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HomeMy WebLinkAbout2836 CARRILLO WAY; ; CB021366; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB021366 Building Inspection Request Line (760) 602-2725 Job Address: .•. Permit Type: . Parcel No: "Reference*: ..Project Title: 2836 CARRILLO WY CBAD ELEC 2226622400 LAUGHLIN RES/ ELEC LINE TO FUTURE FOUNTAIN Lot#: •Applicant: C TO C LANDSCAPE 339 N ACACIA AV .SOLANA BEACH CA 92075 7619850-2205 Status: ISSUED Applied: 05/03/2002 Entered By: CB Plan Approved: 05/03/2002 Issued: 05/03/2002 Inspect Area: Owner: CRV CARLSBAD L P C/O ALEX F ZIKAKIS 9255 TOWNE CENTRE DR #520 SAN DIEGO CA 92121 6468 05/03/02 0002 01 02 CGP 20-00 Total Fees:$20.00 Total Payments To Date:$0.00 Balance Due:$20.00 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 $10,00 $0.00 $0,00 $0,00 $0,00 $10,00 $0.00 $0.00 $0.00 $0.00 $20.00 Inspector: FINAL APPROVAL 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 lees/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 previousbiotherwise expired, PERR/HT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit Validated Bv Address (include Bldg/Suite3 6*Busiess Name (athis,address) Name Address City State/Zip Telephone # (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 issuance, also 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 [Chapter 9, commending with Section 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 a civil penalty of not more than five hundred dollars ($5001). Name I/ ?:2State License # Y ** ' T Designer Name State License # , Address " 1 \- License Class C — \ Address City State/Zip "" -^CCity Business License # f ^ City State/Zip Telephone # Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:.£PL 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. Q 1 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 worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date (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 (halt 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. SIGNATURE DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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 contractor(s) licensed pursuant to the Contractor's License Law). Q I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES [~lNO 2. I (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 number / 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 number / 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 number / type of work): PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plen, 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? Q 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? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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. hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sac. 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 building construction. I hereby authorize representatives of the CitV 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 WAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over S'CF deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued byjhe budding Official u/der 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 corarfwrnced foithin 1 SgJiayX torn the date of such permit or if the building or work authorized b such permit is suspended or abandoned at any time after the work is comijrepced forja period OMjBu daysJSection 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ^ AS ^ DATE WHITE: File YELLOW; Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/07/2002 Permit# CB021366 Title: LAUGH LIN RES/ EL EC LINE TO Inspector Assignment: Lot Type: ELEC Sub Type: Job Address: Suite: Location: APPLICANT CTOG LANDSCAPE Owner: CRV CARLSBAD L P Remarks: Total Time: Phone: 6198502205 Inspector: Requested By: CHRIS Entered By: KAREN CD Description 21 Underground/Under Floor 31 Underground/Conduit-Wiring f/t Act Comments ' Associated PCRs Inspection History Date Description Act Insp Comments J> Q^- License Detail Pagel of 2 California Home Friday, May 03, 2002 License Detail Contractor License # 767714 CALIFORNIA CONTRACTORS STATE LICENSE BOARD DISCLAIMER A license status check provides information taken from the CSLB license data base. Before relying on this information, you should be aware of the following limitations: • CSLB is prohibited by law from disclosing complaints until they are referred for legal action. • Per B&P7071.17. only construction related civil judgments known 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 data base. * * * Extract Date: 05/03/2002 Business Information * * * C TO C LANDSCAPE 339 N ACACIA AVENUE SOLAN A BEACH, CA 92075 Business Phone Number: (619) 850-2205 Entity: Sole Ownership Issue Date: 08/23/1999 Expire Date: 08/31/2003 * * *License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * Class C27 Description LANDSCAPING * * *Certifications * * * Cert HIC Description HOME IMPROVEMENT CERTIFICATION * * *Bonding Information * * * http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 05/03/2002 ACurtUL vCixi irlUMi c v/r I.IMDII.I i i inOUKAlNUC 7™°?* (760)931-1021 FAX (760)931-055T Brubaktr IE Associates Insurance ft investments License #0766788 SOS5 Avenlda Enclnas, #130 Cai*1st»d, CA 92009 WWRW Qipi$ HondMCKSon DBA i C to C Landscape 339 N. Acacia Sol ana B«ach, CA 92075 L 9 j*ii(M*««m) inia wkKllrlUATciBiwukUAii AMAI itKur inrwiwwuiwi ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ORALTER THE COVERAGE AFFORDED bY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER* TIG Insurance Coapany INSURER B: INSURER 0; INSURER D: INSURER E: COVERAGES THI POUCIBS OP INSURANUt LISTED BELOW HAVI BBEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTTH RESPECT TO WHICH THIS CERTIFICATE MAY IS HSUlD OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN Ifi SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. MF A on TYPE C* INSURANCE GENERAL UABU1Y COMMERCIAL GENERAL UAWLITY ~~| CLAIMS MA Pi | | OCCUR 6BTL AOORIOATB LIMIT APPUM PB* — — ANY AUTO ALL OWNED AUTOS SCHIDULIO AUTOS HIRED AUTOS NON-OWNED AUTOS OARASSUAHUTY ANY AUTO EXCESS LIABILITY 1 1 1 DEDUCTIBLE RETENTION ft WORKERS COMPENSATION ANDEMPLOYERS' uAsnrrv virwn wrrioNOFtrWATWWLMAMHIAl •^BB^BM '' iJ'i' ' ' •^•B^BBJi I'1 Jlj 7 I' '' jtl 80244733 H6UWK6LUIR)NI ABDU IV INHMM 05/02/2002 HTJIHBAtMWBF 05/02/2003 UMTS EACH OCCURRENCE PW DAkMOE (Any one In) MB BXP (Any DM parson) PCRBONAL A AOV INJURY QENeRALAOaRBOATe PRODUCTS - COUHDP AW COMBHEOB1M«J LIMIT BODILY MJURY(Pvpvwn) iSfKHS1" PROPiRTY DMUOB AUTO ONLY -CAACCMNT OTMRTHAN KAO°AuVyWC^ AGfl CACHoeeuwwNcs AQQRRQATE iT^WLWrfiil |WIR* E.LEACHACCDEHT E.L DISEASE • EA EMPLOYE! i.L DMiASB • POLICY UMTT 1 1 1 *1 * S * 1 • 1 1 1 I I 1 8 f • 1.000. OOC > 1,000. OOC • 1.000.000 HW CWCTIPICATB HOLDER CANCBLLATWW mnu ANY OF wi AMVI Daenuo NUCMU N CANCELLED BEFORE THE EXPIRATION DATS THBtfQ?, TW WUW3 OOMPANY WILL WOBAVCM TO MAR. MYB WRITTEN NOTWC TO TM ClKTWCATI HOLOIM WU» TO TW LBfT, OfAMYMNOUPONTHlQOMPAW.ITtAGerraOBPJflttaEHTATTm.wowH&wraBff Jamas Brubaker VMCOKD CORPORATION 1MB License Detail Page 2 of 2 > CONTRACTOR'S BOND: This license filed Contractor's Bond number 825862C in the amount of $7,500 with the bonding company INDEMNITY COMPANY OF CALIFORNIA. Effective Date: 07/02/2001 Contractor's Bonding History * * * Workers Compensation Information * * * This license has workers compensation insurance with the LEGION INSURANCE COMPANY Policy Number: WC11652966 Effective Date: 05/02/2001 Expire Date: 05/02/2002 Personnel List License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request © 2001 State of California. Gray Davis, Governor. Conditions of Use Privacy Policy http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detaii.asp 05/03/2002