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Home My WebLink About1896 RUTHERFORD RD; ; CB112062; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09--29-2011 Miscellaneous Permit Permit No: CB112062 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: 1896 RUTHERFORD RD CBAD MISC Subtype: 2121203000 Lot#: $0 00 ISIS: DEMO TO RETURN SPACE TO SAME BEFORE ISIS OCCUPIED OTHER 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: TONY MANSOUR 5897 OBERLIN DR #111 P D G CARLSBAD 46 LTD SAN DIEGO 92121 858-558-1509 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT 1825 GILLESPIE WAY #102 EL CAJON CA 92020 Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due: Inspector: -g,~ Fl NAL AhROVAL Date: //; · -o/u / . Clearance: ISSUED 09/26/2011 JMA 09/29/2011 09/29/2011 $65.00 $0.00 $0.00 $65.00 $0.00 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 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 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 thair 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 fees/exactions of which vou have l!.@.Viouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired. CITY OF JOB ADDRESS CT/PROJECT# LOT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date q z,.t,, 1,( SUITE#/SPACE#/UNIT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) O'(- SWPP CONSTR. TYPE OCC. GROUP EXISTING USE ~q/LM PROPOSED USE ~~fl, GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES O #_ NO O YES O NO D YES O NO 0 >'~ J .. ZIP • i I VL/ CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS yi'Jj\H;>&JLI)''\.-~h~-~ CLASS (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 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: I hereby affirm under penalty of perjury one of the following declarations: D 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 perm it is issued. "S171 have and will maintain workers' compensati , as required by ection 3700 of the Labor C de, for the performance of the work for which this permit is issued. My workers' compensation in ura e carrier and policy -~ber are: Insurance Co. !C'.. ... ~ :J/:r Policy No. 'Z .. :z .. ~~ '7'-{ II t Expiration Date I I :1- This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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 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 i ion 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE ._.-;--;, ~ENT I hereby affirm that I am exempt from Contractor's Ucense 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). D 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). 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. D Yes D No 2. I (have I 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 I phone I 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 I address I 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 I address I phone I type of work): ~ PROPERTY OWNER SIGNATURE 0AGENT DATE 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? 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 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 certify thatl have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all Cily ordinances and State laws relating to building construction. I hereby authorize IBpresentative of the City of Carlsbad to ent e 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 ENSE 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 o 5'0' deep and emolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building cial under the p visions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenoed Vlithin 180 days from the date of such permit or if the b · ing or work autho · ed by such pennit is suspended or abandoned at any time after the work is commenoed for a period of 180 days (Section 106.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 11/29/2011 Permit# CB112062 Title: 1515: DEMO TO RETURN SPACE TO Description: SAME BEFORE 1515 OCCUPIED Type: MISC Sub Type: OTHER Job Address: 1896 RUTHERFORD RD Suite: Lot: Location: OWNER P D G CARLSBAD 46 LTD Owner: P D G CARLSBAD 46 LTD Remarks: d~mo inspection ---Total Time: CD Description 0 Act Comments Inspector Assignment: Phone: 6197265159 Inspector:£ Requested By: RYAN/DOUG Entered By: CHRISTINE Frame/Steel/Bolting/Welding Ll{!__ ___________________ _ ~--1--- -----------------------· --------------·---------------··--·---------------·-·-------·-·---------- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments CB112062 1896 RUTHERFORD RD ISIS: DEMO TO RETURN SPACE TO C" A UC DCC'r'\DC IC'IC" ~r"I IOlt:n. l:JCV Approved Dat~ By BUILDING 'ff?r---lit t.A.-;,," PLANNING 7 I r ENGINEERING FIRE Expedite? y N AFS Checked by: HazMat APCD Health fc Forms/Fees Sent Rec'd Due? By Encina y N Fire y N HazHealthAPCD y N PE&M y N School y N 9'(2-1/,, -Sewer y N Stormwater y N Special Inspection y N CFD: y N LandUse: Density: lmpArea: FY: Annex: Factor: PFF: y N Comments Date Date Date Date Building Planning Engineering Fire Need? CJ Done CJ Done CJ Done CJ Done CJ Done SW CJ Issued