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HomeMy WebLinkAbout1120 CAMINO DEL SOL CIR; ; CB054317; Permit12-23-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No:CB054317 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: JUDD ELECTRIC 523 TAMARACK CT 91911 619-941-2550 1120 CAMINO DEL SOL CR CBAD ELEC 2062611100 Lot#: VERKLEEREN RES- TEMP POWER FIRE DAMAGE Status: ISSUED Applied: 12/23/2005 Entered By: LSM Plan Approved: 12/23/2005 Issued: 12/23/2005 Inspect Area: 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 Total Fees:$20.00 Totrt'PaymenttfTb Date: ; * $»,& $20.00 Balance Duo:$0.00 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 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 prevJouslv been divert a NOTICE similar to this, or as to which the statute of limitations has previously otherwise excised. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bids/Suite #)Business Name (at this address) Legal Description Assessor's Parcel * 'Description of Work Lot No. Subdivision Name/Number Existing Use SO. FT. fof Stories Unit No. Phase No. Total * of units Proposed Use K of Bedrooms # of Bathrooms Name Address State/Zip Telephone f Fax* (Sec. 7031.6 Business end Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repeir eny 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 Lew IChepter 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 •Hegad 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 doHars [$5$as TA^MA^C frcvvLA J//STA Name State License Address License C,«, City City Business License Designer Name State Ucens* i Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: GL I have and wW maintain a certificate of consent to serf-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance /ofthe work for which this permit is issued. Hv 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 worker's compensation insurance carrier and poKcy number are: i<-y/"»«-> / <r\ O Insursnce Company iST/fr^T 7^/t/O PoHcy No. /oC/ J& O *- Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) 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. \WARNWG: Failure to secure workers' compensation coverage la unlawful, and anal subject an employer to criminal penalties and dvi fines up to one hundred thousand dolen (4100,000), In addition to the coat of compensation, damages *s 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 employee* 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 Coda: The Contractor's License Law does not apply to an owner of property who builds or improves thenon, and who does such work himself or through hie 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 buttd or improve for the purpose of sale). Q I. ss owner of the property, am exclusively contracting with licensed contractors to construct the project {Sec. 7044, Business and Professions Coda: 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!*) 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. D YES QNO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the Mowing parson (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): , , , 6. I wlH provide some of the work, but I have contracted (hirad) 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 plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26S06, 26533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or sir quality management district? Q YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. 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 1 have read the application end state that the abova information is correct and that the Information on the plans is accurate. I agree to comply with eH City ordinances and State laws relating to building construction. I hereby authorize representatives 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: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become nuK and void tt the building or work authorized by such permit is not commenced wHNnlSjOiday34ram*B date of such permit or if the building or work authorized by such permit Is suspended or abandoned ,at any time after the work is commencedjop erpBTjJMPonsQ days^Section 106.4.4 Uniform Building Code). ^ APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance DATE City of Carlsbad Bldg Inspection Request For: 01/03/2006 Permit* CB054317 Title: VERKLEEREN RES- TEMP POWER Description: FIRE DAMAGE Type: ELEC Sub Type: Job Address: 1120 CAMINO DEL SOL CR Suite: Lot 0 Location: APPLICANT JUDD ELECTRIC Owner: VERKLEEREN JOHN L&BARBARA A Remarks: Inspector Assignment: Phone: 61925002811 Inspector: Total Time: CD Description 34 Rough Electric 39 Final Electrical Act Comment X_ Requested By: EDWIN Entered By: CHRISTINE Comments/Notices/Hold Associated PCRs/CVs Inspection History Date Description Act Insp Comments License Detail Page 1 of2 Cr.iifornia Homo Friday. Docem License Detail Contractor License # 440068 CALIFORNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base. Before 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 tc complaint disclosure, a link for complaint disclosure will appear below. Click on the lin 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 ont Board's license data base. Extract Date: 12/23/2005 * * * Business Information * * * JUDD ELECTRIC 523 TAMARACK COURT CHULA VISTA, CA 91911 Business Phone Number: (619) 941-2550 Entity: Sole Ownership Issue Date: 05/13/1983 Expire Date: 05/31/2007 * * * License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * Class C10 Description ELECTRICAL * * *Bonding Information ** * CONTRACTOR'S BOND: This license filed Contractor's Bond number 4350 in the amoi $10,000 with the bonding company http;//www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 12/23/2005 License Detail Page 2 of 2 AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 01/01/2004 Contractor's Bonding History * Workers Compensation Information ** ** * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number: 1803602 Effective Date: 02/14/2005 Expire Date: 02/01/2006 Workers Compensation History PersonneJLlst ILicense Number Request IContractor Name Request IPersonnel Name Request [Salesperson Request [salesperson Name Request © 2005 State of California. Conditions of Use Privacy Policy http://www2.cslb.ca.gov/CSLB LIBRARY/License+Detail.asp 12/23/2005