HomeMy WebLinkAbout2607 LA COSTA AVE; MP; CB072591; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-09-2007 Electrical Permit Permit No: CB072591
Building Inspection Request Line (760) 602-2725
Job Addre,w
Permit Type
Parcel No
Reference#:
Project Title:
2607 LA COSTA AV CBAD St: MP
ELEC
0000000000 Lot #:
AT&T-100 AMP METERED PEDISTAL
LIGHT SPEED CABINET
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
10/09/2007
RMA
1010912007
10/09/2007
$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
tallow 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
--icessing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
' set aside, void, or annul their imposition
,, FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
,;ng, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
hav r vi I been iv n a N TICE imilar to this or whi h th t of limi tio h i I h i
PERMIT APPLICATION
FOR OFFICE USE ON~
PLAN CHECK NO. L1J 1 Jjq (
CITY OF CA,RLSBAD BUILDING DEPAAT M E;NT
1635 Faraday Ave., Carlsbad, CA 92008
E;S:T. VAL. ____________ _
Plan Ck. Deposit ----t'r--.-------
Designer Name
State License #
Address
Business Name (at this address)
Subdivision Name/Number Unit No. Phase No,
Proposed Use
# of Bedrooms
City State/Zip Telephone
Total # of units
# of Bathrooms
~~~~::::;;:;;;, __ _
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Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D 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.
Iii 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 co pensation Insurance carrier nd policy number are:
Insurance Company -.\o.''4.....,_,_,.""°',o<_-,HC+-L--"""-<--------Policy No. 'v\J 6@ 8 / 0 3 Expiration Date / o/ I Jn
(THIS SECTION NEED N E COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
l;J' 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.
D I, es owner of the property or my employees with wages es 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).
D I, es owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business end Professions Code: The
Contractor's License law does not apply to an owner of property who builds or Improves t hereon, 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 reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
2. I (have / have not) signed an application for a building permit for the proposed work.
3. I have contracted _with the following person (flrml to provide the proposed construction (Include name / address / phone number / cont ractors 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): _____ ~-----------------------------------------------------
"''l: .. ~ .. :tt-
ls 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 26606, 26633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D 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.
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I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec. 3097(1) Civil Codel.
LENDER'S NAME ______________ LENDER'S ADDRESS ________________________ _
,.\, . ,,,~~L1o_ANr··cefU'1t=tP.~Jfl~~J1:·~1JttJ. ,~Ji¥ti~~;r.1: lr~t.k'P7'£~~ .. ~,,;r~~~~o/~~;~~;r~:;~~rJ~~i:t~,~r ~,[~v l••·;~:~:;rJr::I[ 1, -:~ ~. ·!ll!~f , .• l
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 ell
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNlf:Y 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 ls required for excavations over 6'0" 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 llmllalion and become null and void II the building or work
authorized by such permit is not commenced wllhln 180 days from the date of such permit or if lhe building or work aulhorlzed by such permit Is suspended or abandoned
at any time after lhe work Is commenge or a 1111rlod qi 180 days (Se,_ctl • 10 . 4 Uniform Building Code). / ~ /
APPLICANT'S SIGNATURE i ,i t DATE ll>L'6fP 1 --'--'-11-.£.---'---------
City of Carlsbad Bldg Inspection Request
For: 10/15/2007
Permit# CB072591
Title: AT&T-100 AMP METERED PEDISTAL
Description: LIGHT SPEED CABINET
Type: ELEC Sub Type:
Job Address: 2607 LA COSTA AV
Suite: MP Lot:
Location:
APPLICANT ROBINSON ELECTRIC
Owner:
Remarks:
Total Time:
0
Act Comments
Inspector Assignment: ~
Phone: 6196976040
Requested By: KIM
Entered By: KATHY
CD Description
39 Final Electrical frr ______ _
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
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