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HomeMy WebLinkAbout1203 CANNON RD; MP; CB070787; Permit03-22-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB070787 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1203 CANNON RD CBAD St MP ELEC 0000000000 Lot # SDG&E 100 AMP MET PED FOR TRAFFIC SIGNAL Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 03/22/2007 LSM 03/22/2007 03/22/2007 Applicant LEKOS ELECTRIC 1370 PIONEER WY EL CAJON CA 92020 619447-7661 Owner Electric Issue Fee Single Phase per AMP Three Phase per AMP w 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 100 0 0 0 $3500 Total Fees $35 00 Total Payments To Date $3500 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 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 previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN, CHECK NO. &SQ1O"? EST.fVAL! Plan Ck -Deposit Validated By Date ~~ Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Nama/Number Unit No Phase No Total # of units Proposed Use Description of Work # of Bedrooms # of Bathrooms f^^H ^ ! ."f-.^''*SS ^"" <;^p^ '^•^WS<^f':ijPl^ Telephone #Fax # Name Address City State/Zip Telephone # 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 oftSsction 7031 5 by any applicant for a permit subjects the applicant to a civiLcenalty of not more than five hundred dollars [$50011 ..//*,/*£«, EL,L,>f (l?0 PSoMtl "fr>. Ef&bL /'J <?liti0 f/Q"74??6£f Name State License # Address License Class s, s * C, ( C/ y State/Zip . " Telephone # City Business License # .jVx.X.X^^J sa4' Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations O 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 O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for tha performance of the work for which this permit is issued My worker's compensation insurance carrier and policy number are . . Insurance Company ^. /£. f AhA. MnfMAw No Q Y *~Q $£/&J fy Expiration Date Q(~i2" (THIS SECTION NEED NOT BE COMPLETED IF THEPERMIT IS FOR ONE HUNDRED DOLLARS IS100] OR LESS) Q CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (9100,0001, in addrtfon to tha cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees SIGNATURE ML X^^t^ _ ' _ DATE f^lZ*?? EScW$g8'J^jji&^ I hereby affirm that I am exempt from the Contractor's License Law for the following reason D 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) Q 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^ licensed pursuant to the Contractor's License Law) n I *m 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 QNO 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 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 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? 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 f~l 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 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 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 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 null and void if the building or work authorized by such permit is not commenced within 180 days from the 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 commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 04/10/2007 Permit* CB070787 Title SDG&E100AMPMETPEDFOR Description TRAFFIC SIGNAL Inspector Assignment 1203 CANNON RD MP Lot Type ELEC Sub Type Job Address Suite Location APPLICANT LEKOS ELECTRIC Owner Remarks METER PED Phone 6195041096 Inspector Total Time CD Description 32 Const Service/Agricultural 39 Final Electrical Requested By PETER Entered By JANEAN Act Comments Comments/Notices/Holds Associated'PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 760 7494 SDGE i u .su 4 i a WANTED nATF JSSemPmEnergyiJ"llt¥" ELECTRIC METER & SERVICE LOCATION Q OVERHEAD SENDER GROUND -SPECS ATTACHED TB Q JT MEET REQ'D BT5OMM L D RESIDENTIAL PROJECT NO JOB NO MORATORIUM EFFECT - AGENCY TYPE DATE CRITICAL - PENDING STREET RESURFACING MONTH YEAR ... TCPREQDD STEXC* PERMITS REQD DCUST DSDG&E SERVICE ATTACHMENTj'QINT AND/OR METER LOCATION SDG&E APPLICATION NOTE INSPEC REQ D PRIOR TO SET" •ETfiTY/COUNfY GENERAL CUSTOMER INFORMATION Meier Height - 4 0" mm 6'3" max Itom finish grade to center line ol meter base Meters are required to be readily accessible 24 hours per day Meters must be located in a sale area free of any potentially hazardous or dangerous conditan ProvideSft X3ft minimum clear and level working space in front ol meter Where meter room is proposed contact the Planner at the nearest SDG8E office Meter bases and meter service disconnects must be located ai or immediately adjacent to each other and be identified with address and unit number ft serves POLE * LADDER ARMS RECTO Q EXIST1NGD STOP TRENCH Dl D7W FROM POLE RISER QUAD OVERHEAD SERVICES PROVIDE MINIMUM GROUND CLEARANCE OF Ft at point of attachment of Ft over driveway oyjertdng area Ft at outfl>*rfliro! vehicular traffic UNDERGROUND SERVICE PROCEDURE FOR INSTALLATION 1 Pay al! monies due 2 Phone SDGlE at NOT APPLICABLE cinj days pnor to trenching to arrange with inspector and initiate trenching process 3 PHONE DIG ALERT 1-600-227-2600 AT LEAST TWO DAYS PRIOR TO TRENCH- ING FOR LOCATION OF UNDERGROUND UTTLfTIES 4 Excavdte trench, install conduit and service entrance equipment at meier location CALL ABOVE PHONE # FOR INSPECTION Do not cover co without inspector's written approval to backfill 5 Call inspector when trench is backfilled and compacted for inspection If service entrance equipment is installed atter backfill, CALL ABOVE PHONE # FORINSPECTION OF THE EQUjpwEMr 6 Meter will be sel after inspector has approved installation equipment, and receipt of city/counly/state* inspection clearance etach beloro completing this section ) JT TRENCH DGAS QTELCXl DCATV SEC HEIGHT CABLE POLE CONtXJ(T BY Q CUSTOMER D SDG4E SIZE. CABLE POLE BEND BY DdJST QSOG&E«r.RADIUS SCH 80 SIZE . KANOHOLE BY DCUSTOUEfl dSDGSE D STD PAGE * . CONDUFTBY 00 CUSTOMER DSDGSE SIZE TRENCH INSPECTen 4 APPROVED BV PAYMENT BY CUSr CBL PL J EXCESS S WIRE MAIM SWJTCH —7 TAGE METER CUPS PLANNER METERING DOTS JQSELf CONTAINED (JfreST BY PASS FACILITIES flEOft) UTIUTICS MAXIMUM CONTRiaUHON TO FAULT CURRENT _<t^ferAMPS TELEPHONE - 775? I DATE If SDG8E encounters hazardous or toxic matenal yvtiile perforrrimg construction of yoiw p'Oiect SDGSE 'rii hati vurit .inmediafei/ and il will be your responsibility to eif-ye and/or clean up dll h^zariJous or toxic material pnor 10 SDG&E condnupng construction 5DGAE shall have ro liability of obliQilimt whatsoever to rlesn up 'emove ol remediate any ha/3idoi.s n iovif iijtprials discoverer! during 'he tOJ'Se ol consl"jchon jnio^s i* ii ihfouC rieqlirerec o( SC Cnstomef-owned facilMie^ lo receive elecrncal wrvice are subjpe! lo all applicable local and slate ol C t (ojnia f^spacflon aulho'ily requirpfneiii'! Bu iding idrtic^a anctar nteitM base musi Lie posted p 10110 melet set Inlormatiof o<i this sheet is void after G months Irom dale Keep the, notice wilh 01 License Detail California Home Page 1 of 2 Thursday, Ma License Detail Contractor License # 588410 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 7124J3) 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 03/22/2007 Business Information * * * LEKOS ELECTRIC INC 1370 PIONEER WAY EL CAJON.CA 92020 Business Phone Number (619) 447-7661 Entity Corporation Issue Date 02/14/1990 Expire Date 02/29/2008 * * * License Status * * * —i This license is current and active .All information below should be reviewed. * * *Classifications Class I Description cio [ELECTRICAL Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number S8003152 in the ar ,- $12,500 with the bonding* company http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 03/22/2007 Detail Page 2 of 2 Effective Date 01/01/2007 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer (RMO) TE ELLEN LEKOS certified that he/she owns 10 percent or more of the voting stock/equity < corporation A bond of qualifying individual is not required Effective Date 02/15/1995 * * * Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number 044-0021629 Effective Date 01/22/2003 Expire Date 01/22/2008 Workers Compensation History Personnel listed on this license (current or disassociated) are listed on other licet • t PersgnneLList Other Licenses License Number Request B Contractor Name Request • Personnel Name Request Salesperson Request [salesperson Name Request ©2006 State of California Cjmdjtio_ns_of Use Privacy Policy http //www2 cslb ca gov/CSLB _LIBRARY/License+Detail asp 03/22/2007