HomeMy WebLinkAbout2720 AVALON AVE; ; CB031824; Permit" 1
07-03-2003
Job Address:
Permit Type: Parcel No:
Reference #:
Project Title:
ADDlicant:
DON BROTHWELL
21512 MID CREST
LAKE FOREST CA
92630 949-770-01 02
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request 'Line (760) 602-2725
Electrical Permit Permit No: CB031824
2780 AVALON AV CBAD
ELEC Status: ISSUED
1675620800 Lot #: 0 Applied: 07/03/2003
Plan Approved: 07/03/2003 Issued: 07/03/2003
Entered By: CB
BRIGHT RES-INSTALL 7 CAN LITES
SWITCH, MOVE SHOWER DRAIN&HOOD VENT-REPLACE
Inspect Area:
4f-
Owner:
DEADERICK DAVID&BESSIE 8894 07/03/03 m2 01 02 CGP 71.M)
2780 AVALON AVE
CARLSBAD CA 92008
Electric Issue Fee
Single Phase per AMP
Three Phase per AMP Three Phase 480 Per AMP
RemodelIAlteration per AMP
Remodel Fee
Temporary Service Fee
Test Meter Fee
Other Electrical Fees Additional Fees
$10.00
$0.00
$0.00 $0.00 $0.00 $10.00
$0.00
$0.00
$51 .OO
$0.00
TOTAL PERMIT FEES $71 .oo
Total Fees: $71 .OO Total Payments To Date: $0.00 Balance Due: $71 .oo
Inspector: A Date: Clearance:
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of tees, dedications, reservations, or other exactions hereatler collectively
referred to as 'feesiexactions." You have 90 days from the date this permit was issued to protest imposition of these feesiexactions. 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 feesiexactions DOES NOT APPLY to water and sewer connection tees 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 an
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK ~0jW331 BSf
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit
Validated By/*-
Date ?-2e3
Legal Description Lot No. Subdivision NamslNumber Unit NO. Phase No. Total X of units
r
StatelZip Telephone X
IS%. 7031 .S Businsor and Professions Code: Any City or County Which requires a permit to COnStrUCt. alter, improve. demolish or repair any structure, prior to its
iswance, also requires the applicant for such permit to fila a signed statement that ha is iicensad pursuant to the provisions of the Contractor's License Law
IChaptsr 9. commending with Section 7000 of Division 3 of the Business and' Professions Cads1 or that ha is exempt therefrom, and thm basis for the alleged
StatelZip Telephone X
0
of the work for which this permit io issued.
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company Policy NO. Expiration Date
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ldl0Ol OR LESS1
0
to become subject to the Workers' Compensation Laws of California.
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
I have and will maintain workers' compenrstian. as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
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 ae
es and cl~ll flnes up to om hundred
teres1 and attorney's tees.
nd shall subleci an employer to odm
mvldad fa In Section 3706 of
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
I. as owner of the property or my employees with wages 8s their sole compensation, will do the work and the structure is not intended or offsrsd for 1.1.
iSec. 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 improvemants are not intended or offered fer de. If, however. the building or improvement is
sold within one yeat of completion. the owner-builder will have the burden of proving that he did not build or improve for the p~rpme of sale).
I, as owner of the property, am exclusiveiv contracting with licensed contractors to COnDtlUCt the proiect EBC. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of pmpeny who builds or improves thereon. and Contracts for stich projects with contratorlsl licensed
pursuant to the Contractor'r License Law).
0
1.
2.
3.
I am exempt under Section
I penonally plan to provide the major labor and materials for ConStructiDn of the proposed property improvement. 0 YES ON0
I (have I have not) signed an application for a building permit for the proposed Work.
I have contracted with the following Parson ifirml to provide ths proposed construction linclude name I address I phons number I contractors limns. number):
Busine.6 and Proferrions Code for this reason:
4.
number I contractors license number):
5.
of work):
i plan to provide portions of the work, but I have hired the following person to coordinate. supervise and provide the major work linclude name I address I phons
I will provide some of the work. but I have contracted lhirad) the toilowing persons to provide the work indicated linclude "ems I address I phone number I typa
Io the applicant or future building occupant required to submit a business plan, amtslv hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 Of the Presley-Tanner Hazardous Substance ACCwnt Act? YES 0 NO
1s the spplicant or future building occupant required to obtain a psrmit from the air Pollmion Cantroi district or air quality management district7 0 YES 0 NO
Is the facility to be constructed within 1,000 feet of the Omer boundary of a school rite? 0 YES 0 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 AN0 THE AIR POLLUTION CONTROL DISTRICT. ie ~~~~~~~~~~~~~~~
I hereby affirm that there io a Construction lending agency for tho performance Of thn work far which this permit is issued ISec. 30971i) Civil Code).
LENDERS hAME LENDERS ADDRESS
9: , MPLICANT CERTIFICATION '?- .. . ,a. .. .. . , , . . . . . . . . , ,.c , ,. . .. . . . . . .. . ,. . :.
I certify that I haw 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 amhOtiz8 representatives of the CitV of Carlsbad to @mer upon the above mentioned
property for inspection purpooe~. I ALSO AGREE TO SAVE. INDEMNIFY AN0 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AN0 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.
e by limitation and become null and void if the building or work
g or work authorized by Such permit is suspended or abandoned -- APPLICA .. SIGNATURE DATE
WHITE Fila YELLOW: Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 07/31/2003
Permit# CB031824 Inspector Assignment: JM
Title: BRIGHT RES-INSTALL 7 CAN LITES
Description: SWITCH, MOVE SHOWER DRAIN&HOOD VENT-REPLACE
Type: ELEC Sub Type:
Job Address: 2720 AVALON AV
Suite: Lot 0
Location:
APPLICANT DON BROTHWELL
Owner: BRIGHT BRADLEY J&CLAUDIA R
Remarks:
Total Time:
Phone: 7608052249
Inspector: &
Requested By: JACK
Entered By: ROBIN
CD Description Act Comment
17 Interior Lath/Drywall €32
Associated PCRsKVs
InsDection History
Date Description Act lnsp Comments
07/09/2003 24 RougWopout WC JM
07/09/2003 34 Rough Electric AP JM OK TO DRYWALL
07/08/2003 34 Rwgh Electric CO JM NEED NAIL PROTECTION B TO PLATE
>cerise Detail Page 1 of 2
License Detail
Contractor License # 470658
CnLlFoRNlATATErn
/
DISCLAIMER
A license status check provides information taken from the CSLB license data base. Befor
on this information, you should be aware of the following limitations:
CSLB complaint disclosure is iestricted by law (B&P 7124.6). If this entity is subject t
complaint disclosure, an icon will appear below. Click on the icon to obtain additional
complaint information. Per B&P 7071.17, only construction related civil judgments known to the CSLB are di . 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 on
Board's license data base.
Extract Date: 06/12/2003
* * * Business Information * * *
BAYSIDE ELECTRIC INC
21512 MIDCREST DRIVE
LAKE FOREST, CA 92630
Business Phone Number: (949) 770-0102
Entity: Corporation
Issue Date: 03/15/1985 Efpire Date: 03/31/2005
* * * License Status * * *
This license is current and active. All information below should be reviewed.
* * * Classifications * * *
Class I Description l~pEmK/l
* * * Bonding Information * * *
CONTRACTORS BOND: This license filed Contractor's Bond number 920280 in the am $7,500 with the bonding company
- SURETY COMPANY OF THE PACIFIC.
I Effective Date: 07/01/1994
license Detail Page 2 01.
Contractor's Bonding History
BOND OF QUALIFYING INDIVIDUAL(1): The Responsible Managing Officer (RMO) D
EUGENE BROTHWELL certified that helshe owns 10 percent or more of the voting stock/
the corporation. A bond of qualifying individual is not required.
Effective Date:'O7/18/1986
* * * Workers Compensation Information * * *
This license has workers compensation insurance with the
PREFERRED EMPLOYERS INSURANCE COMPANY Policy Number: WKN1055522 Effective Date: 04/01/2002 Expire Date:, 04/01/200
Workers Compensation History
Personnel listed on this license (current or disassociated) are listed on other lice
Other Llcenses
License Number Request Contractor Name RWUeSt Personnel Name Request
Salesperson Request Salesperson Name Request
0 2002 State of C~lifoinia Gray Davis Governor Conditions of Use Privacy Poiicy
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