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Home My WebLink About2010 CASSIA RD; ; CB062190; Permit08-02-20P6 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No:CB062190 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2010 CASSIA RD CBAD St: TP ELEC 2150202600 TEMP PWR. FOR CONSTRU OF ALL CATS MED. OFFICE Lot#: Status: ISSUED Applied: 08/02/2006 Entered By: JMA Plan Approved: 08/02/2006 Issued: 08/02/2006 Inspect Area: Applicant: POWER FABRICATING INC 625 S FEE ANA ST PLACENTIA CA 92870 714223-3600 Owner: FRANZ-YUT ELCAMINO REAL L L C 2710 LOKERAVEW #100 CARLSBAD CA 92010 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 $0.00 $10.00 $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: NOTSCE: 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 vUtY. TP FOR OFFICE USE ONLY PLAN CHECK 0 EST. VAL. Plan Ck. Deposit Validated Bv_ Date f& /5 ATA" Address (include Bldg/Suite i) Legal Description Assessor's J T* Earcel * _ _, .Temp Power Pole Description of Work Business Name (at this address) Lot No. Subdivision Name/Number /"> Existing Use A . s~, t\ -r—?- SO. FT. #of Stories Unit No. Phase No. Total 9 of units A f\ Jj r'roPWe{*i|*fl # of Bedrooms * of Bathrooms Name Address City State/Zip Telephone * V. -ii*,'''^"'^!. •',;"*' Fax* Name Address City State/Zip Telephone * Name Address City State/Zip Telephone # (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 7OOO of Division 3 of the Business and Professions Code] or that he Is exempt therefrom, and the basis for the alleged Name Address State License # 6967 1 3 License Class City State/Zip 1 ^-VHW)* V> 1 U City Business License # 1 £^-> A 1 O^ Designer Name Address State License * City State/Zip Telephone 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. G I nave 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'fcw^ensjajien iijau/ancftcarrier^nd policy number are: 1CW50205300 10/01/06 Policy No.Expiration DateInsurance Company (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) ~~ 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 ompensation Laws of California. ' compensation coverage la unlawful, and anal subject an employer to criminal penalties and cIvH fines up to one hundred ion to the cost of compensation, damages es provided for In Section 3706 of the Labor code, interest and attorney's fees. DATE to become subject to WARNING: Failure thousand doHara (*1fO,00 SIGNATURE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: n I, as owner of the protoly 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 Cade: 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 sate. 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). Q I, es 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). Q 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. O YES QNO 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 nave contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): . ^_ . _ PROPERTY OWNER SIGNATURE CO DATE |$t^%m^^ 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? Q 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? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS ijilSi^^ I certify that I have read the application and state that the above information is correct and that the information on the plans la 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 issue/rUy'lte 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 o6mmendhckvthin|l80 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 comjnencedmr 1 leriJd of 180 days (Section 106.4.4 Uniform Building Code).I HP AX/APPLICANT'S SIGNATURE \ ^flMleOC^, DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/16/2006 Permit* CB062190 Title: TEMP PWR. FOR CONSTRU OF Description: ALL CATS MED. OFFICE Inspector Assignment: PC 2010 CASSIA RD TP Lot Type: ELEC Sub Type: Job Address: Suite: Location: APPLICANT POWER FABRICATING INC Owner: Remarks: Phone: 7605972904 Inspector: Total Time: CD Description 39 Final Electrical Comment Comments/Notices/Hold Requested By: GARY Entered By: CHRISTINE Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 08/10/2006 39 Final Electrical CO PC SEE LIST ATTACHED City of Carlsbad Bldg Inspection Request For: 08/10/2006 Permit# CB062190 Title: TEMP PWR. FOR CONSTRU OF Description: ALL CATS MED. OFFICE Inspector Assignment: 2010 CASSIA RD TP Lot Type: ELEC Sub Type: Job Address: Suite: Location: APPLICANT POWER FABRICATING INC Owner: Remarks: Total Time: CD Description 39 Final Electrical Act Comment Phone: 7606446107 Inspector: CHC, Requested By: GARY Entered By: CHRISTINE Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE (760) 602-2700 1635 FARADAY AVENUE TIME LOCATION PERMIT NO. C|F-^S QVJTLtTI FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? FOR FURTHER INFJ3JRMATION, CONTACTVOO C "^ | / 7 YES CODE ENFORCEMENT OFFICER Client*: 57867 POWBRFAB ACORD. CERTIFICATE OF LIABILITY INSURANCE raobuciR QWP/USI of Southern Calilornia 1 Jc# OE61929M(M»)790-9339 Suzan ;3 A Technology Drive Irvine, CA 92618 1NSUAGO POMW Fabricating, Inc. ft Temp Power Syetems. Inc. 625 S. Fee Am Street Placentn, CA 92670 DATE WWWfYVYY)o&*8/05 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION OW.Y AND CONFERS NQ RlOHT* UPON THE CERTIFICATE HOLDER THIS CERTIFICATE Q0£$ NOT AMEND, EXTEMtTOR ALTER THE COVERAGE AFFOTOED BY THE POUCIES BELOW-''- • INSURERS AFFORDING COVERAGE iNsuntnA: Ubarty Swphu Ineurance Company INSURER 6: Virginia Surety Compeny WSUBEBC; Hartford Fire Irwumnoe Co, 1N6YB6HD: INSURER E: "10 day notice for nonpay NAICff COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABCVe FO* THE POLICY PEftlOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OH MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUBCS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OP SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CUMMS- NSff Lift A B 8 C TYWOflMSUnANCE OCHCMLUACVTV X CQMMtROAL QeNglVJ.LJABH.tTY )T BI/PO pMhlOOOO X OCR CENLAaafteoA.TE LIMIT ApnJfiS HtH- AUTM*0«U UABRJTY XlANVAUIt) ALLOWNCDAUTOS SCHEDULED AUTOS X wmnAutaa X NON-OwfetD AUTOS TUEfWKUABHJIY ANY AUTO EXCEBSAJHBHELLAUABIUTY _J occun 1 1 CLAMS MADE ^DEDUCTIBLE [piEieffnow s EIIPLOVERB1 UABRJTY AMY PnO^iaOfVPARTNGfyEXCCUTWC °™a Comm. Prop. LeaaeoVRented 1 KMJCY nmme* DGLB02001 52033 1CAB01 06200 1CW50205300 72UUMTR0128 MftaBSSvv? 10/01/05 10/01/05 10/01/05 10/01/06 TJftTflfiEH&Wr 10/01/06 10/01/00 10/01/oa 10/01/06 LJMI? EACHOCCUWKNCe aAtaA|TpH&tfED MEDEXPWiympWNK} PERSOMALtAOVWJJRV GENERAL AaOfCOATE moDUCTS - COWOT AOG COMBINED SmCLE UHTT BODILY INJURY WOltV IliWflY(Pwattfcttrt) P5SS,1""0* AUTO ONLY - EA ACCBENT an-AUI £A A££ BONLY: fQQ EACHOCCUmENCe AGGflEOATt X WCSTATU- 1 OTH-Trtfiw i IUITC 1 ER e.LEACMACCJDeNT E.L nSEASE - EA gUPLQYEC E.LDI8EASC- POLICY LIMIT (1.000.000 •00,000 f $1.000.000 (2JXXU100. s2.000.000 *1 ,000,000 . X $ * *1 s s s s t *1, 000,000 $1,000.000 si .000400 $100,000 Max Umit S2,5000ed. OWCfHFTION OF O'CRAIIONS / lOC*t1QN* / VEHICLES / BXCLUMOMa AfiHD BV KNOOMBEMEKr / SPECIAL PROVWONB •Except 1 0 day notice of cancellation for non-payment of premium. Re: Ltcenee * 483433 and Licenee *696713 CERTIFICATE HOLDER . CANCEU-ATION SHOUU) ANY W THE ABOVE DEBCMBED PDUQEB BE CANCELLED BCTOM THE EMNAATtON Contractors State License DATE THEREOF, THE HSUTNQ INSURER wiuBBjeeoaat «AH. _30_ OAVSWHTTEH Board NOTICE TO -me CEmweATH HOLOM NAMED TO THE i FFT BjOLBj<MJBC«Mioeneiiei 11 Sacramanto.. CA flStSft •^fffrTnifBlKX AUTHOMZIDMI ~" * J^J&~**\1L_, -fit oqiy ' '. ACORD 25 (Z001/OB) 1 O| 2 SMZ ACORO CORPORATION 19M 1S/8£:H SOCZ