HomeMy WebLinkAbout2293 COSMOS CT; ; CB920144; Permit02/07/.2 09 57 BUILDING
Pa<je l o.l i
Job Address 2293 COSMOS CT
Permit Type ELECTRICAL
Parcel No
Valuation 0
Construction Type NEW
Occupancy Group Cla---
Description TEST METER PER CAMERo"'""'
Appl/Ownr AXIOM IMPORT PARTNERS
28202 CABOT ROAD #200
LACUNA NI&UEL, CA 92677
PER M I
Str Fl
Permit No CB120144
Project No A9200428
Development- No
st~6293 02/07/92 0001 01 0?
C-PRMT 35.00
Code Status ISSUED
Applied 02/07/92
Apr/Issue 02/07/92
Val idated Bv pr
714 365-5455
Fees Required
Fees
Adjustments
Total Fees
Fee description
Fees Collected & Credits A <;
35 UU
. 00
J 5 U {!Total Credits-
Total Payments•
Balance Due•
Units Fee ./Unit-
Enter "Y" for Electric Issue Fee >
Enter "Y" if Test Meter >
* ELECTRICAL TOTAL
00
00
350 0
Ext fee D<?ta
10 00 Y
25 00 Y
35 00
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las PaImas Dr . Carlsbad. CA 92009 (619) 438-1161
PERMIT TYPE
A
B
C
fNew EU Commercial BrNew Building U Tenant Improvement
D Industnal D New Building D Tenant Improvement
D Residential D Apartment D Condo D Single Family Dwelling D Addition/Alteration
D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing
D Mechanical D Pool D Spa D Retaining Wall D Solar D Other
2 PROJECT INFORMATION
PLAN CHECK NO
EST VAL
PLAN CK DEPOSTT_
VAIJD BY ~
DATE
FOR OFFICE USE ONLY
Address Building or suite No
barest Cross Street
LEGAL DESCRIPI ION Subdivision Name/Numner
CHECK BKLOW 11-'
D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSFSSOR S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
SQ rr # OF STORIES
3 UDNTAUT FEHSUN UI oillerent^rom
NAME
CITY
ADDRESS
TELEPHONE / "
4
!>
6
APPIJCANT U (JUN 1 KAC 1 OR
NAME
CITY
PHOPKHTY OWNhK
NAME
CITY
CONTKACriDK
NAME
CITY
STATE LIC
LJ ACJEN 1
STATE
STATE
STATE
#
1'OK CJUN 1 HAC1UK
ADDRESS
ZIP CODE
ADDRESS
ZIP CODE
ADDRESS
ZIP CODE
LICENSE CLASS
UOWNL.H QACJEN1 hOK OWNER-**" s -j tf/\ &s .- _. x -»'--- . ~~
DAY TELEPHONE
DAY TELEPHONE
DAY TELEPHONE
CITY BUSINESS LIC #
DESIGN til NAME
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC #
WOllKliKS" COMPENSATION
Workers' Compensation Declaration I hereby atlirm that I have a certificate of consent to self insure issued by the Director of 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 the insurer thereof filed with the Building Inspection Department (Section 3800, Lab C)
INSURANCE COMPANY POLICY NO EXPIRATION DATE
Certilicate ol Exemption 1 ccrtity that in the performance ol 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
SIGNATURE DATE
8 OWNER-BUIIDI'.H UhtJAKAlJON
Owner Builder Declaration I hereby affirm that I am exempt from the Contractors License Law for the following reason
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
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)
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 therafrom, and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit
subjects the apmlicanfr^ci/civil penalty otji&t more than five hundred dollars [$500])
SIGNATURE ( * ~-^Z^ ^* ^* ~ ^ - 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 Act7
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 UNLESS THE APPIJCANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POIJAJTION CONTOOL DISTRICT
9 uuNSTiiucTiuN U-INUING AGENCY
^^ 1 hereby allirm tn
LENDER'S NAME
10 APPLICANT
nslru/elion lending agency lor the
LENDER s ADORES;
s a cpnslmet rlormance ot the work tor which this permit is issued (Sec 3097(0 Civil Code)
I ceruly that I have read the application and slate 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 INDF.MNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AIJ, IIABILITIES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSIIA. An OSHA permit is required for excavations over 5 0" 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 authorized by
such permit is suspended^ abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code)
APPLICAN:DATE
WHITE File YELLOW Applicant PINK. Finance
^ CITY OF CARLSBADi
ELECTRIC AND GAS METER CLEARANCE
INTER-DEPARTMENT
ADDRESS -2,2
S E O Service Equipment Only
Reason, If Denied
YES
NO
ELECTRIC METER
GAS METER
COMMERCIAL
RESIDENCE
NEW SERVICE
RELOCATE
T P P B
TEMP P/P
UP-GRADE
TEST METER
COMMERCIAL
RESIDENCE
TEST METER
\s
YES
NO
YES
NO
Suildr'ng Inspector Signature 'Date'
^M^n^^^ 3-/7/?J-
<5a'Ufed in/By
Time
Time
RCU BY XEROX TELECOPIER 7010 2- 6-92 11 0901-1 CCITT 63Hs
of Carlsbad
SUBJECT. TESTING ELECTRICAL METER ON PERMANENT BASIS
Clearance of the meter located at „______
is for testing purposes only. It expires in 30 days Issuance of this permit does not Imply
that the project is finalized or that a Certificate of Occupancy has been issued. The
building will not be approved for occupancy until all applicable City departments have
approved the project.
Please return this statement with your signature. The meter will be cleared through the
San Diego Gas and Electric Company by the Building Inspector of record.
Thank you for your cooperation.
TONY MATA
Principal Building Inspector
Applicant
InspQCtor
Approved By;
cc Fire Marshall
2O75 Las Palmas Drive • Carlsbad, California 92OO9 • (619) 430-1161