HomeMy WebLinkAbout1084 CAMINO DE LAS ONDAS; MP; CB070735; Permit03-16-2007
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No CB070735
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
1084 CAMINO DE LAS ONDAS CBAD St MP
ELEC
0000000000 Lot # 0
AT&T 100 AMP MET PED
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
03/16/2007
LSM
03/16/2007
03/16/2007
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 S35 00 Total Payments To Date $3500 Balance Due $000
Inspector
FINAL APPROVAL
Date 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 havejreviouslv 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 DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO Q& O1 n
EST VAL
Plan Ck Deposit
Validated By
Date
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total ft of units
Assessor's Parcel ft Proposed Use
SQ FT
;(i* 'different from ^pphcaml''!
ttof Stories
jJwf fi^Bwytirtji.?? s-sJiSWiaSCs^
It of Bedrooms
Warns Address City State/Zip Tetephone ft Fax ft
Address City State/Zip Telephone #
(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
^ny violation ofjjpctiop 703^1 5 by_any applicant for a permitj^ibjects thejieghcant to,8(civilpenalty.of no^mqre.Jhan five hundred dollars IS5,00)1
£y
Namo Address J 1 City/ J State/Zip Telephone #
State License ff ^^^T^-J License Class L — / L? City Business License # / ^ ^i^f-
,
Designer Name Address
State License ff
City State/Zip Telephone
' Jr*fSiuiDiiM CATION f^rjS^.Ji'^s' ^(jt$F ^f^"V"w^st^:tr'[i^F?ri~Fr"?r 'if'riJorjMPtlMaA I iwni^^^ji^^jJj^^^jjji^j^^jJi^^J.^^*,^
Workers' Compensation Decfaration I hereby affirm under penalty of perjury one of the following declarations
n 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
Q 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 andpolicy number are
Insurance Company f Ul}^"^^ 4^^^ Ctf^ Policy No U-/5 At pi j? j Expiration Date
(THIS SECTION NEED NOT^E 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 dollaraJSlOO,OOOl in addition to thft cost^fr compensation damages as provided for in Section 3706 of the Labof^codp, interest and attorney's fees
SIGNATURE ^S&TTufe'? fe, \J^t\)^rU DATE
I hereby affirm that I am exempt from the Contractor's License Law for the following reason
Q !, 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)
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 Q YES [~lNO
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 / phono 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) __n -
PROPERTY OWNER SIGNATURE DATE
^^
Is the applicant 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 Hazardous Substance Account Act7 CJ 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? Q YES d NO
Is the facility to be constructed within 1 000 feat 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
(a^coN^HU<tfioNiLENDiNQ^ IS^d^i^JiiiJ^^L. JB2.^i1 ^ fcE'«
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
\^$?$"^^$:WfF?*^~rr^T?nm%r^?^?i»:-iLwiLi;2»to&^
1 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 EXP€NSES 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 commence/ 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 Ihe work is commenced/for a period of 180 daya (Section 10(T4 4 Uniform Building Code)
APPLICANT'S SIGNATURE TL(/fa&£{b <^JtL^lr^' DATE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 03/30/2007
Permit* CB070735
Title AT&T 100 AMP MET FED
Description
Inspector Assignment
1084 CAMINO DE LAS ONDAS
MP Lot 0
Type ELEC Sub Type
Job Address
Suite
Location
APPLICANT ROBINSON ELECTRIC
Owner
Remarks
Phone 6196976040
Inspector
Total Time
CD Description
39 Final Electrical
Act Comment
Requested By KIM
Entered By CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date , Description Act Insp Comments
o HUN L.11Y
FROM
|& °7/bU
J) 3 30 0« 15 28/9T I 5
7 7 V7/?T. ., 7 ! 6-/1JO 1863758531 P 3r i -j
GQ9TG9SI93T 0£ 80 i00Z/9T/£0
03/16/2007 08 30 16612691659 MISTYHOUWEN PAGE 05
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SBC
FACSIMILE TEANSMJTTAL
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1635 Family A
/SBC
76(^02-2717 858^6*2115
160-602-B5S8 856^78.3980
3/30/2U06 J4638l@ibc.com
Adct«S
TOTAL HO FACSS IKCLUCtHC- COveiL
2
D
RFQLJE.STTMr> AN ADDRESS ASSIfSMMENrr. PLEASE PROVTT.£ ^ ADDRESS FORA 100
AMP METER SERVICE. FOR A NHW SSC
SE&V1CF. ADDRESS. THE SITE IS ON THF. NQRTK SIDE Qf pp. T.AJJ nmAA ?SS
/4s
FIEAS6 CALL, FAX 01
NEW AT>t>*fcSS TO )IM STOV»K
THANK YOU
, ACORD, CERTIFICATE OF LiABSLIT
Ranciio Mesa Insiiranee Agency
1810 Gillespie Way, Suit* 108
"*:l Cajon CA 92020
•hone; 619-937-0164 Fax-. 619-937-0168
INSURED
Robinson Electric8871 Troy StreetSpring Valley CA 91977
YINSI SDAKiOC no in vo PATE (MM/DD/YYYYIr%**alfl4 -^ *Jr ID KBjrW-W^^t R03IN-1 09/29/06
llllb WinnLMt li IbbllED IS i WKVrFB nc iwcADUATiftu»ni_r twta uunrctlb MO HItiHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED 3Y THE POLICIES BELOW
INSURERS AFFORDING COVERAGE
INSURER A.Cypress Insurance Ccanpany
INSURER B
INSURER C
INSURER D
NAiC?
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 WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OF!
MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LJMfTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
LTR IN5HD TYPE OF INSURANCE
GENn
GEN
ERAL LJABILJTY
COMMERCIAL GENERAL LIABILITY
| CLAIMS MADE j j OCCUR
fL AGGREGATE UMTT APPUEPOLICY n sis r~SPER
LOC
AUTOMOBILE UABILTTY
, _J ANY AUTO
| ALL OWNED AUTOS
1 SCHEDULED AUTOS
'
1
HIRED AUTOS
NON-OWNED AUTOS
POUCY NUMBER
i
f
xsDcTEFFEcrwrDATE (MMTCDYYY)KJOCT-EXPnWTKjrDATE 'MM/DD/YY)L1WTS
EACH OCCURRENCE | S
J UAMAlat lUHtmtLJ
PREMISES (Ea occurence)
-
S
MED EXP (Any one person) ( S
PERSONAL & ADV INJURY S
GENERAL AGGREGATE S
PRODUCTS - COMP/OP AGG
COMBINED SINGLE LIMIT
(Ea acnrterrt}
BODILY INJURY
(Per person)
BODILY INJURY
(Per accmerttj
5
S
$
$
(Per acaaent)
GARAGE LIABILITY
1 ANY AUTC
AUTO ONLY - EA ACCIDENT
OTHER THAN
AUTO ONLY
EA ACC £
AGG
EXCESS/UMBRELLA UABlLrTY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION
EACH OCCURRENCE
AGGREGATE
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
ANY PROPRIETORSARTNER/EXHCUT1VE
OFFICER/MEMBER EXCLUDED?
Byes descnbevyndev
SPECIAL PROVISIONS Detow
W6A08133 10/01/06
-
X TORY LIMITS
10/01/07 E L EACH ACCIDENT s1000000
EL DISEASE-EA EMPLOYEE S 1000000
I EL DISEASE POLICY LIMIT j S 1000000
OTHEH
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
RE: ALL OPERATIONS *10 DAY NOTICE FOR NONPAYMENT O? PREKI"JM
CERTIFICATE HOLDER CANCELLATION
CITYCHU
CXTV OF CHUIA VISTA
276 FOURTH AVS., BLDG. DEPT
CHDLA VTSTA CA 92010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIfl
DATE THEREOF, THE ISSUING 1NSUSEH VflLt ENDEAVOR TO MAIL *_30 DAYS WRIT
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 3UT FAILURE TO OO SO S
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, fTS AGENTS C
REPRESEOTATIVES