HomeMy WebLinkAbout2290 COSMOS CT; ; CB121585; Permit08-21-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No CB121585
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
2290 COSMOS CT CBAD
MISC
2130504400
$0 00
Subtype
Lot#
OTHER
0
DEMOLISH NON-BEARING WALLS
NO OCCUPANCY OR CONSTRUCTION
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
08/21/2012
RMA
08/21/2012
08/21/2012
Applicant
JP WEIMAN CONSTRUCTION
P O BOX 709
RAMONA 92065
760-788-6926
Owner
GRANDONA INVESTMENT ASSOCIATES L P
2610 HARRISBURG AVE
FREMONT CA 94536
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
PERMIT FEE $65 00
$0 00
$0 00
TOTAL PERMIT FEES $65 00
Total Fees $65 00 Total Payments To Date $65 00 Balance Due $0 00
Inspector
FINAL APPROVAL
Date Clearance
NOTICE Please tate NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refefted lo as 'fees/exactions" You have 90 days from the date this pemiit was issued to protest imposition of these fees/exactions If you protest them you must
follow the protest procedures set forth in Government Code Section 66020(a), and ftle the protest and any other required information with the City Manager for
processing m accordance with Carlsbad t<.1untcipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void or annul their tmposition
You are hereby FURTHER NOTIFIED that your nght to protest the specified fees/exaclions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees m connection with this project NOR DOES IT APPLY to any
fees/exactions of which vou iiave previouslv hRsn given a NOTICE similar to this, or as to which the statute of limitations has previously othenyise exoired
CITY
CARLSBAD
O F
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
760-602-2717/2718/2719
Fax 760-602-8558 r\
www carlsbadca gov
Plan Check No.
Est Value
Plan Ck. Deposit
>ate SWPPP
JOB ADDRESS ^ , ^ SUITEB/SPACEf/UNU*
CT/PROJECT It LOT M ^
6
PHASE* # OF UNITS fl BEDflOOMS » BATHROOMS TENANT BUSINESS NAME COtiSlP TYPE OCC GROUP
DESCRIPTION OF WOHK Include Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESQ* NO] I
AIR CONDITIONING
YES Q
FIRE SPRINKLERS
YES I |NQ| I
CONTACT NAME (If Different Fom Applicant) APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY ^ /\ STATE
5^ Ot^^o CA
ZIP
PHONE f=AX PHONE . ^ ™
Can) EMAIL
PROPERTT OWNER NAME CONTRACTOR BUS NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY
PHONE FAX PHONE FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS
, imorove, tJemolish or repai
CITYaUS LIC
(Sec 70315 Business and Proressions Code Any City or County whicfi requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the
applicant for such permitto file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 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 Anyviolation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500})
Workers' Compensation Declaration / hereby atHrni under penalty of perjury one c^the followng dedarations
• I hava and will maintain a cartificato of consanttd self insure'or worVers' compensation as provided by Section 3700 of the Labor Code forthe performance of the work for which this pennit is issued
I have and will maintain workers' comgensation as required bv Sectwn 3700 of the Labor Code for the performance of the work tor which this pennit is issued My workers' compensation insurance camer and policy
nurrberare InsuranceCo , Policy No Expiratton Date
This section need not be completed if the permit is (or one hundred dollars ($100) or less
I I Certflcate of Exemption I certify that in the performanceofthe work for which this pennit is issued, I shall rot employ any person in any manner so as to become sub]6Cl to the Workers' Compensation Laws of
California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to cnminal penalties and civil fines up to one hundred thousand dollars {&100,000), in
addifaon to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees
^ CONTRACTOR SIGNATURE •AGENT DATE
I hereby affirm thai I am exempt from Contactor's License Law tor the following reason
I I I, as owner of the property or my empkiyees with wages as their sole compensation will do the work and the stmcture is not intended or offered for sale (Sec 7044, Business and Prafessions Code The Contractor's
License Law does not appty to an owner of property who builds or impraves thereon, and who does such work himself or through his own employees, provided that such improvements are nol intended or offered for
sale if, however the building or improvement is sou 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, as owner of the properly, am exclusively contracting with licensed contractors to constract the project (Sec 7044, Business and Professions Code The Contractor's bcense Law does not apply to an owner ot
property who builds or improves thereon, and contracts for such projects with contr3Ctor(s) licensed pursuant to the Contractor's Uranse Law)
[ [ 1 am exempt under Section Business and Prafessions Code for this reason
) I personaNy plan to provide the mapr labor and matenafs for constmction of the pn^posed property improvement ^^Ves t ho
2 1 (have / have not) signed an application for a buiWing pemiit for Uie proposed work
3 I have contracted with the following petson <g\m) tB provtcte the proposed constriiclion (include name address / phone I contractors' license number)
4 1 plan to provide portions of the work, but I have hired the following person lo coordinate, supervise and provide the major worit (indude name / address / phone / contractors' license number)
5 I will provide some of the work, but 1 have contracted (hired) the following persons to provide the vrork indicated (include name / address / phone / type of work)
jSSpROPBRTf OWNER SIGNATURE QAGENT DATE
is the applicant orfuture building occupani required to submit a business plan, acutely hazardous materials registration fomi or nsk management and prevention program under Sections 25505, 25533 or 25534 ofthe
Presley-Tanner Wazanlous Substance Account Act? [II]'''es I INO
Is the apt^icant or future building occupant required to oblain a pennit from the air poliubon control distnct or airquaiily management distncf LJYes |_J No
Is the facility to be constmcted viflthin 1,000 feel of the outer boundary of a school site'' ^^Ves I |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 lendiiig agency for the periormance of the work this permit is issued (Sec 3097 (i) Cm! Code)
Lender's Name Lender's Address
'^(p(?affgAGa.®ktgtam^t)#gsji^o® • • ------ ^ —'•>,-sr'%|^-^- • .
IcettiythatI have read theapplicatlon and state that the abovelnfomnahon IS correct and that the infonflation on
I hereby authonze representatiw ofthe Oty of Carisbad to enter upon the above menticned 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 perniil is required for excavations over SU deep and demolition or construction of structuies over 3 stones in heiglif
EXPIRATION Eveiy permit issued by the Building OffiQal under the provisions of Ihis Code shall expire by limitation and become null and vod if the buiWit^or work aulhcraed by sucti pemrt is rot commenced vt#iin
180 days from the date of six^i permit or litjjeiwItliRg^^M^ atanytme after the work is commenced for a penod of180days (Section 106 44 Uniform Building Code)
^APPLICANT'S SIGNATURE V.^___^ry VA-A^ ^ 0^^^ | | )