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Home My WebLink About2270 COSMOS CT; ; CB052277; Permit06-20-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB052277 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Projeci 2270 COSMOS CT CBAD MISC 2130504200 $000 Subtype OTHER Lot* 0 GOOD FEET DEMO INTERIOR PATIONS & CEILING 1557GRANDx)<VE , CA 92069 619-4326677 Status Applied Entered By ISSUED 06/20/2005 SB Plan Approved 06/20/2005 Issued 06/20/2005 Inspect Area Owner DORAN REVOCABLE TRUST 03-09-94 3288 GARFIELD ST CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $6000 $000 $000 $6000 Total Fees $60 00 Total Payments To Date $000 Balance Due $6000 BUILDING PLANS IN STORAGE 02 60-00 Inspector FINAL APPROVA Date jJjL 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 Ihese 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 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 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL zZ ?7 Plan Ck Deposit Validated By_ Date f^, l-r a lolx // — - i Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use Proposed Use £/ Description of Work SQ FT #of Stories ff of Bedrooms # of Bathrooms CONTACT PERSON (if different from applicant) Name 3 v APPLICANT ^Contractor Address Agent for Contractor City Owner ' Q Agent for Owner State/Zip Telephone tt Fax # Name PROPERTY OWNER Address 110 City State/Zip Name Address City State/Zip Telepho'ne # 6 CONTRACTOR - COMPANY NAME ? ' , ' , ' »>• (Sac 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 pjore than five hundred dollars [$500]) I Name State License tt - \PS *")O 6$ Address License Class t? City State/Zip City Business License # 5 \ Address City State/Zip TelephoneDesigner Name State License # $ WORKERS! COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~l 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 pK I 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 £ 1jPl~TC fQt**& I r^J 0 \UhfCjQr Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) f~1 CERTIFICATE OF EXEMPTION I certify that in the pe^ormance 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 Compensatioa-tHwsjfcjrtalifornia WARNING Failure to secure jfoj-kers compenWiphAKIyerage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 """>/"//'*'"*'"" *" tht ™^r|y'"''W •*""•'•••• damages as provided for in Section 3706 of the Labor code interest and attorney a fees ',7 OWNER BUILDER DE^^frotJ-:^_Jj ,;,y ,i, ;..,"<:. - • ~~< ~ I hereby affirm that I am exempt from the Contractor s License Law for the following reason [3 I as owner of the prj/perty 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 an^/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) n 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) [3 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 Q 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 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 / typeof work) lo;jr PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR )VO/V-fifS/OeV77/at BUILDING PERMITS ONLY , *;. f " •< '' 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 }3 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES <^. NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q 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 * CONSTRUCTION LENDING AGENCY,. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S NAME LENDER S ADDRESS 9. ,'^AP)?UCANT CE8T)FICAT«ON, ,-",:. , , -. ~- " . ..- , * v-- , - •' : ., , , .. , , . .; :, . 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 HARMLLSS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES Y WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMITJUDGMENTS COSTS AND EXPENSES WHICH MAY IN OSHA An OSHA permit is required for excavations EXPIRATION Every permit issued authorized by such permit is not comi at any time after the work is commem APPLICANT S SIGNATURE 0" deep and demolition or construction of structures over 3 stories in height provisions of this Code shall expire by limitation and become null and void il the building or work date of such permit or if the building or work authorized by such permit is suspended or abandoned lays (Section 106 4 4 Uniform Building Code) DATE WHITE File YELLOW Applicant PINK hnance