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HomeMy WebLinkAbout1910 ASTON AVE; MP; CB101197; Permit06-29-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB101197 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1910 ASTON AV CBAD St: MP ELEC 0000000000 Lot #: 0 REPLACE EXISTING METER PEDESTA Status: ISSUED Applied: 06/29/2010 Entered By: KG Plan Approved: 06/29/2010 Issued: 06/29/2010 Inspect Area: Applicant: SASS ELECTRIC INC STE 165 11657 RIVERSIDE DR LAKESIDE CA 92040 619-456-4500 Owner: 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 $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $20.00 Total Fees:$20.00 Total Payments To Date:$20.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE thai 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 oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.carlsbadca.gov Plan Check No.1 Est. Value Plan Ck. Deposit JOB ADDRESS IVsWv SUIT!#/SPACE*/UNIT# CT/PROJECT #PHASE* # OF UNITS »BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)( EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES| |#NO AIR CONDITIONING YES | [NO | | FIRE SPRINKLERS YES| |NO| | CONTACT NAME (If Different Fom Applicant)APPLICANT NAME. ADDRESS ADDRESS STATE ZIP STATEC*\ZIP PHONE FAX PHONE FAX EMAIL CONTRACTOR BUS. NAME AD DRESS STATE ZIP PHONE FAX EMAIL EMAIL RCH/DESIGNER NAME & ADDRESS CLASS CITY BUS. UC.# (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 theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Letoor Code, for the performance of the work for which this permit is issued. I have and will maintain w^rlf^p^rj;irTT1BTjgf*^n_RcFmiirpd hv ££ ^tr^J^T-OO of the LabafCode, for the performance of the work for which this permit is issued. My workers' compensation instance carrier and policy _ Policy No. lA^C—2OC0 SM^l^ Expiration Date j*" ^ "C^\lnumber are: Insurance Co This section need not be completed if¥i!"|JerM is* wflfewiffred dollar?(JTflu) oflesV | | 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' compensationcjfiSaafijJJtjlawful. and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damagct as provided/onn faction 3706oTfJfeialipr code, interest and attorney's fees.z^L\ . i ^T-» IT i'-—.i»J CONTRACTOR SIGNATURE OWNER-BUILDER DECLARATION / hereby affirm that I am exempt from Contractor's License Law for the following reason: [ | 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 nol 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). | I 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(s) licensed pursuant to the Contractor's License Law). I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. [3]Yes I JNo 2.1 (have / have not) skjned an application for a building permit forthe proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors'license number): 4.1 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 / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): x£fpROPERTY OWNER SIGNATURE AGENT DATE COMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILDING PERMITS ONLY 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? I I Yes I i/lNo f Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a'r quality management district? I lYes 1^1 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I JYes j_JNo CYMAYNOTi EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above i nformation is correct and that the information on the plans is accurate. I agree to comply witti all City ordinances and State laws relating to building construction. I hereby authorize representative 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavatbns over 5'0' deep and demolitbn or constrxtbn of structures over 3 stories in height. 180 days from the date of such permit or if the buikjing or work authorized by_such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Sectbn 106.4.4 Unform Building Code). JS?3 APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 07/07/2010 Permit* CB101197 Title: REPLACE EXISTING METER PEDESTA Description: Type: ELEC Sub Type: Job Address: 1910 ASTON AV Suite: MP Lot: 0 Location: APPLICANT SASS ELECTRIC INC Owner: Remarks: Total Time: CD Description Act Comments 32 Const. Service/Agricultural Inspector Assignment: RB Phone: 6196726180 Inspector: Requested By: GREG Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 07/02/2010 34 Rough Electric NR RB @ 9:50AM City of Carlsbad Bldg Inspection Request For: 07/02/2010 Permit* CB101197 Title: REPLACE EXISTING METER PEDESTA Description: Type: ELEC Sub Type: Job Address: 1910 ASTON AV Suite: MP Lot: 0 Location: APPLICANT SASS ELECTRIC INC Owner: Remarks: Total Time: Inspector Assignment: Phone: 6199218456 Inspector: Requested By: BILL ? Entered By: CHRISTINE CD Description 34 Rough Electric Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments NOTICECITY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE DATE X ^^ / *-^ TIME LOCATION 79*/^ PERMIT NO. /p FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? ,_. YES FOR FURTHER INFOBMATiefeL CONTACT PHONE CODE ENFORCEMENT OFFICER ACORC?CERTIFICATE OF LIABILITY INSURANCE ™5%£? PRODUCER (619)297-3160 FAX: (619)297-3111 CMR Risk & Insurance Services License #OE59760 8880 Rio San Diego San Diego INSURED Sass Electric, Inc 11657 Riverside Dr Lakeside) Dr #725 CA 92108 Ste 165 CA 92040 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER^ THIS CERTIFICATE DOES NOT AMEND, EXTEND ORALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A: Gemini Insurance Company INSURER B: Golden Eagle Insurance Corp INSURER c .St. Paul Fire & Marine INSURER D: National Union Fire Ins. Co. INSURER E: NAICff COVERAGES 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. INSR LTR A B C D MJCXL NSRD TYPE OF INSURANCE GENERAL LIABILITY X X COMMERCIAL GENERAL LIABILITY 1 CLAIMS MADE | X | OCCUR $2,500 deductible per occurrence GEN'L AGGREGATE LIMIT APPLIES PER: n POLICY |T| 5^ HLOC AUTOMOBILE LIABILITY X X X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS / UMBRELLA LIABILITY X 1 OCCUR 1 | CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y , N ANY PROPRIETOR/PARTNER/EXECUTIVE 1 1 OFFICER/MEMBER EXCLUDED?(Mandatory In NH) ' ' If yes, describe underSPECIAL PROVISIONS below OTHER POLICY NUMBER 7CGPO 18097 3A8570153 2K04500747 WC20634913 POLICY EFFECTIVEDATE (MM/DO/YYYY) 1/15/2010 1/15/2010 1/15/2010 3/3/2010 POLICY EXPIRATIONDATE IMM/DD/YYYY) 1/15/2011 1/15/2011 1/15/2011 3/3/2011 LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGO COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN ^A ^^ AUTO ONLY: AQQ EACH OCCURRENCE AGGREGATE X WC STATU- OTH-TORY LIMITS ER EL EACH ACCIDENT EL DISEASE - EA EMPLOYEE E.L DISEASE - POLICY LIMfT S 1,000,000 S 50,000 $ 5,000 $ 1,000,000 $ 2,000,000 S 2,000,000 I 1,000,000 S S I $ S S S 4,000,000 $ 4,000,000 $ S $ $ 1,000,000 * 1,000.000 S 1,000,000 *10 days notice fox non-payment of ni-Mn-iitm PROOF OF INSURANCE PROTECTION CERTIFICATE HOLDER CANCELLATION SAMPLE CERTIFICATE ***************************************** ***************************************** ****************************** ****************************** ******************* 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. I / . , i AUTHORIZED REPRESENTATIVE / // -. U ./I \ L_A\!<mt> pl^J— ACORD 25 (2009/01) INS025 (200901) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD