HomeMy WebLinkAbout2290 COSMOS CT; ; CB131316; Permit08-01-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB131316
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
2290 COSMOS CT CBAD
MISC
2130504400
$20,000 00
Subtype OTHER
Lot# 0
VIASAT
MINOR SITE AND ACCESSIBILTY WORK
status
Applied
Entered By.
Plan Approved
Issued
Inspect Area
ISSUED
05/24/2013
MDP
05/29/2013
08/01/2013
Applicant
CAROLYN PERRIGO
STE 200
5935 CORNERSTONE COUTR WEST
SAN DIEGO CA 92121
Owner
GRANDONA INVESTMENT ASSOCIATES L P
2610 HARRISBURG AVE
FREMONT CA 94536
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
PLAN CHECK
PERMIT
$157 41
$224.87
$0 00
TOTAL PERMIT FEES $382 28
Total Fees $382 28 Total Payments To Date $382 28 Balance Due: $0.00
Inspector.
FINAL APPROVAL
Date Clearance
NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively
referred to as "fees/exactions" You have 90 days from the date this pemnit 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 file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal 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 imposition
You are hereby FURTHER NOTIFIED that your nght to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
tees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: • PLANNING • ENGINEERING • BUILDING DFIRE • HEALTH • HAZMAT/APCD
Plan Check No. \ 1> \"^\ Cr> Ax
^ CITY or
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Pti: 760-602-2719 Fax: 760-602-8558
email: buldllng@carlsbadca.gov
www.carlsbadca.gov
Est. Value lQ^fr<S()
Plan Ck. Deposit
Date SWPP
JOB ADDRESS
CT/PROJECT # PHASE # ' I # OF UNITS | (TBEDROOHIS
SU1TE#/SPACE#/UNIT#
# BATHROOMS TENANT BUSINESS NAME CONSTR TYPE
VM
DESCRIPTION OF WORK: Irtclude Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES • # NO •
AIR CONDITIONING
YES • NOO
FIRE SPRINKLERS
YES • NOO
APPLICANi: NAIVIE (Primary Contacts")
ss ~ ~A
APPLICANT NAME (Secondary Contact)
ADDRESS . /I f I U '
.^^^ hrr\£r==>rtfY\e^ijbiiM UMST -^^2GL^
CITY i^' ~ ^ STATE ZIP (
ADDRESS
ITY> _ //STATE ZIP
PHONE PHONE FAX
tlVlAIL I , / tlVlrtI
taxo (yn. per ric\ o(S)-frojri 5 ^^^TS/? AJ ^
PROPERTY OWNER NAME ^ .J Y , CON' lOPERTY OWNER NAME --^ I Y / .rt ^ ^ , .
CITY ^ STATE/v.* rt ZIP CITY^ . A STATE T ZIP ^-oZTV
ADDRESS
NtRAB' ITOR ^I^N^E
' ^ —^ STATE ~. ZIP
ObS , , FAX , ,
FY - - • STAlf-
ARCH/DESIGNSR NAME&ADDRESS J I STATE UC # STATE LIC # . f) CLASS I CtfY B_1JS LIC# -;rfYBus LIC# ,
(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, imfcrfve^^emolisti or repafr afiy structureV^fior to its issuance, aTso requires the
applicant for such permit to 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 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 ($500))
Workers' Compensation Declaration I hereby affimi under penalty of perjury one ofthe following declarations
n I have and will maintain a certificate of consent to self-msure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the work for which this perm it is issued
n 1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Gode, for the performance of the work for which this permit is issued My workers' compensation insurance earner and policy
number are Insurance Co Policy No Expiration Date
This section need not be completed if the permit is for one hundred dollars ($100) or less
O Certificate of Exemption. I certify that m the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Wortsers' Compensation Laws of
California WARNING: Failure to secure workers'compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 ofthe Labor code, interest and attorney's fees
JS$ CONTRACTOR SIGNATURE •AGENT DATE
/ hereby affim? fhat / am exempt from Contractor's Ucense Law for the following reason
• 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)
& I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions Code The Contractors 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)
.Business and Professions Code for this reason
n Yes n No
• I am exempt under Section _
1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement
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 / co ntractors' license number)
4 I plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / 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 / type of work)
vfiS-l PROPERTY OWNER SIGNATURE lAGENT DATE ^57
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk 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 permit from the air pollution control distnct or air quality management distncP O Yes • No
Is the facility to be constmcted withm 1,000 feet of the outer boundary 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
I hereby affirm that there is a construction lending agency for the perfomiance of the work this pemiit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
1 ceitifythat I have iBad the applicaton and state that the above infonnation is conectand that the infomiation on ttie plans is accuiate 1 agree to comply with all City ondinances and State laws relatingtD building construcbon
1 hereby aulhonze representative ofthe City of Cailsbad to enter upon the above mentoned property for inspecton purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL UABILITIES, 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 stones in height
EXPIRATION Every permit issued by the Building Official under the provisions of Ihis Code shall expire by limitation and become null and void if the building or mik aulhonzed by such permit is not commenced wiDiin
180 days from the date otsuch peimit or if Ihe building or wDrk authonzed by such pemiit is suspended or abandoned at any time after the vwrk is commenced for a penod of 180 days (Section 106 4 4 Unifomi Building Code)
I APPLICANT'S SIGNATURE DATE
^ «r 3jQp. .,.^13 SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
F I C A r E F O C C U I C o m m e f t s J e c t s
Fax (760) 602-8560, Email www buildinq(a)carlsbadca gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Cahfomia 92008
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS LIC No
DELIVERY OPTIONS
• PICKUP: • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg 1)
• MAILTO: • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg 1)
• IVIAIL / FAX TO OTHER:
• ASSOCIATED CB#-
• NO CHANGE IN USE/NO CONSTRUCTION
• CHANGE OF USE / NO CONSTRUCTION
^APPLICANT'S SIGNATURE DATE
nspection List
Permits: CB131316
Date Inspection Item
09/23/2013 19 Final Structural
Type: MISC OTHER
Inspector Act
Rl
09/23/2013 19
09/23/2013 19
09/12/2013 11
09/12/2013 11
09/12/2013 92
Final Structural
Final Structural
Ftg/Foundation/Piers
Ftg/Foundation/Piers
Compliance Investigation
MC
MC
MC
MC
Fl
CO
Rl
WC
PA
VIASAT
MINOR SITE AND ACCESSIBILTY WORK
Comments
2ND STOP, PER APPROVED PLANS
1ST STOP
Tuesday, September 24, 2013 Page 1 of 1