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Home My WebLink About1965 KELLOGG AVE; MULTI-PERMIT FILE; CB960784; Permit' ~'j . > \ ' -' ~ -.-. ' -,~ -.,._ , t B rJ l: ·'·t I)' I N 'G PERMI.T-P·ermi t No: CB960784 Project No: A9501706 D_evelopmE;l_nt' No:_ 04/30/96 13:28 Page 1 of 1 Job Aodr~ss: 1965 KELLOGG AV Perrrii t 'fype_: ELECTRICAL parcel .No: Valuation: 0 Occupancy Group~ ; Desc;ription: 200 AMP PANNEt -. tot#: Reference#-~ · Construction Type: Status:. ·.Applied: · Apl"'./Is.sue: . , Entered By: NEW ISSV-ED 04/30/96 04/30/~6- RMA - 619-"-73'i'.-14-50 , _-73()1. ()4/30-/96 0001 01 C-PRMT APPROVAL INSP/~--DATE'~~ CLEARANCE_-------------1 ,·._· CITY OF CARl,.SBAD 02 . 2075' L,as P~ Dr., Car.Isl>~d, -CA, 92009 ·(619) 438-1161 -I .,. PERMIT APPUCA'llON PIAN CHECK NO. 7'b-7 {) 'city of Carlsbad Building Department 2Q75 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-11,61 EST.VAL / 1. PERMIT TYPE 'DATE from Llst 1 (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From Llst 2 (see back) give C::ode of Structure-Type: ------------,---,-----,--,-------- Net Loss/Gain of Dwelling Units-------'-----------------'- 2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY Adr~~S ~ AY' Nearest Cross Street ' Buildmg or Suite No. LEGAL DESCRIPTION tot No. Subd1vmon Name/Nu~ber Umt No. · Phase No. cl-(£cR BEWW IF sDBMl'I'l'Eo: D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope # OF ~A1HROOMS ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 6. WNl .. Id ,... , , ATr1 i --, {V"\/"_ , 11,... rib' \J ,_rz:A "r NAME (last name first~ \~ ~\lAV\ 8..fC. ADDRESS l--l'v'C7 \IV\lfti' ~ C,(/l l;;) , CI1Y~ l~ STA'I1(Jr ZIP COD~z.a?,tf .DAY TELEPHONE 7; l--{lf5(J STATE UC. 1 b LlCENSE q.ASS &'IO CITY_ BUSINESS IJC. # ast name 1rst ~ STATE ZIP CODE D.AY TELEPHONE STATE LJC. # U'~RKERS' WMPENSATION . Workers' Compensauon Declarauon: I hereby affirm 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,a9mitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, 41.b. C). INSURANCE COMPANY POIJCY NO. EXPIRATION DATE Ceruhcate of Exempuon: I cerufy that m the performance of the work for which this permit IS issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE A. oWNER-BOlIDElt DECLARATION Owner-Builder Declaration: I hereby afhrm tfiat I am exempt from· the Contractor"s Llcense law for fhe.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 1aw·aoes 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 own~~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: (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]). SIGNATURE DATE COMPLETE mis SEcnoN FOR NON-RESIDENTIAL BVILDING PERMITS ONLY: - is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form ·or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES ONO Is the applicant or future .bµilding 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? 0 YES ONO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCX!UPANCY MAY NOT BE~-AFfER JULY 1, 1989 UNLF.SS TIIE APPUCANT HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POILUTION OONTilOL D~CT. 9. CiJNSIR0Cl1ON LENDING AGENCY i.fiereby _afhrm that there 1s a construction iendmg agency for (fie performance of the workfor-wfoch fh1~ permit 1s issued (Sec 3097(1) C1V1J Code). LEN fill't NAME LENDER'S ADDRESS . ceru at. ave rea e app 1cauon an state at e a ve m ormat1on 1s correct. agree to comp y w1 a 1ty or mances an tate aws relating to building construction. I hereby-authorize repr~entatives oftjie City-of Carlsbad to enter upon·tlie above mentioned property for inspection purposes. I ALSO AGREE 1U SAVE INDEMNIFY AND KEEP~ TIIE Cl1Y OF CARISBAD AGAINST AIL IJABILlTIES, JUDGMENTS, CDSTS AND EXPENSF.S WIIlCH MAY IN ANY WAY Aa.:RUE AGAINST SAID Cl1Y 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 shall expire by limitatio11 and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or-if the building or work au tho · zed y such permit is suspended or a~t any tim afte ork i c menced for a period of 180 days (Section 303(d) Uniform Bu· d" APPLlCANTS SIGNATURE . DATE: . . ·, Wlil : File 0 PERMIT# CB960784 DESCRIPTION: 200 AMP PANNEL TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 07/03/96 STE: INSPECTOR AREA PLANCK# CB960784 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 1965 APPLICANT: ROLLINS CONTRACTOR: ROLLINS OWNER: KELLOGG AV CUSTOM ELECTRIC CUSTON ELEC PHONE: 619-737-1450 REMARKS: MW/MIKE/599-9781 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- CD 34 LVL DESCRIPTION EL Rough Electric PERMIT# SE940011 AS940047 FS940016 RW940122 FAD95002 AS950006 CB951163 · TYPE swow ASC FIXSYS ROW. FADD ASC ELEC -· -------------------------------------------__ . --------'---------------,..----- PHONE: ft PHONE: INSPECTOR -...,,,.__ ________ _ STATUS ISSUED ISSUED ISSU;E!D ISSUED ISSUED ISSUED ISSUED ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS B U I L D I N G P E R M I T Permit No: CB960055 Project No: A9600100 Development No: 01/11/96 09:22 Page 1 of 1 Job Address: 1965 KELLOGG AV Permit Type: MECHANICAL Parcel No: Valuation: 0 Occupancy Group: Suite: Lot#: Reference#: Description: INSTALL TWO BOILERS 619 CITY OF CARLSBAD Construction Type: Status: Applied: Apr/Issue: Entered By: I -282-7545 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 VN ISSUED 01/11/96 01/11/96 MDP PERMIT APPUCATION PIAN CHECK NO. City of Carlsbad Building Department 2075 Las PalllilS Dr., carlsbad, CA 92009 (619) 438-1161 F.Sf. VAL ___________ _ 1. PERMIT TYPE MECH PLAN CK DEPOSIT _______ _ VAIID.BY ___________ _ DATE~------------From Llst 1 (see back) give code of Permit-Type: ___________ __. ,For Residential Projects Only: From Llst 2 (see back) give ~ode of Structure-Type:-------------------------,- Net Loss/Gain of Dwelling Units ____________________ _ 2. PRQJECI' INFORMATION FOR OFFICE USE ONLY Address 1965 KELLOGG AVENUE Butldmg or Suite No. 196!;> Nearest Cross Street CAMINO VIDA ROBLE LEGAL DESCRIP11oN Lot No. subd1v1S1on Name/Number Omt No. Phase No. 2 47 CARLSBAD TRACT NO., 81..a.4"6 CHECK BEWW IF sOBMtl 1'£6: CJ'2 Energy Cales D 2 Structural Cales Cl.2 Soils Report D 1 A,ddressed Env~l6PfJ DESCRIPTION OF WORK 7 J../ i> p # OF BATHROOMS a. ~;,'tM~~!t=~~;~ 01ffi6'lW°0 ~anf) ADDRESS 14906 VIA DE LA VALLE CITY DEL MAR STATE CA ZIP CODE 921 04 DAY TELEPHONE ( 619 ) 755-2051 4. APPllCAN1 O{CONIMCIOR 'DAGENT !'UK CONTHACTUK DUWNEK , OAGEN'I' FOR OWNER NAME (last name first) COUNTY BURNER & MAQWDRESS 4322 '!WAIN AVENUE CITYSAN DIEGO STATE CA. ZIP CODE 92120 DAYTELEPHONE (619) 282-7545 s. PROPER1Y oWNER NAME (last name first) KNORR STEVE ADDRESS 14~06 VIA DE LA VALLE GITY DEL MAR STATE CA ZIP COD~21 0 4 DAYTELEPHONE ( 619') 755-2051 6. Ci}NfMcloll NAME (last name first) CITY SAN DIEGO COUNTY BURNER & MACH. STATE CA STATE LIC. # 324821 ZIP CODE ADDRESS 92120 4322,'IWAIN AVENUE DAY TELEPHONE (619) 282~7545 LICENSE CLASS C-4 CITY BUSINESS LIC. # 1199853 DESIGNER NAME (last name hrst) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 1. WORKERS' COMPENsA11oN Workers' Compensation Declaration: I hereby affirm that I have a cert1hcate of consent to self-msure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insµrer; 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). INSURANCECOMPANY GOLDEN EAGLE INS. CD.POLICYNONWC31842107EXPIRATIONDATE 7/14/96 Cernhcate of Exemption: I certify that m the performance of the work for ~filch this permit 1s issued, I shall not employ any person m any manner s9 as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNER-BOIIDER DECI.ARA11oN Owner-Buuder Declaration: I hereby afhrm that I am exempt from the Contractors 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 qr offered fot 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.). 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 propertywho 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: (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 1.aw (Chapter 9, commencing with Section 7000 of Division 3 of,the Business and Professions Code) or that he is exempt therefrom, a:nd the' basis' for the alleged exemption. Arty 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]). , SIGNATURE DATE COMPLETE 1Hls SEcnoN FOR NON-RESIDEN'I1AL B01LDINC PERMITS ONLY:· Is the applicant or future building occupant required to submit a business plan, acutely,hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? a YES m NO Is the applicant or future building occupant required to obtain a permit from tlle <1ir pollution control district or air quality management district? 0 YES liJ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES if NO 1F ANY OF TI-IE ANSWERS ARE YF.S, A FINAL CERTIFICATE OF OCXlJPANCY MAY,NOT BE~ AFTER JULY 1, 1989 ~ TI-IE APPLICANT HAS MET OR IS MEETING TI-IE REQUIREMENTS OF TI-IE OFfICE QF ~GmCY SERVICES AND TI-IE AIR POLLUTION OON1ROL DISTIUCT. 9. WNS'rnOCIIDN LENDING AGENCY I hereby afhrm that there IS a construction lendmg agency for the performance of the work fo~ which this permit IS issued (Sec 3097{1) C1V1i code). LENDER'S NAME LENDER'S ADDRESS to~ APPllCAN I CEltltFICJrnON I cernfy that I have read the apphcat1on and state that the above mtormatlon 'IS correct. 1 agree to comply with all City ordmances arid 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 HARMLESS TI-IE CTIY OF CARISBAD AGAINST ALL LIABILITIES, JUDGMENTS, OOSTS ,AND EXPENSF.S WHICH MAY IN ANY WAY Aa:JlUE AGAINST SAID CTIY IN OONSEQUENCE OF TI-IE GRANTING OF TIIlS PERMIT. _ OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. provisions of this Code shall expire by limitation and l;>ecome null and void if the · in 365 days from the date of such permit or if the building or work authorized by rk is commenced for a period of 180 days (Section 303(d) Uniform Building Cod~ DATE: fa//, , PINK: Finance ·~· PERMIT# CB960055 CITY OF CARLSBAD ;INSPECTION REQUEST FO~ 05/13/96 DESCRIPTION: INSTALl, TWO BOILERS TYPE: ~CH STE: INSPECTOR AREA TP PLANCK# CB960055 OCC GRP CONSTR. TYPE VN LOT: JOB ADDRESS: 1965 KELLOGG-AV APPLICANT: COUNTY BURNER CONTRACTOR: PHONE:: 619 282-7545 PHONE·: OWNER: PHONE: REMARKS: MW/431-5310 INSPECTOR -~------.----SPECIAL INSTRUCT: REIN REPAIRS CORRECTE·D TOTAµ TIME,: -.... RELATED PERMITS..,..., PERMIT# SE94.0011 AS940047 FS940016 RW940122· FAD95002 AS9.50006 CB951163 CB960784 TYPE swow ASC FIXSYS ROW FADD ASC ELEC ELEC STATUS ISSIJED ;cssUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED CD LVL DESCRIPTION_ .ACT COMMENTS ,;_ ME_._· _R_o_u_g_h_f-o_u_c_t_s_;_o_a_m~p-e_r_s _______ ~ -------------- ---.......... ----------......-..,,...., ........ ------,.----...,......,.----------------,--.......... -----~ ***** INSPECTION HISTORY***** DATE DESCRIPTION .050896 Rough/Ducts/Dampei;-s ACT INSP CO TP' COMMENTS VENT TERM & ELEC GRN WIRES B U I L D I N G 08/24/95 15:52 P E R M I T Permit No: CB951163 Project No: A9501706 Development No: Page 1 of 1 Job Address: 1965 KELLOGG AV Permit Type: ELECTRICAL Parcel No: Valuation: O Construction Type: NEW Suite: Lot#: 3341 08/24/95 0001 01 C-PRMT Occupancy Group: Reference#: Status: Description: 220 AMP CIRC FOR 2 PCS EQUIPMT : ELECT RUNS FOR FANS & LIGHTS . --~ ~h~~l '"? ~~¼-'t....~:("'~ ~ 1"'\ ~~~ 'l.l '2..\ \ Q.., ~ '--"~-l ~\t:sl C\S . Applied: Apr/Issue: Entered By: 619-737-1450 r,,; v~ 75l:-OO ISSUED 08/24/95 08/24/95 RMA cw r. FINAL APPROVAL ifNSP. ___ DATE ___ , CLEARANCE _____ , I fsCARLSBAD (bad, CA 92009 (619) 438-1161 ,. PERMIT APPUCATION PLAN CHECK NO. City of Carlsbad Buildi~ Department 2075 Las Palms Dr •• carlsbad, CA 92009 (619) 438-1161 FSf. VAL _____________ _ 1. PERMIT 1'YPK PLAN CKDEPOSIT-,-,11-"""JC _____ _ VAIID. BYP-i-+,,,_.,.=-+------- DATE. _ _,q_,_-.IL._-L4.£4...J,....-----.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. PROJF.Cf IJ'IFORMATION FOR OFFICE USE ONLY l tf~~ ~u..asE. AVIS Nearest Cross Street · Bu1Jd1Dg or SUite No. LEGAL DESCRIPTION Lot No. Subd1v1S1on Name/Number 0mtNo. Phase No. CHECK BEillW IF sOBMn IED: D 2 Energy Cales a 2 Structural Cales a 2 Soils Report D 1 Addressed Envelope . NAME~st name first)~e)t'f::= PJt)r/' ') ADDRESS /Cf 6S-~~ ciwlH~~ sTATEtA: zIPCODE pAYTELEPHONE 6 ' ~1Tlfa~me first)~#_$ a~ ~. ADDRESS /'tot-M~n::' IAs]}1 .{k_ CITY VtsrtJ--STATEa-ZIPcomf1ZCJ8'1-DAYTELEPHONE .a,;37,.,. If/So STATE UC. "'1J3'/7 C, UCENSE CLASS C-/0 CITY BUSINESS UC. # • ast name 1rst CITY~ STATE ZIP CODE DAY TELEPHONE MPJ!NSA11oN Workers' Compensation Declaration: I hereby afhrm that I have a cernhcate of consent to seit-lDsUre issued by the Director of Industnal 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). INSURANCE COMPANY POUCY NO. EXPIRATION DATE D D D Ceruhcate of Exempt10 so as to be<!l)ll!l.'e"'\'IIIJ.bj I ceruij that.ID the performance of the work for which this permit 1s issued, I shall not employ any person ID any manner e rkers' Compensation Laws of California. Owner-BUIider Declaration: I hereby afhrm ffiat I am exempffrom the ConfracfoPs Llcense Law for ffie follow1Dg 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 pr improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Llcense Law does not apply to an pwner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Llcense Law). I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or Coui;ity 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 i:o the provisions of the Contractor's Llcense 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]). SIGNATURE DATE coMPLETE THts SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a busi.ness 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? C YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? C YES ONO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? C YES ONO IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICA~ OF OCDJPANCY MAY NOT BE Il?SlJED AFI'ERJULY 1, 1989 UNLESS nm APPUCANT ~ MET OR IS MEETING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICFS AND nm Aill POU.UTION OON'IROL DISilUCT. 9. CDNS'IRUCIIDN L£NDING 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) C1VJI Code). LENDER'S NAME LENDER'S ADDRESS 10. APPllCAN I CER:liFlCA:hON I cernfy that I have read the apphcatlon and state that i:ne above mformat1on 1s correct. I agree to comply with all City ord1Dances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS nm Cl'lY OF CARISBAD AGAINSf AIJ. IJABIUTIFS, JUDGMENTS, OOSTS AND EXPENSES WIIlCH MAY IN ANY WAY ACDUJE AGAINSf SAID Cl'lY IN OONSF.QUENCE 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. d i' City of Carlsbad . N:Jiht#•hi·l•l4·ki4h,t4,il DATE: 01/14/97 PERMIT NUMBER: CB951163 ISSUE DATE: 02/22/96 LAST INSPECTION: TO: ROLLINS CUSTOM ELECTRIC 1906 MONTE V~STA DR VI-STA, CA 92084 PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE RE: BUILDING PERMIT EXPIRATION ADDRESS: 1965 KELLOGG AV our records indicate that your building permit will expire by limitation of time on 02/21/97. The provisions of UBC, .section 303(d) state: "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 commenced within one calendar year from the date of such 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 six consecutive calendar months 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 one year of.the date of permit issuance. Work shall be presumed to be stopped if the permittee has not ob- tained a required inspection approval of work by the building official within each six month period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit, or a renewal permit as specified below, shall be obtained. 1. PERMITS WHERE WORK a.AS NOT COMMENCED. For permits where work has not commenced in the first calendar year from the date of issuance, a renewal permit may be obtained provided: (A) (B) (C) (D) No changes have been made or will be made in.the original plans and specifications for such work. That the expiration has not exceeded three years from the original issuance date. That the same edition of the model codes is in effect as used in the initial plan check. That a fee equal to one-half the amount required for a new permit b~ paid. ~he renewal permit shall expire three calendar years from the ~ate of initial permit issuance. 2075 Las Palmas brive • Carlsbad, Caiifomia 92009-1576 • (619) 438-1161 CITY OF CARLSBAD lNSPECTION REQUEST PERMlT# .CB951163 FOR 01/21/97 DESCRIPTION: 220 AMP CIRC FOR 2 PCS EQUIPMT ELECT RUNS FOR FANS & LIGHTS TYPE: ELEC STE: INSPECTOR AREA TP PLANCK# CB951163 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 1965 KELLOGG AV APPLICANT: ROLLINS CUSTOM ELECTRIC CONTRACTOR: OwNE-R: REMARKS: MW/MIKE/PG 737-1450 PHONE: 619-737;;:J1450 PHONE: PHONE: INSPECTOR -""',._ ________ _ SPECIAL INSTRUCT: ASKED FOR TUESDAY AM TOTAL TIME: --RELATED PERMITS-- .CD LVL b~SCRI~TION PERMIT# SE9400·11 AS940047 FS-940016 RW940122 FAD95002 AS950006 TYPE swow ASC FIXSYS ROW FADD ASC STATUS ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ACT COMMENTS 39 EL Final Electrical t!&_ #P ~,.d-4w f/T(, ------------------------,-----------"-- ------------------,---------------------·------------......a..;, ______________ --------------------- DATE DESCRIPTION 09~895 Rough Electric ***** INSPECTION HISTORY***** ACT INSP PA TP COMMENTS SEE INSP NOTES CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB951163 FOR 09/28/95 DESCRIPTION: 2~0 AMP CIRC FOR 2 PCS EQUIPMT ELECT RWNS FOR FANS & tIGHTS TYPE: ELEC JOB ADDRESS: 1965 KELLOGG AV APPLICANT: ROLI;,INS CUSTOM ELECTRIC CONTRACTOR: OWNER: REMARKS: MW/MIKE/737.-1450 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS--PERMIT# S:Jl!940011 AS940047 · FS940016 RW9401i2 CB950164 FAD95002 CB941611 AS95.0006 CB9.50294 TYPE swow ASC FIXSYS ROW ELEC F:ADD ITI ASC SIGN PHONE: PHONE: PHONE: STATUS ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED I.SSUED ISSUED CD LVL DESCRIPTION ACT COMMENTS w~ INSPECTOR AREC PLANCK# CB951163 OCC GRP CONSTR. TYPE NEW LOT: 33 EL Service Change/Upg~ade ~ r sec m· -@)9dlt . zi-..!$47< ,r- ~ -: -________ ......,.., __________ ,&._ ~ C,IQ~G-$~/.,0 ------------------------------------,-.---------,.---------....,.....-----,-- ***** INSPECTION_ HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS Re..?.?~ ~...O/A./-r e ~n-~r -~dJVA,/"e~r,,p;J ,../4 6=-V77i!f-A-Pu~ Oe;),,tf1 re'~. ~t:.IV~ ~;lf17'# ..:S:_u,,. JI J •7 c_o-A/-r?MV/T7 . B U I L D I N G P E R M I T Permit No: CB950164 Project No: A9400210 Development No: 01/27/..95 14:40 Page 1 of 1 Job Address: 1965 KELLOGG AV Permit Type: ELECTRICAL Parcel No: 212-092-11-0-0 Valuation: O Construction Type: VN Occupancy Group: Description: ADD 20 CIRCUITS Suite: Lot#: Reference#: FOR EQUIPMENT 619 0465 01/27/95 0001 01 C-PRMT Status: Applied: Apr/Issue: Entered By: 440-7424 02 ISSUED 01/27/95 01/27/95 JPY Fl NAL APPROVAL !NSP. ___ DATE ---1 CLEARANCE-----1 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Pal11BS Dr., carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE From list 1 (see back) give code of Permit-Type: -----------"--- For Residential Projects Only: From list 2 (see back) give Code of Structure-Type: -------------------------- Net Loss/Gain of Dwelling Units----------------------- 2. PROJECT INFORMATION Address Ke. I ( 05~ Z\v~ Bu1idmg or SUJte No. c~~ .... o t o. CHECK BEWW IF s0BMtli'EO: PLAN CHECK NO. ~~ -\.1', c.t F.5T. VAL,__ _________ _ PLAN CK DEPOSIT _______ _ VAIJD.BY __________ _ DATE _____________ _ FOR OFFICE USE ONLY mt o. D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE # OF BATHROOMS NAME (last name first) t\-a """'a n.f'\ LO,·iS-l , ADDRESS "\,-7 $ W . ~ 2 d 1-e..1 STATE C-;}. ZIP CODE "11...01--0 DAYTELEPHONE {:,/ "'f 4 o 74-z..4- NAME (last name first) S-f--< '{~ ~o rr ADDRESS CITY 7:>e..\ ~ ~,-STATE GA ZIP <;:ODE 7'2..o ,4: 6. CDN'l'ltAciOR NAME (last name first) ~Z-""-2--"'-"' {_0 "'s+, ADD)'l.ESS CITY E.J C.o-~--STATE (.}. ZIP CODE 9Le.'1-0 DAY TELEPHONE 4-1 S W. ~ r 2d \~, DAY TELEPHONE (,. I ~ ~ 4 o I 4-c-4- STATE UC.# ;,) '14-'Z-UCENSE CIASS CITY BUSINE.SS UC. # \ 1, i>-\ 1-\ 0' ast name 1rst CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # \ \ 1. W01tRE1tS' cbMPENsAtioN ° Workers' Compensauon Oeclarauon: I hereby affirm that I have a ceruhcate of consent to self-msure issued by th<;! D1Cector 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 filed with the Building Inspection Department (Section 3800, Lab. C). \ SIGNATURE DATE s. oWNER-BOtmml OECI.AltNfiON ; Owner-BUIider rieclaration: I hereby afhrm that I am exempt from. the Confracto?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 b)lilds or improves thereon, and who does such work himself or through' his own employees, provided that such improvements are not in;ended 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 licenseq 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: (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]). SIGNATURE DATE coMPLE'I'E 'i'Hts SECTION FOR NON-RESIDEN'l1AL BUILDING PEfiMI'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 255QS,,-:25533 or 25534 of the Pr(;!Sley-Tanner Hazardous Substance Account Act? DYES efNO Is the applicant or future building occuo..Hfirequired to obtain a permit from the air pollution control district or air quality management district? DYES tzf NO Is the facility to be constructed within 1,900 feet of the outer boundary of a school site? b. . ~ / DYES tirNO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF'CJCX:UPANCY MAY Nor BE , AFI'ER JULY 1, 1989 UNLF.SS TIIE APPllc.ANT ~ MET OR IS MEETING THE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVI AND TIIE AIR POLLUTION OONIROL DISllUCT. 9. OONS!ROCl10N U:NDINC AGENCY '-- 1 hereby afhrm that there 1s a construcuon iendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CIVIi Code). cert1 at ave rea __ e app 1cauon an state at ea ve-m ormauon 1s correct. a tate aws relating to building construction. I hereby authorize representatives of the City of Carlsba to enter upon ~e above mentioned property for inspection purposes. I AIID AGREE 10 SAVE INDEMNIFY AND KEEP~ TIIE crIY OF CARlSBAD AGAINSf AIL LlABIIITIF.S, JUDGMENTS, OOSl'S AND EXPEN~ WHICH MAY IN ANY WAY ACDlUE AGAINSf SAID CI1Y IN CONSEQUENCE OF TIIE GRANTING OF 11:IIS PER.MIT. 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 jf the building or work authorized by such p,ermit is not commenced within 365 days from the date of such permit or if the building or work authorized by·· such permit is suspended or aba do at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPUCANTS SIGNATURE ~ \ ~ DATE: r-11-q,S- WHITE: F e YELLOW: Applicant PINK: Finance