HomeMy WebLinkAbout2290 COSMOS CT; ; AFP13001; Permit01-15-2013
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Plan Check Revision Permit No: APPI3001
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC #:
Project Title:
2290 COSMOS CT CBAD
AFP
2130504400 Lot#: 0
$0.00 Construction Type: 5B
VIASAT BLDG 9
ANNUAL FACILITIES PERMIT
Applicant:
SMITH CONSULTING ARCHITECTS
STE 125
13280 EVENING CREEK DR
SAN DIEGO CA 92128
(858) 793-4777
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
01/15/2013
MDP
01/15/2013
01/15/2013
Owner:
GRANDONA INVESTMENT ASSOCIATES L P
2610 HARRISBURG AVE
FREMONT CA 94536
Plan Check Revision Fee
Fire Expedited Plan Review
Additional Fees
??
??
$0.00
Total Fees: $100.00 Total Payments To Date: $100.00 Balance Due: $0.00
Inspector:
FINAL APPROV/
Date: Clearance:
NOTICE: Please take NOTICE thaMpproval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectiveiy
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 must
foiiow the protest procedures set forth in Government Code Section 66020(a), and fiie the protest and any other required information with the City Manager for
processing in accordance with Carisbad Municipal Code Section 3.32.030. Faiiure to timely foiiow that procedure wiii 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 pianning, zoning, grading or other similar appiication processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have previousiv been given a NOTiCE similar to this, or as to which the statute of limitations has previously othenvise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: nPLANNING CJENGINEERING nBUILDING DFIRE DHEALTH •HAZMAT/APCD
CITY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
PlanCheckNo. fi-^'"^ ^ "<5^
Est. Value
Plan Ck. Deposit
Date Mi SWPPP J JOB ADDRESS 2290 Cosmos Ct
SUITE*/SPACE«/UNIT*
CT/PROJECT tf tl OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
ViaSat
CONSTR. WPE
V-B
occ. GROUP
B
DESCRIPTION OF WORK: /nc/ude Square Feet ofAftected Area(s)
EXISTING USE
Office/Lab
PROPOSED USE
Office/Lab
GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESr~>. N0| I
AIR CONDITIONING
YESrTlNoj I
FlRESPRINKLERS
YES[7]NOQ
APPLICANTNAME (Primary Contact) Mark Langan APPLICANT NAME ^Secondary Contact; Craig Williams
ADDRESS
13280 Evening Creek Dr. South
ADDRESS
13280 Evening Creek Dr. Soutli
CITY
San Diego
STATE
CA
ZIP CITY
92128 San Diego STATE CA ZIP
92128
PHONE
858-793-4777
PHONE
858-793-4787 858-793-4777 858-793-4787
EMAIL
MarkL@sca-sd.com
EMAIL
craigw@sca-sd.com
PROPERTYOWNER NAME Transwestern CONTRACTOR BUS. NAME
ADDRESS
535 Cornerstone Court West Ste 200
ADDRESS ^OO S. 5"/*-^^^ z^/
CITY STATE
San Diego CA
ZIP CITY
92121
STATE
PHONE
858.452.8668
FAX
858.452.2585
PHONE
ggfe 72^ g^'Z
FAX
carolyn.Perrigo@transwestern.net
EMAIL
ARCH/DESIGNER NAMEA ADDRESS *• . . /^J\.^L £.
r-W^.VZ
CITl- BUS. LIC.#
(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 applioantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Cnapter 9, commending with Section 7000 of Division Sof 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 applioantfor a permit subjects the appiicantto a Civil penalty of not more than five hundred dollars ($500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one ofthe following declarations:
^^1 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.
have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the work for which this pennit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. ^^^ri^g")^ /V»iT / / . PoiicyNo. 74 QiOOO^-ZJSSlU ExDiralion Date H'l'f.
This section need not be completed if the permit is for one hundred dollars ($100) or less.
I I Certificate of Exemption: I certify that in the perfomiance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Califomia. 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 (&100,000), in
addition to the cost of compensation, damages as providedfor in Section 3706 ofthe Labor code, interest and attomey's fees.
JS^ CONTRACTOR SIGNATURE \^A> • AGENT DATE
O W N E R - B U i L D E R DE C I. A R ATIO N
/ hereby afRrm that I am exempt from Contractor's License Law for the following reason:
I I I, as owner of the property or my employees with wages as their sole compensation, will do the mik and the stmcture 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).
I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct 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).
I I I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide fhe major labor and materials for construction of the proposed property improvement. QYes I iNo
2.1 (have / have not) signed an application for a building pennit for the proposed work.
3.1 have contracted with the following person (finn) to provide the proposed constmction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the worit, but I have hired the following person to coordinate, supen/ise and provide the major wori( (include name / address / phone / contractors' license number):
5.1 will provide some of the wori<, but I have contracted (hired) the following persons to provide the wori( indicated (include name / address / phone / type of wori():
^glTpROPERTY OWNER SIGNATURE QAGENT DATE
COMPLETE THIS SECTION FOR NON-RESIOENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fbrm or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acf? Yes No
Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? Yes No
Is the facility to be constmcted within 1,000 feet of the outer boundaiy of a school site? Yes 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (!) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certif that I have read the applicatkin and state thatthe above inforniation is conectand thatthe infomiation 0
I hereby authorize representative ofthe City of Caristad to enter upon the above mentioned property Ibr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAIRLESS THE CfFY OF CAFiLSBAD
AGAINST Aa UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY W^^RUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit Is required for excavations over S'C deep and demojtoiTOnsliiistiSff^^ctures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Oflicial under thegi^l§fi^|ii8-C^sbalfS(pire by limitation and become null and void if the buiiding or »ort< authorized by such permit is not commenced within
180 days Irom the date of such pemiit or if the buiiding or •wAj»^>0r^^^i^s!mr;i^>^k^i^isiv)^ or abandoned at any time after the vrori< is oommenced for a period of 180 days (Section 106.4.4 Unifomn Building Code).
MS APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email buildlna(3>carlsbadca.aov or Mall the completed form to City of Carlsbad, Buiiding Division 1635 Faraday Avenue, Carlsbad, Caiilbmia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE
OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAILTO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
>e$'APPLICANT'S SIGNATURE DATE
AFP13001 2290 COSMOS CT
VIASAT BLDG 9