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Home My WebLink About2231 RUTHERFORD RD; MULTI-PERMIT FILE; CB950071; Permitt, ' 01/06/95 13:48 Page 1 of 1 B U I L D I N G P E R M I T Permit Project Development 201 No: CB950071 No: A9402337 No: Job Address: 2231 RUTHERFORD RD Permit Type: ELECTRlCAL Parcel No: 212-070-19-00 Valuation: O Construction Type: VN Suite: Lot#: Occupancy Group: Reference#: Description: ADD 4 ELEC CIRCUITS Appl/Ownr: ARDOWSKI, RICHARD 1833 HIGH GROVE DRIVE 619 0209 01/06/95 0001 01 C-PRl1T Status: Applied: Apr/Issue: Entered By: 480.'..7834 . ESCONDIDO, CA. 7 0-2-7_.-;=-----~ 02 ISSUED 01/06/95 01/06/95 MDP CONTRACTOR : SKILLSTAD ELJ:;( (C:'"' { r ~ /fa'c. ~512682 619-439-0350 51 6 1 E . PAr:R ~ ( '-'::::,l,;_'i ( ;J? " _*** ___ Fees_R~~~f~=~;:·~~~~-½A~~,~~~~~\_&_credits ______ *** Fees : / ~ ;-0 o/ , 'I '{ 13 ~ ~ \ ~- Adj us tmen ts: ,. , :..r--.....::; ~O ~~::::::;:::~.5al'/8i\~d-.iyi; \ . oo Total Fees: {?· C:.'2.i)1• oo ·"""""~;:::-· ~-~Paymei!,t-s: \ . oo I ,7 n I .,, ...... · :sa1anse\ 1r· · \ 2 o . o o Fee description .. :,1 t~J j , fni ts £>Ji Fe Ji.i "tj: Ext fee Data -Enter-"Y"-for -Ele¥~-Is¼~'-,~ -~' -r:;:f:'.i::rt-:,'::' __ /1 _______ 10. 00 -Y--- Enter "Y" for Remo<il,el \ "" ~y· cf / , · 10. 00 Y * ELECTRICAL TOTAL\ · \ ~/-/ ~ _ _, / . / 20. 00 \ ~1 / I \ r;~ 1,_..., INCORPORATED /. ('---/ \ \\ 1952 ~' (: \\>(> / ~vc:f} II, iri~o ___ ~t\>/ ~ lf '(QJ\; ~-/'/ --" __ _______ L_....,,...._,.,. _____________ __. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPUCATION PIAN CHECK NO. Ci·t/ of Carlsbad Building Department ... ·2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE From list 1 (see back) give code of Permit-Type: ------------- For Residential Projects Only: From list 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units----------------------- 2. PRQJECT INFORMATION FOR OFFICE USE ONLY Nearest Cross Street LEGAL DESCRIPTION Lot No. subcllvJS1on Name/Number 0mt No. Phase No. CHECK BElbW IF sOBMII l'EO: O 2 Energy Cales a 2 Structural Cales a 2 Soils Report O 1 Addressed Envelope ASSESSOR'S PARCEL · EXISTING USE · PROPOSED USE 'I ~ C,.'fc, (,,\ :f? !{. WN IACI PERSON (If dmerenf from apphcanQ NAME (last.name first) ADDRESS CI1Y 4. APPLlCAN'I O CON'l'RACIOR NAME (last name first) CI1Y sc .Pit:6P£1t'l'Y oWNtm: 1 "NAME (last name first) STATE ZIP CODE OAGEN'I' FOR CON'IRACIOR ADDRESS STATE ZIP CODE DAY TELEPHONE OOWNER OAGEN'I' FOR OWNER DAY TELEPHONE ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 16 • ~me~rst))S,t:"~K} l!f'%:cJ0k-ADDRESS $76/ C /4/'~ # OF BATIIROOMS ~l'I;/4,?~J.-, STATE C~ ZIP CODE 92D57DAYTELEPHONE C/{9-81 ?0 (.LP>.., t:::... STATE UC. #<Si ~ 2 UCENSE CIASS C -/t) CI1Y BUSINESS UC. # ast name 1rst CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 7. WORKERS' cbMPENSA11bN Workers' Compensation Declaration: I hereby affirm that I have a cert1hcate of consent to self-msure issued by the Director of 1ndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE GOMPANY POUCYNO. EXPIRATION DATE DATE (~~~~!!=:::::'.:========================== Owner-Builder Dedaration: 1 nereby amrm mat 1 am exempt rrom me i.;ontracrors License Law ror me rouowmg reason: 0 0 [] 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 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.). 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) licensed pursuant to the Contractor's license Law). I am exempt under Section __ __. ______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires 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, comJ11encing 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 al)plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNA11JRE DATE COMPLETE 11-lls SECTION FOR NON-RESIDENTIAL BOILDING PERMITS oNLY: Is the applicant 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? C YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? C YES ONO Is the facility to be constructed within 1,000 feet.of the outer boundary of a school site? C YES ONO IF ANY OF 1HE ANSWERS ARE~ A FINAL CERTIFICATE OF OOCUPANCY MAY Nar BE~ AFfER JULY 1, 1989 UNLFSS 1HE APPUCANT HAS MET OR IS MEETING 1HE REQUIREMENTS OF 1HE OFFICE OF EMERGENCY SERVICFS AND 1HE AIR POU.UTION CX>N1ROL DISilUCT. 9. OONS'IROCrtON LENDING AGENCY , . I hereby ~fhrm that there IS a construction lending agency for the performance of the work for which this permit IS issued (Sec 3097{1) civil code). LENDER'S NAME LENDER'S ADDRESS 10. APPllCAN I CEkliFiCJfuON I certify that I have read the application and state that the above mformai:100 1s correct. I agree to comply with ail ·City ordmances and State laws relating to·building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AlSO AGREE ro SAVE INDEMNIFY AND KEEP HARMLFSS 1HE crIY OF CARISBAD AGAINSf ALL IJABIIITIF.S, JUDGMENTS, CDSIS AND EXPENSES WIIlCH MAY IN ANY WAY Acx:RUE AGAINSf SAID crIY JN. CX>NSEQUENCE OF 1HE GRAfITING OF TiiIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. 0 PEmiIT# CB950071 CITY OF CARLSBAD INSPECTION REQUEST FOR 01/12/95 DESCRIPTION: ADD 4 ELEC CIRCUITS TYPE: .ELEC JOB ADDRESS: 2231 ~PPLICANT: ARDOWSKI, CONTRACTOR: SKILLSTAD OWNER: RUTHERFORD RD RICHARD ELEC .. REMARKS: MW/DAVE/ 439,:-035"0 SPECIAL INSTRUCT: ELECTRIC IN CEILING f. ~. TOTAL TIME: --RELATED PERMITS--PB':RMIT# TYPE CB941580 CTI PHONE: PHONE: . PHONE: STATUS ISSUED INSPECTOR AREA TP PLANCK# CB950071 OCC GRP CONS • TYPE VN STE: 201 LOT: 619 480-783 619-439-03 0 CD LVL DESCRIPTION ACT COMMENTS 34 EL Rough Electric A£!_ eXU:l&e-«r ~~tA-JJ -ff:> ~¥<-MdJ, ---------------------------------------•· .. : ,, -----------------,--- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS -~· . I• B U I L D I N G 07/26/93 09:40 Page i of _1 Job Add.res:::: 2231 RUTHERFORD RD Permit Ty_pe: ELECTRICAL Parcel No: 212-070-19-UO Valuation: o Construction Type: NEW P E R M I T Suite: Lot#: Occupancy Group: Reference#: Description: ELEC CIRCUIT FAMILY FITNESS CITY OF CAftLSBAD Permit No: Project No: Development i\Jo: 3266 07/26/93 0001 01 C-PRMT 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 CB9:i07.:ll• A9300842 PERMIT ,APPUCATION • V PLAN CHECK NO. City of Carlsbad Building Department 2075 Las Palms Dr., carlsbad,-CA 92009 (619) 438-1161 FSf. VAL _____________ _ PLAN CK DEPOSIT _______ _ VAIID.BY __________ _ 1. PERMII h'PE DATE,.._ ___________ _ A -0 Commercial D New Bmidmg O Tenant Improvement B -D Industrial D New Building D Tenant Improvement . C -D Residential D Apartment D Condo D Single Family Dwelling D Addition/ Alteration D Duplex D Demolition D Relocation D Mobile Home #'Electrical D Plumbing OMechanical OPool D Spa ORetainingWall OSolar OOther _____ _ 2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY ,:i\!ldress~ -· 2 2 f / Nearest Cross Street LEGAL bEscRlP'fiON Lot No. SutxhVJs1on Name/Num&fr OmtNo. CHECK BEIDW IF SOBM1'1'1'Eb: [J 2 Energy Cales [J 2 Structural Cales [J 2 Soils Report [J 1 Addr~ Envelope DESCRIPTION OF WORK . SQ. FT. # OF STORIES 3. WN IACI PERSON (II different from apphcanf) NAME ADDRESS CITY STATE ZIP CODE 4. APPI.JCAN1 NAME D CON'IRACIOR LI AGEN'I' FoR WN IRAC'IOR CITY STATE ~s. ~f&?~7'1'~ )u)eS~ /'-~ CITY STATE lC~~.') 7t;°;f'5KJ ADDRESS .ZIP CODE ADDRESS ZIP CODE ADDRESS DAY TELEPHONE LI OWNER LI AGEN'I F'OR OWNER DAY TELEPHONE DAY TELEPHONE CITY e)C~;15~~e_ STATE C?~ ZIP CODE etu 7-/ DAY U:LEPHONE LICENSE CIASS $"/2brt~ITY BUSINESS LIC. # STATE LIC. # C / 0 STATE ZIP CODE DAY TELEPHONE .1 .. WOIUMtS' illMPENSJmON Phase No. STATE LIC. # · · .. · · Workers' Co~pensauon Deciaranon: I hereby afhrm that I have a ceruhcate of consent to self-msure 1~ued by the Director of Industnai Relations, or·a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). EXPIRATION DATE I hereby afhrm that I am exempt from the Contracto?s License Law for the followmg reason: D 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 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.). 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) licensed pursuant to the Contractor's License Law). D I am exempt under Section _______ Business and Professions Code fot this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires 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, commencing 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 more than five hundred dollars, [$500]). SIGNATIJRE DATE COMPLETE nns SECTION FOR NON-RESIDEN'flAL BUILDING PERMITS bNLY: Is the applicant 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 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? [J YES Cl NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ONO iF ANY OF nm ANSWERS ARE YFS, A FINAL CERTIFICATE OF CXDJPANCY MAY Nor BE~ AFI'ER JULY 1, 1989 lJNIJISS nm APPUCANT HAS MET OR IS MEETING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POLLUTION CDNIROL msnuc:r. 9. OONSIR0Cl10N mNDINC AGENCY I hereby afhrm that there IS a construction lendmg agency for the performance of the work for which this permit JS issued (Sec 3097(1) CIVIi Code). LENDER'S NAME LENDER'S ADD~SS lo. APPUC<N1' c!ER.1n1CA11oN I certify that I have read the apphcauon and state that the above mformatJon JS correct. I agree.to comply With all City ordmances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE TO SAVE INDEMNJFY AND KEEP HARMLES.5 nm crIY OF CARlSBAD AGAINST AIL IJABIUTIFS, JUDGMENTS, CXJSTS AND EXPENSF.S WIIlCH MAY IN ANY WAY ACX:RUE AGAINST SAID crIY IN OONSEQUENCE OF nm GRANTING OF TIIlS 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 Offidal under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by sue it is not commen d within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or ab oned a any time after ork is·commenced for a period of180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNATURE -,,.....-,,,,1s--,_ --:::--------DATE: 2-26--'9 5 PINK: Finance City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-22-2015 Plan Check Permit No: PC150035 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: d:2.S l ~he.., <'~ Q.d PLANCK 0000000000 $0.00 Lot#: Construction Type: INSTALLATION OF MICROWAVE Status: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: ROOFTOP ANTENNA ON 2231 & 2236 RUTHERFORD Applicant: MARK LINDSEY STE 110 2231 RUTHERFORD RD CARLSBAD CA 92008-8820 442-244-4161 Plan Check Fee Additional Fees Total Fees: Inspector: $61.00 Owner: Total Payments To Date: FINAL APPROVAL Date: $61.00 Balance Due: Clearance: WITHDRAW 07/16/2015 JMA $61.00 $0.00 $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 file 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 Qonnection with this project. NOR DOES IT APPLY to any f x i n f i h h I Tl · · r hi r whi h h f limi i ns h r vi I th rwi x ir d. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OFIRE OHEAUH 0HAZMAT/APCD Ccityof· . Building Permit Application Plan Check No . -:PC IS-35 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602~2719 Fax: 760-602-8558 Plan Ck. Depo~lt email: building@carlsbadca.gov www.carlsb_adca.gov Date 7/tt,/I~ lswPPP JOB ADDRESS 2231: Ruthei:ford/ ~2-3G. P~~ ~f/SPACE#/UNIT# rPN 110 ----... ,_ - CT/PROJECT# J~_OT# rHASE # f OF.UNITS J-#·BEOROOMS ~ rs,~s I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP ". 25 ·----, -· ••. .c '.... . ___ : : -. --... : _-:_ -_ _ _ CarrierCornm, Inc. --· ----, ___ ---DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) -One· micrQWave -rooftop ant~o·na'.placed',at223t :Ruth~rford. .. ' ,I'' '' It is 1ft in: ~iameter, secured to a. Rohn· FRM238SP5. non penetrating mount with cinder block ballast. ' . these·mo_unts will be plac~d"on iroof:mat. cut to the size of the mount's base. - -.. EXISTING IJSE I PROPO§ED IJSE C -t~RAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS ---. -.. , .. YESO . NOD YEs0No0 YESONoO APPLICANT NAME ·-. Mark ti11dsey/ Car-rierCqmm _ --.i PROPERTY OWNER NAME Bec.kman Rtoperties, inc . . . · Primary Contact ADDRESS 2231 ·Rutherford, Suite 11-0. ADDRESS -505 Lomas 'Santa Fe, Suite 100 ' --------'---.. -. . CITY STATE ZIP CITY STATE ZIP C-~r.l~~~d .. ,CA ~2QQ8: . $olana Beach. CA 92075 . PHONE IFAX PHONE YAX , ___ , .. 442-244-41 SJ .. ... -B5B-9Z2-9352 EMAIL EMAIL -· _ ;mlingsey@~arri_e:rcornm.com _ . --. .. ... -.... -----beckproppm@ao!.com_ DESIGN PROFESSIONAL · CONTRACTOR BUS. NAME Jimmv Hannan/E-Baod Commun'ications ·-.. -·-.. ---- f\DDRESS • ADDRESS -10095 Scripps Ranch, Ct -... ... ----- CITY . STATE ZIP CITY STATE ZIP . -· ,. 1,: . .. -San Dieao CA 92131 PHONE ,. IFAX -PHONE IFAX . _, ' ----.. ... ,s$~l 4oa-osso EMAll EMAIL .. .. ··--.. j.Jl.annan.@e_-band;com_ • 15TA~I; L:C-# STATE LIC.# ICLASS I CITY BUS. UC.# .. --. .... -. ·------··-· ; (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to.construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement tnat he ·is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Busin.ess and Professions Code) or that he Is exempt thiirefrom, 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 more than five hundred dollars {$5001). . Workers' Compensation Declaration: / hereby affirm under penalty of pedwy one of the following declarations: 0:1 have and wlll maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. D I have and wlll maintain w/)rkers' compensation, as reQuired by $/lction 3700 of the Labor Code, for the performance pf the work for which this permit is issued. My workers' compensation insurance carrier and policy numberare: Insurance Co .. · , :: Policy No.-~-----'-----~ Expiration Date ________ _ This section need not be completed ff lhe pennit Is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the perfonnance of tl)e work for which this penn_lt Is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of ·California. WARNING: Fallure to secure workers' compensa(lon coverage Is 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, damages as provlde(j for In Section 3706 of the Labor code, Interest and attorney's fees. ~ CONTRACTORJllGNATURE 0AGENT DATE ----------...... ------..---,..,..--. t~!W~L~~!t:)'!i~i~~i:,.~'.f ~!it/'' I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D 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 who builds or improves thereon, and who does such work himself or lhrough 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). D I, as owner of the property, am exclusively conlracting 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) licensed pursuant to the Contractor'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 property improvement. 0Yes 0No 2. I (have / have nol) si9ned an application for a building permit-for the proposed work. 3. I have contracted with the following person (finn) to provide the proposed construction (include name address/ phone/ contractors' license number): 4.1 plan to provide portions of the_work, but I have hired the following person to coordinate, supervise and.provide the major work (Include name I 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): ~ PROPERTY OWNER SIGNATURE 0AGENT DATE Is the applicant or future building occupant required to submit ~ pusiness P.!~, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-TannerHazardousSubstanceAccountAct? · · :Yes ' :No Is the applicant or future building occupant required to obtain iii permit froni.ffie air pollution control district or air guallty management district? :."]Yes ,,_:._,3 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? LJYes ;-,.":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. . Lender's Address I certifythatl 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 Slate laws relating to building construction. I hereby authorize repre~ntative of the City of Carlsbad b 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, 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 requred for excavations over 5'0' deep and demolition or construction of structures over 3 stories in heght. l?(PIRA TION: Every permit issued by the Building Olli;ial under~ pro'lisbns, oJ this Code shall expire by limitation and become null and void if the building orv.or1< authorized by such permit is not commenced v.ithin 180 days fi'om the dale of such pennil or if the building or v.or1< authorized by such permit is suspended or abandoned al any time after the v.or1< is commenced for a perkxf of 180 days (Section 106.4.4 Unibrm Building Code). ~ APPLICANT'S SIGNATURE .V'-~>-3o<::X:,:..,P.....,.-..L..,. DATE • . • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate-of O_ccupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY (Commercial Projects Only J Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME -ADDRESS BUILDING ADDRESS ' CITY STATE ZIP CITY STATE ZIP Carlsbad CA .. --,,., __ -·-. .. .. ' PHONE I FAX , . .. EMAIL · OCCUPANT'S BUS. LIC. No . .. . --- DEllVERY OPTIONS i· .PICKUP: ... 'i CONTACT (Listed above) OCCUPANT (Listed above) ·CONTRACTOR (On Pg. 1) .. :_.)MAIL TO: '.CONTACT (Listed above) · OCCUPANT (Listed above) ,. \ ASSOCIATED CB# :. ·. CONTRACTOR (On P~. 1) : . :' NO CHANGE IN USE/ NO CONSTRUCTION ._.!MAIL/ FAX TO OTHER: . · -: CHANGE OF USE/ NO CONSTRUCTION -----------~----~ ----. --~--·--------------------' -___ _. ------, ------ ., ,! ~ APPLIGANT'S SIGNATU~E --. -.. -DATE ,,• . - B U I L D I N G P E R M I T 06/14/93 U9:13 Page 1 of 1 ,Job Address: 2231 RUTHERFORD RD Suite: Permit Type: ELECTRICAL Parcel No: 212-070-19-UO Lot#: Valuation: o Construction Type: NEW Occupancy Group: Reference#: Description: ELEC REMODEL FAMILY FITNESS : PER CAMERO Permit No: CB930574 Project No: A9300842 Development No: 2719 06/14/93 0001 01 02 C-PRMT 20u00 Status: ISSUED Applied: 06/14/93 Apr/Issue: 06/14/93 Entered By: DC FINAk APPROVAL 'ii ![j INSP. ~V-DATE 1 .. \ ------· CLEARANCE_,N __ ,C_~==----• CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPUCATION PLAN CHECK NO. -City of Carlsbad Building Depart111ent 2075 Las Pal1111s Dr., Carlsbad, CA 92009 (619) 438-1161 • . F.sT. VAL,__ __________ _ . PLAN CK DEPOSIT _______ _ VALID. BY. ___________ _ t. PmtMl'I' 'IYP.H DATE ______ __,,--------- A -D Commercial d New Bmidmg D Tenant Improvement B -D Industrial D New Building D Tenant Improvement . C -O Residential D Apartment D Condo D Single Family Dwelling D AdditiQn/ Alteration [J·Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing D Mechanical D Pool D Spa D Retaining Wall D Solar D Other ___ _ 2. PROJF.Cf INFORMATION Address '2 Z 'J / Re.. '/la~ I' ~/'J FOR OFFICE USE ONLY ~Street Buudmg or Smte No. '1io'f' . LEGAL bEscRIP110N 1.ot No. SutxhV1s1on Name/Number 0mtNo. Phase No. CHECK .tmWW IF' SOBMII 1£0: D 2 Energy Cales a 2 Structural Cales a 2 Soils Report D 1 Addressed Envelope NAME CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4. APPL1CAN r NAME DWNIRACIOR DAG£N.J FORCON'IRACIOR ADDRESS DOWNER LI AGENT FOR OWNER CITY STATE ZIP CODE DAY TELEPHONE ADDRESS ZIP CODE DAY TELEPHONE 6 · ~~RA8!/J ¢,/l<;~d ADDRESS e;"/6/ 1:,/J-,f'~/' CITY Oee,,nff;;,, olc.. STATE c~ ZIP CODE C,-zo r;'"? DAY TELEPHONE c;1c,-07 ~e> / . STATE LIC. # c;'/2. 6 iLi.IcENSE CIASS c-/,0 CITY BUSINESS LIC. # DESIGNER NAME ADDRESS · · · CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 1. WOitkfiltS' OOMPf:NSA:liON Workers' Compensation beclaranon: I hereby afhrm that I have a cernhcate of consent to self-msure issued by the Director of lndustnal Relations, or ·a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY EXPIRATION DATE I hereby afhrm that I am exempt from the Contracto?s license Law for the followmg reason: D 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 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 complel;ion, the owner-builder will 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) licensed pursuant to the Contractor's License Law). D I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such perniit to file ll signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing 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 more than five hundred dollars [$500]). SIGNATIJRE DATE COMPLETE IBIS SECTION mn NON-RESIDENTIAL BUIWlNG PERMITS ONLY: Is the applicant 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 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? C YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES D NO IF ANY OF TIIE ANSWERS ARE YFS, A FINAL CERTIFICATE OF OCDJP.ANCY MAY NOT BE~ AFIER JULY 1, 1989 UNLES.5 TIIE APPUCANT HAS MET OR IS MEETING TIIE RF.QUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POLLUTION CX>NTilOL DISTRICf. 9. OONS'11lOCfiON IENDtNG AG.HNCY . . . · 1 hereby afhrm that there 1s a construction lending agency for the performance of the work for which t61s permit 1s issued (Sec 3097(1) C1V1i Code). LENDER'S NAME LENDER'S ADD~SS Io. APPllE\N'I' CERTIFICA.11oN I certify that I have read the apphcauon and state that the above 1nformat1on 1s correct. i agree to comply w1tn au city ordinances anct state laws relating to building construction. I hereby authorize _representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AI.50 AGREE 10 SAVE INDEMNIFY AND KEEP HARMLF..5S TIIE CITY OF CARISBAD AGAINSf AU. UABIIITIF.S, JUDGMENTS, CX>STS AND EXPENSF.S WIIlCH MAY IN ANY WAY Aa:RUE AGAINSf SAID CITY ·IN CX>NSF.QUENCE OF TIIE GRANTING OF TIIlS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expfration. 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 autho · by s h permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspe eel or aban ned at ny time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNA: DATE: _____ _ L_ _ ___:;____;;__~~~---=---=-=---==--=-=-----~ s .-CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB930574 . FOR 07/19/93 DESCRIPTION:· ELEC REMODEL FAMILY FITNESS . PER CAMERO TY~E: ELEC JOB ADDRESS: 2231 RUTHERFORD RD APPLICANT: SKILLSTAD, DAVID CONTRACTOR': OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA MC PLANCK# CB930574 OCC GRP CONSTR. TYPE NEW LOT: REMARKS: RS INSPECTOR ---IJ-------------S PE CI AL INSTRUCT: ONLY REQUESTED AN ELECTRICAL INSPECT! LEFT NO NAME OR PHONE NUMBER TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# TYPE CB930670 MISC STATUS ISSUED ACT COMMENTS 34 EL Rough E.lectric ..Lh.L'.) a:L -___ f:l __ Ali.......,.i41-::...__.Z:: .... l.ecr:t?:=-...___'"""c::.. ___________ l:Jj_ :::::::::::::::::::::::::::= -.-------------,.-------------..-..-----,-------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS ----·---·-·· I t· ·- i ~. ·---- ! 1 . 1 -------------! ------·----------·"" -.