HomeMy WebLinkAbout2293 COSMOS CT; ; CB910872; PermitBUILDING PERMIT
2293 COSMOS CT
ELECTRICAL
06/06/91 12 5
Page 1 of 1
Job Address
Permit Type
Parcel No
Valuation
Construction Type
Occupancy Group
Description TEMP POWER
Str
Permit No CB910872
Project No A9101064
Development No
f 0001 01F12771 02
c-r
0
I\iEW
Class Code
AXIOM DEVELOPMENT
Appl/Ownr AXIOM DEVELOPMENT
26202 CABOT ROAD #260
LACUNA NIGUEL, CA 92677
A- A * Fees Required *** *•**
714
Status ISSUED
Applied 06/06/91
Apr/lsoue 06/06/91
Validated By DC
643-5822
Fees Collected & Credits
Fees 15.00
Adjustments 00
Total Fees 15 00
Fee description
Total Credits.
Total Payments.
Balance Due
Units Fee/Unit
00
OG
15 00
Ext fee Data
Enter 1:Y" for Electric Issue Fee, >
Enter "Y" for Temporary Service >
* ELECTRICAL TOTAL f$10 Minimum)
5 0 0 Y
10 00 Y
15 00
CITY OF CARLSBAD
2075 Las Palmas Dr, Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las PaImas Pr . Carlsbad. CA 92009 (619) 438-1161
~AU Commercial U New Building U Tenant Improvement
B D Industrial C New Building D Tenant Improvement
C 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 DPool D Spa D Retaining Wall D Solar D Other
2 PROJECTINFORMATION
PLAN CHECK NO
KST VAI.
PLAN CK DEPOSIT,
VALID BY
DATE
FOR OFFICE USE ONLY
Address
LEGAL DESCRIPTION Subdivision Name/Number Unit No
CHECK liKLOW If
D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTIO
^XSQFT •f
N OF WORK
# OF STORIES
ri CUNIALT1 PlilCAJN (.it dillerent trom applicant.)
NAME
CITY
4 APPUCIANT U CONTRACTOR
NAME
CITY
5 HKOPIill'ITf UWNKK
^Jgrfi
6 CONTKAC1UK
NAME
CITY
STATE LIC
STATE
U AGEN1 1-OK
STATE
rtJ/Z^ A
STATE
STATE
#
ADDRESS
ZIP CODE
CON 1KAC1OR
ADDRESS
ZIP CODE
ADDRESS
ZIP CODE
ADDRESS
ZIP CODE
LICENSE CIASS
DAY TELEPHONE
U OWNLK U AGENT FOR OWNhH
DAY TELEPHONE
^s*^ (%&^^s~f,f ^/t~^& **60
DAY TELEPHONE X^^^-^-t-' ^L^AK^ <-**-- <%*?£
(?'</)£'?!'^--J*7::'z-''*- —
DAY TELEPHONE
CITY BUSINESS LIC #
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC #
7 WORKERS^ COMPENSATION
Workers Compensation Declaration I hereby allirm that I have a certilicate of consent to sell insure issued by the Director or 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
Ccrtiticate of Exemption I certily 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-BUILDER DIuLJ AHA IK IN
Owner Builder Declaration I hereby atrirm that I am exempt Irom 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 loan 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 loan owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's Ucense 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 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?n YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UN1J-SS THE APPLICANT
HAS MET OR IS MEETING THE.REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
9 CONSI KUiniON UilMUlNCi ACiKNCY
l hereby allirm that there is a construction lending agency lor the perlormance ot the work tor which tins permit is issued (Sec 309710 Civil Code)
LENDER S NAME LENDERS ADDRESS
10 APPUCANT CEH11J1 ICA HUN
Tceruly that I Have read the application and stale that the atxwc mlormation is correct 1 agree to comply wilh all City ordinances and Stale 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 KELP HARMLESS 'HIE CITY OF CARLSBAD AGAINST AU, LIABILITIES, JUDGMENTS, COSTS
AND EXPENSES WIIICII MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF 11 IF. 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 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 or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code)
APPLIC 1 SIGN DATE
WHITE File YELLOW Applicant PINK. Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB910872 FOR 06/21/91
DESCRIPTION: TEMP POWER AXIOM DEVELOPMENT
TYPE- ELEC
JOB ADDRESS: 2293 COSMOS CT
APPLICANT: AXIOM DEVELOPMENT
CONTRACTOR:
OWNER:
REMARKS: MH/WAYNE/747-6112
SPECIAL INSTRUCT:
INSPECTOR AREA PY
PLANCK# CB910872
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
PHONE: 714 643-5822
PHONE:
PHONE:
INSPECTOR
TOTAL TIME:
—RELATED PERMITS—PERMIT! TYPE STATUS
CB901860 INDUST ISSUED
SE910007 SWOW ISSUED
CD LVL DESCRIPTION
32 EL Const. Service/Agricultural
ACT COMMENTS
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS