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HomeMy WebLinkAbout150 CEREZO DR; MP; CB072406; Permit09-18-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB072406 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 150 CEREZO DR CBAD St: MP ELEC 0000000000 AT&T 100 AMP MET PED Lot#: Status: ISSUED Applied: 09/18/2007 Entered By: LSM Plan Approved: 09/18/2007 Issued: 09/18/2007 Inspect Area: 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 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $35.00 Total Fees:$35.00 Total Payments To Date:$35.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date: I 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 tees/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 DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 -1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By. Date Address (includeress Uuclu.-I5P-Business Name (at this address) Legal Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel1*Existing Use Proposed Use Description of WoitleoVeu. .2: 'CONTACT PERSON (if different from applicant) SQ. FT.#of Stories # of Bedrooms tt of Bathrooms Name Address City &> * AJJPLICANT Q Contractor. 0 Agent for Contractor , Q Owner" - Q Agent for 'Owner %>W7r>T3n QflZhtCL ttll ^r-Ci' State/Zip Telephone tt Fax # Name •4, i PROPERTY OWNEft Address State/Zip Telephone tt Address City State/Zip Telephone ttName l&r" CONTRACTOR * COMPANY NAMfe ' J ' i , -• ' ' ' , ' • , (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 ($5001). " 'a / »^ l_ I _^- ^ .j-v S31 firv I'- -~ —. ^vf—f t' «-*T"l ^^k*. *~^ —«- V I « II A. S* lSf^-t-~1 f -\ S1* 1 ^ ^t 1 r^lk*. Name State License # Address License Class City ' State/Zip City Business License # Telephone tt Designer Name Address City , State/Zip Telephone State License 9 _ _ 6. WORKERS' COMPEMSATION " " ' "' : « ,- , ,--„ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. 13 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: .- , ^•—•OP Insurance Company QhSgCb ? QO ' _ _ Policy No. WG/fO&l &3 Expiration Date_ (THIS SECTION NEED NOE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS t$100] OR LESS) Of 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 ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the LnbArcode.Jnterest and attorney's fees. SIGNATURE J¥foaL/y,}fr \J^//>\J ' _ ___________ DATE ^//E2/^V _ ;7, :OWNER*BUI_DER DECLARATION ~ • .':'-"-.-','' ' ' ~- •_ - I hereby affirm that I am exemptlrom 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). G 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). O 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. D 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 (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-RESIDENflM BUILDING PERMIT S ONLY !- 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 Act? 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? Q YES Q 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(i) Civil Code). LENDER'S NAME . " •'.-• LENDER'S ADDRESS__ •9.. AP'PLICANt 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 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 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'tor a period of 180 days (Section 106TA4 Uniform Building Code). - ' DATEAPPLICANT'S SIGNATURE \JULJITC. CM- City of Carlsbad Bldg Inspection Request For: 09/28/2007 Inspector Assignment:Permit* CB072406 Title: AT&T 100 AMP MET RED Description: 150 CEREZO DR MP Lot: 0 Type: ELEC , Sub Type: Job Address: Suite: Location: APPLICANT ROBINSON ELECTRIC Owner: Remarks: Total Time: CD Description 39 Final Electrical Act ^ Comments Phone: 6196976040? Inspector: Requested By: KIM Entered By: JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments •+rt^i •*- v *. w r r City of CARLSBAD A BUILDINGDEPiS \ nHK-Ul-^117 THU 05:12 PM CITY OF CARSLBAD FAX NO. 760 602 8558 P. 37 facsimile transmKtal sheet To: City of Carlsbad Attention: Janet , l653FairdayAve. Carlsbad, CA 92008 phone number: 76fMQ2-2717 fax number: 760-602-8558 DATE: 2/14/2007 Re Address Request Urgent REQUEST FOR POWER: X For Review From: AT&T /SBC Construction Jim Stover 7985 Engineer Rd., 2nd floor San Diego, Ca 92111 phone number j>Se.268.2113 fax number 658.278,3980 email address: total no pages including cover 2 Please Comment Please Reply Requesting an address assignment: Please provide an address fora 100 amp meter service for a new ATT Cabinet. (This new meter/cabinet will be NORTH SIDE OF CEREZO DR., APPROX. 164' EAST OF THE CENTERUNE OF [located on the CARLSBAD BLVD., CARLSBAD. APN: 210-1 11-08 Layout Engineer ROLSETH TGM Number: 1126 G-2 Job Number: 581 9849 Thank you for your assistance with this project. Cordially, Jim Stover SBC Construction 858.268.2113 'iS-'SZ • S H 4,0 .trt T (C3H) 9i d u26Si.698fr-o^ei'St-xe/pz.-si io ,*•.•! <aa*t • 8S58 209 mi TIN KU-< Standard Project Owner's Certificate Building Permit No. Post Construction-Best Management Practices (BMPs) I / we the undersigned as owner(s) of the property described as; (Address or legal description) understand that in accordance with the City of Carlsbad Municipal Code a^d^blic Works Department, Standard Urban Runoff Mitigation Plan-Stbrin Water !^d^^ is required to "Identify Pollutants from the Project Area" and incorporate "Source Control", "Site Design" and potentially treatment control BMPs. t, ,,,<•• I certify to the best of my knowledge, pollutants typically anticipated by the proposed land use are as follows: © Sediments " < • Oil & Grease * Nutrients j' ' , " "^ ' '" •' Bacteria & Viruses ® Trash & debris -Pesticides ® Oxygen Demanding Substance < I will incorporate the following into the site design and construction of this project to the Maximum Extent Practicable(MEP): • ' •—•;-•• :<-W :; •••.-v,TA;., " / :; -'^,.:. .' a Maintain pre-development runoff characteristics /,;•;. ® Minimize impervious foot print by constructing walkways, patios and driveways with permeable surfaces • > < "- * * , **, '...:• • Conserve natural areas e Use natural drainage systems as opposed to lined swales or underground drainage systems « Drain rooftops, walkways, patios and driveways into adjacent landscaping prior to discharging to the public drainage system ' • Preserve existing native trees and shrubs; Protect all slopes from erosion Additionally I/we will; t. *n> •>*•? v « Minimize the use of pesticides '/..*'••_ » Use efficient irrigation systems and landscape design - incorporating rain shutoff devices and flow reducers I/we will maintain the above applicable Standard Permanent BMPs in perpetuity. Owner(s)/Authorized AgentName (print name), Owner(s)/Authorized Agent (signature) Date • ' ' . . ! ,rl lofl , 04/12/2007 —*lg O o sm ACQRD- CERTIFICATE OF LIABILITY INSURANCE »jp> DA^7n PRODUCER Ranicho Mesa Insurance Agency 1810 Gillespie Way, Suite 108 "!l Cajon CA 92020 'hone: 619-937-0164 Fax:619-937-0168 INSURED Robinson Electric 8871 Troy Street Spring Valley CA 91977 TUlC r^CDTlCIf"* ATT" IO Ifini l**i* 1 M 1 111 H^MMBI. ^••••mmTHIS Q5RT RCATE S SSUED i§ 1 MATTPS oc iwcflDUATiau««.r«iw conreHs NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A; Cypress Insurance Company INSURERS: , INSURER C: INSURER D: INSURER E: NA!C# COVERAGES MM REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO 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. 1NSH LTR A UID'U NSRD TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ^J CLAIMS MADE [ | OCCUR GEN'L AGGREGATE LIMIT APPLIES PER:H POUCY n JPER£ • n LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO ~ : •••" EXCESS/UMBRELLA LIABILITY } OCCUR -| ,. | CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPHIETOH/PARTNEH/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER POLICY NUMBER -.'•••' W6A08133 POLICY EFFECTIVE DATE(MWDD/YY) ' . ' 10/01/06 POOCYEXPIHATION DATE(MM/DD/YYL -; - -• - -:; -'• 10/01/07 UMITS EACH OCCURRENCE UftMAtab 1 U HtN 1 bU PREMISES (Ea occurence) MED EXP (Any one person) PERSONALS ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident)i BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT "Cfi APP OTHPB THAN " AUU AUTOONLY: AQQ EACH OCCURRENCE AGGREGATE __ WC HTATU- OTH- * TORY LIMITS ER EL EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L DISEASE - POLICY LIMIT $ •$'•'•' ' $ • ' . .•$ •$' S $ . s j > $ i • $ $ 5 . $ $ $ x 1000000 $1000000 $1000000 ESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS IB: ALL OPERATIONS *10 DAY HOTICE FOR NOHPAXMENT OF PREMIUM ERTIFICATE HOLDER CANCELLATION CITICHU CITY OF CHDLA VISTA 276 FOURTH AVE., BLDG. CHULA VISTA CA 92010 DEPT. 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. : • AflTHORgED HEPHESEM/ATflfe- j ^ '