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HomeMy WebLinkAbout2006 COSTA DEL MAR RD; MP; CB062879; Permit'10-04-20,06 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB062879 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2006 COSTA DEL MAR RD CBAD St MP ELEC 0000000000 Lot # LA COSTA RESORT 200 AMP IRRIGATION METER PED Status Applied Entered By Plan Approved Issued Inspect Area Applicant SORRENTO ELECTRIC Owner KSL ISSUED 10/04/2006 MDP 10/04/2006 10/04/2006 10855 SORRENTO VALLEY RD 92121 858-453-6560 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 200 0 0 0 $1000 $5000 $000 $000 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $6000 Total Fees $60 00 Total Payments To Date $60 00 Balance Due $000 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 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 OIF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #)5lude Bldg/S v 0 A- Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No 1 otal ff of units Assessor's Parcel #Existing Use Proposed Use Description of Work i»: CONTACT PERSON (if different frpmjippjrcarrtji SQ FT #of Stories # of Bedrooms # of Bathrooms Name Address City 3 APPLICANT Q Contractor Q Agent for Contractor 0 Owner%O Agent for Owner State/Zip Telephone # Fax # Name 4 ^P Address City State/Zip Telephone # RTTy OWN Address City State/Zip Telephone #Name IT" CONTRACTOR - COMPANY NAME .'" ~ ~'« '™i:-.:' •••:< "'?VM ""*im.^ ''. • 'T-T • '"T!*-: ... "• '"•""" (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 permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500])- ~ -o /Ar a perncl Name State License #\ Q / \ Address License Class City State/Zip City Business License # Telephone #~ Designer Name Address City State/Zip Telephone State License # 6 ; WORKERS' COMPENSATION ..":""""i 'JIT.,' "•*— : : "IP**"* :; : "' • •••', :^'TJ""y ''H ••• •• -;; Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 rp^Thave 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 \S**5q^/F^-*i'V^\J Policy No \& J \) t(_x V Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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. OWNER-BUILDER DECLARATION - ,.„>•• ' - ^;. ' •''•'-*1"' . J"-' dp'" ;'""?,,. :; 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 contractor(s) licensed pursuant to the Contractor s License Law) l~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 fjNO 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 T§S SECTION FOR WO/^^ £ s^P 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? l~l YES f~l 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? Q YES O 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER'S NAME _ LENDER'S ADDRESS S/aiAPJPLICANrCERTIFICATlON . • .V_,: „;...•: : "•• :-:'";: 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 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 rn 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 DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 10/05/2006 Permit# CB062879 Title LA COSTA RESORT Description 200 AMP IRRIGATION METER RED Inspector Assignment Type ELEC Job Address Suite Location OWNER KSL Owner Remarks Sub Type 2006 COSTA DEL MAR RD MP Lot 0 Phone 7604159918 Inspecti Total Time CD Description 39 Final Electrical Comment Requested By JEFF Entered By JANEAN Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments r^^eep-ep^rk*-* oC- 11 02 "E5TLSND IN5LRRNCE BROKERS-> 918584535968 A£OSa. CERTIFICATE OF LIABILITY INSURANCE OTUCES C€1S)5S4-6400 FAX (619)584-6425 I THIS CERTIFICATE IS ISSUE1 _NO 088 0001 PRODUCER (619)584-6400 West land- Insurance Brokers 383S Cannno Del Rio North #315 P.O Box £5481 San Diego, CA 92186-54*1 INSURED Sorrente" ETectric 9823 Pacific Heights Blvd. Suite Q San Diego, CA 92121 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. INSURERS AFFORDING COVERAGE NAICff INSURER A ENDURANCE WORKERS COMPENSATION II 1C CO 13269 INSURER 8 INSURER C INSURER 0 INSURER 6. 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 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 INSRJJS. A UWL N5RC1 TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ^J CLAIMS MADE ^"j OCCUR GENL AGGREGATE LIMIT APPLIES PER "~~j POLICY ( j JECT j | LOG AUTOMOBILE LIABILITY -^M— ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE UABUTY EX.C D ANY AUTO ESS/UMBRELLA LIABILITY OCCUR [~~j CLAIMS MADE DEDUCTIBLE RETENTION 3 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRETORPARTNEWEXECUTIVEOFFICER/MEMBER EXCLUDED? SPSCWL PROVISIONS bekw OTHER POLICY NUMBER i 'S^fSraSwf 1 PMTp'/SlSDBv8N| ""TO WEN00063S101 10/01/2006 10/01/2007 EACH OCCURRENCE ' "DAMAGETO RENTED ~ MED EXP (Any tea person) PERSONAL & ADV INJURY1 GENESAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT, BODLY INJURY(Perpcrton) BODILY INJURY(Psrscekleni) PROPERTY DAMAGE (Per Modem) AUTO ONLY - EA ACCIDENT OTHER THAN _SAACC AUTOONLr ^JQ EACH OCCURRENCE AGGREGATE *• iTOpYHMrrsI 1 eft EL EACH ACCIDENT EJ. DISEASE EA EMPLOYEE E.L DISEASE POLICY LIMIT S 5 S $ $ S t S $ » S S S *S $ S s * 1,000,000 s 1,000, OOfl * 1,000,000 C^NPl ION 0^ OPERATIONS /LO(MTION3/VE4ilCI^/ EXCLUSIONS ADOB) BY ENDOR^^ ~ TO SHOW PROOF Of WORKERS COMPENSATION COVERAGE •10 days notice of cancellation for NON-PAYMENT of premium. CEHTIPQATE HOLDER CANCEI » annul City of Carlsbad Attn: Engineering Dept. 1635 Faraday Ave. Carlsbad, CA 92008-7314 SHOULD ANY Of THE ABOVE? DESCRIBED POLICIES BE CANCELLED BEWrtE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN NonCETOTHe CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OK LIABILITY OF AMY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTA1IWES. AUTHORIZED REPRESENTATIVE 3osh Farrow ©ACORD CORPORATION 1988