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Home My WebLink About2100 COSTA DEL MAR RD; ; CB011158; Permit03/26/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB011158 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2100 COSTA DEL MAR RD CBAD ELEC Lot# LA COSTA RESORT-ADD ELECT OUTLETS-ACCTNG OFFICE&CONF CENTER Status ISSUED Applied 03/26/2001 RMA 03/26/2001 03/26/2001 Entered By Plan Approved Issued Inspect Area Applicant ASCOT ELECTRIC INC 2328 CAMINO VIDA ROBLE CARLSBAD, CA 92008 619-438-4663 Owner 5128 03/26/01 0002 01 CGP 20 = 00 Total Fees $2000 Total Payments To Date $000 Balance Due $2000 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 TOTAL PERMIT FEES 0 0 0 0 $1000 $000 $000 $000 $000 $1000 $000 $000 $000 $2000 Inspector -J C 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 capactiy 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 2 LOO l-UM Ut-HCE USE ONLY PLAN CHECK NO./^j/?/?/ //^f Address (include Bldg/Suite *) *4 I Business Name AT this address) EST VAL Plan Ck Deposit. Validated By Dete Legal Description Lot No Subdivision Name/Numbar Unit No Phase No Total 9 of unto AsMMor't Parcel f Existmg Use Proposed Use Description of Work 'RALPH " BtfKKnipplcantl Name Address City ^Contractor Q Agent for Contractor Q Owner D Agent for Owner State/Zip -Telephone *'Fix* Name Address City State/Zip SPORTS > _„2/00 CeWbEi Mftfc Kt>~, •, « CA 7£O- Address City State/Zip Telephone *Name Jli ,-OOJMTRACTOR - COMPANY NAME (Sec 7031 6 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repeir 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 exemption Any violation of Section 7031 S by any applicant for a permit subjects the applicant to a civiljranalty of no^more than five hundred dollar* 1*500))IT ^^ i , _ | u «k £j <•» j*» ^"* ^_ _~ ^ Nirne Address ' City -"State/Zip^Telephone • State License ».License Class C- " 1 O City Bualness License t.SZOQ Daalgner Name State License * Addreaa City State/Zip Telephone Worker*' Compensation Declaration I hereby affirm under penalty of perjury one of the following declaration* D I have and will maintain a certificate of consent to self-insure for workers' compensation a* provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued I have and will maintain workers' compensation, aa required by Section 3700 of the Labor Code, for the performance of the work for which thla permit Is My worker'e compensation Insurance carrier end policy number are _ Inauranee Company /AJDf*r*Jt T? /fff, £& OP NtdtteAlCA Policy No M/_ OOIO^S-QO Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100) OR LESS) Q CERTIFICATE OF EXEMPTION I certify that In the performance of the work for which this permit is issued, I ehsll not employ eny person in eny manner so as to become subject to the Workers' Compensation Lews of California WARNING Failure to •gpt"*' wo*ers/comnanae.tlon coyewgaj. unlawful, and shall subject en employer to criminal penelttaa end civil fines up to one, hundred thousand dollars (tlOOftWK/lrfeiMluonta/qufeott oJ/<ioi*S»i"t!OfiTdemegos es provided for In Section 3706 of the Labor code. Interest and ettocney's feee I hereby affirm that I am exempt from the Contrector's License Law for the following reason Q I, a* 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 eale (Sec 7044, Business end Professions Code The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who does auch work himself or through his own employees, provided that such improvements are not intended or offered for sele If, however, the building or Improvement la 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, as owner of the property, am exclusively contrectmg 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 contract* for such projects with contractor(s) licensed pursuant to the Contractor's License Law) D I am exempt under Section Bualness and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement Q YES QNO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. t have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number I contractor* 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) 6 I will provide some of the work, but I heve connected (hired) the following persons to provide the work indlceted (include name / address / phone number / type of work) . PROPERTY OWNER SIGNATURE DATE . S^llBflWtHIt ttCTION FOB NON-RCSlDEHTIAt BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit • business plan, acutely hazardous materials registration form or risk management end prevention program under Sections 26505, 26533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES JH^ 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 JHy NO la the facility to be constructed within 1,000 feet of the outer boundary of e school site? Q YES JQ 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 S»<aSrMS|TmUCT»DN UENDINO AGENCY I hereby efflrm thet there is e construction lending egency for the performence of the work for which this permit is issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have reed 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 S'O* deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit Issued by the building Official under the provisions ol this Code shall expire by limitation and become null and void If the building or work authorized by such permit is not comme ?< any time otter the work Is APPLICANT'S SIGNATURE within 1 180 da or if the building or work authorized by such permit is suspended or abandoned nilorm Building Code) , DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 04/13/2001 Permit# CB011158 Title LA COSTA RESORT-ADD ELECT Description OUTLETS-ACCTNG OFFICE&CONF CENTER Inspector Assignment JC 2100 COSTA DEL MAR RD Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT ASCOT ELECTRIC INC Owner Remarks RESET FROM THURS Phone Inspector Total Time CD Description 39 Final Electrical Requested By SCOTTY Entered By CHRISTINE Act Comments Associated PCRs Inspection History Date Description Act Insp Comments 04/09/2001 34 Rough Electric NR JC 04/09/2001 39 Final Electrical NR JC EX/ST/MG,--,.-, - VUFLEK, NOTES' ROOK.SCALE /2"-1' /oo& warrs /2&v CA-TV CAB/NBT 9V0WATTS l/2OV. COSTA DEL MAR ROAD «-J?3/ 28/2001 13 32 8584536315 ASCOT ELECTRIC INC PAGE 82 NWC POLICY NUMBER 001095-00 J3 NSJW. D RENEWAL.REWRITE OF 8VM PREVIOUS POLICY NUMBER NEW ace usa Indemnity insurance) Company of North America NCCI CARRIER CODE 29437 WORKERS' COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE The "ASCOT ELECTRIC, INC (SEE OTHER INSUREDS EXTENTlQN) 10695 SORRENTO VALLEY ROAD, SUITE 9 • SAN DIEGO, CA 92121 nNo.- FEINW M-23M001 D individual D Partnership OtwwortpsMse not shown above* See Location Extension »sw 2, PoKey period from 1041.2000 to 1041-2001 PtlC CODE 1731 12.01 A M standard time at the Insured's mailing address. tarn J, A. Workere' Compenaatlon Insurance. Part One of the policy applies to the workers' Compensation Law of the states listed here' CALIFORNIA B. Employers Liability Insurance- Part Two of the policy apples to work In each stale toted In Item 3.A. The Mmltso/ourHabiHty under Part Two are: Bodily Injury by Accident * 1,000.000. each, ecddsnt BodBy Injury BodHy Injury C. Other States Insurance Part Three of the policy applies to the states. If an by Disease $ by Disease $ 1,000,000 poHcymmt 1.000.000 each smolovee f, listed nere. a, Ohio, Washington, Weet Virginia, Wyoming. •am 4. The premium tor this potiey win M determined by our Manual of Rules, Classifications. Rales and Rating Plans All Information required below la subject lo verification end change by audit. Cte*9)(lcstions CodeNo Premium Bests Estimated Total Annual Remuneration Rate Per $100 of E^lljBJh^^BUSleaomateo Armusi Description Class Code 5140 5190 Net Audit Raw TOTAL UNMODIFIED PREMIUM SEE FOLLOWING PAGE(S) EXPERIENCE MODIFICATION ( ) SCHEDULE RATING (x ) PREMIUM DISCOUNT (X ' JT TOTAL MODIFIED PREMIUM • FRAUD SURCHARGE (X ' ) • USER FUNDING ASSESSMENT (x ) GRAND TOTAL MMriHJfn Premium.. If kndtoeted here, Interim adjust* menta of premium wW be made.Q Semi-Annually Page 1 of 2 D Quarterly Total Estimated Annual Premium • D Monthly Deposit Premium (Including'Fees) TNe policy Includes these endorsements end schedules WCOeOWdA. WC999999B WCOOOOOOA WC9998$SA WC999B68A, WC999856A, WC9W673. WC040301A, WC040601A, WC990313A, WC04030S, WC990609. WC9S0310 7M3BNCYNO. ARM of California (*272085) fiaOOOwenimouthAva Suite* 260 fyxn-Ce/co-SPtepo. CSD300J Countersigned By MARKETING OFFICE HOME OFFICE (Authorized Apent) 0)41-2001 PRO CK§-4MAe Ptd In U S>Copyright 1867 National council on Compensation insurance WC000001A ,03/28/2001 13 32 858453B315 ASCOT ELECTRIC INC PAGE 03 POLICY NUMBER 001095-00 (3 NHW- Q RENEWAL. Q REWRITE OF SYM PREVIOUS POLICY NUMBER NEW Indemnity Insurance Company of North Anwtel | ace usa NCCI CARRIER CODE- 25437 WORKERS' COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE 1. I The ASCOT ELECTRIC, INC (SEE OTHER INSUREDS EXTENTION) 10356 SORRENTO VALLEY ROAD. SUITE 9 Inter/lnlrwlato IdMitfflcatkm No.. 1527226 FEIN *• 9M509M1 AMrtaa i SAN DIEGO, CA 92121 Ham*. Policy period from 10-01-2000 to 1041-2001 D individual Q Partnership ', B Corporation Q PIICCOOE 1731 12 01 A M , standard time at the Insured* mailing address. Mama. A. Workers' Compensation Insurance' Part One of the poHcy applies to the Workers' Compensation law of me states listed here 0 employers UeWlty Insurance PHtT^ofthepoNcyappeMto«wrklneaehaMeU>«edlnltBm3X The Hmlta of our HeMtty under Part Two ere- Bodfty Injury by Accident $ SeePagel eeohecoMent BodHy Injury by Disease < Bodily Injury by Dtaease $ C Other States Insurance. Part Three of the policy applies to the states, if any. listed here SeePa0e1 See Page 1 poRcyamtt each employee ' Nam 4, The premium for this policy will be determined by our Manual Of Ruto. daufllcatlarw Rates and Rating Plans All Information required below Is subject to verification and change by audit Classlflea Bon* Code NO Premium Basis Ri Estimated Total Per $ Annual Remuneration Remun it* 100 of EtOmeJedoration Annual - wflhln buNdino> - induding Installation or repair of fixtures V tfflMott - shop and ouWdv . employeM whoee regutar hourly wage equals or 122.00 par Dour. of (Me otossMoatlon to subject to vertlteatJon at 0>e time of fln« audit raoularrwunywtge equals or exceeds J22 00 per hour The par hour thai be eto^fled M 5190, -EleeWcai WWng- NetAudKRate: - within buildings • Including Installation or repair of fixtures -ohop and outside - amptoyeea «>f>o»» regular hourly wage dom notv e«OMd $22.00 per hour Net AudH Rate Mfcbnum Premium- SwPagel IT IndteaHrJ hem. Interim adjust- war* of premium wtt be made. IWapoleylndudMtMMendor D SemkAnnually ntoendedwdulea Page 2 of 2 D Quarterly YNO ARM of CaMfomfe (tzrzoeS) 0000 OwvngmouOi Ava Suite »2CO Canoga Park. CA 91303 CSD300) Total Eittmated Annual Pranium D Monthly Deposit Premium MARKETING OFFICE HOME OFFICE /(Authorized Agent) 03-01-2001 Copyright 1987 National Coundl on Companwtlon Inaurance we oo oo 01 A 83/28X2801 13 32 8584536315 flSCDT ELECTRIC INC PAGE 81 LECTRIC KkKCTHICAl CONTRACTO* UG.NO. 2MW1 10865 Sorrento Vfclfey Rd Suit* #9 San Diego CA 92121-1610 T«l 658-453-8260 Fax 858-453-6315 PAX COVER PAGE : BATE : TO : FROM : TOTAL NUMBER OF PAGES TRANSMITTED INCLUDING THIS COVER PAGE : License Detail Wysiwyg //4/hltp //www2 cslb ca gov ibrary/CSLB+Book/Licensc+Delail DM I. CAI IFORNIA CONTRACTORS ST*TF. I.ICFN<3r BOflRO License Detail Contractor License # 263163 I> I S C L A I M E R A license status check provides information taken from the CSLB license data base Before relying on this information, you should be aware of the following limitations • CSLB is prohibited by law from disclosing complaints until they arc referred for legal action • Per B&P707I 17. only construction related civil judgments known to the CSLB arc 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 onto the Board's license data base Extract Date March 27,2001 * * * BUSINESS INFORMATION * * * ASCOT ELECTRIC INC 10855 SORRENTO VALLEY RD #9 SAN DIEGO, CA 92121 Business Phone Number (858) 453-6266 Entity Corporation Issue Date 05/19/1970 Expire Date 03/31/2002 * * * LICENSE STATUS * * * This license is current and active All information below should be reviewed. * * * CLASSIFICATIONS * * * CIO ELECTRICAL * * * CERTIFICATIONS * * * HIC HOME IMPROVEMENT CERTIFICATION * * * CONTRACTOR BONDING INFORMATION * * * This license has bond number 911047 in the amount of $7,500 with the bonding company SURETY COMPANY OF THE PACIFIC . Effective Date 04/01/1994 * * * WORKERS COMPENSATION INFORMATION * * * This license has workers compensation insurance with the INDEMNITY INSURANCE COMPANY OF NORTH AMERICA. Policy Number NWC00109500 Effective Date 10/01/2000 Expire Date 10/01/2001 Personnel List ! License Number Request I Contractor Name Request I Personnel Name Request I Salesperson Request Salesperson Name Request or 2 3/27/2001 S 37 A\-l