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HomeMy WebLinkAbout2270 COSMOS CT; ; CB051480; Permit04-26-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB051480 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2270 COSMOS CT CBAD PLUM 2130504200 Lot# Construction Type 0 NEW PROFFESSIONAL AUDIO UNDERGROUND WASTE FOR FUTURE RR Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/26/2005 MDP 04/26/2005 04/26/2005 1557 GRAND AVE 3AN.MABG0SCA 92069 619-432-6677 Owner DORAN REVOCABLE TRUST 03-09-94 3288 GARFIELD ST CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees 0 1 0 0 0 0 0 \ $20 00 $000 $1500 $000 $000 $000 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $3500 Total Fees $35 00 Total Payments To Date $0 00 Balance Due $3500 6837 04/26/05 Inspector FINAL APPROVAL Date / " 7 ~~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 fees/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 m 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 nght 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 given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1, PROJECriNFQRMATION--7 Tfa LJu_imLi^iL I*-**1*?*-?SS^Hg^H^^ Address (include Bldg/Suite #) FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit. Validated By Date 70 Business Name lat this address) Legal Description Assessor s Parcel # flilSitjiTO /OgCO Description of Work Lot No Subdivision Name/Number Existing Use fUbpl&/**6 Lit* 6 &°t- <*oroit& SQ FT #of Stories Unit No Phase No Proposed Uset-fit # of Bedrooms Total tt of units # of Bathrooms I, iCOfjlTAGf>PERSONi(tf different from applicant! Name Addre<s Q Agent tor Contractor • Q Owner .irup/r1 tity gent'for Owner State/Zip Telephone .Fax # -C} Name Address City LAH^tt^a State/Zip Telephone # Name Address City Telephone * l«Bs«ie^f*(ii«l*«!l»S,iJ!' f^' (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 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 I $6001) c-5-J- «w»*v*i.« /. i/v, €fc»2.-"rOf.-o o Name State License tt Address License Class & City State/Zip City Business License tt Telephone # -3^**L 4"7*-c Designer Name State License # Address City State/Zip Telephone Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q I have end 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 QLJ have and will maintain workers 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 g/'Z^xTg P t>WP < Hjf UgfV/'C^ Policy No Expiration Date g> <K - Z t " G-C (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) Q 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 Compensation Laws of California WARNING F«!lu«jlo-SScure workeT&VfoDinpensatlon coverage la unlawful and shall subject an employer ito criminal penalties and civil fines up to one hundred thousand dollars ,($1001600) In addltloHno the cost of compensation damages as provided for In Section 3706 of the Labor code Interest and attorney s fees SIGNATURE X^ fC, ^Xfr>, JA\ DATE I hereby affirm that I Wn exempt from the Contractor s License Law for the following reason n 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 Contra! tor s License Law does not apply to an owner of pi opart v 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 yeer of completion the owner builder will have the burden of proving that he did not build or improve for the purpose of sale) Q 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) C] 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 D YES QNO 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 / contractors license number) _____^ 5 t 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 teOMPLETE,THIS SECTIONiFOR «OW-BFS/DE«rMi 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? Q YES 0^ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or sir quality management district? Q YES 0v NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q YES (g>-NO IF ANY OF THE ANSWERS ABE 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDER S NAME LENDER S ADDRESS I certify that I have read the application and state that the above information 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 CitV 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 JUDGMENTS 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 over S 0" deep and demolition or construction of structure: over 3 stories in height EXPIRATION Every permit issued by the building Official We) 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 »flhin 180 daj/h/poih the date of such permit or if the building or wort authorized by such permit is suspended or abandoned at any time after the work is commencedJeBaTSeriod of la&Ms (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE >4 -2,6 -< YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 06/02/2005 Permits CB051480 Title PROFFESSIONAL AUDIO Description UNDERGROUND WASTE FOR FUTURE RR Sub Type 2270 COSMOS CF Lot Type PLUM Job Address Suite Location APPLICANT CSI GENERAL INC Owner DORAN REVOCABLE TRUST 03-09-94 Remarks Inspector Assignment Phone 7604970090 Inspector Total Time CD Description 21 Underground/Under Floor 22 Sewer/Water Service Act Comment Requested By MARK Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments D GVSSIdfrD sonsoo o/_<z « License Detail Page 1 of 2 California Home Tuesday, A License Detail CALIFORNIA CONTRACTORS STATE LICEN Contractor License # 537064 | DISCLAIMER | A license status check provides information taken from the CSLB license data base Before j on this information, you should be aware of the following limitations i • CSLB complaint disclosure is restricted by law (B&P 7124 6) If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below Click on the hn button to obtain complaint and/or legal action information • Per B&P.7Q71.1.7, only construction related civil judgments reported to the CSLB are disclosed • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base * * * Extract Date 04/26/2005 Business Information * * * CSI GENERAL INC 802 TWIN OAKS VALLEY ROAD STE 105 SAN MARCOS, CA 92069 Business Phone Number (760) 471-9388 Entity Corporation Issue Date 08/04/1988 Expire Date 08/31/2006 * * *License Status * * * This license is current and active All information below should be reviewed * * *Classifications * * * Class | Description_ _____ * * * Bonding Information * * * CONTRACTOR'S BOND This license filed Contractor's Bond number 691341 in the ami http //www2 cslb ca gov/CSLBJLIBRARY/License+Detail asp 04/26/2005 License Detail Page 2 of 2 $10,000 with the bonding company SURETY COMPANY OF THE PACIFIC Effective Date 01/01/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL^) The Responsible Managing Officer (RMO) TERF MATSON certified that he/she owns 10 percent or more of the voting stock/equity of the cor A bond of qualifying individual is not required Effective Date 06/03/1996 * * * Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number 046-0014720 Effective Date 08/01/2004 Expire Date 08/01/2005 Workers Compensatipn History Personnel listed on this license (current or disassociated) are listed on other licet Personn.eLLjst Other Licenses 1 License Numbei i Request 1 Contractor Name Request |persqnne!_Name Request Salesperson Request • Salesperson Name Request © 2005 State of California Conditions oLUse Privacy Policy http //www2 cslb ca gov/CSLBJLIBRARY/License+Detail asp 04/26/2005