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HomeMy WebLinkAbout2784 GATEWAY RD; ; CB111199; Permit06-06-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB111199 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2784 GATEWAY RD CBAD ELEC 2133001200 Lot#: KELLY CAPITAL -INSTALL HOUSE SUBPANEL W/4 2O AMP 120v CIRCUITS FOR TELCO Status: ISSUED Applied: 06/06/2011 Entered By: KG Plan Approved: 06/06/2011 Issued: 06/06/2011 Inspect Area: Applicant: DEHAMER ELECTRIC INC STE4 2775 KURTZ ST SAN DIEGO CA 92110 619-574-7771 Owner: KELLY CAPITAL GROUP INC 406 9TH AVE #309 SAN DIEGO CA 92101 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 TOTAL PERMIT FEES 80 200 0 0 $10.00 $20.00 $100.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $130.00 Total Fees:$130.00 Total Payments To Date:$130.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date: toUl^/tt 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. «&• ^ CITY OF Building Permit A 1635 Faraday Ave., Carlsb 760-602-2717 /271£ Fax 760-602-85 www.carlsbadca.c JOB ADDRESS , -:2784t Gateway Rd. CT/PROJECT#; ..;'.. LOT* PHASE# # OF UNITS # BEDROOMS .. t. Plan Check NoJUP // / '^ 7pplication ad, CA 92008 Est. Value 'a271 9 Plan Ck. Deposit. ,/ / // J°v Date fe-~(&-'/[ SWPPP SUITE#/SPACE#/UNIT# . APN , . ... . ((BATHROOMS TENANT BUSINESS NAME CONSTR.TVPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Install house subpanel wired off existing switch gear with meter /socket . Install four (4) 20 amp 120v circuits for telco equipment, telco room lighting, fire alarm and water meter power. EXISTING USE PROPOS CONTACT NAME (It Different Foot Applicant) ED USE GARAGE (SF) ADDRESS •...,..• CITY .„.:, .... ........ STATE . , , . ZIP PHONE FAX EMAIL PROPERTY OWNER NAME Kelly Capital Group ADDRESS 5;666 La Jolia Blvd. #139 CITY STATE ZIP La Jolia CA 92037 PHONE FAX (858) 456-9125 EMAIL ....... ARCH/DESIGNER NAME & ADDRESS STATE LIC. # PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS y YES[^]# :NOQ YESQNOQ YES[~lNO| | APPLICANT NAME DeHamer Electric, Inc. ADDRESS 2775 Kurtz St. Suite 4 CITY STATE ZIP San Diego CA 92110 PHONE, FAX (619) 574-7771 (619) 574-7773 EMAIL ...... d e hame r e 1 e c tri c@n e t he r e . c ; om CONTRACTOR BUS. NAMErj „,._,_Dellamer Electrac » Inc. ADDRESS :2 775 Kuf t z S t , Suite 4 CITY STATE ZIPSan Diego CA 92110 PHONE .FAX (619) 574-7771 (619) 574-7773 EMAIL , ...... j. dehamerelectric^netherej cp/^ S) j STATE LIC.# CLASS ^^K^?/XJX^I (Sec. 7031.5 Business and Professions Code:applicant for such permit to file a signed statement that he is licensedBusiness and Professions Code] or that he is exempt therecivil penalty of not more than five hundred dollars ($500}). .. .. 3 of thea permit subjects the applicant to a Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: \ \ 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. IXI | 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, caper and policy number are: Insurance Co Preferred Employers Ins . PolicyNo. WKM1 39139? Co. Expiration Date A / ^ / -*-^ This section need not be completed if the permit is for one hundred dollars ($100) or less. I | 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, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ^CONTRACTORSIGNATURE IAGENT DATE fe, - t, - / hereby alKrm that I am exempt from Contractor's License Law for the following reason: | | 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). [ | 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). I [ I am exempt under Section _.Business and Professions Code for this reason: jNo1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. I lYes 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 []AGENT DATE Is the applicant or 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? I I Yes IA JNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or airouality management district? I JYes [T1 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I JYes DTI 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 I certify that I have read the a| I hereby authorize 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 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: E JS$APPLICANT'S SIGNATURE X City of Carlsbad Bldg Inspection Request For: 06/13/2011 Permit* CB111199 Title: KELLY CAPITAL -INSTALL HOUSE Inspector Assignment: Description: SUBPANEL W/4 2O AMP 120v CIRCUITS FOR TELCO EQUIPMENT Type: ELEC Sub Type: Job Address: 2784 GATEWAY RD Suite: Lot: 0 Location: Inspector: APPLICANT DEHAMER ELECTRIC INC Owner: KELLY CAPITAL GROUP INC Remarks: Phone: 6198843678 Total Time: CD Description 34 Rough Electric Act Comments Requested By: FRANK DEHAMER Entered By: CHRISTINE JEL Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments TME CtTv OP SAN DIEGO Development Services Department Inspection Services Division 9601 Ridgehaven Court. Suite 220 San Diego, CA 92123 • (858) 492-5070 Call (858) 581-7111 for Inspection Page Circuit Card (Primary) of THIS CARD MUST BE PILLED OUT AND AVAILABLE ON THE JOB SITE FOR THE ROUGH INSPECTION. USE 'SUPPLEMENTAL' CIRCUIT CARD(S) FOR MORE THAN EIGHT (8) GENERAL USE CIRCUITS TOTAL - SEE REVERSE SIDE. PERMIT/APPROVAL NO ^T////?? PLAN FILE/PROJECT NO JOB ADDRESS (Print Number. Slree! Name. Unit No ) CIRCUIT NO 1 15A ROOMS Wire Size •ROOMS CIRCUIT NO 2 Breaker Size Fill in applicable items below Use remarks as necessary to describe work SERVICE (Mam) FEEDER #1 (Subpanel) FEEDER #2 (Subpanel) COMPACTOR COOKTOP DISHWASHE"R NAME PLATE AMPS-KW WIRE SIZE AL CU BREAKER SIZE (AMPS) DISPOSAL Beaioom 02 Dining Room Bedroom »3 ®BreaWasl Noox MICROWAVE Garage OVEN 1 ' Name of each Room where devices are located 2 List old and new devices on same circuit-marking old devices thus i 3. Use circuit spaces below for general light and small appliance circuits only 4 San Diego Electrical Policy limiis currenl consuming devices to a maximum of 15 per general use circuit and 4 per small appliance (20 amp j circuit 5 All circuit breakers to be permanently labeled at all service and feeder panel dead fronts T = Device Tail C = Ceiling Light W = Wall Bracket Light R = Convenience Receptacle S = Switch (Use actual numbers 1,2,3... to identify amounts of each device type). RANGE DRYER LAUNDRY WATER HEATER A/C HEATING CIRCUIT NO Breaker Size. 'ROOMS Wire Size CIRCUIT NO Breaker Size •ROOMS Wire Size W CIRCUIT NO Breaker Size •ROOMS Wire Size G T C W R S CIRCUIT NO Breaker Size •ROOMS Wire Si/e C REMARKS Computed Load AMPS AFCI Protected Circuits (list locations) GFCI Protected Circuits (list locations): CIRCUIT NO CIRCUIT NO Breaker Size •ROOMS Wire Size.Breaker Size W ROOMS Wire Size T C W R 'Service Bond/Ground information '(a) [j New (/)' OR iCxfxisting (/) (b) Bond/Ground Wire(s) Size(s)Type(/) D AL OR D CU (c) Location of Cold Water Bond Clamp: (d) Location of Ground Clamp: _ CIRCUIT NO CIRCUIT NO Breaker Size A •ROOMS Wire Size Breaker Size A T C W R S ROOMS Wire Size T C W R S I certify that the above information is accurate and complete and that all terminations are properly torqued. Company Name (Print). Electrician/Owner Name(Prmt) Electrician/Owner Signature California Electrician Certification Number: Dale inform/'itior? is available in alternative formats upon recjuesl DS-i 779 (Rev 2 o;j «£» CARLSBAD CITY OF PLUMBING, ELECTRICAL, MECHANICAL WORKSHEET B-18 Development Services Building Department 1635 Faraday Avenue www.carlsbadca.gov Project Address: Permit No.: Information provided below refers to work being done on the above mentioned permit only. This form must be completed and returned to the Building Department before the permit can be issued. Building Dept. Fax: (76O) 6O2-8558 Number of new or relocated fixtures, traps, or floor drains New building sewer line? Ves No Number of new roof drains? Install/alter water line? Number of new water heaters? Number of new, relocated or replaced gas outlets? Number of new hose bibs? Upgrade existing panel? Ves No From Amps to Amps Number of new panels or subpanels? / Single Phase Number of new amperes 3 Q Three Phase Number of new amperes £-<?& Three Phase 48O Number of new amperes Remodel (relocate existing outlets/switches or add outlets/switches)? Ves No Number of new furnaces, A/C, or heat pumps? New or relocated duct work? Ves No Number of new fireplaces? Number of new exhaust fans? Relocate/install vent? Number of new exhaust hoods? Number of new boilers or compressors? Number of HP B-18 Page 1 of 1 Rev. 03/09 Check a License - Contractors State License Board Page 1 of2 Li -vtm— me Board Contractor's License Detail - License # 421200 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. 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 Business Information 421200_____ ELECTR|C |NC 2775 KURTZ STREET SUITE 4 SAN DIEGO, CA 92110 Sf^Hsirif^sJ^^^ Extract Date: 6/6/2011 Expire Date __ 04/3072012 _ . ____________ ____ _____ __ ____________________ License Status This license is current and active. All information below should be reviewed. jAJdjtjonjHjs^ _____ ___ ..... _____ ..... ___ _____ ......... ___________ ....... ______ ____ ________ CLASS DESCRIPTION Classifications: C1Q ELECTRICAL CONTRACTOR'S BOND This license filed Contractor's Bond number SC6363541 in the amount of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 03/02/2009 Contractor's Bonding History B0ndm9' BOND OF QUALIFYING INDIVIDUAL 1. The Responsible Managing Officer (RMO) DEHAMER FRANK CARL certified that he/she owns 1 0 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 04/13/1982 BQI's Bonding History This license has workers compensation insurance with the Workers' Compensation: PREFERRED EMPLOYERS INSURANCE COMPANY Policy Number:WKN1391 392 https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=4... 06/06/2011 Check a License - Contractors State License Board Page 2 of 2 Effective Date: 01/01/2011 Expire Date: 01/01/2012 Workers' Compensation History Personnel listed on this license (current or disassociated) are listed on other licenses. Personnel List Other Licenses Conditions of Use | Privacy Policy Copyright © 2010 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNnm=4... 06/06/2011