HomeMy WebLinkAbout2293 COSMOS CT; ; CB930812; Permitlf$<&
BUILDING
08/16/93 16 26
Page 1 of 1
Job Address 2293 COSMOS CT
Permit Type ELECTRICAL
Parcel No 213-050-45-00
Valuation °
construction Type NEW Reference*
ISO KVA XFOBMEB PANEL
LIGHTS AND DROP CORDS
PERMIT
Suite
Lot#
Appl/Ownr O BRIEN, ED
2791 LOKER AVE WEST
CARLSBAD, CA 920/~
619 929-6116
Permit No CB930812
Project No A9301165
Development No
3520 08/16/93 0001 01 02
C-PRMT 210.00
Status ISSUED
Applied 08/13/93
Apr/Issue 08/16/93
Entered By MDP
* **Fees Required
cted & Credits
Fees
Adjustments
Total Fees
Fee description
Enter "Y" for Elec
Three Phase 480 P
* ELECTRICAL TOTAL
* *
, 00
00
210 00
Ext fee Data
10 00 Y
200 00
210 00
CITY OF CARLSBAD
2075 Las Pabnas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las PaImas Dr , Carlsbad. CA 92009 (619) 438-1161
PERMIT 'ITfPE
Q Commercial LI New Building U Tenant Improvement
D Industrial D New Building D Tenant Improvement
D Residential D Apartment D Condo D Single Family Dwelling D Addition/Alteration
D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing
D Mechanical D Pool D Spa D Retaining Wall D Solar D Other
2 PROJECT INFORMATION
Building or Suite No
PLAN CHECK NO
EST VAL
PLAN CK DEPOSIT
VAIJD BY
DATE
"Vvo. <•-r[ n/D
^^v«0 /
, \V"^
FOR OFFICE USE ONLY
Address ~~3.29J CoSloj
Nearest Cross Street
IJZGAL DESCRIPTION Lot No Sulxlivision Name/Number Unit No Phase No
CHECK BELOW IF SUBMI 1 1 tU
D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
SQ FT # OF STORIES
3 llJN I AUl PKHSUN in clillerent trom applicant)
NAME
CITY STATE CC*"r-
ADDRESS
ZIP CODE DAY TELEPHONE
4 APPLICANT
NAME
CITY
U CONTRACTOR a AGENT iOK CONTRACTOR
ADDRESS
STATE ZIP CODE
QOWNhR CTAGENT KJR OWNER
DAY TELEPHONE
5 PROPERTY OWNER
NAME /)
STATE
ADDRESS (=)<s>(
ZIPCODE 2-DAY TELEPHONE 7 / Y -~ ^ f^/ d
UhSlUNEH NAME
ADDRESS 0 K
/t/O/fCoJ STATE C A ZIP CODE 7^ o<i 1 DAY TELEPHONE
STATE LIC #'V<$y/98 LICENSE CLASS Q--/O CHY BUSINESS LIC #
CITY
7 WORKKKK" COMPENSATION
STATE
ADIJKKSS
ZIP CODE DAY TELEPHONE STATE LIC #
Workers Compensation Declaration I hereby al I irm that I have a certilicateol consent to sell insure issued by the Director oflndustnal
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>S7^7/$- __ ^________ ___I certily that in the pcrlormance ol the work lor which this permit is Issued
/C£A//?
Certiticate ot Exemption
so as to become subject to the Workers Compensation laws of California
^^ _ _ _I shall not employ any person in any manner
SIGNATURE DATE
8 OWNER-BUILDER DECLARATION
Owner Builder Declaration I hereby affirm that I am exempt Trom the Contractors License Law for 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 docs not apply to an owner of property who builds
or improves thereon, and who docs 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 loan 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 hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act7
G 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 district7
D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YliS Q NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNIJiSS THE APPLICANT
HAS MET OR IS MEETING 11 IE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
9 miMSTKUl.'!.ION LENDIMti AGENCJY
I hereby altirm that there is a construction lending agency tor the perlormance ot the work lor which this permit is issued (Sec 3097(0 Civil Code)
LENDERS NAME LENDER S ADDRESS
10 APPLICANT CERTIFICAI ION
I ceriily that I have read the application and state that the above inlormation is correct I agree to comply with all City ordinances and Stale laws
relating to building construction 1 hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes I AI.SO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LJABIIJTIES, JUDGMENTS, COSTS
AND EXPENSES Wind I MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF HIE GRANTING OF THIS PERMIT
OSHA 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 wnhm 365 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 (Section 303(d) Uniform Building Code)
APPLICANTS SIGNATURE DATE
WHITE File YELLOW Applicant PINK. Finance
July 29, 1993
TO WHOM IT MAY CONCERN
This letter authorizes Mr Ed O'Brien of Charter Golf Company
to apply for and procure building permit for tenant
improvements to be constructed at 2293 Cosmos Court,
Carlsbad, California The building was originally
constructed under Building Permit No CB 901860
AXIOM AIRPORT PAFWjERS %
By.
Christina Pisarik, C P M
Axiom Development Company
General Partner
03/16/94 INSPECTION HISTORY LISTING
FOR PERMIT* CB930812
DATE INSPECTION TYPE
11/30/93 Shear Panels/HD's
11/30/93 Frame/Steel/Bolting/Wel
11/30/93 Rough/Topout
11/30/93 Rough/Topout
11/30/93 Rough Electric
11/30/93 Rough Electric
09/10/93 Rough Electric
09/10/93 Final Electrical
09/10/93 Final Electrical
INSP ACT COMMENTS
PD
RI
RI
PD
RI
PD
PD
RI
PD
CO
RI
RI
CO
RI
CO
AP
RI
CO
MH/DAVE/432-6677
MH/DAVE/432-6677
MH/DAVE/432-6677
MH/KEVIN/741-1593
HIT <RETURN> TO CONTINUE...
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT! CB930812 FOR 09/10/93 INSPECTOR AREA PD
DESCRIPTION: ADD 150 KVA XFORMER, PANEL PLANCK* CB930812
LIGHTS AND DROP CORDS OCC GRP
TYPE: ELEC CONSTR. TYPE NEW
JOB ADDRESS: 2293 COSMOS CT STE: LOT:
APPLICANT: O BRIEN, ED PHONE: 619 929-6116
CONTRACTOR : PHONE :
OWNER: PHONE:
REMARKS: MH/KEVIN/741-1593
SPECIAL INSTRUCT: PM PLEASE
" '»INSPECTO
TOTAL TIME:
— RELATED PERMITS —PERMIT# TYPE STATUS
CD LVL DESCRIPTION
39 r EL Final Electrical
SE910007 SWOW ISSUED
ACT COMMENTS
Cj£> __
fctf _
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS