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HomeMy WebLinkAbout2256 CAMEO RD; ; CB090510; Permit03-27-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB090510 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2256 CAMEO RD CBAD ELEC 1670802600 Lot# Status ISSUED Applied 03/27/2009 LSM 03/27/2009 03/27/2009 NESBIT RES- CHANGE OUT 100 AMP ELECT PANEL TO 125 AMP Entered By Plan Approved Issued Inspect Area Applicant QUALIFIED ELECTRIC PO BOX 713 92079 760-579-8241 Owner NESBIT TIMOTHY R&KRISTINE A 2256 CAMEO RD CARLSBAD CA 92008 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 0 0 0 25 $1000 $000 $000 $000 $625 $1000 $000 $000 $000 $000 TOTAL PERMIT FEES $2625 Total Fees $26 25 Total Payments To Date $26 25 Balance Due $000 Inspector 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 m 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 City of Carlsbad 1635 Faraday Ave , Carlsbad, CA 92008 7,60-602-2717 / 2718 / 2719 Fax '760-602-8558 www carlsbadca gov Building Permit Application Plan Check No. Est Value Plan Ck. Deposit Date JOB ADORES! CT/PROJCCT It n Of UNITS a BEDROOMS DESCRIPTION OF WORK Include Square Feet of Affected Area(s) SUITE*/SPACE0/UNITS # RATHROOMS TENANT BUSINESS NAME CONSTR TYPE! occ GROUP TO i fin?ALL it) dtJe p/9*Je>L EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME <lf Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME <T"r/v-i C" / A T ADDRESS- CITY . . STATE ZIP ^ Hb) H^^-^^^t FAX EMAIL ARCH/DESIGNER NAME & ADDRESS 1 STATE LIC * PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES a tt NO a YES n NO n YES n NO a APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS WJVIE . -- - LYL'^LjFlt?D t L b C'jfi £{- ADDRESSr-8- bo* 7f? CITY STATE., Zlp ^/]/J "figCOS °fl HOO?*? RHONE . FAX EMAIL 1 1 / STATE LIC* J J ^^ CLASS CITY BUS LIC« , (Sec 70315 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 islicensed pursuant to the provisions of the Contractor s License Law (Chapter 9 commending with Section 7000 of Division i of the Business and Professions Code) or that he is exempt there from and the basis for the alleged exemption Any violation of Section 70!IS by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$SOO}) Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations n 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 LT) 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 issued My workers compensation insurance carrier and policy number are Insurance Co _____________________ Policy No ___________ ..... ___ Expiration Date __ This section need not be completed if the permit is for one hundred dollars ($100) or less "0" 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 sublet 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 asfovi^ed form Section 3706of the Labor code, interest and attorney's fees 3 *~ ' 2f7 ' "~ ~ & f _CONTRACTOR SIGNATURE DATE / hereby affirm that I am exempt from Contractor s License Law for the following reason Cl I as owner of the property or my employees with wages as Iheir 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) Cl I as owner of the property am exclusively contracting with licensed contractors to construct the proiect (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 proiects with contractor(s) licensed pursuant to the Contractors License Law) Cl I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the mapr labor and materials for construction of the proposed property improvement D Yes D No 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / 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 mapr work (include name / address / phone / 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 / type of work) ^PROPERTY OWNER SIGNATURE 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 Act7 D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 n Yes Cl No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site7 CJ Yes Cl 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 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 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 stones in height 180 days from the date of such permit or if the buildj^g 01 work authonzed by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) ^APPLICANTS SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 04/06/2009 Permit* CB090510 Title NESBIT RES-CHANGE OUT 100 AMP Description ELECT PANEL TO 125 AMP Type ELEC Sub Type Job Address 2256 CAMEO RD Suite Lot 0 Location OWNER NESBIT TIMOTHY R&KRISTINE A Owner NESBIT TIMOTHY R&KRISTINE A Remarks THINK HE WANTS SOMEONE THERE BY 2 00 P M Inspector Assignment Phone 760/5798241 Inspector Total Time Requested By Entered By BARBARA CD Description 33 Service Change/Upgrade Act Comments Comments/Notices/Holds I / Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 4386280 sempra 07 32 27 03-27-2009 1/2 Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat Page 1 of 1 Department of Consumer Affairs Contractors State LicenselBoard Contractor's License Detail - License # 842555 Zlji 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&P_7124 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&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 842555 Extract Date 03/27/2009 Business Information Entity Issue Date Expire Date License Status Classifications QUALIFIED ELECTRIC PO BOX 713 SAN MARCOS, CA 92079 Business Phone Number (760) 579-8241 Sole Ownership 07/13/2004_ 07/31/2010 This license is current and active All information below should be reviewed CLASS DESCRIPTION C10 ELECTRICAL Bonding Workers Compensation CONTRACTOR'S BOND This license filed Contractor's Bond number SC1042841 in the amount of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY Effective Date 03/02/2009 ContractorsJJonding. History This license is exempt from having workers compensation insurance, they certified that they have no employees at this time Effective Date 06/21/2004 Expire Date None Personnel List Conditions of Use | Privacy Policy Copyright © 2009 State of California https //www2 cslb ca gov/OnlmeServices/CheckLicense/LicenseDetail asp 03/27/2009