HomeMy WebLinkAbout2100 COSTA DEL MAR RD; ; CB900003; PermitBUILDING
01/03/90 13 42
Page 1 of 1
Job Address 2100 COSTA DEL MAR RD
Permit Type ELECTRICAL
Parcel No
Valuation 0
Construction Type NEW
Occupancy Group ' Class
Description TEMP POWER -FOR TENT
CONTRACTOR EVENT TECHNICAL SVS
5710 RANDOLPH ST
COMMERCE, CA 90040
*** Fees Required *** ***
PERMIT
Str
Permit No
Project No
Development No
Fl Ste
2406 C1/C3/90 00U 01
'RHT
CB900003
A9000004
02
'15.00
Code Status ISSUED
Applied 01/03/90
Apr/Issue 01/03/90
Validated By JPY
Lie C NO 213-233-8368
Fees Collected & Credits ***
Fees 15 00
Adjustments 00
Total Fees 15 00
Fee description
Total Credits
Total Payments•
Balance Due:
Units Fee/Unit
00
00
15 00
Ext fee Data
Enter "Y" for Electric Issue Fee >
Enter "Y" for Temporary Service >
* ELECTRICAL TOTAL ($10 Minimum)
5 00 Y
10 00 Y
15 00
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 (519) 438-nei
PERMIT TYPE
A IgTCOMMERCIAL 10t>EW Q TENANT IMPROVEMENT
B G INDUSTRIAL DNEW QTENANT IMPROVEMENT
c PRESIDENTIAL DAPARTMENT QCONDO DSING|-E FAMILY DWELLING [^ADDITION/ALTERATION
DDUPLEX DDEMOLITION ORELOCATION DM°BILE HOME ^ELECTRICAL QPLUMBING
DPOOL DSPA [^RETAINING WALL QSOLAR C]OTHER_
EST VAL
PLAN CK DEPOSIT * r^f ^?
/ *^VALID BY
DATE
o
^*5> ^e. —»
2 PROJECT INFORMATION PLAN CHECK No "/ U -<-*
IriL^Sts °*r* ?>& MA£ /®d'n9°rSC/k&£
LEGAL DESCRIPTION , —
CHECK BELOW IF SUBMITTED
D2 Energy Calcs
ASSESSOR'S PARCEL
Lot No
-f Cou£
QZ Structur
Subdivision Name/Number
5<
FOR OFFICE USE ONLY
4> C/) 9-Ldo?
Unit No Phase No
il Calcs Q2 Soils Report d 1 Addressed Envelope
EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
BLDG SO FTG # OF STORIES
CONTACT PERSON
C
CITY
SIGNATURE
STATE
ADDRESS
HIP CODE DAY TELEPHONE
4 AP
NAME
[3 AGENT FOR CONTRACTOR QOUNER
ADDRESS
/ O
DAGENT FOR OWNER
DAY TELEPHONE
PROPERTY OWNER
/ l-QQ /
TENANT
DAY TELEPHONE . 9 // / f fc ( J\
6 CO,
NAME
SIGNATUR
T7V -> _ADDRESS
ZIP CODI
LICENSE CLASS
TITLE
C--C&
DAY TELEPHONE f (_'V
CITY BUSINESS LIC #
DATE
7-3 3'
c3/- 03-
DESIGNER NAME
ZIP CODE DAY TELEPHONE STATE LIC #
WORKERS' COMPENSATION
Workers Compensation Declaration / hereby affirm that 1 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 nlot
Certificate of Exemption I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner
so as to become subject to the Workers Compensation Laws of California
SIGNATURE
8 OUNER-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 as t^eir 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 docs 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 sate If however the building
or improvement is sold within one year of complet 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 arc 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 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])
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON RESIDENTIAL BUILDING PERMITS 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 2553£ of the Presley Tanner Hazardous Substance Account Acf>
DYES ^HSjfo
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7
DYES <30NO
Is the facility to be constructed within 1 000 feet o* the outer boundary of o school site'
DYES
IF AMY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY 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
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 LENDER S ADDRESS
10 APPLICANT'S SIGNATURE
I certify that I have rend the application and state that the above information is correct I agree to comply with all City ordinances and State laws relating
to building construction 1 hereby authorize fepresentatives 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 UHICH MAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
Fxpiration Every permit issued by the Building Official under the provisions of this Code shill 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)
APPLICANT INTRACTOR PHONE APPROVED BY
DATE
YELLOW Applicant PINK Finance
PERMIT# CB900003
DESCRIPTION. TEMP
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 01/04/90
POWER FOR TENT
TYPE ELEC
JOB ADDRESS
APPLICANT:
CONTRACTOR-
OWNER-
2100 COSTA DEL MAR RD
COE, BARRY
EVENT TECHNICAL SVS .
PHONE.
PHONE:
PHONE:
INSPECTOR AREA
PLANCK* CB900003
OCC GRP
CONSTR. TYPE NEW
STR: FL STE:
213-233-8368
213-233-8:
REMARKS: T3/MH
SPECIAL INSTRUCT
TOTAL TIME
INSPECTOI
TEMP POWER IN TENT FOR PARTY. THURS AM IF POSSIBLE
THE TENT & GENERATOR IN SITE, CARD ATTACHED TO TENT.
IT'S IN
—RELATED PERMITS— PERMIT#
CB880569
CB880696
CB881057
CB881261
CB881272
CB881346
CB881525
CD LVL DESCRIPTION
37 EL Temp. Occ./Tents/Circus
TYPE
RAD
CTI
CTI
CTI
CTI
MECH
RAD
STATUS
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ACT COMMENTS
A/.
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS
CLEARANCE