Loading...
HomeMy WebLinkAbout1260 POINSETTIA LN; MP; CB072273; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-31-2007 Electrical Permit Permit No: CB072273 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type Parcel No: Reference #: Project Title: 1260 POINSETTIA LN CBAD St: MP ELEC 0000000000 Lot#: AT&T 100 AMP MET PED ELECT WIRE PULL 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 08/31/2007 LSM 08/31/2007 08/31/2007 $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: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition'' ol fees, dei:lications, reseivations, or other exactions hereafter collectively referred lo as ··fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. lf 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 es/ xac i n I i h h v r vi I een iv N Tl imil rto i r f i i · n h I FOR o~~IC~ us~ ONL V PERMIT APPLICATION PLAN CHECK NO. ~01 »-?.3 -t;~T. VAL. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 -------------PI an Ck. Deposit ~ Validated By ~ _ Date --:tJ:..:ctf7"-3"'---":.A-0=r-'-)---- Business Name (at this address) Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use Name Address City S.tate/Zlp Telephone # t~ . ' ~filru[g,,"{,Qffr!l,~Q.MJmN~N~'M_~~"'mlm:irn~1.:~~~~~~G~~-t!\)!j:m11:~.-l\\ 'l'"{l!';it~:a~r~~::t.~t!;l,;;:,,~~ltili'~•:!ITI!:-t:m::i•::,lt•f;'\'~,:;tti.,j/l,,'i,'!i:!lfu,i' f.,'ili ,... ---~~~~tj_.J:}!:tnt_~J.w~fft:JJ~~.~ii!;l.ii,.11;i~~J>'-'"'<-SJ,."-~~ll~~ 1;.:\Ji,1~,U.,¥ !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 !Chapte_r 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 exe 110 Any ylolation of Se ion ~031.5 by any applicant for a permit subjects the applicant to 1 civil penalty of not more than five hundred dollars 1$50 ]). n · I . . Va./ . q7 -1 -~ Address City State/Zip Telephone # State License # LJ ;;,..qqq 5 License Class C. ~/ b · City Business License # / 22 / '3t.l"/- Designer Name State License # _________ _ Address City State/Zip Telephone @.!~W.~!lijlf{~eijM~.~rA:ft&~!f~~i1'P.'.1P~i:rf~"4::m,;,m.~/411Tr:l~-~i~m?~~1i~r1f&'l!2ii:1t?ftffi~-1s;i1!'~~~ifJ,Q;.t;1;~J~;';)}"":&"'I17J· ',,;:,t•l1'11,,·c;;;::p;;,···;,;-,,mi 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. ~ 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 co pensation Insurance carrier and policy number are: Expiration Date I b( I In 1;1· 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 I 1 0,00 I. In addition o the ost of comi>ens11tion, damages as provided for In Section 3706 of the Llib d , Interest and attorney's fees. SIGNA TURE. _ __J,,..J<..c.,~,.__.:J.Lc...._---3: DA TE l?C:. "lµWiji;trij~Jl1P~litii!,~cJJAijfi; I I hereby affirm that I am exempt rom the Contractor's License Law 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 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 salel. D 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, end contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Lawl. 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 notl signed an application for a building permit for the proposed work. 3. I have contracted _with the following person (firml to provide the proposed construction (include name / address / phone number / contractors license numberl: 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 numberl: _______________________________________________ _ 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 workl:, _____ -'-'----------------------------------------------------- PROPERTY OWNER SIGNATURE ________________________ DATE _________ _ t~QMit~~iji;iHi~}lJo(i,iijiit_;£!,:l~Wi!Jb'~b!'sjp~Ji~l~tJltiiji)iij!j}!fEil~Jf~nm-D1~f]!..~l~~~~~i~~~~tr~w-~~;]i":fi]:i:)~t[~J1,i*1i~{7d;~1'}1'~i•".i'3 Is the applicant or future building occupant required to ~ubmit a uuslness pian, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hnardous 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. [ij'. •l"~t;§N~.ftli~~~i.~.fJ!~~til&iNij~~lff!iif(,1;~,:m:~~,~~--l'ilfi'Jl~l'i~i!lifili,'.m~~lfilr,ill';~Ji~'i'fillli11~\f~r:~rrJi~t;~n\ffi:;f;1ll!lm;;;wlLi!,l)f'}1\,:;;\!i,):::,i1~r,:,;:11,11?J<'f,'tli •·:2::,: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued ISec. 3097lil Civil Codel. LENDE_R'S NAME ______________ LENDER'S ADDRESS ________________________ _ [!'3.~}l?'~PJ>tto,Jijuij~J{tl!=Jp~i'.lP.NJt~~~J~ll]!j[lf¾'~m~~w~@:r1W:~~~jftil~';!,ii~ll11k&ffi~~l~~~st'lJ~'~iltf~fi~ll111fi!!E}r::~~.:;;1;]('[;)1J/;;,t/~(~f~&•:'i) 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 authorite 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 permil 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 aulhorized 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 lime after lhe work is commen~el or a ~~rlo: ;' 1 BO days (Se;ti . 10 . 4 Uniform Building Code). DATE a/3/ / fr7 APPLICANT'S SIGNATURE -~P.,-,,,!..LJ<..><::~_,'{;::.,:Vc,c+-~:.=-'-'---=---------~ lltL ~: w City of Carlsbad Bldg Inspection Request Permit# CB072273 Title: AT&T 100 AMP MET PED Description: ELECT WIRE PULL For 09/24/2007 Type: ELEC Sub Type: Job Address: 1260 POINSETTIA LN Suite: MP Lot: Location: APPLICANT ROBINSON ELECTRIC Owner: Remarks: emr Total Time: 0 Inspector Assignment: Phone 6196976040 Inspector: Requested By: KIM Entered By: CW CD Description Act Comments ,;:; ~A~= 39 Final Electrical fj:._ ----------"~"'---'-L!...\-'-IH~J---'-=;0------------ ~(f ~ ~ ~ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments . I :1 ', '', ' • I ' . \ . ' ~ voo·d OLO# ss:vl LOOZ/08/80 98l8 vvL 09L