HomeMy WebLinkAbout1891 RUTHERFORD RD; 100; CB162438; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
06-21-2016 Permit No: CB 162438
Building Inspection Request Line (760) 602-2725
Job Address: 1891 RUTHERFORD RD CBAD St 100
Permit Type:
Parcel No:
Reference #:
PC#:
PME
2121203600 Lot#:
Status:
0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: DNA ELECTRONICS-~"!~li=:~GROUND-.. _ __ ----· __ . _
R:~Q~~!NG'ONLY -BEFORE I$St:J;A;NCE OF Tl PERMIT c~rn18.48.f
Applicant:
JOHNSON AND JENNINGS GENERAL CONTRACTING
STE 180
6f65 GREENWICH DR
SAN DIEGO CA 92122
858 6231100
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
PDG CARLSBAD 47&48 LP
1825 GILLESPIE WAY#'102
EL CAJON CA 92020
ISSUED
06/21/2016
RMA
06/21/2016
06/21/2016
$163.00
$0.00
$0.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Clearance: _____ _
$0.00
CM3I ti yoor prtject includes tre "I ion'' ct fees, dedications, reservations, orctrer exactions rereafter collectively
referred to as "fees'exadions." Yi 00 clays frcm the date this perrrit was issued to prctest irrposition of trese fees'exadions. If yoo prctest them yoo rrust
follON.tre prctest proca:lures set forth in C?olerrrrent Qxfe Section e0020(a), and file tre protest and any ctrer required infooretion wth the aty tvl3nager for
.prooessing in oo:x:irdancewth Cartsba:l M.Jnidpal Qxfe Section 3.32.030. Failure to tirrely follONthat proca:lure wll bar any subsequent legal action to attad<,
review, set aside, vcid, or annul their irrposition.
You are hereby R:Rll-ERN'JTIFlEDthatyour riglt to prctest the sp:dfied fees'exadions OCES NOT APPL.Ytowaterand seNar CXJ11nedionfees and capacity
changes, nor planning, zoning, grading or ctrer sinilar <W!ic:ation prt,oossing or service fees in axinedion wth this prtjed. ~ !XES IT APPLY to any
i i ofwii · · CE ·m1 t this or as t IMlich tre statut of linitati has ·ous1 ctherwse ·red.
(
I THE FOl.LOWING"'APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING OENGINEERING OBOILDING OFIRE OHEALTH OHAZMAT/APCD
C· Building Permit Application Plan Check No. flAI f ~Lf?/? C1fyof 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value -. ,,.,,
C-arlstiad Ph: 760002-2719 Fax: 760-602-85586 Plan Ck: Deposi1 email: building@carlsbadca.gov l /J-
www.carlsbadca:gov f . ·Date /.#> / ~ I' l l, lswPPP
JOB ADDRESS 109 l i(".\-½erf;, r'9 'Rel. SUITE#/SPACE#/UNIT#; V rPN -
\00 v ---
, CT/PROJECT# 'LOT# rHASE# r OF UNITS r BEDROOMS if BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~
Uncle-r~<ov"'~ ?\vM'o\"°' ~vM' ¾or " hu.. ~~ o~rM\~ C.B -It e \8 \ '-\ -_, ..., , . I
EXISTING USE l PROPOSED USE l GARAGE (SF) PATIOS (SF) l DECKS (SF) FIREPLACE . IAIR CONDITIONING I FIRE SPRINKLERS
YEso_ NOD YES0No0 YESONoD
APPLICANT NAME PROPERTY OWNER
Primary Contact
ADDRESS ADDRESS ·
CITY STATE ZIP CITY STATE ZIP
PHONE 'FAX PHONE FAX
EMAIL EMAIL
DESIGN PROFESSIONAL
'
CONTRACTOR BUS. NAME~ ~ • . Jo\l.o/\~"'-+ C.C"\t'l•I\.'\ ') G.erw~ C.11"".\-t ... !
ADDRESS ADDRESS 5' -
f-1 r~u11,J1'c.l -P,-:v-c-ulu-
CITY STATE ZIP CITY ' s~A 1r ~~vt ~io'}o 2 I l I
PHONE /FAX PHOjE .I.I_ _ 5"8·62'5· l<oo FAX
EMAIL EMAIL W~ (!)' ~ A_ , P~ ~ .ro "'b""~ ,~""' "'\l, cow\ I STATE LIC. # STAT~:S9<at_o? -CLASS~ lc',iz'iec 7 .. (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 1ts issuance, also requires the applicant for such permit to file a signed statement tt\at 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 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}).
Workers' Compensation Declaration: / hereby affirm under penalty of peryury one of the following declarations: Q ~ and will maintain-a certificate of consentto 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.
1..::11 have and will maintain work~=pensation, as:!:¥ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insu ance carrier and policy
numberare:lnsuranceCo. j:Ye.fe6-I:: ~) 1'15 Lt> PolicyNo. 7{o0(50\'\\0S\~\ ExpirationDate \ Zo\"7
This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance oft work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
. California. 'WARNING: Failure to secure workers' co · coverage Is unlawful, and shall subject an employer to criminal penalties and.civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages r in Section· 3706 of the Labor code, interest and attorney's fees.
2$ CONTRACTOR SIGNATUR ~ENT ,.,,,.,,..,,.,.,,,.....,,.,..,..,,...,...,.,,,.....,,...~~;:::;,,,,e,f,,Jl!&,:~~..,,,,,,"'= ....... ,.....,.,,,,,,,..,,j --~~-(-
I hereby affirm that I am exempt from Contra
D
D
D
I, as owner of the property or.my employees with wages as their sole compensation, will do the work and the structur~ is notintended 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 improvementis sold within one yearof 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 ihe 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 and 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 contractecj with the following person (firm) to provide the proposed construction (include name address I phone / contrac_tors' license number):
4.1 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):
2$ PROPERTY OWNER SIGNATURE 0AGENT DATE
'
Is the applicant orfutuie 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 l:lazardous Substance Account Act? D Yes D No
Is the applicanforfuture building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No
Is the facility to be constructed within 1,000feet of the outer boundary of a school site? D Yes D 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. .
fr~?tJ-:"'.-"
I hereby affirm that there.is a construction lending agency for the perfonnance of the work this pennit is.issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I certify th at 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 consbuction.
I hereby aulhorize represeQtative of the City of Carlsbad to enter upon lhe above mentioned property !or 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: kl OSHA perm It is required for exc;avations over 5'0' ~~~;molition or construction of structures over 3 stories in height ·
EXPIRATION: Every permit issued by the Building Officia r rovisions of !his Code shall expire by limitation and become null and void if the building orv.ork authorized by such permit is not commenced within
180 days from lhe date of such permit or if lhe build in r rk rized by such permit is suspended or abandoned at any time after the v.ork is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code) .
...@S' APPLICANT'S SIGNATURE DATE
• ··-. ,.... · ... r STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERT!FiCP,TE Of OCCUPANCY /Commercial Projects only I
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed fonn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK-UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (Ori Pg. 1)
.o ASSOCIATED CB#. MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed-above)
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER: o CHANGE OF USE/ NO CONSTRUCTION
A! APPLICANT'S SIGNATURE DATE
..
Inspection List
Permit#, CB162438 . Type: PME
Date Inspection Item ____ _
06/22/2016 21 Underground/Under Floor
06/22/2016 21 Underground/Under Floor
Thursday, June 30, 2016
DNA ELECTRONICS-UNDERGROUND
PLUMBING ONLY -BEFORE ISSUANCE 0
Inspector Act . Com.ments
RI
PY AP
Page 1 of 1
, t' t''I '-!
~\ CB16243·8 1891 RUTHERFORD RD 100
-~ c,n oF
CARLSBAD
DNA ELECTRON !CS-UNDERGROUND
PLUMBING ONLY-BEFORE ISSUANCE OF Tl PERMIT
Building Div.is ion IN.SP:ECTION REC:0:RD CB161848
0 INSPECTION RECORD CARD WITH APPROVED
PLANS MUST BE KEPT·ON THE JOB
PME
Lot#: · JOHNSON AND JENNINGS GENERAL
@ CALL BEFORE .3:30 pm FOR NEXT WORKDAY INSPECTION CONTRACTING
0 FOR BUILDING INSPECTION CALL: 760-602'!'272$ RECORD COPY.
__ ,NO YES.· Req...:ire~:f Prior to Requesting ~uildi"g Final lfCheckecfYE~-
• • > • • '' A< ' • >
· Date . . Inspector · -:.Notes
I .Planning/Landscape 76()-944-8463 A/loW48 hours
CM&:1'.(Engfneering Inspections) 760-4l8-38.9·1 .c;arr before 2 pm
Fire Prevention 760-602-4660 Ailow 48·.hours
I
Type ·of ln~p_ection Type.9f inspection
CODE# BUILDING _Date ln~j>ec:tor CODE # ELECTRICAL Date Inspector ·
#11 -FOYIIID~TION #31 D'ELECTRl~UNDERGRQUND. p.UFER
#12 _REINFORCED-STEEL #~4 ~o~~H-ELECTRIC : ·
#~6 M~_SO!'lRY PR.~ GROUT #~3 0 El:ECJ_RIC SERVIC,E OtEMPORARY
t(GRQUT D W1\L~:DRAINS #35 .. fHQTO VOLTAIC
#1,0 TiLJPAN_ElS #39 FINAL . --'-'--'--'-"~-'-----'--'----'--+-----'-----1-'------
# 11 PQl!~ srRfPS coos:# MECHANICAL
. #1.~ COLU!',1N FOOTINGS #,Ji lJNDERGROUNP DUCTS & PIPING .
· · #44 q i)UCT 81,P~Etf UM _O REF,;PI.PIN!l .
· #15 ROQF SHEATHING : #43 HEAT-AIR·COtH',!; SYSTEMS;
tf13 EXT.,$HEA_R PANELS . 4t4~ FINAL . --=----..,._---~---------",--'-~+------+----'----I #16_ i~$ULAT1tl'N CODE# COMBO INSPECTION
#~8. ®RIORlATif .. · #81: UN!)ERGR-OUND (11,12,2113'1) .
#17 , INTERIORJATH ~ DRYWAlL #82 DRY\VALL,EXf LATH, GAS-T;S (:P,18,23)
#5i PO()L EXCA/STEEL/BPND/FENCE .
. #55 . 'P~EPLASTER/ FINAL
#19:FiNAL
#2i D_'SEWER-~BL/C!) ·D PL/CO Date ln.spector
#21 UNDERGR_OUND []WASTE tl 'NTff
#24 TOP OUT D WA$T~ d, MR A/S UN_D_ERGROUNDVl$UAL
#27 TU13 &,SHOWER ~AN . A/S _UNQJ;:RGROUNDHYDRO'.
#23 D. GAS TEST OGAS PIPING
#25 WJ\J:~R HEATER A/S·O_VER~$\D.Vi$UAL
#28 SOLARWATER A/S:O\{ER_HEAD HYDROSTATIC
#29 FINAL. A/SflNAL
CODE# STORM WATER F/ A·ROUGH:IN
. #6!)0 PR~·CONS~U_Ctlo~ MEETINq F/AFINAL .
#603 FOLLOW l,IPJN$e!;:~TION FIXED EXTINGUISHIN~ SYSTEM ROUGH,iN
#6!)5 NOTICETO CLEA~ FIXEI) ~l~G' SYSTEIVI H)'DR!)STATI~ TEST .
#6.07 \VRIJT~N-WA.RNING 'FI.XED.EXTIN ~U!SHiNG-S,YSTEM FINAL
#6!)9 NOJ:ICE QFVIQLATION
#61!) VERBAL Yv'AR_NING · J'r1~DIQAL GAS Fi_NAL
REV10J2012 SEE·EIACK FOR SPl;:CIAL Non,s ·-