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Home My WebLink About2380 CAMINO VIDA ROBLE; G; CB010075; Permit01/08/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No:CB010075 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2380 CAMINO VIDA ROBLE CBAD St: G ELEC Lot #: 0 TRANSWESTERN ADD SUB PANEL TO EXISTING SUITE Applicant: D.J. ELECTRIC PO 712964 SAN DIEGO CA 92171 619261-6311 Owner: Status: ISSUED Applied: 01/08/2001 Entered By: MDP Plan Approved: 01/08/2001 Issued: 01/08/2001 Inspect Area: 836? 01/08/01 0002 01 CGP Total Fees: $41.25 Total Payments To Date:$0.00 Balance Due: $41.25 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 TOTAL PERMIT FEES 0 0 0 125 $10.00 $0.00 $0.00 $0.00 $31.25 $0.00 $0.00 $0.00 $0.00 $41.25 Inspect FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" df 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 CfTY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1, PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date . Address (include Bldg/Suite #)Business Name (et this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Totei # of units Assessor's Parcel #Existing Use Proposed Use Description of Workiv 2. CONTACT PERSON (If different from appfcent) SO. FT.#of Stories V # of Bedrooms . # of Bathrooms SoxA*- Name 3, APPLICANT Q Contractor Address City State/Zip Telephone #Pax* Name 4. PROPERTY OWNER Address State/Zip Telephone # Name 6, CONTRACTOR ^COMPAMV NAME Address Citv 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, elso 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 It500]). Name State License # Address License Class ~ \O City State/Zip Citv Business License *3° TelephoneDesigner Name Address City State/Zip State License # 6, WORKERS'COMPENSATION • ,,y .r-<; -. /; ;;;;, ,.:,,'::,;;v, ;.:Q. ;,:.^:, -.U ': .•>;-;. .••.-11-1.. .,• •. . .: > .-. .:. .>.;.' ' 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 provided 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 worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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 worker*' compmaation coverage ia unlawful, end thai subject an employer to criminal penalties and civil fine* up to one hundred thousand doUars ($100,000), in addition to the cost of compensation, damages aa provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE . . DATE 7. OWNER-BUILDER DECLARATION ••• ?;'.;:£;•.£ '- ^'^r^^^n^K-. ' '• -''.., •"„''..: •"'.":' V. •.•"•.' " '•'''.- • /•'"•... rVv I hereby effirm that I am exempt from the Contractor's License Law for the following reason: Q 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, end 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 heve the burden of proving that he did not build or improve for the purpose of sale). Q 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 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. 1 plan to provide portions of the work, but I heve 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 COMPl£TE THIS SEtmON FOR WMWttSWfi^ J ; ; 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 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtein a permit from the air pollution control district or an 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 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. 8. CONSTRUCTION LENDING AGENCY ^ , : j"t^;: £ 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 CERTlFICATION-r • • •',",':\.:^;:,, J'. ,,:V .•,..'/.:.• .^:>- ••^•' '.--','• "'.. .." •' y" /;<'•' ' •.;•'.- •, ".': k. .: 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 required for excavations over S'O" 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 al any lime after trie work is commerjcj^ for a period of 18£days (faction jfig.4,4 Uniform Building Code). APPLICANT'S SIGNATURE DATE 'WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/02/2001 Permit# CB010075 Title: TRANS WESTERN Description: ADD SUB PANEL TO EXISTING SUITE Inspector Assignment: PS Type: ELEC Sub Type: Job Address: 2380 CAM1NO VtDA ROBLE Suite: G Lot 0 Location: APPLICANT D.J. ELECTRIC Owner: THE KOLL CO. 4 Remarks: Phone: 6192616311 Inspector: Total Time: CD Description 39 Final Electrical Comments Associated PCRs Requested By: DAN MARTIN Entered By: CHRISTINE Of z.- / Inspection History Date Description Act insp Comments 01/11/2001 14 Frame/Steel/Bolting/Welding WC PS 01/11/2001 24 Rough/Topout 01/11/2001 34 Rough Electric 01/11/2001 44 Rough/Ducts/Dampers 01/09/2001 34 Rough Electric WC PS AP PS OK TO RELEASE ELEC WC PS CA PS City of Carlsbad Bldg Inspection Request For: 01/11/2001 Permit* CB010075 Title: TRANSWESTERN Description: ADD SUB PANEL TO EXISTING SUITE Inspector Assignment: 2380 CAMINOVIDAROBLE G Lot 0 Type: ELEC Sub Type: Job Address: Suite: Location: APPLICANT D.J. ELECTRIC Owner: THE KOLL CO. 4 Remarks: AT THE CEILING Phone: 6192616311 Inspector: Total Time:Requested By: DAN MARTIN Entered By: CHRISTINE CD Description Act Comments 14 Frame/Steel/Bolting/Welding 24 Rough/To pout 34 Rough Electric 44 Rough/Ducts/Dampers Associated PCRs Inspection History Date Description Act Insp Comments 01/09/2001 34 Rough Electric CA PS ACORD CERTIFICATE OP LIABILITY INSURANCE ~ WofaucsR C«19)S»4-«400 PAX C615)5»4-«42S Nt«t1«nd Insurance Brokers 3831 Camino Del (Ho North «1S P.O. Box 8)481 S«n D1«00. CA 921*8-54*1 amunmo pj H««tr1« P.O. BOX 712964 Sin D1«fO, CA 921M JlL (WTI (MUM* 1 1) 01/01/2001 Tnia ucftiriUAic ia »auttu Aa AHMI icn w NrUKMATWN ONLY AND CONORS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMBND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE N8LWR* FIRST FINANCIAL INSURANCE CO MfeJRERft PREFERRED EMPLOYERS INS. CONPAMV NKURtttC: NSURBRtk WWRERfc CQVIRAQE9 THE POUCJ5S OF INSURANCE LISTED BELOW HAVE KEN ISSUED TO Ttil INSURED HARMED ABOVE FOR THE POUOY PBRIOD INDICATED. NOTwtmaTANOINB ANY REQUIREMENT, TBRM OR CONDITION OP 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 OONDmoNS OF SUCH POLICIES. AGGREGATE UMtTE SHOWN MAV HAVI BUN REDUCED BY PAID CLAMS. Wff A R TYPiQFvbjuftANCi 9GNERAL LIABILITY Xj COMhttKOAL GENERAL LIABILITY "~| CUM8MADE | X ] OCCUR WfLAOGRESATI UMfT APPLES PBR Mil OAP rOMOMLEUABIUTY ANVAUTO 9CHROULJD AUTOS NON-OWNED ALfTGS U0KLUUMUTY ANY AUTO DPCOM LIABILITY ^ OCOUH r""j CLAMSMADC |PB)UCT1BCE WORKBRt COMPENSATION AND OTMK ••••••••• '' T 1 1 ••••••••• fc i' \t\ 'i'i ' 'j|h ^ i.7 1 1.'. JL.IlilllllllllEEEEEEEEIII'l ••••••••••••••••• :01S4Q510»46 rfKN104««l-l 04/02/2000 01/01/2001 04/02/2001 01/01/2002 BACH OCCURRENCE «W DAMAGE (Any am n*} MiD (XP (Any «n« (MTMti) PeMONAL&AbvlNjURr GENERAL AGGffiGATC PROOUCT6 ' COMP/OP AOO COMMfD SINGLE LIMIT •DOILY INJURY (PvrpWHn) BODILY INJURY (POT ODQQEflt| PROPERTY DAMAOe (PvtweUMl) AUTO ONLY - CA ACCIDENT OTHER THAN EAACC «UIWUI«.T-. ^g EACH OCCURRBttB AOORCOATfi IroWLWrfal |wdiT •1. tACM ACdOpMT CL DISEASE -EAEMPUDVEI EX. DISEASE • POLICY UMfr * 1.000.000 « 100,000 * 1,000 * 1.000,000 * 2.000.000 B 1.000.000 1 I 1 9 $ 1 * *t 1 1 I t 1.000,000 1 1,000.000 » 1.000.000 DUCMPTION OP orauiioMVLOCAnoiwwNCLivucLiwioin ADHD wr ENDoraDMNTBPEOAL mmnom IS kESPECTSl OPERATIONS OF THE INSURED. ' 10 diyf iiotlc* of cancellation far non piyMvnt »f pr CM-JUKI. UOHIDNALIN9URID; INSURtR LfeTTHt CANCELLATION CITY OF CARLSBAD 2075 LAS PALMS DRIVE CAtLSBAD, CA 92009 SHOULD ANY OP TW ABOVE OCCCRIMO POildE* BG CAHCSOED BSPORSTMS JJJL. D*Y1 H«n»* NOTKI TD 1»* CBtHPtCATI HOUMR NAMD to THi UFt. BlrtFAILL>reTOIOULfllKHNOTK^aHALLIUK>ffi» Of ANY BMP UPON T« COMPANY, ITS A3P4T3 OR RIPRIMNTA1MB. LO/eo/61-9