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HomeMy WebLinkAbout2004 COSTA DEL MAR RD; ; CB022042; Permit07-^10-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No Building Inspection Request Line (760) 602-2725 CB022042 Job Address Permit Type Parcel No Reference # Project Title 2004 COSTA DEL MAR RD CBAD ELEC Lot# LA COSTA RESORT REHAB POOL & SPA LIGHTS & WIRING Status Applied Entered By Plan Approved Issued Inspect Area Applicant ASCOT ELECTRIC INC 2328 CAMINO VIDA ROBLE CARLSBAD, CA 92008 619-438-4663 Owner ISSUED 07/10/2002 MDP 07/10/2002 07/10/2002 0984 07/10/02 0002 01 CGF 60 = 00 Total Fees $6000 Total Payments To Date $000 Balance Due $6000 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 TOTAL PERMIT FEES 0 0 0 0 $1000 $000 $000 $000 $000 $000 $000 $000 $5000 $000 $6000 FINAL Inspector 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 l£L^¥s0X3 EST VAL 1635 Faraday Ave , Carlsbad, CA 92008 W^.'TAi Plan ck Deposit hi.: PROJECT -INFORMATION:!; FOR OFFICE USE ONLY PLAN CHECK NO XL: Validated By Date Address (include Bldg/Suite 2004 Costa Del Legal Description Assessor's Parcel # Description of Work #) Mar RH,Carl sbad. Lot No CA 92008 Business KSI 1 Subdivision Name/Number Name (at this address) a Costa Resort Existing Use SQ FT #of Stories Unit No Corporation P'hase No Total # of units Proposed Use # of Bedrooms #of Bathrooms Rehab swimming pool & spa lights & wiring - 2 CONTACT PERSON (if different from applicant) - •:-' , =: „ Ralph "Scottv" Haskett. 10855 Sorrento Vallev Road. #9. San Diego. CA 92121 Name Address City State/Zip Telephone # Fax # 13 APPLICANT: X3 Contractor C:SQAgemrfor:Gpntractor O Owner D Agent for Owner : Ascot Electric. Tnr. 10855 Sorrent.& Valley Road, #9, San Diegn3 CA Q2121 Name Address City State/Zip Telephone # [4. PROPERTY OWNER "" --if ':'"'' ::::•••*. " '' i/' ' " :" |:i :*:::••,,'V- ''.. - .. :. ,, KSL La Costa Resort Corp., 2100 Costa Del Mar Road. Carlsbad, CA 92009 Name Address City State/Zip Telephone # 5 sCONTRACtORliCOMPANYNAME f: i ..'.. "'T'" T"' ' 'i .'.*'" "3s'' , /-JP^ "• '^'"' ' " :' 7*- (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct dlter, 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 civil penalty of not more than five hundred dollars ($5001) Ascot Electric. Inc. (see Applicant, above^ Name Address City State/Zip Telephone # State License # 2631 63 License Class C-10 City Business License # 8200 Designer Name Address City State/Zip Telephone State License # _____ 16 WORKERS'COMPENSAfJON 7 '": ? /"'>, , ": ., 7 -. ''"' . ,• '•'-.•'• ' •""""""'".,,. ,• " •• "" •'" •• x Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations f~) 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 Kj\ I 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 is issued My worker's compensation insurance carrier and policy number are Insurance Company CaJcQ Insurance Brokers Policy No NWC001095-01 Expiration Date 10/31/02 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) n 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 subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000) in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE ______ DATE 7 u OWNER-BUILDER DECLARATION ,, r^i i , "'„' - : I hereby affirm that I am exempt from the Contractor s License Law for the following reason l~l 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) n 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) Pi 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 YES flNO 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 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 form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? (j YES $ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' |~| YES (3 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? C! YES (X) 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 W , % ;; *; 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 ft APPLICANT CERTIFICATION «*•„. "T-v "'' " '%„.. '" "'j^'- , " -^ "/,.„• 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 CitV 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 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 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 commeMed within ISO/days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned a1 any time after the work is commsilcpfjfc^ pe^q^of 180/6'ayis/g5gction 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE * WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 03/17/2003 Permit* CB022042 Title LA COSTA RESORT Description REHAB POOL & SPA LIGHTS & WIRING Inspector Assignment RF 2004 COSTA DEL MAR RD Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT ASCOT ELECTRIC INC Owner Remarks Phone 8584536266 Inspector] Total Time CD Description 39 Final Electrical Associated PCRs/CVs Requested By SCOTTY Entered By CHRISTINE Act Comment Inspection History Date Description 11/06/2002 59 Final Pool 11/05/2002 59 Final Pool 10/24/2002 31 Underground/Conduit-Wiring 10/15/2002 21 Underground/Under Floor 10/15/2002 31 Underground/Conduit-Wiring 07/23/2002 31 Underground/Conduit-Wiring Act Insp Comments CO RF CO RF AP RF AP RF AP RF NR RF APPVD BY PAT KELLEY ON 10/11/02 PAT KELLEY APPROVED ON 10/11/2002 City of Carlsbad Bldg Inspection Request For 11/05/2002 Permit# CB022042 Title LA COSTA RESORT Description REHAB POOL & SPA LIGHTS & WIRING Inspector Assignment RF 2004 COSTA DEL MAR RD Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT ASCOT ELECTRIC INC Owner Remarks Phone 8585183050 Inspector Total Time CD Description 59 Final Pool Requested By CAROL/PAUL Entered By CHRISTINE Act Comments CO Associated PCRs/CVs Inspection History Date Description Act Insp Comments 10/24/2002 31 Underground/Conduit-Wiring AP RF 10/15/2002 21 Underground/Under Floor AP RF APPVD BY PAT KELLEY OK 10/11/02 10/15/2002 31 Underground/Conduit-Wiring AP RF PAT KELLEY APPROVED ON 10/11/2002 07/23/2002 31 Underground/Conduit-Winng NR RF CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE (760) 602-2700 1635 FARADAY AVENUE LOCATION PERMIT NO TIME I 0^2- _ /*// ( /&£ I J 7Se +*> J\s*>ocr AW ' •V e> .&ou<2 /)^^ f A/a / / FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? XV /C^/"/ ^* <^9 2A YES FORMATION, CONTACT PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER ® A4M»m». C " PRODUCER Calco Ins Brokers Lie No OB29370 1450 Fr*zea Road San 01 ego CA 92108 (619) 260-3844 ERT.RCAT1 OF INSURANCE ™™ & Agent #200 -1337 INSURED Ascot Electric, Inc 10855 Sarranto Valley Road Suite 9 San Diego, CA 92121 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 OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE COMPANY A American Automobl le Ins Co COMPANY I \ B ACE Fire UnderwriterSjns Co^ , t . jj COMPANY C COMPANY D COVERAGES " " CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE'lNSURANCE 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 CO LTR A A B TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY | CLAIMS MADE | x| OCCUR OWNER S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON OWNED AUTOS OARAGE LIABILITY ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION EMPLOYERS' LIABILITY THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE OTHER AND INCL EXCL POLICY NUMBER MZG807B8736 BLANKET AOO'L INSURED APPLIES PER FOHU CG7158-OE99 ATTACHED MZ680788736 NWCOO 1095-01 POLICY EFFECTIVE DATE (MM/DD/YY) 10/01/01 10/01/01 10/01/01 POLICY EXPIRATION DATE (MM/DD/YY) 10/01/02 10/01/02 10/01/02 LIMITS GENERAL AGGREGATE PRODUCTS COMP/OP AGG PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED EXP (Any one person) COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY [Per accident) PROPERTY DAMAGE AUTO ONLY EA ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE X| STATUTORY LIMITS EACH ACCIDENT DISEASE POLICY LIMIT DISEASE EACH EMPLOYEE $ 2,000,000 * 2,000,000 t 1,000,000 S 1,000,000 t 100,000 t 5,000 t 1,000,000 t $ t t $ $ t $ S t 1,000,000 $ '1.000,000 t 1,000,000 DESCRIPTION OFOPERATIONSA.OCATIONS/VEHICLES/SPECIAL ITEMS Ra Electrical repairs as needed to various city facilities 30 days cancellation notice but 10 days for non pay of premium CERTIFICATE HOLDER, City of Carlsbad 405 Oak Avenue Carlsbad, CA 92008-3009 1 ACQfir>2$.$CW93) CANCELLATtQN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAI. SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND 'UPON THE "COMP ANY™ITS "AGENTS OR REPRESENTATIVES AUJHpfllZEDUCPRESENTAmB SI // •^ftdrcutfj L<^^6^Kx\ljai»9 c«wei1 °5302t *^ fl ©ACQR& CORPORATION J993 CERTIFICATE 002/001/ 00041