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HomeMy WebLinkAbout2636 GATEWAY RD; ; CB080120; Permit01-16-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB080120 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2636 GATEWAY RD CBAD ELEC 0000000000 BRESSI RANCH 200 AMP POWER POLE Lot# Status Applied Entered By Plan Approved Issued Inspect Area Applicant POWER FABRICATING INC 625 S FEE ANA ST PLACENTIA CA 92870 714223-3600 Owner ISSUED . 01/16/2008 MDP 01/16/2008 01/16/2008 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 200 0 0 0 $1000 $5000 $000 $000 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $6000 Total Fees $60 00 Total Payments To Date $60 00 Balance Due $000 Inspector FINAL APPROVAL Date Clearance V"*g NOTICE Please take NOTICEthat 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 APPL> 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 FOR OFFICE USE PLAN CHECK NO 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 tt of units Asselessors, Parcel t^Temp Power Pole Existing Use Proposed Use Description of Work SQ FT #of Stones # of Bedrooms tt of Bathrooms .." ' ':, "Wt* Name Address City nt'torCorrtraqiqr : Q Owner ^D'Agem for C^JJL . "." > Santa Fe Ave Vista, CA 92084 State/Zip Telephone # Fax tt 760-597-2904 Name Address City State/Zip Telephone tt Tahf General Corit 55t)t Ave^ Encihas^Sle 100 Carlsbad. 92008 "'" 760-4lS-7snn City State/Zip Telephone ttName Address iRPPWliil^S:CSpp/iN^aM.E?:•' ''•'.: f ;'••. (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 end the basis for the alleged more than Name State License 0*696713 Address License Class City State/Zip Telephone tt City Business License # 1221 1 82 Designer Name State License # Address City State/Zip Telephone Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q I have and will maintain a certificate of consent to self insure for workers compensation as prodded by Section 3700 of the Labor Code for the performance of the work for which this permit is issued Q 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 wortot&cQ]n||ansation|inGurane« carrier and policy number are ,>-,,, , ..-^^^ ~ — insurance ComprnPJ?^P™i^£^ _ Policy &1 CW49S00702 Exp.rat.on DatLO/01/08 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D CERTIFICAHhQF 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 tbe Wo/i<tirs Compensation Laws of California WARNING Failure to ncoVl vlorkers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred i ($100 JMMWn/addrtion to the cost of compensation damages as provided for In Section 3706 of the Lalj — -^ DATE attorney a fees .. I hereby affirm that I am kkempt from the Contractor s License Law for the following reason 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 at 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) n 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 contractors) licensed pursuant to the Contractor s License Law) n 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 YES 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 supeivise 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 iiBECjKJlFN^ •>.%.:•..;•-..'• • •:. • i;:.'^:;v..:^»-,.i..:.;.;:-^..;s:.= .,-.;- 1-iKk^1^ 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? O YES C] 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? 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 iiHfiiMNWsiPf^v:•:;';•"'.:.'•..li.-,.,."''.'•..".-.^1L;,.•: '.'•...-^ '. -.1 •" -,..:", :',';•'...,.-•' •.' .-.' :::: t? I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER S NAME LENDER S ADDRESS 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 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 [0qTlrred for excavations over 5 0" deep and demolition or construction of structures over 3 stones in height EXPIRATION Every permit issued DM tjm 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 li not comoVfcea within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is\commert0\for\a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK I mance City of Carlsbad Bldg Inspection Request For 01/25/2008 Permit* CB080120 Title BRESSI RANCH Description 200 AMP POWER POLE Inspector Assignment J Type ELEC Sub Type Job Address 2636 GATEWAY RD Suite Lot C Location APPLICANT POWER FABRICATING INC Owner Remarks Phone 7606446107 Inspector Total Time CD Description 32 Const Service/Agricultural 39 Final Electrical Act Comments Requested By GARY Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments Date (mm/dd/yy) : 10/11/2007 Producer Countrywide Insurance Services, Inc PO Box 25317 Santa Ana CA 92799 (949) 222-8500 insurance countrywide com/Commercial/default aspx OC17399 Insured Temp Power Systems Inc 625 Fee Ana Street Placentia,CA 92870 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 Old Republic General Insurance Corp INSURER B INSURER D INSURER E 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 NSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS ^ENERAL LIABILITY TlcOMMERCIAL GENERAL LIAB A1CG49500701 10/1/2007 10/1/2008 EACH OCCURRENCE FIRE DAMAGE (Any one fire) CLAIMS MADE OCCUR MED EXP (Any one person) PERSONAL & ADV INJURY PEP 10.000 GEN L AGG LIMIT APPLIES PER GENERAL AGGREGATE [TlpROJECT [~| LOC PRODUCTS COMP/OP AGG 2.000.000 AUTOMOBILE LIABILITY T^ANY AUTO ALL OWNED AUTOS . SCHEDULED AUTOS 71 hiRED AUTOS 7" NON OWNED AUTOS A1CA49500702 10/1/2007 10/1/2008 COMBINED SINGLE LIMIT 1,000000 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY EA ACCIDENT OTHER THAN AUTO ONLY EA ACC $ EXCESS LIABILITY | | EACH OCCURRENCE CLAIMS MADE AGGREGATE DEDUCTIBLE "| RETENTION 3 WORKERS COMPENSATION & EMPLOYERS LIABILITY A1CW49500702 10/1/2007 10/1/2008 /| STATUTORY LIMIT EL EACH ACCIDENT 1.000.00 EL DISEASE EA EMPLOYEE EL DISEASE POLICY LIMIT [00 I.OOO DESCRIPTION OF OPERATIONS/LOCAT ONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re License #696713 Re License #696713 Contractors State License Board Attn Insurance Department 9821 Business Park Drive Sacramento SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 01 ANY KIND UPON THE COMPANY ITS AGENTS OR REPRE SENTATIVES * 10 Days for Non Payment of Premium CA 95827-1703 AUTHORIZED REPRESENTATIVE Stephen Wood .-...