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer. We will also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance 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. PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,OOO,OOO.OO PER OCCURRENCE. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS* NOTICE EFFECTIVE 01/01/99 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER LEGAL NAME NOREPOWER ELECTRIC, INC SUITE E 8878 CLAIREMONT MESA BL SAN DIEGO CA 92123 MOREPOWER ELECTRIC. INC PRINTED: 12-18-98 P04Q9 SCIF 10265 (REV. 2-95)