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HomeMy WebLinkAbout1661 DOCENA RD; ; CB001509; Permit04/19/2000 City of Carlsbad Electrical Permit Permit No CB001509 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1661 DOCENARDCBAD ELEC 2159101000 ELEC FOR FUTURE SPA Lot# Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/19/2000 RS 04/19/2000 04/19/2000 Applicant PRO EARTH LANDSCAPE INC STER 2210ENCINITASBLVD ENCINITAS CA 92024 760633-3120 Owner _ "BREHM-AVIARA DEVELOPMENT ASSOCIATES L P r\V / ........ - 2835 CAMINCvDEL RIO^S #220 SA^blEG'O CA92108 \ 4953 04/19/00 0001 01 021°<X C^:\ \ C-PRMT 20.00 Total Fees $20 00 / /-> Total Payments fo'Datev^ :- $0 00\ x>;,/'' Balance Due $20 00 / r:~ •• "° / X^:---:!5~-:;:;':::^=:r:^^':"';7 \ \ CV'' \' • - • /I r? PI / Electric Issue Fee I \\—^/ | Single Phase per AMP '. ""'""' ', Three Phase per AMP \ \ ^ Three Phase 480 Per AMP, \ \ Remodel/Alteration per AMP; Remodel Fee \ \ Temporary Service Fee \ ,//::v, Test Meter Fee \ y\, ,,-• Other Electrical Fees \ "6^ H. "~"i";:-.,.- ..^Ssa^" // i ; •'' _ \ "\ 4t> ./' /^\ IO) $1000 A's-pVjSiV /-r'^y/ ^"" $000 \./i/0 1 ff5 // (C^lJ1 $00°, xyi^>iyy >hf?>^// /$ooo ""•--. 6-\ ', :'^y\/i ...... v ' &. •''" f /$000 , // """ \*&il °"" / ,;$iooo \x""" INCORPORATED / C^-^.. / $0 00 ~i '••-,.^ '|fa ..,.••-'•""... ovV°' •• • /' $000in ^ ~" ~~" — ..,-.cA\\yJ / $000 TOTAL PERMIT FEES $2000 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 tmely 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 capactiy 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 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1636 Faraday Ave , Carlsbad, CA 92008 1 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK N0/ffi)0| gDl EST VAL Plan Ck Deposit Validated By Date Address dnclude-£ldg/Sui(Ul floe ,, .Or Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work , f :::2 :;. , CONTACT PERSON (if different from applicant) #of Stories of Bedrooms # of Bathrooms Name APPLICANT: • Qlcpntractor Address City Igent for Contractor ??[[U 6wners:i;O Agent f^r-Owner > Mr. State/Zip Telephone # Fax i Name *i" Address City State/Zip Telephone'* Name Address City State/Zip Telephone # J5l: CONTRACTOR^ JC^MPANY NAME i •? ;s\.&z££l • AiffiiJJ^MK^iC^.^^l.JiyrZ^V' ^ ,llC ....... ,:;„ -:':L,::8Sl.,. iJU '-.... ,~iU ...... us;., (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 15031 5 by any applicant for a permiv«ujbjects>the applicant.to a civil penalty of not more than five hundred dollars ($500])^of Section 15031 5 by any applicant for a permi UH^KOIMC. feAr 6\ Name '** — . , s~, ^y State License ff / \0 C^ X . xQ Address ^ (PL*) License Class (z~9n City State/Zip 1 ^ ^ — . Telephone # 5(.6"?6'V>^fc Designer Name State License ff Address City State/Zip Telephone .6 WORKERS' COMPENSATION '„ , '':•£," ' ,i'-y f •••,'..- ^ ' ' • ' ; V-" Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations [~1 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 ^H"*! 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 issued My worker's compensation insurance carrier and policy number are v Insurance Company TiCl lT6MM _L—AJjX/'C-AsM^--^ Policy No s^ <r* *~)2c:> f c3 x^-* Expiration Date I*\A-~4 1 3 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l$100] OR LESS) C] CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in an^ manner so as to become subject to the Workers' Compensation Laws of CahfoKfla WARNING Failure ^Jecafa workers compensation coverajfe is unlawful and shall subject an employer to criminal penalties and civil fines up 1o one hundred thousand dollars ($Xw/aDQf in addition fa/the c/st of aormtensption damages as provided for in Section 3706 of the Labor cod^ interest and attorney s fees SIGNATURE (^J&&7? / r~^K>4/t/C/*'<;'l/ DATE 7 -OWNER-BUILDER DECLARATION 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 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) l~l 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 contrai tor(s) licensed pursuant to the Contractor's License Law) l~| 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 l~l 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 _ COMPLETE JHIS SECJION;FOR Ari3W-/?£S/OflVrMilBUlLDING PERMITS ONLY ,iu ..... 5,1, \ mj ^J- 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? l~l YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES fj N° 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 V:S:i CONSTRUCTION LENDING AGENCY ^ ^ ' ". . "^J /.flST -'*f . , 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(0 Civil Code) LENDER S NAME _ LENDER S ADDRESS __ 9 fi APPLICANT CERTlFICAtiON . . • ', ''if ':L :„, ...... :> •—•'••', ' '; i . ,-{.. ">. '•• ;«.. :... ": 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 AIL 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 EXPIRATION Every permit issuedliy th^building Officj authorized by such permit is not ofrarnencea within 1 at any time after the work is co/iijren/fed/for a penojra 1 olition or construction of structures over 3 stories in height nder the pesions of this Code shall expire by limitation and become null and void if the building or work f rom l^e^kte of such permit or if the building or work authorized by sudh permit is) suspended or abandoned days^SjX$tio.n 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 4/27/2000 Permit# CB001509 Title ELEC FOR FUTURE SPA Description Inspector Assignment Type ELEC Sub Type Job Address 1661 DOCENA RD Suite Lot 0 Location APPLICANT PRO EARTH LANDSCAPE INC Owner BREHM-AVIARA III DEVELOPMENT ASS Remarks Phone 6199139932 Inspector Total Time CD Description Act ^Comments 31 Underground/Conduit-Wiring Requested By CHRIS Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments r ' ggBMHOBjnBBBBBBBHn A CO ft 0 •^^•^^^^^••^H ALL COMMERCIAL INSURANCE SERVICES, LLC 6790 TOP GUN STREET #3 SAN DIEGO CA 92121 PPiONE 858/642-0200 FAX 858/642-0205 Agency Lit* 0822037 INSURED PRO EARTH LANDSCAPE CARLSBAD CA 92009 m^m••••••^^^•^^^^•1 DATE (MM/DD/YY) HHB ^^^^^^^^^^^^^^H JUN 10 99 B^HTHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 1 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE COMPANY A GENERAL SECURITY ; COMPANYB SAVERS PROPERTY & CAS COMPANY C GOLDEN EAGLE INSURANCE CO i COMPANY D 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS «fLTO B A --i | TYPE OF INSURANCE POLICY NUUBE GENERAL LIABILITY ACA1000S600C X! COMMERCIAL GENERAL LIABILITY I (f~~l CLAIMSMADE ! x ! OCCUR X OWNERS* CONTRACTOR'S PROT \ i i ....... " I DATE (UUIDD/YY) A9806 JUN 3 99 i i AUTOMOBILE LIABILITY CA401-2218 JUN 25 98 X j ANY AUTO ' ALL OWNED AUTOS I ' SCHEDULED AUTOS X i HIRED AUTOS•< ! X i NON-OWNED AUTOS \ "\ " "" \ GARAGE LIABILITY i I ANY AUTO | j t! i i | i; [ ii _[ \ \ EXCESS LIABILITY J | UMBRELLA FORM j j OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND 30235878-1"EMPLOYERS' LIABILITY THE PROPRIETOR/ !" ,NnPARTNERS/EXECUTIVE i . OFFICERS ARE i "X 1 EXCL OTHER i i ! 1 MAY 15 99 POLICV EXPIRATION „DATE (BU/DWYY) LIMFTS JUN 3 00 GENERAI AGGREGATE jt 1,000,000 [PRODUCTS COMP.'OP AGG j* 1.000,000 PERSONAL & ADV INJURY j '* 50,000 EACH OCCURRENCE E 500,000 FIRE DAMAGE (Any One Fire) 'i 50,000 MED EXP (Any On« Person) 5 50,000 II I U OC AA COMBINED SINGLE LIMIT $ 500,000 j BODILY INJURY i (Per person) > ! |. _ j BODILY INJURY j (Per accdefii) | * '•PROPERTY DAMAGE • ( i i AUTO ONLY F.A ACCIDENT j J EACH ACCIDENT j $ AGGREGATE $ EACH OCCURRENCE ? | AGGREGATE j *!* > EACH ACCIDENT '$ 1,000,000 DISEASE POLICY LIMIT !$ 1,000,000 DISEASE EACH EMPLOYEE j$ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS PROOF OF INSURANCE cno ikicnoMAi-inu Diiooncec: nwi vPUR INPUKMA I lUN HUKKU&tS UNt-Y Attention SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEEXPIRATION DATE THEREOF THE ISSUING COMPANY WILL MAIL 30 DAYS WRITTENNOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT AUTHORIZED REPRESENTATIVE