HomeMy WebLinkAbout2075 CORTE DEL NOGAL; A; CB900190; PermitBUILDING PERMIT
02/02/90 15.51
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Job Address. 2075 CORTE DEL NOGAL Str:
Permit Type INDUSTRIAL TENANT IMPROVEMENT
Parcel No: 213-061-07-00
Valuation: 3,000
Construction Type: NEW
Occupancy Group Class Code:
Description- 90-103 ENTERED UNDER ELEC
PC 85-423 TO MAKE LEGAL T I.
Permit No.
Project No:
Development No
Fl- Ste.
3087 02/02/90 0001 <«
CB900190
A90Q0144
Status
Applied
Apr/Issue
Validated By
ISSUED
02/02/90
02/02/90
DC
CONTRACTOR
OWNER
***
BONSALL ELECTRIC
1973 VISTA DEL MAR
BONSALL CA 92003
• OMNIMED
2075 CORTE DEL NOGAL
CARLSBAD, CA 92009
Fees Required *** ***
Lie C 473157
Lie
619 940-0889
619 931-9007
Fees Collected & Credits ***
Fees :
Adjustments
Total Fees
Fee description
400. 00
.00
400.00
Building Permit
Plan Check
Strong Motion Fee
Enter 'Y' to Autocalc License Tax >
* BUILDING TOTAL
Enter "Y" for Electric Issue Fee >
Three Phase Per AMP >
* ELECTRICAL TOTAL ($10 Minimum)
Total Credits:
Total Payments.
Balance Due •
Units Fee/Unit
400.00 50
00
00
400.00
Ext fee Data
54. 00
35. 00
1 00
105.00 Y
195 00
5 00 Y
200. 00 2 X i
205 00
200
INSP.
CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr, Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palmas Dr , Carlsbad, CA 92009 (eis) «8-ii6i
1 PERMIT TYPE '_ I
A M COMMERCIAL flNEW ' D TENANT IMPROVEMENT
r*B O INDUSTRIAL QNEU QTENANT IMPROVEMENT
c PRESIDENTIAL DAPARTMENT QCONDO OSINGLE FAMILY DUELLING OADDITION/ALTERATION
DDUPLEX QDEMOLITION ORELOCATION QMOBILE HOME QELECTRICAL OPLUMBING
[^MECHANICAL QPOOL QSPA QRETAINING WALL QSOLAR
PROJECT INFORMATION PLAN CHECK No
EST VAL
PLAN CK DEPOSIT
VALID BY
DATE
Address
Nearest Cross Streets
Bui ldmg>JfSuite No
LEGAL DESCRIPTION Lot No Subdivision Name/Number
CHECK BELOU IF SUBMITTED
[]2 Energy Calcs Q2 Structural Calcs ]^\2 Soils Report
ASSESSOR'S PARCEL
DESCRIPTION oJ^aftMs. o
Unit No
[~1 1 Addressed Envelope
EXISTING USE
Phase No
PROPOSED USE
\.
BLDG SO
3.
4
5
6
CONTACT PERSON
NAME ~y^f¥^ ^f/Lt- t4<4S\/,
CITY /^cy/V^''') C-t-
SIGNATURE
APPLICANT ^CONTRACTOR
NAME g OrJ$/!)L(_ £££.C.-SZ-K-
CITY /^rVUdT/%.C.
PROPERTY OWNER
cnY_S"4'//' s!)~t/&v/e*') &vc/sv-v<>
CONTRACTOR
NAME
CITY C*4/^?£r <rfS &
ADDRESS /^ O f3o
STATE GO 2Ip CODE "y^^pc? "\
Q AGENT FOR CONTRACTOR QOUNER
ADDRESS /^ cp /g ^-t
STATE C/H ZIP CODE «/" ^_jS>o3
ADDRESS
STATE <T ^ ZIP CODE C/' 2~& O 9
ADDRESS
STATE ZIP CODE
X b ~?&
DAY TELEPHONE £• /^ 'F && ° ^ S~ ^
D AGENT FOR OWNER
"6
DAY TELEPHONE ^ / ^ *•? <-S Z> °(5f~<7'
'7" DLESSEE QTENANT
DAY TELEPHONE t>l ^ ^ 3 f ^ 2-O TS
DAY TELEPHONE
STATE LIC *
SIGNATURE
DESIGNER NAME /O/^9Z(J"~ f( £-<y^>jk-
Lf- '-"5 f^> / LICENSE CLASS £ ~ / C>
TITLE
: 4Acfrf7&-7£ AMRESS 2 3s^" <r^?/i,
STATE Cl/9 ZIP CODE £? ^OO <^
CITY BUSINESS LIC #
DATE //x2_r / "P O
DAY TELEPHONE 4°^ ^ S" ST / 'J/' STATE LIC # £»2 O'
7 WORKERS' COMPENSATION
Workers' Compensation Declaration 1 hereby affirm that I have a certificate of consent to self insure issued by the Director of Industrial Relations,
or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the
insurer thereof filed with the Building Inspection Department (Section 3800 Lab C) ,.
INSURANCE COMPANY POLICY NO EXPIRATION DATE
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
SIGNATURE DATE
8 ONNER-BUILDER DECLARATION
Owner Builder Declaration 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 a-i their sole compensation, wiil oo 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 arc not intended or offered for sale If however the building
or improvement is sold within one year of comple^on, the owner builder will have the burden of proving that he did not build or improve for the purpose
of sale )
\~] 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 contractor(s)
licensed pursuant to the Contractor's License Law)
I am exempt under Section Business and Professions Code for this reason
(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, commencing 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 vjolation o-f. Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not
more than five hundred dollars [$500]) // y —f- ~ f] /f
SIGNATURE Q.S^'SLA^, // ^/iJ/UjJ^^bffl/l*-/ DATE /- ^ J~-
COMPLETE THIS SECTION-^OR <(io>6RES10EN| 1/L BUILDING PEt(MITS ONLY
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?
DYES DNO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES DNO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7
DYES L"HNO
IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY NAY NOT BE ISSUED AFTER JULY 1 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
i CONSTRUCTION LENDING AGENCY
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 l\,LENDER'S ADDRESS
10 APPLICANT'S SIGNATURE
I certify that I have read the application and state that the above information is correct I agree to comply with a!1. City ordinances and State laws relating
to build:ng construction ! hereby authorize represcntativet 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 IIABIL1TIES JUDGMENTS COSIS AND KXPENSfS WHICH MAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
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 commenced for a period of 180 days (Section 303(d) Uniform Building Code)
OWNER ^CONTRACTOR PHONE APPROVED BY
DATE
WHITE File YELLOW Applicant PINK Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB900190 FOR 02/07/90
DESCRIPTION: 90-103 ENTERED UNDER ELEC
PC 85-423 TO MAKE LEGAL T.I.
TYPE: ITI
JOB ADDRESS: 2075 CORTE DEL NOGAL
BONSALL ELECTRIC PHONE:
BONSALL ELECTRIC PHONE:
OMNIMED PHONE:
APPLICANT:
CONTRACTOR:
OWNER:
REMARKS: T2/MH/ROMAN/931-9007
SPECIAL INSTRUCT: AM IF POSSIBLE
INSPECTOR AREA MC
PLANCK# CB900190
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
619 940-0889_^
619 940-08S9)
619 931-9/07 /
INSPECTOR
TOTAL TIME:
CD LVL DESCRIPTION
39 EL Final Electrical
ACT COMMENTS
A£_&-
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS