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Home My WebLink About2841 AVENIDA VALERA; ; CB030187; PermitCity of Carlsbad c # 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 J4k IOfl 01 -22-2003 Electrical Permit Permit No: CB030187 Job Address: Permit Type: ELEC 2841 AVENIDA VALERA CBAD Parcel No: 21 6461 3800 Lot #: 0 Reference #: Project Title: SWERINGEN RES ELEC LINE FOR FUTURE FOUNTAIN Applicant: KIMOS LANDSCAPING 511 FIRST ENCINITAS, CA 92024 61 9-436-0359 Status: ISSUED Applied: 01/22/2003 Plan Approved: 01/22/2003 Issued: 01/22/2003 Entered By: SB Inspect Area: 2841 AVENIDA VALERA CARLSBAD CA 92009 CGP 20.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP RemodeVAlteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees 0 0 0 0 $10.00 $0400 $O,@ $0*00 $0.00 $10.00 $0.00 $oioo $O,OO $oleo TOTAL PERMIT FEES $rxl;oo Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00 FOR OFFICE USE ONLY PLAN CHECK NO.aa'36 1 87 EST. VAL. Pian Ck. Deposit Validated By 5 R Date 1 - 2zz@? PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Deacription Lot No. Subdivision Nama/Number Unit No. Phase No. Total X of units Assessor's Parcel X Existing Uae Proposed Use 1 of Bedrooms Description of Work 'G PEja- F&aEf55mm'rJ X of Bathrooms SQ. FT. #of Stones AbdW~~aZiebL- &V Nama Address Citv Telephone X Fax X Statenip . (Sec. 7031.6 Busin- and Professions Code: Any Ci 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 IChaotar 9. commendino with Section 7000 of Division 3 of the Businass and Professions Codel or that he is axempt therefrom, and the basis for the alleged .- . - exemption. Any violation of Section 7031.6 by any applicant for a permit us lnHixcP f gc @ um-S444 Name Address City Statenip Telephone # State Licanse # 2 72 0 License Class 0 d7 City Businass License X /go %4 1 2 - State License X Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 of the work for which this permit is issued. issued. My worker's compensation insurance carriel and policy number are: Insurance Company mmNA L Pdicy No. 3fw Eqr. dz/ Expiration Date 4- / 0 CERTIFICATE OF WARNINQ: F I have and will maintain a certificate of consent to self-insure for workers' compsnsstion as provided by Section 3700 of the Labor Code, for tha performance 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 HE PERMIT IS FOR ONE HUNDRED DOLLARS IblOOl OR LESS) \ s of California. 0 1, 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 ISec. 7044, Businesa 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 de. If, howevar, the building or improvement ia 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 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: Tha 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'a License Lawl. 0 1. 2. 3. 4. number I contractors license number): 6. of work): I am exempt under Section I personally plan to provide the major labor and matetials for construction of the proposed property improvement. 0 YES ON0 I (have / have not) signed an application for a bullding permit for tha proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number I contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinate, suparvise end provide the major work [include name / address / phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone number /type Business and Professions Code for this reason: Is the applicant or future building occupsnt required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26606, 26633 or 26634 of the Prasley-Tanner Hazardous Substance Account Act? 0 YES 0 NO is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1 ,OOO feet of the outer boundary of a school site? 0 NO IF ANY OF THE ANSWERS ARE YES. A flNAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETlNG THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 0 YES - __I - I hereby affirm that there is a construction lending agency for the performance of the work for which 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 rela construction. I hereby authorize representatives of the Cit) of Cerlsbad to enter upon the above mentioned property for inspection purposes. E TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPEN OSHA. An OSHA permit is re over 6'0' deep and demoliion or construction of structures over 3 stories in height. EXPIRATION: Every authorized by such pe Y IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. cia1 under the provisions of this Code shall expire by limitation and become null and void if the building or work days from the date of such permit or if the buildina or work authorized bv such Dermit is susmnded or abandoned at any time after the wo 0 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNAT h DATE /r 22-03 WHITE: File YELLOW Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 03/07/2003 Permit# CB030187 Inspector Assignment: JM Title: SWERINGEN RES ELEC LINE FOR Description: FUTURE FOUNTAIN Type: ELEC Sub Type: Job Address: 2841 AVENIDA VALERA Suite: Lot 0 . Location: APPLICANT KIMO'S LANDSCAPING Owner: SWERINGEN H BRUCE&JEANETTE A Remarks: Phone: Insoector: %. Total Time: CD Description 39 Final Electrical Requested By: JIM Entered By: CHRISTINE Act Comment Associated PCRs/CVs lnsoection History Date Description Act lnsp Comments 01/24/2003 31 Underground/Conduit-Wiring PA JM CONDUIT ONLY PmER (5 59) 6 50 - 3 5 5 5 FAX (5 59) 650- 3 5 5 8 landscape Contractors (licY0755906) Jnsurance Services, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATtON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. FIRE DAMAGE (Any one flre) ME0 EXP (Any one person) PERSONAL & AW INJURY S S S OTHER A2 INS SIIOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL I-- 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Contractors State License Board RUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBCIGATWN OR LlABluTy OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. , Workers Comp Unit P.O. Box 26000 Sacramento, C4 9S826 AUTHORIZED REPRESENTATIVE I Gmd&Yd@ Benita Hall/KELLY I DATE (MMIDDNY) 1 03/18/2002 ACORQ CERTIFICATE OF LIABILITY INSURANCE 1835 N. Fine Avenue Fresno,, CA 93727 _______ ___ - __ - - - __ ~NEURED Kim ' s Landscaping & Ma4 n tenance , Inc . 1260 White Sands Drive San Marcos. CA 92069 INSURERS AFFORDING COVERAGE I INSURCH A Everest National Insurance I ___ -_ __ - INStIRTR 0 _--_I -_ I INSURER c COVERAG E S THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTIHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUDJLCT TO ALL TtlC TEKMS, EXCLUSIONS AND CONDITJONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN IiEDUCED BY PAID CLAIMS LIMITS poCicV FxTiRXWoFJ 1 DATE IMMlDDIYYl IEACHOCCURRENCE Is I -_ -- - - - - FoCiCv EFFECTIVE TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDm LNSR LTR COMMERCIAL GENERAL LIABILITY CLANSMADE 0 OCCUR +: . *- tj I GENERAL AGGREGATE COMBINED SINGLE LIMIT (E8 eocidenl) :' GEHL AQGREQATE LIMIT APPLIES PER LOC ANYAUTO SCHEDULED AUTOS (Per BODILY acddenl) INJURY s -I PROPERTY DAMAGE I (Per acddent) I AUTO ONLY - EA ACCIDENT I S I OTHER THAN EA Accl I AUTO ONLY: AGGI L I ~ EACH OCCURRENCE s AGGREGATE Is I IS I I RETENTION S WORKERS COMPENSATK)N AND 3800001224-021 04/01/2002 EMPLOYERS' LIABKllY lAl