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Home My WebLink About1728 POINSETTIA LN; MP; CB070542; Permit' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-27-2007 Electrical Permit Permit No: CB070542 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1728 POINSETTIA LN CBAD St: MP ELEC Parcel No: 0000000000 Lot #: 0 Reference#: Project Title: AT&T:NEW 100 AMP MET. PEDESTAL Applicant: 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 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/27/2007 JMA 02/27/2007 02/27/2007 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due: FINAL APPROVAL Date: 2 ~ IS -0 7 Clearance: 3.-1'::l-~eJ $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 "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 f x i n f I Tl i 'I r h' whi h h i i n h I h rwi x ir d. FOR OFFICE USE ONL V PERMIT APPLICATION PLAN CHECK No.(;00105'f-z..._ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit --,------,,.--------- Validated By 0 iv'er Date ,H '2--7 ( 0~ Business Name (at this address) legal Description lot No. Subdivision Name/Number /li'clf2.I-?i-1-f20 Unit No. Phase No. Total # of units Assessor's Parcel # }1 rg ;J!ing Use Proposed Use D!!~t~ork&-'T ( f -eJlf !eJt5 SQ. FT. #of Stories II of Bedrooms II of Bathrooms 1,2. · CONIACT PERSON .llf different frcm1 applicant) · State/Zip Telephone# Fax II State/Zip Telephone II State/Zip Telephone II ,6, .CON.TRACTOR • COMPAt,IY NAME , , , ,.,,\:;""""''"'''' .,""""_,.. '.Jif~.~ •• ii ' , .' (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 exem · n. 1~ny violation %,i5e';'tion 7Q31.5 by any applicant for a pern::ii\subjects the applicantto a civil penalty of not more ~n five hun red dollars [ $500]). Dv1''l51J71 t:,tW,fnl!. l '::>r· . , • /f/ 7 I I 1.//7-//cJi/b Name Address City State/Zip Tel phone II State License# 4:;_qqq5 license Class (' -/ D City Business License II / Z2/ 3~'f Designer Name Address City State/Zip Telephone State license II __________ _ 6. WORKERS' COMP~NSATJON ' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. CS!;(. 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 c ~ensation insurance carrier ,11nd policy number are: L Insurance Company '.{; • e.o . Policy No. W5' APB I 3..3 Expiration Date lo/ 1 _D 7 (THIS SECTION NEED NO BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 0 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 secu e workers' compensation coverage-Js unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars [$1 0, ), In II dltion to the co of , pensati n. damages as provided for In Section 3706 of the L or co e, Interest and attorney's fees. SIGNATURE ___ -L:::::.:..-L:.=::z...__,__-l---=""--':::.L,________________ DATE 2, 0 ,,7_. OWNER-BUILDER DECLARATION · • :-, < ' I hereby affirm that I am exempt from the Contractor's license l aw for the following 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 tor 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). 0 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). 0 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. 0 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 [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 _______________________ _ (COMPl,ETE THIS·SECTION FOR r/()N-RESIOENTIAL BUILDiNQ P~l:ll)IIITS o,;itv 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? 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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 , . CONSTRl/CTiON.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 ______________ _ !9, AePLICANT CERJIFICMION. 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 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 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 c~~].'enced 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 c mm7.ced for a period of 18 day! ( ectior'I 106.4.4 Uniform Building Code). ~ / APPLICANT'S SIGNATURE _p,-;::c..L..1.-'-"""'-":..........c..q.....,,._,~4--<......:..__;___________ DATE ~ 2..,7 D-, I PINK: Finance ~ w City of Carlsbad Bldg Inspection Request For 03/12/2007 Permit# CB070542 Title: AT&T:NEW 100 AMP MET. PEDESTAL Description: Type: ELEC Sub Type: Job Address: 1728 POINSETTIA LN Suite: MP Lot Location: APPLICANT ROBINSON ELECTRIC Owner: Remarks: Total Time: 0 CD Description 32 Const. Service/Agricultural 1eomm,m Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 6196976040 lnspector__g__ Requested By: KIM Entered By: CHRISTINE I , -EJ.Etfllte. ·utm.••••~u,trf'1il_1t·rw1 .&·al.ilvica~.__00At10N . . ·~-~---·c·.···· • J :') ~~~·~~ S) . · fdlled-~: .on Trellch Jntp Senb '!)flt: uo S.WC. New 1-Ho: 546343 I Joo ~ MO I :TIie: SBC U6HTSPEED •NORntCOAST 'Addrffl: 1728 POIN$ETJ\A l.N "UP'" .__ 13ed: ctty: CARLSBAD I CU111om1r Phmm 1t 't51-2'8-211S ~ onmot J1M STOVER . r.on!mflb:Mt: 158168•211S ~ $) Tl!Al Ooftbtllf>endl Raql.hd. ~Pamllllbllphl eyCultonw _ . ~ er.bA~t Pok\tln!forMawlmel!111tCUltatW Jtl to locm Hw!N!l«pedeltal.190ft n 1>mtrwfomw 013&122. Fae& pedeetat towatl.drtven WI w mahdill·Ml radtll ~ ruranc. arouatd aurftcla face Of pedtltJL Maintain 5ft tram CUii. ~ cunomar -~ulrtd to lnatall barlicn. Cllllomer 19 to ptDVlde tralleh and Nnch COIIClmltnlr1 => -ansformet '01~22 to 118W mtter pedeml. Addren 1728 ~~• be pennanentlY -ttned o.n meter pedatlll rt •elected, Cuttomer ntumu rtaponlblltyfoi' oondllfon n f exlstlng iU,s. Pluaecatl SDG&E l'reneh Desk. at 78M32-5805 to 1Chedule pre. ; 'Grich meelln11, SDG&ETtench lmipectlona and crew. j ' -<) SDG&EAl:l>licelllan~-Cal\: 1-800411-730 g triohel 1~ R&Qwed B:t City of Carftbad starlielgbt-4'0" rrin.-l'3" l'MII' Fnitn &Ith c,11111 lu1clle1bul mllw bee. Llew1I .. ~ i,, ~ ~ .c.nil!. 24 ;:i &np• lltty. UldnnlUlllbe~lll••-hllol-,~lllmriouscr~Olllcc,µlfaa. PrM!i:H.Xffl D ·IWl'lltn d• 1.11d llfflll ~ l!p,&C9111 tantormoi.. Whoiw mllla' ~ fl piqir,iaa, 00/ut l!aplwa-II lha11Nw800!E -k . . 1W b.Dl1 IIBllm"'-Ul1!i:e d&:oantda nrustll• tooafld llt« lmn6dlllllllyadl--.tkl p;fl ollllrendhl fdlllllad·~ .dllnl:111nb•l""11-. ~O~QURE fOR tlSTALlATION PHONE fllG AlElrr 1"'800.227-2600 AT 1.EASTlWO D,\VS Mr>R TO lRSiCHNt) FOR LOCATION OFUNDfROROUND UTllJTID. . Phone SOG4E a 760-432-5805 !or the followng: • 3 ll'alloog dirfe pttor Ill nnctq lolflllllile ptHnaehlllh ~ ard lr\lllalt l'dloling pooeta. ) • -~afhrdl,h\t&lallonol~llrdw.tl&rial¥l81CM)menl~melarlac:eio1,CM.L J FOR INSPECTION. Do rdOMicm:n.lVl!hM~• 111111n BPP.ICMII loblddll. • ~lrtl,chllbaddll!ed end~ CAll. FOR~ j • tr961VToe~~b~IAl'!leom, GAl.1.fOR)NSPECTI0HOFMEOOP!.ENT. : II.Br.mtbssil lllll\llp9clata ~nfanalon,~~ ~ llld~af 1 dlvl~!'i~J1~daanno&. -1'1111!.SOOrne: STA155-511 Sbt.dlnHmbr.Dt30122- ~ Int Tr~a.ec Hmxldltbwtlhd .... l\9e,_Qullj: ."4 . ~1)1,e:ColtWllercllS ~~ ~ ~'Vt' 0 ~\ > / ~~ iJ.. ? •-~\ v J: Q) T.8. 1167•E3 Dab Pr~M 051031206 CM bro,· 1ne ·MP· MUliT se: ~lLV ~ CN ~ METER PffESTAL FACI~ ffilVEN WA"f. Aiittinel lltmnllbi: 0 ~~ Requlred .NIIEIUlf's Paroel Numb!,: ·Pleaee·call Trench Dnk at16M32.SB05 with questions ~boutAP.PROV 1nsp~on, conttructlon ln&taltaffon and to schecfuli a'crew. :1 ~ FEB 2 7 2007 _.i ,,('?r:- l. '": ~ CJ l . J . -' . ,;_-: (: ·-~~..:. ::._:.:. ~-;_~- _ -~--~-A~:"r~t-~~/1::~.--·-:---:-· • ;\.'•.: _.,;.,_ _ . . . . ___ c,_~.: .. ,_ ~ c • • ,•,c.i, ,.;; :D:;·:i/~' .. J:':cc~~S::~:,~ •< · • · <i(j3iJ?X}/f;.(lYii/ihj;iU;,