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HomeMy WebLinkAbout268 CARLSBAD VILLAGE DR; MP; CB072730; Permit1029 2007 City of Carlsbad 1635 Faraday Av Carlsbad CA 92008 Electrical Permit Permit No CB072730 Building Inspection Request Line (760) 602 2725 Job Address Permit Type Parcel No Reference # Project Title 268 CARLSBAD VILLAGE DR CBAD St MP ELEC 0000000000 Lot # 0 AT&T 100 AMP MET PED Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 10/29/2007 JMA 10/29/2007 10/29/2007 Applicant ROBINSON ELECTRIC 8871 TROY ST SPRING VALLEY CA 91977 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 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 PROJECT INFORMATIOHP FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite Business Name (at this address) Subdivision Name/Number Unit No Phase No Total it of units Existing Use Proposed Use Description of Work WK/ JflUtt. 2 CONTACT PERSON (if aiffarent from applicant) SQ FT #of Stones # of Bedrooms # of Bathrooms Address OiAgent for Cohtf actor Owner City - D Agent for Owner State/Zip Telephone # Name 4 PROPERTY, OWNER State/Zip Telephone ft r-r 5ft Name Address City State/Zip Telephone # G CONTRACTOR COMPANY NAME (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 exejpatioci Any violation of iSecyon 7031 5 t>VJnY applicant for a permit subjects the applicant to a civil penalty si not more than five hundred dollars l$500j)""' " "' ~~ "^ • • •• - - r/f 77 • - • - - Name State License # Address License Class / State/Zip City Business License # Telephone ft 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 •0 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 (_ (A '\Kt££> ^.V\S W? Policy No \K)"Jnt)ff\ Q"^ Expiration Date_ (THIS SECTION NEED NOVBE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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 tf> secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000) in addition to»the cost of compensation damages as provided for in Section 3706 of the Laboj cods, interest and attorney s fees SIGNATURE 7^(/hL/ V^Cw**^ DATE /fO> 7 OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor s License Law for tha following reason O 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) £] 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 Q YES QNO 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 wo kl _^^_ . „ — PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR tiON RESIDENTIAL BUILDING PERMITS ONLY 1 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? D YES D NO 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 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 30970) 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 G 0 deep and demolition or constru tion of structures over 3 stories m 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 commen^ed/for a period oj 180 d/ays (S^tion 106 4 4 Uniform Building Code) . APPLICANT 5 SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 11/06/2007 Permit* CB072730 Title AT&T 100 AMP MET FED Description Inspector Assignment 268 CARLSBAD VILLAGE DR MP Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT ROBINSON ELECTRIC Owner Remarks Phone 6196976040 Inspector Total Time CD Description 32 Const Service/Agricultural 39 Final Electrical Act x£omments Requested By KIM Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 10/19/07 FRI 06 53 FAX 760 744 3188 Sempra Energy Wanted Date ON INSPECTIONS IRISH CONSTRUCTION I KIC UNDERGROUND MI ^ Service Type UG Service New Project Ho 734537 Job No 010 Project T.fe AT&T L1GHTSPEED NQRTHCOAST Project Address 268 CARLSBAD VLG PR Project Crty CARLSBAD Contact JIM STOVER CustomerPhoneff 858 268-2113 Contact Phone # 858 268 2113 I Traffic Control Permit Required ExcavafaonJEncroachrrierit Permits Required By Service Attachment Point and/or Meter Location New AT&T LtghtSpeed cabinet Shall be installed approx 110 Feet from handhole and will have a new 100-amp panel Customer will provide all excavation, trench, 2-mch conduit, backfill, compactioji, poly pull rope in conduit and surface repair from secondary handhofe to the new meter panel Call SDGE at 760 432-5805 to schedule SDGE trench inspections Call Robert Mowed at SDGE 760- 480-7723 to confirm meter set date and crew schedules j^SDG&E Application Required -CslL 1 800-411 7343 Municipal inspecfion Required By City of Carlsbad Meier height -40 mm - rj3 max From finish grade to centerime of meter base Meters are required to be readily accessible 2<i hours per day Meters must be located in a safe area free of any potently hazardous or dangerous condition Provide 3-ft. X 3-fl Miromurn dear and level working space In front of meter Where meter room is proposed contact (he planner ai the neatest SOCfiE office Meter bases and meter service disconnects must be located at or immediately adjacent to each other and be identified with addres an<f urrft number ft sewes^ PROCEDURE FOR INSTALLATION 1 PHONE DIG ALERT 1 800 227 2600 AT LEAST TWO DAYS PRIOR TO TRENCHING FOR LOCATION OF UNDERGROUND UTILITIES 2 Phone 5DG&E at 760-480 7723 for the following » 3 wortong days prior to trenching to arrange pre-meet with inspector and miMe trenching process » After excavation of trewh installation of conduit and setviee entrance equipment at meter location CALL FOR INSPECTION Do not cover conduH without inspector's written approval to backfill • Wten trench is backfilled and compacted CALL FOR INSPECTION » tf service entrance equipment is installed after backfill CALL FOR INSPECTION OF THE EQUIPMENT 3 Meter cannot be set until Inspector has approved installation including service equipment, and receipt of city/county/state inspection clearance Power Source STA 7S1 203 Structure Number D115852 Joint Trench with Handhote Installed by Standards Page fr Handhole Lid Shall Read LsdcterArms Stop Trench fromp o(e Riser Quad Bend Instated by Customer Type Handhole 2" 90 Peg 24* R D860 Conduit Installed bf Customer Conduit Size 1 DB2" Service Panel Rating 100 Number/Sire of Man Switch 1 @ 100-AMPS Voltage 120/240 # of Wires 3 Phase Single Utilities Maximum Contnbutofi to Fault Currant 42000 Amps _ Metering Seff Contained, Test Bypass Facilities Rqrd Meter Gbps 4 Temp Setvice Change Due on First Bill $ <s 10/19/07 FRI 06 53 FAX 760 744 3188 , ETER & SERVICE LOCATION IRISH CONSTRUCTION 0003 &r Copy T B 1106-D5 Customer Type Commercial Date Prepared 05/03/2007 CALL 750-432 SDGE TRENCH Additional Information D Right-of-way Required Assessor's Parcel Number Please call your Service Coordinator Robert Howell at 760- 480-7723 with questions about application, inspection, and construction installation and to schedule a crew If SDGSE encounters hazardous of toxe material wtrite pestomw} conslructuxi of ywpfqe&SDGsEwiBtell wa rcsponsbSty to remove unilv cfesu up all hscgr&ws or tauc matenaf prior to SOG4E contmutag oxulroclifla SOG45 shall have no liability Of otogaton wh«so»ief to cfean «(t renwe w nenwiSete soy hazardous or tow maten^s (tecawBd (tonng Sie course of constajcwin unless u e IhroDgft negSgence c( SOGiE Customer-owned fsciBiffi^ 10 receive dceirieai eefirce as 5u^cci to s8 apptkante local and state of California inspection authority requKemente 6u3d:ng ad*e« snd/or meter base mwl be posted prkr to mdw set. liifomwdofl on ttvs shs^t is vwd after six (6) months from date- Keep Ihv, notce *i» buSding Planner MlCHELE LAJEUNESSE/TSALOANA Telephone 7604807651 mi m 10 28 AH CITY OF CMSLBffl FOX HO 760 602 8558 P 35 121004 facsimile transmittal To From City of Carlsbad AT&T / SBC Construction Attention Janet Jim Stover 1653FairdayAve 7985 Engineer Rd 2nd Floor Carlsbad CA 92008 SanD(ego Ca92111 phone number phone number fax number Tax number 700*02 0558 85S 278 DATE email address Re Address total no pages including cover 2 Request Urgent X For Review Rease Comment Please Reply RgQUEST FOR POWER Requesting an address assignment Please provide an address for a 100 arnp meter service for a new ATT Cabinet This new metar/C3fcinet Will be SOUTH EAST SIDE OF CARLSBAD VILLAGE DR 146 SOUTHWEST OF located on the CARLSBAD BLVD APN 203252.06 Layout Engineer ROkSETH ^ p I TGM Number noeDfi ^'-^ ' ™. Job Number 6203T73 TbanK you for your assistance wrth ttus project Cordially Jim Stovar SBC Construction 858.2682113 e j SttesiS^a^ DH/S; st iS/ec et to 10/19/07 FRI 06 54 FAX 760 744 3188 IRISH CONSTRUCTION o 9 o a* ?8?8 0 8 til i - t> d S*iSS<,t9& OK/SI SI iS/St fit iO 9 « <t««) 9£8558 OH 35*Ih ,i ; Illlii! >; ^>i a j 'g ff « X:«', ;«:: nl t JO A110 W 6S 01 (0H 10/02/2007 13 22 6194632577 ROBINSON ELECT From Pesayf'nehart At Ransho Meea Insurance Services FaxlD (619)9370168 To Donna PAGE 01/01 Date 10/2/07 02 06 PM Page z of 2 ACQRD, CERTIFICATE OF LIABILITY INSURANCE *£$.?* PRODUCER RaaetLO Mesa Insurance Agency 1810 Qillaspie Way suite IOB El Ca^on CA 92020 Phone 619-937-0164 Fax 619-937-0168 INSURED Robinson Electric8811 Troy Street „_Spring vaxiay C& 91977 DATE [MM/ODWYYY] 10/02/07 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 NA1C# NSWFI7A cypresa Insurance Company INSURER 3 INSURER C INSUPFRn IN IJBFHE COVERAGES THE POLICIES OF INSURANCE LI TFOBO.OWHAVFBLTN 1 UEOTn THE INSURED NAMED AROV£ FrtPTHE PTUi"Y PERIOD INDICATED NTTWITII TANDU*- AN REOIWEMENT T-RMOt)COhDITIONOTANYCONTRA''TOROtnERDnciWENTWmiRES^C to WlirH THIS rCRTini^-S MAY DE 1 SIKDOR MAY PERTAIN TIE INSURANCE ATTORDrn BY TIE PCTJCIE DESCRIBE HEREIN 15 UBjErT n ALL THL TRMS EXCLL ION1! ANT CONDITIONS O SlTI 1 D3UCC /ICGKECATE 1 IM/T SHOWV vnV 1 «VE DFCN RED irgp SV PAIC CLAIM INSK WPO'L LTR NSRE A GF TYPF OF INSURANCE «RAL LIABLrrv CtJMhCRCWL OSNCfML LIASILry ' | IrtlM^MADh [~] OrrilH SENIATR <V\TC LIMIT APPllb PEP^] POL.™ pro n^oc ALH — 15 MO BILC LABILITY ANY AUT" AROWNEi^AurO^ smCDULED Al ITO j HRtL AUTO NdH OWNED AIJTC OARAGE LIARILITV ANY AUTO exc _J z ESS/UMBRELLA LIADILITY or"u» 1 | OAIM MADC DFDir IDLC RtTENTION ' WORKERS COMPENSATION AND EMPLOYERS LIAHILrtY ANY PROPPICTOR/FARTNCR/EXF LTflVC IF ICEWMMCTEXCIUnEO II y a to li ' r PF-ClAI PPOVWON b KiH OTHER POLICY NUMBER W7AOSJ-33 PULO thWiCTIVfc DATE [taMTOWY) 10/01/07 PULICYEXPKA inn DATE (MWDDW) 10/01/OB LIMITS CAPH OrcuRFCNCE ij*vlvl/\wL iu l^r>i>Jl_ |j PREMISE (£ eiKuren ) MhOCXPIAny nepia n) PEft fiNAL 8 ADV INJURY QSCRAl ABBRtSATC PRPCMn rOMPW AGt CO)*llMED INPLEHMTT Ifc sedsnll BODILY INJ1JP (P»rp rton) BODILY INJW|Pw a clrtnnll PRODERTY OAMACE (P crtWIIJ AUTO OM. EA ACCIDENT OTH^STWAW WACT AUTO ONLY ^ EATM OCCURRENCE ACGRET-AT 1 \njr • |>MM 1 | In X iTrtRVUMrr I 1 EP EL CACIACCIDCWT TL DISEASF CACMPLOYFE EL Dl ASE PflLlrYLIMPT f f $ t I 1 f « f f t 4 « $ f t I f t 1,000 000 si, 000 000 (1 000 000 oiaCRIPTION OP OPERATIONS / VOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSE ME KT / SPECIAL PROVISIONS BK AZiL OPERAT10HS *10 DAT NOTICE TOR NONPAYMENT 07 PREMIUM CERTIFICATE HOLDER CANCELLATION COUNT! OF DEPX OF I C 9 ft 1 — BT WW' SAN DIBQO ACORD 2-> (Z001/08) COUMTYl SAN P1H9O 'uurom» & LAND USB rw^ttr\Kn — flTTTinp — n — G& 92123 SHOULDANYgFTHE ABOVE DEBC RIBED fOUCIES BE CANCELLetl BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INIUREft WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT MH.URE TO DO SP SHALL WIPOSI NO DBL1QHTION OR LIABILITY OP ANY KIND UPON THE INSURER IT» AGENTS OR REPRESENTATIVES im^£Z%S£F§. ^ © ACORQ CORPORATION 1988