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Home My WebLink About2283 COSMOS CT; ; CB951475; PermitG PERMITB U I L D I 10/16/95 15-48 Page 1 of 1 Job Address 2283 COSMOS CT Permit Type MISCELLANEOUS Parcel No 213-050-43-00 Valuation- 0 Occupancy Group Reference*: Description DEMO EXISTING OFFICE WALLS & SUSPENDED CEILINGS-NO CONSTRUCTION Suite Lot# Permit No Project No Development No CB951475 A9502155 4176 1.0/1.6/95 0001 01 02 Appl/Ownr DESIGN WEST BUILDERS 3328 PIRAGUA CARLSBAD, CA 92009 *** Fees Required *** *** Construction Type Status Applied Apr/Issue Entered By 619-633-1734 NEW ISSUED 10/16/95 10/16/95 RMA Fees Collected & Credits * ** Fees • Adjustments • Total Fees Fee description 30. 00 . 00 30.00 Total Credits Total Payments. Balance Due. . Units Fee/Unit 00 00 30 00 Ext fee Data Miscellaneous Fee #1 * MISCELLANEOUS TOTAL 30 00 30 00 DEMO PERM 30 00 CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMTT APPLICATION City of Carlsbad Building Department 2075 Las PaImas Dr., Carlsbad, CA 92009 (619) 438-1161 T PliHMIT 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. ^7V / C^ ~J <* EST VAL PLAN CK DEPpSTT VALID BY (JY>q"~ DATE U /£,///. c/ ri ° ' ' * i 2 PROJECT INFORMATION FOR OFFICE USE ONLY Address Nearest Cross Street £ f — >DgX-* Building or Suite No LEGAL DESCRIPTION Subdivision Name/Number "CHECK BELOW IF SUBMITTED D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL Ji/3 SQ FT # OF STORIES 3 UJNTAUT NAME (last name first) CITY oitlerent trom applicant; STATE ADDRESS ZIP CODE DAY TELEPHONE 4 AHHLU.JVNT Or CONTRAU1 OK D AGENT FOR CONTRACTOR U OWNER^ UAGKNT KJK OWNER^ NAME (last name.first) *-, . ,. . . ADDRESS CITY STATE £.**- ZIP CODE DAY TELEPHONE £3% -/?"£<? 5 PROPERTY OWNER E Oast name first CITY T > .y Mu>»~ V STATE ZIP CODE ADDRESS DAY TELEPHONE 6 (JUNTHAC71UK NAME (last name first) J>to5/*,^7 IdtofT CITY STATE STATE UC # {&??? UtbiuNtK NAJVlK llast name lirst) CITY STATE /"WORKFJtS1 COMPENSA'nON ~~&U t t-^ff Jt $ ADDRESS ZIP CODE DAY TELEPHONE •f" LICENSE CLASS /3 CITY BUSINESS LIC AlJURtSS ZIP CODE DAY TELEPHONE # iiW?'^^ STATE LIC # Workers Compensation Declaration I hereby attirm that I have a certificate of consent to sell-insure issued by the Director oilndustrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof c ertificd by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab C) INSURANCE COMPANY <frt4r£-POLICY EXPIRATION DATE _ _ Certificate ot Exemption I certify that in the performance of the work lor wmcn 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 SIGNATURE DATE J5OWNKR-BUILDER DECLARATION Owner-builder Declaration 1 hereby attirm tnat I am exempt trom me contractors License Law lor tne lollowing 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 noi 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 [S500]) SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RF.SIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous matcnals registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES O 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 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 UNUSS TIIE APPLICANT HAS MET OR IS MEETING THE REQUIHEMENTS OF THE OFFICE OF EMERGF.NCY SERVICES AND THE AIR PO1J.UT1ON CONTROL DISTRICT 9 CJJNSTHUCJTKJN LENDING ACiENCY 1 hereby attirm that there is a construction lending agency lor the pertormance ot the work tor which this permit is issued (Sec 3097(0 Civil Code) LENDER'S NAME LENDER'S ADDRESS T() APl'LltANI I certify that I have read the application and state that the above information is correct 1 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 I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESSTUE-OTY OF CARLSBAD AGAINST ALL LlABnJTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SA1DXTTY IN CONSEQUliNCE OF THE GRANTING OF THIS PFJUVUT OSIIA. An OSHA permit is required for exca Expiration Every permit issued by the 1 building or work authorized by such ] such permit is suspended or abandon APPLICANTS SIGNATURE )" dejJp and demolition oj^construction of structures over 3 stories in height ^ider/the provj^sjertS"^ this Code shall expire by limitation and become null and void if the from the date of such permit or if the building or woik authorized by :ed for a period of 180 days (Section 303(d) Uniform Building Code) DATE "' f: Applicant PINK: Finance City of Carlsbad ***** Fire Department • Bureau of Prevention Plan Review: Requirements Category: Building Plan Check Date of Report Tuesday. October 24,1995 Reviewed by Contact Name Stephen Hall Address 777 S Highway 101 Ste210 City, State Solana Beach CA 92075 Bldg Dept No 95-1474 Planning No Job Name New Image Industries Job Address 2283 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 1st 2nd 3rd Other Agency ID CFD Job# 95226 File* 2560 Orion Way • Carlsbad, California 92008 • (619) 931-2121 City of Carlsbad 95226 Fire Department • Bureau of Prevention General Comments: Date of Report" Tuesday. October 24,1995 Contact Name Stephen Hall Address 777 S Highway 101 Ste210 City, State Solana Beach CA 92075 Bldg Dept No 95-1474 Planning No Job Name New Image Industries Job Address 2283 Cosmos Ste or Bldg No Send floor plan for open office Partitions over 6' create corridors and may require a smoke detection system in lieu of a 1 hour corridor 2560 Orion Way • Carlsbad, California 92008 • (619) 931-2121 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 A. workers' compensation as provided by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I 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 performanceojLjhe work for which this permit is issued, I shall not employ any persor><fiany)manner so as to become subject to the ™ C. workers compensation laws of California. Signature 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) 438-0894