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Home My WebLink About1969 KELLOGG AVE; MULTI-PERMIT FILE; CB011345; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No:CB011345 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project title: Ap·plicant: 1971 KELLOGG AV CBAb ELEC TEMP POWER POLE TEMP POWER SYSTEMS 750 N. CITRACADO PKWY. ESCONDIDO CA 92025 760 439-1999 Lot#: 0 Owiler: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/10/2001 RMA 04/10/2001 04/10/2001 Total F'ees: $20.00 . Total Payments To Date: $0.00 Balance Due: ·Ele-ctric 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 Inspector: 44.~ <c 1 · 0 ,0 0 \: 0 '· FINAL APPROVAL Date: 5"-q-t?/ $20.00 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 iss~ed 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 accc,irdance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, s·et 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 capactiy changes, nor planning, toning, 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 oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise expired. v,~<oc+o FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C/:3{:) { \]l(i5 • CITY OF CARLSSAD BUILDING DEPARTMENT EST. VAL. __________ _ 1635 Faraday Ave., Carlsbad, CA 92008 Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use Description of Work SQ, FT. #of Stories # of Bedrooms # of Bathrooms (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, 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 ption. iolation of Sec· 7031.5 by any a plicant for a permit subjects the applicant to a.civil penalty of not more than five hundred dollars [$5001). ( ..11.1.....,.5' ,.,. ti I ~ f,/ff ame City State/Zip State License tt"/61&.f'j!, License Class _C..._._{~0-----,--City Business License # ,' Q 3 Designer Name Address City State/Zip Telephone State License#----'------- 1i'f1~Wm!:J!$ZQPJMtjJl~ffl[ij~_::f[~:::Z::~;:::r;:::~s~E;:Sfa~;·;:;;J:r:2~;.::r:;:J{iJ:~:ST£~~f~W~?l~~*~~~]5'~~:11t\11X?B\'::gz~\~il?';}.~~Sd1~~~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of tl\e following declarations: 0 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. ~e 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~7)t1"'£::K,lw0 _ Policy No. l~ •C)o Expiration Date ., l /0 -0/,()/ (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 subjec e Workers' Compensation Laws of California, WARNING: Fai re to rs' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar ($10 tion to the cost of compensation, damages as provided for in Section 3706 oft e Labor code, interest and attorney's fees. SIGNATURE.~~~~~~~~~~~ffi~;:;;;;;;:,:;;;:ii:~5i~;::~;;;~s=:::~ DATE 1 / / - ~ff ~)t: .. ~ .ATJQN:s~:::,,:.:: ~: ,;,$~·? :1:~&~;,,_:}. ::-~ r ~-~-.:l~ \~-;:~/~~:1~:~-a~;,;;!~~1tS~t;:~,_~;;-:~tst;~:::3:~Qt.?~~~~st~~!Z::~!li;;~~~~~~~~i~~~21f~;;;i~Jt~t1~1:.:JI?/~;<~?~~-f~Z!½~ ~i empt from the Contractor's License Law for the following reason: 0 I, as owner of the r party 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 fessions Code: The Contractor's License Law does hot apP,IY 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-buiider 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. J 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 vyill provide some of the work, but I have ci;>ntracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work)=------------------------------~--~---------------------- PROPERTY OWNER SIGNATURE,,,_-.,,----------,------..---------DATE ________ _ fc'o_M_ PJ!E'1'fiiii:t:f•s?secf:iQNJf:on?NJf.i:aEsioii.v,r,"AT1111~tJii'DiN~f11eit'Mirsfot:t·i:~.:\;:''t?;'S'~;~r~r.ir,l(~:-,~*'1:W:~~~¥~.,._'X'ftt:q;:-,:<:•0~~s':;:,i0v'!I 1)!,_,. .,,,,.t.,.,"'~';.lJ~W!Y"'l-''~"""'" """" ..,\, ,.,,!lci,.,; ... 1l!t!.',,," _,_,....,..., Y-.,~.,.., ,,),,~.,~,,"'1,,. ... ,,..,,. ..,,..t;;i,: "" ''"''h _,..i,,,...1,!,,.,,.,,.,;,i,,,.,..~,v....:)-,\ll,.(',.?<,-:-,.i,."'\'lwV ..... '.ft:L_,.tt• :.,".:. ....,.,.,.,;,":,.iJ',~,_.-~,;,;; .... ,,~~~~ .... ~,,..,;;j;-:,.~,,·'~'0sff.,_.,._"'"?Ja~S::;w,i,,..,\~;;_.,.,~M~l!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? 0 YES O NO Is the applicant or future building occupant r~quired to obtain a permit from the air pollution-control district or air quality management district? 0 YES O NO Is the facility to be constructed 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 REQUIREMENTS OF .THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending.11gency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME 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 iss the building Official under the provisions of this Code shall expire oy limitation and become null and void If the building or work authorized by such permit is not o ce i in 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at apy time after the work is co fo riod of 180 days (Section 106.4.4 Uniform Building Code). ,l l(} ,,-.. J APPLICANT'S SIGNATURE -.\---AJ>A~~~======-....;....,..:....__________ DATE ~---t-• __ V ________ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg _Inspection Request Permit# CB011345 Title: TEMP POWER POLE Description: For: 05/03/2001 Type:ELEC Sub Type: Job Address: 1971 KELLOGG AV Suite: Lot Location: APPLICANT TEMP POWER SYSTEMS Owner: Remarks: Total Time: CD 39 Date Description Final Electrical Associated PCRs Inspection History Description 0 Act Comments Act lnsp Comments Inspector Assignment: M Phone: 7605972904 Inspector: aa Requested By: GARY Entered By: ROBIN \ B U I L D I N G Permit No: CB972627 P~oject No: A~703342 Development No: 09/18/97 09:13 Page 1 of· 1 Job Addre S'S : 19 6 9 KELLOGG .Permit Type: PLUMBING Parcel Noi 212-092-12--00 ·valuation:_ 0 , Occupancy Group: Descri.ption: UND~RGROUND *** Enter "Y" for Plu -Each Building Sew * PLUMBING rroTAL AV Suite: ·Lot#: 9257 09/18/97,0001 01 C-PRMT 02 35 .. 00 Reference#: Construction Type: VN Status: ISSUED Applied:. 09/18/97 Apr/Issue: 09/18/97 Entered By: MDP 9'(7-0488 PLUMBING ONLY 760 t)t>t1E~~ ..... _;,.._.,-..---------t• fi~AL APP'10VAL DATE~---=~--- *** ~\ CITY OF C~RLSBAD . 2075 Las Palmas Dr., Carlsbad, CA 92009 (61Q) 438~'116\ .PERMIT# CB972627 DESCRIPTION: tm"DERGROUND TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 09/2.3/97 PLUMBING ONLY STE: INSPECTOR AREA PLANCK# CB972627 OCC GRP CONSTR. TYPE .VN LOT: JOB ADDRESS: 1969 KELLOGG AV APPLI.CANT: GRASSELLI, LEO CONTRACTOR: OWNER: REMARKS: C/ERIC/989-7682 SP~CI~L INSTRUCT: PHONE: 760 9777/-0488 PHONE: PHONE: INSPECTOR _ _,._ ________ _ TOTAL TIME: --RELATED PER?,JITS-- CD LVL DESCRIPTION PERMIT# GR960002 RW960043 SE95013·5 · AS960027 FS960010 SE96.0156 AS-970.012 CB97065i CB972560 CB972576 TYPE GRADING· ROW swow ASC FIXSYS swow ASC ITI MISC ELEC STATUS ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ACT COMMENTS 21 · PL· Und·erg:round/Under Floor .Bf!_ -----,-----,,--,----------- J!:L _· -------------''-------'--------l!1_ qVt'ft' p,J "'17 I -----,------_.__ ___ ....,,... ___ _ ----__ .;.__.;.__ __________ _ ***** INS~ECTION HISTORY***** .DATE DESCRIPTION ACT INSP COMMENTS PERMIT APPLICATION FOR OFFICE USE O~L Y L ·PLAN CHECK No.:f]-ZG 7 CITY OF CARLSBAO BUl,L_DING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009- (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ Business Name (at this address) Lot No. Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms Telephone# Fax# City State/Zip Telephone# 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 tor 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 tor the alleged exemption. Any violatio of Section 7031.5 by any applicant for a permit subj!Jcts the applicant to a civil penalty of not more than five hundred dollars [$5001). '{) Name Address City State/Zip Telephone# State License # --'-------'---License Cll!Sil __ _._ _ __,__ __ -'----City Business License # _______ _ Designer Name Address City, State/Zip Telephone State License# _________ _ j~;fiW§j,gfffS~~rc~QMe~R~iTtO~«;;~~~r;~~JZ::::\J:;\:~:·f: ;~~vi!3:2:22::;;:."!]D~f ~;~~~!.:::~.r::;, ~:~~;·~:::!t ·, :.<~,;:~J, ~ :;.~:, ~ Workers' Compensation Declaration: I hereby affirm under penalty ·of·perjury-one of-the following declarations: 0 I have·and will maintain a certi_ficate of consent to self-insure fo.r 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 requfred by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My-worker's compensation insuranc_e carrier and policy number are: ' lnsurilnce·Company _____________ -'--,---'-----Policy No.____________ Expiration Date _______ _ (THIS,SECTION-NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 O_R 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 bec.ome subject to the Workers' Compensation Laws of California .• WARNING: Failure to secure workers' compensation coverage is unlawful, a_nd shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE'---------------,.---,-.,---,,---------DATE ________ _ '?:::~0t6'.wt1'e5.~'0)i;bJ:!1:fDtci:A8AJiQN~:;;;~':'"?,'i"·/:_~\.'f:~f~l~·if;-~"'1'~\':"::.:;fr::-:j:;·· .. : ,,,._ ,: ..,., + " .. , ,;, :..i: :,:,.-:: ;,. · :· ~:-;,_'':;;, . -. --··- 1 hereby affirm tha_t 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 so!e 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 tia_ve 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 contractorls) licensed pursuant to the Contractor's Licen_se Law). 0 I am exempt under Section ______ Business and-Professions Code for ,his 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 p~ovide some of the w~rk, but I have contracted (hired) the follo¥"ing·persons to provide the work indicated (include name / address / phone number / type of workl=------------;-----:::::r---r'-'.r"::::7--""""'---'-:--:::-nf-:--r,-,::-----:.rt-------::-c-f--:::.rr,r.=------:------ PROPERTY OWNER SIGNATURE fCOMPJ.ET@ISiSECTIO~FOR'.N(t . " Is the applicant or future building occupant required to submit 11 business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presie_y-Tanner·Hazardous Substance Account Act? 0 YES D NO is the applicant or future building occupant required to obtain a permit from th!' air pollution 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 CERTIFI_CATE 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. ~~14~1'.ft\!9'.IJ.Ql'!l-ENPl~~A~fflCYi'.h;:_;;~~~&::Jf.~~_;~;'.Ti''."~t,~;:,::W,:0~--?'.:::1:,~~~;;:',;·.7;;~::_c;,;:r::,,i:~ -.., : ' .. /~ .:·::~:-. . ",,". :,. --~ : ... , . ·: 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). I-certify that I have read the application· and state that the above information is correct and that the information on the pla_ns 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 5'0w 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 .(\f such permit or if the building or work aut, orized by such permit is suspended or abandoned at any time after th rk is c men ed or a period of 1 days (Section 106.4.4 Uniform Building Code). l · P!N!<: Finance L_ .-. B U I L D I N G P E R M I T Permit No: CB972576 Project No: A9703276 Development No: 09/11/97 13:42 Page 1 of 1 Suite: 9045 09/11/97 0001 01 02 Job Address: 1969 KELLOGG AV Permit Type: ELECTRICAL Parcel No: 212-092-12-00 Valuation: O Lot#: C-PRMT 66-00 Occupancy Group: Reference#: Description: CHANG OUT PANEL AND ADD : CORD DROPS Appl/Ownr : BERG ELECTRIC 650 OPPER ESCONDIDO, CA 92029 *** Fees Required *** Fees: Adjustments: Total Fees: Fee description Enter "Y" for Elec Remodel/Alter Per * ELECTRICAL TOTA 760 Construction Type: NEW Status: ISSUED Applied: 09/11/97 Apr/Issue: 09/11/97 Entered By: JM 746-1003 Collected & Credits *** .00 .00 66.00 Ext fee Data 10.00 Y 56.25 66,00 PERMIT HAS EXPIRED IN ACCORDANCE Vi!! 1 r. ~.i ::ION 303 (d) SIGNATURE~----·-· Fl;lAl APP~OVAL l ___ DATE __ _ ''l''l,1'1'-1~1': .·. ~ •• ~ 'llh,\,C ________ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY 'ERMIT ·APPLICATION PLAN CHECK No.cf'?Z-51(; CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. ~ Plan Ck. Deposit <i(;:LJD Validated By JM. 7'i 6 Date 1fJfC) (1;· ·.,. j,Jidji:cr INFORMATION··:· ~ q 'C\ \I,.£ LU> I& Address (include Bldg/Suite Ill ·Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units t'\~f,.) "V -0\C..:'5 V iANCa l'\A.t.l I) f -'C...:N \t.\ '-'' Assessor's Parcel f C.\IAN(pti OUT' MELI A)Q c.o,c) Existing Use · Proposed Use Description of Work 7 ~-SO. ~T. #of Stories II of Bedrooms # of Bathrooms ', ,-..... Name Address City State/Zip Telephone # Fax # g,; .. c,r,-•L .. ····-,.·,·ro ··•<'··~'""'·""'M',\l'·~·r,•Tt•T="fn•,:,·,-.,1r1, .. f':'."1~,ll:.'~-.:~··c-..rr.:,-·•·n,in•--1•t•0~,,,,,.~.,·,..,_,.., ..... f!l'1"'"~"''~·,.T,•:·1·""'·•···"'"~,,, .. ,. , ... ·· "·' ..• '. , ..... ,.,; .:~::·A~P ICANT/-''ID qontraoto~1+ih.u·~Qll!rJt:.r.Pr:1.1..iO[!~f!gl11r,J.,It,:u~Wn'9C,..:;'lf,:w:,,Agent1.forOW!lBf.•:r.t~/·::1•'.;'; ·:1·1·:.'..1·tlf.11"ti"';j~ .. n1;'~•!1')'.'.:· .• :t!'. ; J •. ·' .• -., ":' ·.:. . BER~Et.~-c14L ea,~ ,st> ofb:,--,...9r-· . .£<;.c.affOf.tQ Ot-9:lo :,.2 & 1 10°3 Name Address City State/Zip Telephone # •4,'· .1; ! PltOPl:RTY!IJVYNEll 1;/,1t-1,;:11·:i i~~!;!~j,t.i~!,l:r.I!fl-:mr.im:,1'-t~?i:i/.(T1llf.;m:r::!i.l,~f'.p;.Jjf!l.ri:;-J!iirnm~n·:;~ ·:lJ1;:1::ft ·,r:Jq~::1,:i:1\:!!l~i!',.'.;,,:!';ii \)1,'.11'~}!!::'r:1.J'I: ::;;?p:' ".~f. ;i,.i If·:,''.!.' i: . '. ' ,; '/ ' 1}:C.f\PL-EX LT. ':IJS w. '6AAbLE'( e.L (A$l:>N Qt 4):(l~D Name Address · · City State/Zip Telephone# ~6 f \ !:.'CbNtRACton::. :coMPANV:'NAME' !;~;~mn~~i~~t~i!~?,t!~i,-;t~J~f t1~~:E~t~~};!~: ::if~~~r ~ !~i} .: i:·~:?.:·~ iff·{~·~;:? 11:·~ /::;/~ ;~J:'.:,ii1 ?-)~~~1 ;~ ~~;~::: r ~:;t}.:;'~f:l; .~.;~ > '; :.,:·l j;:, ~:: t;r!'<~ ~~I ~11; ·:= ;i._:,: ~::' l u,: (Sec. 7031.6 Business and Professions Coda: Any-City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to Its issuance, also requires the appllcant for such permit to file a signed statement that ha ti licensed pursuant to the provisions ·of the Contractor's License Law !Chapter 9, commending with Section 7000 of· Division 3 of the Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031. 5 by any lippllcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars I$ 60011. Be::R,nea<uc;, c.o({t>.. ,s-o oPP(g, c.~c.o"3b\bc> ·u,. i'i4-\OO} Name State License II C. \0 8,:0&.\(,. Address City Stete/2/c-.,u Telephone II Licania Class <=., 10 City Business License II f_lS. I& 00 Designer Name Address City State/Zip Telephone State License # _________ _ 6 .. WORKERS'.COMPENSATION :'. .. ·. .. . . . .. ·:··.: ;_,·_1.:;.::•··::'/:!:"·.:._-·•:··''".·:·::,.(:-'.:.-.··: .·"s-:_.,T_-:,·,•,1.:"~.1• :•~;.: :11•::1 .. '." .... , . .-:: Workers' Compensation Declaration: I hereby affirm under penalty of·p_arjury one qf the foll~wlng declarations: 0 . I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by S11ctlon 3700 of the Labor Code, for the performance of the work for which this permit ls-issued. ~ 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 PAyf.l~ • Cof'\PANy Policy No. we 1t>'fO;lc:> loo Expiration Date ,, 1 / 9 g (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: i certify that.In the perf~rmanca-of the work for which this permit is issued, I shell not employ any person in any manner so as to become iiubject to the Workers' Compensation:Laws of California. WARNING: Failure to secure worker• companaatlon coverage la unlawful, and ahall aubjact an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,00 n additlo to the co•t of companaatlon, damages•• provided for In Section 3706 of the Labor code, Interest and attorney'• fees. ~~'.G~::::R-BUiLDER DECl.ARATiON i, .. :,,r, :,",•::·.':(•, ~·1l·'1i~'::q;i:;i.:;f(:r_-y;,·:r~,-;.i·:1(f' ;-:: ,,:J°';,;,),:,!l\'.':l,:,,.-_.,:':,•:r1·/:·'/'.: r, Hn:y'.i,"j ,\ ;!f1f~~.~~1,·::-;:v .. , ~i ,.,.;:,!, .. :::j/:,j,:,:i•,'1•1 l'·t~_·:·.;_ :'i ' '. · " I ,; rr ,, ' . , .. 0 ••• "' I hereby affirm that I em 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 (Soc. 7044, Business and· Professions Coda: 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 employeaa, 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 excluslilely contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not appiy to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Llcmse Law). · 0 I am exempt under Section ______ Business and Profasslons 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) signed an application for a building permit for the proposed work. 3. I have ·contracted with t~ 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 numbar): ____ __,---------------,----------------------------- 5. I wlll provide soma of the work, but I have contracted (hired) the following persons to provide the work Indicated (include nania /address/ phone number/ type of work): ____ ...._ ______________ ----'------------------------------------------ PROPERTY OWNER SIGNATURE-----,-.---------------------DATE ________ _ :coMPLETe.:rJ.tis ·sectioiil·F.oR ivoN.Ji~sioENrotllaCllltiiNif PEiiMltJ1i:Nt~\ti~!i!t&i;;J:1,; WJffi1.~.~i}J1·ffi1tlf.~tirfr~'f~~!fl·1~1~.11nrn1:trlri!f..!!'~~~1"'·::i,,.· :11 '9·,~r.:; w;,-,~\? 1::=::r c·-:-1··1 · Is the applli:ant or future building occupant required' to submit l business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26506, 26633'or 25534 of the Presley-Tanner Hazardous Sutistanc11 Account Act? 0 YES O NO Is the applicant or future bLilding occupant required to obtain a permit from the air pollution control district or air quallty management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school slt117 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT UAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLIJTION CONTROL DISTRICT, is; ~)iqoNstnUcri9N '~i>ING\M~Ncv,.-1;,;;tft:1/,~~.l:~::it-::·;JJ(;~~:JJ!\~m;,tti~r,tt]W4·t:/;:;:ft1';t.:',t:el:ltf'.'!?" ?:"': !,:;:--, i:'1. ·.; '~ :?· '. ,·,: '·";::; ·;·· ':'·} ::: . · · · . ·'. : .;t1·• •. •1 :.-;_ . .' I hereby affirm that-there is II construction lending agency for the performance of the work for which this permit Is Issued (Sec. 3097111 Civil Code). I certify that I have read the epplicatlon and state that tha above Information Is corract and that tha lnform1tton on the plans Is accurate. I agree to comply with 111 City ordinances and State laws ralatlng ·to building construction. I hereby authorize representatives of the Cltt 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 6'0# deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official nder 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 5 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 tha work Is co cad for period-of 180 days ISactlon 106.4.4 Uniform Building Code). ~ / / APPLICANT'S SIGNATURE __ -._:::=.":)=:];;:2~;;~===:::_ ___ ...,..___ DATE <// /t>f '17 ~, :(_•, ' ' CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB972576 FOR 09/30/97 DESCRIPTION: CHANG OUT PANEL ANO ADD CORD DROPS TYPE: ELEc· STE: INSPECTOR AREA PLANCK# CB972576 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS.: 1969 KELLOGG AV APPLICANT: BERG ELECTRIC CONTRACTOR: PHONE: 760 746-1003 OWNER: REMARKS: C/PHIL/520-4923 SPECIAL lNSTRUCT: TOTAL TIME: -:--RELATED PERMITS-- CD LVL DESCRIPTION 34 EL Rough Electric PERMIT# GR960002 RW960043 SE950-135 AS960027 FS960010 SE960156 AS970012 CB970651 CB972560 CB972627 TYPE GRADING ROW swow ASC FIXSYS swow ASC ITI MISC PLUM PHONE: p PHONE: INSPECTOR _ __,~--------- STATUS ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ACT COMMENTS --------------------------........ ----------'---------.· -----------------. ---. ----.,......a---------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS .. .. .. . CITY OF CARLSBAD BUILDING JOB ADDRESS • . . • .. NOTICE m~ ~.,,, ..... . . I OWNER OR PERMIITEE NAME D VIOLATION READ REVERSE NOTE: SIDE PRESENT THIS NOTICE WHEN MAKING APPLICATION FOR PERMIT D CORRECTIONS REQUIRED D PARTIAL APPROVED / J ,>L' /i'f§ /2' ?~ /t/Jt'L 7(, ~/. _,jt:_ /(. /IV .k't" -AP~/l.. NO . D D D D INSPf;CTION /-~t:·'1 P. V• L-J • DEPARTMENT CENUS TRACT NO . I PERMIT NUMBER I PLAN FILE NOM13ER 00534 CONTRACTOR . MAIL ADDRESS FOR DOWNER, OR D CONTRACTOR NO PERMIT-STOP WORK-REMOVE CONSTRUCTION, OR OBTAIN PERMIT AND MAKE ANY WORK COMPLY WITH BUILDING LAWS. (See comments on reverse side regarding penalty fees). CONSTRUCTION NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT ~ STOP WORK MAKE EXISTING WORK COMPLY WITH APPROVED PLANS AND PERMIT OR REMOVE IT. CALL PLANING DEPARTMENT AT 438-1161, CONCERNING VIOLATION OF ZONING REGULATION LISTED BELOW. STOP WORK -UNTIL AUTHORIZED TO CONTINUE BY THE INSPECTOR. 0 CONTACT CODE ENFORCEMENT OFFICER AT 438-1161. 0 CONTACT INSPECTOR AND ARRANGE FOR APPOINTMENT AT 438-3550. . 0 CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. 0. ,PAY Rl;INSPECTION FEE (See_ Ba.ck); THEN O CAL_L FOR REINSPECTION AT 438-3101. 0 WORK DESCRIBED BELOW HAS BEEN INSPECTED AND IS APPROVED. /"v /2./;J £. ("' ,o t:! , 1".;7"',· I /.?r";,,;',,,, ,,t_ c,,..... 1--1",v. . ~vi---r;,. f/ (',.'t 1 ,; ..-1 ~ dA'--1. t ' 1-} ;c. Z../4 t:./4 ~/'alt" , 7£ 'fl' -J'l ~ (" e Lr/...J.< A-<., ./YJlf> />'·4-) 3) 1.h1,.,,1,..J.,,l_. rL/hv r?/4. ?"t./-r/;:f-< A/~)C"{" ~t,, .,;:::J/.J"T/1 <4 /."6A/r ¥{ d-r I : THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN, ____ DAYS. THE CARLSBAD MUNICIPAL GODE REQUIRES PENALTY FEES WHEN WORK HAS E31::EN STARTED WITHOUT PERMIT. NAME OF INSPECTOR (PRINTI -INSP.ECTOR'S SIGNATURE IN-13 (Rev. 2/86) L/{£--/J/,I .~ uui,)b OFFICE TEL. NO: 7:0Q A.,.. TO 8:00 A.M. 3:00 P.M. TO 4:00 P.M. ·· .... , ... -.9-l'.IIE>~Y.T!:IR~ FR.ID~¥ .. ; DATE -~ ·~-·~,,·· .. ,~-~. . l;!UILDING ELECTRICAL HEATING PLUMBING REFRIGERATION COMBINATION BUILDING INSPECTION DEPARTMENT GENERAL REQUIREMENTS 1. No person, firm or corporation shall erect, construct, enlarge, alter, repair, move, improve, remove, convert, or demolish any building or structure In the city, or cause the same to be done, without first obtaining a separate building permit for each such building or struct-ure from the Building Official. Uniform Building Code Sec. 301. Where work for which a permit is required by this Code is started or proceded with prior to obtaining said permit, the fee schedule established by the city shall be doubled, but the payment of such dou- ble fee shall not relieve any persons from fully complying with the re- quirements of this Code in the execution of the work nor from any other penalties prescribed herein. Uniform Building Code Sec. 304. 2. When the Building Official Issues a permit, he shall endorse In writing or stamp on both sets of plans and specifications "Approved." Such approved plans and specifications shall not be changed, modified, or altered without authorization from the Building Official, and all work shall be done in accordance with the approved plans. One set of approved plans and specifications shall be returned to the applicant, which set shall be kept on such building or work at all times during which the work authorized thereby is in progress. Uniform Building Code Sec. 303. 3. A building permit shall expire and become null and void If the build-ing or work authorized by such permit Is not commenced within 180 days from the date of Issuance 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. Uniform Bldg. Code Sec. 303. 4. No work shall be done on any part of the building or structure beyond the point indicated in each sucessive inspection without first obtaining the written approval of the Building Off1clal. Uniform Building Code Sec. 305. 5. Whenever any building work is being done contrary to the provision of this Code, the Building Official may order the work stopped, and any such persons shall forthwith stop such work until authorized by the Building Official to proceed with the work. Uniform Building Code Sec. 202. 6. No electric wiring, devices, appliances or equipment shall be installed within or on any building, structure or premises nor shall any alteration or addition be made In any such existing Wiring, devices, appliances or equipment without first securing a permit therefor from the Inspection Department except as stated rn Ord. No. N527. In addition to any other penalty provided In this Article for viola- tions thereof, any person who has done any electrical work without permit as required by this Article, or who has caused any such work to be done without a permit, shall pay a Penalty Fee In addition to the regular permit fee for Inspection of such work. 7. No plumbing system or part thereof regulated by this Code ·shall be Installed within or on any building, structure, or premises, nor shall any alteration, addition or replacement, be made In any such existing plumbing system unless a permit therefor' has first. been Issued by the Inspection Department except as stated In Ord. No. 8109. 8. No heating, ventilating, air conditioning, or refrigeration system, or part thereof shall be Installed, altered, replaced, or repaired unless a per-mit therefor has first been isslJed by the Inspection Department, except as stated in Ord. No. 8108. 9. Reinspectlons. A reinspection fee may be assessed for ,each Inspec- tion or relnspectlon when such portion of work for which Inspection Is called Is not complete or When corrections called for are not made. Reinspection fees may be assessed when the permit card Is not pro-perly posted on the work site, the approved plans are not readily available to the Inspection, for failure to provide access on the date for which Inspection is requested, or for deviating from plans requir-ing the appr~val of the Building Official. In instances where reinspection fees have been assessed n·o addi- tional Inspection of the work will be performed until the required fees have been paid. Excerpts from U.B.C. Sec. 305. PLEASE DIRECT INQUIRIES REGARDING REQUIREMENTS FOR OBTAINING A PERMIT TO THE PERMIT COUNTER, 438-1161 1. Applications for permits are processed at 2075 Las Palmas Dr. Permit applications are not accepted via mail without prior arrangement. The information identified in items 2 & 3 below must be submitted at the time of application for permit. 2, The State of California Labor Code Section 3800 mandates that no person, owner or contractor shall employ any person, In any manner, In conjunction with a construction project for which a permit is required unless such employer shall first have in force a Workmen's Compen- sation Insurance Policy. (a) A Certificate of Insurance, as required by State Labor Code Section 3800, must be presented prior to the Issuance of required permits unless such Certificate Is already on file with the Building Inspection Department. (b) It is extremely important that the Certificate of Insurance be issued to the City of Carlsbad and must contain a clause stating that in the event the insurance Is cancelled, 10 days prior notice will be given to the City of Carlsbad. (c) The requirement for presenting evidence of Workmen's Com- pensation Insurance coverage is waived for the property owner who is performing all work himself, and also for contractors who do not employ other persons to perform any work. A certificate of non-employment must be signed, and owner verification form completed, by the property owner when making application for any type permit. 3. In addition to the requirement of item 2 of this section, it will be necessary to provide the following Information when submitting a Plan Check Application. (a) the legal description of the property (lot number, block number, and name of subdivision). ( b) two plot plans, three if commercial property, drawn to scale, which . Indicate the following: (1) shape and size (dimensioned lengths of lot boundaries) of the property. (2) shape and size of all buildings presently on the lot Including the proposed construction requested by this permit application, and (3) the location (dimensioned distances) of all buildings from adjacent property lines and'from each other. (c) Two sets of construction plans drawn to scale which clearly show that the proposed work will confqrm with the requirements of the City of Carlsbad. Three sets If commercial property. , U3/01/96 12:11 1 Page 1 of 1 B U I L D I N G 'Job Address: 1969 KELLOGG AV Permit Type: ELECTRICAL ,Parcel No: 212-092-12-00 Valuation: o P E R M I T Suite: Lot#: Permit No: C3960339 Project No: A960U4~7 Development No: Construction Typ-e':"-NEW Occupancy Group: Reference#: Status: ISSUED 03/01/96 03/01/96 TP :Description: TEMP. POWER POLE Appl/Ownr PERFORMANCE POWER 9279 CABOT DR. STE. F SAN DIEGO CA. 92126 *** Fees Required Fees: Adjustments: Total Fees: Fee descrii;,tion Enter "Y" for Electr· Enter "Y" for Tempor * ELECTRICAL TOTAL *** Applied: Apr/Issue: Entered By: 619-689-4092 .00 .00 20.00 *** Ext fee Data CITY OF CARLSBAD 10.00 Y 10.00 Y 20.00 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1 • . PERMIT APPUCATION . (I PLAN CHECK NO. f b -) 31 . City of carlsbad Building Departant 2075 Las Pal_. Dr •• carlsbad, CA 92009 (619) 438-1161 . i. PltltMl'f 'IWE PLAN CK DEPOSIT ________ _ I ESI". VAL VAUD. BY ___________ _ From Ust I (see back) give code of Permit-Type: _, __________ _ DATE._ ___________ _ 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 /VJ(,;, o/ {6z. / { 050,_ . &,V ~ - Nearest cro/s 'fr"reet J ri C.. Building or Sune No. LEGAL DESCRIP'fioN Git No. Subd1V1s1on Name/Number 0mt No. Phase No. CHECK BEWW IF sOSMII till: [J 2 Energy Cales O 2 Structural Cales O 2 Soils Report O I Addressed Envelope ASSESSOR'S PARCEL EXISTING USE DESCRIPTION OF WORK 1 e,vv-f? i:561.1\N ~ -to le_ PROPOSED USE SQ.IT. #OFSTORI~ # OF BEDROOMS # OF BATIIROOMS 3. WN IACI PERSON (if different from applicant) NAME (last name first) ~ ADD~S CllY STATE ZIP CODE DAY TELEPHONE 4 . .Al'PUCANI CCoNIRACIOR OAGf'.NI FOkCoNIRACiuk OoWN£R ~£Ni FukoWNER NAME (last ~ame first) f-\ OVV\114-N ~ s iY:' ADD~S '--1 ?S ()J. t!, ,~o.. t( { ~ CllY <£' ( (~ OY\. STATE C,A ZIPCODE °{Q.oaQ DAYTELEPHONE Lf 40 ~-7lf2Lf s. AAoPElt'iY oWN ·-r,c 1 _ -:-,, NAME (last name first) J C.! V\ \:" I ex_ ADDRESS CilY STATE ZIP CODE DAY TELEPHONE 6. wN"IitAciuk 7) r ·+-~ NAME (last name first) i€Y---\~VVVV'VVC.e.. 'P~ ADDRESS 92-"'N Ca /00 4--"C..., F CllY s . '\) STATE CA ZIP CODEV 12 l DAY TELEPHONE 6J'CJ-<--{Q '7 2 STATE UC. # 6'/ ]DJ 1 LICENSE CIASS L CllY BUSINESS UC.# l,fZ(;:) l<t'l_ DESIGNER NAME (last name hrst) ADDk£sS CilY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WoRKERs' CDMPENSA 11oN Workers' Compensauon beclarauon: I hereby afhrm that I have a cert1hcate 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). INSURANCE COMPANY &o I~ ~c~ LL. POLICY No. Nt<.C3227oSM-RAnoNDATE a [J ', I - Owner-Builder Declaration: I hereby afhnn that I am exempt from the Confradofs license Law for the following 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 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). 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 pennit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pennit 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 pennit subjects applicant to a civil penalty of not more than five hundred dollars [$500)). SIGNATIJRE " DATE 3 -/ --, l Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 2550,5, ~533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? a YEs a rro Is the applicant or future building occupant required to obtain a permit from the air pollution control disnict or air quality management disnict? 0 YES . IJ(-NO Is the facility to be constructed within' 1:0oo feet of the outer boundary of a school site? 0 ~ \[J-'_NO IF ANY OF nm ANSWERS ARE YFS, KtlNAL CER11FICATE OF OCDIPANCY MAY Nor BE l$lJED AFraRJULY 1, 1989 UNLESS nm APPUCANT HAS MET OR IS MEITING TIIE RF.QUIR.EMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POILU110N CDN1ROL DISIRICT. 9. wNSlkOCliON Lt'.NDING AGENCY I hereby afhrm that there 1s a construcuon lendmg agency for the performance of the work for which this permit 1s 1SSued (sec 3097(1J C1VII Code). LENDER'S NAME LENDER'S ADDRESS IO. APPUCANI CEknFICAliON l certify that I have read the apphcauon and state ihat the above mformauon 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 ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLFSS TIIE CTlY OF CAR.L5BAD AGAINST AIL UABill1lF.S, JUDGMENTS, CDSTS AND EXPENSES WlllOI MAY IN ANY WAY ACDUJE AGAINST SAID CTlY IN CDNSF.QUENCE OF nm GRANTING OF 1llIS 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 ch 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 time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code). APPLICANTS SIGNATURE ...._~~1-,4..------DATE: 3--1-'f{;, TE: File YEU.OW: Applicant PINK: Finance , . ".' J" ., .,I_ • 06;2·5;9·0 · 10: 42 Page 1 of 1 .. Job Address: 19-69 KELLOGG AV Str:· PE;irm1t' Type:· ELECTRICAL Parcel No:_ Valuation: 0 Construction.Type: NEW Occ_upancy Group i Class Code.: P~s·oription: IRRIGATION PEDESTAL , .. :?er.mi t· No:~ · · Project, ).\lo: -Development N.o·: Fl: -Ste·: . . : .. 6330 '06/2.~Y90 ·-OtlOi -01 .• C.,.PRHT.' Cf390104~ A~901152 .. - 02 . Sta-tus: ISSUED - Ap.pli~d-~ _, :·. 06-;2s';90 _ Apr/Issue · .:_:_O:q/2·5;9.o :Validated By:: °El~ .: . '. _ .,: Q 1 9.:.. 4 -4 7·'.'"" 2. 6 3 6 ::, :--,I . I ··~· r,l . ~ ' • • • !; · PPROOAl INS _ .. -DAT~ 1·~·-7. CLEARANCE J~~ -.hwl--. . .,' ' ' ·' ~ - .-. ' .. / '. .;, . --·.1. ·, CITY OF CARLSBAD· 20?5 Las Palnias Dr., Carlsbad CA 94.~ (619) 438-ll61_ l PERMIT# CB901049 CITY OF CARLSBAD INSPECTION REQUEST FOR 09/25/90 DESCRIPTION: IRRIGATION PEDESTAL TYPE: ELEC INSPECTOR AREA PD PLANCK# CB901049 OCC GRP CONSTR. TYPE NEW STR: FL: STE: JOB ADDRESS: 1969 APPLICANT: PATTERSON CONTRACTOR: PATTERSON OWNER: KELLOGG AV BROTHERS LIGHTING BROTHERS LIGHTING PHONE: 619-462-2223 REMARKS: Tl/MH/BRIAN/462-2223 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 39 EL Final Electrical -" ----'--------------------------------------------------------------- ~:g::: 619/7]63\. 111 INSPECTORV~ p~. ACT COMMENTS fJi _____ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS PERMIT APPLICATION -• City of Carlsbad Building Department EST. VAL _______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (6191 438-1161 PLAN CK DEPOSIT ____________ _ VALID. BY _____________ _ 1. PERMIT TYPE DATE ________________ _ A O COMMERCIAL NEW OTENANT IMPROVEMENT B C 2. 0 INDUSTRIAL 0 RESIDENTIAL ONEW 0 APARTMENT 0 DUPLEX O DEMOLITION OMECHANICAL OPOOL OTENANT IMPROVEMENT OC0ND0 OSINGLE FAMILY DWELLING OADDITI0N/ALTERATI0N OREL0CATION OMOBILE HOME OELECTRICAL OPLUMBING OsPA ORETAINING WALL OsoLAR OOTHER ___ ~-- PROJECT INFORMATION PLAN CHECK No. Address l qlo 9 fL£LLo fut.:, Nearest Cross Streets LEGAL DESCRIPTION Lot No. '4g Subdivision Name/Nunber fl -4" Unit No. Phase No. CHECK BELOW IF SUBMITTED: 3. 4. 5. 6. 02 Energy Cales 02 Structural Cales 0 2 Soils Report ASSESSOR'S PARCEL 0 1 Addressed Envelope EXISTING USE PROPOSED USE lOD tA-lh'\ f. ln ercrl.- BLDG. SQ. FTG. CONTACT PERSON NAME CITY SIGNATURE APPLICANT D CONTRACTOR NAME Cl TY PROPERTY OWNER NAME CITY CONTRACTOR NAME f>Pf1T£,Z~oJ ~(2o'"iJ.l&Z.1',. c. TY SP a.itJ'J IJ:.J le.t:J SIGNATURE DESIGNER NAME CITY # OF STORIES STATE ADDRESS ZIP CODE 0 AGENT FOR CONTRACTOR ADDRESS STATE OWNER STATE ZIP CODE ADDRESS ZIP CODE ADDRESS ZIP CODE OowNER crct ~, '12v7, LICENSE CLASS C.., ( 0 STATE ADDRESS ZIP CODE DAY TELEPHONE 0 AGENT FOR OWNER DAY TELEPHONE OLESSEE OTENANT DAY TELEPHONE DAY TELEPHONE CITY BUSINESS LIC. # ~lUaO DATE C::,-2 t,, -?o DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION Workers' Con.,ensation Declaration: hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers' Con.,ensation Insurance by an adnitted 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 --ntf: "2lE1\J rrh PoucY No. P-oo sr, 3£'0 EXPIRATION DATE 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' Con.,ensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner·Builder Declaration: 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 Cont rector I s License Law does not apply to an owner of property who builds or improves thereon,, and who does such work himse(f 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 i~roves 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: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, i""rove, demolish, or repair any structure, prior to its issuance, al so 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, conmencing 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 THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: ts 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-Tamer Hazardous Substance Account Act? OYEs ONo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Ores ONo Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Ores IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCllJPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 IAILESS THE APPLICANT HAS IET OR IS IEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY 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 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is 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 ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JW91ENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 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 conmenced within 180 days from the date of such permit or if the building or work authorized by such perml t is suspended .::,::::,::.:~ ·:·ei• ~,> ;, ,~~·:,:.~;d:,::~°'' ·-~:::::: ""''°~ '"H«M <-"> t't."t!"'".,·''-___.""'-...... --,-...,,- WHITE: File YELLOW: Applicant PINK: Finance