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HomeMy WebLinkAbout2100 COSTA DEL MAR RD; ; CB910129; Permit\ • ' A BUILDING U//28/91 08 37 Pcige 1 of 1 Job Addiess 2100 COSTA DEL MAR RD Permit Type ELECTRICAL Parcel No Valuation 0 Construction Type NEW Occupancy Group Class Code Description TEMP POWER FUR SHOW CLEARED WITH FIRE AND CODE ENFORCEMENT PERMIT Str Perm.it No Project No Development No Fl Ste U W£i Oi CB910129 A9100160 03 Appl/Ownr CONTRACTOR SPORTS SHINKO 2100 COSTA DEL MAR ROAD CARLSBAD, CA 92008 Status Applied Apr/Issue Validated By 619 438-9111 ISSUED 01/28/91 01/28/91 DC Lie * -V • SAN DIEGO STAGE AND LIGHTING 2030 EL CAJON BLVD SAN DIEGO, CA 92104 Fees Reciuired *** *•** Fees~ Collected & Credits V 'T .--GO •A. A Fees ' 15 00 Adjustments ; 00 Total Fec-s . 15 00 Fee description ; Total Credits Total Petyments Balance Due Units Fee/Unit 00 00 15 00 Ext fee Data Enter "\" for Electric Issue Fee > Enter "Y" fox- Temporary Service > * ELECTRICAL TOTAL1($10 Minimum) c> 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 (eis) 438-nei PERMIT TYPEDNEW DNEW DAPARTMENT A tU COMMERCIAL B D IWDUSTR/AL C DRESIDENTIAL DDUPLEX DDEMOLITION Q|MEI,HAN1CAL Q]POOL TENANT IMPROVEMENT IMPROVEMENT ncoNDO OSINGLE FAMILY DWELLING [^ADDITION/ALTERATION DRELOCATION DMOBILE HOME QELECTRICAL QPLUMBING DSPA QRETAINING WALL QSOLAR QOTHER_ PROJECT INFORMATION PLAN CHECK No EST VAL PLAN CK DEPOSIT_ VALID BY DATE FOR OFFICE USE ONI Y Near LEGAL La Costa Hotel & ERTpnoN^^"3 L^td Ds& Spa Resort Mar, RfL & Estre 11 a Dpi Mar Rrl (Fmplnypp narking ]n|) Unit No Phase No CHECK BELOW IF SUBM1TT Q2 Energy Calcs Structural Calcs _ D2 Soi Is Report Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE BLDG SO FTG TEMPORARY POWER FOR SHOW CLEARED WITH F«RE AND CODE ENFORCEMENT^: STORIES 3 CONTACT PERSON CITY SIGNATURE STATE DAY TELEPHONE APPLICANT Q CONTRACTOR AGENT FOR CONTRACTOR ADDRESS OOWNER DAGENT FOR OWNER STATE DAY TELEPHONE 5 PROPERTY OWNERNAME Sports Shinko Co CITY La Costa ADDRESS La Cost STATE Ca ZIP CODE 92009 DLESSEE QTENANT a Hotel & Spa Resort/La Costa Del DAY TELEPHONE 438-9111 M 3 T R(j 6 CONTRACTOR "AMESan Diego Stage & Lighting CITY San Diego STATE Ca ADDRESS 2030 El Cajon Blvd. ZIP CODE DAY TELEPHONE STATE LIC *_ S.GNATURE 92104 LICENSE CLASSQgnQr 299-2300 Q \ CITY BUSINESS LIC # 1 1^7567 TITLE rp, HQ^ °ATE—1/23/9i~aDESIGNER NAME CITY ZIP CODE DAY TELEPHONE STATE LIC « WORKERS' COMPENSATION Workers' Compensation Declaration I hereby affirm that 1 have a certificate of consen or a certificate of Workers Compensation Insurance by an admitted insurer or an ex insurer thereof filed with the Building Inspection Department (Section 3800 Lab C) INSURANCE COMPANY Allianz-Insurance Co. POLICY NO "CP t to self insure issued by the Director of Industrial Relations ;act copy or duplicate thereof certified by the Director of the EXPIRATION DATE 7/1/91 Certificate of Exemption I certify that in the performance of the work so as to become subject to the Workers Compensation Laws of California s permit is issued I shall not employ any person in any manner SIGNATURE 8 OWNER-BUILDER DECLARATION Owner Builder Declaration I hereby affirm that I am exempt from the Contractor s License Law for the following reason I | 1 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 impro/ement 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 ) [I 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 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 HOH 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 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 district7 DYES DNO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site7 DYES QNO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1 1989 UHiESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 9 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 read 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 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 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, apy time after the workX£,commenced for a period of 180 days (Section 303(d) Uniform Buildinq Code) APPLICANT CONTRACTOR ] BY PHONE APPROVED BY // / /)DATE / // WHITE File YELLOW Applicant PINK Finance PERMIT* CB910129 DESCRIPTION: TEMP CITY OF CARLSBAD INSPECTION REQUEST FOR 02/04/91 POWER FOR SHOW CLEARED WITH FIRE AND CODE ENFORCEMENT TYPE: ELEC JOB ADDRESS: APPLICANT- CONTRACTOR: OWNER: 2100 COSTA DEL MAR RD SPORTS SHINKO SAN DIEGO STAGE AND LIGHTING REMARKS: MH/CLAUDIA/299-2300 SPECIAL INSTRUCT: PHONE: PHONE: PHONE: INSPECTOR AREA PK PLANCKtf CB910129 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 438-9111 619-299-231 INSPECTOR TOTAL TIME: —RELATED PERMITS—PERMIT* CB881346 CB901563 CB901679 CB910095 TYPE MECH HOTEL COM HOTELR STATUS EXPIRED ISSUED ISSUED ISSUED CD LVL DESCRIPTION ACT COMMENTS 32 EL Const. Service/Agricultural DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS