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HomeMy WebLinkAbout2075 CORTE DEL NOGAL; A; CB900190; PermitBUILDING PERMIT 02/02/90 15.51 Page 1 of 1 ^ /\ 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