HomeMy WebLinkAbout1968 KELLOGG AVE; ; CB951883; Permit, B U I L D I N G
12/2L/95 15:43
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Job Address : 1968 KELLOGG
Permit Type: ELECTRICAL
Parcel No:
Valuation : O
AV
P E R M I T
Suite :
Lot#:
Permit No: CB95188J
Project No: A9502744
Development No:
Occupancy Group : Reference#:
Construction Type: NEW
Status: ISSUED
Applied: 12/22;g5
Apr/Issue: 12/22/95
Entered By: RMA
619-471-5494
Description: TEMPORARY POWER POLE
: STEINGRABER BLDG-LOTS 33&34
Appl/Ownr : POWER PLUS
1167 LAW ST
SAN MARCOS, CA
*** Fees Required ***
Fees:
Adjustments :
Total Fees :
92069
.00
.00
20.00
***
Fee description Ext fee Data
Enter "Y" for Temporary
* ELECTRICAL TOTAil
A APPROVAL
10 .00 Y
10.00 Y
20.00
,rNSP. ~--DATE >ljlr~
CLEARANCE /-~-?~ ~
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO. Cf.Sl
City of Carlsbad Building Department
2075 Las Palms Dr., carlsbed, CA 92009 (619) 438-1161 FSr.VAL:.__~~~~~~~~~~
1. PERM1't fyp£ PIANCKD
VAUD.BY~~:..:_---,...-,,--~~~~-
DATE -From List I (see back) give code of Permit-Type:-------------
----·---------------·------------------------------------
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: ____________________ ~
Net Loss/Gain of Dwelling Units------------------
2. PRClJECT INFORMATION FOR OFFICE USE ONLY
Address l7Y, eo'! ~<f.dx.1l.i_ Building or Suite No.
Nearest Cross Street
mt o.
CHECK BEWW IF sOBMI 11 Ei5:
0 2 Energy Cales O 2 Structural Cales
ASSESSOR'S PARCEL PROPOSED USE
DESCRIPTION OF WORK
# OF BATHROOMS
F
DAY TELEPHONE 232..-~CR?
NAME (last name first) ADDRESS 6 / 0 l/ <!tr>'}{_)~
DAY TELEPHONE
NAME (last name first) f}Ol,U.e.l}
CilY~ (Y)OJl..t_lJA STATE
ADDRESS
~ZIP CODE 4).0w.0,
z&!1 UCENSE CLASS G
·I ll.121 L~ 5+.
DAY TELEPHONE '111-6'-1 q lj _ ..
CilY BUSINESS UC. # ~1W STATE UC.
ast name 1rst
CilY STATE ZIP CODE DAY TELEPHONE STATE UC. #
1. WoRJCERS' OOMPENSA'noR
Workers' Compensation Oeclarat1on: I hereby affirm that I have a ceruhcate of consent to self-insure 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 filed with the Building Inspection Department (Section 3800, Lab. C).
SIGNATURE DATE s. oWRmt-sonnm OF.d.AltA'noR
Owner-Builder Declaration: I hereby alhrm that I am exempt from the Contractor's license Law lor the iollowing 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.).
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).
Cl 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
subj e applica t a civil penalty o not more than five hundred dollars [$500]).
SIGNA: /.. V --DATE
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?
DYES ONO
Is 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?
0 YES ONO
IF ANY OF TIIE ANSWERS A:RE YF.S, A FINAL CERTIFICATE OF cxx:uPANCY MAY NOT BE ISSUED AFI'ER JULY 1, 1989 UNLF.SS TIIE APPUCANT
HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFRCE OF EMERGENCY SERVICES A:ND TIIE AIR POU.lJTION OONTilOL DISfRICT.
9. wNSIROCnoN LENDlNG AGENCY
I hereby afhrm that there 1s a construction lending agency tor the performance of the work tor which this permit 1s issued (sec 3097(1) C1V11 Code).
LENDER'S NAME LENDER'S ADDRESS
to. APPUCANI CERl1FICA:t10N
I certify that I have read the application and state that the above mtormauon 1s correct. 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 AISO AGREE 10 SAVE INDEMNIFY A:ND KEEP WJlMLESS TI-IE CTlY OF CAR1S8AD AGAINSf AIL LIA:BIUllE.5, JUDGMENTS, CDSfS
A:ND EXPENSE.5 WHIOI MAY IN ANY WAY ACXJlUE AGAINSf SAID CTlY IN OONSEQUENCE OF TIIE 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.
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 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or a oned at any ti e after the work is commenced for a period of 180 days (Section 303(d) Uniform Buil1~~~~
APPUCANT'S SIGNATU ... DATE:~~-
YEILOW: Applicant PINK: Finance
List 1 -Permit-1ype
From the following list, determine the permit-type that best describes the work you propose to do. Please put the code of that
permit-type in the blank at the top of the page on the front of this application. Residential permits (only) also require the
identification of the structure-type to be associated with the permit. Choose a structure-type from "List 2 -Structure-Types" and put
its code in the appropriate blank on the front of this application.
Residential Permits
Code Description
APT Apartments -new construction.
CONDO Condominiums -new construction.
CVNNR Conversion. Convert all or a portion of a non-residential building to residential use, creating one or more new residential units.
CVNRN Conversion. Convert one or more residences in a building to non-residential usage.
CVNRR Conversion. Increase or reduce the number of dwelling units in a residential structure through interior~odifications
(i.e.: a four bedroom house converted to a duplex, with 2 bedrooms each).
DEMO Demolition permit. (Also soecify type of structure from List 2).
DUP Duplex -new construction.
MOHO Mobile home, renovation, repair, or addition of accessory structure not yielding a new living unit.
MOH ON Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction from single-family residence, below).
RAD Residential addition/alteration, creating no new dwelling unit(s).
RREISSUE Residential permit re-issue.
RREPAIR Residential building repair. Damage, fire, etc.
RREPLACE Residential building replacement (no additional units).
SFA Single-family, attached -new construction. A one-family house attached to one or more other houses, with one or
more common walls extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating
system (e.9:.: townhouse, row house, half-plex)
SFD Single-family, detached -new construction: A one-family house with open area on all four sides. May have an
attached or detached garage, or a business. May be a detached "granny flat". May be a mobile home or trailer on an
individual lot, but not in a mobile home park.
Non-Residential/ Accessory Permits
Code Description
COM Commercial structure, new construction.
CREISSUE Commercial permit re-issue.
CREPAIR Commercial building -repair. Damage, fire, etc.
CREPLACE Commercial building -replacement.
CTI Commercial tenant improvement.
DEMO Demolition permit.
ELEC Electrical oermit, for electrical work only.
HOTEL Hotel or motel (including Managed Living Unit hotel) -new construction.
HOTELR Hotel renovation. .
IND UST Industrial structure, new construction.
ITI Industrial tenant improvement.
MECH Mechanical pennit, for mechanical work only.
MISC Miscellaneous. Use only if proposed work doesn't fit another activity type.
PATIO Patio and/or deck.
PLUM Plumbing permit, for plumbing work only.
POOL Gunite pools and spas.
RETAIN Retaining wall oermit.
SIGN Sign construction/installation permit.
SOLAR Solar energy system installation permit (specify structure type to be served).
SPA Factory-made or Gunite.
List 2 -Structure-Type (Use with Residential Permit Only)
From the following list, determine the type of residential structure that best describes the structure on which you will be working.
Please put the code of that structure-type in the appropriate blank at the top of the page on the front of this aoolication.
Code Description
SFA Single-family, attached. A one-family house attached to one or more other houses, with one or more common walls
extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating system (e.g.: townhouse,
row house, half-plex).
SFD Single-family detached: A one-family house with open area on all four sides. May have an attached or detached
garage, or a business. May be a detached "granny flat•. May be a mobile home or trailer on an individual lot, but not
in a mobile home park.
MF2-4 Multi-family, 2 to 4 units. A residential structure on a single lot, containing two, three, or four dwelling units. Units
may share master heating, plumbing, or electrical service (e.g.: duplex, triplex, quad-plex).
MFS+ Multi-family, S or more units. Sarne as MF2-4, except the building has a t least five attached units on the same lot.
MOHO Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction from
single-family residence, above).
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB951883 FOR 01/08/96
DESCRIPTION: TEMPORARY POWER POLE
STEINGRABER BLDG-LOTS 33&34
TYPE: ELEC
JOB ADDRESS: 1968 KELLOGG AV
APPLICANT: POWER PLUS
CONTRACTOR:
OWNER:
REMARKS: BJN/MICHELLE/471-5494
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE:
PHONE:
PHONE:
CD LVL DESCRIPTION ACT COMMENTS
INSPECTOR AREA TP
PLANCK# CB951883
OCC GRP
CONSTR. TYPE NEW
LOT:
32 EL Const. Service/Agricultural AP r/7/' (4L.v~ f'L-1/Jn,11.µ(tl 1rJ)
-· ------------------------------------------------------------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
010496 Const. Service/Agricultural CO TP ND DNSTRM WIRING COMP