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Home My WebLink About2757 GATEWAY RD; ; CB070316; Permit02-05-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB070316 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2757 GATEWAY RD CBAD St TP ELEC 0000000000 Lot # 0 200 AMP TEMP POWER FOR CONSTRU Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 02/05/2007 JMA 02/05/2007 02/05/2007 Applicant POWER FABRICATING INC 625 S FEE ANA ST PLACENTIA CA 92870 714 223-3600 Owner 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 Inspectoi FINAL APPROVAL Date _L 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 procedu.e 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 „ ., ...... Gateway Place Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor s Parcel ttior s Parcel ff'''Temp Power Pole Existing Use Proposed Use Description of Work CONTACT PERSON (if different from applicant) SQ FT ffof Stories tt of Bedrooms tt of Bathrooms Name Address City State/Zip Telephone #Fax tt APPDCANT _nlCoritra«or_™n Agent fw'Contractor" Q Owner """D Ageoj for Owner~* Gary Seymour 2458 S Santa Fe Ave Vista, CA 92084 760-439-1999 Name Address City State/Zip Telephone tt PROPERTY OWNER:onstruction 13475 Damelson St Ste 100 Poway, CA 92064 858-748-4701 Address City State/Zip Telephone ttName '5±f»-CONfRACt6R.I.COMPANY NAME:;s';r '" *£ - ,7 ~i ''..•" "':. :.. " ~ " ;:' t""""':'" 3A "'' ''" 7 J*- •:'.•?' " - (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. Anv violator* of Seclicn 703 K5 bv a«v«jrolK!flntifQ£. a. p<xmjt.suta<3ets ttinappjic.ant.ja a orwIypeijajKyof-nPf m°«> than fip*PoAwe Name State License tt Address License Class City State/Zip City Business License tt Telephone # | <42 Designer Name State License tt Address City State/Zip Telephone 6-^vWORKERS COMPENSATION;: ..:.-""; ! "• .,. -... ••• . - '" ,.'•* .. ,• :. .. ' .. , ;..„ .. Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 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 r~l 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 cg.mpe/isa.tionjnsurance earner and policy number are /~i*i Tr nnn f n n i 1 n/n 1 /AT.ntVirgima Surety Co PollcvNo 1CW50205301_ Exp,rat,onDate10/01/0/Insurance Company (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) f~] 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 tarsecjte HVC rkdrs compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1 ft) 001)\ '1 »dd/tion to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE i AT^/ _ DATE '?'OWNER I hereby affirm that I am exenVt from the Contractor s License Law for the following reason F~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) 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 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 COMPLETE THIS SECTION FOR NON /?£S/O£7V7Mi 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 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? O YES l~1 NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? O 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 ,B ••• CONSTRUCTION[LENDINGi 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 ,. ..,'•'...,, '-. " -^ "~~ -'?'*" '• • """"u" IDC" -'": ", """'- """ f:7" ~""%~ .*"-T "2 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 requirgd^for excavations over 5 0" deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit (sailed byVie t/jiiaing 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 no/commMpM witrln 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 cdhimenceflfdMa pajriod of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 02/21/2007 Permit* CB070316 Title 200 AMP TEMP POWER FOR CONSTRU Description Inspector Assignment TP 2757 GATEWAY RD TP Lot Type ELEC Sub Type Job Address Suite Location APPLICANT POWER FABRICATING INC Owner Remarks Phone 7606446107 Inspector -7 Total Time CD Description 39 Final Electrical Act Comment Comments/Notices/Holds Requested By GARY Entered By CHRISTINE Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 02/15/2007 32 Const Service/Agricultural NR TP NEED DOWN STREAM WIRING COMP LOAD SIDE 02/15/2007 39 Final Electrical NR TP 0 0>ooo 03 w r~2.p-± =5P 8 '%-o S o D Ghent* 57867 POWERFAB ACGRD* CERTIFICATE OF LIABILITY INSURANCE PRODUCER OWP/US1 of Southern California 'Jc# OE61929**(S49)790-9339Suzan „$ A Technology Dnve Innn0, CA 92618 INSURED Power Fabricating, Inc & Temp Power Systems, Inc 625 S Fee Ana Street PtacentiB, CA 92870 DATE (HMrtHX'YYYY) 09/28/05 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AMD CONFERS NO RIGHTS UPON THE CERTIFICATE HOLTCH THIS CERTIFICATE DOES NOT AMEND, EXTENOflR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW/, ., INSURERS AFFORDING COVERAGE iNsunoxA. Liberty Surplus Insurance Company INSURER e Virginia Surety Company INSURER c Hartford Fire Insurance Co INSURER D- INSURER c "10 day notice for nonpay NAIC> COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVg fQt* THE POUCY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE I&AKO OB MAY PERTAIN Tl 1C 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 IN3A A B B C WWi MSRI ^ TYPE Or INSURANCE OtNeCULUAWUTY X COMMERCIAL OENERALUABMTY ^_J CLAIMS MADE | X I OCCUH X BI/PD Oed 10000 X OCP CENT. AGGREGATE LlMfT APPUhS ffrH AUTOMOBILE LIABILITY X ANVAUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRFI} MffO3 X NON OWMtU Al/TOS ^AaAGEUABIUTY ANY AUTO EXCESS/UMBHEUA UAfllUTY I OCCUR I I CLAIMS MADE gDCDUCTIBLE RE1ENTION S WOKKEK& COMPENSATION ANO EMPLOYERS LIABILITY UKHCkH/MtMBkfl tXCLUOtD' w yes dcscflOc ufltfcf SP6CIA1 PROVISIONS WWW OTHER comm Prop Leased/Rented MMrFjffPTrl^^Bili 1 1' fi'i'i '"'JU i '> i1 " JB DGLB02001 52033 1CA501 05200 1CW50205300 72UUMTR0128 10/01/05 10/01/05 10/01/05 10/01/05 10/01/06 10/01/06 10/01/06 1C/01/06 LOOTS EACH OCCURRENCE BS^fl^S^S^?««l MED EXP (Any one g«reon) PERSONAI. t ADV INJURY GENERAL AaQREQATE PRODUCTS COMPOPA06 COMBINED SINGLE LIMIT BODILY INJURY BODILY IMAIflY (PwattbtenQ PROPERTY DAMAee AUTO ONLY EA ACCIDENT SB(PR THAN .V OONLY ACC AGO EACH OCCURRENCE AddnEOATE X JSfflfflhll °FB b.L EACH ACCIDENT ELoeeAse EAEMPUJYEC ELOlSEASe POuCVUMlT «1, 000,000 ___ *50.000 $ 11,000,000 s2.000.000 S2,000,000 — *1, 000,000 s S $ $ $ S S $ s *t s1, 000,000 $1,000,000 $1,000,000 $100,000 Max Umit $2,500 Oed DESCRIPTION OF OPERATIONS / UOCATVlNS / vCHttLES / KXCLUfiUMS AftbBB BV KMDOftSiHEMT > SPECIAL PROVISIONS *£xcept 10 day notice oT cancellation for non-payment of premium Re License #483433 and License #656713 CERTIFICATE HOLDER CANCELLATION Contractors State License Board PO Box 26000 Sacramento,, CA 95826 SHOULD ANY or THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOH€ THE EXPIRATION DATETHERIOF THEISSUINQINSUHERW1U.JOB>BaOHaSMAlL _J3Q. OAYSWRTrTEN NOTICE TO TXE CERTIFICATE HOLDER NAMED TO THE LEFT nARMMMOOOOOOOdttttk •nBBBMHDHIKX AUTHORIZED nCPRESfNTATIVE ACORD 25 (2001/08) 1 of 2 #M31&595 MZ O ACORD CORPORATION~1980 I d H9friS6LS9 ON/AS fl 18/88 M 9002 * 130(301)WOUd