The URL can be used to link to this page

Home My WebLink About2565 DISCOVERY RD; ; CB054079; Permit11-30-^005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB054079 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2565 DISCOVERY RD CBAD ELEC 2131303100 Lot# MUSGROVE RES-ELECT TO FOUNTAIN Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 11/30/2005 RMA 11/30/2005 11/30/2005 Applicant TERRA FIRMA LANDSCAPE 9550 WAPLES SAN DIEGO CA 92121 RMA Owner MUSGROVE MICHAEL E&RANDI R 2565 DISCOVERY RD CARLSBAD CA 92009 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 $1000 $000 $000 $000 $000 $1000 $000 $000 $000 $000 TOTAL PERMIT FEES $2000 Total Fees $20 00 Total Payments To Date $20 00 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 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 PROJECT INFORMATJON FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit. Validated By, Date Addressimclude Bldg/Suite #)I BusmessTNafrie (aTthis"addreTs) Legal Description X Lot No Subdivision Name/Number Unit No Phase No Total tt of units -p,Assessor's Parcel # f Prppjjsed Use tt of BedroomsDescription of Work 2 "CONTACT PERSON (if different from applicant) SO. FT #pf Stories * of Bathrooms Name ' Address City 3 APPLICANT D Contractor t2t Agent for Contractor Downer D Agent for Owner State/Zip Telephone #Fax # _ 0' Name Address City State/Zip Telephone C PROPERTY OWN Idress J City fete/Zip Telephone ffName J5~:r.CONTRACTOR -rCOMPANY NAME (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 703JI 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500D \ -I^- ^—^ • • ••—* -—_ Telephone * &fifc i-\(&-Name State License # Address* License Class I & /*v Business License # j Designer Name Address City State/Zip Telephone State License # _ l^ _ 6" "WORKERS' COMPENSATION "" '" "" ........ .; ,. '... '^- ... ,.,-\ ' „ '•• J'., . , . . ".. • ' "• ""'' • ' •, Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations [~1 | 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 "2f I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for whic h this permit is issued My worker's compensation insurance carrier and policy number are . • Insurance Company ^ ULfU _<jl" F^f^nl j(^O^f\ Policy No l^C 2.J {JC^C^Q^ Expiration Date\ U/O I / 0 C, (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) n 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 ($10Q;QPOT) in addition to the cost o^compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE . ___ --^^^^ T^'^A (f*£^\.3) _ DATE 7 "- OWNErVBUILDER DECLARATION I j ; V. ~J > ^ * " " ~ : i " H . , , I hereby affirm that I am exempt from the ContractV.S'License Law for the following reason " {3 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 thereofT_and who does such work hiroself^qr^through his own employees, provided that such improvements are not intended or offered for sale If, however, .thejjuildtng'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'df sale) l~l I, as owner of the property7~am_exclusively contracting with licensed contractors to construct the project JSec' -7044, Business and Professions Code The Contractor's License Law does not apply'to. an owner of property who builds or improves thereon, and-cphtracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law) ^"^--^^ „.— V^-"' "" PI I am exempt under Section _ Business-and Professions Code for this reason ' 1 I personally plan to provide the major labor and materials for cohstrjjction^pf the proposed property improvement l~l YES I~|NO 2 I (have / have not) signed an application for a building permit fojfthe'propQse.d work 3 I have contracted with the following person (firml-to'provide the proposed construction (include name / address / phone number / contractors license number) 4 I plan to provide portions of the w6rk,-but I have hired the following person to coordinate, supervise-arid provide the major work (include name / address / phone number / contractors license number) '" ~-~-,. 5 I will provide some of-thiTwork, but I have contracted (hired) the following persons to provide the work indicated (includejjame / address / phone number / type of work) '""' ^-^-^'^ ~~^-^. PROPERTY OWNER SIGNATURE DATE '-^ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY " , ' t1 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? l~l YES l~] NO — Is the applicantl«~fmu?e'building-occupant.requjredjto pjjtajir^ E2!Jii!lon control district or'aifquality management district? Q YES EH 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 HASWIErOR-IS.MEETING THE -REQU!REMENTS__QF_THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT --£•-- CONSTBUCTioNlLENDING'AGENCY- -._ ., i J_ I hereby affirm that there is a construction lending.agency fo"r"thTperformance__oHhe work for which this permit is issued (Sec 30970) Civil Code) LENDER S NAME .——--""" LENDER'S ADDRESS "APPLICANT 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 a~li 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 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 commsftedfor a period of 189-days (Station 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE* "f' \~~* J **!af\\2 \~ V—-^fl^Y P^^fJ\ DATE 1 WHITE File YELLOWlJkpplicant PINK Finance I City of Carlsbad Bldg Inspection Request For 03/15/2006 PermiW CB054079 Title MUSGROVE RES-ELECT TO FOUNTAIN Description Inspector Assignment BN 2565 DISCOVERY RD Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT TERRA FIRMA LANDSCAPE Owner MUSGROVE MICHAEL E&RANDI R Remarks Total Time CD Description 39 Final Electrical Act Comment Phone 6198863640 Inspector Requested By STEVEN Entered By CHRISTINE Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 12/01/2005 31 Underground/Conduit-Wiring AP BN