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Home My WebLink About2020 BASSWOOD; MP; CB071970; Permit07-26-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB071970 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2020 BASSWOOD AV CBAD St: MP ELEC Lot#: AT&T: 100 AMP MET. PED. Status: ISSUED Applied: 07/26/2007 Entered By: JMA Plan Approved: 07/26/2007 Issued: 07/26/2007 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 TOTAL PERMIT 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 $35.00 Total Fees:$35,00 Total Payments To Date:$35.00 Balance Due:$0.00 Inspector: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 INFORMATIO FOR OFFICE USE ONLY PLAN CHECK NO. Q&>&~( EST. VAL. Plan Ck. Deposit Validated By Date 7/2-7/Vr? Business Name (at this address) Lot No.Subdivision Name/Number Unit No.Phase No.'Total # of units sessor's Parcel # ->w0r Existing Use Proposed Use Description of Work 2. CONTACT PERSON (if different from applicant) SQ. FT.j #of Stories # of Bedrooms # of Bathrooms Name Address ^ AP,PLicANT, Q Contractor t 59 Agent for Contractor Q Owner "| Q Agent City State/Zip Telephone .i Fax* Trou . 'Name 4. PROPERTY OWNER Address State/Zip Telephone7* Sf. Name Address • City "^ State/Zip Telephone* '5. CONTRACTOR - COMPANY, NAME ./"„'"'"" , ,V !.,„,.'" r (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 rj. Any violation jjfSectiori 7031L.5 by anyapplicant for a permit subjects thejipplicant to a. civil penalty of not mo^e thajj.fjye hundreds Name . x^/ii* State License # t/P.CTri3 Designer Name State License ff Address At' ' C-rfy J State/Zip Telephone # License Class Ls^lO City Business License # [i2L[2>fatr ' '< • '• ' . ' Address j • City State/Zip Telephone 6. ' WORKERS' COMPlNslBpN > ' " ,*;/-,. 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. [ . IjTj 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 LMffi^to^> ^¥\£}' C.f) * . ' Policy No. W 3fH/fjl 3j Expiration Date /O ** / * t? / (THIS SECTION NEED NO^BE COMPLETED IF THE PERMIT IS FOR QNE HUNDRED DOLLARS 1*100] OR LESS) 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 coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($ 100,OOOJym addition to.the cost ofxcompe^sEftiorK damages as provided for in Section 3706 of the Latyor cod^. Interest and attorney's fees. SIGNATURE_ M^TLjfe^.Ui ^^1/7^-^ DATE __ 7, OWNER-BUILDER DECLARATION T ~ " ^T''< " ' ' „'„„*', ,' " 1 hereby affirm that I am exempt from the extractor's License Law for the following reason: f~| |, 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 |, 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). f~| 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, d 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 COMPLETE THIS SECTION FOR NON-RESID£NTlAL 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-Tanher 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? M YES LJ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q 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, , 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(i) 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 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 it the building or work authorized.by such permit is not commenced withfh 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 commenced tor a period oj 180 days (Se'ctiojp 106.4,^ Urtiform Building Code). APPLICANT'S SIGNATURE J\i^OU^jl^\ ^Jf^TT^-^ DATE _ City of Carlsbad Bldg Inspection Request For: 08/10/2007 Permit* CB071970 Title: AT&T: 100 AMP MET. RED. Description: Inspector Assignment: Type: ELEG Sub Type: Job Address: 2020 BASSWOOD AV Suite: MP Lot: 0 Location: APPLICANT ROBINSON ELECTRIC Owner: .Remarks: Phone: 6196976040 Inspector: 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 bate Description Act Insp Comments -I -* — 5S ""*"/•»> n tat1!!*!!*I sr <° a " 0 ci m a £ o. g. mrmo o czom (0miom Oo5 O Ul TF?7c WED 10:25 AH CITY OF CARSLBftD FAX NO. 760 602 8558 P. 27 facsimile fransrnftta! sheet To: City o( Carlsbad Attention: Janet i653FairdayAve. Cartsbad.CA 92008 phone number; 760^02-2717 fax number • 76(^602-8858 DATE: 3(16/2007 Re: Address Request Urgent REQUEST FOR POWER: X For Review From: AT&T / SBC Construction Jim Stover 7985 Engineer Rd , 2nd Floor San Diego, Ca 92111 phone number 658.269.2113 fax number 8S8.278.3S80 email address: total no pages including cover: 2 Please Comment Please Reply Requesting an address assignment; Please provide an address for a 100 amp meter service for a new ATT •Cabinet, This new meter/cabinet will be located on the NORTH WEST SIDE OF BASSWOOP AVE.. flO" NORTHEAST OF MONROE ST. APN: 167-130-15 layout Engineer: ROLSETH TOM Number 1106-G4 Job Number 6196140 ThanK you for your assistance wtth this project. Cordially. Jim Stover SBC Construction 858.268.2113 £4 NOVA FROM •§??! • I*i ! iI 'ftfun &*K'i 3 iPSsi!11si| C 3 ~ * - A 'i1'.H 'Hi mlh* (r&l> S. 16' 07 13-.O7/3T. 12!48^WO-|48637S8?43 r 2« \ A A 92 '^09 'ON io uio wv ^01 < CERTIFICATE OF LIABILITY INSURANCE OP 10 KSROBIN-1 09/29/0 •RODUCER Ranclio Mesa Insurance Agency 1810 Gillespie Way, Suite 108 "il Cajon CA 92020 •hone: 619-937-0164 Fax:619-937-0168 . w«ur fata GOMt-EHS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC f INSURED INSURER A Cypress Insurance Company INSURER B: Robinson Electric8871 Troy StreetSpring Valley CA 91977 INSURER C: INSURER D: INSURER E: 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 OH 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. . LTH A WULj NSHD TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ~~| CLAIMS MADE | [ OCCUR GEN'LAQGRE ~~~j POLICY GATE LIMIT APPLIES PER: PRO- ,„JECT | 1 LOC AUTOMOBILE LIABILITY — .ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANYAUTO .,_._ EXCESS/UMBRELLA LIABILITY | OCCUR | .. | CLAIMS MADE DEDUCTIBLE RETENTION $ ' " . ' WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PHOPHIETOR/PARTNER/EXECUTiVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER POLICY NUMBER '-.-''•' "•''•'. W6A08133 POLICY EFFECTIVEDATE(MMfDD/YYl 10/01/06 POLICY EXPIRATIONDATE (MMTOD/YY) _ - '•'--- " 10/01/07 LIMITS EACH OCCURRENCE UAMAUb IU HbNIbUPREMISES (Ea occurence) MED EXP (Any one person) PERSONAL H 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 of ALT HER THAN TO ONLY: EAACC AGG EACH OCCURRENCE AGGREGATE X WLlSil AID-TORY LIMITS OTH-ER E.L. EACH ACCIDENT , E.L. DISEASE -EA EMPLOYEE E.L DISEASE -POLICY LIMIT $ •$ . •..;. • . . .' $-••'• .$ . .' : .-.$' - S s ; ;; ; •*:.' . *.' •".••.' •v.:-' ; . . $ $ . • ' $ ' s • $ .. $ * ' '. ' • • ' • '• $ s 1000000 $1000000 S 1000000 ESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS IE: ALL OPERATIONS *10 DAY NOTICE FOR NONPAYMENT OP PREMIUM ERTIFICATE HOLDER CANCELLATION CITYCMU CITY OF CHDLA VISTA 276 FOURTH AVZ., BLDG. DEPT. CHLTLA VISTA CA 92010 SHOULD ANY OFTHE 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, 3LTT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OH REPRESENTATIVES. ' •" ' '~ AtffHOR^ED REpRESEjjfATjfe % GO o