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HomeMy WebLinkAbout2888 LOKER AV EAST; ; CB062408; Permit08-30-?p06. •; City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB062408 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2888 LOKER AV EAST CBAD St: TP ELEC 0000000000 Lot #: TEMP POWER FOR CONSTRUC. CARLSBAD PROF. BUILDING Status: ISSUED Applied: 08/23/2006 Entered By: JMA Plan Approved: 08/23/2006 Issued: 08/23/2006 Inspect Area: RB Applicant: POWER PLUS 436 N QUINCE ST ESCONDIDO CA 92025 760 839-9430 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 0 0 0 0 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $20.00 Total Fees:$20.00 Total Payments To Date:$20.00 Balance Due:$0.00 Inspector: FINAL APPROV, Date: ROYAL 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 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 s CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1. PROJECT INFORMATION 2707 W. Loker Ave FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit. Validated By Date Address (include Bldg/Suite *) Legal Description Lot No. Assessor's Parcel * Temporary Power Pole _200 Amp Description of Work Business Name (at this address) Carlsbad Professional Buildina Subdivision Name/Number Unit No. Phase No. Existing Use Proposed Use SQ.FT. # of Stories # of Bedrooms Total # of units * of Bathrooms Michelle Scott 436 N Quince St. Escondido Name Address City 3. AmiCANT D Con-actor D Agent for ConBactor D Owner Jennifer Cole P.O Box 71 1 564 Santee CA 92025 760-839-9430 760-839-9436 State/Zip Telephone* • Agent for Owner Ca 92072 619-405-2648 Fax* Name 4, Mammoth Equities Address City State/Zip Telephone* 25032 El Toro Rd Ste 302 Mission Viejo Ca 92692 949-583-7158 Name Address City State/Zip Telephone* 5. CONTRACTOR -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 cf the Contractor's LJrartseUw [Chapter 9, o^^ Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the aBeged 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 [$600]). Power Plus! 436 N. Quince Street Escondido CA 92025 760-839-9430 Name State License #523596 Address City License Class C61.C10.D31 State/Zip Telephone* City Business License # 1206255 Designer Name Address City State/Zip Telephone* State License # «. WORKOTS COMPENSATION Workers'Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and wiB 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. D I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this perma is issued. My worker's compensation insurance carrier and policy number are: Policy NO. WC7171634_Expiration Date03-31-07Insurance Company American Home Assurance (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) D 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 CaSfoma. WARNING: Failure to Mcuraytariwrs' compensation coveng* fe^niawful, and shall subject m employer to criminal pmilUes and chrtl flnec up to on* hundred thousand doHara($100,000), in addition Ito the cost of comperarton^ifanti^M* proyfcfod for in Section 3706 of the Labor Code, interest and attorney1* feu. SIGNATURE ^^TfUL/L-^ JL jtL-*^SJ'CJ^ ,- DATE I hereby affirm/that I am exempt from the Contractors License Law for the following reason: D I, as o*qer_of/me property or my employees with wages as their sole compensation, will d the work and the structure is not intended or offered for sate (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buBds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sate. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he dkl not buHdor improve for the purpose of sate). 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 contractorfs) ficensed pursuant to the Contractor's License Law). D I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for oonstructicfi of the prcpc«ed property innprovement. O YES D NO 2. I (have/have not) signed an application for a buikfng permit for the proposed work. 3. I have cortrarted»^ the fdkMnngperaon(fimi) to provkie the proposed <»r^ 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 / fontractors license number): — 5. I will provide some of the work, but I have contracted (nireo^ trw fcflcwrig persons to prcMde the work intfcafed (irxdude name / ad^ PROPERTY OWNER SIGNATURE .DATE. WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY-OF CARLSBAD BUILDING DEPARTMENT -1 635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES D NO Is the applicant or future bulking occupant required to obtain a permit from the air poBution control district or air quality management district? D YES D NO Is the facility to be ccinstructedwWiin 1,000 feet of tr«ooterbouc>dafy of a schodste D YES D NO REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND TOE KIR POLLUTION CONTROL DISTRICT. 8. COIOTIWCTK>NUSNDINO 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(1) 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 City 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, JUDGEMENTS, COSTS AND EXPENSES WHCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations of 5*0" deep and demolition or construction of structures over 3 stories in height by such permit is not commenced within 180 days from the date of such pemi^ if ttebuMngw work authorized by such rjem*^ the work is commenced for a period of 18tfdays (Section 106.4.4 UnfcafBuik|ng Code). j/UUAPPLICANTS SIGNATURE^-"^ Lf /Ls/LJl ^fi L ' C/ *-< DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/29/2006 Permit# CB062408 Title: TEMP POWER FOR CONSTRUC.: Description: CARLSBAD PROF. BUILDING Inspector Assignment: RB Type: ELEC Job Address: Suite: Location: APPLICANT POWER PLUS Owner: Remarks: Sub Type: 2888 LOKERAVEAST TP Lot 0 Phone: 7608399430 Inspector: Total Time: CD Description Act Comment 32 Const. Service/Agricultural Requested By: MICHELLE Entered By: JANEAN Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 08/24/2006 32 Const. Service/Agricultural CO RB COULD NOT FINE & NO PHONE # TO CALL City of Carlsbad Bldg Inspection Request For: 08/28/2006 Permit* CB062408 Title: TEMP POWER FOR CONSTRUC.: Description: CARLSBAD PROF. BUILDING Inspector Assignment: RB U2T Type: ELEC Job Address: Suite: Location: APPLICANT POWER PLUS Owner: Remark Sub Type: 2707 LOKERAVWEST TP Lot 0 Phone: 7608399430 Inspector: Total Time:Requested By: MICHELE Entered By: CHRISTINE CD Description 32 Const. Service/Agricultural Act Comment Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 08/24/2006 32 Const. Service/Agricultural CO RB COULD NOT FINE & NO PHONE # TO CALL CITY Of CARLSBAD BUILDING DEPARTMENT DATE NOTICE (760) 602-2700 1635 FARADAY AVENUE TIME LOCATION PERMIT NO. /. ' FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? FOR FURTHER INFORMATION, CONTACT b*^ ' "^ U YES PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER (MON)AUG 28 2006 14:59/ST. 14:58/No. 6660747744 P 2 oo \ FROM (FRDAU6 18 2006 9:54/ST. 9:53/No. 6660747510 P 2 06/18/06 Confirmation of meter and service request Customer: MAMMOTH EOTOTIE&Phone 94*5*37158 Service Address: 27ff7 W LOKER AV TT CARLSBAD DP$S#641943-019 Contact: MICHELLE SCOTT Phone 730O99430 We have investigated your request for temporary service and determined that the facilities YOU have identified as D108892 are mechankaDy available for your use in providing temporary power fiat your project If temporary service is to be provided «ddefgrotind, please p^yimrteilitiefl no closer than 7 ft or no farther than 20 ft from the Utility «oufte described above (see generic sketch below.) We can schedule the installation of your facilities ipon leceipt of both billii^ applicatkm, numkir^ m^ectton. Amy quotient concerning th» fotm or farther tnfonnKka cdl Sm Diego Gw * Electric at BtuceSisson 7609317301 mm -t'r MR »«• *-* Mk to ferdewlfimtfl .ireochk. Facility in Ihe riikded wet ji mfenoMB! of: 18 ft Q cento df <tnct or 12 6am I pteM Dig AIM 1-8004214133 « tetoatiM —I a^xti-. fr. ft^tf T, nhi.lric nrTltr MT ^fcyrt fci ril ^rrflhrf^- hnrrf «~* ^-^ -f'^-'!c—TI »ynf1iim » •MlVBAMflMHtMflOtfMfllQVifl•iK'Hli IMO^M^aBQBHHflNWB*VMvlVOIMnHvfilMI flrilOIIMM. (•.•Mnx^a ACORO. CERTIFICATE OF LIABILITY INSURANCE Lqddon Insurance Brokers, Inc. 725.8. Figueroa Street,'35th Fl. CA License #0714705 Los Angeles CA 90017 (213)6894065 1062014 S.R. Bray Cop.; dba Power Plus! Smooth Stone, Corp.; dba: M.E. Nottampar &Assoc.; Kiret Equiprnent Co.. Inc.; S.R. Bray Utility Services, Inc. 1005 N. Edward CLAnaheim CA 92606 ; DATE (MM/DD/YY) 03/31/2007 , 03/29/2006 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE i HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR , ALTER THE COVERAGE AFfQRDED BY THE POLICIES BELOW, INSURERS AFFORDING COVERAGE INSURER A American Home Assurance Company . INSURER B United States Fire Insurance INSURER C INSURER D ,, ; INSURER E COVERAGES SRBRA01 O3 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDINGANY 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 SUCHPOLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS MMLTR A B A A TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY | CLAIMS MADE [_Xj OCCUR GEN1 AGGREGATE LIMIT APPLIES PER: 1 POLICY! IJE& [~]LOC AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS OARAOC LIABILITY ANY AUTO IXC&M LIAMUTY OCCUR 1 CLAIMS MADE DEDUCTIBLE 1 1 HtHt RETENTION I EMPLOYERS' UABJUTV OTHER POLICY NUMBER C GL 177-41-43 133-721321-4 NOT APPLICABLE NOI Am.lCABI I WC 7 17-1 0-34 (CA) WC 71 7- 16-35 (ACS) OLICY EFFECTIVE POLICY EXPIRATION)ATE (MM/DD/YY) DATE (MMSOD/YY) LIMITS EACH OCCURRENCE S 1,000,000 03.312006 03/31/2007 [ FIRE DAMAGE (Any on. (,«) c s 300,000 MED EXP (Any on» person) S 5,000 : PERSONAL S, ADV INJURY S 1 ,000,000 .GENERAL AGGREGATE 5 2,000,000 ; PRODUCTS - COMP(OP AGG S 2,000,000 COMBINED SINGLE LIMIT s 1 |HM) (MM)03/31 '2006 03/31/2007 (E***.*"", i,wu,uuu BODILY INJURY s XXXXXXX(Per accMMnij v^^^v^v^v^yx PROPERTY DAMAGE s XXXXXXX(p.racoo«ii) s AAAAAAA AUTO ONLY - EA ACCIDENT j S XXXXXXX : OTHER THAN EA ACC ; S XXXXXXX AUTO ONLY Arjr. > ,. XXXXXXX tACH UtXUNMtNl.l !- XXXXXXX AOGHtGAH ; ^ XXXXXXX ; XXXXXXX ! , XXXXXXX 0.1/3 1/2006 ' O.V.I 1/2007 X |fw«YTUMIls! IT i 0331/2006 03/31/2007 EL EACH ACCIDENT (s I,(XH),0(M) E L DISEASE • EA EMPLOYEE' S 1 ,0{X),000 E L DISEASE • POLICY LIMIT S 1 .IXXIJXX) DESCRIPTION OF C»iRATO*S/UXATtONS/VEHtCL*S/EXCLU*tONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER _„ CANCELLATION 2470676 EVIDENCE OF COVERAGE L_ 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE — y _j^ -X cw Moon •*»• «nd HMO* n. CUM COM tMBRAov o x£ORD CORPORATION 1 988