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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