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Home My WebLink About2271 COSMOS CT; ; CB960688; PermitPermit: No CB960688 Project No A9600956 Development No Suite 7031 04/15/96 0001 01 02 BUILDING PERMIT 04/15/96 09 45 Page 1 of 1 Job Address 2271 COSMOS CT Permit Type MISCELLANEOUS Parcel No 213-050-41-00 Lot# Valuation 0 Construction Occupancy Group Fl Reference* Status ISSUED Description INSTALL 1 HR FIRE DOOR THRU Applied 04/15/96 EXISTING 1 HR CORRIDOR WALL Apr/Issue 04/15/9& Entered By RMA Appl/Ownr WELANDER, TERRY 619-726-9940 1846 DEVON PL VISTA CA 92084 0 *** Fees Required ***Fees"Collected fe Credits *** Fees 50 O/O' I, Adjustments /'Ou •', Total Fees 50 00 \( Fee description / '"- •-. :! alker edits .x. Total ''- 00 00 50 00 UnV£s \F'ee./Uni.t.\ Ext fee Data *\—• — — — — — -~ •*- ~~ •— ~~ "~" "~ ~~" Miscellaneous Fee #1 * MISCELLANEOUS TOTAL TOO. -..:;'? \ ' T]\ --' ,, .^'Nt-f/ f"<:^ -.'•'I '"-\:.A V, ;'| ' II (' .,.'->;!/ / \x-,/.^>\|H r, :^'// 50 00 PERMIT FEE 50 00 R/NAI/APPROVAL DATE I f=»" CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr . Carlsbad. CA 92009 (619) 438-1161 T PERMIT TYPE From List 1 (see back) give code of Permit Type For Residential Proiects Only From List 2 (see back) give Code of Structure Type Net Loss/Gain of Dwelling Units PLAN CHECK NO c\Lo EST VAL PLAN CK DEPOSIT VALID BY DATE q | I ~\ £Vl VJ Vl pxr . \— k» 2 PROJECT INFORMATION FOR OFFICE USE ONLY Address Nearest Cross Street Building or Suite No Cut <**LEGAL DESCRIPTION ubdivision Name/Number Unit No Phase No ECK BHLOW IF SUBMITTED D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ FT # OF STORIES £)<&& # OF BEDROOMS / //* /S*»7 # OF BATHROOMS CUNIAL1 PfcJUiUN (.it dittcrcnt trom applicant; NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4 APPLICANT ^{CONTRACTOR NAME (last name first) ' '" ' CITY LI AGENT h'OH CONTRACTOR ADDRESS ZIP CODE LTOWNER D AGENT FOR OWNER DAY TELEPHONE 5PROPERTY OWNER NAME (last name first) CITY ADDRESS /Ml- &<-44iJ 0/t STATE (Vj^ ZIP CODE *? Q Z 2. £ DAY TELEPHONE CONTRACTOR j u- • •NAME (last name first) lAjll.LAW'J/*.1 ADDRESS CITY STATE ZIP CODE ^? ]t <DAY TELEPHONE 12 to " STATE LIC LICENSE CLASS CITY BUSINESS LIC # DESIGNER NAME (last name lirst; CITY /?/^/W6irAUUKfc:bs 6 57 STATE ZIP CODE DAY TELEPHONE STATE LIC # ^ 7 WORKERS' COMPKNSA'nON Workers' Compensation Declaration I hereby attirm that I have a ccrtilicate ol consent to sell insure issued by the Director ol Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab C) INSURANCE COMPANY POLICY NO EXPIRATION DATE Certificate ot Exemption so as to becomfriubjeckto SIGNATURE certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner Workers' Compensation Laws of California ATE 8 OWNER-BUILDER Owner Biklder Declaration I hereby allirm that 1 am exempt from the Contractors License Law lor the tollowmg reason D 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) D 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) D I am exempt under Section Business and Professions Code for this reason (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, commencing 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 [$500]) SIGNATURE DATE COMPLETE THIS SECTION FOR NON RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? D YES d NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 9 CONSTRUCTION I.ENDING AGENCY I hereby attirm that there is a construction lending agency tor the performance ot the work lor which this permit is issued (Sec 3097(1) Civil Code) LENDER S NAME LENDER S ADDRESS 10 APPLICANT CERTIFICATION Tcertily that I have read the application and state that the above inlormation is correct I agree to 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 IAISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS TI IE 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 OSIIA. An OSHA permit is required for excavations over 5 0" deep and demolition or construction of structures over 3 stones 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 commenced within 365 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any timfc aftttj^lhe work is commenced for a penod of 180 days (Section 303 (d) Uniform Building ( APPLICANTS SIGNATURE/** . O US 0 0 DATE V->^ J /#^4Ux~— File YELLOW Applicant PINK. Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB960688 FOR 05/09/96 DESCRIPTION: INSTALL 1 HR FIRE DOOR THRU EXISTING 1 HR CORRIDOR WALL TYPE: MISC JOB ADDRESS: 2271 COSMOS CT WELANDER, TERRYAPPLICANT: CONTRACTOR: OWNER: REMARKS: MW/TERRY/726-7479 SPECIAL INSTRUCT: FIRE RATED FIRE DOOR PHONE: PHONE! PHONE; INSPECTOR AREA PLANCK# CB960688 OCC GRP Fl CONSTR. TYPE 11 IN STE: LOT: 619-726-9940 INSPECTOR TOTAL TIME: —RELATED PERMITS—PERMIT # CB880631 SE940025 AS940018 CB940416 FS950011 AS950041 FAD95009 CB951775 TYPE ELEC SWOW ASTI ITI FIXSYS ASTI FADD MISC CD LVL DESCRIPTION 14 ST Frame/Steel/Boltzng/Welding STATUS EXPIRED ISSUED ISSUED EXPIRED ISSUED ISSUED ISSUED ISSUED ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations 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 1 have and will maintain workers' compensation, as required by section 3700 B of the Labor Code, for the performance of the work for which this permit is issued My workers' 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) 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 C \ workers compensation laws of California Signat Date - Warning. Failure to secure workers' compensation coverage is unlawful, and shall be 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 March 3, 1995 2O75 Las Palmas Dr • Carlsbad CA 92009-1576 - (619) 438-1161 • FAX (619) 438-O894 City of Carlsbad 96038 Fire Department Bureau of Prevention Plan Review. Requirements Category: Building Plan Check Date of Report Thursday, May 23,1996 Reviewed by C> Contact Name Glen Groth Address 687 Riviera Ct City, State Vista CA 92083 Jg Dept jSlo 96-261 Planning No Job Name Taylor Made Golf Job Address 2271 Cosmos Ste or Bldg No Approved - The item you have submitted for review has been approved The approval is based on plans, information and/or specifications provided in your submittal, therefore any changes to these items after this date, including field modifica- tions, must be reviewed by this office to insure continued conformance with applicable codes Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements Disapproved - Please see the attached report of deficiencies Please make corrections to plans or specifications necessary to indicate compliance with applicable codes and standards Submit corrected plans and/or specifications to this office for review For Fire Department Use Only Review 1 st CFD Job* 96038 _ 2nd 3rd File* Other Agency ID 2560 Orion Way Carlsbad, California 92008 (619) 931-2121 •a g .£ t£ ~ o 3 J ? .g § g § 3 l«& CO "^ O ™ ^^« 1 1 ' t ll I )2< ^-«. 2» VJi M' _• aItf S 2 &A,u ^ ^