HomeMy WebLinkAbout1969 KELLOGG AVE; EXPIRED | MULTI-PERMIT FILE; CB980055; PermitB U I L D I N G P.ERMIT Permit No: CB980055
Project No: A9800093
Development No:
03/2.3/98 13:32
Page 1 of 1
Job Address: 1969 KELLOGG AV Suite~
Permit Type: COMMERCIAL TENANT IMPROVEMENT
Parcel No: 212-092-12-00 .Lot#:
Valuation: 106,000
Occupancy Group: Referen9e#:
De:scription: INSTAL DUST COLLECTION SYSTEM
Building Permit
Plan Check
. Strong Motion
Enter "Y" for Pl
Enter uyn for Ele
Remodel/Alter Per
Enter 'Y' for Mech
Each Boiler/Compre
-760
5309 03/23/98 0001 01
C-PRMT
Constructio~ Type:
Status:
Applied:
Apr/Issue:
Entereo·By:
931-1777 -
02
H29a00
NEW
ISSUED
01/09/98
03/23/98
JM
661.00
430.00
22.00
.N
10. 00, Y
50.0Q
15.00 Y
16.50
1 ·~.FINAL APPROVAL
. INSP. ___ OAtE __ _
CLEARANCE ____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., ,Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
. Name Address
f~J.d~~Q0,"'I~9IQ1t:J~,P~~'-A~X~64M,e~, .. ~" _,_ __ ~:~ . .--_,;.: -~-~-:v,
Name
FOR OFFICE USE ONLY
PLAN CHECK NO. ?W.5"5
EST. VAL. ~Z), . ~·
Plan Ck. Deposit /J:?
Vafidated By Vw
Date lf
State License # City Business License # _______ _
pesigner Name ~
State License#-------'-----
City State/Zip Telephone
~---~;)XO~KEJfSfeQMPENi~--~~,;:-.. -_, ~-: v, --,-:-7~;::·:;-(-0 ·-. --~ M-:-:~t~:,;;::::::~i1:1:1~:.,~::.:.i/rf Lk(l}>5l:'7-~~~<-f~1/J)?~?!t)'~~-~-~~
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ·o I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of. the Labor Code, for the performance
Re work for which this permit is issued.
I have and will main~ain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
. ed. My worker's compensation insurance car( and p51!.icy nwrir are: (l,J? ~ I' ~., ,._JOA/)(-,()_ oo . . I 10:1
Insurance Company {.,.. f C,LJ '/J. • (::, Polley No._-=VV'--_,,_-_, _ __,I_.__.,'--1_ /t__ Exp1rat1on Date_J.,.,. _/J'-'/._..r_µ_Q_..___
(THIS SECTION NEED OT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) rt
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for whi_ch this permit is issued, I shall not employ any person in any manner so as
to become subject to the Worktirs' Compensation Laws of California.
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorn~y's fees.
SIGNATURE __________ ~------------------DATE ________ _
'J7:~-,~t!~~tbtP..i;~,Q'.~i;AhM'J0:tiT:."::;:::::x::::t:::'c :.:.:.:·:~~ ,·~::7:J;.'.::_,.::~~~:.:.:,,;::::::::::C:il:-:,.-c:::::~I:72::::'.:'fil&~,;~~t7J§.;fcf::~,-;~~-'.!JffJ:,~:'.:::~;:i:.:::~):C3
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
D I, as owner of the property or my employees with wages as their sole compensation, will· do the work and the structure is not intended or offered for sale
(Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does
such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner-builder will have the burden of proving that he did-not build or improve for the-purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed
pursuant to the _Contractor's License Law).
D I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for·construction of the.proposed property improvement. 0 YES ONO
2. I ·Ihave /' have not) signed an application for a building permit for the proposed work.
3. I have contracted" with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
4, I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide· the major work (include name / address / phone
·number/ contractors license number): __________ '-----~-------------------------------
5. I will provide some of the work, but I have contracted (hired) the following persons to. provide the work indicated (include-name / address / phone number / type of. work):. ________________________________________________________ _
PROPERTY-OWNE_R SIGNATURE_~---~-------~---~----DATE ________ _
HfQMP.-1;irrect::IDtJ1;QlWQH.PM"'ll..mPfN:uM1w.1:P.1ttQ;ei;l;l.M!!!::2Nl-X:it.:~:~:Jt~r£:~::.:::-s ,d,~~~:;::1;.:.:..~~i·:.s11[;~:x'Zc:1r:::±ic;;:rJt&
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or·air quality management district? D YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? EJ YES ~ NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED ~ss THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. .
t~.~-QJY!l~UCIIQN~19~,.A~·"."...:: ·-: ":,_ ·: . · -: ··-3,7'·, -;~:-:::i.'.::55~,Si'...'it::~::;z;;;'<'l;'.[}6_:¾i31:.~i2:~;~1:!f ~.::;;,':,fr-;J:,;r;~~::~c::d~:'33
I hereby affirm that there is a construction lending agency for the-performance of the work for which this.permit is issued (Sec. 3097(i) Civil Code).
LENDER'S;,_,;N;;_A_;.M;.E~;;;;;:;;;;;;;;;;;;;;;:;;;;;:;::;::;:::;::;:;::::::::;::;:::::;::::;:::;;;:;:::;;:::::::;.,,..,..,_,L::;.:E:;..N:,:D,:ER;_',:S,:_,A:,:D.:,D:;_,RE;:,:S~S:.;:;;:;;::;;:::::;;:::;=;:;;;::::;::;;;:;:::;:::;;;::;;;:;:::;;:::;:;;;:::::::;::::;::;:::;;::;::;:;:;:;;:::;:=:;;::::::;:;:::;:::;::;::;:::;;:::::;::;:;:;:;:; ~ . .,,;.,A~Pl:19.A1'fJ:~qwtl:lc.MIQ.til,":c~L.::-.:-::;;:;=:~.,.;,:,;.,,,·.:.:,,:,'i:.:_2:;;_..,;..~.'_,~-;:, ,:;>,k'ii2;;.;~;j,;;,:;J',~9::&.,;,~~;,.~4r,;hdJ..,};j'.~;1!(~; i;;:i;,:,,'.;;'.~~~
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 CARl.:SBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH~ GRANTING OF THIS PERMIT.
the provisions of this Code shall expire by limitation and become null and void if the building or
. ys fro h of such permit or if the building or work aut rized by such permit is suspended
1 d ·days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE __ ..c_ ___ __;_-<:------------------'-· _ DATE ---'-i../-L?-4--........,"---------
WHITE: File YELLOW: Applicant 'PINK: Finance
DATE: 3/ 12/98
JURISDICTION: Carlsbad
PLAN CHECK NO.: 98-55
EsGil Corporation
Professional Pfan ~view 'Engineers
SET: 11
PROJECT ADDRESS: 1969 KelloggAve
PROJECT NAME: Dust collection system for Odyssey Golf.
~ The plans transmitted herewith have been correctecl where necessary and substantially comply
with the jurisdiction's building codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department
staff.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
D The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
D The applicant's copy of the check list has been sent to:
IX] Esgil Corporation staff did not advise the applicant that the plan check has been completed.
D Esgil Corporation staff did advise the applicant that .the plan check has been completed.
Person contacted: Telephone#:
Date contacted: (by: ) Fax#:
Mail Telephone Fax In Person
D REMARKS:
By: Glen Adamek Enclosures: .
Esgil Corporation
D GA DCM D EJ D PC 3/12/98 trnsmtl.dot
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (619) 560-1468 + Fax (619) 560-1576
i
'· \
Carlsbad 98-55
3/12/98
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad PLAN CHECK NO.: 98-55
PREPARED BY: Glen Adamek DATE: 3/12/983/ 12/98
BUILDING ADDRESS: 1969 Kellogg Ave
BUILDING OCCUPANCY: ? TYPE OF CONSTRUCTION: ?
BUILDING PORTION BUILDING AREA VALUATION VALUE
(ft. 2) MULTIPLIER ($)
. Contractors Value $106,000.00
..
Air Conditionina
Fire Sprinklers
TOTAL VALUE $ 106,000.00
(gl 1991 UBC Building Permit Fee D Bldg. Permit Fee by ordinance: $ 660.50
(gl 1991 UBC Plan Check Fee D Plan Check Fee by ordinance: $ 429.33
Type of Review: D Complete Review D Structural Only D Hourly
D Repetitive Fee Applicable D Other:
Esgil Plan Review Fee: $ 343.46
Comments:
Sheet 1 of 1
macvalue.doc 5196
09/3-0/97 10~26
Page. i: of 1
B U I L D I N G
Job Address: 1969 KELLOGG AV
Permit Type: MISCELLANEOUS
. Pare.el No: 212-092,...12-00
Vaiuation: d
PE.RM IT
Suite: ,,
tot#:
Permit No: CB972560
Pro}e-ct No: A9703257
Dev(?lopment No:
. Occupancy Group: Reference#:
8982 09/10/97 .0001 01 . 02
Construction' T~/§~T VN . 30u00
Status: ISSUED
Applied: 09/1.0/9i
Apr/I·ssue: 09/10/97
Entered By:. 'MDP
931-1771
Pescription: DEMO EXISTING OFFICE
: NO NEW CONSTRUCTION.
760
·FINAL APPROVAL ..... '··7
:,
I r"~"'·Pl ___ nATE __
. \~b •. _ !:Ifill -·
i :,J~EARANCE ----=
CITY OF CARLS~AD
2075 Las Palm~ Dr., Carlsbad, CA 92()09 (619) 438-1161
FOR OFFICE USE ONLY
PLAN CHECK NO. 17-~O • 'of
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161 ·
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By __________ _
Date _____________ _
Address (include-Bldg/Suite#) Business NafueJat this address)
Le9al Description · Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Exist_inll Use· Proposed Use
Name Address City State/Zip Telephone # Fax #
::i: ~:·:· )lPiiLicANr:;,:·~;-O,· . cti'ntricfor "' ... , O''Agerit icitCohl'iai:toFS."I? ·owiiiitf.'Z-,rg· 1nt'idf'owfi~E·f;t:=/~i, J:n~'f~' ~ 11:-:-r:·':-~ ,·::,, · ·: · : : . . ' .. ·. . · · ·.:. : '/
. • • .. • L.:J . l!f:Ali& .. . . . . ~-. . : ~ -I 77.
Name PO (i;l~,/f·7'=>I I Address ~.,;J...~ City H-A""~'-' ate/Zip ' Telephone#
'4·''-',Tii~~~-")1 Y (.;;_;;-~,/· ·~ :·::~~]~-i~k~~~~l~~/,t?)~~~~d~,.-~R;,;:1·~:-2;:·.'.9;J;g, ~ . ,· .. ti·_: j7 7/ .
Name· · Address City S.tate/Zip Telephone #
:ii:'-:·~;. :coNfiiActoiPco~i>ANY NAMe·-?.,:;;;jj'JJ~·:.:,·7~0Jfjfg7,lJ$J:'C.'5_}lt; f ~-~~':I:;£~~:'..=J.::.Ft~':.~Y~'ii'tT:l~df £:::~~".'",..,,..:-·'_; .. ~·:· .. :.~· <··,::;;: ;; :
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its
issuance, also requires the applicant for such-permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged
e~mption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$~Op)~! (j~o y-.(<9'5 109c, .:rdv111 w/1-Y 1/ISTlt ()>f. 9-..u;,s.3 59'8-76/~
Name . ..,.-.,,-Address ~ · City State/Zip Telephone#
State Licens11 # _3 n ;j .:7 I License Class---~---------City Buslness·Llcense # --------
Designer Name_. Address City State/Zip Telephone
State License # ------------'-
:~~ -:-~i-'WORKERS~ COMPENSATION ·>·T ~--~· .. :;-·· ~ _ . ,_ :;•::~·\--;!:~~:r-;:~:.~·::_~z.r.;r~J1~~~:?:r::::.~·.;,/'.;;:~;~~·:;1;;~:;rr~~~-:{~~:T{:;t~~~~:€f~~~~L~~~~-~~~::::~~-:=~-~;:-::-r;·-~~---~~~-::.:
Workers' Compensation:Declaration: I hereby affirm under penalty of perjury one of, the 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.
0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company . Policy No.____________ Expiration Date. _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE-HUNDRED DOLLARS ($100) OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which.this permit is issued, I shall not employ any person In any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure ~o secure workers' .compensation coverage 11 unlawful, and shall subject an employer to crlmlnal penalties and clvll flnas up to one hun~red
thousand dollara ($100,000), In.addition to the cost of compensation, damages as provided for tn·section 3706 oUhe Labor code, Interest and attorney's fees.
SIGNATURE._________________________________ DATE ________ _
'Jf''it· oWNEFi~ei:Jit.DEiff>ECLARAi'ioN::·,,.,:: :,"' · ... ,c· ': n: ·.-' 1 ::n '\ t' .Y:",·\'1;;.;:1;er·,,:,~i'li'.{ \-::. '}c'. :(1:ii:i·?::-::\'~~~1;::;~;::r:1;;; 1if:;'1"S.ll:1;ff,~'~~'?,~t~:tf.r,":;; :,.,,, :" _,:~,;·-~-~? ~:11;:1:-; i h~reby affirm that I am exempt from the Contractor;s i.icense i.iiw for the following reason:
D I, as owner of the property or my employees with wages as their sole CO!'Tlpensation, will do the work and the structure Is not intended or offered for sele ·
(Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who does
such work himself or through his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or improvement Is
sold within one year of completion, the owner-builder will have the burden.of proving that he did not build or Improve for the purpose of sale).
0 I, as owner of the property, am excluslvely_contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: Tha
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License law). ·
0 I am exempt under Section----"---Business and Pr_ofessions Code f_or·thls reison:
1. I personally plan to.provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
2. I (have / have not) signed an application for a building permit for the propo$ed work.
3. I have contracted with the following person (firm) to provide tl!e· 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 a_nd provide the major work (Include name / address / phone
number/ contractors license number): ______ ---;------------,--------------------------
5. I will provide some of 'the work, but I have contracted (hired) the following persons to provide the work Indicated (Include name / address / phone number / type
of work):._-'---------~r---"'7'--,c,,J,------'--'.-:r,,-----------------,---,-,--------------
Is the !IPPlicant 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 required to obtain a permit from the air pollution-control dlstr~ct or air quality management district? 0 YES O NO
Is the f11cility to be constructeci·within 1,000 feet of the outer boundary of a-sctiool site? 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMl;NTS OF THE OFFiCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
~r::r~c9~~TRU~tiOif~D1NG -~G~Ncvr:£.1i::~?~f~t;;~]f~p~~i~~ rr~~: I::\1].~t~~;l!1.r;r~r~~sr:r:}:7 ~~~rz}~~~~~G;i?:~::~~5 ~~~~ ;?~:r·~ ~~~:~??~~~} ~~ ......... : . ( H ' =--~·~-::·-: ;~j.~,c -~ ~f~=-·: ~·
struction lending agency for tha performance of the work for which this permit Is Issued (Sac. 3097(i) Civil Code).
LENDER'S NAME __ -I--',.__,'"""".,__________ LENDER'S ADDRESS. _______ ,--_____________________ _
f9?-:~"AP.PLICANf. CERTiFiCA tf6Ni'f'1.'f::-::;:::.:r,:·.~·.pJ;t:'.;·tr"'.-::'"7'.F]:~">:",.'~?;;!''~I:T:%]~::: ~-?"£'7;'"::;?8?::t',7 ~~'.J,;-:t~;;f;i"""'l'~,~t1·:Jr~~· :,: ~-72 'F'···~' .,,. '7'': '"': :i
I certify that I have read the ar:fplication and stiti that the above information is cor~ect 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 r11presentatives of the Cltt of Carlsbad to enter upon the above mentioned
property for inspectiort purposes. I ALSO AGREE TO SAVE, INDEMNIFY A~D KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN' ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is-required for excavations over 5•0• deep and demolition or construction,of structures over 3 stories-in height.
EXPIRATION: Every permit issued by the Building Official under the provis,ons of this Code shall expire by limitation and become null and void if the building or
v,,ork 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 abandoned,at any time after-thew rk is co for a period·of O days (Section 106.4.4 Uniform Building Code). , / _ /
APPLICANT'S SIGNATURE ~ _ DATE __._2+(/t..:.'l..:.0..,_Y'J--:...9_.7 _____ _
PINK: Finance