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HomeMy WebLinkAbout2232 RUTHERFORD RD; MULTI-PERMIT FILE; CB060032; PermitCity of Carlsbad ,, 1635 Faraday Av Carlsbad, CA 92008 / 4 01-05-2©06 Miscellaneous Permit Permit No: CB060032 Building Inspection Request Line (760) 602-2725 Job Address·: 2232 RUTHERFORD RD CBAD Permit Type: MISC Subtype: OTHER Status: Parcel. No: 2120612600 Lot#: 0 Applied: Valuation: $0.00 Entered By: Reference #: Plan Approved: Issued: Project Title: SYNERGEYES DEMO NON BEARING PARTIONS,CEILING Inspect Area: Applicant: GOOD & ROBERTS INC. Owner: RUTHERFORD ROAD LLC ISSUED 01/05/2006 MDP 01/05/2006 01/05/2006 1090 JOSHUA WAY VISTA, CA 92083 619-598-7614 C/0 STONERIDGE CAPITAL PARTNERS 4350 VON KARMAN AVE #400 NEWPORT BEACH CA 92660 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: PERMIT $60.00 Total Payments To Date: $60.00 Balance Due: $60.00 $0.00 $0.00 $60.00 $0.00 / .Inspector:~ FINAL APPR VAL Date: 2-. 'I 5J:P..( Clearance: ____ __,_/ 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 ~ny 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 applicat,ion processing or service fees iil connection with this project. NOR DOES IT APPLY to any f es x c i n f whi h u h v r vi I N Tl imil r hi r a to which the stat te flimitations has reviousl otherwise ex ired. PERMIT APPLICATION CIT}{ ·OF bARLSBAD BUILDING DEPARTMENT 1635 ~araday Ave., Carlsbad, CA 92008 Legal De.spription Lot No. Subdivision Name/1\Jumber Assessor's Parcel"# Existing Use #of Stories · FOR OFFICE USE ONLY PLAN CHECK NO(!'.)(o-52--- EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # Fax # ~'.['s'Af1.P._bl9'iNT};,·;El}~.9ffir.~~r;l:l!k~w;:At19~iir'i~i>f;c'.'.;:[J:_Q~ijli~~'.,?8:l:~g)ii)ftw.~9iln~~;.:?}RTt:m;~t:1rl.:.rJ:~J3'.:'.?'.Y;!,1'.':"/:l~~:X:{,i,f'(:f;\';~r':Jt.ifif: Gmm ,, ,e,.ollerr.s 21 z:o C®sreAv er IJ;sra. CA: . 21,0 .fro' 2'1'1 ·Name · · Address · · City State/Zip Telephone # :4rLt~P!19.~§~,:cy,;.qWf1J'3: ,~,~~--::: : .•. ~ ::::. ::~~-~:~;_.~· <\. s::1:.-:-;.:~·:~~-!:-.. ~·--'·~·:1 f::~· .::;:.:: -~ :.~·:::~:_: .. ~:~1:·:::.-:~,~--Y~~i·::·~~~ :~: ~ ~·,:-:·~;:·:·;:,~.-~~---=:' ·::: ~~t;.r::i::_:i ~1:·~). :~-~-~:~::~~-~-_{:~;:~ __ ;l::·"j~-;~ :. ~~r~_--i;~::E:t: ~~.; ·Name Address State/Zip Telephone# (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, commending with Section 7000 of Division 3 of the Business and Professions Co~eJ 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 f've hundred dollars [$5001). C 'Z..d , l (,a Name State/Zip State License /I . Sn,Pt JJ '7 . .££/ License Cl~ss __ _.,,l)~-----City j3usiness License # _______ _ Cri.,Jfi/l't '~ /'tlfcH, Designer Name Address City State/Zip Telephone State License#~'---,-------- ~1:'Z:WQRit~~~~(;Qijfffl_S~lj.QN':''Z:X:,~,~::N:~ ,,_;:.:2M::::~~:::2-::~~;:I:;":~:~::z-::·_;:;_:c:r;;~~~-~:-2s.:~-1:,:::v1;~;:~2r:~z:-·z-fir"'3:.::~~z!=:~~&~~ ~;=:~~:r ;1:~:1:.(-~~ Workers' <;ompensation DE!claration: I hereby affirm under penalty of perjury one of the foll.owing 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. ' ' ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company J'TM:C ec,..J,.;t1tT~ : ;: ;J( 6/,.M Policy No._ · J))J qJ1jf · Expiration Date ((> /4 / ~Od ( (THIS Sl;CTION:NE~D NOT BE COMPLETED IF THE PERMIT IS FOR. ONE HUNDRED DOLLARS [$1001 OR LESS) 0 ·Cl;RTIFICATE OF·EXEMPTION: I certify 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. WARNING: Failure to secure workers' compensation coverage 11 unlawful, ·al)d shall subject arr employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In.ad ltion to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. S,IGNATURE , 1. . . ·. , . , , . . DATE (/s/clz . a,~i ux:,:PJt\lf!l)i.fltl('-'J~Q~l;J.,:Q~P, '. >ff A!l:J9'11··. :. ,. -->.-:i ;~:-1.:~~;-~: .. ,::-.:;";~; ,;;"~.:~~ ~ ;:_. /,~.,.:2,.;,.~t~ ~:;-:.·b.-t.·~ ,.$..-, }. ·:t.~~.,._:;z;.'\,1r,t: .:.: ,::;; ~4!~!.,11,.~:.~~;~;ti~'i:~;t_,.:2::::~¼~J~~:~H~:. ~(:& _:.:,;.:x~-~~1~i:>~,.i. ?£{:{;_-:!•J; .:: .. ..Ji~~ ~:;,,_:,.] I herl!bY affirm that I am exempt from the Contractor's License-Law fgr the following reason: D I,· as owner of the propE!rtY or my employees with ·w:ages as their sole compensation, V'ill db the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contracto,r's License Law does ·not apply to an owner of property who builds or improves thereon, and who does such work himself.or through nis-own·employees, provided that such improveniimts are not intended·or offered for sale. If, however, the building or improvement is sold witlJin one yeaf of cpmpletion, the owner-builder will have the burd'en of proving that he did not build or improve for the purpose of sale). 0 I, as o~ner 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(sl licensed pursuant to.the-Contractor's License Law). ·O I am exempt under Section. _ Business· and Professions Code for this reason: 1. I personally plan 'to provid.e the major 'labor and materials .for construction of th~·prbpose.d property improvement. 0 YES ONO 2; .f (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following persol) (firm) to provide the proposed construction (include nam!) '/ 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 numi:,er / contractors license riumberl:""·------,------------------'--,---------,-------------------- 5. I will provide some of the work, but I have contracted (hirei:!) the following persons to provide the work indicated (include name / address / phone number / type ·of workJ:._-'--__;__......_ __ -'--"------------'----------------'--------,,--------------------,---- PROPERTY OWNER SIGNATURE_...;_ _____________ --'------·DATE ________ _ \'®.w,;§1t:£;:liltllt~~m«rmeQfl;iQ'&..i;;~6@o':lW'.ft~iii1~ijttl'ii\M1.tJJ.i;it~tJ\~S¾li:1i~'<::Wtf,:;t';6:','ti'f<;;;i\~t~)r1&,Ix.1i:&!Gt:tt;}Z!t~"dl~~:~:~;zrtrt:~'i'l~j'filJ Is the applicant or future building occupant required to submit a business plan, acutely hazard.ous mate'rials registration form or risk management and prevention ,program under Sections ~5505, 25533 or 25534 of the.Presley-Tanner Hazardous-Substance Account Act? 0 YES O NO Is the applicant or future·buifding occupant required to obtain a permit from the air pollution col)trol 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 O 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 EMER'GENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. t,;t:Ii~~.:t.'89AtToNJ~NP1~~:;;A.~J,N-~t-:}J(:,:: r,:.~!1::~.:~.:~r,~.?~) :-:;-:;f~!-\;_7.~~:~t;fJ::\:~~;(t~:.t;~tf\f3i~-;~1ff1~~;~;::1:::::};ff·!::;}§};:i~~::}t ;\i~~~-~t~~?~-;;:~-}~01{1±:-Y:l3·:~~:it1\:~1f::2i:~2;\~~it: 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 ___ -"'-~---------------,----- ~tl~JqMlf;~~::-S:::A'.-::::7:,: ~:~~::::: ::~-~-~2.::~:·,~·::,:~:v:t{~-~~:~ I~~I:2:5·~~ili:~z:==~:~t:;4 ~:~r::.1-~1~;::-:J:~;::;;;:J:::;;;~~~-1~t:--~:t(::*3;:f2&1 I certify that I have read·the application and state that the above information is .i;:qrrect and that the information on the plans is accurate. I agree to comply with all City ordinances and State lawi, relating to building construction. I, hereby authorize representatives of the Citt of Carlsbad to 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 required for excavations over, 5'0" deep and demolition or, construction of structures over 3 stories iri height. EXPIRATiON: Every permit issued by the building Officiai under the provisio~s of this Code shall expire by limitation and become null and void if the building or work aµthorized by ~uch permit is.not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after ihe work is commenced.for period of 180 days (Section 106.4A .uniform Building Code). APPLICANT'S SIGNATURE DATE --L-,S+a-"4~,-,""'~"'----- YELLOW: Api:,licant PINK: Finance City of Carlsbad_ Bldg Inspection Request Permit# CB060032 Title: SYNERGEYES For: 02/14/2006 Description: DEMO NON BEARING PARTIONS,CEILING Type: MISC Sub Type: OTHER Job Address: 2232 RUTHERFORD RD Suite: Lot 0 Location: APPLICANT GOOD & ROBERTS INC. Owner: Remarks: Total Time: ----- CD Description. Act Comment Inspector Assignment: Phon~ 7605215314 Inspector. L Requested By: ROD Entered By: CW 19 Final Structural AL-----,----- Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date -Description Act lnsp Comments Citv of Carlsbad COMMERCIAL TENANT IMPROV Job Address: 2232 RUTHERFORD RD Permit Type: CTI Parcel No: 2120612600 Reference No: PC#: Project Title: 5509 SF OFF Applicant: MCCLENNY, JERRY 2236 RUTHERFORD RD CARLSBAD; CA 619-438-3341 :00136104885 I: , ;Plan Check ----- Lot#: 100136104885 --·1' I :Plan Check 1, ~-----------------': Status: Applied: Approved: Issued: Inspect Area: Owner: J M PROPERTIES $432.00 I _J $432.00 ! EXPIRED Fees: J -----, $432.00 ! Additional Fees: ! $0.00 ! Total Fees: : $432.00 ; Balance: $0.00 : I iER~IT APPLICATION ,tty of ca·rlsbad Building Department • e075 Las Palnias Dr., Carlsbad, C!A 92009 (619') 438-1161 . E~T. VAL . ..,.'------'-,+-,,.:..,,C:-~~-.,a,;'--'':-,-...::;c....,,- .· PLAN. CK.DEPOSIT · ~AUD~ ·av Pj .. · 1. PERMIT . DATE 2-J ..,:..90 ·,'. A • .0 COMMERCIAL B ·, 0 INDUSTRIAL TENANT-IMPROVEMENT ~TENANT IMPROYEMENT C c O RESIDENTIAL OAPARTMENT O CONDO 'OSINGLE FAMILY DWELLING O.DUPLEX []DEMOLITION· ORELOCATION OMOBILE HOME OMECHANICAL OPOOL OSPA ORETA1NING WALL []SOLAR tJ AD0ITION/ALTERAT ION, OPLlJMB"ING 3049 _i'J2J'0-1/90 ·0001 01 . . C-F'RttT · ,02 2 ... PROJECT INFORMATION PLAN ,CHECK No. i= Address 4..-,z...?:,'l..-· 12,..m-\.,_'li..~Ot:t-C N_eare~t cr,9ss Streets LEGAL DESCRIPTION Lot No. Subdivision Name/Nunber --unit Np. CHECK BELC7,1 IF SUBMIT TED: 02 Energy Cal cs ASSESSOR! s PARCEL . o·escRIPTION o(woRK 02 Structural Cales ~~ \ \\.\?-£D\J'l=,.~---r- BLDq. SQ. FTG. \ 4-, e, (, °3 'CON'TACT PERSON NAME .__\ts:1Ut--\ \hl..t-e_,L>1•U-~--( CITY .NAME 0-2 Soils Report · 01 Addressed Envelope ... EXISTING USE 'e,•,_-2--- # OF STORIES / ADDRESS i-·'.'l .. :'!,.(e, STATE (..> ZIP CODE q,z_oe,e, PAY TELEPHONE CITY_ STAT~ l;l_P ~ODE'_. . DAY '.TELEP~ON& ·Phase No.- PROPOSED use . t:LQ. s-r=,... \·O-\ 10 L 5. PROPERTY OWNER "&:4.\:>£-Mc,l-ll1'4t> M\i>tv• mNil-rr,.. ... C.../t::o ADDRESS .t]LESSEI:' • '?-,'2-~ e,. . 12.,v~ OTENANT .12,D. ~~ P07 NAME . jf,I\ \?n.oPC-lf.. -n e.,s,. STATE L'4 ZIP COOE 4 '2..-00 e!, , DAY '!ELEPHON_E 6. . CONTRACTOR · . • _NAME .._j'M, .prz_.c,~~E...';::, ·, ADDRESS Z.,.'l.-°?>(o ~7'tt~Fcn'Y7 /Zs:, Srf:-ID I CITY ~IL~t!-b'O ~IGNATURE ·c1.iY 2-H vDt 1¥,C> STATE ~ ZIP COOE &t2CO€> DAY ''TELEPHONE 4'.3 ti, : -~..34-' I LICENSE CLASS : B. TITLE./~ ADDRESS ZIP COOE B Cl~Y BUSiNESS LIC. ~ J }1_511? · DATE . DAY T_ELEPHONE_ 558 ' .. 7 f:9 { 7 .. WORKERS' COMPENSATION. ·Workers• ContJensat,ion Declaration: I hereby affirm that I have a· certificate of consent to se.tt·insure issu,ed-by th~ Director of Industrial Rel·ations, ·or a certificate· of Woekers' Coq:,ensation Insurance by an actnitted insurer, or an ·exact copy qr dupl·icate thereof certiJied by .the Director of the insurer thereof Hled with the Building lnspecti~n Department (Section 3800, Lab. C) • .INSURANCE cOMPANY &n,n;.. ul\,\e~~M P.J~ ~D PopcY No. 1 l 49 l z..o~&i'iE~P1RmaN_DATE /-o .. J .:.,-=to . . a: · ·Certificate.of Exemption: I certify .that in the performance of the i,ork fo.r which this-·permit is issued, .J shall hot ell1)loy:an'{person jn a_ny·m?nner so as to become subject to the Workers' Coq>ensation Laws of California. . · . ·. .· . am exempt from the Contractor''s L-ic·ens·e. Law• for the fol lowing reason: o· [ as owner of the property or my ell1)loyees with wages as their .sole. compensation, .will do tfie woi'k. and the structure is hot intended or offered for sale• (Sec. 7044, Business and Professions Code: The Contractor's· L.icense Law does not apply to an _owner of property wijo builds or irrproves th~r'eon,,'and ,who does such work himself or-through his own employees, provided that such ill1)rovements are not intended or offered .for sale. I.f, -however, the ·building or improvement is .sold ·within one year of completion, the owner·bui lder will. have the. burden of proving th.at he did ·i)ot build or. improve for the-purpose of sale.,).. ' · · · 0 I, as owner of the ·pr.operty, am exclusivet.y contracting with licensed contrac.tors to -construct· the pro]ect (Sec. 7044, Business and Professions Code;, The Ccmtractor's License Law does not apply to an owner of property who builds or imp(oves th!?reon, ,and contract_s :for such projects with contractor~s) licensed pursuant to the Contractor's License Law). D I am exempt under Section---,-----~--Business and Professions !:ode for .this reason: (Sec. 7031.5 Business and Professions Code: Any City or County -which requires a permit to constr.y·ct, alt.er; 'improve, demolish·, or ·r.epair any structure, prior to its issuance, also requires the applicant for such permit to file a, signed statem,,nt that he is licer\s~·:pursuant. to the provi$ions of the Contractor's License Law (Chapter 9, coo,nencing with Section .7000 of Di.vision 3 of the· Bysiness and Profe_ssiohs Code) or that ·he ·is ·exet)lj:>t therefr.\lfll, and the basis for the alleged exemption. Any violation of Section· 7031.5 by any aJ>Pl ical\t .fo.r ·a: !)!'rmit subje~ts the appUcan~ to a civil penalty ·of not-· more than five hundred dollars [$500]). · · DATE 'COMPLETE THIS SECTION FOR·NON·RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardou_s mater.ials reg.lstration··form 9r ris_k ma'nage'ii,ent and 1>revent-ion· program ·,under Sect.ions 25505, 25533 or 25534 of the Pre~ley·_Tanner Hazardous Substance Account Ac:t?. ' · · Om ~~ . . Is the aPP,l icant or future building occupant required to obtain a permit from the air portut-ion control .district or .air qual·ity rrian_~gement .district?" . Om JZ[No r Is ·the rac_ility to be constructed wi,thin 1,000 feet of the outer boundary of a schoot -site? DYES -~NO IF ANY OF THE AN.SWERS ARE YES, A FINAL CERTIFICATE OF OCCllPANCY MAY NOT :BE ISSUED AFTER JULY 1, 1989 UNtESS THE APPUCANT HAS MET. OR IS IEETING-THE REQUIREMENTS OF THE OFFICE OF EMERGENCY _.SERVICES AND THE AIR POLLUTION COIITIWL DISTRICT. . . . . ·. _-_:_ .. · . . 9. CONSTRUCTION LENDING AGENCY , I ·hereby affirm that there is a construction lending agency for the performance of th~ work for -wljich this permit ii; issued (Sec 3097(i) Civil Code). Ht:>~~ . L_ENDER IS NAME . LENDER IS ADDRESS 10. APPLICANT'S SIGNATURE I certify· that I have read the application and-state that the above·information-is corr~ct. · I agree:to comply with all City··or.pirances and State Lai;~ .relating to bui !ding construction: , I hereby authorize representatives of the City of ~ar.lsbad to ent.ei' upon the· above menti'oned property for inspection purposes. I ALSO ,AGREE TO ·st.VE INDEMNIF.Y° AND l::EEP HARMLESS THE CITY OF CARLSBAD·,,,(iAINST All Llf\BILITIES, Jll!!i!!Ein's·, ·COSTS ~ND EXPENSES, WHICH•'MAY Iii ANY ,WAY ACCRUE AGAINST .SAID .CITY IN COll~EQUENCE OF THE GRANTING OF THIS PERMIT-. . , . . EXP,i·rati9n. Every permit issued 9y the Building Official" under th~ provisions of .this Code sh'all expire oy ti,,,'itation and,beconi~ nun and void if the bu'il'din~ or work authorized by such permit is not comnenced within 180 days from· the dat.e of su.ch perl]li( or if the ·building or work authori·zeq by such permit is.susp,!,nded· , or abandoned at any time after the ,work is comnenced· for -a period of 180 days _(Section· 303(d) Unj-form Bui laing Cod:>: · -o OWNER ~TRACTOR o B_Y PHONE· iw~~VE~·.:liF ~.: ..... ., :-~: '.: :: . - YELLOW: Applicant PINK: Finance ( \ . \ ·~ \ \ . i DATE: 01/31/91 TO: MCCLENNY, JERRY 2236 RUTHERFORD RD CARLSBAD,CA 92008 PLAN CHECK EXPIRATION PC# CB900183 DATE: 02/01/91 ADDRESS: 2232 RUTHERFORD RD You have applied to have your plans checked on the date shown above, and you have not obtained your building permit. The provisions of Section 304(d) of the Uniform Building Code state: "Section 304(d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In order to renew action .on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." Please check the appropriate box indicating your choice and return this letter to the BUILDING DEPARTMENT. PROJECT ABANDONED. I WILL PICK UP PLANS WITHIN 10 DAYS. PROJECT ABANDONED. PLANS MAY BE DESTROYED. If you have any questions, please contact the Building Department at (619) 438-1161. DORIS COSMAN Building Department 10/31/96 13_: 54 Page 1 of· 1 B U I L D I N G JQb Address: 2232·RUTHERFORD RD Permit Ty~e: SIGN Parcel No: 212-061-26-00 Valuation: 1,380 P E R M I T Suite; Lot#: Occupancy Group: Des-cription: WALL : AZlTR Reference#~ SIGN NON-ILLUMINATED ENVIRON.MENTAL Permit· No:. CB962106. ·Project -No: A.9602985 Developlnent. No: Construction Type! Status~ AppliE;.>d: Apr/Issue: .Appl/Ownr ADVERTISING GRAPHICS 2131 S DUPONT DR ANAHEIM CA 92806 Entered ··sy ·~ 714 939-1081' NEW ISSTJBD 10/31/96 10/31/96 RMA PERMIT APPUCATION City of Carlsbad Building Department 2075 Las Palmas Dr •• Carlsbad, CA 92009 (619) 438-1161 From List 1 (see back) give code of Permit-Type:----,--------- For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: _____________________ _ Net Loss/Gain of Dwelling Units--------,------------,- 2. PRClJECf INFORMATION FOR OFFICE USE ONLY Address /J /2-,( ~"'t.. J --t... f<.,,~~4 Nearest Cross Street Building or Suite No. LEGAL DESCRIPTION lot No. SulxhVIs1on Name/Number 0mtNo. Phase No. cH£cR BEIDW IF sOBMl'l'l'Eo: -q 2 Energy Cales O 2 Structural Cales O 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL &-t 'X O c,; 7 a Q<l AXIS'!f4G u! -PROPOSED USE DESCRIPTION OF WORK tA../ yc1..-// S /~/ ·-{;J l 6 t+-'fC,b SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS r'..Vf-i'Jt~ C°J"*,l/d~DRESS ~ 1 J / '5 .. t).._,14',.:rr-r-:-0.,,-... CITY 'U'HJCU-'-''-~ STATE fl t4-ZIP CODE 1 ,Jlo C DAY TELEPHONE 1 ~ ? ,;-re ~ NAME (last name first'tt-~2vf-k ¥yv2 ,-:1~ T".,t...t-r..S ADDRESS ~ I Y G J!.e ~ /-,4 ;t?p?-, t:::_' A STATE {!_ ZIP CODE DAY TELEPHONE 7 / f 5' o J,--Sr v'~J/H, {fp-,Jt1-//,ic=> ADDRESS ~l 'J 1 .> bvre~ p~ STATE ! l<J. ZIP coDi J-17 °6 DAY TELEPHONE 7 /' (' ; ) o/ ?"cg>/ STATE uc. # ucENSE cLASs Q &, / CITY BUSINESS µc. # ast name 1rst CITY STATE ZIP CODE DAY TELEPHONE STATE IJC. # 1. woRl<ERs OOM.PRNSA'TION em 1cate o xempu : em at in t e pe ormance o e wor or w 1c 1s permit 1s issue , s a not emp oy any perso m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE s. OWNER.-BUIIDER bECI.AltA'l1bN Owner-Builder Deciarauon: I hereby afhrm that l am exempt from the ContractoPs License Law for the following reason: D I, as owner of the property or my employ~ 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 Llcense 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 sa_le. 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 Llcense 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 Llcense 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 permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Bµsiness 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 rnls SECTION FOR NON-RESIDENTIAL BOlLDING 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~ 000 · Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES D NO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCDJPANCY MAY NOT BE ISSUED AFfER JULY 1, 1989 UNI.&',S THE APPIJCANT HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFic;:E OF J;MERGENCY SERVIci;:s-AND TIIE Am POILUTION OONTROL DISTIUCT. 9. wNSIRUCfibN LRNDING AGENCY I hereby affirm that there 1s a construcuon lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1V1! code). LENDER'S NAME LENDER'S ADDRESS to. APPIJCAN1 CfiltllFICA:liON l certify that l have read the apphcauon and state that the above informauon 1s correct. I agree to comply with all City ordinances and State laws relating to building coi;istruction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentionecl property for inspection purposes. I ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMI.F.5S TIIE Cl'IY OF CARISBAD AGAINST AU. IJABIIJTIES, JUDGMENTS, OOSTS AND EXPENSE.5 WlllCH MAY IN ANY WAY ACCRUE AGAINST SI\ID Cl'IY IN OONSEQUENCE OF TIIE GRANTING OF TIIlS PERMIT. OSHA: An OSHA permit is reqµfred for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued building pr work auth9~zed s £ such permit 1s suspendecl o ab ~~PUCANT'S SIGNATIJ 0 /P4¾ (·7& 17 - 03/19/9/>_,09:'47. Page :l · of . 1 B U I L D I l\l G Job Address: 2232 RUTHERFORD RD . Per.mi t Type: $IGN l? E R M I T Suite~ Pertni t No: -C:1396O5O6 ·Project ~o: A~6fr0704· Deve_lopment No: .. · 6575 03/19/96 OOOJ. Oi 02 Parcel No: 212-061-26-00 Val~ation: 6,000 . · c~PRMT 2~8"00 Construction Type: NEW Lot#: Occupancy Group:· Reference#: Descri_ption: 32 SF MONUMENT ,FOOTING CALCS : STAMPED BY ENG-C1NCRT W/ ALUM LE1"'1:'ERS Status: ISSUED · Applied: 03/19/96 Apr/Issue·: '03/19/-96 . Entered By: RMA 714-939-168.1 FINAL APPROVAL. t~~SP. ~R,17 . ·.t'J/\:5, &,.:L:.!Ysz. CLEARANCE~.......,_.____,,=·= CITY OF CARLSBAD 2075 Las Paimas Dr., Carlsbad, CA ·920()9 (619) 438-1161 l FE8 ----· __ ._. I PERMIT APPLICATION • City of ·carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT'l'YPE 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. PROJECT INFORMATION Address7.;:2 )-;J. ~ 2.,Ji' ~ 'l,.. 3-'-i< J 11.-e,...-p.,1 ... d J,t_1--- Nearest Cross Street CHECK BEillW IF sOBMlyl'Eb: Bu1idmg or Suite No. D 2 Energy Cales [72 Structural Cales D 2 Soils Report D 1 Addressed Envelope PLAN CHECK NO. FOR OFFICE USE ONLY 'P C l· •Oo E 0 DESCRIPTION OF WORK M o IV~ ,,._. ...e-,v r- SQ. FT. $~ # OF STORIES e,.,c,, ... 1-:/:;;t~ w J a,£4/11,,(,M-<~<.v # OF BEDROOMS '\...,-f)pr '-lbHT(: # OF BATIIROOMS 3. WN IACI PERSON (11 dmerenf from apphcantJ NAME (last name first) ADDRESS CITY STATE NAME (last name first) ~A-,-..( 5, CITY A/-. t4-l_-€ ..,:_ STATE 0/A ZIP CODE DAY TELEPHONE7 { - • NAME (last name first) C. T '/.. -Ru-n-tl! R.fO ll C Re. P,.,_,ii,.s,ADDRESS ~ l 4-Co R, D, ~ ti..~ f:\~c;) ~I'S 0 CITY_ CO c:.. I ft' vY\G s A STATE C, A ZIP CODE 9 d---Y? .;;t(a DAY TELEPHONE 7. l '1--510 -'5" \ 8 ~ ast name CI ).J...-!f~.s,4- 1rst (, .n.. l..i.,e_,v ..1 ,,., STATI("lv-4-ZIP CODE 'f t,.l =1 Workers' Compensation Declarauon: I hereby athrm that I have a ceruhcate 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 COMP~c,{J~./ £ fe_ i:;,_,, ~ POLICY NcMi/( IJ.b(.f77.,- SIGNATURE DATE A. CWNER-BUIIDER bEd.ARATION D D D Owner-Bmlder Declaration: I hereby afhrm that I am exempt from the Contractor's Llcense Law for the following reason: 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, 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]). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUiLDING 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 25595, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES E!f NO Is the applicant or future building occuei3nt required to obtain a permit from the air pollution control district or air quality management district? DYES (a"NO Is the facility to be constructed within L<()'oo feet of the outer boundary of a school site? DYES l!'rNO IF ANY OF TI-IE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:::uPANCY MAY NOT BE~ AFTER JULY 1, 1989 UNLF.SS TI-IE APPIJCANT HAS MET OR IS MEETING TI-IE REQUIREMENTS OF TI-IE OFFICE OF EMERGENCY SERVICES AND TI-IE AIR POU.UTION OONTilOL DISfRICT. 9. WNS'IROCliON trummc AGENCY I hereby afhrm that there 1s a construct10n lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) ClVII Code). LENDER'S NAME LENDER'S ADDRESS J.)\ft lo. APPLICAtH Cf'.RIIFICA:IION I certify that I have read the apphcat10n and state that the above mformauon 1s 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 AI.<;O AGREE TO SAVE INDEMNIFY AND KEEP HARMLF.SS TI-IE CTIY OF CAlUSBAD AGAINSf AIL IJABILlTIF.S, JUDGMENTS, CDSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINSf SAID CTIY IN OONSEQUENCE OF TI-IE GRANTING 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 CITY: OF CARLSBAD ~ INSPECTION REQUEST PERMI,T# CB96.05·06 · FOR 04/25/9.6 DESCRIPT'ION: 3-2 S·F MONUMENT, FOOTING CALCS STAMPED BY ENG-CINCRT W/ ALUM U:TTERS TYPE: SIGN STE: INSPECTOR AREA PLANCK# CB960506 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2232 RUTHERFORD RD APPLICANT: ADVERTISING GRAPHICS CONTRACTOR: . PHONE: 714-939-1681 PHONE: OWNER: PHONE: ' REMARKS: MW/JIM/909-422-5205 SPECIAL INSTRUCT: AM AS EARLY AS POSSIBLE INSPECTOR -'P+"---------- TOTAL TIME·:. --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT#. CB90.0l83 S~950111 11 ST Ftg/Foundation/Piers TYPE CTI swow STATUS EXPIRED ISSUED ACT COMMENTS tl{ ______ _ --------......--------,--------------------------------· ---------------------------------------,-;-----·----------------- ***** INS.PECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS