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Home My WebLink About1781 SKIMMER CT; ; CB011669; Permit05/07/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB011669 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1781 SKIMMER CT CBAD ELEC 2150505700 Lot# Status ISSUED Applied 05/07/2001 MDP 05/07/2001 05/07/2001 SASKA RESIDENCE ELECTRICAL SERVICE RELOCATION Entered By Plan Approved Issued Inspect Area Applicant WESTERN PACIFIC HOUSING STE210 5790 FLEET ST CARLSBAD CA 92008 760929-1600 Owner ISABEL R TRUST 6721 EL CAMINO REAL CARLSBAD CA 92009 **«•* Total Fees $2000 Total Payments To Date $000 Balance Due $2000 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 TOTAL PERMIT FEES 0 0 0 0 $1000 $000 $000 $000 $000 $1000 $000 $000 $000 $000 $2000 Inspect 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 capactiy 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 ONLY PLAN CHECK NO EST VAL Plan Ck Deposit. Validated By Date Address (include Bldg/Suite ft)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor's Parcel #tXIStiny US6 Proposed Use Description of Work iRSON (if different from applicant) State/Zip TelephoneAddress City contracfor", Q^Agent "for Contractor D Owner -V D Agent forOwner State/Zip Telephone-* (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/)! Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty oinot more than five hundred dollars IS500)),. / _ — ^7.- LJ*. ..«— \.- -, ~"T>. «^--»o.^ C:J*>^J~ c^t 3£^j j>> s? . 4~ f / S) J4. «3->^v«>Ji Name S. State License tt ( ^ ~"7<£?7 'O , J Address ft 7 License Class <^J City State/Zip City Business License # 'Telephone *(-?/,? £\ O^ c ^- .^S f\s *-* / l*K < Designer Name State License tt Address City State/Zip Telephone 6 jiiWORKERSVCOMPENSATIONft. - ,'U..<*,,.. .«*C;.- •<-:•• • ,.;J:ff -- ™::H»: ' .. . ".,„...::;: .£. : Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations O 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 "S3 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 corfjjtensationjnsurance^carrier and policy number are , , Insurance Company /^%/\, EZ-Q-jlX-Q ^f Lsis, S~\ C ^) Policy No '^O/QQcy- £Q Expiration Date VQ // /'<£>// ~/ (THIS SECTION NEED NOT BE COMPLETp IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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 California WARNING Failure to secure workers compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doltarTt^ 100,000) in addition tothjvepst of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE -- jQ^n^:q^/^^L^O^J^g^->^ -> _ DATE ~ 7 77 OWNER-BUNDER DECLARATION ~~~" If? ~:' •'"" JT iST I hereby affirm^at I am exempt from the Contractor's License Law for the following reason fj 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) Q 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 O YES l~lNO 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) NO PROPERTY OWNER SIGNATURE DATE iCOMPLETE THIS SECfiON FOR fJON-RESID£fJTIAL BUILDINGllRMITSSiNLY JKr S" 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 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 YES O Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O YES [3 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 .8'i CONSTRSctiON L|NP.!Np1MEN<yki.:w.». .. ..;, JS ".., '•£*.... S> '_* •:; ,.^,,,;,.;:. ".'" ,:i..?...::-,..- •. ... :- -„ '^..'V-H 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 9U 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, 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 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 not commenced 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^oBwwqcjsd for a period of 180 das (Septrori 106 4 4/Jdniform Building Code) J ./ _ DATE c3~/ ^//O / _APPLICANT'S SIGNATURE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 05/11/2001 Permit# CB011669 Title SASKA RESIDENCE Description ELECTRICAL SERVICE RELOCATION Inspector Assignment 1781 SKIMMER CT Lot Type ELEC Sub Type Job Address Suite Location APPLICANT WESTERN PACIFIC HOUSING Owner Remarks Phone 7605599798 Inspecto Total Time CD Description 17 Interior Lath/Drywall Act Comments Requested By N/A Entered By ROBIN Associated PCRs Inspection History Date Description Act Insp Comments CERTIFICATI PRODUCER Marsh US.A Inc • P 0 Box 4238 \ Honolulu HI 96812 INSURED HESTERN PACIFIC HOUSING DEVELOPMLW LP & AFFILIATES & WESTERN PACIFIC HOUSING INC 300 Continental Blvd Ste 390 El Segundo CA 90245 • OF INSURANCE 7««™ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY THIS CERTIFICATE DOES NJOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN COMPANIES AFFORDING COVERAGE COMPANY A PACIFIC EAGLE INSURANCE CO COMPANY B COMPANY c COMPANY D COVERAGES THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS CONDITIONS AND EXCLUSIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DO/YY) POLICY EXPIRATION DATE (MM/DD/YY)LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY I CLAIMS MADE I JOCCUR GENERAL AGGREGATE PRODUCTS COMP/OP AGG PERSONAL 8. ADV INJURY OWNER S & CONTRACTOR S PROT EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED EXP (Any one person) AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE GARAGE LIABILITY ANY AUTO AUTO ONLY EA ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE AGGREGATE WORKER S COMPENSATION AND EMPLOYERS LIABILITY 4SOW0273 3/19/01 3/19/02 WC STATU I TORY LIMITS! OTH ER EL EACH ACCIDENT THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE INCL EL DISEASE POLICY LIMIT EL DISEASE EA EMPLOYEE 1 OOP OOP 1 000 OOP 1 000 000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / SPECIAL ITEMS RE UPH-EL CAMINO CERTIFICATE HOLDER f CITY OF CARLSBAD 1635 SARADAY AVENUE CARLSBAD CA 92008 SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE ITS AGENTS OR REPRESENTATIVES Marsh USA Inc BY JHMM1 £/93^ (* 10 DAYS FOR NON-PAYMENT) Apr—O4--01 06.-S2A BUTSKO Ut iJLL^V 8SB G76 9774 P.O1 J 1-082 VICINITY MAP NO SCALE TB i«27-E4 TOTAL KW LCA3/UMT - TOTAL COm.ECT£Q O y JBBX SERJXZ. OP W ^ QLOO nzi count OHO W£VXJ CT BOX. :* GRCiUMD ZOCATCO OA3 W SXDJST OF HONXE" TiDKELE/UE ICEOJ RPPEDUAL.. B cSL« CJCVODHIT TO BE *uw fif?DAiL 7^r OF 3 BOX nr WAJoee. OJCE. ^3U£IL 70 ^XXTIAJC, ^EATWEC. HERO3S idC«TED Thl3DU6rf\ OUE^+iAWG, CDJM^CnXJCjv LI P EKSUT /UfXT 7D TWE &L&LTKZC. A7 SflME TAJ LUXCF S D JZTV) "TO ULWTEE J71/ 73COF IT