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2007 COSTA DEL MAR RD; ; CB060874; Permit
03-29-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB060874 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2007 COSTA DEL MAR RD CBAD ELEC 2162100700 Lot# LA COSTA RESORT-REPLACE 600 AMP PED.NEW 200AMP PANEL FOR TENNIS CLUB.RUN LINE Status Applied Entered By Plan Approved Issued Inspect Area Applicant SORRENTO ELECTRIC 10855 SORRENTO VALLEY RD 92121 858-453-6560 PENDING 03/29/2006 LSM Owner THIRD LA COSTA HOMEOWNERS ASSN C/0 MGMT HORIZONS 802 3RD ST OCEANSIDE CA 92054 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 0 600 0 0 $1000 $000 $300 00 $000 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $31000 Total Fees $31000 Total Payments To Date $31000 Balance Due $000 Inspecto FINAL APPROVAL 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 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #)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 SQ FT 1PERSON (if different from applicant) #of Stones of Bedrooms # of Bathrooms Name Address City 3"'°''°"'APPLICANT C] Contractor [3 Agent for-Ccintractor OiOwner"" D Agent for iO-wner State/Zip Telephone Fax # fr Q Name Address City State/Zi PROPERTY OWNER Address City State/Zip Telephone #Name '5 CONTRACTOR--COMPANY NAME " ;? : *f' K (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-x Any violation of Section 703.1 5 by any applicant for a permit subjects the applicant to a ciyil penalty of not more than five hundred dollars [$500]) State License # L~J\ (0 \ \ Address License Class L~ I ** City State/Zip City Business License # hone # Designer Name Address City State/Zip Telephone State License # ;6 WORKERS COMPENSAtION :: '' ... "' jf-' , -"r .: „ ..^i* 3^ ''""' '"**'" - Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations O 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 th&fWork for which this permit is issued ^[ \ 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 (-.'Qty ft'ti&OtyO'J Expiration Date lb I I issued My worker s compensation insurance carrier and policy number are Insurance Company Policy No (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~| 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 jKTjthe Workers Compensation Laws of California WARNING fawrelfo secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred r thousand dollar* (#107 000) «t apditio/fto the cart of compensation damages as provided for in Section 3706 of thelabbr code -Interest and attorney s fees - _ DATE BUILDER DECL7 OWNE 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) 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~] 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 f~lNO 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 COJMPLETE THIS SECTION*F,OR NON-RESIDENTIAL BUILDING PERMITS ONLY ,"„ -i;. 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? O 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' f~l YES l~l NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site7 l~l YES l~l 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 .iT «v:N r, f- , i -5™: 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 ;9 ..APPLICANT CERTIFICATION rfi ;.,:: ftM !:' ... ,:.: Ji! ...-f^ ' :|"°""; „. *._. :H: 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 in height EXPIRATION Every permit is^tfed 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 neO^rnj/enced 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/ranwericed f« aflariq/d orf 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE*/ £/^-/> /JjUl^M**' DATE YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 05/15/2006 Permit# CB060874 Title LA COSTA RESORT-REPLACE 600 Inspector Assignment PD Description AMP PED,NEW 200AMP PANEL FOR TENNIS CLUB.RUN LINE FOR FUTURE USE 2007 COSTA DEL MAR RD Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT SORRENTO ELECTRIC Owner Remarks Phone 7608022344 Total Time Requested By STEVE Entered By JANEAN CD Description 34 Rough Electric Comment Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act 05/01/2006 34 Rough Electric AP 05/01/2006 39 Final Electrical NR 04/27/2006 33 Service Change/Upgrade PA 04/25/2006 33 Service Change/Upgrade NR Comments OK TO RELEASE METER Insp PD PD RB OK FOR SEO PC NO ONE ON SITE 04/20/2006 31 Underground/Conduit-Wiring AP PD NEED TO INSPECT NEW METER SECTION 04/20/2006 34 Rough Electric WC PD City of Carlsbad Bldg Inspection Request For 04/27/2006 Permit* CB060874 Title LA COSTA RESORT-REPLACE 600 Inspector Assignment PD Description AMP PED,NEW 200AMP PANEL FOR TENNIS CLUB.RUN LINE FOR FUTURE USE Type ELEC Sub Type Job Address 2007 COSTA DEL MAR RD Suite Lot 0 Location APPLICANT SORRENTO ELECTRIC Owner Remarks will-call inspector in the morning to Total Time Phone 7608022344 Inspector Requested By STEVE AUCKLAND Entered By CW CD Description 33 Service Change/Upgrade Act Comment f" 0K 4^7 Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 04/25/2006 33 Service Change/Upgrade NR PC NO ONE ON SITE 04/20/2006 31 Underground/Conduit Wiring AP PD NEED TO INSPECT NEW METER SECTION 04/20/2006 34 Rough Electric WC PD J CARLSBA UILDING License Detail Page 1 of 2 California Home Wednesday.-Mai r " " License Detail Contractor License # 231671 CALIFORNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base Before on this information, you should be aware of the following limitations • CSLB complaint disclosure is restricted by law (B&P7124 6) If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below Click on the hn button to obtain complaint and/or legal action information • Per B&P 7071.17, only construction related civil judgments reported to the CSLB are disclosed • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base Extract Date 03/29/2006 * * * Business Information * * * SORRENTO ELECTRIC 9823 PACIFIC HEIGHTS BLVD SUITE Q SAN DIEGO, CA 92121 Business Phone Number (858) 453-6566 Entity Corporation Issue Date 02/01/1965 Expire Date 11/30/2007 * * * License Status * * * This license is current and active All information below should be reviewed * * * Classifications * * * Class Description C10 ELECTRICAL * * ** * * Bonding Information CONTRACTOR'S BOND This license filed Contractor's Bond number 661111404 in the ai http //www2 cslb ca gov/CSLBJLIBRARY/License+Detail asp 03/29/2006 \ License Detail Page 2 of 2 $10,000 with the bonding company LINCOLN GENERAL INSURANCE COMPANY Effective Date 10/01/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I) The Responsible Managing Officer (RMO) F CLAUDE HOFFELDER certified that he/she owns 10 percent or more of the voting stock/e the corporation A bond of qualifying individual is not required Effective Date 09/15/2004 * * * Workers Compensation Information * * * This license has workers compensation insurance with the ZENITH INSURANCE COMPANY Policy Number C048880404 Effective Date 10/01/2005 Expire Date 10/01/2006 Workers Compensation History Personnel List I License Number Request BContractor Name Request [personnel Name Request* ^^— [| S_a!esperspn Reguest B Salesperson Name Request © 2006 State of California Conditions of Use Privacy Policy http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 03/29/2006