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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