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HomeMy WebLinkAbout2421 BUENA VISTA CIR; ; CB100419; Permit03-09-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB100419 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: R K HOME REPAIR 2421 BUENA VISTA CR CBAD ELEC Status: 1552211700 Lot#: 0 Applied: Entered By: Plan Approved: Issued: KENNY RES- REPLACE 100 AMP Inspect Area: ELECTRIC PANEL W7 NEW 200 AMP PANEL-SAME LOCATION Owner: STE2 3031 STANFOR RANCH RD #115 95765 916624-4424 ISSUED 03/09/2010 RMA 03/09/2010 03/09/2010 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 0 100 $10.00 $0.00 $0.00 $0.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $35.00 Total Fees:$35.00 Total Payments To Date:$35.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date: V /j Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You nave 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. /tf?w> Building Permit A| V^^-'^ 1635 Faraday Ave., Carlsba ^" CITY OF 760-602-2717/2718 /"- A D 1 CD A H* Fax: 76°-602-85 L.AKLbDAU www.carlsbadca.t JOB ADDRESS - , r2^*t'2i I/ M-£.*\& \/ 1 5 ft*" C-4-^^-- CT/PROJECT* LOT* PHASE* # OF UNITS # BEDROOMS Plication Plan Check No. Qfl 10 0 ^//<?ppiiCQiion • / j, CA 92008 Est. Value '/ //iy58 Plan Ck. Deposit m Date J /^ ///r> /^ SUITE#/SPACE#/UNIT# APN ( ' # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) „.- A ^ "• EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAMEL-^/bc 4 <-/Vl2ov- lA^NrnAy ADDRESS / / CITY STATE ZIP PHOfJE ,* • FAX *-/-$*-}'' ^j i '2—'" k^\ ~^i-4 EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES O # NO D YES D NO D YES D NO D APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS. NAME /} y f. /? . — ^. ADDRESS -, COX' STATE ZIP PHONE FAX EMAIL, ' >7^/<5rjl7H-:Vvi£?*V; j8,-^3r; Oio^*H-^ N*^" ^ p ^ STATE LIC.# CLASS CITV BUS. LIC.*fl /) 1 (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 issjfenJeTalso 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 j.Chapter 9, commending with Secnpn 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 acivil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations'. O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co.-Ty-vV^g V^*i& Policy No.^ I %> '£<?t<V»7tV C1 Expiration Date ^~-1 - "^) t? This section need not be completed if the permit is for one hundred dollars ($ 100) or less. Q 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, cMmagps afiprovide&Mr in Sectjpn 3706 of the Labor code, interest and attorney's fees. ^CONTRACTORSIGNATURE //^\_ yL4J/fifCt<T-~~ ~~~~ OAGENT DATE ^ "'tf I hereby affirm that I am exempt from Contractor's License Law lor the following reason: d 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). D 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). n 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. Q Yes G 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 major 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 (indude name / address / phone / type of work): vfifpROPERTY OWNER SIGNATURE OAGENT DATE •'$ fe c r rft'fi ".-F o a. -1»»**i - R*« i D;E:*f T i fci B «i L a in G \s the applicant or future bailding 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? CJ Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? d Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes CJ 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 afar ru CA N .*; I certify that I have read the application and state that ttie above information is correct and that the infoimatkm on the plans is accurate J agree to comply with all C^ I hereby aulhorize representative of Hie City of Carbbad 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 authorized by such permit is not commenced within 1 80 days from (he date of such permit or Mie buidog or work ailfafarized IsuchjjgiinitHS suspended or abandoned at any time after the work is commenced for a period of 1 80 days (Section 106.4.4 Uniform Building Code). ^ APPLICANT'S SIGNATURE DATE " / ^ City of Carlsbad Bldg Inspection Request For: 03/10/2010 A Permit* CB100419 Title: KENNY RES-REPLACE 100 AMP Inspector Assignment: Description. ELECTRIC PANEL VW NEW 200 AMP PANEL-SAME LOCATION Type: ELEC Sub Type: Job Address. 2421 BUENA VISTA CR Suite: Lot: 0 Location: APPLICANT RK HOME REPAIR Owner: FIKES FAMILY LIVING TRUST Remarks: Phone: 9167430143 Inspector: Total Time: CD Description 33 Service Change/Upgrade Act Comments Af- Requested By: NA Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 7;BEST COPY SDGj »SempnEooxyuMy* on inspection ELECTRIC OVERHEAD METER & SERVICE LOCATION Customer Copy swvteTyprOHSwviceRewingReettacliatWfH CustmrType: Residential T.B. 1106-D5 DatoPnpamd: 02/10/2010 PnojicJNo: 051684 Job Mo: CIO PNjMfRfe KENNY RESIDENCE (SOT-NP) Pn»«AittMK 2421 BNAVISCR CARLBAD CM** RJCKNBDHARDT CortKt Phone* 916-743-0143 &BCMa«on/BMna«lmMAMnfeRi4iMBy SarfctAiadimnt Point tndfaMttMLocaion: Customers easting point ofataehmenl on Hie WESTwafl at fte SW comer b acceptable. Locate 200 amp meter panel at existing panel location. NOTE: Contact telephone company to remove their point ofattaUinieiit from SOG4E riser Jf fhey are attached. 1-800-411-7343 By City of Carlsbad icrmbii 24 houn j»i day. Mtkjnna«ttetae«trtina«atoaiMfiwcfa^pefert^haartoasordang«eus CMtfNon. PiwidB3*XM. f*i*nu«i d» and h»* woWng $p»oe in font of mrttt. V*»w mrtir nxxn fc pxipoaidiOonlKltwplanntrattfia nNmtSDGaEofloo. idmttid wXh «M«w and unit number t wnw. 7t1-1«9 Pnowto ICnimum Groool CtMwmOR 10 FT From bottom of drip loop at serv 12 FT Over driveway or parking area 18 FT AtoutwHnirtofvehtajlartraffic 2 FT Minimum rigid riser above reef I ShrtMNuntar P121502 ipoMofatUchraent Smiw Rmrt Rating: 200 •efVWras: 3 PhaM: Single Votage: 120/240 LiaiiM Uannwm ConAufen To Faut Cwwrt 10000 An^s MM*** S«ir-Containcd Meter C%^ 4 r«np S«viM Owg* Ou« on FM N $ Q KghtcNoy Required AMOMOfs Rarort Number Please cal your Service Coordinator Wendy Jensen at 760-476-5611 with questions about application, inspection, construction installatkm and to schedule a crew. UMSAHIGGMS T«»phone: Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat... Page 1 of 1 yr Department of Consumer Affairs •'**• t - feov Contractors State License feoard Contractor's License Detail - License # 763638 tim 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 J124,6_). 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. ii> Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number: Business Information: Entity: Issue Date: Reissue Date: Expire Date: License Status: Classifications: Bonding: Workers' Compensation: Miscellaneous Information: 763638 Extract Date: 03/09/2010 R K HOME REPAIR INC 3031 STANFORD RANCH ROAD #115 SUITE 2 ROCKLIN, CA 95765 Business Phone Number: (916) 624-4424 Corporation 05/27/1999 05/31/2001 05/31/2011 This license is current and active. All information below should be reviewed. CLASS DESCRIPTION GENERAL ByiLDINGCONIRACIQR CONTRACTOR'S BOND This license filed Contractor's Bond number 9040289 in the amount of $12,500 with the bonding company AMERICAN CONTRACIORSjNDEMNITY COMPANY. Effective Date: 01/01/2007 Contractor's Bonding. History BOND OF QUALIFYING INDIVIDUAL 1. The Responsible Managing Officer (RMO) FREDERICK JOHN NEIDHARDT 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: 05/31/2001 This license has workers compensation insurance with the SJAIE COMPENSATION INSURANCE FUND Policy Number: 713-0019340 Effective Date: 05/01/2007 Expire Date: 05/01/2010 Workers' ComRensiti_Qn.Hjstpry 05/31/2001 DESCRIPTION LICENSE REISSUED TO ANOTHER ENTITY Personnel List Conditions of Use | Privacy Policy Copyright © 2010 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicense/LicenseDetail.asp 03/09/2010