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HomeMy WebLinkAbout2100 COSTA DEL MAR RD; ; CB050418; Permit02-10-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB050418 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title pphcant SORRENTO ELECTRI 2100 COSTA DEL MAR RD CBAD St TP ELEC 0000000000 Lot # LA COSTA RESORT TEMP POWER POLE Status Applied Entered By Plan Approved Issued Inspect Area Owner 1085TSORRENTO VALLEY RD 92121 858-453-6560 ISSUED 02/10/2005 KG 02/10/2005 02/10/2005 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 0 0 0 $1000 SO 00 $000 $000 $000 $000 $1000 $000 $000 $000 TOTAL PERMIT FEES $2000 Total Fees $20 00 Total Payments To Date SO 00 Balance Due $2000 0002 01 CGF°02 20-00 FINAL APPROVAL^ Inspect 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 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 Parci Existing Use Proposed Use Description of Work CQNJACT"PER€ON, (if different from applicant) SQ FT #of Stories 'Del # of Bedrooms # of Bathrooms -"> Name Address City 3 " APPLICANT D Contractor Q Agent for Contractor; Q Owner 0-Aljent for Owner State/Zip Telephone ft Fax # Name 4 PROPERTY OWNER Address City State/Zip Telephone Name Address City State/Zip Telephone # 5 ••' CONTRACTOR - COMPANY NAME ..',.. (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 motk than fiv^ hundred dollars ($5001) V Address License Class I— ' ^(7 City State/Zip City Business License # / '&3 Telephone tt Designer Name State License # 6 WORKERS1 COMPENSATION Address City State/Zip Telephone Workers' Compensation Declaration I hereby affirm under penalty of penury one of the following declarations l~l 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 ^[\ 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 /y/nsurance Company ViglAI-fU, ~^ (D^U^^O~l^<i < Policy No ~Z O ffl^SfO YO 3 Expiration Date /6 - O/~a£~~ , ATHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT is FOR ONE HUNDRED DOLLARS [$1001 OR LESS) f M CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit i> issued, I shall not employ any person in any manner so as to become subject to ine .Workers' Compensation Laws of California \ WARNING Failure/toySecute workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred \ (thousand dollars 0^00 OQp) in/gdcfffio^yto/th^feost of compensation, damages as provided for in Section 3706 of the Labo/coda interest and attorney s fees~~iGNATURE DATE V OWNER-BUILDER DECLARATION/^ I hereby affirm that I am exempt from the Contractor s License Law for the following reason l~1 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) E-^1, 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 a id materials for construction of the proposed property improvement l~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' £] 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' d YES O 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 8 CONSTRUCTION LENDING AGENCY 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 9 APPLICANT CERTIFICATION f 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 issuecUjy the byildmg 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 co^mepfeo/Withipj^O ddys from the date of such permit or if the buildinq or work authorized by such permit is suspended or abandoned at any tin •.-• after the work is com^ngzjpt^fa (jgfrod on80 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance UNSCHEDULED BUILDING INSPECTION DATE INSPECTOR PERMIT # b PLAN CHECK # JOB ADDRESS DESCRIPTION CODE DESCRIPTION ACT COMMENTS CITY OF CARLSBAD ELECTRIC AND GAS METER CLEARANCE INTER-DEPARTMENT ADDRESS:ftp S E O Service Equipment Only : YES ; NO Reason, If Denied ELECTRIC METER COMMERCIAL ; RESIDENCE I NEW SERVICE ! YES RELOCATE :: NO TSPB I TEMP P/P ; UP-GRADE .; TEST METER IRR PEDESTAL • GAS METER / COMMERCIAL; YES RESIDENCE / NO TEST METtR uildmg Inspector Signature ; Date Time Called In By ' Date lime Called In To 02/10/2805 10 14 8584535968 SORRENTO ELECTRIC PAGE 03 Electric Service Information February 9, 2005 PHIL SAN MARTIN 10855 SORRENTO VLY RD SAN DIEGO, CA 92121 Pio;ect KSL. DEVELOPMENT (SOT-NPj Project ID# S322.i1 Location 2"00 COSTA DEL MAR RD You will be interesied to know thai your service order/? to serve the above project is now ready to begin the construction process Please feel free to ca,l your Service Coordinator Nlcholette Bustard at 760-931- 7304 to set up a pre-construction meeting or to discuss any construction-related questions If /o jr service order indicates that you will be required to obtain excavation and/or encroachment permits from the Municipality pncr to commencing any work, please secure your permit as quickly as possible to avoid unnecessary delays When applying for the permit or celling your SDG&E Service Coordinator regarding your pro«ct, please refererce the Project, Project ID# and Location listed above A ore-construction meeting on site with your contractor would be beneficial to the successful completion of the gas and/or electric service installation Please call your Service Coordinator to schedule a date and time You may also wish to Incljde representatives from the te'ephone and cable television compan es Requests for trench inspections can also be made through your Service Coordinator Please verify that the address assigned by your municipality matches thfc address above. If It doesn t, notify us immedia ely so we can change our records to the correct address This will reduce confusion and expedite your mete.' being se* For new buildings or meters, please remenbe" that you will need 'o ca'l 1-80C-4'M-7343 to set up your billing accounts for the new meler/s You are temmded that the installation of your meteimp equipment is sub|ect to codes and inspection clearance pior to establishing seryce After the governmental agencies inspect a gas or eiechc insta'lation and SDG&E's work is complete, it wi'l take approximately tlree days for a meter set If I may be of further assistance or If you have any questions, please call your Service Coordinator a' the number listed above O^r hours are 7 00 a m - 4 00 p m , Monday through Fr day ThsrK you MIRIAM L WRIGHT Planner SoLlhern Region (Metro) 6315 C«nur, Pi,rtc Cl 210 SanDn^c CA 62 '23 (Metro Ssrvics Crdw ream 73 14 33* Street £*i Oisg:, CA 62 102 6TJ-230-78CO NortfieaBt District 571 Enterprise Sire* EecordiJo CA 82028 760-480 7745 North Coast S0rvlc» Ordtr 4840 Olsbsd B«d CariB3»ii CA 92008 7CC-931-7J09 Orar>0« County 862 CSTHOO DB Lot Man Szn Ole^rl* CA 925'' 9*9-331 8068 Eastern Service Order Team 9C4 tV P Ca on CA SM20 02/10/2005 10 14 8584535963 SORRENTO ELECTRIC PAGE 04 IP!I .iff! ill II I.. .. I>* 5" I ilIII Jill ti^flfj!<S»13 * * KgS2 S 5 |2 - en ZR* i |j|js| jste if It-J OJ I ~ oi liS J ^i =t1 i I; f' I'a-It I —T f£/>1 ? iS'i y '2. fall II ^3 I il a^ K> ll 9 ff S Ijf S-8If1 ! aJ'—J If I I II '$ lljlljl M»|JslftilSf? lispi•» wis*!!*f-?!Ilja o -* 1 9 S a 1 i»iI* 111a .* » a sIg »^? ?» -. *a. i ~ :isii ^^<^- O 01^10313 01N.8969E9t'898 1?T 01 900Z/0I/Z0 02/18/2005 11.30 8584535968 SORRENTO ELECTRIC PAGE 03 THIS POCUMENTHAS A TRUE DEFENSA'" WATtRMARK AND VI51BLE FlflEHS DISCERNIBLE FROM qOTH S;DES 8US NUMBER 1206539 CITY OF CARLSBAD BUSINESS REGISTRATION CERTIFICATE Tlx pvnxi >»" <T Cffpvwon nwud Mow 1 VV**> Vtt bJMra nj un M cemMm M tw*» »•>• comg JMMMVI tta Gktf'&'MftM* uoMe &tilr*Ai*t to •ng*vi 02/26/2004 . -f ' BUSINESS LOCATION /' SIC CODE t> ,, V*ICXJESCRIPTJON " 17 " Constaiction-Speclal Trade Contractors 3WMER =|RM OR CORPORATION NAME SORRENTO ELECTRIC 10855 SORRENTO VAL % ^ "*"* N**" eXP-RATION^ATE 02/28/2005 ILtEY RD STE BAILING ADDRESS 3TY AND STATE 'V <SORRENTO EIJECTRIC^ ^ <^ c<\ V"V ''"' - 0 .^0855 SORRENTO VALLEY RO STE 9 s<fv ^ <>0 , ' SAN DIEGO. CA 9212M629 ' - "V ' ' THIS DOCUMENT »S ALTERATION PKO1 tCTEO AKD REFLECTS FLUOUFSCFNT FIBERS UNOfcR UV LIGHT KEEP FOR YOUR RECORDS BUSINESS TAX RECEIPT BUS NO 1?06519 DATE ISSUED 02/26/200-1 08 070SUB $60 00 BALANCE $000 T*XES PAID IN ACCCWCMUCE WITHBUSINESS TW( OHO.NANCt CITY OF CARLSBAD State Of California COMTRACTORS STATE LICENSE BOARD ACTIVE LICENSE ________ 231671 ^ CORP t ,.. ,. . SORRENTO ELECTRIC C10 11/30/2005 02/10/2005 11 30 8584535988 SORRENTO ELECTRIC PAGE 02 ACQBCL CERTIFICATE OF LIABILITY INSURANCE PRODUCER (619)584-6400 FAX (619)584-6425 West land Insurance Brokers *838 Cairn no Del Rio North #315 0 Box 85481 5>an Diego, CA 92186- S481 INSURED Sorrento Electric, Inc 10855 Sorrento Valley Road #9 San Diego, CA 92121 BATE (MM/DD/YYYY) 11/02/2004 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 INSURER A ALLIED CROUP INSURANCE INSURER B ZENITH INSURANCE COMPANY INSURER C INSURER D INSURER E NAIC0 318 13269 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 IN3RLTR A A B ADPLlijaat TYPE OF INSURANCE GENERAL LIABILITY rX7" COMMERCIAL GENERAL LIABILITY ZD CLAIMS MADE |XJ OCCUR G£N I AGGREGATE LIMIT APPLIES PERTiPoucvn^T r~Uoc AUTOMOBILE LIABILITY X"[ ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON OWNED AUTOS GARAGE LIABILITY ANY AUTO [ EXCESS-UMBRELLA LIABILITY | OCCUR | | CLAIMS MADE DEDUCTIBLE RETENTION » WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNEFVEXECUTIVEOPFICER/MEMBER EXCLUDED' Ifyas deatvioe underSPECIAL PROVISIONS bslow OTHER. POLICY NUMBER ACP7801690024 > ACP7801690024 /(A Z048880403 POLICY EFFECTIVEHATE itminaffV) 11/01/2004 11/01/2004 10/01/2004 POLICY EXPIRATIONBAYS (MMinn/VYI 11/01/20D5 11/01/2005 10/01/2005 LIMITS EACH OCCURRENCE DAMAGE TO RENTED PRFMmp^ tp* nr-r-llrmrvA) MED EXP (Any nna person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGE COMBINED SINGLE LIMIT(Es BCdOant) BODILY INJURY (Pur parson) BODILY INJURY (Per accident} PROPERTY DAMAGE(Par acctdenl) AUTO ONLY - EA ACCIDENT OTIAU1 •IER THAN EA *CC roONLY AGG EACH OCCURRENCE AGGREGATE X EL EL EL WC STATU 1 IOTH-TORY ' IWTS 1 IER EACH ACCIDENT DISEASE EA EMPLOYEE DISEASE POLICY LIMIT i 1,000,000 s 100,000 * SjOOO * 1,000,000 t 2,000,000 » 2,000,000 $ 1,000,000 s t s $ I J s s s i t s 1,000,000 s 1,000,000 s 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS EVIDENCE OF INSURANCE '10 DAYS NOTICE OF CANCELLATION FOR NON PAYMENT OF PREMIUM. CERTIFICATE HOLDER CANCELLATION City of Carlsbad 1200 ELM AVENUE CARLSBAD, CA 92008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION OAT! THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL "30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAKED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES AUTHORS R^E^TATWE '=:;FOT /T^TD Wi 1 1 1 am Vterber/CHERYL VAiUMJ^ U^U^ — ACORD 25 (2001/08)©ACORD CORPORATION 1988