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Home My WebLink About2101 COSTA DEL MAR RD; ; CB030479; PermitCity of Carlsbad * "-* 1635 Faraday Av Carlsbad, CA 92008 02-19-2003 Electrical Permit Permit No CB030479 Building Inspection Request Line (760) 602-2725 Job Address 2101 COSTA DEL MAR RD CBAD Permit Type ELEC Status ISSUED Parcel No 2152101800 Lot* 0 Applied 02/19/2003 Entered By MDP Reference* Plan Approved 02/19/2003 Issued 02/19/2003 Project Title LA COSTA RESORT Inspect Area SHORE POWER FOR MATCH PLAY Applicant Owner 3511 QV19AP T»>'> "• EVENT TECHNICAL SERVICES K S L LA COSTA RESORT CORP *lj Z^^ 6600 BAND1NI BLVD 50-905 AVENIDA BERMUDA CITY OF COMMERCE, CA90040 LA QUINTA CA 92253 213-724-4848 Electric Issue Fee $10 00 Single Phase per AMP 0 $0 00 Three Phase per AMP 0 $0 00 Three Phase 480 Per AMP 0 $0 00 Remodel/Alteration per AMP 0 $0 00 Remodel Fee $0 00 Temporary Service Fee $0 00 Test Meter Fee $0 00 Other Electrical Fees $50 00 Additional Fees $0 00 TOTAL PERMIT FEES $60 00 Total Fees $60 00 Total Payments To Date $0 00 Balance Due $60 00 FINAL APPROVAL Inspector^ f S<^ Date *- ~ ^l " g ^ 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 ol 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 APPLV 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 INFORMATON Co^Ti&&*tar FOR OFFICE USE ONLY PLAN CHECK NO EST VAL " Plan Ck Deposit Validated By Date ~L Address (include Bldg/Suite #) Legal Description Lot No Assessor s Parcel # Existing Description of Work SQ SVte>££ 'Povt-t- fat- -T0VAJ 'M N:^OlrrStiT PERSON .(if dif f erInWroJn1:aWiicant) , . , , ^ ..' -::;r ' Business Name (at this address) Subdivision Name/Number Unit No Phase No Use Proposed Use FT #of Stories # of Bedrooms -: ;;••=• :S£' "' -HS : .,::' •, if' ' ' * '• . JJT^H" •:,... , ., ::.;:,.., .,.:"' ...*•" „.*« - B Total # of units # of Bathrooms Name Address City State/Zip 3 .....APPLICANT^ ^Contractor D,Agent:forCpntrStor ;iO Owner.riD'AjjenUprOwner wF*%fr s • • •V^;;J"K: Telephone #Fax* Name *u :; : PROPERTY OWNERS Name 5*;;;:C6NfRA"cTtiSi COMPANYllAME; (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 fju&hundred dollars [$500]) Name State License ft Address License Class City State/Zip City Business License # phone # Designer Name State License # 6 WORKERS' COMPENSATION Address City State/Zip Telephone Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations f~1 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 x [3^, I 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 compensationjpsurance carrier_and policy number are l^/^<"7i,<-> «•»«-> I / Insurance Company Policy No Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~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 to the Workers Compensation Laws of California WARNING Failure, to secure workers ctffrhensation coverage Is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollattf($1QO 000) in additionjoJHe co*t of compensation damages as provided for in Section 3706 of theJLabor code interest and attorney s fees SIGNATURE ^?^*T^ fa**-^ I CCoJcfir^. DATE 2-'" ( T~0J? 7 OWNER^GlLDERfDECLARATICBI ' ..T'*:™1 iJ."T "SI" ... '. • ' "'; ';.. : .. ? '••-•;!,. ' :'•-'"C ' I hereby affirm that limn 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~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 D YES C]NO 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 supervioe 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 /VO/V-fl£S/D£W7Mi BUILDING PERMITS ONLY : <''f .fV " JVJL ,„,,,/.;• :""^. ."S' . >•• '"""•- '"XW , 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? O YES d 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 8. CONSTRUCTION LENDING AGENCY ..• f* •' ' ..„.:..'-'• '-' JSVi»::: .,, |: • *..,?•* „*¥ ,-:i .H:,:. . „ ;..... 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 CERTiFICAtlON ; jE" " ''=,.•,.• ';. :-f :.', "•'•'•• ' V" ^\ . j:jP - .f -f" f ...-J,-;: .. .•;••- 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 INDEMNlf^ 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 permrUs^uejlbjiJhe building Official under the pro/j^ions of tfrtS Code shall expire by limitation and become null and void if the building or work authorized by such perauMsnot commenced within 180 days from the dap of such jfeitnit or if the building or work authorized by such permit is suspended or abandoned at any time sfter the<rork is commenced forja period oflBO days (Sectidfr 106 4 4^niforp>Building Code) APPLICAf- S SIGNATURED" /^Z-^^ *• - DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 02/20/2003 Permit* CB030479 Title LA COSTA RESORT Description SHORE POWER FOR MATCH PLAY Inspector Assignment 2101 COSTA DEL MAR RD Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT EVENT TECHNICAL SERVICES Owner K S L LA COSTA RESORT CORP Remarks PLEASE INSPECT 11AM - 1PM -GENERATORS Phone 310562234 Inspectojf Total Time Requested By JIMMY Entered By CHRISTINE CD Description 35 Fixtures Act Comment A L-. Date Associated PCRs/CVs Inspection History Description Act Insp Comments JSep-O4-O2 O2 : 35P SEP 4 2002 1 '-1 M 7405 CERTIFICATE HOLDER COPY PO BOX 420607, SAN FRANCISCO CA 94142-0807 COMPENSATION F UIM D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE . 01 4 2002 CONTRACTORS STATE LICENSE BOARD WORKiKi,' COMPPM^ATIOH UNIT t> O BOX 26000 SACRAMEN10 C.A 95326 GROUP POIICYMUMDCR 1598189-2002 CERTIFICATE ID 100 CERTIFICATE EXPIRES oa-oi-aooa OS»01-2002/09-01-2003 LIC A 492567 LADO This i* to certify that we hive issued a valid Worker's Compensation insurance policy in a form approved by trie California Insurance Commnisioner to the employer named below for the pollry pcrind Indicated This policy is not subject to cancellation by the Fund PXCPpt upon 30 days advance written notice to tha gmployar We Will also give you 30 days advance notice should (his policy be cancelled pnnr tn itr normal expiration This cortifiualtJ of insurance 13 not an insurance policy and does not amend, extend or alter tha coverage afforded by th« policies listed herein Notwithstanding any requirement term or condrtwn of any contract or other doojrripnJ with resptct to which tins certificate of insurance may be issued or may pertain, (he Insurance afforded by the policies described herein Is subject to all the terms exclusions, and conditions of such policies PRESIDENT ?HPr,OYFR'S LlABlLiii LIMIT INCLUai£7C DEFENSE LOSTS $1 000,000 PFR OCCURRENCE iNDOKShMENT 420S5 tUTITLBD CERT1P1CATF HOLDERS' NOTICE EFFECTIVE 08-01-2002 IS ATTACHED TO AND FORKS A PART OF THIS POTTTV State of California " CONTRACTORS STATE LICENSE BOARD ACTIVE UCENSE se Numt492587 £«,„ CORP TECHNICAL SERVICES INC Expiration 0:"05/31/2004 EVENT TECHNICAL SERVICES INC i,VENT MAN?CEMENT DARTNEK5, INC AROMA ASSOCIATES, LLC GCOO B.VIDZNZ 3LVD LOS ANGELES CA 90040 3CIF 10265 FBPF Ul RH 1