Loading...
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