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