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Home My WebLink About1958 Kellogg Ave; ; CBC2018-0318; Permit(city of Carlsbad Print Date: 12/05/2018 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1958 Kellogg Ave BLDG-Commercial 2120920100 $130.00 Commercial Permit Work Class: P/M/E Lot#: Reference#: Constn.,1ction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Description: UNDERGROUND PLUMBING & DEMO OF NON-BEARING PARTIONS AND CEILINGS ON 1ST FL. PLUMBING, ELECTRICA~ AND MECHANICAL PERMIT Total Fees: $17D.00 Total Payments To Date: $170.00 Co-Applicant: CRB BUILDERS LLC 3207 Grey Hawk Ct, 150 Carlsbad, CA 92010-6651 314-997-151S Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit 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 right to protest the specified fees/exactions OOES 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Permit No: CBC2018-0318 Closed -Finaled 06/12/2018 06/12/2018 AKrog 12/5/2018 12:30:11PM $170.00 $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov • ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING •ENGINEERING •BUILDING •FIRE •HEALTH 0HAZMATIAPCD (city of Building Permit Application Plan Check No. C.& C. 2.o\ \§•<!)~I 0 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date JOB ADDRESS I 'I .re k-c..\\.o A-vi! SUITEI/SPACEt/UNITI IAPN $ --- CT/PROJECT# I LOT# PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE -1 occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 0 C-...,,• /1 l-,o.._ c,,f ,, ,.,.. 'rt f, ,_ ,.,,,,..11., ........ ) ,,,...., ' <...ut:/ hr"'<-kr /l'r ,_,, l(.eA-,,,..e. (p,l'ICy-e k .(lt>,r 1/1'\c,Lt,-,......,...c.. f11 V,,._hN• ~ . I EXISTING USE I PROPOSED USE )~ARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE rR CONDITIONING I FIRE SPRINKLERS oFP-fu lw//>e /l..+o lAl> /o v,so No0 YES•No• YESl8jNo• APPLICANT NAME {<_All>\. t. ~A-~"'"' PROPERTY OWNER NAME V R-S .,.. A/Tr! 1t /V"l'f'rT..>; 1t<-r, 1£ Primary Contact ADDRESS 3 2..= '.:l-~i HAwk. $C1f-k ... /5',;> ADDRESS I 1 S"i3 ~ f/O~<-,A-re CITY STATE ZIP CITY STATE ZIP C...tt.,C..') ~~ ,._ co. C, t.c>(O r-· 'SAA-n Qq-q '2,,o • 'b PHONE ,1'1-":ro'6-'-1'-> IFAX PHONE ..-fAX ;:y,.o-1'L,--ov, EMAIL EMAIL y-._v,,,~ • bl)('~\,-o• 't--e. C<'---us-,.. r --~ k'-S 1".:>,v -<:"--"'~-.e . (.cll'k DESIGN PROFESSIONAL fl-c-h s""" <,,,t ~ -,8~ CONTRACTOR BUS. NAME C..(t..4"', ~,A lc,ler r l(.C ADDRESS <'!, <..-<>".:I-c-ft--e'/ -f flt,v J, ~ _L t:.,L,. ;ooRess '?,-z..o':1-Gk..-t /fA<,.J }(.... {~ /so CITY STATE ZIP ~ CITY STATE CA-21• (..,Ayt,....(....7 ~~I? CA-(o CAµ...JflAP ,'?.ofo PHONE I FAX ?&u-'ff'--'>1/"f PHONE I FAX :l-<;,o-'-tC,,-'}11<1 EMAIL EMAIL , r, \.-. . 7 c..J -c:n -;o" @ c.r'l,vJA-, <...D""' r,:_~; • J,.A-~t. .. ~f !STATELIC,# STATE LIC.# V I CLASS I CITY BUS. UC.# 91"1 ro e (Sec, 7031.5 Business ~nd Professions Code: Any City or Coun_ty which requires a permit to construct. alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_m1t to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License LawJChapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code) orfhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaratlon: I hereby affirm under penalty of perjury one of the following declarations: D 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 ~ I have and wlll maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy a,mbecarn los,caaoo Co ,,Vpn:.a,,..,e c VII I ()I\ ffM ML> PoUcy No C.J c e 3 "t 1 2.G. 8 t. 'f &picatioo Date '-I I " I / "Lot , ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ 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 . .Jt5 CONTRACTOR SIGNATURE -:J~~:-..v" ' I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: 0 I, as owner of the property or my employees with waaes 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 wl1o 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 Contractor's License law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contraclor(s) licensed pursuant to the Contractor's li::ense Law). • 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. OYes ONo 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 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/ address/ phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons kl provide the work indicated (include name/ address/ phone/ type of work): Jt.'f PROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 Acr? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district? Yes ~No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes tl)Jo 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lend mg agency for the performance of the work this permit ts issued (Sec 3097 (r) C1v1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above lnfonnation Is correct and that the information on the plans ls accurate. I agree to comply v.tth all CHyordinances and State laws relating to building construction. I hereby authorize representative of ltle City of Carlsbad to enter u~n the above mentioned property Klr inspection purposes. l ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD ACAINST AlL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE ACAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. oo--lA: MOSHA permit is required for excavations over 5'0' deep and demolition orcoostruction of structures over 3 stories in height. EXPIRATION: Every perm~ issued by the Building Offcial under the provisbns of this Code shall expire by !imitation and beo:Jme null al'\d vok:I Wthe building orv.or'K authorized by such permit is not oommencad 'Mlhin 180 days from the date ofsudl perm~ 0< if the building orw.:ir'K authorized by sudl permit is suspended Of abandoned at anytime after the WJr'K is oommenced for a period of 180days {Sed.On 100.4.4 Uniform Building Code) . .A$ APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME ADDRESS CITY STATE PHONE EMAIL DELIVERY OPTIONS PICKUP: MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) CONTACT (Listed above) CONTRACTOR (On Pg. 1) ZIP FAX OCCUPANT (Listed above) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: ________________ _ A$ APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. LIC. No. ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSfflUCTION DATE ZIP PERMIT INSPECTION HISTORY REPORT (CBC2018-0318) Permit Type: BLDG-Commercial Application Date: 0611212018 Owner: Work Class: PIMIE Issue Date: 0611212018 Subdivision: Status: Closed -Finaled Expiration Date: 0610312019 Address: Scheduled Date Actual Start Date 09/28/2018 09/28/2018 10/16/2018 10/1612018 11/02/2018 11/02/2018 12/06/2018 12/06/2018 December 06, 2018 IVR Number: 11892 Inspection Type Inspection No. BLDG-21 Underground/Underf loor Plumbing 071405-2018 Checklist Item BLDG-Building Deficiency BLDG-12 Steel/Bond 073081-2018 Beam Checklist Item BLOG-Building Deficiency BLDG-21 UndergroundlUnderf loor Plumbing 074786-2018 Checklist Item BLDG-Building Deficiency BLOG-81 Underground Combo(11, 12,21,31) 077893-2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency BLDG-11 Foundation-Ftg-Piers (Rebar) BLOG-12 Steel-Bond Beam BLDG-21 Underground-Underfloor Plumbing BLOG-31 Underground-Conduit Wiring 078107-2018 Checklist Item BLDG-Plumbing Final BLDG-Structural Final Inspection Status Primary Inspector Partial Pass Andy Krogh COMMENTS lab waste underground, including top out of vents too roof Failed Andy Krogh COMMENTS Wrong permit Failed Paul Burnette COMMENTS Lab waste underground, including top out of vents too roof Passed Andy Krogh COMMENTS PaHed Andy Krogh COMMENTS CARLSBAD TCT#81-46 UNIT#02 1958 Kellogg Ave Carlsbad, CA 92008-6581 Re Inspection Complete Reinspectlon Incomplete Passed Yes Reinapectlon Complete Passed No Reinspectlon Complete Passed Yes Complete Passed Yes Yes Yes Yes Yes Complete Passed Yes Yes Page 1 of 1