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Home My WebLink About2180 RUTHERFORD RD; ; CB070546; Permit. . ., City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-05-2007 Electrical Permit Permit No: CB070546 Building Inspection Request Line (760) 602-2725 Job Address: 2180 RUTHERFORD RD CBAD ELEC Status: Permit Type: Parcel No: 2120702500 Lot#: 0 Applied: Reference #: Project Title: CALLAWAY-INSTALL ELECTRICAL EQUIP FOR R & D Applicant: CHARLES JOHNSON 2180 RUTHERFORD RD CARLSBAD 92008 760 419 6800 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: CALLAWAY GOLF CO C/0 DONALD H DYE 2285 RUTHERFORD RD CARLSBAD CA 92008 ISSUED 02/27/2007 LSM 03/05/2007 03/05/2007 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $470.00 $0.00 $480.00 Total Fees: $480.00 Total Payments To Date: $480.00 Balance Due: lnspector:'ff~_ \ BU}LDING PLANS _V_IN T STORAGE _ATTACHED FINAL APPROVAL Date: .9, Clearance: $0.00 NOTICE: Please take NOTICE that approval of your projeol Includes the "Imposition' ol fees, dedications, reservations, or other exactions hereafter collectively referred to as "feestexactions." You·have 90 days from the date this pennlt was Issued to protest lmpositlon of these fees/exactions. If you protest them, you must follow the protest procedures set forth In Government Code Section 66020(a), and file the protast and any other required Information with the City Manager for processing In accortlance with Carlsbad Municipal Code Section 3.32.030. FaHure lo timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. ¥au are hereby FURTHER.NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees In connection with this project. NOR DOES IT APPLY lo any fwh T i II r i r · h h t f · · tion as vi usl t rw' e ex · . Legal Des'cription •Subdivision Name/Number Unit No, Phase No. Total # of units Assessor'.s Parcel # Existing use Proposed Use Descriptfo,S~~ori;'-$~,CAi,_ 0 IJ~ ,7~ #ofStori~s #of Bedrooms #of Bathrooms ~~~,..~~;g:·:r:~j,,@.:,~~~:fu;-~~•'.:Jt7Jjt2ZfJI!.o•·P~~sg Name Address City State/Zip Te ephone # Fax# Ii~ :i?i(pijj: ,,:;(. J&~.:.: ... O~fflBrlat.~?irtfF-tgr.;..;:)6[Q.~n!t~l5:..~i@nt.ior,fGWne~:::,':~-~IB~:i.::\;•-::::.\},_· :9:c,Mg~¼)-~E::~B?Li:..~,ii::,~ Name Address State/Zip Telephone# Name Address City Stat~/Zip telephone # !i~ · ; ,Wifi~L~Olt.lJMiiW~~~.:...:i3)'..:•..:r~~l,J,,~,;;:~-;.;:::~· : :. .J;T~ ... ;~~:."}!..t,. k~··-::s7~:J,i. ---~.::i.~~~~• ... , fil'l!i.~~~;5,~;,1! (Sec. 7031,6 Business and Professions Coda: Any City or County which requires a pi;,rmit to construct, alter, irnprove, demolish 9r 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 [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he Is exempt therefr_om, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a parmlt subjects the applicant to a civil penalty of not more than five hundred dollars [$6001). Name Address City State/Zip Telep"hone # State License# _________ _ License Class _________ _ Gltv Business License II _______ _ Designer Name State License # Address City State/Zip Telephone [f[~W'7:dWWrt:: .. i-... :.:...~:r:::-:;.-~~;.;~.~'...:,~;;~~'..9~·t~fl'·:r-··1:·ttlli~~tz::.:::.!l:~ic-~?;.:;:1;~~z:~:,;~9.:t£;!;&J Worke"'' Compensation Declaration: I hereby affirm urider penalty of perjury one of the following declarations: 0 I have and will ,maintain a certlflcat• of consent to selMnsure for workers' compensation as ·provided by Section 3700 of the Labor Code, for the. performance of the woi'k fot·whlch 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 wotk for which this permit Is issued. My worker's compensation Insurance carrier and policy number are: Insurance Company____________________ Policy No. Expfratfon Date, _______ _ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED-DOLLARS [$100).0R LESS) D CERTIFICATE OF EXEMPTION: I cartlfy 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, · WARNINq: Fallure to aacure workent compmntfon coverage I• unlawful, and shall aubject an employer to crlmlnal peneltlea and cMI fines up to one hundred thousand doilara ($100,000), In addition to the coat of comptnsatlon, dam1g11 u provided for In Section 3706 of the Labor code, Interest and IttOm!5y's fees. SIGNATURE DATE ________ _ ~,~:!f>wtliJjjtiii(ii~.:..:,&::;:.::~-:_.e:_.:rL .. ~: .. -. r -·, ~~~~~:t .. ,· ~~~;µ;r,,~:;·:~1,f-~.,::,:B'~i~;~3-~~!/.?1ii.,~~ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: liJ I, as owner of tha 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 C.ontl'lctor's Ucense Law does. ndt apply to an owner o_f property who builds or irhproves 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 ~me year of completion, the owner-builder wm 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) l_icensed pursuant to the Contractor's Ucanse LawJ. D I am exempt under Section ______ Business and Professions Code for this rea~on: 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 appllcitlon for a bulldlilg·permlt for the 'proposed work, 3. I have contracted with the following person {firm) to provide the proposed construction (includ!! 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):, _____ • _____ ~----------------------------------- 6. I will provide some of the work, but I have pontracted the following persons to provide the work Indicated (include name / address / phone number / type of work),:_ -----------,~~ii'--;;,.-:::...----,~-----------~----::;,--,,._-+----------- PROPERTY OWNER SIGNATURE __ -'-'"°" ~~ Is the applicant or fi,rture bulldln9 occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections ~5505, 25633 or 25534 of the Presley-Tanner HazardolJs Substance Account Act7 0 YES O NO Is the ipplicant 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 be Constructed within 1,000 feet of the outer boundary of a school site? 0 YES , 0 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 . REQUIRE.MENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL 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 ~eMWCEidffil;iii!ii: • • • UNSCHEDULED BUILDING INSPECTION DATE. r4/vz INSPECTO~ _£_,__· ___ _ . PLAN CHECK# ____ _ JOB ADDRESS ___ 2=<->t~:::...:t>~l'<=VTi..L.J"tl.=G=~=~L..::&J.~---"--------- . DESCRIPTION __________________ _ · CODE DESCRIPTION ACT &? COMMENTS ,, t' .. 7h<"> l~ "~ w,-fl.• . rrk_ t\ 0 i ~s. Cl, e..,. ~-c... ~ ""te 'f'~tL . l ...: f r ~ C..\,., -\--\o V""'\ c: ..... ~ ..... -t---z.. o u c..t c. c_ c.. . --z.. -,-t.,r..~ f-er ~~ t' ·t...S -tor (_ l ec_ O "'-\.1 · ~Ll ef-er:f ~ l:,c_ p~,-i.-..~H~ o-5> "('-'!. ~u \. I{" e-J 1:..., \ 'C. c... . w Cl/'-k::.. ~....., Ly lJ ""J.. c....... i-/4..'-s. --fer-M--~ . -~ f e--e_ '-~ f;{ '{ ~o .-