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HomeMy WebLinkAbout1944 KELLOGG AVE; ; CB972083; PermitB U I L D I N G P E R M I T Permit No: CB972083 Project No: A9702638 Development No: 07/29/97 10:39 Page 1 of 1 Job Address: 1944 KELLOGG AV Permit Type: ELECTRICAL. Parcel No: 212-092-29-00 Valuation: 0 Suite: Lot#: Occupancy Group: Reference#: Description: ADD 2 400 AMP SUB PANELS-FOR : MACHINERY HOOK UPS Appl/Ownr : FORCE ELECTRIC SYSTEMS 8201 WINTERGARDENS BLVD LAKESIDE CA 92040 619 Construction Type: S.tatus: Appf'.f~g! Apr/Issue: Entered By: 561-9285 NEW ISSUED 07/29/97 07/29/97 RMA *** Fees Required Collected & Credits *** Fees: Adjustments: Total Fees: Fee description Enter "Y" for Ele Three Phase Per * ELECTRICAL TOTA EXPIRE~ PERMIT .00 ,00 410.00 Ext fee Data 10.00 Y 400.00 410.00 PERMIT HAS EXPIRED IN i~CCORDANCE WITH U-8.C. SECTION 106.4.4 ~ DME---r--~MWW:lUL0.1:..-~==:==::;t.=l.. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 'ERMIT APPLICATION FOR OFFICE USE ONLY I").._ PLAN CHECK NO. Cf 7 d'-U g ~ .. CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Pal mas Dr., Carlsbad CA 92009 (760) 438-1161 EST.VAL._~~~~~~~~~ Plan Ck. Deposit------...-.....-- Validated By-:::=-"1""::~-----i".or...;"--- Date.~----+-.+-::;:,,;..+-.~-~--- j 1. PRo.iECT INFO&TION /9~'/ 'ELto9'1-A//£ Address (include Bldg/Suite II Business Name lat thi1 addre1s) Legal Description Lot No. Subdivl1ion Name/Number Unit No. Phase No. Total I ot units Assessor's Parcel I Exi1ting u .. Proposed UH Description of Work SQ. FT. lot Stories I of Bedrooms II ot Bathrooms 2. CONTACT PERSON (If clfferwrt from applcentJ Name Address City State/Zip Telephone I FIX II 1!3.-APPLICANT D coniiici«-:OAQini for cciiitiaciai' D Ownlr :'"JI". gent forawn.f":-· ~ ....... -.'T'T"'·~· Ea~ctf. £( tCCT~ /C 54-Jr,£,,,,, Bzo, w ,w"J-U6A,~,'JE,.;s ~(. ~L) U,,Ktt.5',d),£ (!,I) ,19-1',l-?2'/S Name Addre11 City State/Zip Telephone I 4 .. ltflOP!RTYOIIVNEII • '·!• ~~•It'-,...,."t'?"";:""'! ~_,._.,,.,,.,..""\' ..... ... , ~, !'I '1-.,. ' f),4~Rtl>~~ lfl/kJ·l,a 'f /)ISS/G# ('o. :rNC.. ~719 4Kc~ Ave w~.srPB CJ'IL(~~ ~;Q 9:i.,cg City St1te/Zip Telephone I ~0 ~3J/-~300 Name Addre11 1$. CONTRACTOR· CO~ANY NAM!·-=--·---.. ISec. 7031.6 Busineu end Profe11ion1 Code: Any City or County which require, 1 permit to con1truct, 1her, improve, demolish or rep1ir eny structure, prior to Its Issuance, 1110 requires the appliQnt for such permit to file I signed st1tement that he 11 licensed pursuant to the provl1ion1 of the Contractor's Uc-. Law !Chapter 9, commending with Section 7000 of Dlvilion 3 of the Business and Profeslion1 Codel or that he 11 exempt therefrom, end the bull for the alleged exe'}l'IJion. Any viol_Jti~of Section 7031 .5 by 1ny 1pplicant for I permit subjects the applicant to I civil penahy of not more than five hundred dollars 1•600)1. /10~<:-€. ilcCT/t( Sy5/C,*1 :r,,..,c. e2a1 ~.h,IV7:e..~6,.;f.,UJ.L,v,t.. C,Ak.l'.s,~A e,,,. 9;:a.,9::, Name · Addreas City State/Zi < Tele I '119 State LicenH I .J/06<? ?9 License Cla11 C/t? City Buaineu LlcenH I 5"~/-'f.::2-g j..- Designer Name State UcenH I--------- 8. WORKERS' COMPENSATION Address City Workers' Compensation Decl1ration: I hereby affirm under pen1hy of perjury one of the following decl1ration1: State 0 I have and will maint1in I certificate of consent to Hlf-ln1ure for workers' compensation IS provided by Section 3700 of the Labor Code, for the perform1nce of the work for which this permit Is iuued. · 0 I have end will maint1in workers' compensetion, IS required by Section 3700 of the Labor Code, for the performance of the work for which this permit 11 issued. My worker's c penHtion in1uranc1 carrier end policy number are: Insurance Company O r ~ v~.A-7--C..I! '5° £.I. (I) C.,{,f Policy No. 0 'f 7 / / / 7 7 'f' Expiration Date / -I -9 8 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the p1rform1nce of the work for which this permit is iuued, I 1hall not employ any person in any manner so IS to become subject to the Workers' Compensation Laws of California. WARNING: Fellure to _.. wortc .. • c:ompenAtion coveqge Is ... wful, end lhllll IUbject .. employ• to c:rilNnel peneltlu end dvll ftlMS up to -luldnd thounncl ~,0001, In 8ddltlon to the pt of c:ompenAtion, demegN • pnmded fOf In Section 3708 of the Labor code, lnt-t end attorney's fw. SIGNATURE~-? fr-$-L. DATE / -2~-'7? 7. OWNER-BUILDER DECLARATION . r · · -·~ · · • ~ · . .,, , 7 I hereby affirm th1t I am exempt from the Contrector' s License Law for the following reason: 0 I, as owner of the property or my employHs with w1ge1 11 their sole compensation, will do the work and the atructure Is not Intended or offered for 1111 ISec. 7044, Buaineu end Profeslionl Code: The Contrector'1 Ucense Law does not 1pply to 1n owner of property who builds or lmprovea thereon, end who does such work himHII or through his own employNs, provided that such Improvements are not Intended or offered for Hie. II, however, the building or Improvement Is sold within one year of completion, the owner·bullder will have the burden of proving that he did not build or Improve for the purpou of 11le). 0 I, IS owner of the property, am exclusively contrecting with licensed contractors to con1truct the project ISec. 7044, BU1ine11 end Profes1ion1 Code: The Contractor' 1 Ucense Law doe• not 1pply to 1n owner of property who builds or improv11 thereon, end contract, for such projects with contrectorlal licensed pursuant to the Contractor'• Uc-. Lawl. 0 I 1m exampt under Section Business end Profeaaions Code for this re1Son: 1. I person1lly pl1n to provide the major l1bor and materi1l1 for conltructlon of the propoHd property improvement. 0 YES ONO 2 . I lh1ve / have notl signed an appliQtion for I building permit for the proposed work. 3. I have contracted with the following per1on (firml to provide the proposed con1tructlon (Include name I address I phone number I contractors lie-. number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, luperviH and provide the m1jor work (Include name I address I phone number I contr1ctors license number}: _________________________________________ _ 5. I will provide some of the work, but I hava contracted (hired) the following per1on1 to provide the work Indicated Unclude name I eddreu I phone number I type ofworkl: ___ ~~~~-~--~~-~----~-~--~--~~~-~~~~~~~~------~~---- .-- Is the appliQnt or future building occupant required to 1ubmh a business plan, acutely hazmrdous materials registration form or risk management and prevention program under Sectlon1 26505, 25633 or 25534 of the Prealey-T1nner Huardous Subltence Account Act? 0 YES O NO Is the epplicant or future b\,ilding occupent required to obtain e permh from the 1ir pollution control district or 1ir quality menagement district? 0 YES O NO Is the f1cility to be constructed within 1,000 feet of the outer boundary of a 1chool 1ite7 0 YES O NO IF ANY OF THE ANSWERS ARE YES. A ANAL 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. le. CONSTRUcTiorll.ENDIHG AGENcf-,...._....·r----~-'":' "• '•-' ...., ~ ......., -' . ' I I hereby affirm th1t there Is I construction lending agency for the performance of the work for which thl1 permit Is l11ued (Sec. 3097111 Civil Code). LENDER'S NAME LENDER'S ADDRESS rs. APPLICANT :CERTIFICA===::::'l'iorP;-;. ~:: ... =. ::_.;::::.,..,.;:;_:--:_ =-::_ ~;,;:_ .. :::.::;:.=._ ._::,:.:.:_.::+~_:.;::t":"'.'..:.:... ::.._ .;:~:.:_;.:wz:.:=_=_-::-;::::: .. =_ :-:.-. -=. =.=,.:--_ .-~--:::. ::.,;:;,u~~=,=.=. =._::,::; ..... ::_;:.::_::,.::. -=-=-==.~:;::.;:::;.ff;::_::~;::~:-. -;;;_:--;-, "."". ---:;- I certify that I have read the 1pplication end st1te that the above Information Is correct end that the inform1tlon on the pl ens Is accurate. I egrea to comply with ell City ordinances ind State laws releting to bulldlng construction. I hereby authorize ,......atlvea of the Citt of Cwtsbed to enter upon the ebove mention.cl property for Inspection purpon1. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN MY WAY ACCRUE AGAINST SAID CITY l'ol CONSEQUENCE OF THE GAANTWG OF THIS PERMIT. OSHA: An OSHA permit Is required for excav1tion1 over 5•0• deep and demolition or conltructlon of structure, over 3 1torl81 In height. EXPIAA TION: Every permit iuued by the Building Official under the provialon1 of this Code 1haff expire by limlt1tion and become null end void If the building or work authorized by such permit is not commenced within 386 days from the date of such permit or If the building or work 1uthorized by such permit is suspended or abandoned at any time 1fter ork 11 commenced for I period of 180 days (Section 108.4.4 Uniform Building Code}. ---DATE CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB971914 FOR 08/29/97 DESCRIPTION: 1000 SF MEZZANINE AND 200 SF TENANT IMPROVEMENT TYPE: ITI JOB ADDRESS: 1944 KELLOGG AV STE: INSPECTOR AREA TP PLANCK# CB971914 OCC GRP CONSTR. TYPE VN LOT: APPLICANT: CROSS, DAVID CONTRACTOR: PHONE: 619 233-3710 OWNER: PHONE: INSPECTOR REMARKS: C/BARRY/719-3990 SPECIAL INSTRUCT: PHONE: /-I --~~---------~ TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# FAD96026 CB,72083 TYPE FADD ELEC STATUS ISSUED ISSUED ACT COMMENTS 14 ST Frame/Steel/Bolting/Welding ~ ---------------~ _ C::.-04:!!_ -~-X=-.,..V .... ,J'"""rf.-..:::LJ:;;;__ ________ _ ~-------------------~------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS 082797 Frame/Steel/Bolting/Welding AP PY MEZZ FLOOR 082597 Ftg/Foundation/Piers AP PK COLUMN DRYPOUR & SLAB 082197 Rough/Topout AP TP @ RESTROM 081997 Ftg/Foundation/Piers AP TP 6 PIER FTNS 081997 Underground/Under Floor AP TP W/C @ NEW RETRM 081897 Ftg/Foundation/Piers AP TP 6 PIER FTNS 081897 Underground/Under Floor NR TP • SINGLE.·. LINE dl'AGRAM NO. SCALE ' .' .. ~· ( 't J 2. 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