HomeMy WebLinkAbout1944 KELLOGG AVE; ; CB971347; PermitCity of Carlsbad
08-08-2017
1635 Faraday Av Carlsbad, CA
Building Pennit
92008
Permit No:CB971347
Building Inspection Request Line (760) 602-2725
Job Address: 1944 KELLOGG AV CBAD
Permit Type: ITI Sub Type:
Parcel No: 2120922900 Lot #:
Valuation: $0.00 Const Type:
OccGroup: Reference #:
Project Title: 9000 SF,NEW PARTITIONS,ELEC,
MECH-PHOTOLAB
VN
Applicant: Owner:
Status: WITHDRAW
Applied: 05/22/1997
Entered By: RMA
Appr/Issued:
Inspect Area:
CSI GENERAL CONTRACTORS HOMES FOR INDUSTRY CARLSBAD L
135 VALLECITOS DE ORO #A
SAN MARCOS CA 92069
760 471-9388
Total Fees:
($721. 00)
$0. 00 Payments To Date: $721.00 Balance Due:
•
(_[ ~~ f ~ {l.{d<3G,OO~
AW~ 442,~1 /
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
A
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
D,stription of Work # of Bathrooms
f'l(J.) \f\.\€,f¥'~ ~MS
2. CONTACT PERSON (If ~er~t fr~m appllcantl
Name Address
3. APPLICANT ~ontractor O Agent for Contractor O Owner
Name
4.
Name
5. CONTRACTOR • COMPANY NAME
Address
City
0 Agent for Owner
City
City
State/Zip
State/Zip
State/Zip
Telephone# Fax#
Telephone#
Telephone#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged
exemption. Any vi~on of Section 7031.5 by any applicant for a ~e~it subjects the applicanr\o a civ.· penalty of not more than five hundred dol~ [$ 001).
'-=7'!.n '1 s-\/ ~ ~Le.L-~ l.le... 'u en-A. ~C\ -'
State License # _5.l,L..3....-L.r---=....:0::..<4=-1----
Address n. City State/Zip Te?~~"{ .d.--, j~Cl"'lo<,
License Class .V City Business License # ------~--~ '-I P ta.O
Designer Name Address City State/Zip Telephone
State License # ----------
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O I 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.
)jc(__ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
rs;.:;;d. My worker's c~tio~ura~:~ and p~umber are: . !
Insurance Company ~ ~~\hO ~olicy No. Expiration Date ~-1-12>
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in 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 Workers' 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 of the labor code, interest and attorney's fees.
SIGNATURE DATE _=======-:-::-c--~--
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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).
0 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).
0 I am exempt under Section ------Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
2. I (have I 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 I address I phone number I contractors license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone
number I 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 I address I phone number I type ofworkl: __________________________________________________________ _
PROPERTY OWNER SIGNATURE------------------------
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
DATE __________ ~
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 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? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending ag cy orJ't1e.i1_er{o~ce of the work for which this permit is issued (Sec. 3097(il Civil Code).
LENDER'SNAME-------------+--~-u l~E~ADDRESS _________________________ _
9. APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
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 permit is required for excavations o
EXPIRATION: Every permit iss by t g Of
work authorized by such permi
or abandoned at any time after
APPLICANT'S SIGNATURE
r 5'0" deep and demolition or construction of structures over 3 stories in height.
cial under the provisions of this Code shall expire by limitation and become null and void if the building or
in 365 days from the date of such permit or if the building or work authorized by such permit is suspended
for a period of 180 days (Section 106.4.4 Uniform Buildi~A~:de~.,.. n -~/
YELLOW: Applicant PINK: Finance
Ust 1 -Pennit-'Iype
From the following list, determine the permit-type that best describes the work you propose to do. Please put the code of that
permit-type in the blank at the top of the page on the front of this application. Residential permits (only) also require the
identification of the structure-type to be associated with the permit. Choose a structure-type from "List 2 -Structure-Types" and put
its code in the appropriate blank on the front of this aoolication.
Residential Permits
Code Description
APT Aoartrnents -new construction. '
CONDO Condominiwns -new construction.
CVNNR Conversion. Convert all or a portion of a non-residential building to residential use, creating one or more new residential units.
CVNRN Conversion. Convert one or more residences in a building to non-residential usage.
CVNRR Conversion. Increase or reduce the number of dwelling units in a residential structure through interior modifications
(i.e.: a four bedroom house converted to a duplex, with 2 bedrooms each).
DEMO Demolition oermit. (Also soecifv type of structure from List 2).
DUP Dup!ex -new construction.
MOHO Mobile home, renovation, repair, or addition of accessory structure not yielding a new living unit.
MO HON Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction from
single-family residence, below).
RAD Residential addition/alteration, creatin~ no new dwellin~ unit(s).
RREISSUE Residential permit re-issue.
RREPAJR Residential building repair. Damage, fire, etc.
RREPI.ACE Residential building replacement (no additional units).
SFA Single-family, attached · new construction. A one-family house attached to one or more other houses, with one or
more common walls extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating
svstem (e.~.: townhouse, row house, half-plex)
SFD Single-family, detached · new construction: A one-family house with open area on all four sides. May have an
attached or detached garage, or a business. May be a detached "granny flat". May be a mobile home or trailer on an
individual lot, but not in a mobile home park.
Non-Residential/ Accessory Permits
Code Description
COM Commercial structure, new construction.
' ~
CREISSUE Commercial permit re-issue. ....
CREPAJR Commercial building -repair. Damage, fire, etc.
CREPLACE Commercial building -replacement.
CTI Commercial tenant improvement.
DEMO Demolition permit.
ELEC Electrical oennit, for electrical work only.
HOTEL Hotel or motel (including Managed Living Unit hotel) -new construction.
HOTELR Hotel renovation.
IN DUST Industrial structure, new construction.
!TI Industrial tenant improvement.
MECH Mechanical permit, for mechanical work only.
MISC Miscellaneous. Use only if proposed work doesn't fit another activity type.
PATIO Patio and/or deck.
PLUM Plumbing permit, for plumbing work only.
POOL Gunite pools and spas.
RETAJN Retaining wall oermit.
SIGN Sign construction/installation permit.
SOI.AR Solar energy system installation permit (specify structure type to be served).
SPA Factory-made or Gunite.
List 2 -Structure-Type (Use with Residential Permit Only)
From the following list, determine the type of residential structure that best describes the structure on which you will be working.
Please put the code of that structure-type in the aooropriate blank at the top of the paSte on the front of this application.
Code Description
SFA Single-family, attached. A one-family house attached to one or more other houses, with one or more common walls
extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating system (e.g.: townhouse,
row house, half-plex).
SFD Single-family detached: A one-family house with open area on all four sides. May have an attached or detached
garage, or a business. May be a detached •granny flat·. May be a mobile home or trailer on an individual lot, but not
in a mobile home park.
MF2-4 Multi-family, 2 to 4 units. A residential structure on a single lot, containing two, three, or four dwelling units. Units
may share master heating, plumbing, or electrical service (e.g.: duplex, triplex, quad-plex).
MFS+ Multi-family, S or more units. Sarne as MF2-4, except the building has a t least five attached units on the same lot.
MOHO Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction from
single-family residence, above).
EsGil Corporation
Professional Plan Review Engineers
DATE:
JURISDICTION: CARLSBAD ---='-=-"=---------------~
PLAN CHECK NO.: 97-1347 SET: ----I
PROJECT ADDRESS: ___ 1_9_4_4_K_e_l_l_o~g~g'--A_v_e ______ ~
PROJECT NAME: ____ -ph_o_t_o_l_a_b _________ _
D APPLICANT
• JURISDICTION
D PLAN REVIEWER
D FILE
D The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
D The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
D The applicant's copy of the check list has been sent to:
D Esgil Corporation staff did not advise the applicant that the plan check has been completed.
D · Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone#: _______ _
Date contacted: --------(by: ) Fax#: --------
Mail Telephone Fax In Person
[J REMARKS: -~S~E=N~T_..B=A~C~K__..._T=O_C:....:..IT~Y=--'P~E=R'-'---=-M=I=K=Ea.....::.P=E=T=E=R=SO~N:;.;....._c"S::.......cR=E~Q~U-E_S_T_. _____ ~
By: Enclosures: _________ _
Esgil Corporation
0 GA O CM O EJ O PC
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (619) 560-1468 + Fax (619) 560-1576
City of Carlsbad 97142
Fire Department • Bureau of Prevention
Plan Review: Requirements Category: Building Plan Check
Date of Report: Wednesday, June 4, 1997
Contact Name C.S.I. General Inc
Address 145 Vallecitos De Oro #F
City, State San Marcos CA 92069
Bldg. Dept. No. CB97-1347
Job Name Homes for Industry
Planning;:)
(pcfhfllt'J
Job Address 1944 Kello=...g...,_g _______ . ___ _ 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.
D 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# __ 97_1_4_2 __ File# ___ _
2560 Orion Way • Carlsbad, California 92008 • (619) 931-2121