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HomeMy WebLinkAbout260 BEECH AVE; MP; CB072632; Permit10-15-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB072632 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 260 BEECH 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 CA91977 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 FINAL APPOVAL Inspector 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 INFOI FOR OFFICE USE ONLY PLAN CHECK N EST VAL Plan Ck Deposit _ Validated By_ Date Address (include Bldg/Suite #) | On Business Name (at this address) Legal Descriptio Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use Proposed Use Description of Wock CONTACT PERSON (if .loir*' PtUl ON (if different fr SQ FT #of Stories # of Bedrooms # of Bathrooms ent from applicant) Name Address City 3 ^AP/LICANT D Contractor E^-Agent for Contractor Q Owner D Agent fof Owner State/Zip Telephone #Fax # Name 4 PROPERTY OWNER Address City State/Zip Telephone # 1/22.0 SJV Address City State/Zip Telephone #Name B CONTRACTOR COMPANY NAME „ ^ im. (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 nption 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 [$500]) 1-fVPlt 3f 3ffi>q llaJkt, fll ^77 Name State License #' V State/Zip Telephone # License Class City Business License # 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 •GJ 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 ClUOtCS£> jT>€> LDInsurance Company Policy No _ \N/ADXlO3 Expiration Date . ll>/l/£>% (THIS SECTION NEED NO* BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) G£ 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 '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 (£.108 000) in addition to the cos\ of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE /T^TX-/ v_j£cVT'*--x DATE /Df\^/L>'J 7 OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor s License Law for the following reason D 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) Q 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 f~lNO 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 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 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? f~l YES l~l NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? l~l YES t~] 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 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 commencara for a period of 160 daysi (Section 106 4 4 Uniform Building Code) APPLICANT B SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 11/07/2007 Permit* CB072632 Title AT&T 100 AMP METER PEDESTAL Description Type ELEC Sub Type Job Address Suite Location APPLICANT ROBINSON ELECTRIC Owner Remarks Total Time Inspector Assignment Lot Phone 619i Inspector, Requested By KIM Entered By JANEAN CD Description 39 Final Electrical Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments Development Services Department Inspection Services Division 9601 Ridgehaven Court Suite 220 San Diego CA 92123 • (858) 492-5070 Page Circuit Card (Primary) of THE CITY OP SAN D,EGo ^a" t»°°J °° ' -' i ' ' Tor inspection THIS CARD MUST BE FILLED OUT AND AVAILABLE ON THE JOB SITE FOR THE ROUGH INSPECTION USE 'SUPPLEMENTAL' CIRCUIT CARD(S) FOR MORE THAN EIGHT (8) GENERAL USE CIRCUITS TOTAL - SEE REVERSE SIDE PERMIT/APPROVAL NO^,rh>W2s PLAN RLE/PROJECT NO JOB ADDRESS (Print Number Street Name Unit No ) •: ,':•' • -/sfW^M&^Sjf^jyp*" % i1 CIRCUIT NO 1 Breaker Size 15 A ROOMS Bedroom #1 Hall Bedroom #2 t. Bedroom #3 v '" Garage Wire Size 14 G T , - C 1 2 1 1 W 1 * Name of each Room wher 2 List old and new devices on 3 Use circuit spaces below for 4 San Diego Electrical Policy of 15 per general use circuit 5 All circuit breakers to be per dead fronts T = Device Tail C R = Convenience Rec (Use actual numbers 1,2 3 R 2 1 4 © 1 ede san ger limi anc mar — fj epb to S 2 1 1 (i) 1 vice ie c lera S CL 4p ent eih acle ide CIRCUIT NO Breaker Size A ROOMS Wire Size G T C W R S CIRCUIT NO Breaker Size A ROOMS Wire Size G T c W R S CIRCUIT NO Breaker Size A ROOMS Wire Size G T c W R S CIRCUIT NO Breaker Size A ROOMS Wire Size G T c W R S CIRCUIT NO 2 Breaker Size > 20 A ROOMS Kitchen * Kitchen Dining Room •* Breakfast Nook ,„ s are located rcuit marking old de light and small app rrent consuming de er small appliance (. y labeled at all servi in 1 mht W - Wai S = Switi ritify amounts of ea Wire Size 12 G T & C W R CO 1 1 1 S vices thus ® liance circuits only i/ices to a maximum 20 amp ) circuit ce and feeder panel Bracket Light :h ch device type) CIRCUIT NO Breaker Size A ROOMS Wire Size G T C W R S CIRCUIT NO Breaker Size A ROOMS Wire Size G T c W R S CIRCUIT NO Breaker Size A ROOMS Wire Size G T c W R S CIRCUIT NO Breaker Size A ROOMS Wire Size G T c W R S Fill Use remark SERVICE (Main) FEEDER #1 FEEDER #2 (Subpanel) (Subpanel) COMPACTOR COOKTOP DISHWASHER DISPOSAL MICROWAVE OVEN RANGE DRYER LAUNDRY i WATER HEATER A/C HEATING n applicable items below s as necessary to describe work NAME PLATE AMPS KW ]b& ({& WIRE SIZE AL CU -z_ ^ BREAKER SIZE (AMPS) - jo 0 faO REMARKS Computed Load AMPS AFCI Protected Circuits (list locations) GFCI Protected Circuits (list locations) Service Bond/Ground information (a) D New(/) OR D Exist (b) Bond/Ground Wire(s) Siz (c) Location of Cold Water Bo (d) Location of Ground Clamp 1 certify that the abi and that all termma r-T~ Company Name (Print) <=T< Electrician/Owner Name(Prmt Electrician/Owner Signature mg (/) /U-7 e(s) /T &••^ Type (/) D AL OR D CUf> nd Clamo (*^ &0Ulv*V Dve information is accurate and complete ions are properly torqued p^^^C^P \ jo ( J\ ^r r\ ^* California Electrician Certification Number / / ^ / fcp^*-* Date / / / ^ If.<>^h- / ^*" / " f\ This mfnrmatirfn is available in alternative fnrmats upon request ns ma (ROU ? na) 2007 09 45 FR FISHEL CO 760 967 4075 TO 16194632577 P 02 £'<;i i /'" V "r[ ** i /, 1 ! f1 «., i' V*( flL' ,1/V',"' NAR-l5-2007 THU 08 58 AM CITY OF CARSLBAD FROM FAX NO 760 602 8558 P (THO) 3 15 07 9 43/ST 8 43/T>fO 4663758713 P 1 facsimile transmittal sheet To City of Carlsbad Anention Janet 1653 Fairday Ave Carlsbad, CA 92008 phone number 760-602271? fax number 760-602-8558 OAT6 3/15/2007 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 921 11 phone number 6562682113 fax number 6582783980 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 NORTHWEST SIDE OF BEECH AVE 138' SOUTHWEST OF CARLSBAD BLVD APN 203142-04 Layout Engineer ROLSETH TGM Number 1106DS Job Number 6203770 Thank you for your assistance with this project Cordially Jim Stover SBC Construction 8582682113 r I O 7 *.•& fffl; i*f fe la Iale? tl * 1*1 * Iill Is 8!-2» *a cS life il! a •» ** *i ! J =I .Ms »»® *Sa* «ji lSH?s s««|JM5«- *« ;« i. -E I j .i OH/'S!' 8 IS/** 8 tO SI 8SS8 309 091 ON do A no uv PHI Date 10/3/07 01 59 PM Page 1 of 1 ACORD CERTIFICATE OF LIABILITY INSURANCE *£&?* PRODUCER Rancho Mesa Insurance Agency 1810 Gillespie Way, Suite 108 El Ca;jon 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 POLICES 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 UJUL NSRD TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY | CLAIMS MADE | | OCCUR GEN L AGGREGATE LIMIT APPLIES PER j POLICY | (SECT | |LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE B DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED If yes describe under SPECIAL PROVISIONS below OTHER POLICY NUMBER 3380008133-071 POLICY EFFECTIVE DATE (MM/OD/YY) 10/01/07 POLICY EXPIRATION DATE (MM/ODfYY) 10/01/08 LIMITS EACH OCCURRENCE DAMAGE 1 U WEN 1 tL) PREMISES (Ea occurence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS COMP/OPAGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY EA ACCIDENT OTHFR THAN EA ACC AUTOONLY AGG EACH OCCURRENCE AGGREGATE X EL EL EL WCSTAFU OIH TORY LIMITS ER EACH ACCIDENT DISEASE EA EMPLOYEE DISEASE POLICY LIMIT $ t f $ $ $ , $ $ $ $ 1 $ $ $ $ { $ $ 1,000,000 ? 1, 000, 000 f 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES 1 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 AOTHORlZto REPRESENWmff— ) — -p* J/^^^COU v^_ ___ ACORD 25 (2001/08) ©ACORD CORPORATION 1988