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HomeMy WebLinkAbout1894 RUTHERFORD RD; TP | MULTI-PERMIT FILE; CB981541; PermitB U I L D I N G PERMIT Permit No: CB981541 Project No: A9802047 Development No: 05/20/98 ~11: 28 Page 1 of 1 Job Address:· 1894 RUTHERFORD RD -Permit Type: ELECTRICAL ·suite: 7~l26 -05/20/98 0001 01. 02 C-PRMT Parcel No: · Valua,tion: Oi.';'cupancy Group: Description: TEMPO~ARY : RESIDENCE Lot#: 0 Construction Type1 Reference#: · Status: POWER POLE-MARRIOTT INN Applied: Apr/Issue: 760 Entered By: 737-5039 FINAL APPROV~IL . INSP. ~A ' DATE J..:-'I,-1 g CLEARANCE CITY OF CARLSBAD· 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-11'61 NEW ISSUED 05/20/98 05/20/98 RMA FOR OFFICE USE ONLY PERMIT APPl.:ICATION PLAN CHECK NO. qf{&:Lf \ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas D.r., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit <Jr Validated By : Ir&::::. Date 5/lo/ff ' ',1. Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use SQ, FT', #of Stories # of Bedrooms # of Bathrooms :~?:;:,;'.,,,;::[-~·~-;;;::~i;'.''.Si:t~~7i:;5.~!l!J?~ :;::,::-;;38 ··,:.,._.· .·Jl,-, f; ··.// ~-. 0 ?k Name Address City State/Zip Telephone# Fax#, ~i : ::AP.~l;IQANT: ·_' ,E]:contrac~ot :·:(Jj:Agerft1f1i(C'i°1!V.@ot~\:fill):>.~ij~1J1.IS:'~~~tKQ&~oi1'.f°??tt:f s;;r~~f:'.~~;~'.:;;';:\\f;~;,:}./.:/;;: .-·:_ :F'::"'. :·. :-.. :; 'i,,; Name Addr.ess State/Zip Telephone# :4.' ,::eR9PERT)': owl'jER'·· ·, Name ·Address· City State/Zip Telephone# :s:·· :.CONJRACT.CIIH.ci:>MPANY-NAMi!"' ''.' :. ' '.' ~-<. (Sec. 7031.5 Business and Prqfessions 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 exe ,_ption. An violation of Section 7031.5-by any applicant for a.permit subjec the applicant'to a civil pe .a~y of noJ more than fiv~undred dollars [$5001). /)<.JlJ e.(Z.. \. 8 ,.VO Co..-~ ~ -$7, 3 City State/Zip Telephone # City Business License # _______ _ Designer Name Address City State/Zip Telephone State License# _________ _ '.6.', --wottKE_RS' CC>Mf>ENSArtoN· ,,:-. . ,, . -:-: •.. : .. ,~~.::.-:.~,~--'-· .. _ _=-:·~.; t~:;-::z:·.::..'0i::lS:l\~-t:~::~;iE.:::i::.:::.,;:;·~:;:-:;>;:?i;~T.}'' 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 fqr which this permit is issued. ~ I have and wlll 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 co pensation insura'Jce carrier a,nd policy number are: J J Insurance.Company • 7,,udc!,111 . C:,o . Policy No. ~t) 44 7:;.. 0 c., Expiration Date / 0/ V rf? (THIS SECTION NEED NOT BE COMPLETED IF THE PERM IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) v 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: Fa • unlawful, and shall iuhject an employer to criminal penalties and civil fines up to one hundred thousand dollars tion, damages as provided for in-Section 3706 of the Labo code, interest and attorney's fees. SIGNATURE:~~~-,t..~~~~~~.L:,~::3,:y:,~L.,..----,----'----'-----DATE cJ 'i . .-·,oWNER0BUllPE,13'DECL:ARATiON-: _. , ;"!~. I hereby affirm that I am exempt from the Contractor's License-Law for the foliowing re_ason: 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 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 licens.ed 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 cohtractor(s) licensed pursuant to the Contractor's License Law). D I am exempt unc;ter 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. D YES ONO 2. -1°(have/-have nqt) signed an application:for a building.permit for the proposed work. 3. I have contracted-with the following perst,n (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan-to provide ·portions of the work, bi.it 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 followiiJg-persons·to provide the work indicated (include name / address / phone number/ type of work): · PROPERTY OWNER SIGNATURE ____________ ,,___________ DATE ________ _ ;COMPi:i:r:E'THIS.'SECl'iON'FQij·NO}/-RESl()~JtTTAt·l!Ul).~i .. G·etRMIJJioij~v,:lJfit::;c.i'::.tt,;·,tt'}:.J.f,}\';,;]:~Ei:'?.'''~-~}1::Cf;:f:;£,;.~Z.,;T:,~'lt~-:..tt::'\/;,. 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? D 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? ·O 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. :~f;;;~ :~o~~TRµ,c,:19ij l,~~Q.\N_<fM!;NCY :,t) ,· 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 ADDRESS._·----'---------------------- ··t-~-: I certify that I have read the application and state that the above informat_ion 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, JUDGl'v'.IENTS, 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 p_ermit 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 rmit ·s not commenced within 365 days from th te of i;uch permit or if the building or work authorized by such permit is suspended or abandoned at any time er t work is co d iod of s (Section 106.4.4 Uniform Building Code). _,/ APP-Ll~ANT'S SIGNATUREfAc+o&&&f::qt::;:_..::t,~~~;t;a..=:t:.__________ DATE s/fl<:J/ r r r 7 PINK: Finance ~ ' ' , UNSCHEDULED BUILDING INSPECTION · DATE {t --5' ~ ~ . .It l::::. INSPECTOR /VP --------- PERMIT # 1 $ ,_ / 5' <-f ( PLAN CHECK# ----- JOB ADDRESS _l_'o ___ '2 ____ 4 __ ~_-__ , ......,-,-;-~---__________ . _________ _ DESCRIPTION _________ 'y_._~---_,_--ff-~------------- TI11:E ARRIVE: -------UME ' ---~ CODE DESCRIPTION ACT COMMENTS ____ Af ____ _ . ' MEET $H'EET SUBMITTED BY ----,.------,------DATE _.,...---.~~~~Ji t i.:i/ . -,~ .. ~ .. ~:;~J,_i:~~t • CQMPANY NAME·--------------JOB NAMB -----·~·1 ·:_:, _· ·~'· 1 -"':'"Jl":'""".~ ' ;· ... Bl.LLIN<1 ADDR-~S S ---------"'"--------:---:---:--:'----~-:--:~:-.-::-:-.::-'...:-1~ ·(city) (street) OFFIC£ PllONEff ( ) -------·· ·----P.J\./P.M. JOB ADD.RESS-·------:-----~--:-~--------CITY (crosa streets) (job site) TRH _______ SUPT. _________ ,--__ JOB ·pnoNEH { ) . I CIRCLE _1\ND LOCATE ON MAP l PHASES _____ S~QUENCE -~---------DECIDER: P.A./P.M./SUPT. MAIN ADDRESS ....c.-..-----'-----'-------------EDISON SOO&:£ OTllEtt SOURCE VERIFIED: NO/YES PLANNER ______________ PHONEff , _____ _ UO/Oll SOURCE TYPE VOLTAGE T.RANS/POLE ff ---------LOCATE T.RANS. HODEL HOOKUP CUT OFF YARD TYPE OF SOIL l MAP -NOTES: . i·· .·· ~ ~:.· 1 ,~--~ SALES TRAILER TERRACED LOTS LIGHTS S:-8~--<-0-:z_, · d .. ,. {Jl ~ S-3 i :3 ~ BU IL DI N.G PERMIT Permit No: CB96~291 07/15/96. 07!57 Page· 1 of 1 Job Address: 1894 RUTHERFORD RD P.ermi t . Type! . ELECTRICAL. Parc·el No: · Va.luation: D Occupancy Group: Suite: tot#: Reference#: Project'No: A§601839 Developm~nt No: · 85-24 07/15/96 0001 Ol .02 ~ .C-f'RMT Construction Type: · Status: Description: TEMPORARY :POWER POLE-CORNERSTN Applied: · Apr/Issue: NEW ISSUED 07/15/96' 07 /15/96. RM:A. . : ·CONSTRUCTION Entered By: Appl/Ownr 619-449~7754 • f *** *** · APPROVAL INSP ~--DATE 7~J-f-/£ . . . CLEARANGE fdf--?6. CITY oi=· CARLSBAD 2075 Las Palmas·Dr., Carlsbad, CA 92009 (6i9) 438-1161 · ' , . . . PERMIT APPUCATION PLAN CHECK NO • City of Carlsbad Building Departaent 2075 Las Palaas D~ •• cartsbad. CA 92009 (619) 438-1161 t PmtMl't TYPE From List 1 (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From List 2 (see back) give : ~e of Structure-Type: ____________________ _ ~ • t l .i "j Net Loss/Gain of Dwelling Units _________________ _ 2. PRQJF.CT INFORMA110N FOR OFFICE USE ONLY Nearest Cross Street LEGAL.oEscRIM'IoN Lot No. sulxhVJSIOn Name/Number. Omt No. Phase No. CHECK BELOW IF SOBMII nm: 0 2 Energy Cales O 2 Structural Cales O 2 Soils Report O 1 Addressed Envelope ASSEssows PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK -rt::=-"'?Y?P ~ <[Zu~ FoR:: 0:rse~ -5~€. Q.a:,/.S7" l.oT f {. . SQ. IT. # OF STORIES # OF BEDROOMS # OF BATI-IROOMS ~-WN IACI PERSON (tf duferent from apphcanO NAME (last.name first) ADDRESS CI'IY STATE ZIP CODE DAY TELEPHONE 4. APPLlCANt OWN IMCIOR OAG£NI FORCdN'IMCIOR ADDRESS DOWNER OAGEN'l'FOkOWNEk NAME (last name first) CI'IY STATE ZIP CODE DAY TELEPHONE / s. ·PROPfillti OWNRk· .,;t, ,,..._"5'v=Le::P ~C.~L.--..a .q.,.;, 2/rp LLe . . , NAME (last name first) 1v "-=--1 · ADDRESS 1 -,, D 4;i t.<--Le;.-pis:-~41 s rc;;:--ce I CI'IY E=L,_ ~Jo L{ . STATE ~ ZIP CODE q dO ?v DAY TELEPHONE 4: 4:'9;:'f{l g / .,/ 6. OONTRACl'oR O .A -' . ' ( JI "'5 D 3 NAME (last name .first)<'.'.'.1KNc:s:R_Sj"f>r-te. ~:ST.. C.0"<,P ADDRESS I -Z 7° ~LLLESf?'tt::!:" v-..1,.,. l ns;:z CI'IY6-6v'~~--STATE &si... 'ZIPCODE <;!z~..::2-0.·. DAYTELEPHONE c.[..<..(;_q_ 7 7 -SL./- STATE UC. # t.{b 74::3 4' LICENSE CLASS Q CI'IY BUSINESS UC. # DESIGNER_ NAME Oast name hrst) ADDRESS . STATE ZIP CODE DAY TELEPHONE STATE UC.# SIGNATURE DATE s. oWNER-BUIIDEll DECIARAnoN · · Ownei:-Buuder Declaration: I hereby amrm that I am exempt from the ConfracfoPs License Law for the foliowmg reason: a 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 i_mproves 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.). a I, as owner of the property, amtxclusively 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 aJ'!d Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file.a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exempt_ion. 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 dolla~ [$500]). SIGNATIJRE DATE CoMPLEfE rnls SECI10N FOR NON-RESIDEN'nAL BOII.DING PERMIT$ ONLY: Is the applicant or future building occupant required to submit a business.plan, ·acutely ha:i;ardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? · a YES . a 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 ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? . a YES a NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF ~ANCY MAY NOT BE~ AFfER JULY 1, 1989 ~ THE APPLICANT HAS MET OR IS MEETING TI~ RF.QUIREMENTS OF TflE OFFICE OF EMERGENCY SERVICES AND THE Aill POLI.UTION CDN1ROL DISllUCT. 9. wNslR0Cl10N LHNDING AG£NCY . I hereby affirm ffiat there IS a construcuon lending agency for the pedormance of the work for which ffi1s permit 1s 1SSued (Sec 3097(1J C1VJI Code). LENDER'S NAME LENDER'S ADDRESS Jo. APPUCAN I cmtnf1CJmON I certify ffiat I have read ffie apphcauon and state ffiat ffie above mformauon 1s correct. I agree to comply with all City ordinances and.State laws relating to building construction. l 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 THE Cl'lY OF CARISBAD AGAINST AIL UABIIJ.11ES, JUDGMENTS, CDSTS AND EXPENSES WIIlCH IN ANY Y ACX:RUE AGAINST SAID c:riY IN CDN~UENCE OF THE GRANTING OF TIIIS PERMIT. · r xcavations over 5'0" deep and demolition or construction of structures over 3 stories in height. e Building Official under the provisions of this Code shall expire by limitation and become null and void if the ch permit is not commenced within 365 days from the date of such permit or if the building or work authoriz b lr:.JW'J~....-f!t.~!f/,9/'r;Yll•(t'JJ .,!KE~ll!:"'·'°ndoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building . e) t'::JL .,, DATE: "i l Z---1p Wl-IlTE: File YELLOW: AJ>plicant PINK: Finance PERMIT# CB96,1~91 DESCRIPTION: TEMPORARY POWER CONSTRUCTION CITY OF CARLSBAD INSPECTION REQUEST FOR 07/29/96 POLE-CORNEF.STN TYPE: ELEC JOB ADDRESS: 1894 RUTHERFORD RD APPLICANT: CORNERSTONE CONSTRUCTION CONTRACTOR: OWNER: REMARKS: MW/SCOTT/~89-409~----- SPECIAL INSTRUCT: ;·i!IO?{-P~J>.R; WE!S A?1 '.J 1-----___ ,_._ ... --. -- TOTAL TIME: CD LVL DESCRIPTION 32 EL Const. Service/Agricultural -----------------------------. ·----------------------------------------- PHONE: PHONE: PHONE: ACT COMMENTS ***** INSPEC~ION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS INSPECTOR AREA TP PLANCK# CB961291 OCC GRP CONSTR. TYPE NEW LOT: