HomeMy WebLinkAbout1954 KELLOGG AVE; ; CB962365; Permit12/13/96 10:21
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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
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. .
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