HomeMy WebLinkAbout2271 COSMOS CT; ; CB880279; Permit- DECI'iRATIONS
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BUSINESS LICENSE « 1-?£>«*VALUATIONPERMIT NUMBERC6w**~ifCARLSBAD BUILDING DEPARTM2075 Las Palmas Dr , Carlsbad, CA 92009 1915 (619EN8T1161 APPLICATION & PERMITc
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DEVELOPMENT PROCESSING SERVICES DIVISION
2075 LAS PALMAS DRIVE
CARLSBAD, CALIFORNIA 92009
BUILDING PERMIT
Permit No
Status
This type
Parcel number
Group-occup/use
Owner
Applicant
Applicant Addr
Location
Phone number
Construction
Permit to do
CB880279
ISSUED
ELECTRICAL
PAGE 1 OF 1
03/03/88 14-15
Validated by
Inspector area
Date applied
Date approved
Date completed
Date expired
DC
03/03/88
03/03/88
TAYLOR MADE GOLF
ANDREX
20101 HAMILTON AVENUE
2271 COSMOS CT
9319789
NEW
TORRANCE, CA 90502
Contractor : ANDREX DEVELOPMENT
This type : ELEC
Fee description
Lie. C NO 9319789
Units Fee/unit Ext fee Data
Electrical Total ($10.00 Minimum)
*** Fees Required *** ***
Total Fees: 15.00
15.00
Fees Collected & Credits ***
Total Payments:
Balance Due:
15.00
.00
CALL FOR INSPECTION
24 HOURS A DAY 438-3101
FOR FINAL INSPECTION CALL
BUILDING DEPT 438-3101
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
FRONT LEFT SIDE
It is the intent of this form to comply with requirements of Section 19825 of the Health and Safety Code Applicant waves
any irregularities in the location of the declarations
LICENSED CONTRACTORS DECLARATION
I—I I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code, and my license is in full force and effect
License Class Lie No
Hate Contractor
OWNER-BUILDER DECLARATION
I—II hereby affirm that I am exempt from the Contractors License Law for the following 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 or she
is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division
3 of the Business and Professions Code) or that he or she 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) )
I—II, 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 Contractors License Law does not apply
to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her
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 or she did
not build or improve for the purpose of sale )
I—II, as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044,
Business and Professions Code The Contractors License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors License Law )
DI am exempt under Sec B & P C for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
Insurance, or a certified copy thereof (Sec 3800 Lab C )
Policy No Company
I I Certified Copy is hereby furnished
II Certified copy is filed with the City Development Processing Services Division
Date Applicant
CERTIFICATE OF EXEMPTION tROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) or less )
I I I certify that in the performance of the work tor 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
Date Applicant
NOTICE TO APPLICANT If after making this Certificate of Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed
revoked
CONSTRUCTION LENDING AGENCY
I \ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is
issued (Sec 3097, Civ C )
Lender's Name
Lender's Address
[ have carefully examined the completed permit and do hereby certify that the information contained herein, including the
declarations, are true and correct and I fuither certify and agree if the permit is issued to comply with all city,
county and state laws governing building construction, whether specified herein or not 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
"I authorize representatives from the City of Carlsbad to enter the above described property for inspection purposes "
Applicant's Signature Owner II Contractor II Date