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Home My WebLink About2075 LAS PALMAS DR; ; CB052140; PermitIMIN1110111/1111.1 1111111111111111111111111111111 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-07-2005 Miscellaneous Permit Permit No: CB052140 Building Inspection Request Line (760) 602-2725• Job Address:2075 LAS PALMAS DR CBAD Permit Type:MISC Subtype:OTHER Status:ISSUED Parcel No:2130611900 Lot #:0 Applied:06/07/2005 Valuation:$0.00 Entered By:SB Reference #:Plan Approved:06/07/2005 Issued:06/07/2005 Pro'ect Title:CYGNUS COMMUNICATIONS Inspect Area: REMOVE CLEAN ROOM Applicant:Owner: FLOWST CITY OF CARLSBAD 6800 SILACCI WAY 95020 PUBLIC AGENCY 00000 408-842-2400 Miscelaneous Fee #1 PERMIT FEE $60.00 Miscelaneous Fee #2 $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $60.00 Total Fees:$60.00 Total Payments To Date:$0.00 Balance Due:$60.00 0073 06/07/05 0002 )1 02 FINAL APPROVAL Inspector:eZW---Date:.00 Clearance: NOTICE:Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/exactions."You have 90 days from the date this permit was issued to protest imposition of these fees/exactions.If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030.Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project.NOR DOES IT APPLY to any fees/exactions of which you have previously been aiven a NOTICE similar to this. or as to which the statute of limitations has Previously otherwise expired. FOR OFFICE USE ONLY .-t/ Off' - CA it,f PLAN CHECK NO.C.AP3 1 LfD . 91 PERMIT APPLICATION A—-'.7--.-1'.. ;0 EST. VAL.p i.)44 CO Plan Ck. Deposit CITY OF CARLSBAD BUILDING DEPARTMENT 1 Validated Validated B I 1635 Faraday Ave., Carlsbad CA 92008 Date 1.PROJECT INFORMATION 1110 Address (include Bldg/Suite #)Business Name (at this address) 2075 Las Palmas Drive Cygnus Communications,Inc.1 Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of unitsAllofLot-5,Carlsbad Tract Number 80 -33 1 1 1 Assessor's Parcel #Existing Use Proposed UseOffice/Light Manufacturing Same Description of Work SQ. FT.# of Stories # of Bedrooms # of Bathrooms Remove Modular Cleanroom 6,820 1 0 0 L CONTACT PERSON (if different from applicant) Nai fltal._-71_.1.-.1.-ph.n./1 F.1. 13.APPLICANT 0 Contractor rx Agent for Contractor 0 Owner 0 Agent for Owner Doug:Waltman 2075 Las Palmas Dr.Carlsbad,CA 92009 760 -448 -4174/448 -1989 Name .J Ire...city St..ta .'it.1.140.44 14.PROPERTY OWNER City of Carlsbad 1200 Carlsbad Village Dr.Carlsbad,CA 92008 760 -434 -2808 Nano-.It,'.Lite up Telephone 4 5.CONTRACTOR -COMPANY NAME t6ec.7u31.5 Business and Professions t.ode: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,commending 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 [$500]).Flowstar 6800 Silacci Way Gilroy,CA 95020 (408)842 -2400 Name 774582 CAddress City State/Zip 0 t - reiephece # State License #License Class City Business License # 4:1\-N t o 1-0.1_.N/A Designer Name Address City State/Zip Telephone # State License # l6.WORRER'S COMPENSATION 4 IIIWorker.'Compensation DeL.laratiuti.I hereby affirm under penalty di puhuiy uric of the following declarations: O 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 worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued.My worker's compensation insurance carrier and_policy number are: Insurance Company State Fund Policy No.163291 Expiration Date 7 /05 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100]OR LESS) O CERTIFICATE OF EXEMPTION: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 Workers' Compe sation Laws of California. WARNING:Failure to secure w•rke compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand ollars(6100,000)140 additi •to e of compensation, damages are provided for in Section 3706 of the Labor Code, interest and attognyires/ r._ SIGNATURE 1 i =or 7 %i.E.';;=.:4 •.„„.14 ECLARATION DATE IVO 07 OD II I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 13 I,as owner of the property or my employees with wages as their sole compensation, will d 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). O 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). O I am exempt under Section Business and Professions Code for this reason: 1.I personally plan to provide the major labor and materials for construction of the proposed property improvement.0 YES 0 NO 2.I (have/have not) signed an application for a building permit for the proposed work. 3.I have contracted with the following person (firm) to provide the proposed construction (include name / address/phone number/contractors license number): 4.I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / /ontractors license number): 5.I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address/phone number /type of work): PROPERTY OWNER SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY' OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration for or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?1:1 YES NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 YES NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8.CONSTRUCTION LEN I hereby dftlfill that there lb a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME N /A LENDER'S ADDRESS N /A APPLICANT CERTIFICATION _ I certify that I have read the appikation and state that the above lill01111.31.1011 is correct and that the information on the plans is accurate.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 CITY OF CARLSBAD AGAINST ALL LIABILITIES,JUDGEMENTS,COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA:An OSHA permit is required for excavations of 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 180 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 ection 106.4.4 Uniform Building Code). APPLICANT'S SIGNATUR DATE June 07,2005 WHITE: File YELLOW: Applicant PINK: Finance CAk.City of Carlsbad Bldg Inspection Request 7.)2et. For:06/28/2005 Permit#CB052140 Inspector Assignment: Title:CYGNUS COMMUNICATIONS Description:REMOVE CLEAN ROOM Type: MISC Sub Type:OTHER Phone:7608454554 Job Address:2075 LAS PALMAS DR Suite:Lot 0 Location:Inspector: APPLICANT FLOWSTAR Owner:CITY OF CARLSBAD Remarks: Total Time:Requested By:DOUG Entered By:CHRISTINE CD Description Act Comment 19 Final Structural Associated PCRs/CVs Inspection History Date Description Act Insp Comments ----_._ r , EMERGENCY EXIT ONLY EMPLOYEE KITCHEN EMPLOYEE 14-7 146 145 144 143 ENTRANCE EXIT ENTRANCE 137 .M.. 136.v1..4 Acm 1 ftEC7CAL149.Pli\----11.1.11- N1 +/RH**ii‘142 1P! 13. .1LEO RILL SHIP G — 8 '4 1 38 '`..L 1 ,134 — 151 .7-a.d111;1 zAR.diaim.-...BREAKROOM KITCHEN RECEIVI 133 1=immx .--1=qmp=z. INAIPUTER ROO 1601 160H*lie *Heon01Pi 140 161 132—.152 03 .L 141 153 . _, 154 i ----——131 a _e r (A)130__iv t60A 160;[Call p1/4. 160k.160E 1160F 1 160G 2.51556104M/P 1 129T•156 50 161A 16113 1610 EMI...128CCWERENCE ROOM 1 1..__ill....iEMERGENCY EXIT CLEANRCOM HALLWAY '?'127 125 1102'""'RE'TR°°N SHONE"i n tllIl103IN.A 1 1 1 W 10A - 158 126 101123 LIBRARY Heil .--*1111 .7. JO 1 Ds Ire/1159 1107 .........$108 ' .74. --,4 -124 I P"I 109 EMPLOYEE 110 111 112 113 '114 A.).122ENTRANCE REST BY 71 118 =25A 119 ,120 121,-.-----..)WAY ulow.........JUN 07 al LOBBY EMERGENCY N 115 116 117M. BUILDINGS4Pof CARLS;4 e \R CONFERENCE T I