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Home My WebLink About2105 RUTHERFORD RD; MULTI-PERMIT FILE; CB102031; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-02-2010 Sign Permit Permit No: CB102031 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2105 RUTHERFORD RD C~AD SIGN Lot#: 0 2121202000 $5,000.00 Construction Type: NEW GENOPTIX: NEW ILLUM SIGN Owner:, Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/02/2010 JMA 11/02/2010 11/02/2010 INTEGRATED SIGN ASSOCIATES BLACKMORE RUTHERFORD INVESTMENT 1160 PIONEER WAY EL CAJON, CA 92020 619-579-2229 Building Permit Add'! Building Permit Fee Plan Check Add'! Plan Check Fee· Electrical Fee Renewal Fee Add'! Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES PO BOX,424. RAN,CHO SANTA f=E CA 92067 $72.31 $0.00 $47.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $119.31 Total Fees: · $119.31 Total Paym~nts, :Po D_ate: $J 19.31 Balance Due: Inspector: i \ : -~: :,) ,:I :, :, :'. ' I ::~ j Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project inclydes 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 Gode 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. ,,, «~ Building, Permit Application 1635 Faraday Ave.,.Carlsbad, CA.92008 160-602-2717 / 2718/ 2719 Plan Check NQ. CB { 0 2-0 ~ · ¥ CITY OF CARLSBAD JOB ADDRESS CT/PROJECT,#. EXISTING USE CONTACT NAME (If Different Fam App/leant) ADDRESS CITY PHONE EMAIL ADDRESS -CITY PHONE EMAIL ' ARCH/DESIGNER .NAME & ADDRESS Fax: 760-602-8558 www.carlsbadca.gov · SUITE#/SPACE#/UNIT# Est. Value Plan Ck. Depo!;lt -GARAGE (SF) PATl9S (SF) DECKS'(SF) FIREPLACE YESD #_ APPLICANT NAME ADDRESS CONTRACTOR BUS. NAME ADDRESS i .~'1'1 -· -PHONE EMAIL STATE UC.# Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: SWPP ' CONSTR. TYPE OCC. GR9UP FIRE SPRINKLERS NO D YES -D NO D CJ I havnnd will 111alntaln a_ certlficat~ of consent to self-Insur~ 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. "fl{ I have and will maintain wo~ompensation, as required by Section 3700 of the Labor Code, for the performance of the work for w~h this permit is issued. My wQrkers' compensation iJti carrier and policy number are: Insurance Co. • ~t4/ <4 U<«/-f .Lr. G:. -Policy No. f"'ltuec I a :SS-f'. 5'. Expiration Date I~. ll This section need not be completed if the permit Is for one hundred dollars ($100) or less. (j Certificate of Exemption: I certify that in the performance of the work for-which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage ls unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to.the cost of compensation, damag provided for In Section 370 of the Labor code, interest and attorney's fees. ,N$ CONTRACTOR SIGNATURE e I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: CJ 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 \\tlo 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. lf1-,however, the building or improvemenfis 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). CJ I, as owner of the property,.am exclusively contracting with licensed contractors to construct th~ P.lpj~ct (~ec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properfy who builds iJr im~roves thereon, and contracts for such projects with contractqr(s) licensed.pursuant to the Contractor's License Law). CJ I am exempt under Section ---~Business and Professions Code for this reason: 1. I personally plan to provide the majQr labor and materials for construction of the·proposed property improvement. -CJ Yes CJ No 2. I (have / have not) signed an application for a building pennii for the proposed work. 3.1 have contracted with.the following perslin (firm) to provide the propqsed construction (include name ~ddress /phone/ contractors' license number): 4.1 plan to provide portions of the work, but I have hired the rollowing 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): ,N$ PROPERTY OWNER SIGNATURE []AGENT. DATE > ,, Is the applicant o; futu're'builiing occupant required to submit a business P.!5..acutely haz~rdous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the PreslefTa.nner Hazardous §ubstance Account Act? 0 Yes ~N9 Is the applicant or future building occupant required' to obtain·a permit from the air pollution control di~trict or air quality management district? CJ Yes ljfNo , Is the facilityto'be constructed within 1,000 feet of the outer boundary.of a school site? CJ Yes 'CJ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNl:ESS 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 aboYe 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 represenlawe of the City of Carlsbad t, enter upon the above rnenti:Jned property for ilspecoon purposes. I ALSO AGREE TO SAVF., INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL llABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pen111t Is required for exqavations <11er 5'0' deep and demolition or constructkm of structures over 3 slolies i1 heght · EJ<PIRA TION: Eveiy pen11it ~ed by the Building Official unoer the provisions of this Code shall expire by lirfiltation and become null'imd void if the buildilg or work authorized by such pen11it is not commenced y,;thin 180 days ti'om the dale of such permit or if the idilg or v.ork authorized by such permit is suspended or abandoned at any lime after the v.ork Is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code) . ...@S' APl1LICANT'S SIGNATURE DATE -------·-----~ City of Carlsbad Bldg Inspection Request For: 01/14/2011 Permit# CB102031 Title; GENOPTIX: NEW ILLUM SIGN Description: i'ype:SIGN Sub Type: Job Address: 2105 RUTHERFORD RD Suite: Lot: 0 Location: APPLICANT INTEGRATED SIGN ASSOCIATES Owner: BLACKMORE RUTHERFORD INVESTMENT Remarks: PLEASE INSPECT 10AM TO NOON Total Time: CD Description Act Comments Inspector Assignment: Phone: 6198437542 Inspector: L Requested By: MIKE Entered By: CHRISTINE 38 Signs Al --------'------ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments / City of Carlsbad .!!1 1635 Faraday Av Carlsbad, CA 92008 05-01-2006 Sign Permit Permit No: CB061170 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2105 RUTHERFORD RD CBAD SIGN Lot#: 0 2121202000 $3,000.00 Construction Type: NEW SUN DIEGO CHANNEL-LOGO &LETTER SIGN Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/01/2006 KG 05/01/2006 05/01/2006 INTEGRATED SiGN ASSOCIATES BLACKMORE RUTHERFORD INVESTMENT 1160 PIONEER WAY EL CAJON, CA 92020 619-579-2229 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES PO BOX424 RANCHO SANTA FE CA 92067 $45.79 $0.00 $29.76 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $75.55 Total Fees: $75.95 Total Payments To Date: $75.55 Balance Due: Inspector: FINAL Date: f:>PR.,OVA~ -/ ... ~-Clearance: $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 filEl 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 n f i h . . i 'I . hi h f Ii i . h I h PERMIT APPLICATION CITY OF CARLSBAD 'BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Address (include Bldg/Suite #I -Legal Description Lot No. Subdivision Name/Numb.er· Assessor's Parcel # Existing Use Name Address City Name Address · City FOR OF.FICE USE 0)1,L Y PLAN CHE-~K-No.Le:t1h l11tl 3 DAO , , EST. VAL. .,..........,f-=---ll.-----~-- Unit No. Phase No. Total # of units Proposed Use State/Zip Telephone# S.tate/Zip Telephone# (Sec. 7031.5 Business and Professions Code: Any City or County which requini_s Jl p!)rmit 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 i!! licensed pursuant to the provisions of the Contractor's License Law [Chl!Pte.r 9, commendiog with Section 7000 of Division 3 of the Business and P.rofessions Code) or that he is exempt therefrom, and the basis for the alleged exem ·on. Any violation of Sec ion 7031.5 by a y applicant for a permit ~cts the applicant to a civil penalty of not more than five hundred dollars [$5001). ' /& MP 'i""Y 2=/c'c;". (1-4 WI ~.s d'~I A City State/Zip Tel p one State License # ---'--'-....:C-(,.~:c..,,~oL--License Class --"='----'-...... =----City Business License # fpt~·:z· ~~~~~c_~ Designer Na.me Address City State/Zip State License# _______ _._ __ tijEJlft<mJltil[QRieiNI{tRlt'!~;f/JZ0~~tr~~~:i'2:~%~~)11~~1:~rS,~:~~~~~~:IJ;;;it$~~~~~,L~M~1:~~£~%'£Jit~~~~t~~~~~z~'t1~~~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ave_ and w:ill maintain .a i:ertificate of consent to self-insure for. workers' compensation as provided by Section 3700 of the Labor Code, for the performance f ~ th~ ~erk 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 DOUARS ($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'°Compensation Laws of California: . . -. .. . . WARNING: Failure to secure workers' compensation coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100, 0), in additl o the cost of compenaatlon, damages as provided for in Section 3,706 of the Labor code, interest and attorney's fees. !~><~;~:~~~•'/'"';' ,. ""' "-'""'"'"'.•" ~ "' "/"' ' '"'f~'," f \' ',•>1N••·'""~,· ~--~·•>)11,,,'<'>::r'.-..,-, "s. '~l'-1~~-.,,,~,,,~, .. ?~~:<¾,;£,..,::l.i;:.,;;2 \~'!\>' ',f,', 0,-V~':,>i ,.,,,·~ '"<" '>,. i;7~~~~eJJ8J~~JQ~IIAJ: 'i ~i ~~:J:&1!~i(;;L~-;iJ ... f~ti~~;&~:~,::21; :~.tf 1:i~.:::\::~~i~.~·ti:~~~l~~Tu\'.Y~~t~!?l~~t)!:M~~t{~:~~t}~~:i~~Sl~·{;_~":tJ:~f-,-5~-~,:j I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 i, as owner of the property or my.employees with wages as th11ir•sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business !Ind 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 Qne 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 licen~ed-contractors to c_onstruct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builils or improves thereon, and contracts for such projects with contractor(sl 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) signed.an application for a building permit for the proposed work. 3. I hal(e contracted __ with the following person (firm) to provide the proposed construqtion (include name/ address/ 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 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 number/ type of work):. _______ ~------------------------------------------------- PROPEf!TY OWNER SIGNATURE __________ ....,....____________ DATE ________ _ .)"-t<' ..... ,,~............._.,....,,-,., ................ ·~· A--~·~-"~-<!'-' ~~~o;a~;,t,.~am•~-"ii"'"' , .. ......,..,.,.,~ .....,.ri .. al .,..,.,... ...... itt><"'!?"'"'""""~1"t-r.>Jk."l;'"i~\C:,_'"~'-l..,~'~~->w:>-:t;r• '~-4 ~-1t, ... 1 .. ~!~~N·-T"" ,r,,•'f:Jl.. ........ M&%~,G,::-n:,""*•"~,•'\t(T' ,'K.,. .. ":<-r.""--_,~f-'' 1"~~~'<r-!§QMPD11.iltlli-&QllQff1..Qftt:IJJt-ilr!E~;(~Qll;;PJ!'!qJf.Jl'l!w.Dl::9.n!.lY~ti~~~:b::;~{t5t.lltt,;;,~~~.l\.')',~ui~~~-1~1l!) :3,.'/f:.'.,,;:;;,..<,~11;.*¼¾i10 Is the -appiicant 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 O NO ls 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 pe constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO IF ANY OF THE ANSWERS ARE'YES, A FINAi:. 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 CONTijOL DISTRICT. 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 NAME _____________ _ LENDER'S ADDRESS. ________________________ _ li~~~1~~:~:Itt~~l:\;5:I~J!t)J;;tiiii1ii~S:~~~0::f~1i!jfJ:I~t~~~?1~tfa½~~~~:t.~~~t;~;~!f'}~Il~l~i2:~1 I certify t_hat 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 c11nstruction. I hereby authorize representatives of the Cit~ of Carlsbad to enter upQn 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 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 sych permit is.not commenc within tao days 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 comma for a period 0 days (Section 106.4.4 Uniform Building Code). DATE ---'S=--___._f._ ... .....,D"'--'o'(o.-<'----- plicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/01/2006 Permit# CB061170 Title: SUN DIEGO CHANNEL LOGO &LETTER Description: SIGN Type: SIGN Sub Type: Job Address: 2105 RUTHERFORD RD Suite: Lot 0 Inspector Assignment: RB --- Phone: 6198437376 Location: Inspector: OWNER BLACKMORE RUTHERFORD INVESTMENT Owner: BLACKMORE RUTHERFORD INVESiMENT Remarks: Total Time: CD Description Act Com,ment ---- Requested By: ERIC Entered By: JANEAN 39 Final Electrical ~C------'-----------563~ -/1~. ------ ·Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments ,; B U I L D I N G P E R M I T Permi.t No: CB97045~ · Projeci No: A9J00616 Development No; 03/05/97 14:42 Page 1. of 1 Job Address: 2105 RUTHERFORD RD Suite: Permit Type: SIGN Parcel No: 212-120-20-00. Lot.#:' Valuation; 2t900 Occupancy Group: Reference#~ Description: ONE PLEXIGLASS_ON FOAM-15 SF' : RIP CURL Appl/Ownr ! SIGN-ON *** 11249 CALENDA SA.L\l DIEGO CA Fees Required 619 . 30(8 03/05/97 0001 01. 02 C-f'RMT ,1U,.;{Xt · constt:uction Type: NEW Status: ISSUED Applied: 03/05/97 Apr/Issue: 03(05/97 Entered By: RMA 485_;?940. FIN~PPROVAL . IN~--~ ___ DATE~~f7- '· CITY OF CARLSBAD. 2075 Las Palmas Dr., Carisbacl, CA 92009_ ({jl9). 438-1161 .. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 , (760) 438-1161 Lot No. Subdivision Name/Number 'Assessor's Parcel # Existing Use . FOR OFFICE USE 0'1v Y . . . PLAN CHAK NO. v(l{J4:!J~ EST. VAL. d.. i qoo . , , . , · 'Plan Ck. D~posit ________ _ Validated By_ , ~ Date .3· /5/'17' Unit No. Phase No. Total # of units Proposed Use ~L~r.m9~~~~-~~A~f\•i¥~:". .. ;.i~~:~:_,'""~..:::~'.'.=:~;:,"~:.f~b Name Address ·Chy,-· State/Zip Telephone # [£ ,PflfflRIY-OWNER . , · · ,,,,,;,,,,,,,,,,,,;,,_, · ., · '. ~~· ·. , . Name Address S,tat,e/Zip Telephone_# t~A::":qO.N,tf\AQ-TQ~,,PJ,!IP~NY::tl4.M!i.:::..' ... : .: ... .,-....:.,,.._,· ,. ,,, .. ~'i:.~-'-'~, (Sec. 7031.5 Business and Professions Code: Any Cjty or County which requires a permit to consiruct, alter, improve, ·de_niolish pr repair-any structu.re·, prior-to its issuance, also requires the applicant for such permit to file a signed statement that he is licensli!d pu_rsuant to the provisions of the Contraqtor'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 i;nore than five hundred d~l,lars [$500]). Name State License# _,{a __ O~J __ Q_l/_q __ Address / License Class _{;"'""',,__4......,_,..~.c,_-- City ,· State/Zip ,...,Tlelephon~ · /1:-, /1 ' · City Business-License # 5 R, t-t1 ~ ~ • ~ rD 5" J Cf J- Designer Name State License # Address CiW State/Zip ;relephone 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. D I have· and will maintain workers' compensation, as required by Section ·3700 of the Labor· Code, tor the performance of the work for which this permit is ·issued. Myworker's compensation insurance carrier and policy number are: Insurance Company _____ --'~-----'---------Policy No. __ ~---------Expiration Date _______ _ '(TH~ SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) · 0" CERTIFIC~ TE OF EXEMPTION: I certify that in the performance_ of the work for which thii; 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 se workers' mpenaation coverage la unlawful, and shall subject an employer to criminal penalties ·and civil fines up to one hundred thousand doll O d' on to the cost of compensation, dama~es as provided for in Section 3706 of the La~ coc!e;,J!lte~s~d attor,:iey's fees •. SIGNATURE,~---==:J--U---1-_,_ ____________________ DATE ~ '') •J "_J_ , ~AQ.Yift~~-lll!;QL·, .. .Q.~OJ! __ -.,~:: .:.. "----· : .:..,;,,~ .. L~, __ ::;.:,,,,!,,;,, __ ,,,,;;.,~~:::...:. • .:;. ;_~;,,.~.:,;,.~.~.::...:_:,;,:,,, .::.:..:.'.'~'1.i':~:&·t..J"_::::·:_;'{':,L:·;,::'i.:<;... I hereby affirm that I am exempt from the Contractor's License Law for the following reason: · tJ 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 fqr 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 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 fo·r such projects with contractor(s) licensed .pllri;uant to the Comr!lctor'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 propertx-improvement. D YES ONO, .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 I address / phone number /-contractors license number):·, 4. I plar1·to provide portions of the work, but I have hired the following person to coordinate, supervise and provi'de the major work (include name / address / phone , ·nµmber / 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 number / type of work): · · •·PROPERTY OWNER SIGNATURE______________________ -DATE ________ _ h"' ""' ~ ·---" ,,.,._, ~-· ,ti 0 .. ,ir,·-~",(;,.ji:j ____ ,, __ ,,=:-w-µ ·~·--__ ,_, ~--,~~-' ----~~,~ •·~-, ,, -,:;;,,~., 0,,,,,,,,,7"'_'~' -,, ,,, __ , •'•"'11 i~Q..Mfb.~~;'.§J.QI,.Q~Q.Di.N!ll!f.lBlP~4.:lU,,U;PIN,,;'1.J:.RNIJ1$~:QNJ;.X~,,;,,~;;,; ;;,', -i ,:~:_;;.:_:::.,,:;;,;~~-t ~, . .:£~~~c:.::. .. t:~:.1.:?3J:Cit::.::.i,'::,"'::d.L0::;,,1:;:;:;::,J1.\f Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention pro!;lram 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 sct,ool site 7 0 YES Cl 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. . .. . . ., it:i;:-~~Hli1llf§m8llt!QJN,U4 .. ~~~ .-d~ .. ~~~:):~iz~,:iL.,;i:-~ _-_;_ , } -. :.~~;--.2~: :!~:t;i(~-~t-: .... :i ~~~~-~~~U&-;~3i)~:1~:~~£,,£~=0~h:I:~::s~kr~~::::rl{~1 I hereby affirm that there is a construction lending agency for the performance of the work for which thji; permit is issued (S_ec. 3097(i) Civil-Codeh LENDER'S NAME LENDER'S ADDRESS [~,,;:,·'P,.1!,e,IA,c;Af!tf:«;_lil!!lfl~;;k,~~.,;,'.;,:,;.,,,.~,,.,.:.,.::. _ _;,,L,~,,~·"';,,~,;:;:.·;:.i-....,_:;;,';""'""""':::_::,;:::::;_~:;::,,,=.::::.,;::,.:::'"':;;.,,,:;:.-·==:.:.,:;:::..:;:--::;;;1~;::;: __ ;:;:;.,::: ... ::;,=-.._;:,_,:::.=.,~=·.=::;:,:::;,.::::,:;:,,:::,:;:_i;;;:'·.::.C=':'."=,;::'=~;::~;:_"";:_:·;:-·;:,:;:;_,;::,"";:-::;:,,,~;:;:'-;:'~;::;,,~i ,1 certify that I nave-read the application and state that the above information is corr~ct 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, JUDG!'JIENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN' CON!iEQUENCE OF THE GRANTING OF THIS PERMIT: OSHA: An OSHA permit is required for excavations ql{er 5'0n 'deep d demolition or construc:t'i?n of struct1.1res ,over 3 stories 'in height. - YELLOW: Applicant PINK: Finance