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HomeMy WebLinkAbout2804 ALGA RD; MP; CB071173; Permit04-27-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB071173 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2804 ALGA RD CBAD St MP ELEC 0000000000 AT&T 100 AMP METER RED Lot# Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/27/2007 MDP 04/27/2007 04/27/2007 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 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 jTV-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 DEPARTMEWT 1635 Faraday Ave , Carlsbad, CA 92008 ] v^f* "% > FOR OFFICE USE ONLY PLAN CHECK NO PCT V/AL Plan Ck Deposit Validated By Date Address (include Bldg^Suite ,, *8A -Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units T-T ting Use Proposed Use SOFT'#of Stories # of Bedrooms # of Bathrooms ^^ Name Address [ City State/Zip Telephone ftmm^w&™^^ ^ (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 exemnttpn, Any violation of Section 703T 5 by any applicant lor a permit subjects the applicant to a civil penally of no_t more than five hyodred dollars 1*500)) 1 I \ f - P-* - f^l t f\ I . r. S~~\ S- —-I I -^ '~ F*** I ' r—\ * . 1 I » J _ r\ /) I/ 1 1 IrJfi 1 1 C'Lt H_i Name ^ Stete License ff ^7[?T'/<^6 •tu x T) ( \ i VD\A J i nyrw Address / ' ' License Class (- '£/ ") L/tUM/-4 <-« v(l ' t ' i ( Crty Slate/Zip City Business License It lfj&. urt HIM fws~rv Telephone # I3W- \ Designer Name State License # Address | i City State/Zip Telephone jGOMPErdsAfi6N"^|l^fp^^TiST!^1' "r> S^^i3^^'$ic'"" VTEI^D^* Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations [""} 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 j 03 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 PohcyNo Expiration Date (THIS SECTION NEED NOT*BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 13100] OR LESS) C3 CERTIFICATE OF EXEMPTION I certify that in the performance of the work foi which this permit is issvtad, 1 shall not employ any peison m any manner so as to become subject to the Workers' Compensation Laws of California1 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 ISlOO.OJj'o), in addition to tflp cos?of compensation, damages as provided for In Section 3706 of tr ,/ --;1- 'merest and attorney s fees SIGNATURE ^ 1/M/Cff^M ' DECLARAflO^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 safe (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 'or sale If, however, the building or Improvement is sold wrthm one year of completion, the owner-builder will have the buiden of proving that he did not build or imptove for the purpose of salfil d 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 ol property, who builds 01 Improves thereon, and contracts for such pio)ects with conttactorlsl licensed pursuant to the Contractor's License Law) j C3 1 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 tfivml 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 hited the following person to coordinate, supervise and provide the major work (include name / address I phone number / contractors license number) _ ___ _ ______ _ ___ _ ____ _ __ _ __ . - 5 I will provide some of the work, but I have contracted thired) the following persons to provide the work indicated (include name / adtfvess / phone number / type of work) __ . __ L_ __ ^ __ > _ ___ _ _ __ - - PROPERTY OWNER SIGNATURE _ DATE .CpMPtLETE|fHIS."SE_Gfl0^dR rtffl^S/oJwfi^yluSN^PEftMl^^ ^3^'" - ^f . i 'i' Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention ptagtam under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 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 Q 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 ^^t&HsfRUCTWfTCE^ ^V, "-.%3T>L P|1i ':- '. -"^ '" w" I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDER'S NAME LENDER S ADDRESS __ 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 City 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 of construction of structures over 3 stones in height EXPIRATION Every permit Issued by Vhe twWdmg Official under the provisions of this Code shall expire by limitation and become null and void if Ihe building or work authorized by such permit Is not commenced within 180 days from the' dale of such permit or il the building or work authorized by such permit Is suspended or abandonad at any Uma after the work is comrtfepfced tor a period of 180.days {.Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE f^ttfK&Mtfa X/M ^"^DATE —7 - City of Carlsbad Bldg Inspection Request For 04/30/2007 Permit* CB071173 Title AT&T Description 100 AMP METER RED Type ELEC Sub Type Job Address 2804 ALGA RD Suite MP Lot Location APPLICANT ROBINSON ELECTRIC Owner Remarks Total Time CD Description 39 Final Electrical Act Comments Inspector Assignment Phone 6196976040 Inspector Requested By KIM Entered By JANEAN Date Description Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Act Insp Comments . FroivSAN MARCOS OFFICE 760 744 8286 ELECTRIC UNDERGROUND METER & SERVICE LOCATION Customer Copy ON INSPECTION Scute, lip* UGSwvlcsNaw 545343 Jcfe No flBO 3BC LIGHTEPEEQ HQR' CARL3BAD Gentses JIM STOVER Canto* pM»t If HS26B.311S I TraBMCflnjgil Pe l PftniKq fi«uK»J ly Locals IDC-amp pinil on the end of SBC cablMt Customer is to provido all excavitlon, trench, 11nch confluit, baukflll, completion, poly pull ropi in conduit and turfece »epalr from hand hole to ntw m«nr panel, Addr«« (CBQ4 muet bo permanontly marittd on cabinet Cuitomer to maintain all SD08E clunncM provided In attach^ tpneificatfoni ( Call SDQfiE Trench D»k « 760-432-5506 to schedule Jht SDG5E trench'InspocfIon ind to confirm th« SDO&E crow schedule °T«o FIOT rtiiNi ci»»LUIH gltct.jJMt ton rt INI* iinfciaiiBniiMn ™i i! w imntowtf ofl«*>l w HM o 1 PHONE Did ALIRT1 £00.277-2800 AT LBAJT TWO DAYS KUOR TO 1REHOJM9 FOA LOCATION OF UJJCBCIWUMD mUTSS 3. Pf«™ eoaii « 780-432 5906 tor IH« falkwlnfl After tiMVODati of WW1, mitotulion or aamXtt Vri ttrtoe amofu IWflW/rt ol iWj FOt WSfSCTlOU De «t«wir owidull ntth4Jt lMMdi/> wiWin spprovt) b IMcMIl Wl«n IwteH * bnakfllltd nrt wfWKttd, WL FOR INSP5CTICN tf Mntai BFilrariai WKWK1WIB huttflM Mtar tK Wll, CALL FOFl INSPECTION OF TH( EQUIPMENT , 3TA l; InKillri br anffqtD LH JUill ^aM Stes Twncti 1 PB2" , 12I/Z40 3 Phai* 6lngl>ComriMonBrtuR Cdfr» 8>ISCon(jiln«d, Tul Sypaaa Rgfd Tbmp_3«TVlH Chaiw Cmcn Flrtl TB 1188-A7 CuCBmafTypn n RignWifrw>y R squired AaseMflf» P*m»l Hunter Pleast nil your Tranch D«k at ?6D-4K-5805 with qutsdoog about appHcaHon, lnip*ctfon, and conrtructfon InstallaUon and to schedule a crtw *«>»»« «tmg In mw * HMiukii u«it*inwriHiiwnii(T fnnr- HICHgUM UJEUKESSg AOV 7B(MSD rssi 3 FROM TUE 09:50 /HI CfTY OF CARSLBAD NO, 760 602 8558 P. 12 (FRtl U 4 05 14 31/ST ',4 31/NO 466.229225 P 1 SBC FACSIMILE TRANSMITTAL SHEET TO City Of Cadsbad Attention Scott Bums 1635 Payday Avenue Carlsbad, CA 92008 l-ROM SBC Engmeenng Jim Stovei 7985 Engineer Rd San Diego. Ca 92123 PHONE NUMBER 760-602-271?858^682113 j FAXNUMflBR FAX NUMBS*. 760-602-8558 858378-3980 DATE. 11/4/2005 UK Addrtss Request 6MAU. ADDRESS Js6381@sbc com TOTAL NO PAG3S INCLUDING COVER 2 C3 FOR REVIEW D PLEASE COWM£HT Q PLEA£C P.SPLV AH.PLEASE PRQVTTtK AK APPMSS FOR A 100 AMP METER SERVICE POtt A KPIW SBC CABP^-T SERVICE ADDRESS THE TF. TS ONE NORTH 6S4& CORtMTIA STT . C.ARLS6AD HP.STDF. OF APN. 2153S007 TGMhaaiBER.1127 H-5 LAYOUT ENGINEER. AQJ^ETH PLEASE CALL, FAX OR EMAIL NEW ABCRBSS TO JIM THANK YOU WOHd N5V-22-2005 TUE 09:50 AH CITY OF FAK MO. 760 602 8558 P. 13 ©e o 9 I O «tr I l a !JMj « = I 1i ini1- \ WOHd (HHJ.J ACQRD. CERTIFICATE OF LIABILITY INSURANCE OP,D KS PRODUCER Rancbo Mesa Insurance Agency 1810 Gillospie Way, Suite 108 Tl Cajon CA 92020 'hone: 619-937-0164 Pax: 619-937-0168 INSURED Robinson Electric 8871 Troy Street Spring Valley CA 91977 THIS CERTIFICATE IS ISSUED IS i MiTTFP nc »WMWT WIB wnrtttS NO RIGHTS UPON THE CEB HOLDER THIS CERTIFICATE DOES NOT AMEND, ALTER THE COVERAGE AFFORDED BY THE POL1 INSURERS AFFORDING COVERAGE DATE{MI*DD/YYYY) 09/29/06 ICr\0 11 ATI/Ml TIF1CATE EXTEND OR =IES BELOW NAIC# INSURER A. Cypress Insurance Company INSURER B INSURER C INSURER D INSURER E 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 WTTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR INSRD TYPE OF INSURANCE A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY | ^| CLAIMS MADE [^J OCCUR GEN L AGGREGATE LIMIT APPLIES PER H POLICY ["1^ HLOC AUI•QMOBILE LIABILITY WYAUTQ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY EX< ANY AUTO ;ESSAJMBRELLA LIABILITY OCCUR j ~J CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS1 LIABILITY ANY PROPHIETOR/PARTNER/EXECUT1VE OFFICER/MEMBER EXCLUDED? If yes describe under SPECIAL PROVISIONS below* OTHER POLICY NUMBER - W6A08133 POUCV EFFECTIVEDATE (MWDD/YY) - 10/01/06 POUCV EXPIRATION DATE (UM/DD/YY) 1 \ i * t* i 10/01/07 ' LIMITS EACH OCCURRENCE LJAWMjt HJHtNlbU PREMISES (Ea occurence) I MED EXP (Atiy one pereon) PERSONAL* ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGO COMBINED SINGLE LIMIT(Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHFB THAN EA ACC AUTO ONLY MZQ EACH OCCURRENCE AGGREGATE X TORY LIMITS ER E L EACH ACCIDENT E L DISEASE - EA EMPLOYEE E.L DISEASE POLICY LIMIT S $ s $ s s $ $ s $ $ S " s $ I s s s s 1000000 £1000000 s 1000000 "DESCRIPTION OF OPERATIONS t LOCATIONS i VEHICLES ( EXCLUSIONS ADDED BY ENDORSEMENT t SPECIAL PROVISTONS HE: ALL OPERATIONS *10 DAY NOTICE FOR NONPAYMENT OF PREMIUM i i CERTIFICATE HOLDER CANCELLATION CITYCHO CITY OF CHOLA VTSTA 276 FOURTH AVB., BLDG. DEPT CHULA VISTA CA 92010 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR i REPRESENTATIVES