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HomeMy WebLinkAbout2611 ALGA RD; MP; CB070352; Permit02-09-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB070352 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2611 ALGA RDCBADSt MP ELEC Lot# 100 AMP AT&T METER PEDESTAL Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 02/09/2007 MDP 02/09/2007 02/09/2007 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 $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 Inspector FINAL APPROVAL 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 protesl 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 theinrnposition You are hereby FURTHER NOTIFIED lhat your right to protest the specified fees/exaclions 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 aiven 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 tt£HRR&3ECTJNFORMATIONffiJf ^(A\ 41^ f*A. FOR OFFICE USE ON PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Sdite ft) iDO Pfajp Ar>r Business Name (at this address) Lot No Subdivision Name/Number Unit No Phase No Total ft of units Assessor's Parcel,Existing Use Proposed Use Description of Work r2!^ !,CONTACT(PERSON SO FT ffof Stories # of Bedrooms ft of Bathrooms Name Address City State/Zip Telephone # (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 exempMm \Any violation of.Section 7031 5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars [65001 License* Address License Class City f State/Zip City Business License ft Designer Name State License # Address City State/Zip Telephone S^SSiiS^^ Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations [~1 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 QC 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 earner and policy number are - . Insurance Company LAA'fflf€&*2 _J-JO X-0' Policy No \M£Lf7 r ^' 3^ Expiration Date_ (THIS SECTION NEED NO^BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS! Q 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 ($1OO,OCXO), in addit&n tame cost of compensation damages as provided for in Section 370G of the Labfr cpdjfe.^nterest and attorney's fees SIGNATURE ty-l^" ^^^r^~^ DATE I? DOWNER-BUILDER DECLARATION ^vutik /^fiffih * •M&tffy* « ^-lAK'"' i.V^&L JU^li!'/ ' ^'sVCli! I hereby affirm that I am exempt from the Contractor's License Law for the following reason Q 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) O I am exempt under Section Business and Professions Code for this reason abor ' 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) _ _.-..^r— _ „_„ __ - DATEPROPERTY OWNER SIGNATURE . , I COM RLETE'THIS^SECTION-FO R </yo/v-ws/Devfwti BJJ ILDING>ERM ITS'ONU 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, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES C] NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q N0 Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q YES Q 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 to" j!£CCM!^RyCTJ6N7LrN_W^ <&88£.^ftf?***-' "& I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER S NAME .^_______^_ LENDER'S ADDRESS _ ^^ra^l/^^f^s;! 131 TS^iFi^*^tji,B'i5iCtLjtitiiw, Bi«&^miCri,l?*j^Sih!.;Siiw(-»Cfa» 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 commehced within 180 days from the dat^of such permit or if the building or work authorized by such permiys suspended or abandoned at any lime after the work is comm^nc/sd for a period of/180 d^s/Section 1p6 4 4 Uniform Building Code) APPLICANT'S SIGNATURE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 03/14/2007 Permit* CB070352 Title 100 AMP AT&T METER PEDESTAL Description Inspector Assignment JM Type ELEC Sub Type Job Address 2611 ALGA RD Suite MP Lot Location APPLICANT ROBINSON ELECTRIC Owner Remarks Phone 6196976040 Inspector Total Time CD Description 39 Final Electrical Act Comment Requested By KIM Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs .Original PC# Inspection History Date Description Act Insp Comments 03/09/2007 39 Final Electrical CO JM WRONG WIRE SIZE TO 20AMP OD 13HSIJ B0 83d PEB 09 2007_ PSOM 10 06 FR FISHEL CO „„ -_ -- -•» I"! VI I I ^1 VI IIIM L-L*I IV ?B0 9B7 4075 TO 16194632577 i rm itu, iuu r, P 03 3 (MON)iI' 7 05 7 12/ST 7 ft]/NO 4581229234 P _i i sisssv s\/3i e J.S/CK; e iO et TOTRL PflGE 03 ACORD. CERTIFICATE OF LIABILITY INSURANCE R0°™ « PRODUCER Rancho Mesa InsuarJtnew Agmacry 1B10 Gillespie Way, Suite 108 ^1 Cajon CA 92020 hone: 619-937-0161 Fax:619-937-0168 INSURED Robinson Electric 8871 Troy StreetSpring Valley CJL 91977 DATE(MWDQ/Yri 09/29/0 SffJSTE?*1* IS 1SSUED AS A MATTEn of wrowrawONLY AND CONFERS MO niowrs UPON THE cermnoATe 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 NAlCf INSURER C j INSURER D INSURER £ 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 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 TH£ TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMFTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR ENSRD TYPE OF INSURANCE A GENERAL LIABILITY COMMERCIAL GENERAL UABIUTY _J CLAIMS MADE | ^[ OCCUR GEWL AGGREGATE LIMIT APPLIES PERnwueyns HLOC j AUTOMOBILE LIABILITY ' 1 ANY AUTQ ALL OWNED AUTOS SCHEDULED AUTOS j~ HIRED AUTOS r_j NON-OWNED AUTOS 1 GARAGE LIABILITY 1 ANY AUTO j EXCESS/UMBRELLA UABIUTY 1 f 11 OCCOR [ 1 CLAIMS MADE r~] DEDUCTIBLE j j RETENTION S WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANY PBOPFHETOH/PARTNEH/EXECUTIVEOFFICER/MEMBER EXCLUDED? If yes, descnDe under SPECIAL PROVISIONS below OTHER POLICY NUMBER W6A08133 POLICY EFFECnVEOATE(MWDQ/YY) — 10/01/06 POLO EXPIRATIONDATE (MWOtVYY) 10/01/07 UNITS EACH OCCURRENCE UAMAUt 1 U HtM 1 tU PREMISES (Ea occurence) MED EXP (Any on« person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/QP AGG COMBINED SINGLE LIMIT (E? acctdeo') BODILY INJURY(P*r pereonl BODILY INJURY{Per academ) PROPERTY DAMAGE(Per sentient) AUTO ONLY - EA ACCIDENT QTt- AUT ERTHAN EAACC OONLY AGG EACH OCCURRENCE AGGREGATE X EL EL EL WUSIAIU- TORY LIMITS EACH ACCIDENT OTH-ER S S S S S S S 5 S $ S S $ S 4> 5 $ S s 1000000 DISEASE - EA EMPLOYEE) S 1000000 DISEASE POLICY LIMIT s 1000000 i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: EAST MESA JUVENILLE DETENTION FACILITY. *10 DAY NOTICE FOR NONPAYMENT OF PREMIUM CERTIFICATE HOLDER CANCELLATION CODNTT5 COUNTY OF SAN DIEGO FACILITIES SERVICES DIVISION DEPARTMENT OF GENERAL SERVICES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOl DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *3Q DAYS WRrTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER. TTS AGENTS OR REPRESENTATIVES. ACTTHORIjEb HEPRESEMTATI \CORD 25 (2001/08)