HomeMy WebLinkAbout1960 KELLOGG AVE; ; CB950171; PermitB U I L D I N G P E R M I T Permit No: CB950171
Project No: A9500216
Development No:
02/03/95 14:27
·page 1 of 1
Job Address: 1960 KELLOGG AV
Permit Type: RETAINING WALL
Parcel No: 212-093-01-00
Valuation: 67,500
Construction Type: NEW
Suite:
Lot#:
Occupancy Group: Reference#:
Description: 5000 SF PER Ci SPECS
619
CITY OF CARLSBAD
0579 02/03/95 0001 01
C-PRMT
Status:
Applied:
Apr/Issue:
Entered By:
440.:..:7424
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
02
503u00
ISSUED
01/30/95
02/03/95
DC
, {!tc40f;:;d7 L{<;-·
PERMIT APPUCATION PLAN CHECK NO. CJ:f-/ J/
l:ity of Carlsbad Building Department
2075 Las Pal118S Dr •• carlsbad, CA 92009 (619) 438-1161 ,... . .,, s--<:oo F.Sf. VAL <,p ( I
1. · PERMIT 1YPR PLAN CK DEPOS,[f. ~ ~ '2-.... VAIID.BY //c.,,_ _ _.,..._""--=aa-.--
DATE From list 1 (see back) give code of Permit-Type: ____________ _
02
For Residential Projects Only: From List 2 (see back) give C-·PRMT
Code of Structure-Type:-------------------------
Net Loss/Gain of Dwelling Units __________________ _
2. PROJECr INFORMATION FOR OFFICE USE ONLY
Address
t o. um r mt o.
CHECK BEIDW IF SUBMI'l~uf C"&-<a"LfA;tf . L/UK;T /Vi),
D 2 Energy Cales D 2 Structural Cales D 2 Soils Report ti 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF wo~c!:rA~/µ b ~AL(. (/HA S1>/f//v'f )
SQ. FT. ,So4'0 # OF STORIES # OF BED{OOMS # OF BATIIROOMS
!{. OON IACI PERSON (If dmerent from apphcanf)
NAME (last.name first) ADDRESS
CITI STATE ZIP CODE DAY TELEPHONE
4. APP1..ICAN1 )JcoN'lRAclOR OAGEN'I' FOR coN'lMCIOR DOWNER UAGENI F'OR OWNER
NAME (last name first) /-64/11 lfl,4,)/U 6,..,ff. ADDRESS y? f' C,U. (!,(?_4,0(,£ y AV€_ .
s. ~ii6Pi&¥v~ STATE~ ZIP CODE 920,;J..o DAYTELEPHONE 99:0-77"'~5('
qTI STATE ZIP CODE DAY TELEPHONE
6. mN'l'RAcmR / I.. NAME (last name first) _.r{A.H1A;-J# Cz,/\J.S-/. ADDRESS 4/"/ 5" c.L,,I. l(;S/l.AU:JU Y ,i?,.),c_,
cITI £L.,CV<Jr' STATE C/0. ZIP CODE 9 2. ~'2.o DAY TELEPHONE cy-yo -7 v -:2. y
STATE UC. #$1!1'1~ UCENSECLASS A-1.i CITIBUSINESS UC. #/ao/VO
OESIGNER NAME (last name hrst) ·AODRESS
CITI STATE ZIPCODJ:: DAY TELEPHONE STATE UC. #..-!e 3 1
1. WolUMts' CDMPERSAtioN
Workers' Compensation beclarat1on: I hereby affirm that I have a cemhcate of consent to seif-msure issued by the Director of lndusmal
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 filed with the Building Inspection Department (Section 3800, Lab. C) .
. / WG ?-/4,/ .... ,::,:?/,t~V-t!:>/'7'
INsuRANcE coMPANY~1: Jt.r vru.,.<. rouCYNo. EXPIRATION DATE /:;2. -o/-?S
rt! 1cate o xemptlon: cert! . at m t e pe ormance o e wor or w 1c . t 1s permit 1s issue , s a not emp oy any person many manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
A. oWNER-BUMER DECLARA1IDN
Owner-Buuder Declaration: I hereby afhrm that l am exempt from the Contractor's license Law for the followmg 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 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.).
P 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 Llcense 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 Llcense Law).
CJ I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Prof(!$Sions 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'l'E rntS SECTION FOR NON-RESIDENTIAL lMLDING PERMI'I'S 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 Act?
0 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?
DYES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES D NO
IF ANY OF TIIE ANSWERS ARE~ A FINAL CERTIFICATE Of OCCUPANCY MAY NOf BE~ AFTER JULY 1, 1989 UNLESS TIIE APPUCANT
HAS MET OR IS MEETING TIIE REQUlREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE Am. POU.UTION OONTilOL DISTIUCf.
9. OONS'IROChON .LENOING AGENCY
l hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1V1I Code).
LENDER'S NAME LENDER'S ADDRESS
to. APPIICAN I CEkltFICA:liUN
l certify that l {iave read the apphcatlon and state that the above mformat1on 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~ TIIE CITY OF CARISBAD AGAINSf AU. LIAJ3IIJTIF.5, JUDGMENTS, CXlSTS
AND EXPENSES WlilCH MAY IN ANY WAY Acx::RUE AGAINSf SAi]) CITY IN OONSEQUENCE OF TIIE GRANTING OF TIIIS 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 all expire by limitation and become null and void if the
building or work authorized by such permit is not comme . · . a from the e of such permit or if the building or work authorized by
such permit is suspended or · e wor I mme for riod of 180 days (Section 303(d) Uniform Building Code).
APPUCANT'S SIGNA: ~--,7 DA: a
: "1111111 -
DATE
06/29/95
03/28/95
03/28/95
02/24/95
02/24/95
02/2.3/95
02/23/95
INSPECTION HISTORY LISTING
FOR PERMIT# CB950171
INSPECTION TYPE
Final Masonry
Retaining:Walls
Retaining Walls
Footing
Footing
Footing
Footing
INSP ACT COMMENTS
PK
RI
TP
RI
PD
RI
TP
AP
RI BJN/JOE/440-7424
CO SHORT VERT BARS
RI MW/JOE/440-7424
AP-RET WALL
RI MW/JOE/440-7424
AP EAST WALL FTNS
· JIIT <RETURN> TO CONTINUE •••
V
PLANNING/ENGINEERING APPROVALS
. PERMIT NUMB.ER CB 9'$:"" I 1 I ·DATE _ __,~_v/.,...A_~_:..s_---_____ _ 74T
ADDRESS __ /,_~ __ ~_o_.....-..... ~------·----.-.~<------------
RESIDENTIAL
RESIDl:NTIAL ADDITION MINOR
( < $10,000.00)
..
OTHER ~ µ1,L;.
TENANT IMPROVEMENT
PLAZA CAMINO REAL
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
PLANNER ________________ DATE _______ _
~
~
ENGINEER ----i'-,----,......,111~-----DATE __ z(+---e_._(_9...,. .. 5'-. __ .. _
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PI.AANING CliEC<iJST -' .
P·lanCheckNo. q5_ 17/ ·Ad~· 1~leD Ke:LLQGC:z _
Planner -OAiVIU Iii &k---,JQ;;t;'.1 IA/OaQ_s . Phone 438-1161 ext. ~ <f<'/4-7
(Name)
APN: '2-l z_, -Oq/2;) --0 ·1 .-
Type ·of Project and Use __...I "1 ... J ... · __ %_, ....,TB........,\_._ft ..... -.... l ________ _
Zone 1(-?M, Facilities Management Zone __ 5...._ __
CPD /ln)but) ;; _
Celfc:le (If property m, complete SPECIAL TAX CALCUI..A TION
WORKSHEET p~vided by-Building Department.)
J..m:pd
[2) Item Complete
(9 Item Incomplete -Needs your action
1, 2, 3 Number in circle indicates plancheck number where deficiency was
identified
olo D \ f.nvironmmtal Rmew Required: YES X NO -TYPE ---
, DATE oF coMPLEnoN: ...., ___ JD__.· z_c;_-_·._q ..... f..__ __________ --:--_
Compliance with conditions of approval? tf not, state conditions which require action.
Conditio~ of Approval-----------------------------
Discretionary Amon Required: YES _ NO _ TYPE __ _
APPROVAL/RESO. NO. ___ .DATE: _____ _
PROJECT NO. ___ _
OTHER RELATED CASES: ___________________ _
Compliance with conditions of approval? [f not, state conditions which ~uire action.
Conc!itions of ~proval !:~~~erd/ ~ ~=~ 11s 9& wJI -Ccnd4-b0>-0 -· ~c~ ~ ~4'J.1d/L 0
. -/ --. -
u:fo O California Coastal Commission Permit Rapred: YES _ NO X-
DATE OF APPROVAL: -----------------------
San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA. 92108-1725
.(619) 521-8036 . -
Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval ______________________ _
, ~ 0 l'.nclusionary Housing Fee reqwed: YES _ NO i..
(Effective date of Inclusionary Housing Ordinance. May 21, 1993.)
Site Plan;
1.
doo 2.
Zoning:
i'oo 1.
efoo 2.
rsi'o D 3.
JM:JD 4.
D D D Additional Comments
. '
Provide a fully dimensioned site plan drawn to scale. Show: North
arrow, property lines, . easements, existing and proposed structures,
streets, existing street improvements, right-of-way width, dimensioned
setbacks and' existing topographical lines.
Provide legal description of property, and assessors parcel number.
Setbacks: I t>O' B\dg 3 0 13Ll?>67
Front: Required l.[)_1 L-:, Shown Lo-2£,-LS
rnt. Side: Required \.Q t Shown 1. o
Street Side: Required IJ{f±. Shown Nifi-
Rear: Required IQ' Shown 1D1
Lot coverage: Required 5D/4 Shown 30\
. I 33' Height: Required pS Shown
' 'B'S J44 Parking: Spaces Required Shown
Guest Spaces Required Shown
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PLNCK.FRM
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