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Home My WebLink About1960 KELLOGG AVE; MULTI-PERMIT FILE; CB042385; PermitJUB ·City of Carlsbad 07-01-2b~ , -.~tG 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB042385 -·--. Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1960 KELLOGG AV CBAD ELEC 2120930100 Lot#: Status: 0 Applied: Entered By: Reference #: Plan Approved: ISSUED 06/15/2004 SB 07/01/2004 07/01/2004 Project Title: FLOOR EXPO CHANGE OUT EXISTING SERVICE & ADD DISTRIBUTION PANELS Applicant: ALPHA ELECTRIC SERVICE 14~20 !SELi RD 90670 562 741-0704 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES Total Fees: $240.00 Inspector: 0 0 0 0 Owner: JORKEN LLC 1964 KELLOGG AVE CARLSBAD CA 92008 Total Paymi:lnts To :0;3te: $0.00 FINAL APPRO~ Date:_ t/~ Issued: Inspect Area: $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $230.00 $0.00 $240.00 Balance Due: $240.00 5747 07/01/04 0002 01 02 CGP 240-00 Clearance: ______ _ NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must · follow-the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for : processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, ' review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/ex11ctions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, ·grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been niven a NOTICE similar to this nr as to which the statute of limitations has oreviouslv otherwise exoired. Pl;RMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. ~e;t/ 23>~ EST. VAL. __________ _ it JffiQll;:~IJ~(Q__flMA11Q!'f "-: __ · .•.. : '"~ "'" -· . ~ Add,~1''1''° "K':'\'i! ,.~ e CM-\s bu) I CA "I ~·g•m• ''""" •dd~,, I \ Legal Description J Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Name Address City State/Zip Telephone # State License # -~'1Gi ·2,G.,{p License Class C \ O City Business License # l '2 ( Se 5 0 Designer Name Address City State/Zip Telephone A 1$'::~!fil!~~ ,::::,:;;,~::;,:;;,; ~-:;-.';~~~"'"~~~''/' 7 :cJ+ · ,;:;,37r: "'ZP-'lF• a · .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. 0 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 issued. My worker's com~ensati~n insurance carrier and policy number are: J . } lnsuranceCompany ~\Lt.JI f1i,~ AG51Jf-""""-r')U C, . PolicyNo. 5',.8'53'-/8' ExpirationDate qt-fk~~f (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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 J thousand dollars ($100,0~() • addition to th t of compensation, damages·as provided·for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE:_~~t!~=~=~:::'.'.::::::===---------------DATE lz~.::3Iw~J;)jt~---::.1;11_Q'..eqLXfiA1:19'1\c .. '.:.' _ ........... L~.:~::~r::.t,:::.::.::J:t-2~.::~fit:D/.·~:.:·::···::. ~::;:;-:;;:::::::;;;::;;::;:::;~::;:::;~ 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 / 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 number / 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 number/ contractors license number): ______________ ...,---,,------,,----------------------- 5, I will· provide s·ome of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work):. _____________________________________________________ _ PROPERTY OWNER SIGNATURE _________ ~----------,----DATE ___ ~-~--- @'~Pfief(;f(fiS~§~QitQJ!'f·.9ffffiff/:fl.E§/P..Efi/fjii,j@i;_Q!!{(te:ti3M!~JmJ:t~,2G;~.~=:~~{£:I':~Y_tt::'f.3.1~(!£tz:;;·,:_,;~;·::;J1!3]}jf.'2'td Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration f9rm 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? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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. [sT~J>NsfiWorfoNiuiibJ'NGA'Geffi7'~'"' 1;-,,-····-:--::-: '"'":'·;·.,;::;=:.:·;:~'~:.:.·· _.,~-'-"·=-·~ l·hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS::;::::;:;:;::::;::::::::;::::::::;::::::::;:::::-;:::;;::;:;:=:;:::;;:;:::;:::::;:::;::::;;::::;::;:;;:::;:::;:::;;:;:::;:::::::;::::;:;:;:::;::::;:::;;:;;:;::::::::;:::::;:;::: t9\ ~l'PLICANT::;CERTIEICAJ!ON ·,. · ; -...... · --~· v-A ;,r:._,. : . · _ ,_,, . , . · ·. ~~~:: '3r;,o}..~1S':;:;[':,·" •· :.:;:~?'.'./. 7 -;;. :<) :;::,q7:> .:::;~::;,~,,.<,;4 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 over 5'0" deep and demolition 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 j,thorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned any time after the work is commenced tor a period of 180 da s (Section 106.4.4 · arm Building Code). 1. _ / PPLICANT'S SIGNATURE . DATE G, -If fl) y WHITE: File YEL:LOW: Applicant PINK: Finance UNSCHEDULED BUILDING INSPECTION . INSPECTOR ..p .,,._, ----- PERMIT# . -{Z1t'£ .· PLAN CHECK,# ____ _ JOB ADDRESS I 9 f () k~tt~tt tc-6 DESCRIPTION _____ --=--------------- CODE DESCRIPTION ACT COMMENTS City of Carlsbad Bldg Inspection Request For: 10/19/2004 Permit# CB042385 Title: FLOOR EXPO CHANGE OUT EXISTING Description: SERVICE & ADD DISTRIBUTION PANELS Type: ELEC Sub Type: Job Address: 1960 KELLOGG AV Suite: Lot 0 Location: APPLICANT ALPHA ELECTRIC SERVICE . Owner: JORKEN LLC Remarks: Total Time: . CD Description Act Comment Inspector Assignment: TP --- Phone: 0000000000 Inspector: -12- Requested By: CARL Entered By: CHRISTINE 39 Final Electrical W~ -,----"---....,'1)-8"-_________ _ 3!/_ ________ 4/? @LA + Af"1t ,,,,::>A.Ad -·Associated· PCRs/CVs Inspection History Date 'Description Act lnsp Comments_ EsGil Corporation In (!'artnersliip witli government for CJJui{aing Safety DATE: 7/1/04 JURISDICTION: Carlsbad PLAN CHECK NO.: cb04-2385 SET: II PROJECT ADDRESS: 1960 Kellog Avenue PROJECT NAME: FLOREXPO/ Electrical Revisions Cl APPLICANT Cl JURIS. Cl PLAN REVIEWER Cl FILE D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. X The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies iden!ified 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. 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 Tne applicant's copy of the check list has been sent to:_ . D Es9il Corporation staff did not advise the applicant thafthe plan check has been completed. 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 X REMARKS: This permit covers the replacement of th.e main service only. The applicant is to apply for tenant improvement permits for the office area remodel and the warehouse to refrigeration/processing areas. · By: Eric Jem,en Esgil Corporation D GA D MB D EJ D PC Enclosur~s: OTC trnsmtl.dot 9320 Chesapeake Drive, Suite 208 + San Diego, CiJ,lifornia 92123 + (858) 560-1468 + Fax (858) 560-1576 EsG·il Corporation In (Eartnersliip wit/i. qovemment for (}Jui(aing Safety . DATE: 6/25/2004 JURISDICTION: Carlsbad PLAN CHECK NO.: cb04-2385 SET:I PROJECT ADDRESS: 1960 Kellog Av~nue PROJECT NAME: FLOREXPO/ Electrical Revisions 0 APPLICANT ~ ~REVIEWER 0 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. X · 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. X Esgil Corporation staff did advise the applicant that the plan check has been completed. . . Person contacted: John Busch Telephone#: 562 741-0704 Date contacted:<.(2.rlolj (by: ic-... ) Fax #: 562 741-0713 Mail Telephone,...,, Faxl..,,' In Person D REMARKS: By: Eric Jensen Esgil Corporation D GA D MB D EJ D PC Enclosures: 6/17 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 . . (; _. ~ -.. Carlsbad cb04-2385 6/20/2004 GENERAL PLAN CORRECTION LIST JURISDICTION: Carlsbad PROJECT ADDRESS: 1960 Kellog Avenue DATE PLAN RECEIVED BY ESGIL CORPORATION: 6/17 REVIEWED BY: Eric Jensen FOREWORD (PLEASE READ}: PLAN CHECK NO.: cb04-2385 DATE REVIEW COMPLETED: 6/25/2004 This plan review is limited to the technical requirements contained in the Uniform Building Code, Uniform Plumbing Code, Uniform Mechar.1ical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and disabled access. This plan review is ba$ed on regulations enforced by the Building Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department or other departments. The following items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 106.4.3, 1997 Uniform Building Code, the approval of the plans does not permit the violation of any state, county or city law, · • Please make all corrections on the originals and submit two new complete sets.of prints.to: E;SGIL CORPORATION. .. .. ~~: • To facilitate rechecking, please identify, next to each item, the sheet of the_ plans upon which each correction on this sheet has been made and return this sheet with the revised plans. • Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located on the plans. Have changes been made not resulting from this list? D Yes D No Carlsbad cb04-2385 ,6/25,J2004 PLAN REVIEWER: Eric Jensen E.LECTRICAL CORRECTIONS 1. The licensed designer must si_gn the approved set of the plans. ELECTRICAL (1999 NATIONAL ELECTRICAL CODE) 2. Include the feeder conductor sizing for the new "rack# 1 ". The rack load is 725 amperes; the conductors will need to be 125% of the largest+ 100% of the remaining motors with voltage drop a consideration. ,(Parallel 500 has an ampacity rating of 760 amperes). · 3. Why, on-sheet E2, does it have the statement "Existing feeds to be reworked" adjacent to the fire pump set-up? If the feeders are to be rerouted compliance with NEC 695-6(b) must be described on the floorplans. Note: If you have any questions regarding this Electrical plan review list please contact Eric Jensen at (858~ 560-1468. To speed the review process, note on this list (or a copy) where the corrected items have been addressed on the plans. .,,. .. ·-.¢ .. Carlsbad cb04-2385 6/25/2004 jvALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Eric Je11sen PLAN CHECK NO.: cb04-2385 DATE: 6/25/2004 BUILDING ADDRESS: 1960 Kellog Avenlle BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING AREA Valuation Reg. VALUE PORTION (Sq.Ft.) Multiplier Mod. -- Air Conditioning Fire Sprinklers TOTAL VALUE .. . Jurisdiction Code cb · By Ordinance 1994 UBC Building Permit Fee l;*:J 1994 UBC Plan Check Fee Type of Review: D Complete Review D Structural Only D Repetitive Fee Repeats . . * Based-on hourly rate Comments: D Other 0 Hour_ly . I · 2j Hours * Esgll Plan Review Fee ($) .. : ·-. ' I $240.001 $192.001 Sheet 1 of 1 macvalue,doc City of Carlsbad · 1~~ ;;, . t 08-03-:2004 -. rf 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB043020 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1960 KELLOGG AV CBAD PLUM Status: ISSUED 08/03/2004 MOP 08/03/2004 08/03/2004 Parcel No: 2120930100 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Titie: FLOREXPO U/G PLUMBING FOR CB04-2171 Applicant: JQRKEN LLC 1964 KELLOGG AVE CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees. TOTAL PERMIT FEES Total Fees: $60.00 1/,i Plan Approved: Issued: Inspect Area: Owner: , · JORKEN U:C 1964 KELLOGG AVE CARLSBAD CA 92008 0 0 0 0 0 O· . 0 -.. $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $40.00 $0.00 $0.00 $0.00 $60.00 Balance Due: $60.00 7962 08/03/04 0002 0:1. 02 CGF= 60~00 FINAL APPROVAL DATE l~/22-/4'1 CLEARANCE __ _ SIGNATURE ~ FOR OFFICE USE ONLY ' PLAN CHECK NO. PERMIT APPLICATION --------- c1n· OF ~~!3LS!3AD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validate<:! By __________ _ . Date _____________ _ ~~LR,~'iJ~fiq,f~'~'i.~:7/B,i;'.}~,{\~1~St1f.1st~t~xiiii~~~.it!t:'.~.:~s;.~~~;j;JLL /ri.o!CG Keo · Address (include Bldg/Suite #) · Business Name (at th(s address) Legal Description Lot No. Subdivision Name/Nurnber Unit No. Phase No. Total # of units Assessor's Parcel # ·Existing Use Proposed Use ascription of Work SQ. FT. #of Stories # of Bedrooms # of Bathro·oms ~i-~J~,,~~i't1'£.~~~~~-'~~~~~~:~.l~k.~i~1-W.t1,tl~~~;if[;,;,u;,#,},~uf:i:.":.~~.~;/1,:', ·,· ... )A!:.:,c,\:· Address City State/Zip Telephohe # ~Q,~~W'ill~--,:'.:1~~t'fd't~J£~~~1ii~~.1hr:~1,i,;;iJ;i;*lfb'trl~~i'~~il0%~::ftt.f.;:?t::t.;_~'i:/~~;,,~~I;~:,;~'.'!rt,Vi:.fs.~t-.:,~,1;'f.i.;',~-.,ti'.:;.·.i.tt,ii~.f5\·t\; ;Htr~'""' ·. Name Address · , City S.tate/Zip Telephone # fSec. 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, aiso 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 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of ncit more than five hundred dollars ($500)). Name Address City State/Zip Telephone# State License # _________ _ License Class ----,,----,.------City Business License # _______ _ Designl!r Name Address City State/Zip Telephone State License # ---'--------- _ff~Qfikil!jf~Qt{e._~ffQtu?t~1~~j,$--J;,~;;~~2!i~:~;fJtj1~\ 1~~>:-~J~~;;1J.s:~;,,i:1:~:(1ift11~:?..?i~.:i1:-½S.~'if.~:~~rQ.:~~t-,::h-·1~L:: ~~t:.:-~:~-~-~:1~~1~--~-~:):..:~:·;,., Workerf Compensation Declaration: J hereby affirm under penalty .of ·perjur.y one of, the following declarations: O I have and will maintain a certificate of consent to self0insure for workers' compensation as provided by Section 3700 of the Labor Code; for the performance of th11 work for which this permit is-issued. -0 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company . _ Policy No.____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS:FOR ONE HUNDRED DOLLARS [$100) OR LESS) 0 CERTIFICATE-OF EXEMPTION: I certify that-in the performance·of the work for which th,is permit is issued, I shall not employ any person in any manner so as to become·subject to the Workers' Compensation· Law·s of California. WARN.ING: Fallu_re to 19cu,e workers' compen1atlon coverage 11 unlawful, and shall 1ubject en employer to criminal penalties and civil fines up to one hundred thou1and dollar• ($100,000), In addition to the coit of compenaatlon, damagaa a1 provided·for in Section 3706 of the Labor code, interest and attorney's fees. ' ' SIGNATURE·-,----,..---,--------.,----,---------------DATE ________ _ li.,,~Jl,-~~~~ii' .. M~--'flitliol"A~~-;.-..~,1.,,,,-.,"!t.;i:rl'ill"1;J'J.~',o:;:~~A:;,!;,~~m;1,-w•,,s:\'1.'.'.C!:I.~~~;,,,:;;,,,, ,y,,.. ·.,;,M ,'J ',,, , ',C ,•~'\,·~~··· ~; :.,.~,i>:,v· '~-,·~~·-~"~',' .. ;' ">::t ,' ,,, ,,, ,,, ,,,,,,, ,J, ,, •Im'', 'tt~ c:,:;' . ;ft~..Z~l.!.a;!11P.MIP-~l:~Dfl:ILUlJ'Pn..-~~~~~~!;h~~~lxij=:1%_-iSr;,t1~!t~~-~~l'~i""-,::,;i?,lt,.%~?..~~~:..~:-.ttti-:::-11::·i:pis"l,~-<t>t"'1.~'-~1~'i'ik,.-,t].~i\~~.r:-- ·1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: f]' I, as o.wnar. of the property or my employees··with wages as their sole compensation, will do the work and the structure is not intended or o'ffered 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 havil the burden of proving that he did not build or improve for the purpose of sale). ~ I, as ow~ar of the property, am .exclusively, contracting with licensed ~ontrap~ors to construct the project (Sec. 7044, Busi~ess an~ Profession~ Cod~: The Contractor's License Law doas not apply to an owner of property who builds or improves thereon, and contracts for such proiects with contractor(sl licensed pursu1mt t~ 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 / have not) sign!ld an application-for a building permit for the proppsed work. · 3. ·I have contracted _with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors iicense number): 4. I. plan to provide portions of the work, but I have hired thl! following person to coordinate, supervise and provide the major work (include name / address / phooe 11umber / contractors license numberl: __ -,-----,----·~---,.......;'------'--------------------------- 5. I will provide some of the work, but I have contract!ld (hired) thil following persons to provide the work indicated (include name / address / phone number / type of work): ~ . . 1 ~~~illiPiii!1~~~{}"~i>,l,!t.!!e0,,~1r1;;;ts., Is the applicant or future building occupant required to submit a business plan, acutilly hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534,of the Presley-Tanner Hazardous fiub11tance-Account Act? --0 YES 'SJ' NO ls the applicant or futur!I building occ_upant required to obtain a permit·from the a\r pollution control district gr air quality management district? O YES El NO is the facility-to 1>11 constructed within 1,000 feat of the outer boundary of a sch~ol site? 0 YES igf° 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. f!1i"l:lrgJfti~:t.Rli.c.:QQ.~t!tlllii~~~gm~.ri.titl§i\i:1ii;Ui~~iff~~~,;;,~'!\lI!:!~1;~ii::J'.Y~;;:~;;:,iiL1,::?ir:,;i;t: ;i:iL,l,;', ,i ;.';L,}:. ,,.-:-;; ~i.i"' : ';J ;;, (} '., ,, !:::.£;:::-:'·: :.: I hereby at.firm that there is a-construction lending, agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME __ __,.___________ LENDER'S ADDRESS~-------------------------- (t~,;f,pJ,C'Ajjn1_Cl;RnlJ~NJitit~~~~{~~~~~;1-\\~af&;t~~Jf~~~1,t;~~~~~~ff.~2~~]~tfJi~;~~~~iM~~~(.,J~-J~;tt.:[{::i~?_b~{1J?.t~,:~tf?0tt~~~ I certify that I have read the .application and state that the above infor,nation is correct and that the. information on the p·lans is accurate: I agree to comply with all City or~i.nances 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 ALSQ AGREE TO SAVE, INDEMNIFY AND KEEP' HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, Jt,DGMENTS, 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 over 510" deep and demolition or cqnstruction of structures over 3 stories in height. EXPIRATION: Every permit iss_ued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorize_d ,by such permit-is not comm ced within 180 days from the date of-such permit or If thEI building or work authorized by such permit is suspended or abandoned 7 at any time after the work is commenc J · 18'0 days (Section 106.4.4 Uniform-Building Code). , /, !: APPLICANT'S SIGNATURE ---"'-=l:=r'--s~:_-_:;_-."'-"'--..;::.a---------------DATE --=f?:""';;._'3_,t'--Jt)_y_,_ _____ _ WHITE: File YELLOW: "Applicant PINK: Finance lnspe9JiQn List Permit#: CB043020 Type: PLUM FLOREXPO U/G PLUMBING FOR CB04-2171 Ditte Inspection Item Inspector Act Comments 12/21/2004 29 Final Plumbing TP AP OKTO FINAL 08/06/2004 21 Underground/Under Floor TP CA NOT A REQUIRED INSP 08/04/2004 21 Underground/Under Floor tP AP 08/04/2004 21 Underground/Under Floor . TP AP Wednesday, December 22,.2004 Page 1 of 1 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-13-2003 Electrical Permit Permit No: CB030412 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1960 KELLOGG AV CBAD ELEC 2120930100 Lot#: Status: 0 Applied: Entered By: Reference #: Plan Approved: ISSUED 02/11/2003 RMA 02/13/2003 02/13/2003 Project Title: BARIATRIX-UNDERGROUND ELECT ONLY FOR FUTURE Tl Applicant: CAROL ELECTRIC 225 BINGHAM DR SAN MARCOS CA 92069 1510-8140 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test-Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 0 0 0 0 Owner: JORKEN LLC 1964 'KELLOGG AVE CARLSBAD CA 92008 Total Fees: $60.00 Total Payments To Date: $0.00 Issued: Inspect Area: 811·4 02/13/03 0002 01. 02 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $50.00 $0.00 $60.00 Balance Due: r1-:;a-:: $60.00 60 .. 00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No(JJ CJ:30 '-1/:l_ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL _________ _ Addr ss (i elude Bid /Suite #) . Business Name (at this address) 0 ~i...L.GC:C-(A;, Lot No. Subdivision Name/Number UnifNo. Phase No. Total # of units Assessor's Parcel # ,Existing Use Proposed Use Description of Worl< SQ. FT. #of Stories # of Bedrooms # of Bathrooms W<':-.,_ .. Jz4:ff:_C,"tfl.'fi~,1,.,.. ~Y,.},JIQ~ f#Z:O .. l.?IY:Q,:-_'?_!!. ~"T_.--,~4/i~ .. _.. .. 1.'t·:l%(J:?.~~,~~~~U~~~. ·,· ... ,,·~:·, ~.-"'. :,.~--,-:s:1."", ... ,,.-, !!i~,;.C.QNJ'.A.Qil'~:.qC~k-tr:;;1.1?!.Pn .. ~ .. ·,,.-~.,~ .. ;;,,_;.·;,,,·.' .... M~~?:'i:'a·:,:;4t>~z:;::1~'ii--=Y·f:'z?j"··'.'·"•',,,.-;,:·'.~.,-0,y:,:,.;,;; Name Address State/Zip Telephone # Fax# ~ .. J~l!J?ll!9~~L~1i11n1t~.¢~qr,= ,' . Name t4',:0:;PROPERQOWNER Name Address City S.tate/Zip ts,~ . .:.9.91\!J'll~Q.TPlb CQ.MP-Ati'l-NAN!E.;.;;., ..... ,~ .. ,.::,:-.. ..,,,., : .. -.;~ ~--~::. ,,,,,,,; .. .,.,, ;:, . .,;..:,..., ~.:L ~.:;.-:.c. ~-s: ... ~, ;i.: ... :.. .... ,~, . .:..:. ,, .. ;;_.:~~.7:'f..:JJZI:,, Telephone# (Sec. 7031.5 Business and Professions Code: Any City or Co1.1nty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit_subjects the applicant to a civil penalty of not more than fi)e ~un red dollars [$~001). //rf . ( , . / l/h {,,,c$ "' 'it!' - Name City State/Zip Telephone# City /2/L/O/Z '-· r,:;:u,n,,...,__.,.. {J 5 z- State License # /3 / h 2 c.f ~- ~KERS} COMPENWION_. ·. ·.· . · ·,.· .. · .;-:--;::-::.-7,,~-~~~~-;:;.t.::;;::::;~;:::r;;;;:_ :::-::.,~.:;-;·.'.::,.:::;),:·0:T·".'"'3?f:''''~ Workers' Compensation Declaration: 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. 1Zf' 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 ~ed. My worker's compensation insurance carrier and policy number are: / /4 ·,nsuranceCompany {/LICO &xotc"r{ ' PolicyNo.wes /J/96300 ExpirationDate /O/c;IJS (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) 7 I D 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 sec orke ' ompensation coverage is unlawful, and shalf subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($10 , I n ad i to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE . DATE 2-/f.-63 • . t7T:Z"*OWNER~BUftoElfD1: _,'N'RAtfONjn M~ ;-+ , t-:·-:~_ ·:-~/n:~-~-~~-:, -~¥: >V:-:----:·:~:;:~{':~:::¼"-:-_~-;,-N·~-~:·~"}<,_~_ ~ 'f,',A-~ -~~t,,:)~-~~-;s~:2::::-:~~-2;:.-~ ::s::::_--::;:_:,,_~ -: :-\ ::,+:~ I herefiy affirm that I am exempt from the Contractor's License Law for the·followin~ reason: D I, as owner of the property or my employees with wages as their sole qomperis_ation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ljcense 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). D 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). D 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. D YES ONO 2. I ·(have / have not) signec;I 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 number / 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 number/ 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 / address / phone number / type of work): _______________________________________________________ _ PROPERTY OWNER SIGNATURE______________________ DATE ________ _ tcoMPLEfE'THISSECTIONFOR_NON~RES/DENTfAL.BUll:DING•;pERMITS;ONLYi..,,, -~ ', ;7; . :,':';<:'.'::;_, t'·-I.:s2· i· ,4,,:{,,_;'A· <\ "..;>,': 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air. pollution control district or air qu1;1lity management district? D YES D NO. ls·the facility to be constructed within 1,000 feet of the outer boundary of a school $ite? D YES D 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. ,!§7,:,&QN~TR!:1~1'.lQl'fl..Ef!l.Ql,NG. MENG"·(_ : :.. .... ,. > :::: ...:.~: .::,.,,,:: , · · I hereby affirm that there is a construction lending agency for the. performance of the work for which this permit is issued (Sec. 3097 (i) Civil Code). LENDER'S NAME ;;;;;:;;;:;::_;;;;;.:;:;;_;;;;:;,;:;::;:~=::::-=::;;:::;:::::;:;::=::--_,.;.L::E;ND::E::R:_;.'S ADDRESS ___ ~---------~---------- !9:f:"';AWLiCANT'.cERllFIC'ATtO'f{-:-':"''. ·. ·,·:· '"",T"""":.:.·-. • • · · .; ' ' ....... · "'~-::.;:·.-:::..7:.,_-:,::-·:--::s:-:':~·,:-:;'];'.~"::'-:-:r-:-~':":'~~-~-,:;,-~,,.:;:---:-:.:--9;~1 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 over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of tliis Code shall expire by limitation and become null and void if the building or work authorized by such permit is·not·com n wit · 1 O days from the date of such permit or if-the building or work authorized by such permit is suspended or abandoned at any time after the work is comm r a of 180 days (Section 106.4.4 Uniform Building Code). DATE _:Z.~L~l-~0 ___ 3 __ --- WHITE: 'File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/27/2003 Permit# CB030412 Title: BARIATRIX-UNDERGROUND ELECT Description: ONLY FOR FUTURE Tl Type: ELEC Sub Type: Job Address: 1960 KELLOGG AV Suite: Location: APPLICANT CAROL.ELECTRIC Owner: Remarks: PM PLEASE Total Time: Lot 0 Inspector Assignment: ¥ > Phone: 7604310359 Inspector:~ Requested By: DAVE JOHNSON Entered By: CHRISTINE CD Description ~~ Comm}5 31 Underground/Conduit-Wiring ~-....,... _,_F:__,,,~X:=------------------- --·--------------------~------------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 1f ·.; ll . City of Carlsbad . 1635 Faraday Av Carlsbad, CA 92008 03-03-2003 Plumbing Permit · Permit No: CB030392 Building Inspection Request Line (760) 602-2725 Job Address: -Permit Type: Parcel No, Reference #: Project Title: Applicant: XNERGY ·sTE100 ' 1960 KELLOGG AV CBAD PLUM 2120930100 Lot #: 0 Construction Type: NEW BARIATRIX-UNDERGROUND PLUMBIN FOR' FUTURE BLDG (MANUFACTURING) Owner: JORKEN LLC Status: Applied: Entered ~y: Plan Approved:· Issued: Inspect Area: 2237 FARADAY CARLSBAD CA 92008 438"7676 1964 KELLOGG AVE •. CARL:SBAD CA 920oe .. .Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker 0 9 0 0 0 0. 0 \ ISSUED 02/07/2003 CB 0$/03/2003 03/03/2003 $20.0Q $0,00 . $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other Plumbing Fees $220.00 Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES $0.00 $0.00 $0.00 $240.00 9423 03/03/03 0002 01. ()2 ,;-,..-.... ..::::, '£..;·~r ,, · 240-00 Total Fees: $240.00 Total Payments To Date: I r:t~AL APPROVAL $0.00 Balance Due: $2,4€h06 ., CLEARANCE I i r I FOR OFFICE USE ONLY PLAN CHECK NO. C-80 3Q3Cf2- PERMIT APPLICATION EST. VAL. __________ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Plan Ck. Deposit---==-------- Validated By c.,B Date ~-{p~3 11. PROJecr INFORMATION Lot No. Assessor's Parcel# Existing Use #of Stories {<N th.Jli address) J17b/ ,'lyfZ/ Unit No. Phase No. Proposed Use # of Bedrooms State/Zip Telephone# C Agent for owner . State/Zip Total # of units # of Bathrooms Fax# 11, 'CONfltACJOR·CWMYMW I (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 appllcant for such pennit to file a signed statement that he is liC!lnsed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Coqe) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by an~ ,ppl~nt for a;,erm· subjects the applicant to a civil penalty of not more than five hundred dollars ~OJL . ~ N e?e.,t:, -~7 ~/ Di> C-rilek:St:5.-,tX) Name Address City State/Zip StateLicense# ~/lelJl.,S: LlcenseClass c;;>-o-C3(e CityBuslnessLicense#__._...=r-.e,b--l-'--=-"""'--- Designer Name Address City State/Zip Telephone# State LICf!ns8 # ______ _ Workers' Compensation Declaration: I hereby affirm· under penally of perjury one of the following declarations: Cl 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 ~ich this permit is issued. J" . I have and will maintain worker's compensation, as required by Se<;:tion 3700 of the labor Code, for the performance of the work for which this permit is issued. My worker's compensaliWJin~ir.n~~ cai;riei;.and poliC)'. number are: / . I / z. Insurance Companyrr~-,vrr.?-/f ~~,,.~ Policy No. WJ?tll /{Jf;7?:JI/-Expiration Date._/ P_,fe~~---~"-1~/)_.:..,,;> ___ _ (THIS SECTION NEED NOT BE COMPLETED IF THl:i PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS} tJ CERTIFICATE OF EXEMPTION: I certify 1hat 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: F•Hure to ucunt -rk•ra' c:ompenutlon c:overag,, Is unlawful, and shall subjact an amployar to criminal penaltin and cMI fines up to 01111 hundred tho111111nd dollara($1DO,DOO), in addition to the c:oat of compensation, damagn are provided for in Sactlon 3706 of tha labor Code, Interest and attomay's fan. SIGNATURE DATE I hereby affirm that I am exempt from ttie Contractor's license Law for 1he following ruason: CJ I, as owner of 1he property or my employees with wages as thelr sole compensation, will d the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code; The Contractor's License Law does riot apply to an owner of properly 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 c;ompletlon, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). tJ I, as owner of the property, am exclusively contracting with 1i5:ensed contractors to construct the projacf (Sec, 7044, Business and Professions Code; The Contractor's License Law does not apply to an owner of properly who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). CJ I am exempt under Section --------'---Business and Professions Code for this reason: 1. I pe!SOlllllly plan to pl'Qvide the major labor and materials for construction of the proposed property improvement CJ YES Cl NO 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 I address/ phone number I contractors license number): 4, I plan to provi~ portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone number/ /ontractors license number):------------------------------------------- 5. I will provide ~me of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address / phone number I type of work): PROPERTYOWNERSIGNATURE ___________________________ DATE __________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 ~~!$!'.!!THl~~fel!~E!Jffl~~~~--''. · '" ~·~~~" ' ,, : ._,:, : , '"' -. , "'-~"".;'''"::::T,~~~ Is the applicant or future building.occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the-Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain-a permit from the air pollutfon control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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. l:,,,¾,Qt;f,§!RUCTIOitteNOiNGMl;NCY · "·, . --~·-.-~~.-.-_-.:--... -:. . .'·~=~·-1 ',~ :,;-,,~-..:~ I hereby affirm that there is a constructjon lending agency·tor the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME _________ _,_----'------LENDER'S ADDRESS ______ _,_ ____________ _ ~QIOJL ;.::::: •• ::: ~~: ~: . . .-, , , ';;: " : -:r: -~::::~:7~:..:..:,;::::::J 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 City 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, JUDGEMENTS, 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·of 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisio'ns of this·Code shall expire by limitation and become null and void if the building or work authorized by such permit is nc;>t commenced within 180 days from· the date of such permit or if the building.or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a-period of-180 days (Section 106.4.4 Uniform Building Code). APPL:ICANT'S SIGNATURE~-------------------------DATE ______________ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 03/11/2003 Permit# CB030392 Title: BARIATRIX-UNDERGROUND PLUMBIN Deseription: FOR FUTURE BLDG (MANUFACTURING) Type: PLUM Sub Type: Job Address: 1960 KELLOGG AV Suite: Location: APPLICANT XNERGY Owner: Remarks: Total Time: CD Description Lot 0 Act Comment Inspector Assignment: TP --- Phone: 7604310359 Inspector:~ Requested By: DAVE JOHNSON Entered By: CHRISTINE 21 Underground/Under Floor ~------------ Associated PCRs/CVs Inspection History Date Des9riptjon Act lnsp Comments DATE: February 28, 2003 JURISDICTION: Carlsbad PLAN CHECK NO.: 030392 EsGil Corporation In (l'artnersfiip witfi government for <Bui(aing Safety" SET:11 PROJECT ADDRESS: 1960 Kellogg Ave. D~~NT D~ D PLAN REVIEWER D FILE PROJECT NAME: Bariatrix Products International Inc. Underground plumbing Only ~ The plans transmitted herewith have been corrected where necessary and substantially comply with the juri'sdiction's building codes. D The plans'-transmitted herewJth will substantially comply with the jurisdiction's building codes when minor deficiencie~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 corre~ted 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: Robert Ford @ Xnergy 2237 Faraday /v.Je. #100 Carlsbad CA 92008 ~ Esgil Corporation staff did not advise the ?PPlicant that the plan check has been completed. D Esgil Corpdration staff did advise the applicant that the plan check has been completed. Person contacted: Robert Ford Telephone#: (760)438 7676 x 2068 Date contacted·: (by: -) Fax #: (760)438 7679 Mail Telephone Fax In Person D REMARKS: By: Glen Adamek Enclosures~ Esgil Corporation l8J GA D MB D EJ tJ PC 2/10/03 tmsmtl.dot 932Q Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 DATE: February 19, 2003 JURISDICTION: Carlsbad PLAN CHECK-NO~:·---O3-:392 EsGU Corporation In <Partnersli.ip witli <]ovemment for (Bui{aing Safety SET:I PROJECT ADDRESS: 1960 Kellogg Ave. ~NT JURIS. l:J PLAN REVIEWER l:J FILE PROJECT NAME: Bariatrix Products International Inc. Underground plumbing Only '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. ~ 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. ~ The applicant's copy of the check list has been sent to: Robert Ford @ Xnergy 2237 Faraday Ave. #100 Carlsbad CA 92008 D Esgil Corporation staff did not advise the ~pplicant that the plan check has been completed. 1:8]· Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Robert Ford Telephone#: (760)438-7676 x-2068_ Date contacted: 2-18-<>3 (by:~) Fax #: (760)438-7679 .Mail Telephone v Fax In Person D REMARKS: By: Glen Adamek Enclosures: Esgil Corporation .rgj GA D MB D EJ D PC 2/10/03 tmsmtl.dot 9320 Chesapeake Drive, Suite 208 + San Diego, California ~2123 + (858) 560-1468 + Fax (858) 560-1576 L. Carlsbad 03--: 392 Fe,bruary 19, 2003 PLAN REVIEW CORRECTION LIST. PLAN CHECK NO.: 03-392 OCCUPANCY:? TYPE OF CONSTRUCTION: ? ALLOWABLE FLOOR AREA: ? SPRINKLERS?: ? REMARKS: TENANT IMPROVEMENTS JURISDICTION: Carlsbad· USE:? ACTUAL AREA: ? STORIES: ? HEIGHT:? OCCUPANT LOAD: ? DATE PLANS RECEIVED BY JURISDICTION: 2/6/03 DATE PLANS RECEIVED BY ESGIL CORPORATION: 2/10/03 DATE INITIAL PLAN REVIEW COMPLETED: Febtqary 19, 2003 PLAN REVIEWER: Glen Adamek FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the Uniform Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on -laws· and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. · · Code sections cited are based on .the 1997 USC. The following items listed need cl13rification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 106.4.3, 1997 Uniform Building Code, the approval of the plans does not permit the· violation of any state, county or city law. To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet number, specification section. etc. Be sure to enclose the marked up list when you submit the revised plans. TENANT IMPROVEMENTS W~THOUT SPECIFIC ENERGY DATA OR POLICY SUPPLEMENTS (1997UBC) tiforw.dot Carlsbad 030392 FeJ;>ruary 19, 2003 1. Please make all corrections on the original tracings, as requested in the correction list. Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects}. For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602.,.2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring one corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. 2. Indicate on the Title Sheet of the plans, the name of the legal owner and name of person responsible for the preparation of the plans. Section 106.3.3. 3. Each sheet of the plans must be signed by the person responsible for their preparation, even though there are no structural changes. Business and Professions Code. 4. Clearly not on the plans that this permit is for underground plumbing only. And remove from the plans the detail and drawing that do not apply to this permit. Like the Gas Line plans and calculations. 5. Provide a statement on the Title Sheet of the plans stating that this project shall comply with the 2001 edition of the California Building Code (Title 24), which adopts the 1997 use, 2000 UMC, 2000 UPC and the 1999 NEC. 6. Provide a note on the site plan indicating the previous use of the tenant space or building· being retnod~led. Section 106.3.3. . 7. Provide a plot plan showing the distance from the building to the property lines and the location of tenant space (or remodel) within the building. 8. On the first sheet of the plans indicate: • The floor area of the remodeled area, • Type of construction of the existing building, • Sprinklers: Yes or No • Present ar:id proposed occupancy classifications of the remodel area, • The story where the tenant improvement is located, V Carlsbad 030392 F,ebruary 19, 2003 • The occupant load of the remodel area(s). 9. Provide a fully dimen~ioned floor plan showing the size and use of all rooms or areas within the space being improved or altered. Draw the plans to scale and indicate the scale on the plan. Section 106.3.3. 10. Indicate the use of all spa~es adjacent to the area being remodeled or improved. 11. Show any existing fire rated area separation walls, occupancy separation walls, demising walls, shafts or rated corridors. Identify and provide construction details for proposed new fire rated walls. 12. Provide a note on the plans indicating if any hazardous materials will be stored and/or used within the building which exceed the quantities listed in UBC Tables 3-D and 3-E. Provide data on proposed hazardous material to be stored and used. UBC, Section 307 and UFC. a) Clearly show types of hazardous material is being stored or used. Provide a list of the proposed hazardous materials as per the types in UBC, Tables 3-D, and 3-E. Provide the material safety data sheets (MSDS). b) Clearly show the amounts of each type of hazardous material to be stored and in use. c) Clearly show where in the buildings each type of hazardous material is . being stored or used. 13. A complete description of the activities and processes that will occur in this tenant space should be provided. A listing of all hazardous materials should be included. The materials listing should be stated in a form that would make classification in Tables 3-D and 3-E possible. The building official may require a technical report to identify and develop methods of protection from hazardous materials. Section 307 .1.6. 14. Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly · describe them and where they are located in the plans. PLUMBING (2000 UNIFORM PLUMBING CODE) 15. Provide the site plumbing plans. showing the sizes, routes, and slopes of the building sewer. 16. Please show the upstream sewer manhole rim elevation. As per UPC, Section 710.1, provide backwater valves on all building drains which serve plumbing fixtures with flood rim elevations below the upstream manhole rim elevations. Only fixtures with flood rim levels below the upstream manhole rim elevation may/flow through a backwater valve. ., ,.,1 Carlsbad 030392 F~bruary 19, 2003 . 17. What is "PW" piping receiving the waste from the floor drains? The plans show piping marked "PW", but not listed in the Plumbing Legend. 18. Detail how floor drain trap seal is to be maintained. UPC Section 1007 .0 (floor drain trap primers). 19. ShoVJ the required relief vent for grease interceptor. UPC, Section 1009.4. 20. Have changes been made to the plans not resulting from this correction list? Please indicate: Yes D No D The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Glen Adamek at Esgil Corporation. Thank you. Carlsbad 030392 Febru~ry 19, 2003 WALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 030392 PREPAR,ED BY: Glen Adamek DATE: February 19, 2003 BUILDING ADDRESS: 1960 Kellogg Ave. BUILDING OCCUPANCY: ? TYPE OF CONSTRUCTION: ? BUILDING AREA Valuation Reg. VALUE PORTION ( Sq. Ft.) Multiplier Mod. ,. Air Conditioning Fire Sprinklers .. TOTAL VALUE • Jurisdiction Code cb By Ordinance 1994 UBC Building Permit Fee _ -.,:1 1994 UBC Plan Check Fee Type of Review: D Repetitive Fee ~ Repeats _gJ * Based on hourly rate D Complete Review D Structural ·only D Other _ 0 _ _ Hourly 2/ Hours * Esgll Plan Review Fee Comments: Underground plumbing ·only at hourly rate for 2 hours. I ($) "' $240.00j $192.001 Sheet 1 of 1 macvalue.doc PLANN.ING/ENGINEERING APPROVALS PERMIT NUMBER CB03 03 Cf a:, -.&SIDENTIAL . RESIDENTIAL ADDITION MINOR (<·$10,000.00) . DDCSIM1SfonnrlPlannin11 Envlnwtng 1,pprava1s DATE {).. -I)._/ ·-03 . PLAZA CAMINO REAL CARLSBAD tOMPANY STORES VILLAG&·FAIRE: . COMPLETE OFRCE BUILDING . . 02/407/2003 08:31 8585783273 DEC ENGINEERS PAGE 02 mme DEC .Engineers C,111st1lting Mechff71it11l 1:.·1,gi"m-s Project: Bariatrex, 1960 Kellogg Ave, Carlsbad, CA Mechanical C.:ontractor. Xnergy -Mechani~w. Eugu1ccrs and Contractors Mr. Paul Smith, DEC Rnglnee'NI requests your approval in sloping a portion of the process waste -system -at less than 2%1 for the following reasons: During the initial design process we laid out the system at ·Z% slope throughout. -but discovered at tb,at grade, we would run tbru the upper portion of the perimeter footing. Since we are unable to chip or core llri:s \:'i..isfulg footing, 'our only option would -be-tQ drop beneath the entire 30'' deep footing, this in turo will effect the overall depth of the clarifier, mnldng it impossible to tie in a graded conne.c:tion from the dar.ifier-outlet. with an IE= 9' -7'' BFF, into the sewer late.ral with an lE 9' -2.5,, BFF. As you can -see, we hay411 a -44 • .5" difference. A sump pit and pumps would then be required for this ·system to discharge into the sewer. · We would like to avoid a deep clarifier, and pump system, by grading a percentage of the main drain line less than 2%, just enough to allow the ini.'ert elevation of -the pipe t-o -be fl' above the pexnneter footing. Afier this is achieved. I.ht; pipe will ~ to a min. 2% slope. Please note that a majority of the process waste system will be-install-ed -at 2-% slo_pe, including all b.raacll.lines~ and moot of the main.. Please see Attached layout Detail. and Footing elevation detail. Please call with any concerns and questions. Scott Newton, CIPEICPD Plmnhfog Department Manager DEC Engineers 9466 Black Mountain Road. Ste.230 858-578-3270 snewton@decengineers.com 9466 Black Mountain Rd., Suite 230, San Diego, CA. 92126 858~578-3270 voice• 858~578~3273 fux .. 1,vw,.-.,-d«engioeers~com 02t07/2003 08:31 8585783273 DEC ENGINEERS ·-:.•~ .... . . .. .. ... .. . . .... .. St&T Tfn.1::- ~I.E.= 110.S-BfF " I.'E ... 11s" 13rr s 0 0 0 1£~ 114" B~ ' .......... ·I.E.-·99,5" -BFf PROCESS . WASTE CONNECTION TO SEWER LAIERAL DETAL . .. -~:.· ~ ..... ' . ...... .. \. \ . .. .. PAGE 03 • ........ .._,. •: ._ ,•.,u,•; 021e112003 08:31 . 8585783273 DEC ENGil'EERS PAGE 04 .. ·-0, 0 •••• 0 0 HO H•oo ·z.~:·:···q-i~-iY,/,' .... 71G .... ,-~ .. -ro St;v-J5(L ---~----·---·-~--··-·--· -. ~ -·----. --+<-. ·-· ··--·-·-... -, ...... :1-· ...... ..: ...... ...,_ __ ... ,.,... ___ .. ____ .... -.... --·-----·· ·,, . .. ......... . .... -··· ·-·· .. . \p ~--~-.. ..,..,. --·----~ -· -.. ·-. . J·_________,·. ... .. ---------.. . ... -····--.-.... ,,., ____ _ ---:-----------·'" .. --·--. ---~ -----·~-... -· ..... --. ---~.. ---··. . .t: -.~·-7· ..... 0,9.t:: ... ·-----.... ·----.~ ----· ·~-""'""'-............ ___ ,..._ ....... ,_,_~ 1(" w ::: .:..:0 --~ ... 'tl"fl t .. ., --C -·· I _ _ ·----·" --· •• -•• ' •• ' --....... ' •• _··===-=:-·-·-----·--. --·-~·f e,=-'1-'--0 ~-~~~].F 1-··~·. ··-.. ·-·· -: . -----·-..,....--· -·------··-··-·-· .of-254 'i~~ ?..!~~.~,~.;:==~--t.o~~ .. f~l_f -________ ,,.1t11-··-·-----...---· -··-.......... --. ------··--------~-------·------~,.._..,.--~--.-·-·-.. ·•· .. -. ... ~.!!;... q_/ -:_ft,_~~-~~ __ Ccr--lf-.) c iC.:1:t.o,J _.-1::t) ____ C, tAR.-l F/ -r:-r-. ___ _ -. <: £.._£. ~ ' -~ .Ii O!A.."f"'-'-trr car--l~eLTT_.,-,.l··· --rv._. C..L.,A.lL '· F 1 er~.--.. -··-·---. --, - -·r-· Z-c. <f ,._ z:....-2 -'Poe. 'TD SE(.,,Jea LA,et?.AL -----~ ... --··-·-· ---'I--. .. ---------------·--·-·· .. ----- ---·--·----·-----· .. .,. ---·· .......... ----~-- ------,....----·------.---------,r·~ -··---.. ··-------·• .,-• ........ -··• • "··--~ ____ .___ .... _ .... ___________________ _ -· ·-·-v • .-.. -, .. _., ... • ..... ··-----··-- --.. --.-...11,--.... ,-------_...,.,.,.r,..,,._.._______ ----..... -........ _ ,.,,.>.,.,. .. ..-...... _., ..,..,.., ...,... 6,-.... ,_ __ • ·······-··--·--- ---··-····-- K-· ~ ~ +ks h ac/1 ( ~ ~CJ-~w , -4-' eler p~ u.e. + w=,0 . ~ ~.J- /2 . 4'5 /,,~ ~ ${ d.v.vv av-/ ,J-(,___ p~s w~ +~ 6,J;i~ occo-J?_ > -I J< d µle:-lo ps, ,J,aJi ;J ¼t ~ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-11-2003. Electrical Permit Permit No: CB030377 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1960 KELLOGG AV CBAD ELEC 2120930100 Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: ISSUED 02/06/2003 MOP 03/06/2003 03/11/2003 Project Title: BARRIATRIX'S INTERNATIONAL UPGRADE ELECTRICAL SERVICE TO 4000 AMPS Applicant: WHITE BOB 3822 CERRITOS AVE LOS ALAMITOS 90720 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fee~ Additional Fees TOTAL PERMIT FEES Total Fees: $1,010.00 Inspector: 0 0 0 4000 Owner: JORKEN LLC 1964 KELLOGG AVE CARLSBAD CA 92008 Total Payments To Date: $0.00 FINAL APPROVAL Date: _____ _ Issued: Inspect Area: 0054 03/11/03 0002 01 CGP $10.00 $0.00 $0.00 $0.00 $1,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,010.00 Balance Due: Clearance: $1,010.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f s/ xa ions f whi u h v r i I n iv n N Tl E imilar o hi or a o which the statute of limitations has reviousl otherwise ex ired. 02 1010.00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Subdivision Name/Number Assessor's Parcel # Existing Use SQ, FT. #of Stories Name Address City FOR OFFICE USE ONLY PLAN CHECK NO. D> ,. ~ 71 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __ .....,......--1-'~:---Jc.,_--- Date __ '"C--+--~-=-+CZ--$,- Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms S1ate/Zip 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 '4.. [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 ,p exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the a11plicant to a civil penalty of not more than five hundred dollars [$5001). CAQ6L E;c..,se:cr-(/lC. co. BSJ 22 eea..12., toS Alli? c,;-v2fl.tto> e A. qb7Zo (?W59'1-J 17'-f Name Address · City "state/Zip Telephone# State License# 4 C/ 3 ~ '6 S-License Class e. -IO City Business License# /2 /yo I Z.. ?. ~Tz?... 85fZZ eezau..,s. /lw-;. .CG"t2(J1 :r-,r, ( C/1· ?<1 zz o' (}??,%) 7f>-5"-~.!>72' De~rier Name Address City State/Zip Telephone State License # E" -1 {p V+ ~ ~WORKERSf'COMPENSA TIO"! '" -., ·~ ,,_.~_,_;' ' ; ,.-~ ' ' " ' :; ' ' ,, ' ; > •. ,¼z.'.~ ·i. ' ,' ;,,pr-A-,"-~]7T;:7-":7:.17'~::::;::~:r~ ci'.r'."'."':_"'.;':2c; '~'>;S'.'Jt"::; Workers' Compensation Declaration: 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. Jg{ 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 issued. My worker's compensation insurance carrier and policy number are: / /4 ·lnsuranceCompany UL!Cd CA-SoAl--'r-'{ Co. PolicyNo. luC'.S:(lf~C-:,306 ExpirationDate /6j6l,0.3 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE.HUNDRED DOLLARS [$100] 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 wor ers' c mpensation coverage is unlawful, arid shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 dlti e cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE. DATE 2-t -(} '3. ;,~~WNER2iict1c· ER·t>EifoUitIQN; .. ,.: :·~;·"·°:'~" ";-/ ,.-,;·--:-.,,_;· ~--:::,;-.: : . '._ ,"::.. "f'-,~·;i·::~_: :~:::"':;-_: .... I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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·withiri 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). D I, as owner of the property, am exclusively contractil')g 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(sl licensed pursuant to the Contractor's ticense Law). D 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 /'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 number / 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 m,mber / contractors license nurnber):._~-----------~-------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work):. ________________________________________________________ _ PROPERTY OWNER SIGNATURE~---------------------DATE ________ _ lcOMJ!LE!!!,'lB\$.:.~~QffQrtfQB.HQU1i~~/if~jffi~l~~i;>i!J;$)!:ERM!T§'.':g:rtcy-•:7;.;'.:~ :,~;~,>:,:_,L".':.::~E',2::':;'~':;;;z~r~;:;z~::J.:;J;itf,;;;i;;:,,;<2 n.;-~;;;;;_;..,~,::;,;;'4•J 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES O NO Is the facility to be constructeq within 1,000 feet of the outer boundary of a school site? D 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 REQUIRl:MENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ~ ,,, ,, g~,N$Jfl]pl;{QN::1;ffipJ~cf~~~8c;:5',~'.=-~::~~-:-:-:s·. '" "". :. . . ·~'?,~,,:c:·-,·,...,,.,.,""(", I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LEN DER'S NAME LEN DE::_:R_:' S;A,:_D:,_:D:,_,:R::.E:::S:.,;S:;:::::;::;:::;::::=::::::::;;:::;:::::;:::::;::::;:=.:::::;::;::::=:::::;:;::;;;:;::::;::;;:::;::;;:;::::;::;::;::;:::;::-;:;;;;:::;;:::::;:.:;;;:_~ ~ .. ~l!RtlC:AH,"!i'...q§tll!:tqAJlONi.,L; .. ~ ., .. ::: .>.,.:,; .: ,,. · _-:: s ~ -~' >:,: .·:,;; ,,.;,:: ·:, -~7:7 ~:..;,:-;;· At:;; 1: :··.;,'('3 1 >·, '1.:·::-,~~:,:;::;;c~:F:::,~y;:~~: 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 Cit~ 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 JN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition 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 authorized by such permit is not commen ed w· hin O d ys from th!:! date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is comme r per' a 80 days-(Section 106.4.4 Uniform Building Code). DATE ~2~-~t~-()"""-3'.""". ___ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad i=-i!OtUhi•i•l=i~EIIU,t=ihl January 30, 2004 CAROL ELECTRIC COMP ANY, INC 3822 CERRITOS AV LOS ALAMITOS CA 90720 Permit Number: CB030377 RECEIVED FEB ®4 2004 CaroJ Electric Ca I Issue Date: 3/11/03 ., nc. RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: ELEC ADDRESS: 1960 KELLOGG AV PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records. indicate that yoru; bu~lding permit w~ll _expi!e by limitation of time on 3/7 /04. The provisions of UBC, Section. {o.6.4.4 as amended by (];le .Carlsbad Municip~l Code state; "EY....PIR .. ATION. Every pernnt issued by the Buildl.ng Official. under the provisions of this code shall· expire by limitation and become null and void if the building or work autbori7;ed by such permit is not commenced within 180 days from the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized_ by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped }f the permittee has not obtained a required inspection approval of work by the Building Official witliip -~ach 1 ~O day period upori):he initial commencement of work authorized by such permit. Before-such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half-the~amount required for a,.new .. permit.for .such .work, and.provided_ that,no·.change.s·;have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this. section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. Please check below indicating your intentions and return this letter to us. V Project aba~doned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days. (attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 60'.f-2745. _ . If you have any questions, please ·contact the Building Inspection Department at (760) 602-2700 . .. '" PAT KELLEY B ui!ding and-Code.Enforcement Manager. . ~ . :_ . . . . ' ' .. : . . 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560 @ B U I L D I N G P E R M I T Permit No: CB950184 Project No: A9500246 Development No: 02/02/95 10:42 Page 1 of 1 Job Address: 1960 KELLOGG AV Permit Type: ELECTRICAL Parcel No: 212-093-01-00 Valuation: · O Construction Type: NEW Occupancy Group: Description: TEMP. POWER POLE Suite: Lot#: Reference#: 619 CITY OF CARLSBAD 0548 02/02/95 0001 01 C-PRMT Status: Applied: Apr/Issue: Entered By: 471-5494 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 O''J .:. ISSUED 02/02/95 02/02/95 MDP -;t PERMh APPUCATION PLAN CHECK NO. 1. r----Lr'"'- City.of Carlsbad Building Department 2075 Las Palaas Dr .. , carlsbad, CA 92009 (619) 438-1161 FSf. VAL'------------- 1. PERMIT TYPE PLAN CK DEPOSIT ________ _ VAUD. BY __________ _ DATE,__ ___________ _ From List 1 (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From List 2 (see back) give ~ode of Structure-Type:-------------------------- Net Loss/Gain of Dwelling Units ____________________ _ 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address Ir to Re 77 PJ A-1'4-- Nearest Cross Street . Building or Suite No. LEGAL DESCRIPTION Lot No. subd1VIs1on }'lame/Number 3 t . -1"rt1c.-t 81-'/I 0mtNo. Phase No. CHECK BElbW IF sullMII IEb: D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL DESCRIPTION OF WORK I I} <7 +a// E'STING USE PROPOSED USE SQ. Ff. # OF STORIES # OF BEDROOMS # OF BATHROOMS ;{. ~~~~t=rs~r 0 $~n~f~ :l!}~r:}/t,, . ADDRESS /// 7 J. tl W ~T qTI .st'll/ l1arCfJ..S STATE Ca, ZIP CODE ?,J.tlt fDAYTELEPHONE '-/7/-· S-1/'lL/ 4. APPUCANI dCONWC°IOR ~AGEN'I FORcONIRACIOR UUWNEK DAGEN! FOR OWNER NAME (last name first)[,-o/ 11 JI/; Ff m,e,.-ADDRESS / ;z. tt 9 r :.st c11Y Sa,-, 01 tJ sTATE 4 z1PcoDE 9). 101 DAYTELEPHoNE ~,... J-91 'I • NAME (lastnamefirst)Hamq1111 Cons AODRESS t; 7..S-B.rct ~, // 6. ~.nf~ C!gt on STATE q ZIP CODE 9'.;. (!) ,l-C) DAY TELEPHONE 'i /,/ t) -7 ?/:1 LI NAME (last name first) /1) I(/' ?f" /> / f/..S ADDRESS J / / 7 j., t'l W Sf' CI1Y $q,11 11a rctJ~ STATE Cq ZIP CODE 9~(} Cr DAY TELEPHONE '7'1 I ... .;-~ 9 q STATE LlC. # S'J,35'? / LlCENSE CLASS (1 ~ / CI1Y BUSINESS UC. # 'J .3 .3 7 tJ tJ DESIGNER NAME (last name hrst) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC. # 7. WuRkEltS' OOMPENsA1IDN · Worke~' Compensation Declaration: I hereby afhrm that I have a ceruhcate of consent to self-msure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof 91ed with the Building Inspection Department (Section 3800, Lab. C). '.J INSURANCE COMPANY ~ fe. f ti' 11 d POUCY No,..1d C %.25 EXPIRATION DATE JI -I,... 9- Ceruhcate of Exemption: I certify that m the performance of the work for which this permit IS issued, I shall not employ any person Ill any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNER-BUilDER DECI.ARA'lioN D D D uwner-.tmuaer vec1arat1on: I hereby afhrni that I am exempt from the ContractoPs Llcense Law for the foilowmg 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 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.). I, as owner of the property, am exclusively contracting with licensed contractors to cpnstruct 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). I am exempt under Section _______ Business and Professions Code for this reason: (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, commencing, 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 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIJRE DATE coMPLE'tE filis SECTION FOR NON-RESIDENTIAL BOiLDING PERMITS ONLY: Is the applicant or future building occupant required to submira 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? DYES ONO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a ,school site? DYES ONO IF ANY OF nm ANSWERS ARE~ A FINAL CERTIFICATE OF OCDJPANCY MAY Nar BE ISSUED AFI'ER JULY 1, 1989 UNLF.SS nm APPIJCANT HAS MET OR IS MEETING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND THE AIR POU.UTION OONTROL DISTIUCT. 9. OONSIR0CnON ffiNDffiG AGENCY . I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (sec 3097(1) C1VII Code). LENDER'S NAME LENJ)ER'S ADDRESS 10. APPUCAN r CfiltliFICA:liON I certify that I have read the application and state that the above mfqrmauon 1s correct. I agree to comply with all City ordmances 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 ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLF.SS nm CITY OF CARlSBAD AGAINSf ALL UABILlTIES, JUDGMENTS, OOSl'S AND EXPENSES WIIlCH MAY IN ANY WAY Acx::RUE AGAINsr SAID CITY IN OONSEQUENCE OF nm GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under tl)e provisipns of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commence within 365 days from the date of such permit or if the building or work authorized by such ,permit is suspended .or abando at time af~ ork is commenced for a period of 180 days (Section 303(d) Uniform Building Code). 1 ;- APPLlCANT'S SIGNATURE . ~Ar.n,,,,,__, DATE: .z ... a ,... ?...s WI-IlTE: Fil YELLOW: Applicant PINK: Finance DATE -;;../ i /,;;r: r; / fJNSCHEQULED. iNs P;CTIOt! / / INSPECTOR L,/ ----'------------PERMIT# _________ _ PL\.HCK ~ 9.r-1 ri JOB ADDRESS _ __,. ___ .:../~?....;&;;__0--"--K."'"'e=~&.-=O='::..:~=--=kv.~-=-· _____________ _ TIME ARRIVE: TIKE LEAVE: ------------- CD LVL DESCRIPTION PERlilTS 6/ 1·!5/89 -. ·-- .. · . ACT COI111.ENTS PERMIT# CB950184 DESCRIPT.ION: TEMP. POWER POLE CITY OF CARLSBAD INSPECTION REQUEST FOR 02/08/95 INSPECTOR AREA PLANCK# CB950184 OCC GRP CONSTR. TYPE NEW TYJ?E: ELEC JOB ADDRESS: 1960 KELl'A)GG AV APPLICANT·: POWER PLUS CONTRACTOR: OWNER: REM'.ARKS: RS/MICHELLE/47·1-5494 SPECIAL INSTRUCT: PHONE: 619s!~I-5u49/ /LOT: PHONE: L PHO:NE: INSPECTOR-~,----------- TOTAL TIME: --~ELATED PERMITS--.PERMIT# TYPE CB950171 RETAIN STATUS ISSUED CD LVL DESCRIPTION ACT COMMENTS 32 EL Const. Service/Agricultural &_ A(jJr ·/~5r~t.1,.,~..1?. -· -. ---------.......,.-----------------· -----------,..,.......-----...,,......-,.------------------------------· ---------------- ***** INSPECTION HISTORY***** -DATE DESCRIPTION ACT INSP 02.0695 -Const. Service/Agricultu;ral NR TP COMMENTS NOT SET