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HomeMy WebLinkAbout2271 COSMOS CT; ; CB003029; Permit08/16/2000 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB003029 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2271 COSMOS CT CBAD MISC 2130504100 $000 RESPIRONICS Subtype OTHER Lot# 0 Status Applied Entered By Plan Approved Issued Inspect Area REMOVE NON BEARING PARTIONS & T-BAR CEILING Applicant BYCOR CORP-GENERAL CONTRACTORS 6867 NANCY RIDGE SAN DIEGO, CA 92121 619-587-1901 ISSUED 08/16/2000 MDP 08/16/2000 08/16/2000 Owner VISTA INDUSTRIAL V LLC CIO ALLEN WIEDER 1285 AVENUE OF THE AMERICAS NEW YORK NY 10019 08/16'GO 000j OJ 02 30 = 00 Total Fees $3000 Total Payments To Date $000 Balance Due $3000 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES PERMIT $3000 $000 $3000 Inspector FINAL APPROVAL Date 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 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 capactiy 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 'IpRQJECfiNFORMAtlON 172 -71 ' FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #1 Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel ft Existing Use Proposed Use Description of Work SO. FT ,2 ^CONTACT PERSON :(if different from applicant) *;., i* jt. #of Stories # of Bedrooms # of Bathrooms /•—-^> / rteme Address City I i3 sfRE5lVPPLICANW . D Contractor s Q Agent for Contractor Q Owner*> Q AgenHpfOwrier ^ <P /=fe*O* ^ <3f State/Zip Telephone #Fax Name 4" PROPERTY OWNER : Address City State/Zip :.,..*; ' Telephone # Address City State/Zip Telephone #Name S (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 net more th^n five hupdred dollars ($5001) Name State License tt ' / ( 0*-^^ Address License Class >O City State/Zip /**/"•-City Business License tt fc>O ' Telephone tt 3</&& AC/Gt/^m *J£. H H~t- «£>€ Designer Name State License # Address City State/Zip Telephone jC "'WORKERS COMPENSATION t;" : ... ^.•-,.L..,.., " ,„ "h ,...h. s i.J; .,*;.„.,,'.. v^Jit&iM: ^ „. • ££?<-. ;Si, - ,..:•. ••>•> 1: -JL » 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 *ffi 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 Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 0 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 Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE DATE 7" OWNER BUILDER DECLARATION ^K ...'... Jl7;S ^.../I. L-; -i, "1,.,..-"'"* U! ' ~ !>>-. J'". - ..'. •......'. ...'• """,.1-**?':: 1 hereby affirm that I am exempt from the Contractor s License Law for the following reason F~l 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 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) [] 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) 0 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 l~l YES CD 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 / 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 / type of work) PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR 7VO/V /7FS/D£7V7Mi BUILDING PERMITS ONLY k 'JT ";, ";'"." ";. ' ''"'"'" f ° I, ^ -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 [H 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 C] NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? [U YES O 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 £L. CONSTRUCTION LENDING_AGENCY .. jj ,f ..... &. \ -J| ,'..'" |i : •, WrT; " " f' '"• .'"« ^1"'-. •-••**. ^""'" ~ ' •• '?1""" "" '""'"'" '" 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 £iv APPLICANT CERTIFICATION:, ^ Jl. .:, ____________ , .,,.,. JL. ,..; ...... at ..^U/S, , ...... rti-,, ........ '... .- "... .;! .„•„•,.,& •' -.. .' {, ..,.,.. :>' '" . .-.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 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 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 cornmgnced within 180 days from the date of such permit or if the building or work authorized by suclVpermit 15, suspended or abandoned at any time after the work is cornrpejiced/or a pej;ijJa of 180 da^g^Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance / r City of Carlsbad Bldg Inspection Request For 02/21/2001 Permit# CB003029 Title RESPIRONICS Description REMOVE NON BEARING PARTIONS & T-BAR CEILING Inspector Assignment 2271 COSMOS CT Lot Type MISC Sub Type OTHER Job Address Suite Location APPLICANT BYCOR CORP-GENERAL CONTRACTORS Owner VISTA INDUSTRIAL V LLC Remarks DEMO FINAL INSPECTION Phone 6193411014 Inspector Total Time CD Description 19 Final Structural Act Comments &£.. Requested By DAN MOORE Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 08'14/00 MON 09 35 FAX 18565S71903 BYCOR MAIN FAX PRODUCE 6192381828 ROBERT F DRIVER CO , INC 1620 5TH AVENUE SAN DIEGO, CA 92101-2703 CORPORATE LICENSE #OC36881 INSURED BYCOR GENERAL CONTRACTORS, INC 6490 MARINDUSTRY PLACE #A SAN DIEGO CA 92121 THIS CERTIFICATE IS ISSUED A3 A MATTER OF INFORMATION ONLY AND CONFERS NO WONTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAOE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE COVPANV A FIDEUTY 4 GUARANTY INS CO COMPANY B TIG INSURANCE CO COMPANYc COMPANY O THIS IS TO CERTIFY THAT THE POUCIES Of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURES NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OP SUCH POLICIES LIMITS SHOWN MAY HAVE BeSN REDUCED BY PAID CLAIMS eoLTA TYPE OF INSURANCE POLICY NUMBER OAT» (MMADWO BATEfMM/OWYY)LIMITS DRE2409600 6/01/00 6/01/01 I 3ENERAL AG6REOATE 2000000 X ! COMMERCIAL SENERALUABiUTY I CLAIMS MADE ' X| OCCUR OWNER'S ft CONTRACTOR'S PBOT PRODUCTS 1000000 I PERSONAL ft ADV iNJimY 1000000 6ACHOCCWWSNCE I FM DAMAGE JABV an» fttl MED EXP lAny ana fwsr] J000030 50000 50QO AUTOMOBU UABtUIV ANY AUTO ALL OWNED AUTOS SCHEDULED ALTOS HIRED AUTOS NON-OWNED AIJT08 DRE2406600 6/01/00 6/01/01 COMBINED 3B«3L£ LIMIT 1000000 BODILY INJUffv BODILY INJURY(Hw Modem) PROPERTY DAMAQE OARAOS LIABILITY AUTO ONLY EAACCI06MT ANY AJTO OTHER THAN AUTO ONCY EACH ACCIDENT 8 A3 OREO ATE CXCEM UABiUTY XLBB7E4199 6/01/00 e/01/01 ! EACH OCCURRENCE 5000000 AOflREOATE 5000000 A I WORKBtB t«MKN6AT10N AND I EMPLOYERS UABIUTY , THE PROPKETOfV I PARTNERWEXECUTIVE OFFKER8AM WCL EXCL DRE2406400 8/01/00 8A31/01 MWCSTTATU- |TOTH- I EH EL EACH ACCIPgfT 1000000 EL DISEASE POLICY UMff 1000000 EL OWEA8E EA EMPLOYEE 1000000 DUCNfTIOM Of OPERATIOIMADCATKINa/VBflCLEa/SPCCIAL ITEMS RE WORK PERFORMED BY THE NAMED INSURED ON BEHALF Of CERTIFICATE HOLDER •10 DAYS MOM PAY BYCOR GENERAL CONTRACTORS 6867 NANCY RIDGE DRIVE STE A SAN DIEGO, CA 92121 SHOULD ANY OP THE ABOYE DESeKfflED POUCI0 BE CANCELLED B9OKE THE EXPIRATION DATS TM0HOP THE IMIBIW COMPANY WILL ENDEAVOR TO MAIL 30 BAY* WJOTTEN NOTICE TO TM CERTIWCATl HOLDER NAMH) TO THI IBFT KUT PAILUM TO MA"L «UCM NOTICE SHALL IMPOSE NO OBUOATION OR UAJWJTY OP ANY MNP UPON THE COMPAMY IT» A«MT» OH BE>RESggTAnVE».