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HomeMy WebLinkAbout2283 COSMOS CT; ; CB030854; Permit0 04-04-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No CB030854 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title 2283 COSMOS CT CBAD Tl Sub Type 2130504300 Lot* $86,370 00 Construction Type Reference # NEXT PROTEINS 2,879 SF WAREHOUSE TO OFFICE INDUST 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area Plan Check# ISSUED 03/25/2003 MDP 04/04/2003 04/04/2003 r\\j\j\i\ja.\ 11 GOOD & ROBERTS INC 1090 JOSHUA WAY VISTA, CA 92083 619-598-7614 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot Water Con Fee Meter Size Add'l Pot Water Con Fee Reel Water Con Fee Total Fees $5,780 20 1 v-/VVMCI J97Q. r\iii{\GERRY REVOCABLE LIVING TRUST OB-'W 2033 SHIPWAY LN NEWPORT BEACH CA 92660 $496 51 $000 $322 73 $000 $000 $1814 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 Total Payments To Date Meter Size Add'l Reel Water Con Fee Meter Fee SDCWA Fee CFD Payoff Fee PFF PFF (CFD Fund) License Tax License Tax (CFD Fund) Traffic Impact Fee Traffic Impact (CFD Fund) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees TOTAL PERMIT FEES $323 73 Balance Due. &$3 0002 Ot 0 CGP $000 $000 $000 $000 $000 $000 $1,571 93 $000 $1 ,075 00 $000 $000 $3500 $3300 $000 $2,227 89 $000 $000 $5,780 20 $5,456 47 5456-47 FINAL APPROVAL INSP..Z.flATF CLEARANCE. PERMIT APPLICATION, CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 as cr FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date 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 02 01 GP 323.73 Description of Work -.j^M.;2ji: 'CONTACT PERSON (ifdifferent from applicant) SQ FT #of Stories # of Bedroortis Bathroomse. Name '3 I : APPLICANT •'•"'" •" •• •' ' Contractor-1; Address ^priif ifor'ContraBtof K D Owner...**„•" ^.^ _ ,- ---- ¥-."-• ™v^v City Agent forSwner __, ** . "'• __ ,, State/Zip Telephone # Fax i Name 4 PROPERTY OWNER Address City State/Zip Telephone . Name Address City State/Zip Telephone # JCONif R A CTOR";-, COMPANY NAME : (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 IChapter 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 at Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars l$5001) Name State Licens J?ttsri Address :ense Class Designer Name State License # Address City State/Zip City Business License City Telephone # . . Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 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 J3 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 ff7)j£* C><*ltyr /"I-JT f& P°I|CV No 3^33 tyttf^ Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) |~| 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,OOOL 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 3~ 2^ 7 OWNER-BUILDER I '"" ' ' " * "*~ " I hereby affirm that I am exempt from the Contractor's License Law for the following reason n 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) [~1 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) n 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~| YES I~|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 COMPLETE THIS SECTION DATE BUILDING PERMITJSiONLY,; ^ j ^ i ..... : ....... .j^ ....... _. •_...,.. .Jl; ................. ,,:,/.,::£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 Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' l~l YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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 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 ADDRESSLENDER'S NAME \SK APPLICANT CERfiFICAtiON : ::::ii:: :.,_ : ..... '". .."!*"' ...... • _ ......... :.^i- ........ •'„.,:. A^\ 'lri ..,:.JZJ£»II, ~....j 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 commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Final Building Inspection Dept- Building Engineering Planning CMWD St Lite /Fire Plan Check # Permit* Project Name Address Contact Person Sewer Dist CB030854 NEXT PROTEINS 2,879 SF WAREHOUSE TO OFFICE 2283 COSMOS CT ERIC Phone 7608010701 CA Water Dist CA Lot Date 05/16/2003 Permit Type Tl Sub Type INDUST 0 Inspected By. Inspected By Inspected By Date Inspected Date Inspected Date Inspected Approved . Approved . Approved Disapproved Disapproved Disapproved Comments Inspection List Permit* CB030854 Type Tl INDUS! NEXT PROTEINS 2,879 SF WAREHOUSE TO OFFICE Dale Inspection Item Inspector Act Comments 10/15/200389 Final Combo TP AP 05/16/200389 Final Combo TP NS 05/05/200314 Frame/Steel/Bolting/Weldm TP AP T-CEIL (SEE CARD BACK) N/INCL 1HR CORR 05/05/2003 24 Rough/Topout TP WC 05/05/2003 34 Rough Electric TP AP CEIL LITES 05/05/2003 44 Rough/Ducts/Dampers TP AP (SEE CARD) 04/18/2003 17 Interior Lath/Drywall TP AP 04/16/200314 Frame/Steel/Bolting/Weldm TP PA SEE PLN 04/16/2003 34 Rough Electric TP PA WALLS Thursday, October 16, 2003 Page 1 of 1 TTNSCHEDULED BUILDING INSPECTION DATE SA//S/A INSPECTOR PERMIT # <V^JT/ ' PLAN CHECK # JCJB ADDRESS DESCRIPTION CODE DESCRIPTION ACT COMMENTS PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB_Q3z_85^f PATE ADDRESS RESIDENTIAL RESIDENTIAL ADDITION MINOR « $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER ENGINEER DATE DATE Docs/Misforms/Plannmg Engineering Approvals ENGINEERING DEPARTMENT FEE CALCULATION WORKSHEET D Estimate based on unconfirmed information from applicant D Calculation based on building plancheck plan submittal Address Bldg Permit No / C/j) Q^^ffS I Prepared by Date Checked by Date EDU CALCULATIONS List types and square footages for all uses Types of Use 6 V^ Sq Ft /Units £•<* 7 ' Types of Use Sq Ft /Units APT CALCULATIONS List types and square footages for all uses Types of Use Sq Ft /Units Sq Ft /UnitsTypes of Use EDU's EDU's ADT's ADT's (.0 FEES REQUIRED WITHIN CFD D YES (no bridge & thoroughfare fee in District #1, reduced Traffic Impact Fee) D NO D 1 PARK-IN-LIEU FEE FEE/UNIT PARK AREA & # X NO UNITS D 2 TRAFFIC IMPACT FEE ADT's/UNITS FEE/ADT c/3T -' = $ D D D D 3 BRIDGE AND THOROUGHFARE FEE (DIST #1 DIST #2 DIST #3 ) ADT's/UNITS 4 FACILITIES MANAGEMENT FEE UNIT/SQ FT 5 SEWER FEE EDU's / ' BENEFIT AREA Co EDU's /, i^^1^ 6 SEWER LATERAL ($2,500) X FEE/ADT =$ ^-" ' ZONE _ ^/- X FEE/SO FT /UNIT =$ s^ . , C ~\ M. iA**J X FEE/EDU ^^-^ =$ ^-T^^~^0 / <J 3> /Afo 0 7 ^X FEE/EDU' -"^ =$ ' = $ ^ D 7 DRAINAGE FEES PLDA_ ACRES HIGH /LOW FEE/AC D 8 POTABLE WATER FEES UNITS CODE CONNECTION FEE METER FEE SDCWA FEE IRRIGATION Word\Docs\Ml5forms\Fee Calculation Worksheet 1 of 2 Rev 7/14/00 °\ \ \ V 0 Carlsbad Fire Department 030854 1635 Faraday Ave Carlsbad, CA 92008 Plan Review Date of Report Fire Prevention (760) 602-4660 Requirements Category:Building Plan Reviewed by Name Address City, State _ Plan Checker Job Name Next Proteins Job Address 2283 Cosmos ct Good & Roberts, Inc 2320 Cousteau Ct Vista CA 92083 Job # 030854 Bldg# CB030854 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 modifications, must be reviewed by this office to insure continued conformance with applicable codes and standards 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 Approved The item you have submitted for review has been approved subject to the Subject to attached conditions The approval is based on plans, information and/or specifications provided in your submittal 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 Please resubmit to this office the necessary plans and / or specifications required to indicate compliance with applicable codes and standards Incomplete The item you have submitted for review is incomplete At this time, this office cannot adequately conduct a review to determine compliance with the applicable codes and / or standards Please review carefully all comments attached Please resubmit the necessary plans and / or specifications to this office for review and approval Review FDJob# 1st 9nH 3rd 030854 FD File # Other Agency in Jate 10/15/02 0937AM Sender's Fax ID Vanorsdale Insurance Page 2 of 2 ECI GOOD&RO-Ol ACORD1M CERTIFICATE OF LIABILITY INSURANCE PRODUCER License #0623506 (858) 541-2900 ' jrsdale Insurance Services j S Galloway 4a09 Murphy Canyon Road, Suite 510 San Diego CA 92123 INSURED Good & Roberts , Inc 2320 Cousteau Court I Vista CA 92083-8346 DATE (MM/DD/YY) 10/15/2002 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURER A State Compensation Insurance Funri INSURER F INSURER C INSI JRER D INSURERS COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED 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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSRLTR A TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY | CLAIMS MADE | jj OCCUR GEN L AGGREGATE LIMIT APPLIES PER | POLICY \~\ 5^r PI LOC AUTOMOBILE LIABILITY ANY Al ITO ALL O/.'NEO Al ITO •, SCHEDl ILED AUTOS HIRED Al ITOS NON OWNED AUTO? GARAGE LIABILITY ANY Al ITO EXCESS LIABILITY 1 OCCUR 1 | CLAIMS MADE OEDtIC TIPLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY OTHER POLICY NUMBER ' 33334502 POLICY EFFECTIVEDATE (MM/DD/YY) 10/1/2002 POLICY EXPIRATIONDATE (MM/DD/YY) 10/1/2003 LIMITS EACH OCCURRENCE FIRE DAMAGE (Any mip firp) MED EXP (Any one pfir^on) PERSONAL «. ADV IN IURY GENERAL AGGREGATE PRODUCTS COMP/OP AGG COMBINED SINGLE LIMIT (E3 arnrlPn!) F.ODILY IN IURY (Ppr (HTsnii) FODILY IN II IRY (Per arndfinti PROPERTY DAMAGE{Par arriflPnt) Al no ONLY EA AC. C DENT r,TH=PTHAM EA ACC AUTO ONLY AG(, EACH OC.O IRRENCE AGGREGATE V 1 WC STATl 1- [ OTH- •"• 1 TORY LIMITS 1 ER EL EACH ACCIDENT EL DISEASE EA EMPLOYEE EL DISEASE POLICY LIMIT t 1 S $ $ $ $ $ t •5 $ $ I I I I $ I t 1,000,000 E 1,000,000 j 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS *10 days Notice of Cancellation given if for non-payment of premium All operations of the named insured as certificate holders interest may appear **REPLACES CERTIFICATE ISSUED 9/30/02** (certholder ' s address revised) CERTIFICATE HOLDER ADDITIONAL INSURED INSURER LETTER CANCELLATION City of Carlsbad Purchasing D 1635 Faraday Carlsbad CA 92008- 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 OjAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE — -*^r • -y— - ^-- — — -,__ -. <j tj <^. J> ACORD 25-S (7/97)® ACORD CORPORATION 1988