HomeMy WebLinkAbout2270 COSMOS CT; ; CB951589; PermitBUILDING PERMIT Permit No
10/31/95 09 28 Project No
Page 1 of 1 Development No
Job Address 6400 HIDDEN VALLEY RD Suite
Permit Type ELECTRICAL a,.s.
Parcel No Lot* "l4""
Valuation 0 Construction
Occupancy Group Reference* Status
Description TEMP POWER FOR PARK Applied
Apr/Issue
Entered By
Appl/Ownr TEMP POWER SYSTEMS 714 632-1999
1111 N TUSTIN
ANAHEIM, CA 92807
CB951589
A9502317
02
VN 35.00
ISSUED
10/31/95
10/31/95
MDP
*** Fees Required **** **Fees Collected & Credit:* * *
Fees 3,5 00!- x\/
Adjustments / O/O' N •"•
Total Fees / 35 0'Q:;:>;
Fee description / ...'•• .'.';;, :••/'
Total/ Credits
To t a 1 '^P a y m ten t s' -
"Balance -Due \
- "UnitsN \ -Feeyriit
00
00 •
35 00
Ext fee Data
Enter "Y" for Electric ""Is sue-Pee. \. '-_"".
Single Phase Per:AMP - x ">/.;.;
* ELECTRICAL TOTAL h } •. ! ~''\ f'
i'o•
\: '••••• "' :-,' I
' S. -.'
25-
10 00 Y
25 00
35 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 (619) 438-1161
T PERMIT 'ITfPE
From List 1 (see back) give code of Permit Type
For Residential Protects Only From List 2 (see back) give
Code of Structure Type
Net Loss/Gam of Dwelling Units _
PLAN CHECK NO.
EST VAL
PLAN CK DEPOSIT,
VALID BY ~
DATE
2 PROJECT INFORMATION FOR OFFICE USE ONLY
Address
Nearest Cross Street
Building or Suite No
LEGAL DESCRIPTION Lot No Subdivision Name/Number Unit No Phase No
CHECK BELOW IF SUBMITTED
D 2 Energy Calcs D 2 Structural Calcs O 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
SQ FT I # OF STORIES # OF BEDROOMS # OF BATHROOMS
UJNlACTTPERbUN (.it dirterenl irom applicant)
NAME (last name first)
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
APPLICANT Q CONTRACTOR Qs^GENT FOR .CON IRAC TOR U OWNER U AGENT hOR OWNIHT
NAME (last name first)lZ "\^> I •*& «=> t^s*. ADDRESS — - ' - ' v ^
CITY
'^j
. ISTATE ZIP CODE DAYTELEPHONE
5 PROPJ'KTY OWNER \ \ \ \ \ \ -C?
NAME (last name first) \\ OTpT=Gxf~C\ i\— • ^~ADDRESS
CITY STATE ZIP CODE ^Z-\\\DAY TELEPHONE — "7"7 (a \
6 CONTKACTOR
NAME (last name first)
CITY
STATE LIC
*$ ZIP CODE
LICENSE CLASS
DESIGNLK NAMfc. (last name lirst)
CITY STATE
ADDRESS \\\V VJ » —To^-rCA.
DAYTEIXPHONE 1\b
^^===^ Clrf B
AUUKKSb
CITY BUSINESS LIC #
ZIP CODE DAY TELEPHONE STATE LIC #
7 WORKERS^ COMPENSATION
Workers' Compensation Declaration I hereby affirm that I have a certificate of const nt to sell insure issued by the Director ol 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 thp insurer thereof filed with the Building Inspection Department (Section 3800, Lab C)
INSURANCE COMPANY POLICY NO N(gO3'l3>0£roxPIRATlON DATE \D-\ -
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 OWNER-BUILDER DECLARATION
(Jwner builder Declaration 1 hereby attirm that 1 am exempt from the Contractors License Law lor the lollowing reason
D I, 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 improvement 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)
D 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)
D 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 [S500])
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 harardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act'
D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,1989 UNIJvSS THE APPLICANT
HAS MET OR IS MEETING THE^.QUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
9 CONSTHULT1CJN 1.END1NG AGENCY
I hereby attirm trial there is a construction lending agency tor the perlormance ot the work tor which this permit is issued (.Sec 3097(iJ Civil Code)
LENDER'S NAME LENDER'S ADDRESS
10 APPULJUMT UiKTlFUJATlUN
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 I 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 11 IE CITY OF CARLSBAD AGAINST AIJ. LIABILITIES, JUDGMENTS, COS15
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF HIE GRANTING OF THIS PERMIT
OSIIA. An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones in height
Expiration Every permit issu
building or work authonzeiMiy such
such permit is suspended <jr_ abando
APPLICANTS SIGNATUR
nderjhe provisions of this Code shall expire by limitation and become null and void if the
it commenced within 365 days from the date of such permit or if the building or work authonzed by
ie after tj/e wopR is commenced for a period of 180 days (Section 303(d) Uniform Building Code) ^*-
DATE\Q--S\-<3>^
W Applicant PINK. Finance
; CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB951589 FOR 11/02/95
DESCRIPTION: TEMP. POWER FOR PARK
TYPE: ELEC
JOB ADDRESS: 6400 HIDDEN VALLEY RD
APPLICANT: TEMP. POWER SYSTEMS
CONTRACTOR:
OWNER:
REMARKS: MW/RENE/439-1999
SPECIAL INSTRUCT:
INSPECTOR AREA
PLANCK# CB951589
OCC GRP
CONSTR. TYPE VN
STE: LOT:
PHONE: 714 632-1999
PHONE:
PHONE:
INSPECTOR
TOTAL TIME:
CD LVL DESCRIPTION
32 EL Const. Service/Agricultural
ACT COMMENTS
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS