HomeMy WebLinkAbout1907 ALGA RD; MP; CB072274; Permit08-31-2007
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No: CB072274
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
1907 ALGA RD CBAD St: MP
ELEC
0000000000
AT&T100AMPMETPED
Lot#:
Status: ISSUED
Applied: 08/31/2007
Entered By: LSM
Plan Approved: 08/31/2007
Issued: 08/31/2007
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 APPR<;
/'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
FOR OFFICE USE ONLY
PLAN CHECK NO.
EBT. VAL.
Plan Ck. Deposit.
Validated By
Date
Address.Business Name lat this address)
Subdivision Name/Number Unit No.Phase No.Total # of units
Existing Use Proposed Use
Description of Woi SQ. FT.#of Stories # of Bedrooms # of Bathrooms
Name Address City State/Zip Telephone #Fax*
Name Address State/Zip Telephoneity f
ifitff:»*«?•*£i^wi•!'.-^ ••••.+e ••
faefaj&f" %5£-2te%~2)te
State/Zip Telephone #Name Address City
(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 ststement 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
exejURtiop. 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).
-ah
Name
State License #
Address
License Class
City ' State/Zip Telephone #
City Business License # 1 2.2. 1 '3iftT
Designer Name
State License #
Address City State/Zip Telephone
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.
13 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 ara: /—/I e-1 •=*:>?.
Insurance Company (^Llf)Y^l& IpT^ QO-' - Poliov No. \\JO/T0P'^? Expiration Date_
(THIS SECTION NEED NOPBE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l$100) OR LESS)
CT 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 (SljfO.OOD), In addition to the cost of compensation, damages as provided for in Section 3706 of the LabQ^code.yinterest and attorney's fees.
SIGNATURE ^Vv^t^^^ V^L/Av DATE
I hereby affirm that I am exempffrom the Contractor's License Law for the following reason:
C] 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).
fj 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
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
SI§Gf!OrfFOtfto*ffES^^ * T " * *" ' '^ "r C. * " ""
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 Hezardous Substance Account Act? Q YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or eir quality management district? Q YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q N°
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.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30971!) Civil Code).
LENDER'S ADDRESSLENDER'S NAME
9V
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 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 commencej^tor a period of 180 days/Section 108?t\4 Uniform Building Code).
APPLICANT'S SIGNATURE OAT.
City of Carlsbad Bldg Inspection Request
For: 09/12/2007
Permit* CB072274
Title: AT&T100 AMP MET RED
Description:
Inspector Assignment:
Type: ELEC Sub Type:
Job Address: 1907 ALGA RD
Suite: MP Lot: C
Location:
APPLICANT ROBINSON ELECTRIC
Owner:
Remarks:
Phone: 6196976040
Inspector:
Total Time:
CD Description
39 Final Electrical
Act Comments
Requested By: KIM
Entered By: JANEAN
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
FrotnlSAN MARCOS OFFICE 760 744 8286 08/30/2007 14:46 #072 P.i
F™:S« «OS OFF!CE T* 744 82® 08/30/2007 14:47 »72 P.00^»^'
11*1 HH UUY Uf URKMJHV
2- 23'C7 l
facsimile transmtoal sfteet
TK From:
City of Carlsbad AT4T / S8C Construction
Attention; Janet Jim Suvv
1653 Fatrtay Avr, T9« Engtneef Rd., 2nd ROOT
Carlttbad, CA 92008 San 0(090. Ca 92111
phone numbir phon» numbtr
fax number:
760-602^855$ 856.27I.3S60
DATE: amall
2^3/2007
Re: Address total no pages tnciudino covar 2
Urgertf XForftevlaw Ptwis* Comnwm Please Rsply
REpUggT FOR POV^ER:
Reque*t(nfl an address assignment: Pleas* prov'idt an 3<M»*s for a 100 «mp mater servto* for a now ATT
Cabinet.
This now
meter/cabinet wfllb*
8OUTHSl060FALOABD..10fllEASTOPMANZA»aTAST.
APN;215-S04-11
Layout Enpimw. ROLSETH
TGM Numb*r 1127 E-6
Job Number: 6066293
Thank you dor your assistance with We p/o)ect
Coidfally,
Jim Stover
SBC Construction
85e.2S8.2l13
a estesigss* 'ON/ftS'Q us/oo'i /.o.Si'S
I
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H
ACQRD. CERTIFICATE OF LIABILITY INSURANCE o™> ••
*
Rancho fiesa Insurance Agency
1810 Gillespie Way, Suite 108
*:i Cajon CA 92020
'hone: 619 -937-0164 Fax:619-937-0168
INSURED
Robinson Electric8871 Troy Street
Spring Valley CA 91977
DATE(MMIDD/YY
09/29/0
THIS QERTIRCATt S ISSUED AS 1 UAtTPR AC IUCAQUJLTUM.
«w-r HHO ooHfSftS WO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
INSURERS AFFORDING COVERAGE
INSURER A Cypress Insurance Company
INSURER B:
INSURER C:
INSURER D:
INSURER E:
NAIC*
COVERAGES
THE POLICIES OF INSURANCE USTED 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 OH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSH
LTR
A
INSRI TYPE OF INSURANCE
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
| CLAIMS MADE [ j OCCUR
GEW. AGGREGATE LIMIT APPLIES PER:n POL.CY .nsft n«*
AU1rOMOBILE LIABILITY
.ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
EXCESS/UMBRELLA LIABILITY
! OCCUR 1 .. 1 CLAIMS MADE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' UABILTTY
ANY PROPHIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
OTHER
POLICY NUMBER
" ' . ' '
W6A08133
POLICY EFFECTIVE
DATE (MWDDSYY)
--
10/01/06
POLICY EXPIRATION . __^.
DATE(MMmD/YY) I UMTS
10/01/07
EACH OCCURRENCE
UAMALlb (UHKNIbL*
PREMISES (Ea occurence)
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
QTHEBTHAN EAACC
AUTO ONLY: AQQ
EACH OCCURRENCE
AGGREGATE
_ TStfS'TAlU- UTH-
i TORY LIMITS ER
E.L EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
EL. DISEASE - POLICY UMIT
$
$
$
$
S
S
S
$
$
$
$
$
$
$
$ -
$
S
$
$ 1000000
$ 1000000
s 1000000
ESCRIPTtON OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
IE: ALL OPERATIONS *10 DAY NOTICE FOR NONPAYMENT OF PREMIUM
ERTJFICATE HOLDER CANCELLATION
CITYCHLT
CITY OF CHDLA VISTA
276 FOURTH AVE., BLOG.
CHULA VISTA CA 92010
DEPT.
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, TO AGENTS OR
REPRESENTATIVES.