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HomeMy WebLinkAbout2271 COSMOS CT; ; CB070772; Permit03-22-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No Building Inspection Request Line (760) 602-2725 CB070772 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title 2271 COSMOS CT CBAD Tl Sub Type 2130504100 Lot# $20 000 00 Construction Type Reference # RESPIRONICS DEMO SOME INTER ADDING 1 WALL & 2 DOORS INDUST 0 NEW Applicant ADVANCED DRYWALL SYSTEMS INC STE 101 5735 KEARNY VILLA RD SAN DIEGO CA 92123 858 576-7480 Status Applied Entered By Plan Approved Issued Inspect Area Plan Check* ISSUED 03/21/2007 JMA 03/22/2007 03/22/2007 Owner KOCH INVESTMENTS L P 12 CHURCHILL LN RANCHO MIRAGE CA 92270 Building Permit Add'l Building Permit Fee Plan Check Add I Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add I Renewal Fee Other Building Fee Pot Water Con Fee Meter Size Add I Pot Water Con Fee Reel Water Con Fee $17669 $000 $11485 $000 $000 $420 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 Meter Size Add'l Reel Water Con Fee Meter Fee SDCWA Fee CFD Payoff Fee PFF (31 05540) PFF (4305540) License Tax (31 041 93) License Tax (43041 93) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees HMP Fee TOTAL PERMIT FEES $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 9? $295 74 Total Fees $295 74 Total Payments To Date $295 74 Balance Due $000 Inspector -f-hatap 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 rnujt 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 .tWiipmWECf INFORMATION? Tlk,,, "•**""" ...X. FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit _ Validated By £. Date f Address (include Bldg/Suite Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No 'Phase No 1 otal tt of units Assessor s Parcel #Existing Use Proposed Use Description of Work DNTACT PERSON (if different from applicant) #of Stones 7- # of Bedrooms # of Bathrooms Name I » Address ' City 3 APPLICANT'''? WfCoritractor ID Agent "for Contractor "-[[] Owrw Q Agent for Owner State/Zip Telephone #Fax* Name 4; PROPERTY OWNER Address City State/Zip Telephone # Address City State/Zip Telephone #Name 5 CONTRACTOR COMPANY NAME "r>Kj ,- : .. .. ::::.... a :. ^ffi« ••• (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 basi for the alleged exemption Any violation $f Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001) fO t Name State License # City State/Zip City Business License # f Designer Name Address City State/Zip Telephone State License # 6 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 S I have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work for whu h this permit is led 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 [$100] OR LESS) l~l 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 tosecure workers compensation courage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&KfO(000) in addition to the c<st of compensation damages as provided for in Section 3706 of the Labor code interest and attoi ney s fees SIGNATURE / /. ^ /*! i*—^Lx / DATE J? - 2 ( ~ G 7 1 OWNER-B(*tdER DECLARATION I 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 01 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) 0 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) l~) 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 (~! YES f~lNO 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 / phane number / type of work) PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ;j;1 : s =; %.. 's":'" " * 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? O YES [U NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? f~l YES l~l NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? l~l YES l~| 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 S^CONSTRUCTION LENDING AGENCY ' •• ... "J['-'"n "' ,., ., . ™C"v I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER S NAME LENDER S ADDRESS iSii ^APPLICANTCERTIFICATION '""*'" ' '-'Mi-i "...";:/:. •••."„'"„ .... "Xl?":. 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 tc 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 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^ this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenaed within 180 days from the date of sypn permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commep«5ed^or a period of 180 days (Section 106W 4 Uniform Building Code) APPLICANT S SIGNATURE / ^\_^«—, /*/ l-^W_,,. ,<L Jl DATE ^ ~ 2 ^ "^ / WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 06/15/2007 Permit* CB070772 Title RESPIRONICS DEMO SOME INTER Description ADDING 1 WALL & 2 DOORS Inspector Assignment PY Sub Type INDUST 2271 COSMOS CT Lot Type Tl Job Address Suite Location OWNER KOCH INVESTMENTS L P Owner KOCH GREGORY G TRUST 02-20-03 Remarks Phone 7609187309 Inspector Total Time CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Act Comments Requested By RICK Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# PCR00197 ISSUED RF.SPIRONICS REVISE DRAFT STOPS PCR01063 ISSUED RCSPRIRONICS VARIOUS REVS PCR01071 ISSUED RESPIRONICS REV POWER DISTRIB Inspection History Date Description Act Insp Comments 04/05/2007 14 Frame/Steel/Bolting/Weldmg AP PY 04/05/2007 17 Interior Lath/Drywall AP PY License Detail Page 1 of2 California Home Wednesday, Ma1 License Detail Contractor License # 478027 CALIFORNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base Before on this information, you should be aware of the following limitations • CSLB complaint disclosure is restricted by law (B&PJ7124.6) If this entity is sub|ect tc complaint disclosure, a link for complaint disclosure will appear below Click on the lin button to obtain complaint and/or legal action information • Per B&P7071 17. 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 Ihe arbitration • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base Extract Date 03/21/2007 * * * Business Information * * * ADVANCED DRYWALL SYSTEMS INC 5735 KEARNEY VILLA RD STE 101 SAN DIEGO, CA 92123 Business Phone Number (858) 576-7480 Entity Corporation Issue Date 08/12/1985 Reissue Date 08/13/1996 Expire Date 08/31/2008 * * * License Status * * * This license is current and active All information below should be reviewed * * *Classifications * * * Class Description B "GENERAUBOlLDING CONTRACTOR c-9 [DRYWALL * * * Bonding Information * * * CONTRACTOR'S BOND This license filed Contractor's Bond number 180165 in the arm http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 03/21/2007 License Detail Page 2 of2 $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY Effective Date 01/01/2007 CojrtractQr!s_BpndjngHistory BOND OF QUALIFYING INDIVIDUAL(I) The Responsible Managing Officer (RMO) CRAI MACDONALD certified that he/she owns 10 percent or more of the voting stock/equity c corporation A bond of qualifying individual is not required Effective Date 08/13/1996 * * * Workers Compensation Information * * * An employee service group holds the workers compensation insurance Policy Number 2246 Effective Date 08/10/2005 Expire Date 08/31/2007 Workers.Compensation. H istory * * * Miscellaneous Information * * * Date Description 08/13/1996 LICENSE REISSUED TO ANOTHER ENTITY Personnel List License Number Request [contractor Name Request [Personnel Name Request Salesperson Request Salesperson Name Request © 2006 State of California Condrtipns of.Use Privacy Pohcy http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 03/21/2007 n MOO 73 I•g 3 =«=M O O oom Q. NJOO (jj M Lnon Og" QQ. Q. 00CM r\i ro r-.oorsi rsT ro O) T3 ooLLJ IQ_ Q. O (M O O rsl I Q.I/)Si oo in | D O