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».