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Home My WebLink About2741 GATEWAY RD; ; CB100999; Permit06-03-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB100999 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2741 GATEWAY RD CBAD ELEC 2131210200 Lot#: CIRCLE K: INSTALL CIRCUIT FOR "REDBOX"@ EXTERIOR Status: ISSUED Applied: 06/03/2010 Entered By: JMA Plan Approved: 06/03/2010 Issued: 06/03/2010 Inspect Area: Applicant: J&J TLECOM & ELECTRIC 6264 VERDUGO CHINO CA 91710 909-921-1757 Owner: BRESSI RANCH FUEL MART LLC POB-OX456r RANCHO SANTA FE CA 92067 Electric Issue Fee Single Phase per AMP ;r Three Phase per AMP • : Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee v Other Electrical Fees Additional Fees TOTAL PERMIT FEES f' 0 0 0 0 $10.00 $0.00 $|-00 $6.00$6;do $10.00 $0,00 $0.00 $6.00 $0.00 $20,00 Total Fees:$20.00 Total Payments To Date:$20.00 Balance Due:$0.00 Inspector: FINAL 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 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. *"• <r 4 >v Building Permit A| •^»- 1635 Faraclay Ave" Carlsbat Ny* CITY OF 760-602-2717 / 2718 /"* A n i CQ A r\ Fax: 76°-602-85 V^MKL^DAU1 www.carlsbadca.; JOB ADDRESS _ , f . r-x _ ^ r4\ ' t7? A \^-^3^<-\ *XA- C/AU tOvlCT/PROJECT* °^ ' LOT# PHA|E/ # OF UNITS #BEDROOMS ,. fc.i Plan Check No. CQ> [OO ^t^l^fppiicotipn d, CA 92008' Est. Value /2/1958 Plan Ck. Deposit JOV — . / _-/-.^. Jf—Date ryf-7 ,Q *3Wv( SUITE#/SPACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) V P 7 AtWvAVWWfv m & 'dlgtfJOvr^kzl ri>fU/LtY Tor /ft \ff^jbox "\3 V)^ XfxS^U^/A DiAVb^^i^ £ C,A\f,\-£ V "St^T^1 . EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant; ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # i PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D #_ NO D YES Q NO D YES D NO D APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS. NAME \ . V «*-^i ». J^ s^\i JL j. -i_^ ' <• ) ^f o \€\t£5vy\ ^-? ^-ilextV/t^ ADDRESS. / UWuH X/^lau^t f\\\$ • CITY IgTATE J ZIPOM\tvc» rjv ^ I~>VD PHONE /5«y. ^ .FAX EMAIL x-v , s STATE LIC.# f, . , , .){) CLASS , CITY BUS. LIC.#< ^^CV'^i ?-T/r-in^ D o o V >D » L. ' / *«^l vx 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 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. Srf have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for w,hichjjiis permit is issueo1. My workers' compensation jnsurance Carrier and policy^. ^ ... .. ,.-*. inumber are: Insurance Co.Policy No. UTfS *- O Expiration Date 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: 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, damaps as provided for in Section 3706 of the Labor code, interest and attorney's fees. / heredy affirm that I am exempt from Contractor's License Law for the following reason: D I, as owner of the properly 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). O 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. CJ 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 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 (Include name / address /phone / type of work): PROPERTY OWNER SIGNATURE CJAGENT DATE llijjpll^ Is the applicant m 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? DYes ONo 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 a No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? d Yes ONo IF ANY OF THE ANSWERS ARE YES, t 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 OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories inheight. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by Imitation and become null and void if the building or work authorized by such permit is not commenced wflhin 1 80 days from Ihe date of such permit or ifjigiujd Jig or work authorized by such permit is 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: 07/14/2011 Permit* CB100999 Title: CIRCLE K: INSTALL CIRCUIT FOR Description: "REDBOX" @ EXTERIOR Sub Type: 2741 GATEWAY RD Lot: Type: ELEC Job Address: Suite: Location: APPLICANT J&J TLECOM & ELECTRIC Owner: BRESSI RANCH FUEL MART LLC Remarks: keep permit alive? Work done? Total Time: CD Description 39 Final Electrical Act Comments Inspector Assignment: Phone: OOOOOOOQ Inspector: Requested By: NA Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat... Page 1 of 2 Department of Consumer Affairs Contractors State Li Contractor's License Detail - License # 888151 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&P7124.6). 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. •s> Per B&P7071.17. only construction related civil judgments reported to the CSLB are disclosed. ••3>> 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: ?5il£i __ _ __S!l[act Date: 06/03/201° __ J & J TELECOM & ELECTRIC INC Business Information: 6264 VERDUGO AVENUE CHINO, CA91710 Business Phone Number: (909) 921-1757 Entity: Corporation ls£ueDate:_ . _ _, J|2/OJ/2006 ______ ___ _„._ _ „ _, __ Reissue Date: 10/15/2009 Expire Date: __ __ _!?/31/2pjM ; _ _ __ __ __ License Status: This license is current and active. All information below should be reviewed. CLASS DESCRIPTION Classifications: jC-7__ _ CJ9_ „ _==,- _____ ,__,____ CONTRACTOR'S BOND This license filed Contractor's Bond number 100100724 in the amount of $12,500 with the bonding company ^AMER!CM...CQMIBMIQRMNMMNJIY_CQMEAM. Effective Date: 10/15/2009 JESQ!:!;^^ _ BOND OF QUALIFYING INDIVIDUAL Bonding: 1. The Responsible Managing Officer (RMO) JOSE DOROTEO BARRACAN 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. EffectlyeDate: 10/15/2009_ _ 2. The Responsible Managing Officer (RMO) JOHN FITZGERALD MORENO SR 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: 10/15/2009 This license is exempt from having workers compensation insurance; they certified that they have no employees at this time. Workers' Compensation: Effective Date: 10/08/2009 Expire Date: None Workers' Compensation History MisceHaneous DAT_ DESCRIPTION Information: https://www2. cslb.ca.gov/OnlineServices/CheckLicense/LicenseDetail.asp 06/03/2010 Solutions CPT Network Solutions, Inc. 1062 Thorndale Ave Bensenville, IL60106 www.cptnetworks.com Phone: 630-735-7036 Fax: 630-735-7001 E-Mail: orders@cptnetworks.com Date: May 26 2010 Company: Redbox Property: Circle K Store - Redbox #2655047 Address: 2741 Gateway Rd City/State/Zip: Carlsbad,CA 92009 Phone: Ticket*: 315905 Vendor: J & J Telecom & Electric, Inc. Address: 6264 Verdugo Ave. City/State/Zip: Chino.CA 91710 Phone: 909-921-1757 Fax: TECHNICIAN MUST CALL TO CHECK IN AND OUT FROM SITE WITH CPT @ 630-735-7000 WORK TO BE PERFORMED BY TECHNICIAN: ETA on installation is to be confirmed by CPT-Redbox Project Coordinator (in coordination with store owner)- (completion by 6/18) Per Redbox machine being installed toRight of the glass window (which is the right of Front Doors) see photo & print. Circuit installed approx. 1 ft. to the right of machine. See print for measurements. Customer Environment: All work will be performed at existing retail (grocery, convenience, drug and department) stores. Site preparation will occur in the agreed to location based upon a site survey form. Interior installations might require the use of a lift to reach ceiling joists/building iron to router conduits. Contractor will complete the following tasks; on site, in preparation of a new kiosk to be installed. Pull Permit -Bring Print, Redbox Machine Specs (PDF) and work order to local permit office. -If permit office says a permit is NOT NEEDED for this work, please provide permit office Reps name and contact number. -The Electrical Contractor is to provide to the CPT Project Team the documentation that permits; where required have been applied for and paid and that all required rough-in inspections have been performed and completed. A receipt MUST BE PROVIDED along with permit and any other documentation pertaining to the inspection process. E-mail to redbox @ cptnetworks.com. -All electrical inspections are the responsibilty of the Electrical Contractor. -Call CPT to update permit status, length of wait time, other issues, immediately if permit is not received same-day. All issues need to be reported by CPT to Redbox. 630-735-7000 2. Circuit Installation NO WORK CAN BE SCHEDULED WITHOUT CPT APPROVAL. Rough-in work is scheduled by CPT with Store Owner. This is to ensure any signs, vending machines, planters or other items are moved out of the work space with the store's owner prior to your electricians arrival. Until this is confirmed by CPT Project Team, an electrician can not be sent to work site. Complete Dedicated Circuit installation as follows: 05/26/1012:23:43 Upon arrival check-in with CPT at 630-735-7000. Provide electrician(s) name(s) and cell phone number contact. -Compare the provided survey document & provided photo to identify the installation location. -If the location of the new circuit needs to be clarified, please call CPT to confirm before installing circuit. -IF STORE OWNER/MANAGER SAYS MACHINE IS MOVING FROM ORIGINAL LOCATION MARKED ON PRINT: CALL CPT FOR APPROVAL, this needs to be verified by Redbox Corp. before electrical circuit work is complete. Call CPT immediately. ROUGH IN WORK: -Install a conduit system; to comply with local building codes and applicable for a 20 amp circuit, from the store junction box to the location where the kiosk is to be installed. -The circuit is to be properly terminated and a blank cover plate be installed until the time the installation is scheduled and final connections of the kiosk and machine are required. -The circuit is to be tested for proper wiring, grounding and performance. -The circuit is to be properly labeled in the breaker box and have a breaker lock installed. -The rough-in of the weatherproof junction box at the installation location is to be within 18" from either the left of right side of the kiosk. -A Ground Fault Circuit Interrupt (GFCI) or a Disconnect is to be installed at this time. -The disconnect must not be located behind the Redbox. Please read the sketch carefully to ensure that the disconnect is located in the correct place. -The electrical panel and circuit number are to be identified on the junction box. -On exterior installations all penetrations are to be sealed. -The electrical contractor is required to report to the CPT Project Team that the rough-in work is complete and the location is available for installation. Job Requirements -The electrical contractor is responsible for cleanup of his work area. The store is to be left in the same or better condition as when he arrived. -All excess building materials are to be discarded off-site. -Do not block or obstruct ingress or egress by the store's customers. -Parking only allowed in designated spaces. -Electrical contractor is responsible for providing adequate employee identification. PHOTOS: 1 Photo of labeled panel 1 Photo of GFI with panel ID information 1 DISTANT photo to show new circuit and surrounding area. This may be used if any issues arise later. Provide digital photographs of completed work to redbox@cptnetworks.com within 48 hours of job completion. 05/26/1012:23:43