HomeMy WebLinkAbout2111 RUTHERFORD RD; ; 84-317; Permit-~ ~~ I hereby affirm that I am licensed under CJ' A I provlalona of Chapter 9 (commencing with
0 [ Section 7000) of Division 3 of the Business
<C and Profeaalons Code, and my license Is In
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I hereby •llarm that I am exempl from lhe Contrac· tor s LM:011se Law lor ll>e tollow,ng reason (Sec 7031 5 Business and Professions Code Any c,1y or county which re-
quires a permit to co~struct. alter, improve, dernohsh, or repair any structure, pno, 10 ils issuance also requires the ap·
p1,can1 tor such permit 10 Ide a signed slalemenl Iha! he ls licensed pursuant lo Ille provisions ot Ille Con1rac1or·s
Ucense law (Chapter 9 cammenc.ng wffh SecliOn 7000 of OMsion 3 of Ille Business and Professions Code) or l!lat ,sex empt lhe,etrorn and lhe basis tor lhe alleged exempt,on Any vtOlation o1 Sechon 7031_ .5 by an appllcanl lor a perm,! sub-
JOCIS lhe applicant lo a c,v1I penalty o1 nol more !nan t,ve hun· dred dollars ($500).
n ' as OWne{ of !he prlll)Orty, or my employles w,111 wages
as lhett sOle compensation. w,d do lhe work. and lhe slruc-lure 1s no1 ,n1ended or ottered tor saie (Sec 71M4. Business
and Professions Code The Contraclor°s License Law does :r::1rn~0 ;{'., ~oen:r.::~r=t~.=. ~l~~~~:c:~
employees, provided Iha! such Improvements are not intend· ed or olle,ed lor sale 11. howll'tef, the bulld,ng or ,mprove-
menl ,s sold w1lh1n one year of completion. the owner-bu,1dor will have the burden ot proving thal he d,d nol build or Im-
prove for the purpose ol sale).
D I, •s owner of ll>e property. am exelus,vety conllachng
w,lh licensed contrilciors 10 conslrucl lhe pro,ect (Sec. 71M4. Business •nd Professlons Code· The Contractor's License
Law does nol •ppfy lo an owner o1 prQ!)erty who builds or Im-proves I hereon. and who conlracls lor each projects w1lh a
conlraclor(s) license pursuant lo 1he Contractor's License Law)
D As a tion.wner I am ,mprov,ng my homo, and lhe follow·
Ing cond1lions exist t l~:":~!.s ~~ ;r1:: r~'°' :.:emonlhs n:v~ :;1P!~°' 11~i: :plion dunng lhe lasl three years
g /J:r':":t under Sec ------. B & p C
0 I hereby affirm that I na..-e a cert11icate of consent
to self insure, or a cen,ticate of Workers
Compensation Insurance, or a cen1fted copy thereof
!Sec
3800 u,~~WBCB4,-W POLICY NO
COMPANY HARTFORD
D Copy ,s tiled with the city
0 Cen1hed copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(Hus sectton need not be completed ,t lhe perm11
,s fOf one hundred OOllars IS 1001 o, less)
0 I certify thait 1n lhe pet1o,mance of the wor1t tor
~h,ch this permit 1s issued I shall not employ any
person 1n ~Y manner so as to become subJecl to
the Workers Compen:sat1on Laws ot Calltornia
NOTICE TO APPLICANT If. alter ma1<1n1 lh1S Gen,
ftcate of exemption. y<>u shoukl t>ecome sut)Ject t?
the W<>Bers Compensaition P,OYISIOOS of lhe l.abcM'
Code you must forthwith comply with sucn
prov1s1ons or this permit shall be aeemed revokect
O I hereby athrm t~t there ,s a construction
lendmg agency tor ine performance of lhe wont tor wruch trus perm,, •S ,ssued (Sec 3097 C1v11 Code,
Lenders Name __________ _
Lenders AdOress ----------
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., DATE OF APPLICATION I BUSINESS LIC~ VALUATION PERMIT NUMBER
2111 RUTHERFORD ROAD RD. 6-8-84 5868 tit/ .3/7 OWNl R'S NAME I OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE • ZONE
CARLSBAD RESEARCH CENTER 292-5550 SOUTHERN CONTRACTING COMPANY 744-0760
OWNER'S MA1L1NG ADDRESS
c~~1f"R:o '?w"ffiRb~KS VALLEY RD. LICENSE NO PLAN 1.0. # BLDG USE CODE
7330 ENGINER RD.,SAN DIEGO , CA . 92111-1464 SAN MARCOS, CA. 92069 222252
LOT I BLOCK lc,tRisBAD :I ASSESSOR PARCEi NO R.C.30 DESIGNER LICENSE. r, STANDARD PLAN # BUILDING SO FOOTAGE
DESCR•PTION OF WO RK
DESIGNER'S AOORESS DESIGNER'S PHONE I_ I
100 AMP METER PEDISTOL FOR IRRIGATION CONTROL POW' n -F/P FLA ELEV. NO OCC GP EDU
STORIES
vO NO ---
CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
YO ND vO NO vO NO Not Valid Unwss ~chint Ctrtifilld
QTY. PLUMBING PERMIT · ISSUE 7,&o QTY. MECHANICAL PERMIT · ISSUE 3,do SUMMARY/A CCOUNT N U MBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TD 100,000 STU BUILDING PERMIT 01 ·00·00·8220 ---
EACH BUILDING SEWER OVER 100,000 BTU SlGN PERMIT 01 ·00·00·8221 -_r_ --------
EACH WATER HEATER ANO/OR VE NT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK OHl0-00-8806 ---,_ ___ ---------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 30.00 -------
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00·00·8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01 ·00·00·8225 ----,__ ,___
WATER SOFTNER RELOCATION OF EA FURN ACE/HEATER MOBILEHOME PARK INS_P ____
EACH ROOF DRAIN ( INSIDE) <;nt AR 01-M..M.A??I:
I -TOTl,L MECHANICAL STRONG MOTION 80·92·33·0519 -·· --·1 ---
TOTAL PLUMBING FIRE SPRINKLERS 01 ·00·00·8227 ~ ---
QTY. ELECTRICAL PERMIT · ISSUE J'<10 QTY. SOLAR • ISSUE ~ PUBLIC FACILITIES FEE ---32·00·00·8923
------~ BRIDGE FEE ---f----->-1 NEW CONST EA AMP SWT BK R 100 25 .00 COLLECTORS SCHOOL FEE • DISTRICT
'1 PH )
----~
3 PH STORAGE TANKS ~lsbad 80·92-21-0519 -~ -~-~ ------'ffl'ST BLDG EA AMP/SWT'BKR ROCK STORAGE Encinitas 80·92· 22·0519 ----~ --------1 PH 3 PH PUMP San Diegulto 80·92·23·0519 --------_,_ ~ -REMODEL ALTER PER CI RCUIT PLAN CHECK FEE San Marcos 80·92-24·0519 --------------
TEMP POLE 200 AMPS --OVER 200 AMPS -~-----TEMP OCCUPANCY (30 OAYSl -~ ----+---
------
TOTAL ELECTR ICAL l 30.00 TOTAL SOLAR TOTAL FEES PAYABLE I 30.00
I HAVE CAREFULLY1EXAMINEO THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Exp,rat1on E.,.ry perm,t 1s,uec1 by 1he Bulldtng Offic1at under 1he prov,s,ons of th,1 * AN OSHA P£MtlT IS AECIUIAED FOR EXCAVATIONS OVEII
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code allaH exp,re by 11m1tatton and becoma null and void If the buikltng or wort, S O DEEP ANO OEMOUTlON 0A COHSTAUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS author,zed by such perm1t II not commenced w1th1n 180 days from Ille date of such STIIUCTUR£S OVEII 3 STOAl£S IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING 8UII .. DING CON =~r;;'::0,.~ 1~t t=~y '::'.:1~Re~~t!~~:~!"~~~~l~~~~ r..::~'~,·~'!.~ or ,,.
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APP~;t/*h ~zER0
CONTRACTOR 5'J APPROVED BY ff-DAi/;/1 I
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 BY PHONE (3 I 'ft} , I {, .'
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INSPECTION TYPE DATE INSPECTOR
BUILDING
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 I
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL l
I
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 HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL ---I.J-.~ -
MECHANICAL I I
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED , \...c
~lf~-~11 l. -' . ' . . . --
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
INSPECTION REQ IF INSPECTOR'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 MASONRY
'
-PILES CAISSONS
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-
-
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