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Home My WebLink About2208 CARLSBAD VILLAGE DR; ; CB003707; Permit10/04/2000 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB003707 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2208 CARLSBAD VILLAGE DR CBAD ELEC Lot# TRAFFIC SIGNAL@DONNA DR 100 AMP Status Applied Entered By Plan Approved Issued Inspect Area Applicant LEKOS ELECTRIC 1370 PIONEER WY ELCAJON CA 92020 619447-7661 Owner ISSUED 10/04/2000 RMA 10/04/2000 10/04/2000 0313 10/04/00 0001 01 02 C-PRMT 35-00 Total Fees $3500 Total Payments To Date $000 Balance Due $3500 Electnc 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 100 0 0 • 0 $1000 $2500 $000 $000 $000 $000 $000 $000 $000 $3500 Inspector FINAL APPROVAL Date ~ * o -Clearance NOTICE Please take NOTICE th\t^pproval 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 Tile 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 prxessing or service fees in connection with this pro|ect NOR DOES IT APPLY to any fees/exactions of which yo_u have previously been given a NOTICE similar to this or as to which the statute of limitations has previously otherwi5e_expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 r1 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date / Address [include Bldg/Suite #(Namelat this addressT Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor's Parcel ff Existing Use Proposed Use Description of Work —fsirffftt- S/&s |2 'TCONTACT PERSON (If different from applicant) SQ * of Bedrooms of Bathrooms Name 3. APPLICANT Address City Contractor D AgentToriContractor * Q Owner ' D Agent for Owner State/Zip Telephone Fax $ Name 4 ,J PROPERTY OWNER , . IS V£- Address City State/Zip Telephone tt Address Citv State/Zip Telephone #Name 15 ^ CONTRACTOR - COMPANY NAME . "„ ~ " „ „ . " ~„ ^lt~7\,^ 7 " . . - '• •*" - (Sec 7031 5 Business and Professions Code Any City of 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 Codel 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 five hundred dollars ($500!) Name State License # Address License Class City State/Zip Telephone City Business License » / ^\Q A-T^lL "J Designer Name Address City State/Zip Telephone State License tt _ 6" WORKERS' COMPENSATION """."„*""""* Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations C 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 Q^J 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 . Insurance Company /="/&< 'ry f C~t,/nn* *jrt& >*X" _ policy No J) /££ «? V^ g 3 # P Expiration Date f /~ '(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) Q 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 wpjjwft^cpjnpensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dolliv»(sT&fltOQKl^add':M«"to Jhfe cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney 3 fees DATE hereby affirm that 1 am exempt from the Contractor's License Law for the following reason D 1, as owner of the property or my employees with wages as their sole compensation wilt 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 thai 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) Q 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) 0 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 Q VES 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 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? 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' D 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 REQU(REM£NTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT '8 \ CONSTRUCTION LENDING AGENCY " ' , ._ _l '_ ^ 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 CERTIFfCATJON , _ ' . . ~\ ' ~ - ' ~ 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 1 agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the CitV 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 01 construction of structures over 3 stones in height EXPIRATION Every permit issued 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 nojj^mencedj^tn-r«uT^Kim the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any Itme after the work is c^mm^hpdJg^^eriQiLQM^O day's {Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE-" ^>^^= f^-^^ . OATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For Permit# CB003707 Title TRAFFIC SIGNAL@DONNA DR Description 100 AMP spector Assignment Type ELEC Sub Type Job Address 2208 CARLSBAD VILLAGE DR Suite Lot 0 Location APPLICANT LEKOS ELECTRIC Owner Remarks Phone Inspector Total Time Act Comments Requested By LEKOS ELEC Entered By ROBJN CD Description 32 Const Service/Agricultural \ft\v/ ^T1 ^ rv /a \ Associated PCRs Inspection History Date Description Act Insp Comments Sent by CONCORDIA HOMES OF CALIF LLC 760 804 1577 r*i ^ ^. JID/10/02/00 3 07PM);fitf£Uj_^296;Page 1/1 " CQNCOHDIA HOMES OF CALIF LI,C. . ex fUeiWC tftffft « tfftVICg LOCATION T§4iQ£Lfi3L OCT-04-2000 11 24 519 447 0492 P 02 •s ROBERT F DRIVER CO., INC, 1620 FIFTH AVENUE SAN DIEGO, CA 92101-2703 OC36861 819-2S8-1SZS THIS CERTIFICATE IS ISSUED As A MATTER OP INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE PQ1JC1E5 BELOW. COMPANIES AFFORDING COVERAGE FIDELITY & GUARANTY INS. CO. INSURED Lekos Electric, Inc. 1 370 Pioneer Avenue ElCajon CA 92020 -mis IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BaOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVR FOR THE POLICY PERIOD INDICATED NOTWrTHSTANDlNG ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CEKttfilSATE MAY -BR ISSUeD-Ofl MAY PERTAIN, THB INSURANCE APFORO£D BY THE POLICIES DSSCfiffl ED- KEREN IS SUBJECT TO ALt THE EXCLUSIONS AND CONDITIONS OF SUCH POLICES LIMITS GHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS KUCYNUWBBI Kiuar vvcoTIVI MUCY EXFWAYION DATE (MWDO/VY)LOOTS QOIBtAL UABUTT COMUBKU1. CeWRAL UAWUTY OAJMSMAM | x| OCCUR QWWirS * CONTRACTOR KtOT DRE2403200 1/22/00 1/22/01 QENERAL AOGRE3ATE cOMnor AGO KftBQNAL ft ADV INJURY EACH OCCUWKHCE FIRE DAMAQB [Any 2000000 10000DQ 1000000 1000000 50000 5000 AUTOMOIIU UAHUTY ORE24O3100 1/22/00 1/22701 COMBIHED ONOlf UMfT 1000000 ALL OWNED Al/TOt BCHEDULS) AUTOS HIRTOAUTO* NOH4WNED AUTOS KODtLY INJURY(PBrpmon) •0 OILY INJURY PHOfgTTY OAMA8E OMtAOC UARUTY ANY AUTO AUTO ONLY EA ACCIDENT OTHER THAN AUTO ONLY. EACH ACCIDENT excese UABUJTY UMBREUA FORM OTHER THAN yMBRiOA FORM EACH OCCURTOKCfl AOQftSJATS THE PBOPSZTOJW PARTNHW/eXECUnVE EEXCl. DRE2403300 1/22/00 1/22/0-1 ELGACHACCtDBTT 1000000 ELDWEASE - POLICY LIMIT 1000000 EL OUEASf - EA BrfPLOYEE 1000000 OTHtt DEMHFI10N OP OPEHATIOIM/U>eA1TOMa/VO«eLUMr«CUU TWW RE: BIO CARLSBAD VILLAGE DR. & DONNA DR COST. $103,000 CERTIFICATE HOLDER AND OTHERS ARE NAMED AS ADDITIONAL INSURED PER ATTACHED ENDORSEMENT 10 DAYS FOR NON-PAYMENT OF PREMIUM CITY OF CARLSBAD 1 635 FARADAY AVE. CARLSBAD, CA 92008 SHOULD ANY OP THS MQVi PCTCMtB POUCtU U CANCELLED 9GFORC THE IXPWATION O*TB THBWOP nm a»\ma COMPANY wiu ENOEAVO* TO MAIL '30 Mra WWTT» HOTICI TO THE camflOATt MOLAA MAMBI TO THE iffr ttwT ***** to MAIL *OCH NOTKI MULL «w« KO o»uQATtON on UAWUTY Of ANY OHO WWJM THC COWAItV. n» AOOmi OH AUTHQIVZEO OCT-04-2000 11 25 619 447 0402 P 03 CL 246 (11-85)POLICY NUMBER: DRE2403200 LBKOS ELECTRIC, INC. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARHFULLY. CG 20 10 11 85 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART, SCHEDULE Name of Person or Organization: CITY OF CARLSBAD CHCAL, INC CARLSBAD 28 - COLINA ROBLB PROJECT LB/L CONCORDIA CARLSBAD 23 LLC (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with reepect to liability arising out of "your work" for that insured by or for you. Copyright, Insurance Service* Office, tnc , 1884 QCT-04-2300 11 25 619 447 0402 P.04 TH(*, t.lCCNSE HAS * TRUE nOCuCHt'CK™ WATERMARK AMD VISIHLfi HHERS UiSCtHniBLE FROM BOTll SIDES tlLTY.OF CARLSBAD BUSINESSREOISTRATIOH COCTtnCATG=-120437? '.-- ^-DATEPAID^'J_wv . _ ^_ . _ _ * y* . • •V -.1* iir friw.v int vi»*«i >Mittra>BNnl_iigr«rnB9arr1' /TWWWIAfWV *v m •!•••"•*• *immni«ii-om-i»n»iM«p>tf gn»*»n« w«roo«ft*• Uf JZIVZlAAf ^r m|tttMK»itBtM MmownirfraflflM'uMffbrmvawaatCMbmM. 1>- syy £' ^'. i' ''^.-i ^.- s.- -. '^ 0- ,, " -^ •'' > ' >", ^StC^CODE- ^f^SICTDeSCRIPTlON -^ . ' ' ^ , ' V^'V1^^* ^C^steucJton-SpedatTrade Contractor; ^ • ' -i- ,-y 'V -<-> -^"^vT >V -..A"" ,' .r r " " r "* .1 ^ , •!*>• -»J si. ^W," N^ , S- *•' * i" ^ s ™ " "• -''1 ,J O >J ^^^'^rP^Jj ^ s.r \,i, -V - v %*i <' -v- -y ^ ^ '^/ '^ ., ^BUSINESS LdCMfKJfce1^ -H?J i .<- •*<• ji% -A'V ^-y * rv" ^ h BWSTNes:HAM&^ ^EEnS^ELECTRIC W'O.:', ^' ^ v^ .^ J& ^ ,J>- .-* , V y ^" ^s .& s& <,X> ,^& ff^,,^ $& ,jl. ' ,«- " _'-- . ,i .-•< . _/^__/r* :*gr >xX» >w^.t^^-^i-.—v. '" . J* fl, -v-^%^^ -v,- ^v ,^^ _<#•' tff,; •'EXplRfiffTOteDA^E ^w,v,'-f 7^atM/2Bat3^ - a^-^s-' -—' ^V«4,<• 4r*^* 'Aw^^b^ apj^ ", WAnJSG ADDRESS''.•PfOWEEH-WfiS' 3f .XffFWANttSTAlF . ,vl — -V> , •&• L &, _-^- • '-- ">j. f-y \y ifO d?i c ^.^^•I MR r '^5r» THIS LICENSt 1^ AUTEHATIOM PROTECTED AND REFLECTS f-'LUOflESCCNT FiUEHS LJNDi... ' k KEEP FOR YOUR RECORDS BUSINESS TAX RECEIPT BUS NO 1204372 DATE PAID 07/20/2000 600008 070SU TOTAL TAXE3 FAJ D INWITH CITY BUaNGSS TAXOR P« NANCE CITY OF CARLSBAD 0.00 TOTAL P.04 OCT-04-2000 i *> 619 447 9402 P.01 > 588410 »r CORF LKKOS HLKCTRIC OK CtOHfC 02/28/2002