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Home My WebLink About1911 CALLE BARCELONA; 153; CB061776; Permit- v City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-20-2006 Electrical Permit Permit No:CB061776 Building Inspection Request Line (760) 602-2725 Job Address: 1911 CALLE BARCELONA CBAD St: 153 Permit Type: ELEC Status: ISSUED Parcel No: 2550120400 Lot#: 0 Applied: 06/20/2006 Entered By: RMA Reference #: Plan Approved: 06/20/2006 Issued: 06/20/2006 Project Title: WELLS FARGO ATM-100 AMP ELECT Inspect Area: PANEL Applicant: Owner: PAUL'S ELECTRIC BORDERS INC <LF> FOURTH QUARTER PROPERTIES XXX L C/O DELOITTE TAX LLP P O BOX 2557 P O BOX 131071 VISTA CA 92085 CARLSBAD CA 92013 760941-9737 Electric Issue Fee $10.00 Single Phase per AMP 100 $25.00 Three Phase per AMP 0 $0.00 Three Phase 480 Per AMP 0 $0.00 Remodel/Alteration per AMP 0 $0.00 Remodel Fee $0.00 Temporary Service Fee $0.00 Test Meter Fee $0.00 Other Electrical Fees $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $35.00 Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due: $0.00 FINALAPPROVAL Inspector^^ ^ ' ' Date: (?'£$' °^° 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 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_FaradayAve., Carlsbad CA 92008 FOR OFFICE USE O PLAN CHECK NO, EST. VAL. Plan Ck. Deposit Validated By j / Date Address (include Bldg/Suite#)Business N"ame (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 Ei<m«A«*\« 2. CONTACT PERSON (if different fr Name Address 3. APPLICANT D Contractor H. Agent for Contractor Name 4. PROPERTY OWNER Address State/Zip Telephone # ft ftA- Telephone #Name Aadress City State/Zip" 5. CONTRACTOR-COMPANYNAME : : = ; : : ;: ; (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 pertait subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). U-W* VlM^U^V EteUpoA _ CW c\7CMQ ^IfcG^ CA? -CHOC Name State License* ""mfcp? Address >^ License Class C — \C^ City State/Zip City Business License # \if Telephone* iZT^-S Designer Name State License # Address City State/Zip Telephone # 6. WORKER'S COMPENSATION ' - ' .. • : . ; ; ' . ; -.. !T '.! : : : J ;.; ;.;/;• ;.. =; ' : :;;| ;-:i; i !:: : ', t> ; ' V ;' : _" .:':'.;i!:j = | ,f: -.',-,••'_ • : _ . 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. j£ I have and will 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 compensation insurant carrier and policy number are: I Insurance Company Z.pMA V\x TyVCjjgHMC:^ AfS Policy No.'^EJbC.R V>4 -£.%£> \ _ Expiration Dale 3 \\ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D 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 s dollars($1 00,000) Jn addt&tM^to the cost ol qpmpensation, damages are provided for in S« SIGNATURE V>^*WfL ^ ITS J^^^-r 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following resso D I. as owner of the property or my employees with wages as their sole compensc Business and Professions Code: The Contractor's License Law does not apply to an ov through his own employees, provided that such improvements are not intended or off completion, the owner-builder will have the burden of proving that he did not build or imprc D I. as owner of the property, am exclusively contracting with licensed contractors to License Law does not apply to an owner of property who builds or improves thereon, a License Law). d I am exempt under Section Business and Professions Coc 1 . I personally plan to provide the major labor and materials for construction of the prop 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 constructs 4. I plan to provide portions of the work, but I have hired the following person to coord /ontractors license number! 5. I will provide some of the work, but I have contracted (hired) the following persons to ibject an employer to criminal penalties and civil fines up to one hundred thousand ction 3706 of the Labor Code, Interest and attorneys fees. DATE G^lZ-OlO^. i: lion, will d the work and the structure is not intended or offered for sale (Sec. 7044, 'ner of property who builds or improves thereon, and who does such work himself or sred for sale. If, however, the building or improvement is sold within one year of ve for the purpose of sale), construct the project (Sec. 7044, Business and Professions Code: The Contractor's id contracts for such projects with contractor(s) licensed pursuant to the Contractor's e for this reason: osed property improvement. D YES D NO n (include name / address / phone number / contractors license number): nate, supervise and provide the major work (include name / address / phone number / provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/27/2006 Permit* CB061776 Title: WELLS FARGO ATM-100 AMP ELECT Description: PANEL Type: ELEC Sub Type: Job Address: 1911 CALLE BARCELONA Suite: 153 Lot 0 Location: APPLICANT PAUL'S ELECTRIC Owner: Remarks: CELL 619/843-7462 Inspector Assignment: Phone: 7606920700 Inspector- Total Time: CD Description 34 Rough Electric Act Comment Requested By: BROOKE Entered By: CHRISTINE Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 03/02^2006 03:15 PM John Burnhirn Insunnce 1/4 CItent*: 40B8 ROWANINC ACORD- CERTIFICATE OF LIABI PRODUCER John BurnhtmSD 1612 750 B Street, Suite 2400 San Diego, CA 92101-2476 800421-6744 INSURED Rowan, Inc. dba: Rowan Electric 2782 Lokftr Avenue West Carlsbad, CA 92010 LITY INSURANCE SKT"1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND Oft ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A: Great American Assurance Company INSURER B: National Union Flnt Ins Co Pittsburg INSURER a Zenith Insurance Company INSURER cr Nationwide Mutual Insurance Company INSURER E: NAIC* 26344 19445 13269 23787 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDTION 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. H8n LTR A D B C D UWI N9ffl TYPE Or INSURANCE 9SNERAL UABHJTY )L x~ COMMERCIAL GENERAL LIABILITY ^J CLAIMS MADE [x] OCCUR BI/PD Dad:5,000 QEN-LAGQREGATt LIMIT APPUES PER ~~l POLICY ("XIS FlLOC Aun X X X X X OMOBILE L1ABNJTY AMY AUTO ALL OWWEO AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS $250 CompD»d $250 Coll Dad GARAGE UABUTY ANYAUTD EXCESS/UMBRELLA LUBILTTY X 1 OCCUR | 1 CLAIMS MADE X DEDUCTIBLE RETENTION 1 10,000 WORKER* COMPENSATION AND EMPLOYERS' LIABILITY ANY PRCTOETOR/PARTNERSXECUTIVEOFFICER/MEMBER EXCLUDED? if VM, dMcrite under SPECIAL PROVISIONS b4o* o™** Contractors Equipment KUCYNUMKR 6LP574877701 ACP7850810104 BE9303784 Z06B1 42301 ACP7850810104 ms^. 03/01/06 03/01/06 03/01/05 03/01/06 03/01/06 POLrtYEXMKATION 03/01/07 03/01/07 03/01/07 03/01/07 03/01/07 UMTl EACH OCCURRENCE DAMAaTORENTEDpRf-UJff S fft ivwunwic*! 11.000,000 S50.000 MED EXP (Any am pmon) SExdUdftd PERSONAL S ADV INJURY (1 .000,000 GENERA! AGGREGATE 12,000,000 PRODUCTS- COMPOPAGG \ $2.000.0001i COMBINED SINGLE LIMIT (EiKddtni} BOOLVWJL*Rr(Parptnon) BODILY INJURY(PvKcktom) PROPERTY DAMAGE (PtrKddM) AUTO ONLY - EA ACCIDENT AUTO ONLY: AfiG EACH OCCURRENCE AGGREGATE X f WC 3TATU- I IOTH-1 TORY HUTS 1 1 FR E.L EACH ACCIDENT E.L DISEASE • EA EMPLOYEE EJ_ DISEASE • POLICY UUT $1,000,000 $ $ s *$ 1 s2.000.000 s2.000.000 i s s 11.000,000 s1, 000,000 j1, 000,00ft $50,000 UascoVRwrtsd $500 Deductible Special Form DESCUPTIW OF CP ERATO** /LOCArKW/VEMCl^^ Subject to Policy Llmtti, Condition* and Exclusions. CERTIFICATE HOLDER CANCELLATION Proof of Insurance Only SHOULD ANT OF THE ABOVE DESCRIBED POLICES BE CANCELLED SE FORE THE EXPMATIOH DATETHEREOF.THeiSaUINGINSURERWILLEMDEAVOItTOUML ^Jj DAYSWRTTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL •IPOSE NO OBUGATUN OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRGSENTATIVE&. AUTHORIZED REPteSCNTATIVE _ ff. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTION FOK 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 Act? D YES 3t£ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES B NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 . ,;' !. '•'..'• ::"::..;.:! ./.: "'-^!r "^&MA^i:: ;... :l^i^ff-- ;:.".' :.:•' >'•'• = "" 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 -;'- :>;.!|:-.:;:.. v K =-: ,"?• ^X; s.h .-:-;-=•: . = • ':; . . ;| 1 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 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 of 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 period of 180 days (Section 106.4 4 Uniform Building Code). APPLICANT'S SIGNATURE V^e-sg-^Cfl-^-XP * VV^QQ- — DATE WHITE: File YELLOW: Applicant PINK: Finance