HomeMy WebLinkAbout1306 AVIARA PY; MP; CB072018; Permit07-31-2007
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No:CB072018
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
1306 AVIARA PY CBAD St: MP
ELEC
0000000000
AT&T 100 AMP MET. PED
Lot#:
Status: ISSUED
Applied: 07/31/2007
Entered By: JMA
Plan Approved: 07/31/2007
Issued: 07/31/2007
Inspect Area:
Applicant:
ROBINSON ELECTRIC
8871 TROY ST
SPRING VALLEY, CA 91977
619-697-6040
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
100
0
0
0
$10.00
$25.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $35.00
Total Fees:$35.00 Total Payments To Date:$35.00 Balance Due:$0.00
Inspector:
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 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 \
1. PROJECT INFORMATION
FOR OFFICE USE ONLY
PLAN CHECK NO.
EST.VAL _
Plan Ck. Deposit •_
Validated By,
Date (cV7
Address
102-
include Bldg/Suite #)
«VT-
Business Name (at this address)
Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units
sessor's Parcel #AT«*T Existing Use Proposed Use
Description of Work
:2. CONTACT PERSON (if different from applicant)
SO. FT.,#of Stories of Bedrooms # of Bathrooms
Name Address
APPLICANT,, D Contractor f. B Agentfo'r Contractor Owner
City
Q Agent for Owner
State/Zip Telephone #Fax
Name Address State/Zip
4, PROPERTY OWN\ERA M«M I ^ff*
Telephone'*'
Sf.
Name Address j , City "" State/Zip Telephone'*
•6. -' 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 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
exerrjEtioFv Any violation of Section 7031,5 by any applicant for a permit subjects thejipplicant to a,civil penalty of not more than fjye hundred .doMarjj JJSOpl).Oh .i&v
Name
State License #
Address
License Class •lo State/Zip Telephones It
City Business License ff 12.2 13^87*
Designer Name
State License ff
e.
Address City State/Zip Telephone
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D 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. j .
IK] 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 C-HtfVTfcrt ~EM^?- C-0 ' -\ Policy No. W 5/Jffif/323 ' Expiration Date_
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS)
fj 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 dollars ($100,000^/1 addition to.the cost oticornpe/satiork damages as provided for in Section 3706 of the LaboHgpde. interest and attorney's fees.
SIGNATURE Yj^/fc^fi^. Ui ^J^lfTT^-^ ' . DATE f/3/ (Vf
T, OWNER BUILDER DECLARATION J '- , ^ " ""„ ' ; - '- •„ ~', • ,«,",„>
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
[~1 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).
[~1 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). j
O I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. 1~1 YES (""JNQ
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): I • • ; . ; •
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-RESIDENTIAL 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? C] YES Q 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 f~l NO
Is the facility to be constructed within i,000 feet of the outer boundary of a school site? O 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, COPJSTRUCTICiN LENDING AGENCY '," s ~ * ' ~ * •,„-,!••'c. :'•'«'' »,
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME : ' LENDER^ ADDRESS
•9. APPLICANT CERTIFICATION "-""-. , ', . ' " ;, ", r<-< ,.'-!',!
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 wilhJh 180 days from the;date of such permit or it the building or work authorized by such permit is suspended or abandoned
at any time after thei work is commenced for a oeriod of 180 days (Section 106.4.^ UrTifonri Building Code).
APPLICANT'S SIGNATURE f(.^C/U^il^\ «Sa^/£/y/*?* _' DATE 7/3//D7
City of Carlsbad Bldg Inspection Request
For: 08/24/2007
Permit* CB072018
Title: AT&T 100 AMP MET. PED
Description:
Type: ELEC Sub Type:
Job Address: 1306 AVIARA PY
Suite: MP Lot: 0
Location:
APPLICANT ROBINSON ELECTRIC
Owner:
Remarks:
Inspector Assignment:
Phone: 6196976040
Inspector:
Total Time:Requested By: KIM
Entered By: CHRISTINE
CD Description
39 Final Electrical
Act Comments
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
V
j^:f ;:.^1ffif Q1~2007 THU 05:03 PN CITY OF CARSLBflD.
(THU)
NO.. 760602 8558
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tocsWIs rransmWa/ sheet
.To:
Attention:
1653 Fairday A««,
Cartsbsd, CA 92008
Pfton6 number;
760-60217
X For R«viaw
APN; 215-643-05
Layout E^nM^ RoWERE
TGM Numbar; 1-J27 CS
Job Number 621059?
you for your assjsiflnce wrtn ,his ppaMt
;, • : Cwdfa/ly,
•>,'j ',',,,'. Jim Stovor .--•.'
!•,'•:'".;. Sflc Censhuciton
X> '• i, ;65fl,26e.2f<3
From:
AT&T /
Jim
798S Engineer R<3., 2nd Floor
SanDfego.Ca<l211l
pnone number;
fwt number;
8Sa.27d.3MO
it address;
c»ver:
Commerw Rsply
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APPROVED
BY
JUL312007
City of CARLSBAD
BUILDING PERT:
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: DOS -
556-256-5223.M.r i I27C5
ACORD. CERTIFICATE OF LIABILITY INSURANCE
PRODUCER
Rancho Mesa Insurance Agency
1810 Gillespie Way, Suite 108
*!l Cajon CA 92020
•hone: 619-937-0164 Fax:619-937-0168
INSURED
Robinson Electric8871 Troy StreetSpring Valley CA 91977
OP ID KS DATE(«WD^YYY)
ROBIN- 1 09/29/06TwwmmiEfiKiBKiii^«™.r nrto wwixrtHS 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: Cypress Insurance Company
INSURER a- -
INSURER C:
INSUREBD:
INSURER E:
NAIC#
COVERAGES
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.
INSR
LTH
A
UJU'L
NSHC TYPE OF INSURANCE
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
| CLAIMS MADE | | OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
| POLICY [ | JECT | | LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
EX(
ANY AUTO
JESS/UMBRELLA LIABILITY
OCCUR | .. j CLAIMS MADE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PHOPHIETOH/PAHTNERJEXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe underSPECIAL PROVISIONS below
OTHER
POLICY NUMBER
• .
"•'•-•••'.
W6A08133
POLICY EFFECTIVEDATE (MMTDD/YY)
'
10/01/06
POLICY EXPIRATIONDATE (MWDD/YY)
10/01/07
LIMITS
EACH OCCURRENCE
UAMAUb 1 U HeN 1 tU
PREMISES (Ea occurenoe)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
(Per person)
BODILY INJURY(Per accident)
PROPERTY DAMAGE
(Per accident)
AUTO ONLY - EA ACCIDENT
n-mpBTHAN EAACC
AUTO ONLY: ^g
EACH OCCURRENCE
AGGREGATE
„ wcBfSIO^ OTH-X TORY LIMITS ER
E.L EACH ACCIDENT
E.L DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
$
$
$ .
$
$
*
$ .
$
$
$
$
$
$
$
$
$
$
$
s 1000000
$1000000
$1000000
' • ' ! '
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
RE: ALL OPERATIONS *10 DAY NOTICE FOR NONPAYMENT OF PREMIUM
CERTIFICATE HOLDER CANCELLATION
CXTYCHU
CITY OF CHULA VISTA
276 FOURTH AV2., BLDG. DEPT,
CHULA VISTA CA 92010
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. ..
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