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Home My WebLink About1355 COBBLESTONE RD; ; CB061071; Permit04-20-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB061071 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1355 COBBLESTONE RD CBAD St TP ELEC 0000000000 EMERALD POINT TEMP POWER POLE Lot# Status Applied Entered By Plan Approved Issued Inspect Area Applicant POWER PLUS 436 N QUINCE ST ESCONDIDO CA 92025 760 839-9430 Owner ISSUED 04/20/2006 MDP 04/20/2006 04/20/2006 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 0 $1000 $000 $000 $000 $000 $000 $1000 $000 $000 $000 TOTAL PERMIT FEES $2000 Total Fees $20 00 Total Payments To Date $20 00 Balance Due $000 Inspector FIN DateS 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 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 PROJECT INFORMATION Or. FOR OFFICE USE ONLY PLAN CHECK NO G£*=>~ IP"? [ EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #) Legal Description Assessor's Parcel * Description of Work ' Lot No Subdivision Nan RAffl Existing UseY? rtmp p/juoti f BQ FT Business Name (at this address) le/Number Unit No r -for r^^riJ^h'^, # of Stories Phase No Proposed Usen it of Bedrooms > Total # of units # of Bathrooms CONTACT PERSON (If different from applicant) 839-W 30 Name Address 3 APPLICANT D Contractor Cg, Agent for Contractor City State/Zip Telephone # D Owner D Agent for Owner Fax# Name Address City State/Zip Telephone # Address City State/Zip Telephone # 5 CONTRACTOR - COMPANY NAME (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 avil penalty of not more than five hundred dollars [$500]) Pniurr t?,UA-5.ft. ferav (&YV 4*>10 A/ Name State License # 55^5^1 (D Designer Name State License # -5f\£?3J5~<7 7Addressr License Class C- t? 1 , s Address Ce. ao,i City City State/Zip Citv Business License # / State/Zip Telephone # <3. C\ Cf 3. -STJ5~~ Telephone # 8. WORKER'S COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations D 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 jt( I have and writ maintain worker's 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 compansatkxxjrwurance earner and policy number are Insurance Company AYMPSlrfj} ffomf /fc^Vg/Ttfjrffcv No LUC ~f I ~l I L Expiation Paia}] PLE "2. ZL \ /•-> — I O" J / ~O \ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [J100] OR LESS) O 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. FaHura to secure workers' compensation) coverage re unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollarsdlOO.OOO), HI addition to the cost oftqfripenMUOiydamage* are provided for In Section 3706 of the Labor Code Interest and att SIGNATURE ^W^VrV?/^^^V/J> ~ JLJi#Sl7~ DATE. 7 OWNER-B£HLM& DECLARATION (/ I hereby affirm haH^m 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 d 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 thereon and who does such work himself or through his own employees provided that such improvements are not intended or offered for sate 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) 0 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 contractors) licensed pursuant to the Contractor's License Law) D 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 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 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 / /ontractors 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 WHITE File YELLOW Applicant PINK Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration for or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Ad? D YES D NO Is the applicant or future building occupant required to obtain a permit from the ar pollution control distnct or air quality management distnct? a YES Q NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? O YES D 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 8 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code) LENDER S NAME LENDER S ADDRESS 9 APPLICANT CERTIFICATION 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 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, JUDGEMENTS, COSTS AND OSHA An OSHA permit is required for excavations of 5 0* deep and demolition or construction of structures over 3 stones 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 authonzed by such permit is not commenced within 180 days from the date of suchpermit or if the building or work authonzed 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 Unif^frnBtiilding Code) APPLICANTS SIGNATURE ^—"~LP AJLl A-L-^OM J? J Lf&f^LJ DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 04/27/2006 Permit* CB061071 Title EMERALD POINT Description TEMP POWER POLE Inspector Assignment Type ELEC Job Address Suite Location APPLICANT POWER PLUS Owner Remarks Sub Type 1355 COBBLESTONE RD TP Lot 0 Phone 7608399430 Inspector Total Time CD Description Act Comment 32 Const Service/Agricultural Requested By MICHELE Entered By CW Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments FROM (MON)APR 10 2006 9 58/ST 9 58/No 6660747618 P 2 FROM (MON)APR 10 2006 9 58/ST 9 58/No 6660747618 P 3 eancaity 04/10/06 Confirmation of meter and service request Customer RWR Phone 6194797979 Service Address: 1355 COBBLESTONE PR TP CB DPSS#537123-060 Contact; MICHELLE SCOTT Phone 7608399430 We have investigated your request for temporary service and determined that the facilities you have identified as D142785 are mechanically available for your use hi providing temporary power for your project If temporary service is to be provided underground, please place your facilities no closer than 7 ft or no farther than 20 ft from the Utility source described above (see generic sketch below.) We can schedule the installation of your facilities upon receipt of both billing application and municipal inspection Any questions concerning this form or further information call San Diego Gas & Electric at: Bruce Sisson 7609317301 mn-6-3" mm from finish rak to «mterimc of i b&K. MetetJ *re required to be raQy acceMftte 2* Hn. /day Mdeo mat be located in a ate ttet flee of uy potential haanb Of dangerous conddunu. Provide 3'nV dem-mHevd worianaaBce infipjiof mrttft Wboro meter room u proposed coatMttte Mind SDGftE office. HBflter "BBEBs MKL—p^p^^^^pa^^MMBCts nw HI IOBBCD K Ox UHiBWMi"/ . la MCb other «nd be ide^ified With tOOasB and uml number it For dead front transformers, trench tt> Facility in the shaded area Clear & Level m Ffontofmtr Deadfiont Li ft @ point of connection, 18 ft @ center of street or 12 fioa cnrb wiucfaeverislois. 16 ft over commercial drivemys, 12 ftove drivew^s. Maintam all required G.O.95 dearaac«s 48 fan poor to installing to verify the location of undcrgroua Mum Switch200 amps giagk Phase * Wire 4 meter clips 120040 VoUft Utilities innwitniini oooUibution to fatibcumm 10K A1C ampe Custom* iddien and/or meter taw imat be polled poor to mrfa KL In&«n«joaon«iii*cxtiawndifltt6iiioolfcsfa«a(l»»<rfltiufti gd bcflitie* to neerra dcdnc service m mbjocl to >U anplKabto local and date of Califin action iuOwaty reqm «!vkdeperfbi uliuctoon ofywif pntea, work-win lull umncdiatdy sod d wfllbeyoor raponsibitityIfSDGAE eocwrtets beaidaw or tone i to ren»W aod/or clean all taardoai or tcrac mrfenJ pm>r to SDG&B eaatninrag oHUbadion, SDGftE Alii ntve BO habdrty or obhptera to dean, rtawv« pr iviwdiafe any tuuank.il* or Imic matenal dig«vvend dunng the coone oTcOBflflKliOIL Untee ft If tbootfb BcgUeaKe of SDO&E. deadfront.doc revised 12/29/00 ACORO. CERTIFICATE OF LIABILITY INSURANCE PRODUCER Lockton Insurance Brokers, Inc 725 S Figueroa Street, 35th Fl CA License #0714705 Los Angeles CA 90017 (213)689-0065 | DATE (MM/DDfYY) _ Q_3/31/2007 i 03/29/2006 j THIS CERTIFICAtE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE! HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ! ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, i INSURERS AFFORDING COVERAGE INSURED S R Bray Cop , dba Power Plus' Smooth Stone, Corp dba M E NoUkamper & Assoc.,Kirsl Equipment Co, Ire, SR Bray Utility Services, Inc 1005 N Edward CL Anaheim CA 92806 I - I INSURER A American Home Assurance Company I INSURER B_ .United-States F.ire.Jnsurance [.INSURERS.. j INSURER.!?,. I INSURER E COVERAGES SRBRA01 03 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 OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS MS* iffi. A B A A TYPE OF INSURANCE GENERAL LIABILITY X COMMERQAL GENERAL LIABILITY I CLAIMS MADE 1 X | OCCUR GEhfL AGGREGATE LIMIT APPLIES PER AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS OARAOE LIABILITY ANY AUTO BXCES0 LIABILITY j OCCUR [ 1 CLAIMS MADE D UMBRELLA FOMI RETENTION $ WORKERS COMPENSATION AND EMPLOYERS1 LIABILITY OTHER POLICY NUMBER GL 177-41-43 133-721321-4 NOT APPLICABLE NO F APPLICABLE WC717-I6-34(CA) WC 717-16-35 (AOS) W?TCTMEMmD/YY)E 03/31/2006 03/31/2006 03/31/2006 03/31/2006 lMTE^MM«oiYY))H 03/31/2007 03/31/2007 03/31/2007 03/31/2007 LIMITS EACH OCCURRENCE i.f RE. DAMAGE AAny one fire) ! MED EXP (Any one person; PERSONAL & ADV INJURY '• GENERAL AGGREGATE[p"Roo T "™ ~"~AGG~ COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Perperton) BODILY INJURY (Par accident) PROPERTY DAMAGE (Per acoaem) AUTO ONLY EA ACCIDENT OTHER THAN £* Acc AUTO ONLY „AGG EACH OCCURRENCE AGGREGATE v iWCSTATU 'J6TH X ITQRY LIMITS ItR E L EACH ACCIDENT _ EL DISEASE EA EMPLOYEE i S 1 000000 ; s 30o,oog_. $ 5,000 $ 1,000^)00 s 2JQOO,000 _L.__J,QOMOO__.. s 1,000,000 s XXXXXXX s XXXXXXX s XXXXXXX s XXXXXXX s XXXXXXX s XXXXXXX s XXXXXXX s XXXXXXX 5 XXXXXXX , XXXXXXX s XXXXXXX s 1.000,000 s 1,000,000 E L DISEASE POLICY LIMIT | S 1 ,000,000 DESCRIPTION Of OPERATtONSAXlCATIONS/VEHICLESVEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLflER ADDITIONAL INSURED. INSURER LETTER CANCELLATION 2470678 EVIDENCE OF COVERAGE i AGO *D ?K-ft /7/D71 ft* nuxttc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE — j ^^ ~*f Mot™ .to., ma «~*» to. CUM cod. -wBiUlui c ATJORD CORPORATION 1 988