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Home My WebLink About2804 CORTE DE LA VISTA; MP; CB070353; Permit02-09-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB070353 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2804 CORTE DE LA VISTA CBAD St 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 APR Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition1 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 DEPARTMFNT 1635 Faraday Ave , Carlsbad, CA 92008 1 PROJECT INFORMATION Uisk HP FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite tt) Ii)0/U»if Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel Existing Use Proposed Use Description of Work CONTACT PERSON (if different from applicant) SQ FT #of Stories tt of Bedrooms # of Bathrooms Name 3 APPLICANT QiContractor •tfpM Address or Contractor [_J O'TmOwner City Q Agent for OwnerS State/Zip Telephone Fax* 'i ,,0* "lilff Name •OT? Address City State/Zip Telephone tt OWNER Address City State/Zip Telephone ttName 5 ' 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 exemption Any violation of.Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [5500])ruclm wii ~TVJH <& Sfrr-viffo On cimi Name State License , Address License Class f.City I State/Zip City Business License tt Telephone # 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 S 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 <f/-2 1 Insurance Company 0 LI M^f ."> 3 _"PT^ ^O- Policy No \\]5n 1*3/33 Expiration Date_ (THIS SECTION NEED NOT 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 ($10,0 000) in additjftn to>fhe cost of compensation damages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE Hf [/ftL ^K^C ff^~^ DATE 6- 7 OWNER-BUILDER DECLARATION " 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) [3 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) Q 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 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) ___ PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY - ' , " Is the applicant or future building occupant required to submit n 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? l~l YES l~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O 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 3097(0 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 SAVF, 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 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 commenced for a period of/} 80 d^s/fSection 1D6 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE Hip YELLOW Annhrant PINK Inspection List Permit* CB070353 Type ELEC 100 AMP AT&T METER PEDESTAL _9ate_ _ jnspectionjtem 03/14/2007 39 Final Electrical 03/09/2007 39 03/09/2007 39 03/07/2007 39 03/07/2007 39 Final Electrical Final Electrical Final Electrical Final Electrical Inspector PY PY PY Act AP Rl CO Rl CO Comments 14 GAUGE WIRE IN LO AMP BREAKER Wednesday, March 14, 2007 Page 1 of 1 ACQBD. CERTIFICATE OF LIABILITY INSURANCE R0g™>_ ^ PRODUCER Rancho Maaa Insurance Ayoncy 1810 Gillespie Way, Suite 108 *!1 C&3on CA 92020 hone: 619-937-0164 Fax:619-937-0168 INSURED Robinson Electric 8871 Troy Street Spring Valley CA 91977 DATE (MM/DD/m 09/29/0 TSFf^E**** 'S 'SSUED A§ * MATT6R Qf «™*&™ONLY AND CONFERS MO BKSHTS UPOM THE oEfmncATe 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 INSURER C INSURER 0 INSURER 6 NAIC#- COVERAGES 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 INSK LTR j A NSRO TYPE OF INSURANCE 1 i j GEfz GEf IERAL LIABILITY COMMERCIAL GENERAL LIABILITY ~~j CLAIMS MADE | | OCCUR f L AGGREGATE LIMIT APPLIES PER POLICY 1 1 jfcT | | LOC AUTOMOBILE LIABILITY 1 ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY ' OCCUR ! i CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 1 ANY PROPBIETOH/PAfiTNER/EXECUTIVE j OFFICER/MEMBER EXCLUDED? i If yes describe under i SPECIAL PROVISIONS below OTHER 1 »u._uuiim>eB i POLICY EFFECTIVEPOLICY NUMBER | DATE(MM/DO/YY^j W6A08133 -- 10/01/06 POLICY EXPIRATIONDATE (MM/DD/YY) 10/01/07 UMTTS EACH OCCURRENCE UAMAlit lUKtNItU PREMISES (Ea occurence) MED EXP (Any one person) PERSONAL i ADV INJURY GENERAL AGGREGATE $ $ $ $ S PRODUCTS - COMP/OP AGG $ COMBINED SINGLE LIMIT (E? accnterv) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY EA ACCIDENT OTHER THAN EA ACC AUTO ONLY AGQ EACH OCCURRENCE AGGREGATE $ $ S $ $ $ $ $ $ $ $ $ „ WUSjIAlU- J [OTH- X TORY LIMITS J J ER E L EACH ACCIDENT $1000000 E L. DISEASE EA EMPLOYEE] $1000000 EL DISEASE POLICY LIMIT $1000000 *10 DAY NOTICE FOR NONPAYMENT OF PREMIUM CERTIFICATE HOLDER CANCELLATION COUNTY5 COUNTY OF SAN DIEGO FACILITIES SERVICES DIVISION DEPARTMENT OF GENERAL SERVICES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 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 j IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AOTHORQ VCORD 25 (2001/08) FromlSAN MARCOS OFFICE 760 744 8286 02/07/2007 09:36 #018 P.OlO/oW From'.SAN MARCOS OFFICE 760 744 8286 02/07/2007 09:36 #018 P.008/010 e .1 * oc; 65 S? I ?m Pr §s si *&>3 t> D 3 R } aet CJJn s nor FronT.SAN MARCOS OFFICE 760 744 8286 02/07/2007 09:36 #018 P nmiin.wnu.ivtn «KI 3-»r«»«i3 TttLu jwni Ku«t Wl Mft «B DM IWft «M * Mi w fl» 1.7 rUMittnd PwlroXI Uir Item h HK r: Mitf L-^nJ.—Air LI,! I { TT DETAIL S-CONC. 8LA&PLAN-~~ - trfumn i* i«* f WMmflJi,npWI.