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HomeMy WebLinkAbout1954 KELLOGG AVE; ; CB962365; Permit12/13/96 10:21 Pag~ · 1 of 1 B U I L D_ I N (; Job Address: 1954 KELLOGG AV Pertuit Typei PLUMBING Parcel No: 212-092-02-~0 Valuation:. 0 P B R M I T Suite: Lot#: Permit No: .CB362365 Project No: A9603372 Development No: ~4ss 12113;95 oooi 01 02 Construction Type: 27,00 NEW · Occupancy Group~ Reference#: , . Status: ISSUED 12'/13/96 12/13/96 RMA Descrip·~ion: INSTALL GAS LINE FOR EQUIPMENT . ·: Applieq: ,AP+/Issue: Appl/Ownr 619 Bn.tered By : ·437~0074 FINAL APPROVAL. *** INSP.__._...a=:::I) t?J~1Ec:::,:;;;::::====-~ CLEARANCe L~6 . ·~~ Jt_. . CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 I\ ' PERMIT APPUCATION PLAN CHECK NO. q . City of carlsbad Buildi....i Departlli!nt 2075 Las Palas Dr., carlsbad, CA 92009 (619) 431M161 F.S'r. VAL ____________ _ 1. ~EltMIT TYPR PLAN CK DEPOSIT _______ --..-. VAIID.BY_.....,.__....,.. __ .....,.... __ ---1.....,. DATE,.__ __ .....1,.~-4-...i,.........,_...4-~~-- From list I (see back) give code of Permit-Type:----------,.---- ------...... --·--... ------.-... ------------------. ------.. -.... --..... -.. - For Residential Projects Only: From list 2 (see back) give Code of Structure-Type:------------------------ Net Loss/Gain of Dwelling Units-----------.,------------ 2. PRClJF.CI' INFORMATION FOR OFFICE USE ONLY Address Building or su1te·No. \q S4 U1 .. u::.GG *'IL Nearest Cross Street · LEGAL DESCRIPTION fut No. Sut,chv1S1on NameiNumber Omt No. Phase No. CHECK BEIDW IF SOSMII lf;b: . Cl 2 Energy Cales _ D 2 S~ctural Cales D 2 Soils Report CJ I Addressed Envelope_ DESCRIPTION OF WORK · G,..AS Ll1',ll£'. / M'LT£..R. l~S~ SQ.IT. # # OF BEDROOMS # OF BATIIROOMS ADDRESS 438 -¥~;4 STATE ZIP CODE DAY TELEPHONE 4. APPllCANI UCUN!HAClU.H. bAGENI FOflCONIRACIOR' OOWNER OAGENl FOR OWNER NAME (last· name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE s. PfioPilitti oWNEll NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 6. ooN'l'RACIOk . NAME (last name first) ADDRESS CITY STATE STATE UC.# ZIP CODE UCENSE CLASS DAY TELEPHONE CITY BUSINESS UC. # -. DESIGNER NAME (last name hrst) CITY STATE ZIP CODE ADDRESS DAY TJ::LEPHONE STATE UC.# 7. WoRKERS' ooMPENSA'11oR · Workers''Compensauon beclarauon: I hereby atfum that I have a cert1hcate of consent to self-msure issued by the Director of lndustnal Relations, or a certificate of Workers' c;:ompensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with. the Building Inspection Departm~nt (Section 3800, Lab. C). INSURANCE COMPANY POUCY NO. EXPIRATION DATE cert1hcate of Exempt10n: I certify that m the pertonnance of the work for which this penn1t 1s issued, I shall not employ any person in any manner so as t<> become.subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNER-BDfiDER OEGLARAfloR CJ CJ Owner-Builder Declarauon: I hereby af(1nn that I am exempf)rom tfie,Contractor's Llcense Law.for ffie 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 Llcense 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 pr 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 Contractor's license I.aw does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed_ pµtsuant to the Contractor's license Law). I am exempt under ~tion _______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit to_ construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the provisions of the Contract license Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or -that he is exempt fro , and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pennit subjects the applica i I penalty'of not more than five hundred dollars [$500]). 'SIGNATURE DATE . 1 'L , / 5 ~ (. Is the.applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and preventio·n .program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES CJ NO . Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management disoict? DYES Cl NO Is the facility to be constructed within. 1-,000 feet of the outer boundary of a school site? DYES CJ NO / IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF ocx::uPANCY' MAY Nat BE~ AFrERJULY 1, 1989 UNLF.SS nm APPUCANT HAS MET OR IS MEETING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICFS AND nm AIR POLLUTION CDNTROL DISTRICT. 9. OON!i.lROC'l10N LRRDING AGENCY . . . . - I hereby afhnn thanhere IS a construcuon lending.agency for the pedonnance of the work for which this penn1t 1s 1SSued (Sec 3097(1) C1V1i Code). LENDER'S NAME 10. APPllCAN I CERliFICA:ltOR LEND~'S ADDRESS I certify that I have read the apphcaoon and state that th~ above informauop JS correct. I agree co comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE ro SAVE INDEMNIFY AND KEEP~ nm Cl'IY OF CARISBAD AGAINST AIL IJABILITIE.5, JUDGMENTS, CXJSTS AND EXPENSES WIIlCH MAY IN ANY WAY ACX:RUE AGAINSI' SAID Cl'IY IN .CDNSEQUENCE OF nm GRANTING OF THIS PERMIT. OSHA: An OSHA pennit is required for excavations over S'O" deep 3:nd demoiition or construction of structures over 3 stories in height. Expiration .. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work auth · ch permit is not commenced within 365.days from the date of such pennit or if the building or work authorized by such pennit is suspen o doned at any time after the work i~ commenced for a period of 180 days (Section 303(d) Unifonn Building Code). APPUCAN'rS SIG I\ , . DATE: \ -z:_. \ 's ,t:t C. WHITE: File YELLOW: Applicant . PINK: Finance PERMIT# CB962365 DESCRIPTION: INSTALL GAS LINE TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 01/15/98 FOR EQUIPMENT INSPECTOR AREA TP PLANCK# CB962365 OCC GRP JOB ADDRESS: 1954 KELLOGG AV STE: CONSTR. TYPE NEW LOT: APPLICANT: DAILY, RAYMOND PHONE: 619 437-0074 CONTRACTOR: PHONE: OWNER: PHONE: /} REMARKS: C/ INSPECTOR y SPECIAL INSTRUCT: CONTR WANTS FINAL INSPECTION -SAID ~F=I~I(E~HA--S-S-I~G_N_E_D_O_F_F_I_N_ THE FIELD TOTAL. TIME: --RELATED PERMITS--PERMIT# GR950019 FS960002 AS960013 FS960026 CB961234 AS960083 TYPE GRADING FIXSYS ASC FIXSYS ITI ASTI STATUS ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED CD LVL DESCRIPTION ACT COMMENTS 29 PL Final Plumbing ------------------------------------------------------------ ***** INSPECTION HISTORY***** DATE 020597 .013097 011397 121796 121696 DESCRIPTION Final Plumbing Gas/Test/Repairs Final Plumbing Gas/Test/Repairs Gas/Test/Repairs ACT INSP CO TP NS TP NR PK AP TP PI TP COMMENTS SEE NOTICE COULDNT FIND ANYONE THERE 211 BLDG LINE ONLY/SEE CALL SL START 24 HR CLOCK ... ,!a UNSCHEDULED Btm,DING INSPECTI:1 , DATE !cJ-.U7/,qt INSPECTOR-r.' ~ 7 7 ---.,~------- PER MIT # &/6-Z1, 5"" PIAN CHECK# _____ _ JOB ADDRESS ---....-""""l .... 9_,l,;:,_-1/~/::¢. .. _,-.b.-Z=?P;;..i_ ~~, .... A_V:-__ . _____________ _ DESCRIPTION -----.......... -------..------------------------- TIME ARRIVE: TIME ---------- CODE DESCRIPTION ACT CO:MMENTS ,/fJ ,::;"'1 g BL..t>~ ~.nv,£ ~v41 &~ C/lt&ft.1f;) -ff! PERMIT# Cl;l962365 DESCRIPTION: INSTALL GAS LINE CITY OF CARLSBAD INSPECTION REQUEST FOR 02/0·5/97 FOR EQUIPMENT INSPECTOR AREA TP PLANCK# CB962365 OCC GRP TYPE: PLUM JOB ADDRESS: 1954 KELLOGG AV APPLICANT: DAILY, RAYMOND CONTRACTOR: OWNER: REMARKS: MW/RAY SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION 29 PL Final Plumbing PERMIT# GR950019 SE950044 FS960002 AS9600l,3 FS960026 RW960087 CB961234 AS960083 TYPE GRADING swow FIXSYS ASC FIXSYS ROW ITI ASTI ACT ~ STE: CONSTR. TYPE NEW LOT: PHONE: 619-437-0074 PHONE: /J PHONE: INSPECTOR -------,,---------- STATUS ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED COMMENTS .( ~e .,µzrr1 t,,~ --------------------------------------------------------------------------------------------- DATE 013097 011397 121796 121696 DESCRIPTION Gas/Test/Repairs Final Plumbing Gas/Test/Repairs Gas/Test/Repairs ***** INSPECTION HISTORY***** ACT INSP NS TP NR PK AP TP PI TP COMMENTS COULDNT FIND ANYONE THERE 211 BLDG LINE ONLY/SEE CALL SL START 24 HR CLOCK . •l ... POOR . . · · ·QUALITY. " . f· f-~ . r, ; ' ! .·· ORIGINAL S ' . 1' - .,. .. )>(') HO JJ3: CD CDC. run 0-1 ,c'H fTIO JJZ •,' '1l H r 0 -I -:,.· "... 4·. -,_,,_:'-'--iQ' H r-o -,-J:. 3: )> H :z_ . ;._\ :: -:}:,. ·•,:· . . _, -~:~: ., 1.:,1 ,· .... r.:,- )>(') '1l HO H JJ 3: r CD 0 CDC -I rC/l 0-1 ,CH . fTIO ~--JJZ