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