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HomeMy WebLinkAbout185 CHESTNUT AVE; MP; CB072634; Permit10 152007 City of Carlsbad 1635 Faraday Av Carlsbad CA 92008 Electrical Permit Permit No CB072634 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 185 CHESTNUT AV CBAD St mp ELEC Lot# AT&T 100 AMP METER PEDESTAL Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 10/15/2007 KG 10/15/2007 10/15/2007 Applicant ROBINSON ELECTRIC 8871 TROY ST SPRING VALLEY CA 91977 6196976040 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 /! Inspecto' 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 M FOR OFFICE USE QN PLAN CHECK N EST VAL Plan Ck Deposit Validated By. Date Address (include Bldg/Suite #) (on guite , . .AT>r Me^ftr Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel ft Existing Use Proposed Use Description of WofJseX&kcwt Voir^ 2 CONTACT PERSON (if different from applicant) SQ FT #of Stories # of Bedrooms tt of Bathrooms Name Address 3 ^-APPLICANT D Contractor C^Agent for Contractor Q Owner City Q Agent for Owner State/Zip Telephone #Fax # tName 4 PROPERTY 0WNER ATYT Address City State/Zip Telephone # 4220 / *v XVfSf- 5ft t%2-\l3 Address City State/Zip Telephone #Name 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 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 pption 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 ($5001) Name State License t Address License Class City / State/Zip City Business License # Telephone # Designer Name Address City State/Zip Telephone State License # 6 WORKERS COMPENSATION 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 •0 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 LUffiCS£? jTZfrO UP _^_ Policy No \l\i ff\C>SlO^ Expiration Date /£>/ *[D** (THIS SECTION NEED NOT BE COMPETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) KJ 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 manne so as 'tobecome 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 (SjloX 000) in addibon to the cost of compensation damages as provided for in Section 3706 of the Labor cade interest and attorney s fees SIGNATURE__JyV/{^X-X •^J^tvT^-^ DATE ]DI)5fl/7 7 OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor s License Law for the following reason 0 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) 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) 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 construction of the proposed property improvement l~l YES flNO 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 SECTION FOR NON RESIDENTIAL BUILDING PERMITS ONLYj, 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? CD 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 [D NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q 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 8 CONSTRUCTION LENDING 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(0 Civil Code) LENDER S NAME LENDER S ADDRESS 9 APPLICANT CERTIFICATION 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 commencsra for a period of 1yBO daya (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE 161 WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 11/06/2007 Permit* CB072634 Title AT&T 100 AMP METER PEDESTAL Description Type ELEC Sub Type Job Address 185 CHESTNUT AV Suite mp Lot 0 Location APPLICANT ROBINSON ELECTRIC Owner Remarks Inspector Assignment Phone 619' Total Time CD Description 32 Const Service/Agricultural 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 10/11/07 THU 09 26 FA1 760 744 3188 IRISH CONSTRUCTION 0002 SBSi A (XT Scmprj Fricrgy i* i Warned Date ON INSPECTION ELECTRIC UNDERGROUND ft Custom Service Type UG Service New Project No 734537 J projectTrfe AT&T LIGHTSPEED -NORTHCOAST 3bNo 270 Project Address <S?'S _ jv. _~yTYVL>, f CjUs? ^XI Project City CARLSBAD Contact JfM STOVER GosiomerPhof>e# 858268 2113 Co/jlact Phone # 8582682113 Traffic Control Permit Required Excavation/Encroachment Perrni'^ Required By Customer Service Attactimem Point and/or Meier Locaton Locate 100 amp meter panel QJ1 AT&T 52B cabinet Customer is to provide all excavation, trench, 2 inch conduit, backfill, compaction, poly pull rope in conduit and surface repair from pole #P22798 to new mej£f panel Take condujt within 71/2 inches of North/East quadrant of QCable'pofe or within distance instructed by SDG&E inspector Address #158 ' MPmust be permanently marked on cabinet Caii SDG&E Trench Desk at 760 ^schedule the SDG&E trench inspector and to confirm the SDG&E plicaGon Required-Call 1 800-411 7343 By City of Carlsbad 'heig(n-4o mm -S3 max From finch grade to csrtfarlme of meter base Meier are r#p/«f lo be macMy access*te 24 !fs per day Metere rmisl be tocaisd 10 a sdfts area (fee d any potaitilaly hazafflons w oangf rous comJitwn Provide 3-H X 3 ft imum ctea and lave! wo/teng apace in fram of mclef WJiere r«!6r room i pmoosed contec! Lhe planner SL If* nearesl SDG4.E olfco Meter bases aid mrfer servre disconnects m«si be loca flfl at oc immedis^iy «J acenl lo each oiher and be identified wilh address and Drat mwnber tl sef\e» _. PROCEDURE FOR INSTALLATION 1 PHONE DIG ALERT 1 800-227 2500 AT LEAST TWO DAYS PRIOR TO TRENCHING FOR LOCATION OFUMDERGROUND OTlLfTlES Piwie SDG&E at 760 480 7723 for the following * 3 wQftarsg days prior to trenching to arrange pre-meet with inspector and innate Irenching process » After excavation of trench instatolionofcondbilandservicaentranceequipfnentatrrveteflQCalion CALL FOR INSPECTION Do not cover conduit without inspectors written approval to backfill When trench s backfilled and compacted CALL FOR INSPECTION - If service entrance equipment is installed after backfill CALL FOR INSPECTION OF THE EQUIPMENT Meier cannot be set until inspector has approved installation mduding service equipment and receipt of Power Source STA781 407 Structure Number P22798 jomiTrench w<ih BlectricOnly Handhole installed by Standards Page #Handhole Lid Shall Read ureter Anns Requl red I Stop Trench 71/2 torn pole Bend Installed by Customer Conduit Instilled by- Customer Type Cable Pole 2' 90 Peg 36 R SCH8Q RjserQuad Northeast 1 DB2' Service Pane! Rating 100 Murnber/Size of Mam Switch 1 @100 AMP Voltage 120/240 # of Wires 3 Phase Single Utilities Maximutn CorUnbution to Fauft Current 42000 Amps f^rtH^mftrf Trt^4 Dimmer** Cn/»*lf4-iae Drtr*r/ XJnfn/-/NsrtiMetering Sfilf , Test Bypass Rqrd MeterCkps 4 Temp Service Chaige Dueon^rst BIIS J.0/11/07 THU 09 27 FAX 760 744 3188 IRISH CONSTRUCTION 0003 /1ETER & SERVICE LOCATION Copy Customer Type Comm&rcral TB 1106 D6 Qdte Prepared 04/26/2007 Ad<Sbonal Infamaton Q Righi-of way Required Assessors Parcel Number Please call your Operations Assistant Robert Howefl at 760 480 7723 with questions about inspection* construction installation and to schedule a crew 1C SDG&S cixwunicr lazaoau, orloiw: maferai «rfife palium/ria femUvstan of K)irp^il)4a. SDfiiE mS hatt wert nvntiiafc^ wW rf *S be yauf cesponj^toiCTix^ara^cteOTUffStto^dousofto^malrf^pncfWSDGiEwnBn^ra £OG4£ nsODSveMtlBJiiyorotSsaiiOn *ft9l,o«i«{ ft man up roww «• iwtediat any hazanfaus or tode tnuenot distow/td rfjartj the WWSB of conslroaioo unfess * i. ftroutfi wjdawiCE oi SU54E CLMDmiro«s«d fadite, w receive ctodncal sovce 2f? Wt^ftflto J3 tfipJfWife toed and siato of Cjife-raa iKp^cjcM jglfwi^ n-qttuciMenit atf*eiiaiMfcCTOtEfhasaiWtfttepoitcdpnor(DiTie(efseL WoraHSSnenfa.Mxi>svoidallersir(£)tnonihsIrewttfs. jermil Planner MlCHELE M LAJEUNESSE/ ADY Telephone 7GO 480 7651 -01-2007 THU 05 16 PH CITY OF CftRSLBftD FAX NO 760 602 8558 P 45 (TKUi 2 15 07 9 49/ST 9 43 TW 4B637SB/77'ROM facsimile transmitta! sheet To From City of Carfcbad AT4T / SBC Consfructtort Attention Janet JimStovef 1653 Fairday Ave 7985 Engineer Rd 2nd Floor Carlsbad CA 92008 San Ofcgo Ca 92111 phone number phone number 760-6022717 858268.2113 fax number fax number 760-602 8558 856 2?e 3980 DATE small address 2/1S/2007 _ Re Address total no pages including cover 2 Request Urgent X For Review Please Comment Please Reply REQUEST FOR POWER Requesting an address assignment Please provide an address for a 100 amp meter service fora new ATT Cabinet This new metar/cabtnet will be located on me WEST SIDE OF CHESTNUT AVE 3« NORTH OF GARFIELD ST APN 204234-01 LayourEngineer ROUSETH |OO ""^P ({"ft TGM Number 1106E6 C^O'WU Job Number 6196141 Thank you for your assistance with tnfe project Cordially Jim Stover SBC Construction 8582682113 HJ1-2007 THU 05 16 PM CITY OF CARSLBAD FAX NO 760 602 8558 P 46 » IMS A \ i;! i ! I s *i "!*"! !pbH O 8e © *I I ! fi I :(, DK/BU LO si z woaa Cd W !?0mro Cd H oo i H ns O' 3. _srn From Vicki Painter At Ranco Mesa Insurance FaxlD (619) 937 0168 To Attn Jaimee Date 10/3/07 01 59 PM Page 1 of 1 ACORD, CERTIFICATE OF LIABILITY INSURANCE ROg^D-ivp PRODUCER Rancho Mesa Insurance Agency 1810 Qillespie Way Suite 108 El Cajon CA 92020 Phone 619-937-0164 Fax 619-937-0168 INSURED Robinson Electric 8871 Troy Street Spring Valley CA 91977 DATE (MM/DD/YYYY) 10/03/07 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 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 B INSURER C INSURER D 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 INSK LTR A VJVi. NSRD TYPE OF INSURANCE GEhJERAL LIABILITY COMMERCIAL GENERAL LIABILITY | CLAIMS MADE | | OCCUR GENL AGGREGATE LIMIT APPLIES PERi POUCY n^ n^oc AU1 ~~ OMOBILE LIABILITY ANY ALTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY ^| OCCUR [ | CLAIMS MADE ~^1 DEDUCTIBLE [ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Ify d b d SPECIAL PROVISIONS b 1 w OTHER POLICY NUMBER 3380008133-071 POLICY EFFECTIVE DATE (MM/DD/YY) 10/01/07 POLICY EXPIRATION DATE (MM/DD/YY) 10/01/08 LIMITS EACH OCCURRENCE PREMISES (E ) MED EXP (Ay p ) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS COMP/OP AGG COMBINED SINGLE LIMIT (E d t) BODILY INJURY IP P ) BODILY INJURY (P d t] PROPERTY DAMAGE (P d t) AUTO ONLY EA ACCIDENT OTHFR THAN EA ACC AUTO ONLY AGG EACH OCCURRENCE AGGREGATE ,, WCSIAIU OIH X TORY LIMITS ER EL EACH ACCIDENT EL DISEASE EA EMPLOYEE EL DISEASE POLICY LIMIT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 1 000 000 $1 000 000 $ 1 000 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE ALL OPERATIONS *10 DAY NOTICE FOR NONPAYMENT OF PREMIUM CERTIFICATE HOLDER CANCELLATION CITY SAN CITY OF SAN DIEGO ATTN BUILDING INSPECTION DEPT 1222 FIRST AVENUE M/S 301 SAN DIEGO CA 92101 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL * 3 0 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 AUTHORIZBD REPRESENWTMf— ) — -=»y^^CoU^ ACORD 25 (2001/08)O ACORD CORPORATION 1988