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Home My WebLink About2180 RUTHERFORD RD; ; CB981088; Permit;. O!l,/17/98 15:SO Page· 1 of 1 BUIL.DING Job Address: 2180 RUTHERFORD RD Permit Type: PLUMBING Pc1rcel No: Vc1luc1tion: 0 PERMIT Suite: Lot#: Permit Project Development No: CB9-S1088 No: A9801445 No: 75,00 Occupancy Group: Reference#: 6159 04/17 /98 0001 01 02 C-PRMT Construction Type, 'VN ·Status: ISSUED Applied: 04/17/98 Apr/Issue: 0/1,/17/98 Entered By: MOP /1,52-3188 Description: UNDERGROUND PLUM!HNG & ELEC, . : ONLY NO FOUNDATION· WORK 619 _;__~.;....-.---:"":::::-::.::-:-,--. FINAL APPROVAL . · INSP:772 OATE..¢!Pf l_9LEJIAANCE ' . CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 Name Address S.t{lte/Zlp Telephone # !JJ,1~~JWl,E,..._..:.. ' •·-, '~ ., . ·, .. :.,A~;,,:.;_;, i..,..:.:,.,:·~::2-,,:.'....l.';}.;,_,,, .. ,.;,; ' .... :.;..,---~-,-, c--'-'--. _-: .. ,'."-J.r':-.• ,,..·>'.:.-if';..;.; ~T· .:::,..;;:.,;i.,: -~~-~-,•--·~.--,-~~,_-,r~s:;.~~--~: .. -~--,~"/:.~,.~ jSec. 7031,6 Business and Professions Code: Any City or County which require~ 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 ls exetnpt therefrom, and the basis for the alleged ·exemption. Any violation of Section 7031.6 by any applicant for a permit subjects tl;le.applicant to .a clyfl penalty of not more than five hundred dollars f $5001), HiE&s"-rJ l>,!4..,$!\/1 e.v,c.nB-5 312.1 »fffl!-SMI sx SAN )>,,._6o CA 121ZB G,19-~91-,330 Name · Address City State/Zip Telephone-# State License # G;, :f·"# :3c f, License Class--'-"-"------Clty·Business License# .2..B, I 1·c0. Designer Name Address ~~2 · rfllD . State/Zip Telephone State~icen•.'.'.~. C.1~7/)/ _ __f:_J.,Ace #"'~---12/e&o CA 'f2121 2-V~!> -'a'-™•no,-,,ouacu .... ;mra'.7----, .... e.:.:;:::;f----,,_ , -• ·A••,,,._.,_ ..... , .. ,.,-,-.--,,,;-.<;,,, ·',\e,-,, , .. -e, .,,.,,, ... ,.,,.,,,,.,,,,T< 1~'7"'~~\U>-"'H~+·•,_. l'l",-_..,IJ!.,~.~J.'(W'_.,,..-.., ,. '"" r•• ~-,•·•-·--.,;,..:,,_,., -~~.;,t,. •• .._a.~.._--.:-,....~ .. ....--....;_.~~ ... ,..,,.-.......,,._;.:_:~~,~w. • .,~,(..~,_;-,,..~,;...,..!i:'"..1,'!I; Workers' Compensation Declaration: I h8reby affirm under penalty of perjury one of the following declarations: 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. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, tor the performance of the work for which thJs permit Is issued. My worker's compensation insurance carrier and policy number are: Insurance Company____________________ PollcY No •. __ ~---------Expiration Date, _______ _ (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 whlc~ this permit ls issued, I shall not employ any per,son In any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to ucure workers' compenaatlon coverage I• unlawful, and shall subject _an employer to crlmlnal penalties and civH fines up to one hundred _thousand dollars ($100,000), In addition to the cost of compen•atfon, damages as provrded for ln_Sectlon 3706 of the Labor code, Interest and attom~y•s fees. SIGNATURE, _________________________ ~--DATE ________ _ ~~Ji1;l~'1oJl:_:_ .:-.... :;--::: :.·~·-::._~~~7..::_·::-:.:_:::;~,,: ~:!;":';ffi-,J;::=,:-::_:.::2:: -~ :t:-: ~~~&"..E'~~~~m·i~-·>-f.r.i!.:i~~::-;.:.:~ ~i•~ I hereby affirm that I am exempt from the Contractor's license Law for the following reason: · , 0 I, as owner of tho property or my employees with wages as their sole compensation,. wlli do the work and the structure is not intended or offered for s_ale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who &uilds.or Improves theteon, 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). (J I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professiohs Code: :rhe 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 pu~suant to the Contractor's _License Law). 0 I am exempt under Section ______ Business and·Professlons Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the.propo~ed property improvement. 0 YES ONO 2. I (have / hiva 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 / ·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/ co1;1tractors llcensa 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 bf work),:_------------------------------------------------------- PROPERTY OWNER SIGNATURE ______ ~==---~-.--=------DATE~---------- !ii:l!M~Q/(F]ilfii!W-'~.h& iQi.llQ!Wii!'liSMIJ§:siB~7c<:,_-::;-;-:c::ii."'07.t:·7"'';': '~L:::'.:: lil::::'.~~~7J'.cT,-'-· · :::;-,.;:.';'~~ Is the applicant or future building occupant required to submit ·a business plan, acutely hazardous materials regipratlon. form or risk management and prevention program under Sections 26505, 26633 or 25634 of-the Presley•Tanner Hazardous Substance Account Act7 (B'." YES D NO I~ the applicant or futur, building occupant required to obtain a permit from the air pollµtlon control district or air quality management district? ~ES O NO Is the·f.iclllty to be constructed within 1,000 feet of the-outer boundary of a school site7. D YES ~O 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 ANO THE AIR POLLUTION CONTROL DISTRICT. . . . . ' ·-------------------' ~8NSTJ!Y9-!10Nil&PJ8i?Mffiir,...:.,;.:_.;.:.2;:....:.;~:._-;::::;;:..::.-_:.:.:..:..~•;~~-~:.;i.£'~JA'.,.:l::1..,%:;:;~~:t.:~:~~.!t£i.::::·~t;.:.'.2l..~.!t'r:t~~~~-,,,.~~1i:~j:w"f3 i hereby affirm that there is a construction lending agency for the perforrnance of the work for which thjs permit Is Issued (Sec1 3097(i) Civil Code) • . .... ; •~::+ ''S. •. , -., .... ,; ;. •• ::>", "Inspection List Permit#: CB981088 Type: PLUM UNDERGROUND PLUMBING & ELEC. ONLY NO FOUNDATION WORK Date Inspection Item Inspector Act Comments 11/2/98 34 Rough Electric TP WC NO INSP THIS PERMIT 10/6/98 21 Underground/Under Floor TP we NO INSP THIS PERMIT 8/21/98 21 Underground/Under Floor TP AP KIT AREA, RESTRMS 8/20/98 21 Underground/Under Floor TP NR 7/16/98 21 Underground/Under Floor TP AP FLN@PS 7/16/98' 22 Sewer/Water Service TP WC 5/19/98 12 Steel/Bond Beam TP WC NOINSP 5/12/98 21 Underground/Under Floor TP . NS RAIN 5/11/98 21 Underground/Under Floor TP AP LOBBY RESTRMS & 2ND FLR 5/6/98 21 Underground/Under Floor TP AP SEE PLN CHART 5/1/98 21 Underground/Under Floor TP AP LATERALS OFF MAIN-SEE PL 5/1/98 21 Underground/Under Floor TP AP MECH YARD 4/27/98 21 Underground/Under Floor TP AP SEE PLN CHART 4/27/98 31 Underground/Conduit-Wirin TP AP SEE.PLN CHART 4/24/98 21 Underground/Under Floor TP AP SEE PLN FOR LOC. 4/24/98 24 Rough/Topout TP WC 4/23/98 31 Underground/Conduit-Wirin TP PA 4" CONDUIT (2 SECTIONS) Thursday, March 04, 1999 Page 1 of 1