HomeMy WebLinkAbout2234 RUTHERFORD RD; MULTI-PERMIT FILE; CB063111; Permit1/ l
-~ -t'-. ~ . ~ f' 1 .
"" ... V
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-15-2006 Miscellaneous Permit Permit No: CB063111
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2234 RUTHERFORD RD CBAD
MISC Subtype: OTHER Status:
2120612600 Lot#: 0 Applied:
$0.00 Entered By:
Plan Approved:
Issued:
24 HR.FITNESS:INSTALL NEW BATT Inspect Area:
BACK-UP SYS. FOR EXIST. DATA. RE-ROUTE ELEC. IN
Owner;
RUTHERFORD ROAD LLC
ISSUED
10/27/2006
JMA
11/15/2006
11/15/2006
ROBERT RITNER
18071 IRVINE BL.
TUSTIN, CA
C/O STONERIDGE CAPITAL PARTNERS
92780
714-832-5100
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $240.00
_Inspector:
4350 VON KARMAN AVE #400 '
· NEWPORT BEACH CA 92660
PERMIT
Total Payments To Date: $240.00
BUILJ?ING PLANS
_'1_IN STORAGE
_ATTACHED
Balance Due:
FINALAPPROVAL .
Date: lty-;;,.._ 3 -o 7 Clearance:
$240.00
$0.00
$0.00
$240.00
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You-have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES-NOT APPLY to water and sewer connection fees and capacity
changes, nor pianning, zoning, grading or ottier similar application processing or servi9e fees in connection with this project. NOR DOES IT APPLY to any
· f /ex cti n · fwhi h hav r vi I n iv n N Tl imil rt thi or a t whi h the statute of limitations has reviousl otherwise ex ired.
FOR OFFICE USE ONLY
PERMIT APPLICATION
PLAN CHECK NO. rno 0 3 \ l \
EST. VAL. --~$;__,__O __ ~ _iJ __ -,. __
Plan Ck. Deposit _________ _
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Business Name (at this address)
Validated ~y <.~~
Date (0 {'.?;J~
L:egal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total# of units
Qffile ~
Assessor's Parcel·# Existing Ose -Proposed Use
Description of Work SQ. FT. # of Stories # of Bedrooms # of Bathrooms
11-1-sTAU-1-lew ~~-( ~ t.\f7 s"'(S~ (<AP<E.) poyt.. ~\~ t~Qs-'DA-CA CE,.rt't=,ie-.
Fax#
Name Address City State/Zip Telephone#
~s lll!?nl I
Name
(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 statemenl'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 is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit sub!«Jic:s the applicant to a civil l)l!nalty of not more than five hundred dollars ($500]). , I l-f-5hfo.ue:t-&lc~~L l j& U..v\5 Co.$-T C..Olt0~ Ck 72-~SL (t:ts /; 2 78 ·S&'-60
Name Address City State/Zip Tele.e,hone #
State License# s 9 i/fo l/s-License Class Ct O City Business License# / 2,. z... 3 .5 0 2=
¥a~"( g.l"('~ t ~d]I. I v.iuu::~ f>t..y.l> ::Jl,\«I ~ Ctr/qz7g, 7 I 1:) &3-2 -•S\00
DesignerName 'Address City State/Zip Telephone#
State License# (1 z.A'23fi
Workers' Compensation Declaration: I hereby affirm.under penalty of perjury one of the following declarations:
D 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.
e-"I. have and will maintain worker's 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: /. ~ I
Insurance Company Nettlol¾L L nhdi+:J, 1 f ;Qa-Policy No. 0 l D 'CO 1Dl / l:>O{o I Expiration Date ~ /I )[b"'J
(THIS SECTION NEE NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
D CERTIFICAT F 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 th' orkers' Compensation Laws of California.
WARNING: Failure t ecure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand
dollars($100,000), In a !lion to the cost of compensation, damages are provided for In Section 3706 of the Labor Code, Interest and attom y• f s.
SIGNATURE DATE / (o
I hereby affirm that. I exempt from the Contractor's License Law for the following reason:
D I, as owner o the property or my employees with wages as their sole compensation, will d 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 nave 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:
1. I personally plan to provide the major labor and materials for construction of the proposed·property improvement. D YES D NO
2. I (have/have 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/
/ontractots 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 number/ type of work):
PROPERTY OWNER SIGNATURE ____________ ~---------------DATE ___________ _
WHITE: File YELLOW: Applicant PINK: Finance
.,. PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Page 2 of 2
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under
Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO
Is the applicant or future building occupantrequired to·obtain a permit from the-air pollution control district or air quality management district? D YES D NO
Is the facility to be constructed within 1,000 feet of the· outer boundary of a school site? D YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTll'ICATE 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.
I hereby-affirm 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 ___________________ _
I certify that I 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 State laws relating.to building construction. I hereby authorize representatives pf the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE TO SAVE, INDEM~IFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, 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 of 5'0" deep and dem_olition or construction of structures over 3 stories In height.
EXPIRATION: Every permit Issued by the building.Qfficial under the provisions of this-Code shall explfe by limitation and become null and void if the building or work authorized
by such 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
the work Is commenced for a period of 180 days (Section 106.4.4 Urilform Building Code).
APPLICANT'$ SIGNATURE ~. ~ DATE _______________ _
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 10/23/2007
Permit# CB063111 Inspector Assignment: RB
Title: 24 HR.FITNESS:INSTALL NEW BATT
Description: BACK-UP SYS. FOR EXIST. DATA. RE-ROUTE ELEC. IN
DATA RM.
Type: MISC Sub Type: OTHER
Job Address: 2234 RUTHERFORD RD
Suite: Lot 0
Phone:
Location: Inspector:
OWNER RUTHERFORD ROAD LLC
Owner:
Remarks: CAN YOU FINAL? BLDG FINAL
---
----
Total Time: Requested By: CHRISTINE
· Entered By: CHRISTINE.
CD Description Act Comment
39 Final Electrical. &---:---~-----
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
12712/2006 34 Rough Electric CO RB ON PARTIAL INSP.
,,,, >
\
DATE: 11/6/06
JURISDICTION: Carlsbad
PLAN CHECK NO.: 06-3111
EsGil Corporation
in <Par.tnersfiip witfi {}oventment for <.Bui[tfing Safety
SET:I
PROJECT ADDRESS: 2234 Rutherford Rd.
PROJECT NAME: Replacement of Battery Powered UPS System
~~ANT
~ D PLAN REVIEWER
D FILE
~ The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's building codes
wheri minor deficiencies identified below are n:~solved and checked by buildii:,g department staff.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
D The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
D The applicant's copy ofthe check list is enclosed for the jurisdiction to forward to the applicant
c<;mtact person.
D Th~ applicant's copy of the check list has been sent to:
~ Esgil Corporation staff did not ·advise the· applicant that the plan check has been completed.
O-E:sgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone#:
Date contacted: (by: ) Fax #:
Mail Telephone Fax In Person
D REMARKS:
By: Chuck Mendenhall
Esgil Corporation
D GA D MB D EJ D PC
Enclosures:
10/30/06 trnsmtLdot
\ \
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576
l ,, )~ J. \. '
C3:rlsbad 06-3111
11/6/06
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad PLAN CHECK NO.: 06-3111
PREPARED BY: Chuck Mendenhall
BUILDING ADDRESS: 2234 Rutherford Rd.
DATE: 11/6/06
BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: V N
BUILDING AREA Valuation Reg. VALUE
PORTION (Sq.Ft.) Multiplier Mod.
' .
UPS system NA Hrly
...
. . .
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code cb By Ordinance
Bldg. Permit Fee by Ordinance
Plan Check Fee by Ordinance ----·----
Type of Review: D Complete Review · D Structural Only
D Repetitive Fee L.3 Repeats
* Based on hourly rate
Comments:
D Other
0 · Hourly 1.51 Hours*
Esgil Plan Review Fee
($)
$180;001
$144.001
Sheet 1 of 1
macvalue.doc
P-.»tNINO/INGINEERING APPROVALS
·IIDIDINTIAL
R•allfflAL ADDfflON -I< S10,GGO.GOJ
. .. CAIIUaAI» CG_,ANY ITORII·
VILI.AGa FAIRI
CCIIIPLna GFIIICa BUILDING
'OTHER --------------,,;--__ _
\
STRUCTURAL CALCULATIONS
OF
24 HOUR FITNESS DATA CENTER
EQUIPMENT ANCHORAGES
2234 RUTHERFORD ROAD
CARLSBAD, CA
JOB NU:(\{BER: M0621-l
PREPARED FOR: PACIFIC DESIGN GROUP
PREPARED BY: MICHAEL NI & ASSOCIATES
MICHAEL NI & ASSOCIATES
CONSULTING STRUCPURAL ENGINEERS
1414 FAIR OAKS AVENUE, Sl:JITE 11
SOUTH PASADENA, CA 91030
(626) 799-3588
JOB NO:
SHEET NO: I
WT, 0F-¥ai lfM~, 42-0D-* VltY-.
Srzs'l=-Of-~~I «q--1~ X -31 1>< ,~'
~LJ.lpfv\~T ts sJrp~~D 'c:>( /2..!.1 lAl\_ \~P·~~
°Fp=-<Af<'.A Ip ()t3>X by-) Wr . Rr . ,.
'/xl\-44-X I e_ ,)-\--=:>X ~ )Wf= 8,.S01 Wr
~
~vJo~..S~S~
F" =-dA 58 7/4LJ-. VV F' = D41Cl X 4Zbe> = 176D-#'
· c9TY\ =-]76c:>(7-'t3/:z.·:+J~);f2 =-72-3:>D -p-=t-GB>s
R, V\ ===-·42-DD >< ~,4 ( ~) ,,{ 2.-== L\-bB.3. r=-,--Le:,s
P'e.t?V\,P\=z. V\C-{o,< l~I Q_ BOTTOM O)=-Sll,f>P:,R--1JN6-~0c:.
l
l<:-,M,-= 1?:1:142-DD~{~),12.. -=-r~ r=f-/.,i?';:, > 7o6FT-L-E>--5
t,JI=-723D/(3,V,~t~s,x:.3i)/~5 }12.. = /,wP FT-!Llp5:>
0~-= 1 t\·'°z:~x12-/4.~,x~=-t,2>1 -TS cbx"2.)<¼,., .5=-Z,3-I
-rr<f 1~1-B>ASe: r-e.w/2--~~~ ~LEb-
F~w= 1~5D.x2--=-"3 \VD* > 17~¥-
••
' l
-I !
'
Gassing and Ventilation
When charging the typical lead acid battery a portion of the charging current, that which is in excess of that required
to maintain 100% state of charge, will electrolyze water in the electrolyte thus generating free oxygen and hydrogen
gas to be vented from the battery. Naturally, the venting of hydrogen is of concern since a 4% mixture of hydrogen
in a:ir is an explosive mixture when ignited. For this reason it is recommended that no more than a 2% level be allowed
to accumulate.
VRLA Battery Operation
The valve regulated lead acid (VALA) battery is unique in that it incorporates an oxygen recombination cycle which
occurs at the negative plate of the cell and minimizes the generation of hydrogen. As a result, the· VALA battery will
4vpically have a recombination rate of 95 to 99% and will emit only a very small fraction of the hydrogen as would
3 emitted by a vented {wet) lead acid battery. ·
Battery Ventilation ·
Per NEC Article 480 the VALA battery must be equipped with a pressure relief valve to prevent excessive build up
of pressure within the cell. Also, provision must be made for sufficient diffusion and ventilation of any gasses emitted
from the battery to prevent the accumulation of an explosive mixture (4% hydrogen in air).
As indicated by the classification of the DYNASTY VALA battery, they contain a self-resealing, one way valve which
will relieve any internal pressure generated due to overcharging which is in excess of between 1 and 2 ps_ig and will
then close preventing entry of the outside air into the cell.
The volume of gas emitted by t_he DYNASTY VALA battery is very small under normal float and equalization charging
conditions and special mechanical ventilation would not nonnally be required. Hydrogen is lighter than air and dispers-
es quickly throughout the surrounding atmosphere. Unrestricted air movement around the individual batteries in a system
and ,the normal requirements for air circulation and heat removal in occupied areas is typically more than adequate to
prevent any build up of an explosive mixture of hydrogen gas where VALA batteries are concerned. Naturally, this
indicates that the VALA battery should never be charged in a "sealed" container lacking ventilation.
However, the oxygen recombination feature of the DYNASTY VRLA battery and resulting low emissions of hydrogen
gas does allow for its use in industrial and commercial areas where the vented {wet) lead acid cells would not be
acceptable. For example, the DYNASTY UPS series of VALA batteries are utilized within UPS systems installed directly
in datij centers and in compliance with UL 1778. The DYNASTY TEL series are used in commercial and industrial
facilities business areas and equipment rooms, without special ventilation systems, in direct support of telecommu-
nications equipment.
The JC, GC, UPS and TEL series of batteries are also UL recognized under the UL category of "Emergency Lighting
and Power Batteries (B.AZA2)" under the following file numbers:
Form 41-6739 (Rev. 10/99) Printed.in U.S.A.
C&D TECHNOLOGIES INC.
DYNASTY DIVISION
File #MH11577(N}
900 E. Keefe Avenue
Milwaukee, WI 53212
~ijl·
·C~ !aO(o ~ I I I
City of Carlsbad
041oa119ag .,., Miscellaneous Permit Permit No:CB991378
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 438-3101
2234 RUTHERFORD RD CBAD
MISC Subtype:
2120612600 Lot#:
$0.00
OTHER
0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
24 HOUR FITNESS Inspect Area:
DEMO 2 WALLS 8' HIGH FLOOR TO GRID PARTITIONS
BILBRO CONSTRUCTION
4204 JUTLAND DR
SAN DIEGO CA 92117
619-270-2880
ISSUED
04/08/1999
DT
04/08/1999
04/08/1999
Total Fees: $50.00 /, -:/;J!)/i/1 Payments TotQ!:fte~ $0.oo'\\\~ .. Balarice Due:
, ·1---~ ~ ~ 17' \ t ---~~------~ ..,,,-'./4 _, -
$50.00
Miscelaneous Fee #1
Miscelaneous Fee #2
TOTAL PERMIT FEES
Inspector:
FINAL APPROVAL
Date: ~· f 3 -9'1 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 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 capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees·in connection with this project NOR DOES IT APPLY to any
fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otheiwise exoired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
02
50-00
PERMIT APPLICATION
CITY O,.t; CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
FOR OFFICE USE ONLY
PLAN CHECK N0Ci3Cf1/3 78
EST. VAL _________ _
Plan .Ck. Deposit "7);;;...
Validated By _ _..,,/'_, l_-,.__,.-=--r-~=--
Date ~~1/77
Address (include Bldg/Suite #) Business Name (at this address)
·Legal Description Lot No. Subdivision Name/Number-Unit No. Phase No. Total # of units
Assessor's Parcel #. Existing Use Proposed Use
(Sec. 7031.5 Business and Profe.ssions 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, co.mmen.ding with Section 7000 of Division 3 of the Business and Professions ,Code) or that h.e 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 [$5001). ,.....,s;:.,.,-\
/l.1· (\..0 o•c...--S"\("\J..)(.'1/C>__.... 4-Z.c.>'-f. J1..,T<-->"i;"'-# (l.... '[,/;:>r,v f]J;..., Cf.L·q7.f~7 -Z.7U---Zo..., ......
Name Address City · Sate/Zip Telephone#
State License_# Ztf s-fqb License Class a . City Business License # / 'ZD c;:;c;u
Designer Name Address City State/Zip Telephone
State License#~· __ ...... _____ _
'6; .*W9R.Kl;RS' QOMPENSATION: · .. ,.c· ., , , .. . :::·' ~:.::·:c ::;.:,::·,:'.f',:::::·;:;:~C:i-:':{.::.}:,z:·;'5,. , . ,:;;.·C· ,; . : ,.;;,' .
Wo~s·· Compensation-Declaration: I 'hereby affirm·under penalty of perjury one of the following declarations:
l!2(" 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 win maintain workers' ·compensation, as required by Section 3700 of th.e Labor Code, for the performance of the work for which this permit is
issued. My worker's c~mp'.:s.ation insurance carrier and·policy number are: · . . ,.-_ . . . ! / cJ
lns4ranceCompany,S.qrs-Co PohcyNo~/k(2..c,c)/.5 Lf'"Z..'"t-. ExpIrat1onDate / [L _ 2..oc)
(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 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. is unlawful, end shall subject en employer to criminal penalties an!I civil fines up to one hundred
thousand dollars ($100,00 , i addition to the coat of compensation, damages as provided for in Section 3706 of the Lab r c de, interest arid ~~~y's fees.
SIGNATU -~~~ DATE-=~~~~~~ 9/<j'r
',i.J .: . .__ow~ER;~J.)ILDt:if·o~~LARAltQfJ,--,. . -. __ ;_;n -~ -• ---~---~i:}/ --~ . : -_Mnn ---~' . :-~;,_~-~ ~:;: .. :::~:-:~::_~,,,,,:~.i~:
I hereby affirm that I am exe1T1pt from the Contr. tor's License Law for the following reason:
D I, as owner of the property or my em oyees w1th 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 r\ot 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 improveml!nts are not intended or offere.d 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).
0 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).
tJ 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. D YES ONO
2. I (have / have not) signed an application for a building ,permit for the .proposed work.
3. I have contracted, with the following person (firm) to provide the pr.oposed, construction (include name / address / phone number/ contractors license number):
4. l·plan to provide l!Ortions 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):. _____ -'-------"'----,---------------------------------
5. I will provide some of tfle work, but I have contracted (hired) the following persons to·provide tfle work indicated (include name/ address / phone number/ type
of work):. _________________ -'------~--------"'--------------------------
·PROPERTY OWNER $IGNATURE ______ --''-------------'-----DATE ________ _
·qo.i'.;pi;~.e,tHIS_ $E¢TION'.FOli:-lo!OIV,I/E:S/DEN.77AL.l01LQiNG:·p~!\Mft~}pij~~:::.:~,:.~::&It'.:11,,:.;;:; .. ;_-;.&:,,:;~,,:r:::et~\:;;El._':2:.,J..,;: :::::.-:•t-::. :· . ·:
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? D 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? 0 YES O NO
Is the facility to .be constructed within 1,000 feet qf the outer boundary of a school site? O· YES O NO
IFANY 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.
ijf:i,:"?~OONSTRliCTION[(END}N~AGENCY,''{;, ,: ,;,:,c·,-;·:,J, .. ;·.;·;:;;i'f:.."'.·,s.z;=,··:·,.-,, .,,:c:,,:,-·.,·,,·e,., :~ \ ·,:, ,~-:-··: · ·:'·. · ·':·,;
I hereby aff!rm that there ls a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME _____________ _
I certify that I h<1ve read the application-and state that the-above informatior, is cor.rect and that the information on the plans is accurate. I agree to comply with all
City ordinances -and State laws relating to building constr.uction. 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 in height.
·EXPIRATION: 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 authorized by such permit is not commenced within 365 days from the·date of such permit or if the building or work aut ized such permit is suspended
or abandoned at any time after the wor~ is co ced for a period of 1,80 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE"'3;;::=::;:~~~~~~~~:'s:~~------------DATE ·-,'f'---=,--'-+--------
YELLOW: Applicant PINK: Finance
City of Carlsbad Inspection Request
For: 5/6/99
Permit# CB991378 Inspector Assignment: SP ---
Title: 24 HOUR FITNESS
Description: DEMO 2 WALLS 8' HIGH FLOOR TO GRID PARTITIONS
Type:MiSC Sub Type: OTHER
Job Address: 2234 RUTHERFORD RD
Suite: Lot 0
Location:
L\PPLICANT : BILBRO CONSTRUCTION
Owner: UNK
Remarks:
Total Tiine:
Act Comments
Phone: 6195209330
Inspector: .$'.P
Requested By: STEVE
Entered By: CHRISTINE
CD Description
19 Final Structural Ae_ ____ ..... ~_A-'S_r_1,-1,_s_F_t£c_fi_, ..,...tJ,...J ...... ~----
........ ----------------,....... _______________________ _
-,....... __________________ _
Inspection History
Date Description Act lnsp Comments
4/30/99 89 Final Combo CO SP SEE NOTICE ATTACHED
..,_ \'::"· . ... .... . -·;t.
. ~· ~-: ·:;·: ... ',:>•·
·'. }!'{~-:_'
. ·, . . -_:~ .. ·~_:_·· . . ·,.' ... ~'!!'---------.. •• )
... 1·
!~ ,f~ I ', ' .(") :I: ·.~ .; ! :ti t, JC, I r .:~;;,_,, I -... II L: .. ~. l
,. ,.
. 0)
'\.)J
I.
C:
1·"( ··:.,
iJ 7J .,,o
0 <' ....... ; ! C)
f"' -.J ,. ,.. ~ ~
-.J .J ..J u-, :
M ··1 ,, !:
~ .,
'"
.. ' .., ! N
"" . ~
~ 4'.
1
-r-:
,.. 1 111 I •· •...s I .o :J. I 1 l , ·-~
" ""
~
0 J --=----=-:-,:-_ --:-. -:-c-•• = .. -. ------., :-.... \ ,.~ ... . ' . .,,,._!"._.:·
t ....
·•·. o .S l;;r,~:: . .'k'. IJl I _; .,_ . " .. <l' -rt) r .-r.:J
,-
! ; r ~ .
l
:-""'-'.-. . ~ ~ !f;-r=w---b II' (ll r; ' l'l 1 ; f.:· .
I.Ma, •••
::6. 0 ··:,.
~ m~ ·.· ±-... :rn,.·-::;--· ,,
.=. I -~1__...:.•:,:r,:, •
--I -· -·--~-+-_t_':: ... 0 .i ...
! l'J. j N .• · 1 ~3"-_:·--n -, .. ~ --· ! · -;·-····· ~: ni: =r •~ 1
• .... I •• ·-; ---••. • J .
(" ,. .. I"
c,.,
0
I. ...
{
tt·
., ..
I: ,,
!i
N OQ
..,. .07 [ -··--~·s00ie · , •. POOH 1 . . .. . .-.... '
' ~;\
.0
I -, :_l_-__
~-~
B U I L D I N G P E R M ,I: T Permit _No: CB961895
Project No: A9602702
.D~velopmetit No:
10/1~/96 0};;1:38
!'age 1 of 1
Job Address~ 2234 RUTHERFORD RD
P-:ermit Type: INDUSTRIAL TENANT
Parcel N,o: 212~061-26-00
.Valuation: · 8, ooo
IMPROVEMENT
Occupancy Group: Reference#:
·. Description·: 352 SF' TI. ENCLOSING EXISTING
. . : OFFICE
Appl/Ownr : ADRIAN, DONICA
2245 ~ATALINA DRIVE
Suite~
619
CITY OF CARLSBAD
0404 10/17/96'0001 01
C-f=RMT
Construction Type:
Status-:
Applied:
Apr/Issue:
Entered By:
945-77,44.
VN_.
ISSUED
10/02/96
10/17/96
MDP
2075 Las Palmas Dr., Carlsbad., CA 92009 (619) 438:..1161'
v-~~=o:~
fity of Carllibad Building Department
PLAN CHECK NO. creo ,.. t Sq r
2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 F..51". vAL;._,_;:~::;...._o_o_c) __ ~~
1. PERMIT '.IYP£ PLAN CK DEPOSIT '7 {. 19 0 VAi.JD. BY f" .. .------+.......,_ __
DATE · O '2.
From list 1 (see back) give code of Permit-Type: ___________ _
0105 10/02/96 0001 01.
For Residential Projects Only: From list 2 (see back) give C-PRMT
~ode of Structure-Type:---------------------
Net Loss/Gain of Dwelling Units _________________ _
2. PROJECT INFORMATION FOR OFFICE USE ONLY
c;!HECK BEWW IF SDBMtl l'EO:
0 2 Energy Cales O 2 Structural Cales
ASSESSOR'S PARCEL
DESCRIPTION OF WORK
0 2 Soils Report D 1 Addressed Envelope
EXISTING USE PROPOSED USE
I I eren roi_n_a;w ICan r, -/.: f> .A~ ./1 _·l...--
NAME (last.name first) ·;F!> t..., t't-1..J D ()#'ca,4ADDRESS 4--.:z ... "r::7 ~~-#,A-;rv:t:::::r
CITY .cit.$~ STATE ~ ZIPCODE 9~&~ DAYTE~PHONE ~ 7/~ 4. APPLICANT IMCIOR D AGE~R CON'l'MCIOR D NER D AGEN'I f'O
NAME (last name first) ~ ,1-6 A-~2fl)-t.
CITY STATE ZIP CODE DAY TELEPHONE. s. PRoPER'l'Y oWNmt
. NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
6. CoN'.t'RAcrnR A-'S)f2:l ~ Vc:9---,lJ c~t ADDRESS 2-~4-S ~LLH;,f_ A-u-~' NAME (last name first)
-fnAY TE~PHONE ~ (9/ 916" 7 71-.<f CITY Vt5TA-~ ZIP CODE STATE
l) CITY BUSINESS UC. # .. ~~ STATE UC.# LlCENSE CLASS
Workers' Compensation Oeclaranon: I hereby affirm that I have a certificate 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).
ii
Owner-Builder Decla~tion: I hereby afhrm that I am exempt from the Contractofs Lice1.1se Law fpr the foliowmg 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-co 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
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 Llcense 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 reqµir~ 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 Bus_iness 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 mts SECTION FOR NaN-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely-hazardous materials registration (orm 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 boundazy of a school site?
0 YES D NO
IF ANY OF TIIE ANSWERS ARE YF.S, A FINAL CERTIFICATE OF OCDJPANCY MAY Nar BE ISSUED AFfER JULY 1, 1989lJNI.FSs nm APPUCANT
HAS MET OR IS MEETING nm REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICFS AND TIIE AIR POU.UTION CDNTROL DISTRICT. 9. OONSIR0CTION ll:.NDING AGENcY . . .
{hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this pernut 1s 1Ssued (Sec 3097(1) GiVIl Code).
LENDER'S NAME LENDER'S ADDRESS
to. APPUCAN I CRkhFICirnON
I certify that I have read the apphcanon and state that the above mformanon 1s correct. I agree to comply with all City ordmances and State laws
relating to building c;onstruction. I hereby authorize representatives of the City of Carls.bad to enter upon the.above mentioned property for inspection
purposes. I ALSO AGREE 'ID SAVE INDEMNIFY AND KEEP HARMLF.SS nm Cl'lY OF CARISBAD AGAINSf AIL IJABIIJTIES, JUDGMENTS, oosrs
AND EXPENSES WHICH MAY IN ANY WAY Acx::R.UE AGAINSf SAID CITY IN OONSEQUENCE OF nm GRANTING-OF TIIlS PER.MIT.
OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
VI ions of this Code shall expire by limitation and become null and void if the
:;>-:,:;.:.:::...;;,::_:in 3 days from the date of such permit or if the building or work authorized by
r · ommenced fqr a period of 180 days (Section 303(d) Uniform Buildi~n ~e).
DATE:{,~~ 'm.Ot-=t=~?fJ.--7 . .
PINK: Finance
J
·"
NO INSPECTIONS RECORDS FOUND FOR PERMIT#
12/02/98 14:07
Page :L of 1
B U I L D I N G P E R M I T Permit No: C:E}984195
Project No~ A980S442
·Development No: Suite: Job Address: 2234 RUTHERFORD RD
Permit Type: MISCELLANEOUS
Parcel No: 212-061-26-00
Valuation: O Lot#:
Occupancy Group: Reference#:
Description: DEMO NON-BEARING PARTIONS
760
3977 .12/02/98 0001 01
C.;..PRMT
Construction Type:
·Status:
Applied:
Apr/Is.sue.:
Entered By:
931-0595
__...
"ERMJTHAS EXPIRED IN ACCORDA~.!CE WITH U.B.O.
02
VN
ISSUED
1?/02/98'
12/02/9,8
MDP
SECTION 106.4.4 · , ·
11
Q ,
DATE t:>-f q·Ci SIGNATURE f&D /l:c 11'1:f :.0
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1:161
PERMIT APPLICATION
FOR OFFICE USE ON~ () l q l
PLAN CHECK NO. f Ej_,... l .)
CITY OF CARLSBAD BUILDING DEPARTM_ENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By ____ ...... ____ _
Date. _____________ _
:·1. PROjECT INFORMATION
·2. -z__ 34: (µ.rrt-lcfLF"°o(t.o [2..0,
' ----~i:--1:.-r·~~.·:r:-r~:·-.. h: ~ .. ___ ....... -
G16 A Tft.ENQ
Address (include Bldg/Suite #)· _Business Name lat this addre~l
Legal Descriptfon Lot No. · Subdivision Name/Number Unit No. Phase No. Total II of units
Assessor's Parcel II ;-;:;::e.,, c:l '-t ::11 O V Cl ,--:
Existing Use
/t.Ja QS-&Lf>vf? Pt:ll\:11i-,-,&<--.S
Proposed Use
Description of Work . SQ, FT. · lot Stories I of Bedrooms # of Bathrooms
: 2: ., ''.cot.lt.lct'PEilsoN ·irt illttlirent "train. iiiiiiilcanil. .,.. -'" :, : -~.' ~~;':° -~::,:,~:~:~ ,;-r ·;;:,>:;.''' '."'i:7-":'":7:'.~;7,s-:~~-~.:;-~.;:--,.. '."' ·r;;· 7,:-:--:";'·· ... .,,.,.. •. V(...lt..C::..e '13uye~ '2--i..J ( R'-'-rHGf'\. r-.::,n..j.:> If O CA-.(1..sQero c.lA .qZtJo'ir 7G u-97(-0,c:f~
Nama Address · · · City State/Zip Telephone II Fax #
f3~·_,: .. APPLiCANt ·:,:,:· ·~ntrictor .. D Agent for Ciintr1ctor·: .· ··o· 6w"iiliF' :•_:o ;,\giinHor Owner.',;-;::-·.~;·~-----_-:·-;-,··:,-/•;:;.:"<":~--~---.•.. ''
13,L Cf\..o cc,, ':(Z.o4 . )1...,'JL...,0,1UQ OIL SAJ P<ssz c) C/J,-q-z..}17 Glq-'Z?o-?..8-8-c:)
Name · Address City State/Zip Telephone#
;4.:. -~·:PROPERTY· OWNER :; ·· ';:·.)~·'!:~~~::. .-:f\f~~~-~: ~M~~r:; :;._:/:~··; -~ J· ·:~ · ~·(< = · ~ ··., -·
Name Address ·city State/Zip Telephone#
:ii. ,c,··coNTRACTOR !'COMPANY NAMiF""7-"" ""'::···:· :~··"''?'F"":·-·;;,:~:-::·~~:;-~',"."c:''7:~:,'.:~'.:7T''.:f'.:".:.·::.PT:~-:-::7:'7'.~"'.:m=-~~-... ::: '. ::::::•·T ·~ .. ·: · · · ........ .
(Sec. 7031,5 Business and .Professions Coda: 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 tor such permit to file a signed ·statement that he is licensid 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 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 1$500)). Gt l...{JA<:J CoV~,~vc..-no~ C.cl~ l.f-Z..o 't JUTLAWO .Q<?,,., SAiJ 01(;'.""~0 CA-ct1..1n 6( q-2-70-2:§s-o
Name . Address City State/Zip Telephone #
State License I 7 tf:5""14.G License Class O City Business License I / 7-.CJ b o/9 .b
D~signer Name Address City ~tate/Zip Telephone
State License # _ _,_ __ "--'------
, -~_M•~..,-H-<., ... :r-·-.· .,!,. ·6.--WORKERS;C0MPENSATION . ,. --~--:·:::·:·"·.' '. ':,,-_,:,.;.:·_·;,;.!:::: . .'!7'·:: .. ·t·:,,, '···\\:; \'./.'_:,: ',.: : .. :·,
Workers' Compensation Declaration: t hereby affirm under penalty of perjury one of the follo_wing declira.tions:
·_, ' ~.~ ...
0 I have and will maintain a certificate of consent to self•lnsure for workera' compensation as provided, by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued .
.B'"'I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, .for the performance of the work tor which this permit Is
issued, My worker's compensation insurance carrier and polii,:y number ari:
Insurance Company . Policy No •. ____________ Expiration Date. _______ _
ITHIS SECTION NEED NOT'BE COMPLETED IF Tl:fE PERMIT IS FOR ONE HUNDRED DOLLARS j$100J OR LESS)
0 CERTIFICATE 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' cornpenutlon COftl'llgtt Is unlawful, and ahall aubject an employer to criminal peneltles end civil fines up to one hundred
thou~and dollars ($100,000), In lddltlon to the coat of cornpenutlon, demages u provided for In Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE;===;: 'Jkio ' DATE /'Z..-3 -<r IL
) .... -OWNER-BUILDER·DECL:A~N · . . ... . ., ' .. . . ._. ...... , .. ~.~··1·-.;~.,,, .... ,., ..... :•·:·::,: :·:.~.:_;i:'it['.',':~:_~-:,') '·;~,;~;::!-·•'.,'i-'.~-~·-,.""f:.r .' ,.,,.,,~•,,:,: ~~;:,:: .. •, ·-.,
I hereby affirm that 1,,m exempt from the Contractor's License Law for the following reason:
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 tor sale
ISec. 1044, Business and Professions Code: The Contractor's License Law does not apply ~o an owner of property who builds or improves thereon, and who does
such work hims.elf or,througf:i his own.employees, provided that 1uch Improvements are not intended or offered for aale. If, however, the building or Improvement is
sold within orie year of completion, the owner-bullder will have the burden of proving that he did not build or Improve for the purpose of aale).
0 I, as owner of the property, am exclusively contracting with licensed contractors ·to construct the project ISec. 7044, Business and Professions Code: The
· Contractor's License Law does not apply to· an ownar of property .who builds or improves thereon, and contracts for such projects with contractor(&) licensed
pursuant to the Contractor's License Law). ·
0 I-am-exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for constructiol"! of .the proposed property-improvement. 0 YES ONO
2. I (have/ have notl·signed an application for a building permit for the-proposed work.
3. I have contracted with the following person lfirml 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 coordinite, supervise and provide the major work (include name/ address/ phone
number/ contractors licinse number): ·
5. I will provide some of the work, but I have contracted·lhiredl the following peraons to provide the.work Indicated (Include name/ address/ phone number I type of work):, ___________ ..,.. ________ _,, ______ .,-__________________________ _
PROPERTY OWNER S!GNATURE ______________________ DATE _____ .,... ___ _
:COMPLETE TH1s:sEdti0N Fofi·No,WimoenWJ1un.biNo PEiiMiti omrr~rit:-"f1:'r,'i'J~:-:~1~f'f0~1.ff:fl'!'?~1,~:~,t.!T'if".:'''.'?·1 ·· -;:· -:"1: ._.. :;r:-:-, ... : "'.~···0', ""'.··
Is 1he _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, 2ij533 or 25534 of the Presley-Tanner Hazardous Substance Accc;,unt Act? 0 YES O NO
Is the.applicant or future building occupant required to obtain a permit from the air pollution control dlst~ct 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 TH,E OFFICE OF EMERGENCY SERVICES AND THE AIR POLlUTION CONTROL DISTRICT.,
ta;'."' :c·oNstliiJciiQN:i.ENDiNG AGEflcy:::'•,'· '·:!~t'"'·'~·;--;-:-': )'~r~;""F::;:~~;: ::;'.:,~}-~7':~'-0'~:":~!:"'~,;;;1'.-"?:·:~''''?::"?'~r::'1::::~'~i '.'·:' ':'"'·:· · ,,-;: ... · · :·
I hereby affirm th.at there is a construction.lending agency for the performance of the wqrk for which this permit Is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME_____________ LENDER'S ADDRESS_-,-______________________ ___
is:': :I,:APPLICANT. CERTiFiCA tioN'i;'';''.'" :·.:-·::·"'': ·, ,~:; :-";."'.:'7',·:~:;r;" :•·,..,...,,;:'.1;':·""'~~-":-,.;::,:,,,'1.,.,,'. ,;'.".:(:"''-~'c:··..f"· ·.~'fZ:,'.'.'.Fi'~~ ,:";'t'c§'l!F,P)';""""'\)rr"!"';':;" ','.';.. '.· ·: ., : . ; ; ... , . :-: ·: ... •: :,. ·r, V
I certify that .I have read the application and.state that the above information is correct enc:t. that the Information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cltt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, ll'<(DEMNIFY 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 in height .
. EXPIRATION: · Every permit issued by the Building Official under the proviiions of this Code shall expire by limitation and become null and void if the building or
wprk authorized by such permit is not commenced within 365 days from the.date of such permit cir If the-bujlding or work authorized by such permit is suspended
or abandoned at any time after.the work i commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATUR~.....,~~~~~Q~:::.I.--------------'-""------DATE _/_c_-____ 3--_9__,_9-:.__ _____ _
WHITE:. File YELLOW; Applicant PINK: Finance
-·----~-