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Home My WebLink About2109 RUTHERFORD RD; ; 84-319; Permit.,, z 0 j:: C IIC C .... (J .., Q O I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with U [ Section 7000) of Division 3 of the Business c and Professions Code, and my license Is In ~ full for~ Al)(l,.11U111,t. z L1c No _L_L_~LL_) L Class C -10 0 (J IIC .., Q ... 5 ~ .., z ~ 0 z 0 ~ z .., IL :I 0 (J .,, ic w :,,: IIC 0 ~ I hereby aflirm lhat I am exempt lrom the Contrac- tor's License Law lor the following reason (5ec. 7031.5 Business and Professions Code. Any city or county which re-quires a pemut to construct. alter, improve. demohsh. or repair any structure. prior to ,ts issuance also requires the ap· r!~~~Ofp~~;~.~'\':;1 ,1~e1i1gr!}~?~ ::ai.:·'&i:i~!c~!!: License Law (Chapter 9 commencing with Sacl1on 7000 of Div1s1on 3 of the Business and Professions Code) or that 1s ex· empt therefrom and the basis lor the alleged exempt,on Any v1olallon of Section 7031.5 by an apph<:anl for a permit sub- 1eets the applicant to a CMI penalty of not more than live hun· dred dollars ($500). CJ I, as owner of the property. or my employees with wages as their sole compensation. will do the work. and the struc· lure Is not intended or oflered tor sale (Sec 7044. Business and Professions Code. The Contractor's License Law does not apply to an owner ol property who builds or Improves thereon and who does such work himself or through his own employees. provided that such Improvements are not Intend-ed or oflered lor sale. II, however. the butlding or improve- ment IS SOid w1th1n one year ol completion, the owner-builder wlll have the burden ol proving that he dlO not build or im-prove lor lhe purpose ol sale) D I, as owner ol the property, am exclusively contracling with licensed contractors to construct the project (Sec 7044, Business and Professions Code The Contractor's Lkense Law does not apply to an owner ol property who builds or Im· proves thereon, and who contracts for each proiects with a contractor(s) license pursuant to the Contractor's License Law). D As a homeowner I am improving my home, and the lollow· Ing conditk>ns exist 1. The work 1s being performed prior to sale. 2 I have lived in my home lor twelve months 3. rr:v~ :;1P~~1:.i°' tt~;'; :~~pt,on during the last three years. D lamexemptunderSec. ______ ,B&P.C. 10< this reason ___________ _ D I hereby affirm that I have a cen1f1cate of consent to self-insure, or a cert1t1cate of Workers' Compensation Insurance. Of a cert,t1ed copy thereof (Sec 3800. Labor Code) rt POLICY NO WC5 8WBCB4 184 COMPANY HARTFORD 0 Copy 1s hied with the city 0 Cer11hed copy ,s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE (This section need not be completed ,I the perm11 1s tor one hundred dollars (S 100) or less) 0 I cen,ty that ,n the per1ormance of the wo~ to, which this permit 1s issued I shall no! employ any person 1n any manner so as 10 become subJect 10 the Wofiilers · Compensation Laws of Cahfom,a NOTICE TO APPLICANT II after mak1n~ tn,s Cert, t1cate ot Exemption. you should t>ecome sub1ec1 t? the WoOCers' Compensation pro.,.,s,ons of the Labor Code you musl forthwith comply wllh such prov1s1ons or this perm,t shall be deemed revoked 0 I hereby affirm !hat lhere 1s a cons1ruct1on lencimo agency tor lhe performance ot the wor.. for which 1h1s perm11 ,s ,ssued (Sec YS7 C1v11 Code) Lenders Name __________ _ Lender'sActoress ---------- USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (714) 438-5525 JOB ADDRESS AV. ST.I DATE OF APPLICATION' ~ESS LICENSE # VALUATION PERMIT NUMBER RO. 2109 RUTHERFORD ROAD 6-8-84 5868 319 OWNER'S NAME I OWNER'S PHONE CONTRACTOR j CONTRACTORS PHONE • ZONE CARLSBAD RESEARCH CENTER 2 92-5550 SOUTHERN CONTRACTING COMPANY 744-0760 OWNER'S IVIA LING ADDRESS c~~'f~T.0'r\lffiRb5AKS VALLEY RD. LICENSE NO. PLAN 1.0. # BLDG USE CODE 7330 ENGINEER RD., SAN DIEGO,CA. 92111-1 464 SAN MARCOS. CA. 9 2 06Q 222252 LOT I BLOCK I SU8D1v1S10N C L SB.R.C .03 I ASSESSOR PARCEL NO. DESIGNER LICENSE " STANDARD PLAN # BUILDING SO. FOOTAGE DESCRIPTION OF WORK DESIGNER"S ADDRESS DESIGNER'S PHONE 200 AMP THRE E PHASE POWER FOR TEMPORARY SEWERAGE -F/P FLA ELEV. NO OCC GP EDU LIF T STAT ION REL OCAT I ON STORIES vO NO --- CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRADING f'.ERMtT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST YO ND vO NO vO NO Nor Valid Unlffs Machint ~rtifitd QTY. PLUMBING PERMIT -ISSUE 7.-S"'o QTY. MECHANICAL PERMIT · ISSUE ::J~tJ-rJ SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01·00-00-8220 EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 EACH WATER HEATER ANO/OR VENT -r BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00-00-8222 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 105.00 -- EACH INSTA~. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00-00-8224 EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHDME 01 ·00-00-8225 -- WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) <:nl Al> n1.nn.nn.aooc _l TOTJ.L MECHANICAL STRONG MOTION 80·92-33-0519 r ·-TOTAL PLUMBING FIRE SPRINKLERS 01-00-00-8227 QTY. ELECTRICAL PERMIT -ISSUE s;(Jl) QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32-00-00·8923 BRIDGE FEE 1 NEW CONST EA AMP'SWT 8KR -200 100.00 COLLECTORS SCHOOL FEE • DISTRICT 1 PH {3PV STORAGE TAN KS Carlsbad 80·92· 21-0519 EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE -Encinitas 80-92· 22-0519 1 PH 3 PH PUMP SanD~to 80-92· 23-0519 -----.. REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92· 24-0519 ----------TEMP POLE 200 AMPS -------OVER 200 AMPS >--->---·-TEMP OCCUPANCY (30 DAYS) ---------~--- 1 -----·----TOTAL ELECTRICAL 105.00 TOTAL SOLAR TOTAL FEES PAYABLE I 105 .00 I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" ANO 00 HEREBY Expj,.lion Every perm,t •Hued by the Bu~dlng Olllcoal under the prov,s,ons oh hos * AN OSHA PERMIT IS REQUIRED FOA EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shllll expire by llmll•tlon and become nun and void t! the buold,ng or work 5· O" DEEP ANO DEMOLITION 0A CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such perm,t ,s not commenced within 180 days from the date ol such STAUCTUAf:S OVER 3 STORIES IN HEIGHT permit. or o! the buoldo~ or work authonzed by such perm,! 11 suspended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON-tlbandOned at anv tome r the work os commenced !or a """od of 180 "•v• STRUCTION. WHETHER SPECIFIED HEREIN OR NOT 1 ALSO AGREE TO SAVE INDEMNIFY ANO AP~T;J;i7Mn ~WNERo CONTRACTOR~ APPROVED BY ~ 1ft# KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE Q GRANTING OF THIS PERMIT ~ ·, , .!!1 ii: >, «i 0 a. E Ql t- i :!:! 0 <,:, c <11 -~ a. a. <( I 0 U) U) Ql U) U) <( I 3: .Q ai >- u," U) • Ql 0 0 a: <11 «i 0 §: Ql 0 C: <11 C: ii: C: Ql ~ <,:, 0 0 Ql a. U) C: INSPECTION TYPE DATE INSPECTOR BUILDING ' I FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND ~HOWER PAN GAS TEST ELECTRICAL . TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. -SMOKE DETECTOR MECHANICAL -. DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. JOB SITE FINAL PLUMBING -ELECTRICAL --IIIA4~ <: .._;. MECHANICAL I '/ GAS ' I I BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED . q 'Sic/-~/ ' . ~ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSP ECTION REO. IF INSPE CTOR'S DATE CHECKED APPROVAL ' . SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED - CONCRETE POST TENSIONED CONCRETE FIELD WELDING .. HIGH STRENGTH BOLTS SPECIAL MASONR\" I PILES CAISSONS --' I -· ' ' . .. . ' -- - I • -...._ --·--, \ I