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HomeMy WebLinkAbout2861 SEGOVIA WAY; ; CB022135; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-19-2002 Electrical Permit Permit No: CB022135 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2861 SEGOVIA WY CBAD ELEC 2552804400 Lot#: 0 OSBORNE RES/ELEC TO FOUNTAIN LITES.POSTS & FUTURE,SPA,GAS-BBQ/FIREPIT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/19/2002 CB 07/19/2002 07/19/2002 161.2 07 /1.9 /()2 0002 -'.)1. CGF'" Applicant: ANDERSON'S LA COSTA NURSERY OSBURN LARRY D&DEBORAH L 400 LA COSTA AV ENCINITAS CA 92054 760-753-3153 Total Fees: $47.00 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 Inspector: 2861 SEGOVIA WAY CARSBAD CA 92009 Total Payments To Date: $0.00 0 0 0 0 Date: -Z. 2. Balance Due: Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $27.00 $0.00 $47.00 $47.00 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 has revi I th rwi x ired. 02 • FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK N0?~2-Z-l 3S--- CITY OF-CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By_..:,,(....,~::;._ ______ _ Date 7 --< lt::Q:::C.., Bualneu Name l•t this addraH) Lot No. Subdivilion Nam1/Numbat' Unit No. Pha1e No. Total I of unita State/Zip Telephone I Fax I Heme AddrNI City State/Zlp Telephone I ......... -.· .;...C.:#--'h....- City S.tate/Zlp s:r,~st;;rrnontmv1emr-evsotf£"'ti:,;·,,e;.~;n•·"•:1,.·,~u..:.:.~~~iit.ito..~.~, ... ~~--~·~:~.:.J.:,,..;!.J~.J1~..e.i ..... ~t}~~C\t~:;.:.~~1 (Sec. 1oa1.t lullrlNI end ProfNllotw Code: Any City or County which requirN • pat'mit to conatruct, alter, Improve, demolish or repair any structure, prior to it• lllulnot, Ilea raquir• the appllc:ant for luc:h permit to file • signed atatemant that he 11 llc-ed pursuant to the provisions of the Contractor', Uc,nae LAw lehlpler It, commending with Section 7po() of Division 3 of the BulillNI and Profealiona Code) or that he Is exempt therefrom, and the l>Nla for the alleged .um don, violation of Section 7031,6 by any• leant for• 11ermit ubJ•!jts the applicant to• civil p,nalty of not mora than five hundred dollera lt6,00JI. ,.7 I". ~ ~u, /He. 1, 40 ! 1,~,;).. aena tmm:s:mtt»e~~li'.wi.~~~f..~.,... .............. ~ -.w ......,,...._ ....... "---..:· ,,; . s ~CIIUf9' Compenaetion OeGleration: l hereby affirm under penalty of perjury on, of the following declarationa: O I haw end will ffllintain I certificlt1 of COIIHllt to Hlf-inaur, for workers' compenution H provided by Section 3700 of the LAbor Code, for the performance wen fo, which thit P4tmit II leluld. hlY9 end will rnelntaln worurw.• c:ompenaation, H required by Section 3700 of the LAbor Code, for the performance of the work for which this permit ia My wortie,'1 ~}Ion ~enc• c_;Jrlw and policy numbe~ra: I / h ~ lnlWIIIGICompeny ~NfZ, {;l)H,tF ,~w.t:L fv?'.'d-f>olicyNo. ~() 86 ..,c:, Expiration Oat• 5-1 ✓0 2 mu '1ECTl0N NiED NOT IE COMPLfllD IF THE PERMIT IS FOR ONE HUNDRED OO~RS 1•1001 OR LESS) 0 CIATIFICATi DEllltTIION: I certify that In the performance of the work for which this permit is issued, I shall not emplov any person in any manner sou to NOOIM to the W amiiiaNuation LAwa of California. WAllalG: 111.""",.. • ~tlon cowenge le unlawful, end lhall aubject an employer to crimiNI penaltiea and clvM finN up to one hundred ....... to the -t of COfflPIM■tion, damagN ea prowtdld for In Section 3~:eT:f the Labor lS'.l QL and attorney's , __ • ,,,~!''·~, ~~ ~E·•~•.· '• :·, \· '•';' "•• ,, '.;,,,:it, r·11.-':.ll,'ri"· ,t'; ,:··· ,,,d,•<. · ·,;; .. • ~-J.......i1,lb ~ . t• .:.A.I.'.•,,......._,._.,-~-• -"·' , ........ w , • ~,._----· ,. -~h; """'" .• ..,...f -'>A _..._",.~ ,/ I IWIOV affirm that I em eumpt from the Contractor'• U<:1n11 Law for the following ra11on: 0 I, • owner of the p,openy Of my empk>yNI with wagu a, their sole com~atlon, will do the work and the atructure ia not intended or offered for ule IS.C. 7044, ._... end Prof-■ionl Code: Thi Contractor's Ucenae LAw doaa not apply to an owner of property who builds or improvN thflfaon, and who doaa IUlit wwk hilnNlf or Uvough hit own amployNI, provided that auch lmprov1m1nta era not Intended or offered for sale. If, however, the building or improvement ia ■old wiltwl -~ of completion, the owne,-bulldw wiU hava the burden of proving that he did not build or improve for the purpose Q/ ula). 0 I, • owner of the p,openy, am exclusively contracting with licensed contractors to conatruct the project (Sec. 7044, BuaineH and Profuaiona Code: Thi Conct1Gc«'1 ~ Llw doe■ not apply to an owne, of proPMtv who builda or lmprovN thflfaon, and contracta for such project■ with contrector(s) licenaad pWlllll'lt 10 the Conlr■ctor'I Llc:anN Llw). □ I 1M tllllftPI under Section _____ Bulineaa and ProfN1iona Codi for thia r1Uon: 1, I PlflOllllly pen to provlol the major ltbor and matw~ls for conatructlon of the propoud property Improvement. 0 YES ONO 2, I lhavt I hive not) ligl,ed an applic:etlon for a building pat'mit for the propoud work. 3. I blve conlrloted_wlth lhl followlng Pflf■on Uitml to provide the propoud construction (Include nama / addrau / phone number/ contractors Ii~• number): 4, I pen to provldf portlone of the work, but l have hired the following peraon to coordinata, supervise and provide the major work (include name / addrNI / phone llllfflber I GGnttlOtOII lic:lrlN runberl:. ____________________________________ _ Ii, I will pnMde -of the worll. but I hive contracted (hired) the following pat'aon■ to provide the work Indicated (include name / addraa1 / phone number / type of wo,k):. ____________________________________________ _ Pft0f'EIITY OWNP5'GHATURE_____________________ DATE ________ _ ttr I I · rs · !WfAtitkWeererwMm1u.pwa~~:.Lti:i.:;,u:.~........:.1.".t.......:w~w...w...:.:::,~:. ~..: ... ,.111.·,-:. .. ,:...,-11.:...-:.~.~ ii the ....,_. Of fulure llulldinQ ~ requited to submit a buainen plan, acutely huardoua matariala registration form or riak management and prevention PfOlll'IIII under &eoclorll 2HOl5, 2151i33 Of 261i34 of the Praalay-TaMflf Hazardoua Subttanc, Account Act? 0 YES O NO 111"" ~ or fuWre ~ OClCMpant required to obtain • pat'mit from the air pollutlon control district or air quality management district? 0 YES O NO ii ._ facilltY to be GOnlttuc:tad within 1,000 fNt of the outer boundary of • IChool lite 1 0 YES O NO F MY Of THI ANIWIU AM YU, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE IIIQl-l•ITI Of THI OfFICI Of UWIGENCY &ERVICES AND THE AIR POU.UTION CONTROL DISTRICT. CS$ IZ 1 ·fcitt::::tttenetrim?Wi··t:.u.TI,·,wii,~·ll~i:.rl'~~S-"!r.l!li .. M~;_.:k:l::i.li.¥l'-•1.r • .:.¥..iii:.1~wx.:.i.: 1, .. .: , .•. :~~; 1:;. ••.. ,! _ . ;;·.:.. .~·.:. :.~·'.• .. ,··~ : . : I_,. aNlrlll ttlll ttwe 11 • GOl1l1NCtlon lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LalOU'I NAME._____________ LENDER'S ADDRESS. ______________________ _ •tWD •• u... , .•• .,..,11Mh!}m1.lt" ~ ot.:~,/r,•, ; ..... ,L:•':,,,. ·.•1:--.~,-,, ·• .•. , . , • r., ~ . I • . . . . ,, l • • • ,., ' -.... •■■•• 1111-..... _, WA\0,1·11,. ... 7 ~JfI.IU-.~.-;~yj:t~~ ... JiPr•~--• ~~ .... -~.>!,\q..r_.,,~..i.a!11~t. J..., .t,~._i:. '-'*• -:,.~J(w_~.,J.~·~. I Olr1#y 1hlC I hive fMCI the lllflllc:ation end mt• thet the above information Is correct and thet the Information on the plant la accurate. I agrN to comply with all Cilv Ofcll•MIN Ind Slate llwt ,..11ng to building conetructlon. I hflflby authorize rep,aaentativ11 of the Cltt of Carlsbad to entw upon the above mentioned Pl--1¥ fOt lrllNC1ian IUIIQNI, I AU0 AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES ,':')DE)IM'-ITI, COITI -IXPENIEI WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. • OIHA; AA OIHA Plffllit II raquirld IOI' 6'0" dNp and demolition or ~truction of atructurN over 3 atoriN in height . IXMATION: Every permll ~ under lhe provialonl of this Code shall expire by limitation and become null and void if lhe building °' worlc dWlled ~ IUCIII pern,1111 not 001',vtManclld 1 daye from lhe dale of auch permit or If lhe building or worll authorized by such permlt Is auspended or abandoned ll q ""'alllf lht !lfOf1I II of 80 day1 (Section 106.4.4 Uniform &Uding Code). / / Al'f\.lC4NT'5 SIGNATURE __ .;;;;....-"',.;;;_______________ DATE -=t _ /q (YL :s City of Carlsbad Bldg Inspection Request For: 02/21/2003 Permit# CB022135 Inspector Assignment: PY --- Title: OSBORNE RES/ELEC TO FOUNTAIN Description: LITES,POSTS & FUTURE,SPA,GAS-BBQ/FIREPIT Type: ELEC Sub Type: Job Address: Suite: Location: 2861 SEGOVIA WY Lot Phone: 7604362777 0 Inspector: ---- APPLICANT ANDERSON'S LA COSTA NURSERY Owner: OSBURN LARRY D&DEBORAH L Remarks: H.O. WILL LEAVE CARD OUT -NO DOGS-ENTR w(:;,~"'\:E_ Total Time: CD Description 29 Final Plumbing ~ h.J gfa,;;, • Act Comment Requested By: LARRY Entered By: CHRISTINE p A----=-+--------,,---+------=-----,--lV~ .JEd ~ ~-~~? fA- Associated PCRs/CVs c~~J lnsgection Histo[Y Date Description Act lnsp Comments 08/07/2002 21 Underground/Under Floor we SR 08/07/2002 23 Gas/T est'Repairs AP SR OK TO COVER 08/07/2002 31 Underground/Conduit-Wiring AP SR CONDUIT ONLY/FUTURE SPA 08/06/2002 23 Gas/Test'Repairs co SR NEEDS PRESSURE TEST 08/06/2002 31 Underground/Conduit-Wiring co SR NEED TO EXPOSE/SEE NOTICE