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Home My WebLink About2618 EL CAMINO REAL; ; CB090562; Permit04-03-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB090562 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2618 EL CAMINO REAL CBAD St TP ELEC 1670307700 Lot# HENRY'S MARKET- 200 AMP TEMP POWER POLE Applicant POWER PLUS 436 N QUINCE ST ESCONDIDO CA 92025 760 839-9430 Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/03/2009 LSM 04/03/2009 04/03/2009 Owner VANDERBURG LIVING TRUST 08-22-90 C/O HUGHES INVESTMENTS - MANAGER P O BOX 8700 NEWPORT BEACH CA 92658 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 200 0 0 0 $1000 $5000 $000 $000 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $6000 Total Fees $60 00 Total Payments To Date $60 00 Balance Due $000 J_ Inspector FINAL APPROVAL Date y "2)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 FararJay Ave, Carlsbad, CA 92008 760-602-2717/ 2718/2719 Fax 760-602-8558 Building Permit Application Plan Check No. Est. Value Plan Ck. Deposit Date •//a/eg JOB ADDRESS CT/PROJECT # LOT* ' PHASE* JI/AiC ££*C ^ SUITE#/SPACE#/UNIT# APN # OF UNITS # BEDROOMS ((BATHROOMS TENANT BUSINESS NAME _ TYPE OF CONST OCC GROUP DESCRIPTION OF WORK (Please describe present use and proposed use) *5ET ^OCiA 2.4OI/ I/O TEMP MaTBt^ BUILDING AREA (SF) ADDITION AREA (SF) ' GARAGE (SF) PATIOS (SF) CONTACT NAME (It Different Font Applicant) ADDRESS CITY PHONE EMAIL STATE ZIP FAX OWNER NAMExj Q ADDRESS CITY PHONE EMAIL ARCH/DESIGNER NAME & ADDRESS STATE ZIP FAX STATE LIC # DECKS (SF) FIREPLACE AIF YES D # NO a APPLICANT NAME I CONDITIONING FIRE SPRINKLERS YES D NO D YES D NO a ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS NAME rx ^ ADDRESS CITY STATE ZIP ^5£0AJ0//?0 Cfr 47,2.0.2.5 PHONE FA) EMAJL STATE LIC # CI1 523S«te < f , COrt YBUS LIC# / 3-O6? *>-5 5~" fee. 7031S Business and Professions Code Any dry or County which requires a permit to construct, alter, impro»ek demolish or repair any structure, prior to its issuance, alsp requires die applicant for such permit to file a signed statement that he islicensed nursuant to die provisions of die Contractor's license Law {Chapter 9, commending with Section 7000 of Division 3 of die Business and Professions Code} or that he is eumpt therefrom, and die basis for the alleged eiempDon Any violation ofSection 7031S by any applicant for a permit subjects the applicant to a ovB penalty of not more than five hundred dollars {$500}) Worker*' Compensation Declaration thereby affirm under penalty of per/ury one of the following declarations Sjjiave 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 1-3 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 earner and policy 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 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 addition to the cost of compeniatlon, damages u provided far In Section 3706 of the Labor code, Interest and attorney's feet &uoMb*-^\ DATE y-5->JEf CONTRACTOR SIGNATURE OWN E R - B U 1 L D E R D E C L A R A T ION / 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) 0 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) 1I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the mapr labor and matenals for construction of the proposed property improvement OYes ONo 2.1 (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 I contractors' license number) 4 I 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 I 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 DATE : P e.n M i T * ONLY Is the applicant or future building occupant required to submit a business plan acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505 25533 or 25534 of thePresley Tanner Hazardous Substance Account Act? O Yes Q 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 O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes D 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 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 I agree to comply with all City ordinances and State laws relating to buildingconstruction I hereby authonze representative of the City 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 S'O' 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 180 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) ^APPLICANT'S SIGNATURE &{M.0J A*L*~+* DATE 4/- ^ City of Carlsbad Bldg Inspection Request For 04/21/2009 Permit* CB090562 Title HENRY'S MARKET- 200 AMP TEMP Description POWER POLE Inspector Assignment PD 2618 ELCAMINOREAL TP Lot 0 Type ELEC Sub Type Job Address Suite Location OWNER VANDERBURG LIVING TRUST 08-22-90 Owner VANDERBURG LIVING TRUST 08-22-90 Remarks Phone 7608399430, Inspecto, Total Time CD Description 32 Const Service/Agricultural Requested By MICHELE Entered By CHRISTINE Act Comments r fllL -fc Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 04/20/2009 32 Const Service/Agricultural CO PD INCOMPLETE Power Plus! Permit Application ADDRESS 2618 tp El Cammo Real CITY Carlsbad A P N LOT NUMBER Henry's Market JOB NAME #2139 JOB TYPE Commercial BUILDING, GRADING OR TRAILER PERMIT# CITY BUSINESS LICENSE EXPIRES OWNER INFOMATION NAME Centre Builders ADDRESS 2901 W MacArthur Blvd , Build #113, Santa Ana, Ca 92704 PHONE NUMBER 714424-0078 POWER PLUS' CONTRACTOR INFORMATION POWER PLUS' - S R BRAY CORPORATION 436 N QUINCE ST , ESCONDIDO, CA 92025 (760) 839-9430 FAX (760) 839-9436 CONTRACTORS LICENSE 523596 CLASS C61.C10&D31 EXPIRES JAN 31,2009 WORKERS COMPENSATION INFORMATION PROVIDER OLD REPUBLIC GENERAL INSURANCE POLICEY NUMBER AICG37450801 EXPIRES MARCH 31, 2009_ ^1° WORK TO BE DONE Install a 200amp temp power pole lUt 11 d.6 Hll UIIT ur M/>R/31/2009/TUE 11 IS PM COI CD O DueCDo. 03 IPaneles 3Q) CO ro<? § £zn> ? <= I t ^S S^ a S s 1 13 £ O 1. i. - I (§)AMPault Cu0 _^ 1Z o talderdas.tal-.f c??T CD => io=s^-n>^^tiif if i|pslili sn>a>CDS"DS^0) 5S3.S-^|S-^, rvj — »• -a Meterandandber ieter serviceerve891 as Iss = f If i! § a 5 =ITS JEf-iadf. a <D Q) ;=. —as-* i S O> __. -b.afo <D ™ 3 fllf--rie lg spt s,±3 o^ ia§i|| 1 -3 i»lali!Ill ^ S 8 s3- m^ o. <o § 8 2-^3- 3^ 3) 01i E'S^5 S3£= •" » i =. — CD (D 1 2<»O- -a(0 S i 1 £ a3 -a jo. 01 ^"-i — o to05-3< o =; tos-s -? S-3-8 3233?* 2-5? o CO Dl-5-a S 3 5 3- as 5 3 1 2«ft-f O ^ Q> -< ljj.3 3?|s«3! °"«i = o £• Hill 3 5 ** — Ma™ sr j>3^•2-5 = 3 I-0-?-3-,?-g co| n, ? (D O 3 X _ 5?illiil-«i0) -« = 3" = S" o = «|S a ject§•empra Ented Date OTRENCHSTypeO o>CO 3r>(D S1 1 m mo ^o czDmnOnOCzo hil eous orhazari =! w 2 S:<B g:fi> s S: 3 q & !M 0)•a•a_ o£U speci* a S ^3 O CQ <D 3o ao ^o ^ Q. ^35 Ea> sa^ s. o s= if *•_ ^ C/)8 Q. a= •< s a* so=53 QJ c=— r"^ 3 W -^|=r o>§ 6.= atat —»• SSo ~ 2— > SS oo (D S m m (0m om oo 5 O>6CO S.R.IBAYCOBP January 21, 2009 S.R. Bray Corp DBA Power Plus does hereby authorize Jennifer Cole, Ron Belanger, Ricky Rivero, and Michelle Scott, representatives from Power Plus to sign permit applications and otherwise obtain permits for all cities and counties. Tax ID # 33-0232309 Thank You, Steve Bray, CEO S R Bray, Inc , d b a Power Plus' 1005 N Edward Ct Anaheim, CA 92806 Phone (714) 764-0020 Fax (714) 881-2544 Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat Page 1 of 2 Department of Consumer Affairs GOV Contractors State License Board Contractor's License Detail - License # 523596 /'\ 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 s CSLB complaint disclosure is restricted by law (B&P..7.124...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 523596 Extract Date 04/03/2009 Business Information S R BRAY CORP DBA POWER PLUS TEMPORARY UTILITY SERVICES 34 PLAZA SQUARE ORANGE CA 92866 Business Phone Number (714) 764 0020 Entity Issue Date Expire Date License Status Classifications Corporation 01/28/1988 01/31/2010 This license is current and active All information below should be reviewed D31 DESCRIPTION POLE INSTALLATION AND MAINTENANCE C10 B ELECTRICAL GENERAL BUILDING CONTRACTOR CONTRACTOR'S 1OND This license filed Contractor's Bond number 951658C in the amount of $12,500 with the bonding company INDEMNITY COMPANY OF. C.ALI.FQRNJA Effective Date 01/01/2007 C_Q.ntra_ct_QLS_Bpnding History Bonding BOND OF QUALIFYING INDIVIDUAL This license filed Bond of Qualifying Individual number 100027722 for CHRISTIAN MONTELL DE WITT in the amount of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY Effective Date 07/05/2007 BQI s_Bond..!.ng._HistQry The Responsible Managing Officer (RMO) STEVEN RONALD BRAY 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 Workers Compensation This license has workers compensation insurance with the OLJ2JLEPUBLIC GENERAL INSURANCE CORPORATION Policy Number A1CW37450801 Effective Date 03/31/2008 Expire Date 03/31/2009 https //www2 cslb ca gov/OnlmeServices/CheckLicense/LicenseDetail asp 04/03/2009