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HomeMy WebLinkAbout2577 DISCOVERY RD; ; CB062758; Permit09-27-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB062758 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title Applicant AMERISCAPE INC PO BOX 2181 92079 760613-5335 2577 DISCOVERY RD CBAD ELEC 2131302800 Lot# KIM RES-GAS TO FIRE PIT.ELECT TO POND & LOW VOLT LIGHTS Status Applied Entered By Plan Approved Issued Inspect Area Owner KIM MICHAEL B 2577 DISCOVERY RD CARLSBAD CA 92009 ISSUED 09/27/2006 RMA 09/27/2006 09/27/2006 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 $2700 $000 TOTAL PERMIT FEES $4700 Total Fees $47 00 Total Payments To Date $47 00 Balance Due $000 Inspector FINAL.AP/PROVAL 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 » j CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 PROJECT INFORMATION '"?sj,- v FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite tt) Cf ./>//. <-€ fTVvt/^t- M-yxtAC Business Name (at this address) ?J3 Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor's Parcel tt Existing Use Proposed Use P<7- Description of Work SQ FT #of Stories # of Bedrooms » of Bathrooms :2 f CONTACT PERSON (if different from applicant) . Name Address City 3; i /APPLICANT H ;[X Contractor "Q Agent for Contractor Q Owner Q Agent forSwner" - ' — "f " ^ r ^- State/Zip Telephone #Fax # Name Address PROPERTY OWNER 0 /Jc o vA- City 2-00 9 State/Zip Telephone # Name Address City State/Zip Telephone JOr CONTRACTOR - COMPANY NAME {. V : ^-^'J1 ' i:;: 71 •'?.••„ > A-" . '"" : '" "' ^-X>' "-• •• ' /J13 •••-,•:-.- ....... •: ^- • .. (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 Codel or that ha 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 [$500)1 Name State License # $ SM X>-( I /V//9 Designer Name State License tt Address i License Class Ci £ Address City State/Zip Telephone l! City Business License tt t^T- O $ }-al City State/Zip Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations |~1 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 fj | 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 Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) E§^ 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^ecure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (JJ-)Bu,000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE &Af===r-"- DATE 9/I )-l6{ •7 OWNER-BUILDER DECLARATION :p -:: •"! .»-, - ^ • V , - : .:; - •• - , •"••'' • "- '"' :,- -::' ; : S i;'""' -' ' I hereby affirm that I am exempt from the Contractor's License Law for the following reason |~| 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) 1~1 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 contreictor(s) licensed pursuant to the Contractor's License Law) |~| 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 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 I 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 iCpMPLETErJTHIS SECTION FOR/Vp/V-/?5,S/DflV7Mi!BUILDING^PERMITS ONLY ^ :" ' r : ' 'M. ., . " •"".'.'"' ::".j " 1! ,/ ,-,! 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? fj 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? l~l YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES LT] 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 fjj " .CONSTRUCTION"LBNDING"AGINCY 1 ' '" -- " "; ,;. ""'" ' •''':.,.. '" . •. • ••"•'" 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 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 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 bujWJffg 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 commencecfwithin 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^for a period of 180 days (Section 106 4 4 Uniform Building Code) ~~ 9^APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 12/15/2006 Permits CB062758 Inspector Assignment PC Title KIM RES-GAS TO FIRE PIT.ELECT Description TO POND & LOW VOLT LIGHTS Type ELEC Sub Type Phone 7606135335 Job Address 2577 DISCOVERY RD Suite Lot 0 Location Inspector OWNER KIM MICHAEL B Owner KIM MICHAEL B Remarks Total Time Requested By KIM Entered By CW CD Description Act Comment 29 Final Plumbing 39 Final Electrical Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 10/04/2006 31 Underground/Conduit-Wiring AP PC 10/04/2006 34 Rough Electric AP PC 10/02/2006 21 Underground/Under Floor WC PC 10/02/2006 23 Gas/Test/Repairs AP PC 10/02/2006 34 Rough Electric CO PC U/G ELECT NOT INSPECTED BUT BACKFILLED PZ3S8.& fF 357,35 \RM 355.S FL3S&6 356.1 RIM 355.8