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)