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
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\
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