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HomeMy WebLinkAbout2105 RUTHERFORD RD; ; CB100797; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-07-2010 Miscellaneous Permit Permit No: CB100797 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2105 RUTHERFORD RD CBAD MISC Subtype: 2121202000 Lot #: $0.00 GENOPTIX: DEMO INTERIOR WALLS OTHER 0 BOTH 1ST & 2ND FLOOR IN PREP FOR Tl: CB100443 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/07/2010 JMA 05/07/2010 05/07/2010 RENO CONSTRUCTION RENO CONTRACTING INC. BLACKMORE RUTHERFORD INVESTMENT STE 100 1450 FRAZEE RD PO BOX424 SAN DIEGO CA 92108 619-220-0224 RANCHO SANT A FE CA 92067 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $65.00 Total Payments To Date: $65.00 Inspector: .:Z~ FINAL APP/OVAL Date: /Z,,/( /II Balance Due: Clearance: $65.00 $0.00 $0.00 $65.00 $0.00 NOTICE: Please take NOTICE th&l approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set for\h in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. ) OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. Est. Value Plan Ck. Deposit Date CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) /'?~.,~ lN f"'t:. tz.l o ~ tt,A,1 4'L(._$. EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY. OWN R NAM~ . ,4 ,-·. <'I <: t7l-A -c.~/C JUo /<-i:, EMAIL ARCH/DESIGNER NAME & ADDRESS STATELIC. # PATIOS (SF) DECKS (SF) APPLICANT NAME ADDRESS CITY PHONE EMAIL EMAIL FIREPLACE YESD #_ NOD STATE FAX CLASS i5 AIR CONDITIONING YES D NOD ZIP FIRE SPRINKLERS YES D NOD (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 ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D) have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 19 I have and will maintain worker'!'._~.9)"Pens,ti9J1, as requjjd );>Y Section 3700 of the Labor Code, for the performanc o_ut,e work for y,hi~his pe it is is ued. workers' compensafo ns nee earner and policy number are: Insurance Co. L P,'Ai,r 'tz.-t-tf:..~.G, Policy No. '1 tf::.. tf 1$, S / L-5 Expiration Date / I /) 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 hund ed thousand dollars {&100,000), in addition to the cost of compens da ges as provided for in 5 io 3706 of the ·abor code, interest and attorney's fees. ,,,,,-,- ~ CONTRACTOR SIGN "> I 7 I hereby affirm that I am exempt from 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). 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 I 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 aAGENT 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 that I 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 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA perm~ 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 ~ the building or work authorized by such permit is not commenced within 180 days from the date of such ~~ if the building or work authorized by such perm~ is suspended r abandoned at any time after the work is commenced for a ~ ·oct of 180 ays (Section 106.4.4 Uniform Building Code). _2$ APPLICANT'S SIGN&€!..~tl./LL"'~ ' -~-DATE ' "' City of Carlsbad Bldg Inspection Request For: 12/02/2010 Permit# CB100797 Inspector Assignment: TP --- Title: GENOPTIX: DEMO INTERIOR WALLS Description: BOTH 1ST & 2ND FLOOR IN PREP FOR Tl: CB100443 Type: MISC Sub Type: OTHER Phone: Job Address: 2105 RUTHERFORD RD L Suite: Lot: O Location: Inspector: APPLICANT RENO CONSTRUCTION RENO CONTRACTING INC. Owner: BLACKMORE RUTHERFORD INVESTMENT Remarks: I THINK YOU CAN FINAL THIS PERMIT Total Time: CD Description Act Comments Requested By: CHRISTINE Entered By: CHRISTINE 19 Final Structural Af ~~~~~~~~~~ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments