HomeMy WebLinkAbout2906 LA COSTA AVE; MP; CB072160; Permit\ City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-20-2007 Electrical Permit Permit No: CB072160
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
2906 LA COSTA AV CBAD St MP
ELEC
0000000000 Lot#:
AT&T
100 AMP METER 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
08/20/2007
MOP
08/20/2007
08/20/2007
$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:
~ Bl? Clearance:
$0.00
NOTICE· Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as 'lees/exactions." You have 90 days from the date this pemiit was issued to protest imposition of these fees/exactions. lfyou protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar applicab"on processirg or service fees in connection with this project. NOR DOES IT APPLY to any
fe/ectionfwihohavr t nNTI ii\rthi hi I fli I
FOR OFFICE USE ONL V
PERMIT APPLICATION PLAN CHECK No. ol ~ 1 \rr:}
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit _________ _
Validated By ___________ _
Date. ________________ _
Business Name (at this address)
Subdivision Name/Number Unit No. Phase No. Total # of units
Existing Use Proposed Use
sa. FT. #of Stories # of Bedrooms # of Bathrooms
Telephone# Fax#
Name Address
'*lJ.t,~reit~P~Af't' 1$,Wflitll/' fi''"",t:11::1':\)' ,•"uJ!t!l', '·' , ~'; ,lJ {3
N11me Address City S.tate/Zlp Telephone#
lll'!1!!'111IIW•!tl!l.!,:IQMffilll·flMll'l\llt,:j!ill"'t'~;i,aii,,,;c:'N' ,,1-,,~~''li,81111!!~!!".'llltl;l'll';li._,~~--ll!'!·!!fi-'!,:'.'P.\'-'!'"'i,!!'\:!I'•.l:"l't;1;:, I,, ,,;;·;:1,,1,,,,,,;,,i·'
License Class _,=c_.,._,J,.,O,c__ ____ _
Designer Name Address City State/Zip Telephone State License # __________ _
1'~:)·1,talP,.kl!_iii_ii~~eQMPl .. _l_i'ftOJ!~t_, /ii:\.:t~;;it,,?,;i)~ :: ,,,,·r::'11!\'/~: ·-1 i'!:1·1~·" JW/}~':,: '.!~}}~i'n1n1¥•ii:'.~~i}!;ji~ii'11}i!'!?ll~~!ti~1iM:J~1):;;,~t~~i~:,.f~:f )s~·l11:::;;~'.••'·),~{i":p;:,.
Work•r•' Compensation Declaration: I hereby 1fflrm under penalty of perjury one of the followlng d•ol1r■tion1:
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.
tiZJ I have end 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 c}\mpensation insurance carrier and policy number are:
ln,monce Company !.:~.., "'l)\j• Co • Polley No. W5"Ao8'133 Exp;,a,;on Dote lb, I· Dt
(THIS SECTION NEED N ~PLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS)
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 Californla.
WARNINO: Fallure to aacure
thousand dollars 1$100,00 ,
SIGNATURE
!/i)li1'lil'/WNER'iiiliLiJERJ!E¢~hiifiiiN::'i:i
I hei"eby affirm that I am exempt from the tha reason:
0 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
lSac. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owne-r of property who builds or Improves thereon, and who does
such work himself or through his own employees, provided that such improvements ere 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).
D I, as owner of the property, em exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profeisslons Code: The
Contractor's License Law does not apply to an owner of property who builds or Improves thereon, end 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 J:lersonally plan to provide the major labor and materials for constructi6n of the proposed property improvement. D YES ONO
2. I (have/ have not} signed an application for a building permit for the proposed work.
3. I have contracted with the following person tfirm) 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 lhlred) the following persons to provide the work indicated {include name/ address/ phone number/ type of work):, _______________________________________________________ _
PROPERTY OWNER SIGNATURE----------------------,-DATE ________ _
!~tJM.Pcttl;TJttfHIS11EC,t!DNt,oawPft,fieiJQEN/fi~~\~U.hJJ_lN_Q!,l:'ERM!TS/:CiJ;iL1p.I,~k1fJ]/''.fj'.i~Wf'~i{lW~\:c' ttt•~t Ji~~::~:i~':ki\::~,!~{;ftti?t1;}:_'V¾J:t$;!~\ff[i~;\.:::'7
Is the applicant or future building occupant required to submit e business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25506, 26533 or 25534 of the Presley.Tanner Hazardolls Substance Account Act? 0 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 district? D YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school slte7 0 YES D 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.
tJ~~i~jlti.~ijj.~i()ij:Iti.NP.l~-&'!~!:i,ijNS~M,t~~:~~~ii!ii't~}!i,~i~\li!fiJ:!\!i!~ii~)~~f~it11~':qf:f:i';r~,~'.~t::~ll1fil'.11:~:~::f(~f~im!!'1!;~:1::!fij1t~]~;;1t~:i:)'1,}1!J
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 309701 Civil Code).
LENDER"$ NAME______________ LENDER"$ ADDRESS. _______________________ _
t:;r~:~L--ijPIIIC~H.~t,l.ij.i;_i,~0AJU~li';!l1~1ii: 1:<;;:JJl[!{:hf~t~t\~:\im!:t:~i1'\iil!'tI'i~,(: /=:~;[:\l\\'.:-:'.{:if~~::~f:i['~liG(ti[i?(!~~t;;: i';;;:i~::?1:i~::\!1l~l1~,t!!fW~ii\!:_'j]f:~i,:'.!i1/t,~:f_iiiji:!lL•{:':t;~J\!t~;:i,:::;::<;
I certify that I have read the application end state that the above information is correct end 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 ls required for excavations over 5'0" deep and demolition or construction of structures over 3 stories ln height.
EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by llmltation and become null and void ff 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
et any time after the work ls commenced for riod o 1~0 days (Secti 106.4. Ul'lif Building Code).
APPLICANT"S SIGNATURE DATE
~ w City of Carlsbad Bldg Inspection Request
Permit# CB072160
Title: AT&T
Description: 100 AMP METER PED
For: 09/12/2007
Type: ELEC Sub Type:
Job Address: 2906 LA COSTA AV
Suite: MP Lot: 0
Location:
APPLICANT ROBINSON ELECTRIC
Owner:
Remarks:
Total Time: -----
CD Description Act Comments
39 Final Electrical
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: __L,3
Phone: 6196976040
Inspector: ,f7 A ----'--"'L':-,. _.l-)
Requested By: KIM
Entered By: JANEAN
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~5/14/2007
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