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Home My WebLink About1890 RUTHERFORD RD; EXPIRED | MULTI-PERMIT FILE; CB101817; PermitV . . City of Carlsbad 10-06-,2011 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB101817 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 1890 RUTHERFORD RD CBAD St: 100 Tl Sub Type: 2121203500 Lot#: $205,310.00 Construction Type: . Reference #: EPEIUS BIOTECH. CORP.-5866 SF WAREHOUSE TO MODULAR LAB COMM 0 3B Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: Applicant: . Owner: PRECIS!= PERMITS INC DONNIS ENINGER STE 100 3585 5TH AVE 92103 619-260-8524 Building Permit Add'I Building Permit Fee Plan Check · Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD#2 Fee BTD#3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee Fire !;:xpedited Plan Review $1,031.77 $0.00 $670.65 $0.00 $0.00 $43.12 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $8.00 $250.00 PDG CARLSBAD 47&48 L P 1825 GILLESPIE WAY#102· !=L CAJON CA 92020 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFO Payoff Fee · PFF (3105540) PFF (4305540) License Tax (31 04193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev P1:1rking Fee Additional Fees HMP Fee Green Bldg Standards Plan Chk TOTAL PERMIT FEES Total Fees: .$4,899.14 Total Payments To Date: $500.00 Balance Due: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,674.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,221.60 $0.00 $0.00 ?? ?? $4,899.14 $4,399.14 IQspector: FINAL APPROVAL Date: ------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 issued to protesl·imposition of these fees/exactions. If you protest them, you must follow the protest procedllres set forth in Government Code Section 66020(a), and ijle the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set 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 capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any ' . ' ' " ' . f. ' i i i Xi . ~· ~ «~?> ~ CITY OF CARLSBA.D Building Permit Applicption 1635 Faraday Ave., Carlsba~. CA 92008 760-602-2717 / 2718 /2719 Fax 760-602-8558 www.carlsbadca.gov JOB ADDRESS-. 1890 Rutherford Road SUITE#/SPACE#/UNIT~ Plan Check NoC/5/ CJ/? /7 Est. Value~t'J'S: 1 / tJ , Plan. Ck. Deposit ~7 'O, (#~ Date /0 ~-/ c) SWPPP 100 rPN 212 -120 29 00 CT/PROJECT# 47 I # OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME Epeius Biotechnologies Corp CONSTR. TYPE I occ. GROUP 111-sprk B/S-1 DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) . ~ T.I. •• Convert a portion of warehouse to ~~b (5866 sq ft) Office/lab/warehous~ I PROP~SE!'.iUS!i 'GARAGE ·(SF) PATIOS (SF) IDECKS (SF) Offlce/lab/warehou . , . ~ ... , . , .. IAfR C0NDIT'I0NING !FIRE SP'RINKLERS Ne@ YES0No0 YEs[Zj NoO CONTACT NAME (If Different Fain Applicant) APPLICANT NAME Precise Permits lnc/Donnis Eninger ADDRESS ADDRESS 3585 5th Ave., 100 CITY ' STATE ZIP CITY San Dieao STATE CA ZIP 92103 PHONE PHONE 619-260-8524 619-260-8218 EMAIL EMAIL precise@precisepermits.com PROPERTY ~WNER NAME Diversified Prop~rties CONTRACTOR BUS. NAME ADDRESS ADD.RESS 1770 Gi'lespie Wav, 101 CITY STATE ZIP CITY STATE ZIP El Caion CA 92020 PHONE PHONE 619-449-7881 619-449-1886 EMAIL EMAIL ARCH/DESIGNER NAME&. ADDRESS I STATE LIC. # STATELIC.# I CLASS I CITY BUS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provision.s of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he 1s 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 {$5001). Workers' Compensation Declaration: rhereby affirm under penalty of perjury one of the following dec/arailons: D I have and will maintain a certificate of consent to self.insure for mrkers'.compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D I have and will ma!nlain workers' comoensation. as reauired bv Section 3700. ~f the Labor Code. for the performance of the work for which this oermit is issued. My workers' compensation insurance carrier and policy number are: lns·urance Co ________ ~--~------~ Policy No. _____________ Expiration Date ________ _ 'jllLs,section need not J completed ff the permitis for one hundred dol;a~ ($100) or less. u·certlficate of Exif11ption: I certify that in the performance of the work for whiqh this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Calffomia. WARNING: Failure to secure workers' compensation coverage ls 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 attorney's fees. £) CONTRACTORSIGNATURE OAGENT DATE _,, ,,, "' •"· --,· ,>'"" " -~ ;t , ',' " ' , '':' . "~-.. , .. ',::,;_-•, .. ::. , .. I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D D 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, Bu~iness and Professions Code: The Contraclor's License Law does noi 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.er-builder-will have the buraen 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: 1. I personally plan to provide the major labor a'nd materials for construction of the proposed property improvement OYes 0No 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/ 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 / 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/ type of work): ~PROPERTY OWNER SIGNATURE OAGENT DATE i i ®IID@ 1~(g??@ '. tr_roo@ :~~tiiJ ®~<]i:#)(r,~"'~,$-roi~~ti@~ gr'ir o -0 ti ttti:!\rrn;_t£ro)m~ ;pJlmci(! 11)\ ®mfb ~ ,_, -r <. ,, . ,_ . : .. ' ···:- 1s the applicant or future building occupant required to submit a business.mil, acutely hazardous materials re9lstration form or risk managementand prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes L..JNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or ai!:.9!!ality management district? DY es D No Is the facility'to be constructed within 1,000 feet of the outer boundary of a school site? 0Yes LJNo 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. "<,•'" V : --~~ '\. ' I hereby affirm that there is a construction lending agency for the performance of the work: this permit is issued (Sec. 3097 (0 Civil Code). Lender's Name unknown Lender's Address unknown ' ' ,,') ,,, ,,, ,, ,, 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 representative of the City 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 OFTHE 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 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 1 ~O days from the date of su9h permtt or if the bu~ork authorized by such permtt is suspended or abandon~ at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~APPL1cANT·ss1GNATURE 'i -------..,0 vi,~. ~ ~d DATE ;0 -4-i 0 I ~'~ ~ ~ ,· ~~CARLSBAD Community & Economic Development_ AUGUST 5, 2011 DIVERSIFIED PROPERTIES STE 101 1770 GILESPIE WY EL CAJON CA 92020 RE: APPLICATION DATE: PLAN CHECK#: ADDRESS: EXPIRATION DATE: PERMIT TYPE: DESCRIPTION: 10/05/2010 CB101817 1890 RUTHERFORD RD _10/04/2011 Tl CONVERT 5,866 SF WAREHOUSE TO LAB www.carlsbadca.gov You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained and the original plan review application will expire on the date noted above. This courtesy notice is sent to ~dvise you of the following provisions of the City's codes regarding expiration: 18.04.035 -Section 107.4 amended-Expiration of plan review. · _Section 107.4 of the California Building Code is amended to read: Applications for which no permit is issued within one year following the date of application shall expire by./imita#on, and plans and other data submitted for re.view may thereafter be returned to the applicant or destroyed by the Building Official. 90 day extensions of the plan review period may be granted by the Building Official after review of a letter of explanation provided to him by the property owner. An extension of time granted by the Building Official does not, by right, apply to any related Discretionary Permit under review. Pians submitted and not retrieved from the building department prior to the plan check exp"iration date noted above will be destroyed. In order to provide better service, please in~icate your' handling choice for the plans originally submitted and return this letter to the Building Department. __ Project Abandoned ..,..1 will pick up the-plans within 10 days __ Project Abandoned -Plans may be destroyed If you have any questions, please contact the Building Division ~t (760) 602-2719. · Building Division CC: PRECISE PERMITS/DON ENINGER . :Building Division 1635 Faraday Avenue, Carlsbad, CA 92008-7314 T 760:602-2700 F 760-602-8560 ... <~ CA~LSBAD Community & Economic Development AUGUST 5, 2011 www.carlsbadca.gov DON ENINGER PRECISE PERMITS STE 100 3585 5TH AV SAN DIEGO CA 92103 RE: APPLiCATION DATE: PLAN CH ECK#: ADDRESS: EXPIRATION DATE: PERMIT TYPE: DESCRIPTION: 10/05/2010 CB101817 1890 RUTHERFORD RD 10/04/2011 Tl CONVERT 5,866 S.F WAREHOUSE TO LAB You applied to have y0ur plans checked on the date noted above. To date, the related building permit has not been obtained and the original plan review application will expire on the date noted above. Thi~ courtesy notice is sent to advise you of the following provisions of the City's codes regarding expiration: 18.04.035 -Section 107.4 amended-Expiration of plan review. Section 107.4 of the California Bui(dihg Code is amended to read: Applications for which no permit is issued within one year following the date.of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. 90 day extensions of the plan review period may be granted by the Building Official after review of a letter of explanation provided to him by the property owner. An extension of time granted by the f 6uilding Official does not, by right, apply to any related Discretionary Permit under review. Plans submitted and not retrieved from the building department prior to the plan check expiration date · noted above will be destroyed. lff order to provide better service, please indicate your handling choice for the plans originally submitted and return this letter to the Building Department. · __ Project Abandoned-I will pick up the plans within 10 days __ ._ Project Abandoned-Plans may be destroyed If you have any questions, please contact the Building Division at (760) 602-2719. Building Division CC: DiVERSIFIED PROPERTIES ® CB101817 1890 RUTHERFORD RD 100 EPEIUS BIOTECH. CORP.-5866 SF /()5:10-(J/Alat t-0 f;~vv/frJfNftl_~ ~~~y _ ~deMf ~ Ji~-~-~ I rv}7Jro ~ ~ ~ ,0(~10 ~vb)~ /(}-fCf ~/J § ,;/ &L/P '6) 1/ t t G-x P• rCl---n o,J Lerr-e.r .:seri, 10 ,, ep ( l \ Per-rAti (3,K,P, re.4:J ptfalJ.s t:i ebT ro~&?J 4, .. usw ______ _ Approved Date BUILDING PLANNING 10/'?:/ r-0 ENGINEERING W/S)!'-\ Tf>/7 I ru FIRE Expedite? f Y ./ N - HazMat /O-s---10 APCD Health Forms/Fees Sent Rec'd Encina /0-,;;,. =/0 I J('J I I I rn 1 F.ire -- HazHealthAPCD /0-~-/0 PE&M /o-.:;;-10 School -,-- Sewer _ ...... Stormwater /0-'5---/0 /0/7{(0 Special Inspection CFD: y N LandUse: Density: lmpArea: FY: Annex: PFF: y N Comments Date Date Date Building //)../ti-JD Planning Engineering Fire i~,t1-f0 \o\n:{,D Need? . rk-r.-;.., r ~ ~=-A ----A .. . V ,. Application Complete? y N Fees Complete? y N ,. . . . . ··-. ucv By --k:.,I _ 1./ ~ ~-/ Uv / DI.le? .BY l,,tf/'f N llA- y N y N y N y N y N y N y N Factor: Date DDone DDone DDone ODone By: By: • '!.• City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-27-2011 Commercial/Industrial Permit Permit No: CB022199 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel.No: Valuation: Occupancy Group: · Project Title: 1890 RUTHERFORD RD CBAD Tl Sub Type: 2121203500 Lot#: $400,000.00 Construction Type: Reference #: ISIS PHARMACEUTICALS 10,700 SF CONFRENCE CTR. & EXITS INDUST 0 NEW Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: Applicant: Owner: BLEVINS LEAFORD 9444 FARNHAM 92123 Building P~rmit Add'I Building Permit Fee Plan Check Acld'I Plan Cl'leckFee Plah Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3Fee Renewal Fee Add'I Renewal Fee Other Buildirig Fee Pot Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee Fire Expec;lited Plan Review $1,470.56 $0.00 $955.86 $0.00 $0.00 $84.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0:00 · $0.00 $0.00 $0.00 $0.00 $0.00 .?? ?? PDG CARLSBAD 47&48 LP 4330 LA JOLLA VILLAGE DR #110 SAN DIEGO CA 92122 Meter Size Add'I Reel. Water Con. Fee Meterfee SDCWAFee CFD Payoff Fee PFF (3105540). PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Aqditional Fees HMP Fee Green Bldg Standards Plan Chk TOTAL PERMIT FEES Total Fees: $2,510.42 Total Payments To Date, $300.00 Balance Due: .. WITHDRAW 07/29/2002 MDP $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ?? ?? $2,510.42 $2,210.42 Inspector: ------ FINAL APPROVAL Date': 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 '1ees/exactions." You have 90 days from the date this permit was issue.d:to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedur~s set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for . processing in acpordahce with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow ihat procedure will bar any subsequent legal action to attack, review, set.aside, void, or annul their imposition. · · FOR OFFICE USE ONLY CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. Ci--" -Z.., l 't,'t EST. VAL. SO~ C,Od • -~ __ , ~ Plan Ck. Deposit ·3,, c.,.,......, ..- Validated By ,J:;, ~ Date ___ Q...,.,..,._,I Y--Z---~_.., __ Address. (include Bldg/Suite .#) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of llnits Assessor's Parcel # Existing Use 300 .. 00 Name, Addres City State/Zip Telephone# Fax# §'l:,~~~ontra~~IDJ-7:e;g:ontracitor; ', :[l Owl'ret, ~®~~~/;',:7;;·; +:!/ ,),; (' ';,:;,:;:·;;~':7;··:,\; ,,,,, <y:;{:i:t:1S;;:;;;~;p!Ff'r7£'.: Name Address City State/Zip Telephone# ii:!·7)>J'ioes0f¥·.awN'i1L".','·;·:· ,"· .·::::·,·,"-.'~"';) .: ··_""·_:,, :·' ::s-: ~-~~::~,,,~~--:,,,·;;":··-:--:·· -~-~'.---:~~ :".':-~:---:i ·:::::-.-:~'::;. ,;:-:'.,:· :·.:-:·,, ::-:--.:-;-;:" :\,' ;."' ~,~; "-_::·"":-":'; :,(,;:.'.-:1::~:"',-,,,_z;->:,;0,:;t':::-,:i ~fi,Tz~i::;irT!i;il?-~frfEtYl'it~ rJ~;:a-·· · ~~-~---~-----~~---~-~-~~---~-,--, --.. ,,.~ ·---... ~°'-· -~" -~~ ~ .,~,--• ~"" ·· , ,, .. Name Address City S,tate/Zip Telephone # ~'¢,Q'.,fi!IRA,Q:1i(int::";,,c,qMeAl'IX:;NP.IVIJ;.,~:;. _ . --", · . , -.• -""".""'-r:sr".':':':"t!:'.~,;:::::?'Z~';;."'!"'Y'c"Ji (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 exemp!iOJ:k.,.!'-"Y violati~ oJ..Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). gcvv ff!' -,:::vf?~ ~; (?U/~ a»J~~ , _ Designer Name Address City State/Zip Telephone State License # (;, -/ g;,q, ~~ • ta~S~911KEJISJ:~OMP.ENSAn0JI}'' ,,_.,/4,._.,',~-_.: ~::-,.(, -~·-' ~-~~-,.;~ •. >·L·i·~-•, ,IJ:,,-;, · ~h::.:5~ z-:;:,:,:··'>ol:-::::;';,;f~<~:%("",;-~5i~':;r,~")::;''7?7w7:;~~{i~4l\~~ 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' Compensatiqn 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 attorney's fees. SIGNATURE. _____________________________ DATE ________ _ -l7;.;'IroWiflfRts;ujwe1t'.'0EcliARAi;)oN:,, :~-,-;·-:·:-:;:,~-:-,·",·'""~:";''::::'~"' ;::::::, 1'7·r;-3:0.:z::;c~·"?.'(;f!(·;:;::;;,S,:;f·;-:>,::~-;:·:;·"- 1· hereby affirm that I am exempt from the Contractor's License Law for the following rea,son: 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 Pr9fessions 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{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) ~igned 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 I 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 numberl=--------------~------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indic;ated (include name / address / phone number / type of work): _________ -,--------------------------,----------------------- PROPERTY OWNER SIGNATURE ___________________ -,-__ DATE ________ _ tc'oMymTs:;rH1s.-sE<ftfortFPltNo~.aES/pEN:17ALBUIJiDltiGRERMtJs;'o~NtY;· · ::: -~ -• .;,,; ·_ :: , -:'.._ · -,-:. , D1:FS2:·1dk~ .;J,,:/ ... ~:.;,y<~~: :T:·. :> ,•,:/4'-..:'· i· :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 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES-0 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. fi~~.Il!V~t(Qt,r,:L.eNQ!~~::Mi;.ttcY.· :: .. -::-,:.:, .=1:.:...:; :.,.,;,.7-=i-::.-:.,~-c;: l'herel?y affirm that there is a co'nstruction 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::;:;:;::;::::::;:::;:::;::::::;::::;::::;::;;:;:;;;::;::::::;;;;;:::;:;;;;;;;::;;;:;;:;;;:;:;;;:;;:::::;:;:::;:::;;;::;:::;:::::;::::::::;:::;;:;:::;:::::::-;::::-;::: 19:. '8'SfteLLCANT~CERTIF,JCA-TtO'N' .'J'/> , , · ·.· :;,. ~: -_, ,'-, . ,_ .. .:_> ~7;~:,~:.;Ji:1 -··i: :-_,:(0~'".',,-:Y,;:-:·:·~7~~-S~:"F" 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 issued b the building Official under t'e provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not co e ed wit · 180 ys from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is com e e for d days ( ec ion 1 O .4.4 Uniform Building Code). ~L L APPLICAt-,IT'SSIGNATURE -~----=-----------------DATE -, _1,,!J, _1) 2---, WHIT-E: File YELLOW: Applicant PINK: Finance