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Home My WebLink About2270 COSMOS CT; ; CB051550; Permit05-18-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB051550 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2270 COSMOS CT CBAD ELEC 2130504200 Lot* .EACIFIC AUDIO SYST-UPGRADE EtE&TRIC FROM 400 TO 800 AMP 480/277 Dphcant CftY ELECTRIC WORKS INO, Status ISSUED Applied 04/29/2005 Entered By RMA Plan Approved 05/17/2005 Issued 05/17/2005 Inspect Area 11575 SORRENTO VALLEY RD #216 SAN DIEGO,, CA 92121 619-755-7113 Owner DORAN REVOCABLE TRUST 03-09-94 3288 GARFIELD ST CARLSBAD CA 92008 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 0 400 0 $1000 $000 $000 $400 00 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $41000 Total Fees $410 00 Total Payments To Date $0 00 Balance Due $41000 .AT1 05/18/05 0002 01 CGR 4x0-00 Inspector 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 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 o( 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 FOR OFFICE USE O PLAN CHECK NO EST VAL Plan Ck Deposit Validated B Date Address (include Bldg/Suite ft)Business Name (at this addfess) \rC^ Legal Description - 42 -on Lot No ibdivision Name/Number Unit No.No Total # of units Assessor s Parcel ft Use Proposed U: 2 cNTACf iPERSON Of different from applicant) #of Stories tt of Bedrpflms V tt of Bathrooms 4— State/Zip Telephone tt Fax #Address jContractorjB[i]"Ageniffor Contractor Name /S CdNTRACTOni 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 more than five hundred dollars [$500]) City electric Works, Inc. ^22j Giesapeai'-e Drive, Suite K San Die^o CA 92123 0*^8-^95-1093 Name ' -7Q" •?£ State License tt ^ °^ ^ Designer Name State License # T& ~ WORKERS IclQMPENSAf ION Address License Class Address i ~:: •'• •- •"::•" ,~i , , " C-10 .._» „., City City City State/Zin ^ Business License tt -Li- — State/Zip . ^Telephone # Telephone Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declaiations 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 |2JX 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 compensation insurance carrier and policy number are 1 / ' /n Insurance Company Sl~a1~P I vmrl Policy No 00003 J/4.— ?Df)^ Expiration Date ""' (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~1 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 trie M/orlop/s Compensation Laws of California WARNING Failuije to *fcure/*iorl(ers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (P100 CBOr irtaddition to the cost oJ compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees J OWNER BUjTLpERDEClARATION,..„ It.,...,. _.. .. II .;,l:i 1 . ..... .. '!'. 3. ' • T"" I hereby affirm that I am 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) d 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) CD 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 |~l YES I""|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 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 *"' „: . .. *"" :'"" ' ' -' .^. "* ........ !!;,. 'It " 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 Accoun~ Act? d YES d NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES l~l NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? D YES d 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 ihis permit is issued (Sec 3097(i) Civil Code) LENDER S NAME _LENDER S ADDRESS [9 ;2APPUCANT CERTIFICATION fc" : ; Ct *\ '.,::. " '" JSP8"' „.;.."' "If ~": "7 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 INDEMNIFY AND KEEP HARMLISS 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 issued^iy ttp tjuilojnjj O/ficial under the provisions of this Code shall expire by limitation and become null and void if the building or work ) days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned 'sJSection 10644 Uniform Building Code) £ /Osy DATE authorized by such permit is not cornmeni at any time after the work is commenced APPLICANT S SIGNATURE i 180 day: WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 06/29/2005 Permit* CB051550 Title PACIFIC AUDIO SYST-UPGRADE Description ELECTRIC FROM 400 TO 800 AMP 480/277 Inspector Assignment TP 2270 COSMOS CT Lot Type ELEC Sub Type Job Address Suite Location APPLICANT CITY ELECTRIC WORKS INC Owner DORAN REVOCABLE! TRUST 03-09-94 Remarks AM PLEASE Phone 8589672776 Inspector Total Time CD Description 34 Rough Electric Act Comment i Associated PCRs/CVs Requested By SHELLY Entered By JANEAN ' Inspection History Date Description Act Insp Comments / EsGil Corporation In Partnership with government for (Butftftng Safety DATE May 10, 2005 a AEPLICANT JURISDICTION Carlsbad — CTPLAN REVIEWER .. a FILE PLAN CHECK NO 05-155O SET I PROJECT ADDRESS 227O Cosmo Court PROJECT NAME Service Upgrade (To 800 amperes) XI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck The check list transmitted herewith is for your information The plans are being held at Esgil Corporation until corrected plans are submitted for recheck The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person The applicant's copy of the check list has been sent to XI Esgil Corporation staff did not advise the applicant that the plan check has been completed Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted Telephone # Date contacted (by ) Fax # Mail Telephone Fax In Person REMARKS By Eric Jensen Enclosures Esgil Corporation D GA D MB D EJ D PC 5/2 trnsmtldot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858)560-1468 + Fax (858) 560-1576 Carlsbad O5-1550 May 1O, 2OO5 ! VALUATION AND PLAN CHECK FEE JURISDICTION Carlsbad PREPARED BY Eric Jensen BUILDING ADDRESS 2270 Cosmo Court PLAN CHECK NO 05-1550 DATE May 10, 2005 BUILDING OCCUPANCY TYPE OF CONSTRUCTION BUILDING PORTION Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code AREA (Sq Ft) cb Valuation Multiplier By Ordinance Reg Mod VALUE ($) 1994 UBC Building Permit Fee 1994 UBC Plan Check Fee $120 00 Type of Review I I Repetitive FeeRepeats Complete Review D Other r-n Hourly Structural Only Hour* Esgll Plan Review Fee $9600 * Based on hourly rate Comments Sheet 1 of 1 macvalue doc SD COMPENSATION INSURANCE POLICYHOLDER COPY PO BOX 807 SAN FRANCISCO CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 01-01-2005 GROUP 000333 POLICY NUMBER 0000354-2004 CERTIFICATE ID 60 CERTIFICATE EXPIRES 01-01-2006 01-O1-2O05/O1-O1-20O6 CITY OF CARLSBAD SD JOB 1200 CARLSBAD VILLAGE DRIVE CARLSBAD CA 92008 This is to certify that we»have issued a valid Workers Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer We will also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend extend or alter the coverage afforded by the policies listed herein Notwithstanding any requirement term or condition of any contract or other document with respect to which this certificate of insurance 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. AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000,000 OO PER OCCURRENCE ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2005 IS ATTACHED TO AND FORMS A PART OF THIS POLICY EMPLOYER LEGAL NAME CITY ELECTRIC WORKS INC 9225 CHESAPEAKE DR STE K SAN DIEGO CA 92123 CITY ELECTRIC WORKS INCORPORATED (RFV 3 031 PRINTED 12/17/*004 P0410