HomeMy WebLinkAbout1389 COBBLESTONE DR; MP; CB081065; Permit06-06-2008
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No CB081065
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
1389 COBBLESTONE DR CBAD St MP
ELEC
0000000000 Lot #
AT&T 100 AMP MET PED
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
06/06/2008
LSM
06/06/2008
06/06/2008
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
$1000
$2500
$000
$000
$000
$000
$000
$000
$000
$000
TOTAL PERMIT FEES $3500
Total Fees $35 00 Total Payments To Date $35 00 Balance Due $000
Inspector
FINALAPPROVAL
Date L- "f J~0 0 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 feet/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 wate' 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
PBT VAL
Plan Ck Deposit
Validated B
Date
Address Business Name lat this address)
Subdivision Name/Number Unit No Phase No Total # of units
Existing Use Proposed Use
Description of Work
WUA
TACT PER
SQ FT #of Stories # of Bedrooms tt of Bathrooms
, , ,
1 CONTACT PERSON (If different from applicant) ;
Name Address City
3. APPLICANT. Q Contractor 0 iAgent fWCohtractor 7Q Oyj/nerj-D Agent for Owner
State/Zip Telephone tt
.HF
Name
4 '-PROPERTYOWNER
Address City State/Zip Telephone #
Name Address City State/Zip Telephone #
JCONTRACTORVCOMPANYNAME "
(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
exepjotion Any violation of iSecyon 7031 5 byjsny applicant for a permit subjects the applicant to a civil penalty at not more than five hundred dollars l$5001)
Name
State License tt
Address
License Class
State/Zip Telephone tt
City Business License tt \l2-\3 If $•
Designer Name Address City State/Zip Telephone
State License #
<6 ".. WORKERS' COMPENSATION"" c '' X' , :" r ''',*•,, " , "'"
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
[~1 | have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued
-j9 I have and will maintain workers compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued My worker's compensation insurance carrier and policy number are
Insurance Company (^ (A vtl$& Ifi^ • l£ ' Policy No \A)1A£>'BI O"2> Expiration Date_
(THIS SECTION NEED NOVBE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
CD CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any person m any manner so as
to become subject to the Workers Compensation Laws of California
WARNING Failure tp secure workers compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars (SJflO.OOO) In addition to-the cost of compensation damages as provided for in Section 3706 of the Labor code Interest and attorney's fees
SIGNATURE TCt/t^ \._jLJ,rf*^> DATE Lffif/Of)
7 OWNER-B&ILDER DECLARATION ' >..
I hereby affirm that I am exempt from the Contractor's License Law for the following reason
[U 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)
n 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)
CD 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 C]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 SECTIONFOR NON-RESIDENTIAL BUILDING PERMITS ONLY-;.'_•, „/...' „ i „ '- i, ,
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 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? d YES LJ NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? [D 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
8i CONSTRUCTION LENDING' AGENCY' '"••'" ~~ ~ "' i ' • "
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
3 APPLICANT CERTIFICATION' •
I certify that 1 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 abo/e 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 Oilicial under the provisions ot 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 commenceo/or a period oj 180 ojays (S^cliun 106 4 4 Uniform Building Code)
APPLICANT'S SIGNATURE
City of Carlsbad Bldg Inspection Request
For 06/12/2008
Permit* CB081065
Title AT&T 100 AMP MET RED
Description
Inspector Assignment PD
1389 COBBLESTONE DR
MP Lot 0
Type ELEC Sub Type
Job Address
Suite
Location
APPLICANT ROBINSON ELECTRIC
Owner
Remarks
Phone 6196976040
Inspect
Total Time
CD Description
39 Final Electrical
Act Comments
Requested By KIM
Entered By CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
06/10/2008 39 Final Electrical CO PD LOCKED - CALLED KIM
06/03/2008 06 29 7609674041 THE FISHEL COMPANY PAGE 02/07
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0,6/03/2008 06 29 7609674041
• WH9-2007 FRI 12=00 PH CITY OF CftRSLBAD
THE FISHEL COMPANY
FAX NO. 760 602 8558
PAGE 04/07
P. 02
facsimile fransrwttal sheet
To
CltyofCarfsbad
Attention Janet
1653 Fairday Ave
Carisbad.CA 92008
phone number
fax number
760-602^3558
DATE
#2/2007
Re- Address
Request
Urgent
BEQUEST FOR POWER
X For Revfaw
From'
. AT&T f SBC Construction
Jim Stovsr
738$ Engineer Rri , 2nd Flo<5f
SanDieeo. Ca 92111
6582682113
fax number
858-276.3980
email addrass
ratal no pages including cover 2
Please Comnwnt pleas* Reply
Requesting an address assignment Please provide an adctoss for s 100 amp meter service for a new ATT
CaDinet
This new ^^^~~~ " ^^\
meter/cabinet toill ba SOUTHEAST SIDE OF COBBLESTONE PR, 171 SOUTH OF THE CENTERUNE OF
located en me SAPHIRE PR
APN 212-190-58
Layout ingifteer TUPPER
TGM Number 1127B4
Job Number; 5210617
Thank you for your assistance with this project
Cordially,
Jim Stover
SBC Constmctioii
858.2682113
\
.IE 8
06/03/2008 0629 7609674041
' - 'OCH9-2007 FRI 12=00 PH CITY OF DftRSLBAD
THE FISHEL COMPANY
FAX NO. 760 602 8558
PAGE 05/07
P. 03
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