HomeMy WebLinkAbout1969 OLIVENHAIN RD; MP; CB070969; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-10-2007 Electrical Permit Permit No: CB070969
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
1969 OLIVENHAIN RD CBAD St: MP
ELEC
0000000000 Lot#:
AT&T
100 AMP METER PEDESTAL
0
Applicant: Owner:
ROBINSON ELECTRIC
8871 TROY ST
SPRING VALLEY, CA 91977
619-697-6040
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
TOTAL PERMIT FEES
100
0
0
0
Total Fees: $35.00 Total Payments To Date:
Inspector:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
04/10/2007
MOP
04/10/2007
04/10/2007
$10.00
$25.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
$35.00 Balance Due:
Clearance:
$0.00
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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPAATMtNT
1635 Faraday Ave., Carlsbad, CA 92008
JZJ · P1P
FOR O~~ICE USE ONL V
PLAN CHECK NO. 0] .. 1~5
AiWWi
i:;~T. VAL. --------------
Plan Ck. Deposit----------
Validated By __________ _
Date ----------------~
Address (include Bldg/Suite #) Business Name (at this address)
legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Proposed Use
SQ, FT. #of Stories # of Bedrooms # of Bathrooms
Nama L/220
tffiNfR4cfoft • oa~NY,_N1'fiU.
(Sec. 7031.5 Business and Professions Coda: 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, end the basis for the alleged
exem n Any vioj{ltlon 9f ~acti(!n 7031.5 by any a~ant for,MJermit subjects he applicant to a civil PIIR9ltv of ~J!Lmora than fi"J'. h .d/ej ~pl~BJf J$500)).
(!; · l I T · l..'O. · C/'i'<117 ll/ 'ffl'f7Wt0
Name Address City State/Zip Jelephone #
State License # license Class City Business License # //),2./ !}(p'f:..
Designer Name Address City State/Zip Telephone
State License # ----------
~-WbRKERS' cot,,~~SATIO{f
Workers' Compensation Declaration: • I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-Insure for workers' compensation es provided by Section 3700 of the Labor Code, for the performance
of the work. for which this permit is issued.
(2§ 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 c pensation Insurance car ier and policy number are:
Expiration Date I D )1 / I> 1
(THIS SECTION NEED N
0 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 ~veraga Is unlawful, and ,hall subject an employer to criminal penaltiea and civil fines up to one hundred
thousand dollars ($100,0 0), In ddlt on tot cos1'._of compensation, damage, 111 provided for In Section 3706 of th" L11bor r.nd11, interest and 11ttorney's fees.
SIGNATURE 'T}1U DATE _ 4/ tel() 7 7 11:, OY,NEf!-BUILDER DE~~RATI-_ ,, ' . ~=:;. :;::;;:=;;,,_,,~,c,c,;,. t,ar'UL,,..,.,,,...""
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 sala
(Sec. 7044, Business 11nd Professions Code: The Contractor's license law does not apply to en 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 ha did not build or improve for the purpose of sale).
0 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).
0 I am exempt under Section ------Business and Professions Code for this reBSon:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
2. I (have I 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 I address I phone number I 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 I address I phone
number I 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 I address / phone number I type
of work): _____ ~----------------------------------------------------
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? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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.
!s, CONSTRUCTioiITENDING AtiENCY
I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(11 Civil Code).
LENDER'S NAME LENDER'S ADDRESS
~. APPllCANT::;;C:;;ER:;;:;T;;-;;iF;;:-10;;'.A;-;;_ T;;;iO;-;;--=====-==:==:._::.::._.:._:
I certify that I have read the application end 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 Cit\' 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 end demolition or construction of structures over 3 stories In height.
EXPIRATION: Every permit Issued by the building Otticial under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permil is nol comr,enced within 180 days from the date of such permit or if the building or work authorized by such permil Is suspended or abandoned
at any time after the work Is com,!JB)fced for a period of 18~ ay (1eclion 106.4.4 Uniform Building Code). J J
1
APPLICANT'S SIGNATURE A.. i t ~ DATE --'4,~l--~-+~-0_7""-. ------
City of Carlsbad Bldg Inspection Request
Permit# CB070969
Title: AT&T
For: 04/16/2007
Description: 100 AMP METER PEDESTAL
Type: ELEC Sub Type:
Job Address: 1969 OLIVENHAIN RD
Suite: MP Lot 0
Location:
APPLICANT ROBINSON ELECTRIC
Owner:
Remarks:
Total Time:
Inspector Assignment:
Phone: 6196976040
Inspector:
Requested By: KIM
Entered By: JANEAN
CD Description
39 Final Electrical
Act Comment G»1 ~ fJP--~-----
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
ROBINSON ELECTRIC
ELECTRICAL CONTRACTORS LICENSE NO. 429995
8871 TROY STREET SPRING VALLEY, CALIFORNIA 91977
TO WHOM IT MAY CONCERN,
~v1~ rn.i1:i<r rn~ oY, ~g(-~~se<L
www. robi nsoneiectric .com~
(619) 697-6040 • FAX (619) 463-2577 LJ f
ROBINSON ELECTRIC AUTHORIZES KYM TILTON TO ACT AS AGENT FOR ROBINSON
ELECTRIC IN REGARDS TO OBTAINING ALL AND ANY PERMITS, LICENSES, ETC THAT MAY
BE NECESSARY TO PERFORM BUSINESS WITHIN YOUR AGENCY'S JURISDICTION.
YOU MAY CONT ACT OUR OFFICE AT (619) 697-6040 IF YOU SHOULD HA VE ANY QUESTIONS
REGARDING KYM'S ABILITY TO ACT ON BEHALF OF ROBINSON ELECTRIC.
·,
' r
:[
![
:! .; ;
~
A1T:Jb6-57::ft13o
l
-....J m 0
-....J _i::,,..
_i::,,..
CX) N CX) m
0 _i::,,.. '--.. ,__.
0 '--.. N 0 0 -....J
0 CD
0 N
=t=t= ,__. ,__.
0
u
b 0 N
FAX NQ. 760 602 8~,S8 P. 08
DEC-29~2005 THU 09:11 AM CITY OF CARSLBAD
{MOM) l2-19' 05. 15,50/ST. J5:50/N0, 4El6J22Sl436 P l
FROM
'l'o,
City Of Carlsind
Anentioo: Scott Bums
1635 Fmday Avenue
Carlsbad, CA 92008
SBC
PACSJMJLE TRANSMITTAL SHEET
!'AOM;
SBC Engineering
Jim.Stover
7965 Eogint'tt Rd
Son Diego, Ca 92123
PHONE NUMBER:
760-602N2717 858.268.2113
760,602-8558
FAX NUMBER,
858278-3980
D>."!ll, fl.WA ll A.COIi.ES&,
Jll:i:
12/19/2005 Js6381@sht.com
TO'!"AL NO:tAG~ INCLUDING COVEi!.:
2
CJ tJRCBNT 0 FOR RfJVlEW D !'LEASE COMME.NT Q Pl.EJ\SE JtEPL Y
REQUESTING AN APQMSS ASSlGNMWI; Pl.EASE PROVIDE AN ADP~ FOR A 100
AMP METER SERYJ;CE FQR A NEW SBC CA»INE.I.
SEJWlCE ADDRESS· THE SITE IS ON m:a NOltIJ-L smp. OF QUVENHAIN RD po• WESI
.QUJ:m CENJlIBliNE OF CAMINO M-Yl\B,Q, CARI£B.\P.
TGMNJJMBHlU14?-H.3
LA YQl/T ENGINE~; JJJPPEt JOB NUMBE&;sn21w
PLEASE CALL, FAX OR EMA.I!.
NEW ADDllESS TO }lM STOVEil
TRA.NK YOU
DE0-29..:2005 THU 09: 12 AM CITY OF CARSLBAD FAX NO. 760 602 8558 P. 08
FROM (MON)l:2.19'05 15:5]/ST15:50/NO.c,65!229436 P 2
I ! I
I i I ~ t
I
~~~:;.;.;..
9J i I
$,~~;; 1=-:::~'-11-EX-JS_T_!N_G_S_A_l~-----li ~~--·-----
SDG[ Transformer
D3298069480
CIR 1117 ------------
01.JVENHAIN ROAD RANCHO SANTA FE ROAO
JIM STOVER: 858-268-2113
DATE: 12i 1 §/05
PROJECT# DB 23 5739730
ADDRESS: RANCHO SANTA FE RO AT CAMINO ALVARO
CITY /COUNTY: CITY OF CARLSBAD
TAX ASSESSORS NO. _255 146 24
ORIGINATING ENGR: W. CHRISTEN 619 574 5040
7 J (\/ TQC/COQ'f-, "r\/\T/CC:nT "TC'/CC:nT /(\ nT 'b ('iJnT~
LOE: M. TUPPER RANDSTAD COMM.
65B-268-5954
T.8.M : 1147 H3
(NOT TO SCALE)
lATr\UJ