HomeMy WebLinkAbout2759 HIGHLAND DR; MP; CB071877; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-13-2007 Electrical Permit Permit No: CB071877
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
2759 HIGHLAND DR CBAD St: MP
ELEC
0000000000 Lot#:
AT&T 100 AMP MET PED
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
07/13/2007
LSM
07/13/2007
07/13/2007
$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
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
fe /ex c ions f hi h h v r vi I n iv n N T imil r hi r which h r h i
FOR OFFICE USE ONL V
PERMIT APPLICATION PLAN CHECK No.Qe,a7 /~'")7
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. ________ _
Plan Ck. Deposit _________ _
Validated By __ _,-ril!!~~"'?".c,,,)_"'""-''-----Date _____ ~-1,f-'--4.lJ..,Q_)_~~------
J. Business Name (at this address)
Subdivision Name/Number Unit No. Phase No. Total # of units
Existing Use Proposed Use
SO. FT. #of Stories # of Bedrooms # of Bathrooms
Fax#
Name Address City State/Zip Telephone #
tl:'illl!IDll~itl8~JIR,QMWiiJ.All.t1l1aJ!~~~'l!!!~!tw~~1s::1:)~~JJ!:fi!]:i,1~i}~:~1~¥q;jf.,;:]1~.\~~-'ili~~~ill&:~"■llll:IMf~ftlll!l~~'f'~\'J!~i,_.l:il!(~1~l~!:f:~;;~~!:i,t,,::i·!;::l'Ji,ili~l''i': tij!~,
License Class _:::...,......,:l.,O::_ ____ _
Designer Name Address City State/Zip Telephone
State License # __________ _
,f:r,;r.W_ij.,ll!~i--~001"-lN1Altiij8~;•;8:;:~i:,;, ~;f}':,:r:?,~!tf:;"• ·, , -, . ·1~:11;:::;:r~\tl:1,,)S\\'J:" "'I?;f:\~i)~'.,:t~: !:':)~T(1:~J"':;[ll~li!~:[,i)):1\,il~~•1~:, i.l:F~~'ij· ::~ ;::,i?i1:~·i':<:aJ!i::
Workers' CompenHtion Declaration: I h•r•by affirm under penalty of perjury one of the following deoler•tion■:
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.
~ 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 c9'mpensatlon Insurance carrier and policy number are:
ln,u,anco Company l:._H~.., ::::pi;:,-Cp • Pol;cy No. W5"AP8'/ 33 Exp;,at;on Date /{) 'f • Dt
(THIS SECTION NEED No,'fl()MPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESSI
D 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 aacure
thousand dollara 1$100,00
SIGNATURE
,1::•1:l',oWiJEii•llUILtJtli ,fiEclA.lii>.'hON" .'•:· ... ,,
I hei"eby affirm that I am exempt from the tho reason:
D 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 era 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 ha did not build or Improve for the purpose of sele).
0 I, as owner of the property, em exclusively contracting with ncansed contractors to construct the project (Sec. 7044, Business 1md 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 Lewi.
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. 0 YES ONO
2. I (have / have not) signed en 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 l have hired the following person to coordinate, supervise and provide the major work (include name / 11ddress / phone number I contractors license number): _________________________________________________ _
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work fndicated (include name/ address/ phone number/ type of work): _______________________________________________________ _
PROPERTY OWNER SIGNATURE________________________ DATE _________ _
c!tilllli!i:ij'rE!li'His!§~cfi0fl''~illi'NCIN-RE$/DEJV77Ai:s,uiblllflll: Piai!Mi)'s1oNL\'l!,<J;;,, ,,;,,; ;a,,~lii • ,: ,'': ;,i:1;, ',\ '" ,,t.~:·:; :• '1'':." : '""'
Is the epplicent 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 Hazardoi.Js Substance Account Act? 0 YES D 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 feat of the outer boundary of a school site7 D 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.
i.-•,s~t'ij,&1:i,qiij:tafl,&-..Jlitliji.l!U~~~-lill'i!f!JC:~?,:it'.t',\.':1f:\;IJ/;:~r~fi~;)':'.fI:@'()'!j';\'1'':i.!1,i~~~f:f11~,~~M~l:4iirfiK:J;~::t~!!iti1\i\l,f~'.~'~'~:t:•:t:l")t!;~:~1~[i,,,}it~:":: ';1~!:i:;::·ac, '
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30971il Civil Code).
I certify that I have reed 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 Cit\' 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 !Imitation and become null and void If the building or work
authorized by such permit Is not commenced wit 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 commenced for rlod o 1~0 days (Secti 106.4 Ur'rif Building Code).
APPLICANT'S SIGNATURE DATE ---..+1/~1:::/,~o_,_7 __ _
m City of Carlsbad Bldg Inspection Request
.
.
Permit# CB071877
Title: AT&T 100 AMP MET PED
Description:
For: 07/31/2007
Type: ELEC Sub Type:
Job Address: 2759 HIGHLAND DR
Suite: MP Lot: O
Location:
APPLICANT ROBINSON ELECTRIC
Owner:
Remarks:
Total Time:
CD Description
39 Final Electrical
~Comments
----------
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
Inspector Assignment:
Phone: 6196976040
Inspector: ~
Requested By: KIM
Entered By: CHRISTINE
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ELECTRIC UNDERGROUND METER & SERVICE LOCATION
Customer Copy
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panel on new equipme
inch conduit & betids
surface repair from po
i 112 lnc:~es off pole 26
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PIN .. call your SIMce Coordinator ROBERT HOWELL at 760""30-7723
W#h quettiOftg.about IIJPlication, ins,ection, construction Installation
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