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Home My WebLink About2271 COSMOS CT; ; CB960116; Permitr" 01/22/96 15 Page 1 o£ Job Address Permit Type Parcel No Valuation BUILDING PERMIT 35 1 2271 COSMOS ELECTRICAL 213-050-41-00 20,000 Permit No Project No Development No CB960116 A9600189 CT Suite Lot# Occupancy Group Reference* Description DEMO EXIST PONY WALLS,ADD 100 AMP CIRCUIT PANEL,ADD LIGHT FIXTURES Appl/Ownr WELANDER CONSTUCTIOM 1846 DEVON PL VISTA, CA 92084 Construction Type Status Applied Apr/Issue Entered By 619-726-9340 NEW ISSUED 01/22/96 01/22/9b RMA **A FeeG Required ***A -A *Fees .Collected & Credits * * * Fees Adjustments Total Fees Fee description /' { \ '-.••• •4 ..... ..••. 100/00 h V'\ •• / ^ li'" " ••'••-;•1.00 gox | , ' "V- \ v / •-'. '• ' . \ •-' ••' :.••• A • •" / / '\ Total .Credit s} \ •; . Tota] ;.Paymeh;t.s,.j\ \ •' 'Units Feei/Uni.t \ 00 00 100 no Ext fee Data Enter "Y" for Electric ...Issue Fee \> Three Phase Per AMPJ [' /"; x>-^% Enter "Y" for Remodel x-"-'--'' '' K»>\ 1.00 Other * ELECTRICAL TOTAL \!>,\ 10 00 Y 50 00 10 oo y 30 00 DEMO WALLS 100 00 CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las PaImas Or., Carlsbad. CA 92009 (619) 438-1161 T PERMIT TYPE From List 1 (see back) give code of Permit Type For Residential Proiects Only From List 2 (see back) give Code of Structure Type Net Loss/Gam of Dwelling Units . 2. PROJECT INFORMATION PLAN CHECK NO g? j9 PLAN CK DEPOSIT I VALID BY. fl JL. DATE I' * ^ '- ' ' FOR OFFICE USE ONLY Building or Suite No Nearest Cross Street LEGAL DESCRIPTION Lot No Subdivision Name/Number Unit No Phase No CHECK BELOW IF SUBMITTED D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ FT A'*>° fiOO # OF BEDROOMS # OF BATHROOMS 3 UUNI Al."l JTlKiiUN (il dinerent rrom applicant; NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4 i> 6 APPIJCANT ^CONTRACTOR U AGENT FOR NAME (last name first) lvtetA4/o4c. T/5t(.f."f CITY V/ J fx? STATE £_/( PROPERTY OWNER i^. , ... NAME (last name firstfji/y- ^fL-O f^ //[^ CITY STATE CONTRACTOR . . xNAME (last name first) l\Sl*l-AViQ*(rL r / fl.^1. CONTRACTOR ADDRESS ZIP CODE £), Ht &0 ZIP CODE Y U OWNER a AGENT FOR / f</4 di£Ve>*J fyi i. 0 ? */ DAY TELEPHONE / AjgBRESS«-' f DAY TELEPHONE ADDRESS /frY£ A? •*</<! OWNER fl^-iy^A «/ / <• I/ CITY STATE C "T ZIP CODE *} /O(TY DAY TELEPHONE STATE LIC #i"S'l7'?<7 LICENSE CLASS B CITY BUSINESS LIC # ULSlGNhK NAMh (last name lirst) fyj rtH't- CITY -^ 5&.^ STATE C-°ADDRESS 7 WORDS'COMPENSATION ZIP CODE ^^ £•% 9 DAY TELEPHON E ^ff1/- 2 2F1} STATE LIC # Workers' Compensation Declaration I hereby attirm that I have a certificate ot consent to sell insure issued by the Director orinilustnal 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 Certificate ot Exemption I certify that in the pcrtormance 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 8 OWNER-BUUDER Owner builder Declaration I hereby attirm that I am exempt Irom the Contractors License Law tor the following 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 i 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 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 UNIJSS Tin APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND HIE AIR POLLUTION CONTRO1 DISTRICT I CUNbTKUd'KJN IJiNUlNCi AGENCY 1 hereby attirm that there is a construction lending agency tor the pcrtormance ot the work tor which this permit is issued (Sec 3097(1; Civil Code) LENDER'S NAME LENDER'S ADDRESS 10 APPLICANT 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 THE OTY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO OTY IN CONSEQUF.NCE OF THE GRANTING OF THIS PERMIT OSIIA. An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height 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 365 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoncjLat-any time afterine work is commenced for a period of 180 days (Section 303(d) Uniform Building Code) APPLICANTS SIGNATURE f \ ^^' DATE /— J File YELLOW Applicant PINK. Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT! CB960116 FOR 03/12/96 DESCRIPTION: DEMO EXIST PONY WALLS,ADD 100 AMP CIRCUIT PANEL,ADD LIGHT FIXTURES TYPE: ELEC JOB ADDRESS:2271 COSMOS CT APPLICANT: CONTRACTOR: OWNER: WELANDER CONSTUCTION PHONE: PHONE: PHONE: INSPECTOR AREA TP PLANCK* CB960116 OCC GRP CONSTR. TKPE NEW STE: . LOT: 619-726-9940, / REMARKS: MW/TERRY/740-7579 SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: —RELATED PERMITS—PERMIT* CB880631 SE940025 AS940018 CB940416 FS950011 AS950041 FAD95009 CB951775 TYPE ELEC SWOW ASTI ITI FIXSYS ASTI FADD MISC STATUS EXPIRED ISSUED ISSUED EXPIRED ISSUED ISSUED ISSUED ISSUED CD LVL DESCRIPTION 39 EL Final Electrical ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 020896 Rough Electric CO TP 020296 Rough Electric CO TP 020296 Frame/Steel/Bolting/Welding CO TP COMMENTS SEE JOB CARD SUPPORTS SUPPORT OF T-BAR GRID @ LITES 02-13-1996 03 52PM FROM flflflflflflflflflflAflflRflflflPlflPlPlflRflPI TO 9311938 P 02 G.A. Rogers Enterprises €V* February 13, 1996 Taylor Made Golf Carlsbad, CA Attn Terry Welander To Whom it May Concern G A Rogers Enterprises brought the inside sales area at the above project, up to current ceiling codes This included adding wires to the light fixtures, re-leveling the grid, and general beautification Please feel free to contact me if you have any further questions Respectfully, Bob Garcia, Manager G A ROGERS ENTERPRISES 6364 Ferns Square • San Diego, California 92121-3247 • (619) 452-2092 Lie #502376 FAX I (619) 452-2096 TOTfiL P 02 City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by section 3700 of the Labor Code, for the performance of the work for which this permit is issued I have and will maintain workers' compensation, as required by section 3700 B of the Labor Code, for the performance of the work for which this permit is issued My workers' compensation insurance carrier and policy number are INSURANCE COMPANY POLICY NO EXPIRATION DATE (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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 C \ workers compensation laws of California Signatur Warning Failure to secure workers' compensation coverage is unlawful, and shall be subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, Interest and attorney's fees March 3, 1995 2075 Las Palmas Dr • Carlsbad CA 92009-1576 - (619) 438-1161 • FAX (619) 438-O394