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Home My WebLink About2686 CARLSBAD VILLAGE DR; MP; CB080282; Permit02-14-2008 City of Carlsbad 1635 Faraday Av Carlsbad CA 92008 Electrical Permit Permit No CB080282 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2686 CARLSBAD VILLAGE DR CBAD St MP ELEC Lot# 0 AT&T 100AMPMET PEDESTAL Status ISSUED Applied 02/14/2008 JMA 02/14/2008 02/14/2008 Entered By Plan Approved Issued Inspect Area Applicant JOHN GRIFFIN CONSTRUCTION 244 JASON CT CORONA 92879 760 801 9646 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 TOTAL PERMIT FEES 100 0 0 0 $1000 $2500 $000 $000 $000 $000 $000 $000 $000 $000 $3500 Total Fees $35 00 Total Payments To Date $35 00 Balance Due $000 Inspector FINAL APPROVAL Date Clearance NOTICE Pleas* 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 nformation with the City Manager for processing in ac ordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar iny subsequent legal action to attack review set aside void or annul their imposition You a e 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 exoired City of Carlsbad 1635 Faraday Ave Carlsbad CA 92008 760 602 2717 / 2718 / 2719 Fax 760 602 8558 Building Permit Application Plan Check No Est Value Plan Ck Deposit EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES D #NOD AIR CONDITIONING YES D NOD FIRE SPRINKLERS YES D NOD CONTACT NAME (If Different Fom Applicant)APPLICANT ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC #STATE LIC #CLASS \*> C1C,\Q CITY BUS LIC# 15 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 iiirsuant to trie 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 exemption Any violation of )315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}) Workers Compensation Declaration / hereby affirm under penalty of perjury one of (he following declarations O 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 CJ"Thave and will maintain workers compensation as requiredW Section 3700 of the Labor Code for the performance of the work for which this pemnitjsjssued My workers compensation msurai number are Insurance Co .A\4.£>K-A- KX<3JTi'<DVl £U Policy No O1 C\N fc> 4.O l^S Expiration Date "^ U ) policy This section need not be completed if the permit is for one hundred dollars ($100) or less O 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 (&100 000) In addition to the cost of compensation damiges awmSvidedfor in Section 3706 of the Labor code interest and attorney s fees ^CONTRACTOR SIGNATURE .DATE *|- d / hereby affirm fhaf / am exempt from Contractors License Law for the 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) n 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) D 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 O Yes O No 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 / 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 / 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 / type of work) .^PROPERTY OWNER SIGNATURE DATE I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address Is the applicant or future building occupant required to submit a business plan acutely hazardous matenals registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act9 O 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 distnct? O Yes O No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' O Yes D No IF ANY OF THE ANSWERS ARE YES EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 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 representative of me City of Caitebad to enter upon the above mentioned property for inspection puiposes 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 stones in height EXPIRATION Every permit issued by the Building Official under Ihe provisions of this Code shall expire by limitation and become null and vend if the building or work authorized by such permit is not commenced withm 180 days from the date of such rjermit or rflljebiildingor^BrlraDlrloiized by such permit is sus ^APPLICANTSSIGNATURE —T "X^/HA^A/KA/M A . DATE City of Carlsbad Bldg Inspection Request For 02/19/2008 Permit# CB080282 Title AT&T 100 AMP MET PEDESTAL Description Inspector Assignment 2686 CARLSBAD VILLAGE DR MP Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT JOHN GRIFFIN CONSTRUCTION Owner Remarks Phone 6618162299? Inspector Total Time CD Description 39 Final Electrical Act Comment Requested By CHRIS Entered By JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments FEB-01-2007 THU 12 17 PM CITY OF CARSLBAD 01/38»/200r7 11 99 ft T & T + 17606028558 FAX NO 760 602 8558 P 16 NO 037 P01 facsimile transmtttM sheet To City of Carlsbad Attention Janet 1653Fa«JayAve Cart*Md,CA 32008 phone number 760^02 2717 fax number 760-602-SSSa DATE 1/30/2007 R«~ Address Urgent RPOUEST FOR POWER X For Review Fmm AT&T / SBC Construction JlmStovw 7985 Engineer Rd., 2nd Floor phone number 8662682113 fax number 8582783960 •mad address total no pages Includins oowr 2 Pleaee Commam Pleaaa R*p»y Requesting an address assignment Please provide an address for a 100 amp meter service for * new ATT Cabinet This new meter/cabinet will Da located on tne NORTH SIDE OF ELM AVE. AT THf REAR OF WATERBURY WAY APN 167.441-20 Layout Engineer ROLSETH TQM Number 1106J3 Job Number 6028482 ThaftK you tor your assistance vwth the project Cordially Jim Stover SBC Construction 8582682113 Dr APPROVED BY FEB 142008 City of CARLSBAD BUILDING DEPT 8SS8 209 09i ON XVd <• i 2 i tt jo AIIO H 6S TT si st im AcanDL. CERTIFICATE OF L1ABILSTY INSURANCE pnooucep Tnstjsano* Services Zno 39 Camino del Bio 3e fl!2 Diego C& 92108 Phone 619-906-3100 Faa 019-909-3110 THIS CERTIFICATE IS ISSUED AS LV 6MB COMH3JS MO RIGHTS UPON ALTER THE COVERAGE AFF 8V ORMATIOr _]CATE_ — EXTEND OR POLICIES BELOW INSURERS AFFORDING COVERAGE NAIC 0 Maaka Batioreal Iwracoaoo Co INSURER ft Sol<ten Bagle Ins Co John Griffin Constraction Inc 244 Joeon Coax*Corona CA 92879 IMicteotoa XBaataeea IM9UR0«% fiartfor* (Tiro laaontBOB Co 19682 msutsie COVERAGES TERcxs^^ T^INaJR/^APro^^POLICIES /teewsMTs uwrre SMOWMMHY K»US as=MR£nucH> av wuo cuaws iN&HWumitiaAWffi TfBewiMnfiiAgqa OOUCYfflCEBEH US3T8 COMMSPOAi C@«eRAL UfOUTf ~~]OJHUSWKR [sfj OCCUR Ownes/Cont Errot 89917802 03/12/07 03/12/08 lUHSMIBU PStSQNM. & AW *UU«V CEM1. MSWOfftT" IMIT »PPUS» PS*PRODUCTS 1». 81,000,000 «50 000 *1 000 000 52,000,000 »1 000,000 ANTAOTO All OWNED AUTOS 03/12/07 03/12/08 oosowaj SWCLE u«Br s 1000000 Hinaj AUTOS AUTOQNLYqmrrtuia ABO Fjoccun [""j * 5000000 cuwswos |«eTEMTWM * 10000 7249794 03/12/07 03/12/08 » 5000000 WORKCRS COfrtPESKftJICil AMD 03/14/07 03/14/08 6.L EACMACOCBIT * 1000000 OFBCelVMSMBSS BtCLUBSff &i QBEfteg EAasPiOYEi s 1000000 GJ. OBEASS » 1000000 OTM8R Uim^mm&iasrisP«ae>Li>mMsioi»s KE Cable tnatallataon operations coirjoct to tb® torms and oondlblona of •fche policy MOLBER CAWCELtATKSW FOREMFO For Information Paxposes Only ifsaoawrsen 9KCULP AST W TWi ABOW BSSCRH3SO BWJCffiS 88 CflNCeUED BERWC T»« WPWATWN OATETK?aS<St TH8tSEUSiDlNSUSEBWaj.SHBSWCmTOMAtl. 10 {MYS WRITTEN 988