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Home My WebLink About2251 RUTHERFORD RD; EXPIRED | MULTI-PERMIT FILE; CB111464; PermitCity of Carlsbad 07-17-2012 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB111464 Building Inspection Request Line (760) 602-2725 Job Address: 2251 RUTHERFORD RD CBAD Permity Type: Tl . Sub Type: COMM Parcel No: 2.120612000 Lot#: . 0 Valuation: $129,920.00 Construction Type: V Occupancy Group: Reference# . Project Title: UPPER DECK-3500 SF OFFICE TO OFFICE Applicant: PHILIP WILLIAMSON STE 423 970 W VALLEY PKWY ESCONDIDO CA 92025 . 760-644-0043 Building Permit Add'I BL;Jilding Permit Fee Plan Check Add'I Building Permit Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge.Fee BTD #2 Fee BTD#3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee Fire Expedidted Plan Review $755.13 $0.00 $490.83 $0.00 $0.00 $27.28 $0.00 $0.00 $0.00 $0.00 $0.00. $0.00 $0.00 $0,00 $0.00 $0.00 $0.00 $4.00 $340.00 Total Fees: $1,701.24 Total Payments To Date: Owner: PACIFIC-RESEARCH CENTER LP 3838 CAMINO DEL RIO N #300 SAN DIEGO CA 92108 Meter Size Add'I Reel. Water Con. Fee Meter Fee · SDCWAFee CFO Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees HMP Fee Green Bldg Standards Plan Chk TOTAL PERMIT FEES $605.83 Balance Due: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $60.00 $24.00 $0.00 $0.00 $0.00 $0.00 ?? ?? $1,701.24 $1,095.41 Inspector: FINAL APPROVAL Date: ------· Clearance: ------ NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reseivations, 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 MunicipalCode 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 seivice fees in connection with this project. NOR DOES IT APPLY to any · · · · · ·1 r whi I h i CT/PROJECT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 /2718 /2719 Fax 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# # OF UNITS . # BEDROOMS \. tJ/~ 'DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) //-) t.J&L/ 0 Date SWPPP APN ~' -2/)(o -\2o -oo CONSTR. lYPE OCC. GROUP -U~Co. \J ~ ~ /tffFoY.: ~.soot/I of-~-w ("BlJ~ tMf~ --w tt-)t--t-.uD~; 'R-6MDVA.L or lt\>rJ.o)(. ei,.-6'\J~(r,) t~.1)•s, rrJFtLv of~ ortst.lu~~, ~.,lTloll.i * \ t"1r.-tJorJ,P-r~vJ(. ~\\\et-J \))AAA.,,, At.\~ ,\_'bO\\\~ of:-3 \\.l,. V~-rCT\o~ w ~s .. M\.tJ"tL ~C..."T(M>.Jl_\t-~ ~ tt,..e.c Du t.6,S CONTACT NAME ·(ff Different Fom Applicant) ADDRESS' '110 w' V ADDRESS CITY ZIPb _ ,2..l>Z-~ CITY ~lot.lDtOO TATE Ck ZIP 17-o v;-- PHONE , { FAX -7/Jo. 't-'t-,. 02,.,17 7f.J o. zq . o 2.. 1 P; CONTRACTOR BUS. NAME ADDRESS CITY s 'I""'-. . STATE .,,_ Z.!lf 'c1'l \.:.,~C> C-," I Z-lt)t, CITY PHONE EMAIL CLASS CllY BUS. UC.# 8 VZ-Ct, Zfjl, (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 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 {$900)). _ _ Workers' Compensation Declaration: I hereby affirm under penalty of pe,jury one of the following declarations: have and w'.11 ma'.nta'.il a certificate of cons~ntto self·i~sure for-wo_rkers' compensation as provided by Section 3700 of the Labor Co~e, fo'. the pe,rf~"'.1ance of the work for which this_ pe'.1'1itis issued. . . have and W\11 mamtam workert_c~m~':!11.!litf, jl_S required by Section 3700·of the Labor Code, for the performance, ~f the work for wtuch this permit 1s issued. My workers' compensation I uran earner and pohcy number are: Insurance Co £:~ T J\/lC(lc>tJAt, l 1\15'1 MtJ c.e, l#. Policy No. JI/QOOI) £1225 IO I Expiration Date _-f-+-.L.L-j,_,... ___ _ ]:bi§, section need not be completed if the permit is for one hundred dollars ($100) or less. • · LJ Certificate of Exemption: I certify thatin 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' pensation coverage is unlawful, and shall subject an,employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition lb the cost of compensation · on 3706 of th_e Labor code, Interest and attorney's fees. 2} CONTRACTOR SIGNAT t~ht;r,ri1im-irir · I hereby affirm that I am exempt from Contract · 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 im·provementis 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 contiactor(s) lic;ensed pursuant to the Contractor's License Law). I am exempt under Section ___ ~Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement 0Yes 0No 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/ 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 I phone/ contractors' license number): 5. I will provide some of the work, buU have contracted (hired) the following persons to provide the work indicated Qnclude name/ address/ phone/ type of work): _2S PROPERTY OWNER SIGNATURE 0AGENT DATE -~@~_ f q,au~"tilt({tO~~)(}~r(?0m,: ro0~i,;w~·o0J1Hit ii~'£;, {j 'Wt!>~l!: U>-9@¢ z l:>\ht~pt?o ... ·· .. , _-#....,_w.,._......._-"-'-.............. .,;,;.i Is the applicant or future building occupant required to submit a busin~, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account'Act? 0 Yes . No ~ Is the facility to be constructed within 1,000feetof the outer boundary of a school site? Dves No Is the applicant or future building occupant required to obtain a pennit ~ the air pollution control district or .lily management district? OYes No .IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED. LE . S THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF ·EMERGENCY SERVICES AND THE AIR POl:LUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code), Leniler's Name Lender's Address : I certify that I haw read the application and state that the above infonnationj~ correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relatingto building construction. I hereby authorize repiesentative of the City of C;;rtsbad to enter upoo 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5!J deep and demolition or construction of structures over 3 staies in heighl EXPIRATION: Eve!Y permit issued by the Buildin dal under the provisiolls of this Code shall expre by limitation an_d become null and void if the building or work authorized by such pennit is not oommenced within 180 days 1iom the date of.such pe · , , · .. by such permitis suspended or abandoned at anytime aftertheworkis oommenced fora period of 180 days (Section 106.4.4 Uniform Building Code). DATE V 3-1 // CB111464 2251 RUTHERFORD RD UPPER DECK-3500 SF OFFICE TO fr7!-/I-@~~ (s~ 1o df'f f~tf/7- 7/14/, I ~ @_ FC . lf2I! &j:J;:f J/-z.-7/ri-~ lr -ft, iscn'1.. I {2'o/ n: e ~'1F·"" r/Y!I -&#Ci111JY I · 'fr'},oj1 f ~ JIL -fv €&(9,-1'--/ et. 1:1 'ttt" <L FG . j--,, , ~ ,. , .. ~-,,f} ~J'FtJfr .m. -r, re__ v '" 1\-ff>hc.M.11' r-r:;-11-r~ "'f1MV1'-0l m>A) t' *. ( . ~ / 1., {; ( 11 fl.:( 2--,, v{ N/-s ; C6 ~N ,,,Jil j\J 1{ ~fr'- 1/n }-,1-, . OL~ 6fC" @_.p,~&,.'J--~ ~r· <e/412.. pO ~>p:.,t'v see. . f e.rro \ \ ex,p ~ rd t~d~ Approved Pate, BUILDING <;:/-rz I ,r PLANNING ;1 ,,in/,, ENGINEERING P\ ij ,,q,f II FIRE Expedite? ( Y j N 5(~<;;.,// AFS Checked by:'--'" -• HazMat APCD Health Forms/Fees Sent Rec'd. Encina <o->1-lf Fire ---HazHeafthAPCD CP-.J.U-I I PE&M (11-J.Cf-JJ Schoof --Sewer ---St6rmwater · (p-,.J.'f-11 Special Inspection CfD: y N . LandUse: Density: lnipArea: FY: Annex: !'FF: y N Comments Date Date Date Building r1-l 7-II 0f/// Planning ., Engineering Fire 7/H / 1 l 1/)iJII Need?, I . ~ /JAL~ '/:)a,JUA-/ r ', SW CJCV By ,. /J ~-£ J ~ J'I/ ,, Due? By y N y N y N y N y N y N y N y N Factor: Date c;JDone CJ Done CJ Done CJ Done CJ Done ·CJ-Issued City of Carlsbad 06-19-2012 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB110588 Building Inspection Request Line (760) 602-2725 Job Address: 2251 RUTHERFORD RD CBAD Permity Type: Tl Sub Type: COMM Status: EXPIRED Applied: 03/22/2011 Entered By: KG Parcel No: 2120612000 Lot#: 0 Valuation: $1,196,786.00 Construction Type: 58 Occupancy Group: Reference# Plan Approved: Issued: Inspect Area Plan Check #: Project Title: UPPER DECK-32,241 SF OFFICE TO OFFICE,RENOVATION Applicant: GOMEZ JOHN P.O. BOX 9930 RANCHO SANTA FE. 92067 760~271-7803 Building Permit . Add'I Building Permit Fee Plan Check Add'I Building Permit Fee Plan Check Disc·ount Strong Motion Fee Park Fee LFM Fee Bridge Fee BtD #2 Fee BTD#3 Fee Renewal Fee · Add'I Renewal Fee . Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee Fire Expedidted Plan Review $4,049.54 $0.00 $2,632.20 $0.00 $0.00 $251.33 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $44.00 $0.00 Owner: PACIFIC RESEARCH CENTER LP 3838 CAMINO DEL RIO N #300 SAN DIEGO CA 92108 Meter Size Add'I Reel. Water Con. Fee Meter Fee f,DCWA Fee CF'D Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUM~ING TOTAL ELECTRICAL TOT AL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees HMP Fee Green Bldg Standards Plan Chk TOTA~ PERMIT FEES Total Fees: $7,517.07 Total Payments To Date: · $2,690.93 Balance Due: Inspector: FINAL APPROVAL Date: Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $216.00 $260.00 $64.00 $0.00 $0.00 $0.00 $0.00 ?? ?? $7,517.07 $4,826.14 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 day~ from the date this permit Was issued to protest impos[tion 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 het'Y FURTHER NOTIFIED that your right to protest the spec/fled fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any . fees/exactions of which vou have oreviouslv been aiven a NOTICE similarfo this or as to which the statute of limitations has oreviouslv otherwise exoired. ~ /',;,"' \' .. . ~,, CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gQy SUITE#/SPACE#/UNIT# -z.o -60 LOT# PHASE# # OF UNITS # BEDROOMS· # BATHROOMS CONSTR. 1YPE acc. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) j-+ r c~"T r o c· ht,-es Mo\/,·n "t" aolo<,+w;.. 1:,f- .~c. e Ct\Q.I\. -\-a ~rl~r l,M,fecJ +o ADDRESS . 1'o ·eox: qq~ o . c~~(\e,b-o. ~rlfA. Fe (( ZIP O Ct4-J,O b 1 STATE \\JV ZIP °t\2-~ PHONE 6 7 c;p ... );1#= 78'e3 -FAX 102.--3S--'-I-3t.>~ EMAIL 1 :fohn-Gomez. @) rf P°' mt.()_e.i CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP CITY STATE ZIP ~ \)\.'' Cfo 10\~ PHONE PHONE FAX \q-2~-(p~CO EMAIL STATELIC.# STATE UC.# CLASS 11Y BUS. UC.# c-\'l8 2-(p (Sec. 7031.5 Business and-Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, Rrior to its issuance, also requires the applicant for s·uch permit to file a signed statement that he is Ucensed-purs·uant 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 exeiTIP.t therefrom, and the basis-for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjecta the applicant to a civil penalty of not more than five hundred dollars ($500]). [i3:10(yQ£;((?5_~_~(?01~(e!]Q?p~:,i(u(~Q1 _ ~~·· ~-_·_:: .. :: -~:~:~-~--·,---~----~.==~~~ :~ ··--~' :4 ;:= -,~~:· _,_:_~',_~~ Workers' Compensation Declaration: / hereby affirm under penalty of perjul}' one of the following dec/araffons: CJ I have and will_ maintain a certificate of consentto 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. CJ 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 permitls issued. My workers' compensation insurance carrier and policy number are: Insurance Co., ________ ~~--~--~---Policy No. _____________ Expiration Date ________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. CJ 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 ls 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 provi'c!ed for in Section 3706 of the Labor code, interest and attorney's-fees • .,.e:s'·coNTRbf!O_RstGNATU.RE D OAGENT DATE ----'.!· I hereby affirm that I am exempt from Contractor's license Law for the following reason: (j 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). (j I, as owner of the property, am exclusively contracting with licensed contractors to construct the projeci (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), (j I am exempt under Section Auslness and Professions Code for this J"?ason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. (j Yes (j 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 construcffon (include name address I phone/ 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 Qnclude name/ 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 Onclude name/ address/ phone/ type of work): ~PROPERTY OWNER SIGNATURE D OAGENT DATE ~ . ·~ ~CARLSBAD Community & Economic Development JANUARY 04, 2012 www.carlsbadca.gov JOHN GOMEZ PO BOX 9930 RANCHO SANTA FE CA 92067 RE:· APPLICATION DATE: 03/22/2011 CB110588 PLAN CH ECK #: ADDRESS: EXPIRATION DATE: 2251 RUTHERFORD RD 03/21/2012 PERMIT TYPE: Tl DESCRIPTION: UPPER DECK OFFICE RENOVATION You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained and the original plan review application will expire on the date noted above. This courtesy notice is sent to a~vise you of the following provisions of the City's codes regarding expiration: 18.04.035 -Section 107.4 amended---Expiration of plan review. Section 107.4 oi the California Building Code Is amended to read: Applications for which no permit is ,ssuedwithin one year following the date of application shall expire by limitation, and plans and other data submitted/or review may thereafter be returned tq the applicant or destroyed by the Building Official. 90 day extensions of the plan review period may be granted by the Building Official after review of a letter of explanation provided to him by the property owner. An extension of time granted by the Building Official does not, by right, apply to any related .Discretionary Permit under review. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. · In order to provide better service, please indicate your handling choice for the plans originally submitted and return this letter to the Building Department. · __ . Project Abandoned -I will pick up the pl~ns within 10 days --.--Project Abandoned -Plans may be destroyed If you have any questions, please contact the Building Division at (760) 602-2719. Building Division CC: RYAN DENTT ® ~ -~ . ,,if~ CITY OF VcARLSBAD Community & Economic Development JANUARY 04, 2012 RYAN DENTT PACIFIC REALTY ADVISORS STE 300 3838 CAMINO DEL RIO N SAN DIEGO CA 92018 RE:·. APPLICATION DATE: PLAN CHECK#: ADDRESS: EXPIRATION DATE: PERMIT TYPE: DESCRIPTION: 03/22/2011 CB110588 2251 RUTHERFORD RD 03/21/2012 Tl UPPER DECK OFFICE RENOVATION · www.carlsbadca.gov You applied to have your plans checked on the date noted above. To date, the related building permit has not ~een obtained and the original plan review application will expire on the date noted above. This courtesy notice i~ sent to advise you ofth~ following provisions of the City's codes regarding expiration: 18.04.035 -Section 107.4 amended-Expiration of plan review. Section 107.4 of the California Building Code is amended to read: Applications for which no permit is issued within one year following the date of applicatiQn shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Buil~ing Official. 90 day extensions of the plan review period may be grant~d ·by the Building Official after review of a letter of explanation provided to him by the property owner. An extension of time granted by the Building Official does not. by right. apply to any related Discretio'!ary Permit under review. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. · In order to provide better service, please indicate your handling choice for the plans originally submitted . an_d return this letter to· the Building Department. __ · __ . Proje~t Abandoned -I will pick up the plans within 10 days __ ._· ·. Project Abandoned -Plans may be destroyed If you:have any questi9ns, p.lease contact the Building Division at (760) 602-2719 . . Building ·Division ... CC: iOHN GOMEZ Building_ Division 1635 Faraday Avenue, .Carlsbad, .CA 92008-7314 T 760-602-2700 F 760-602-8560 /,;·· CB110588 2251 RUTHERFORD RD UPPER DECK-32,241 SF OFFICE TO nCC'll"'r nr-.. ,-~ -a--~ 3-;i-11-tJ,()~ ~rs,;1./t:-.?~ ft) /-,'»j, p 3-J<i-{( -~/)1-c_. If-/-//-6,l/ CL/?J . 4\ l 4 \ \ l 0-% 1..L ~ re ~ :n=--e'5&-" L u:> I -r-d--4 +-S~ Y\~ -n:::-~\QG- Lf ( ?r~ ti f3SJ;:~.L _ l/-:'__ _/-A P. :-i (1 · . ~ (} lf ( P / Ii ~ "Y':f ~N ctl{M/J,1 _d-d lf I lj_ (t' i. /1 ,4-2.. I 11:kJ ff:J., ~ 1t-l, 7 rt 3, r r c/, A c4, l ll/4o ~ .J1Jd% J;Jofpc_,-J?.~ .S.vf ?i'Jr!= -. ¾ ~4Fc._ · . 5 /c( 11 f 1J:-,,,/ CO.//,r r,,,1' : v---,., c-i-,, f--~ . /\) fl{);"'c> @ fc. ~ 4-\ \-Z-GK~~roXZEH'-le;4ter ~'l -.3{~1.J,9-' . . , 3/)-S / ri__, ~ (!}UAlJA -~ t;o cAJ..L, ~~ML~ . t,,/1Ct/r2..-/JD f>Pfip~e ex.p,re p1.c,,ns de.s~'/:J '-/1.iJ )e'H ~ ... ~- ,. O• DCV Approved ~Da.te By BUILDING . '5""/~/ f( _JI# PLANNING I I '5-.i.<y-~ I I L&_ ENGINEERINGAJ//iff?fi/~ ,, ~-Yi:-/( /.L.i'/ - FIRE Expedite? y ( N ) L//.;J,,t f I { ~) -. I ,:;.- HazMat APCD Health Forms/Fees Sent Rec'd Due? B'L--,, Encina -z,-zz-1 r y N /~ Fire -I-y N , HazHealthAPCD Z-?-7~/I y N ,Gd_ P'E&M ~-22-// y N LA School ---y N ~ Sewer --y N Stormwater 3-.z.z.-/ I y N Special Inspection . y N CFO: y N LandUse: Density: ·l_mpArea: FY: Anneic: Factor: PFF: y N Comments Date Date Date Date Building U-J-J" 1-+/;};)-/1 ( Planning : Engineering Fire ',5/do/ I( Need7 . fln·1,11~7.A!Y ~ · I a.Done -. r .,.()?L,v~ t!.;_.:2 '1-~'(}'.~I t-::yJ/;J~ I (/ aoone QDone QDone sw\/-)\0 Q Issued Job Address: 2251 RUTHERFORD RD Permit Type: ITI Citv of'Carlsbad INDUSTRIAL TENANT IMPROV Status: Applied: Permit No: CB951574 EXPIRED 10/27/1995 Parcel No: 2120612000 Lot#: Approved: Reference No: Issued: PC#: Inspect Area: Project Title: RELOCATE EXISTING EQUIPMENT Applicant: Owner: SMITH, JESSE 2251 RUTHERFORD PARTNERSHIP TH 2251 RUTHERFORD RD CARLSBAD, CA. 619 438-2131 00136104885 'Plan Check , , $20.00 i ------'·----- Fees: :----$20.00 ! Additional Fees: : $0.00 i Total Fees: 1 $20.00 Balance: $0.00 ~ PERMIT APPUCATION City of Carlsbad Building Department 2075 Las Pal~s Dr., carlsbad, CA 92009 (619) 438-1161 1. PERMIT 1YPE 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 Address :2-:)..S' / JltiTHe.etc:o~.o r~Jdmg or Smte No. H/ (o, lo ~ tJ 2 Energy Cales tJ 2 Structural Cales D 2 Soils Report I;] 1 Addressed Envelope ,,-.... PLAN CHECK NO. q ~ 4357 10/27/95 0001 01 C-PRMT FOR OFFICE USE ONLY 02 DESCRIPTION OF WORK (<eloDA-71i" e~ 1sr1 N? <F<(3t.\.1p ivle.~r ,, # OF STORIES ~ . # OF BEDROOMS j{J I # OF BATHROOMS ~ 'do 61 fil,v:J'Hfefl;t:ofll) fl, o; ~a--8--t:51 NAME Oast name first) Sh /TH .::r -e.£.5' ~ ADDRESS z. Z.. SJ CITY CAl2LsbAJ.. S~TE u. ZIPCODE ~ DAYTELEPHONE ·'-/s.15-?-(-:Sf s. ~~~~;zt ~=en:}rst) /7J ~ f/( ~-(3.,12 { 0 r ADDRESS Z:Z S / /2.,c.,,<..A7-J..~t&-c:1~~ R_jj CITY~ [s .bfts( STATE Ur-ZIP CODE ~;;J.(}Og DAY TELEPHONE 43 f' ~-d--{ 7 / 6. OON'I NAME (last name first) NtJY,.J.._ , ADDRESS CITY STATE STATE UC.# ZIP CODE UCENSE CIASS DAY TELEPHONE CITY BUSINESS UC. # 20.·,C{) DESIGNER .NAM~41ast name hrstJ .J e t1..£.1 CITY ~ S'FA'ffi Y.3 (..,,OQ..I<.._ ZIP CODE ADDRESS ~fl~ 'j_ $" ;4--/.:: ~-.;,( Q' r"-/C ( C o7f1 _DAY TELEPHONE '(sg ~(:3 /STATE UC.# p-/;a, . \.. ' er-u1 er c ara on: ere y a 1rm a am exempt rom e ontracto s cense w or e o owmg reason: [J 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 ah owner of property who builds or improves thereon, and who does such work himself or thr~mgh his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). [J [J 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). 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 dol!ats [$500]). SIGNATIJRE DATE COMPLETE lits SECnoN FOR NON-RESIDENTIAL BDIIDING 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 tJ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? a YES o· NO Is the f~cility to be constructed within i,ooo feet of the outer boundary of a school site? 0 YES ONO IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:LJPANCY MAY Nor BE ISSUED AFIERJULY 1, 1989 UNLESS nm APPUCANT H!,S MET OR IS MEETING 11IE REQUIREMENTS OF 11IE OFFICE OF EMERGENCY SERVICES AND nm Aill POU:.UTION OON1ROL DISTIUCT. IS permit IS JSSU LENDER'S NAME LENDER'S ADDRESS 10. APPllCAN I CfiltnFICA:liON I cert)ty th;;1.t I have read the apphcaaon and state that the above mformation 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 ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLES.5 TIIE CITY OF CARlSBAD AGAINST All IJABJllTIES, JUDGMENTS, OOSIS AND EXPENSES WHICH MAY IN ANY WAY Acx::RUE AGAINST SAID CITY IN CONSEQUENCE OF 11IE 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 Offici nder the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is menced within 365 days from the date of such permit or if the building or work authorized. by such permit is suspended or abandoned ta after the work is commeµced for a period of 180 days (Section 303(d) Uniform Bui!dj~Cqq:4-0~ APPLlCANT'S SIGNATURlf:::::::::::-~-...~.Lz,.~,~-~,£..--DATE:....,~=...+,._.Q'""""QL /..;J City of Carlsbad M -i! ii ta•• ii· I •2§ ·Si 4; lit§ ii 1· DATE: 09/30/96 TO: SMITH, JESSE 2251 RUTHERFORD RD CARLSBAD., CA. 92008 PLAN CHECK.EXPIRATION PC# CB951574 DATE:· 10/26/96 ADDRESS:· 22·5·1. 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: 11Section·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· Off i9ial .• In order to renew action on an applicati.on after expiration, the applicant shall.. resubmit plans and pay a new plan review fee." . Please check the appropriate box .indicating. your choice an~ return this letter to the BUILDING DEPARTMENT •. PROJECT ABANDONED·. I WILL PICK UP PLANS WITHIN 10 DAYS. -PROJECT ABA?iOONED. P~S MAY BE DESTROYED. If you have any questions, please contact the Building Department at (619) 4.38-1161 E!xtension 4331.. · . ., RAENETTE ABBEY Building Department 2075 Las Palmas Dr. • Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (.619) 438-0894 City of Carlsbad • =J!11 t4 11 U~i •l4~Ei4i; ,f§ 01 DATE: 08/27/96 TO: SMITH, JESSE PLAN CHECK EXPIRATION PC# CB951574 DATE: 10/26/96 ADDRESS: 2251 RUTHERFORD RD 2251 RUTHERFORD RD CAR:-i:sBAD, CA. 92008 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 extension 4331. MENETTE ABBEY Building Department 2075 Las Palmas Or.• Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894 Job Address: 2251 RUTHERFORD RD Permit Type: RETAIN Citv of Carlsbad RETAINING WALL Status: Applied: Permit No: CB930484 EXPIRED 05/18/1993 Parcel No: 2120612000 Lot#: Approved: Reference No: Issued: PC#: Inspect Area: Project Title: 72 SF PER SPECS+ AMMONIA TANK Applicant: Owner: MELLES GRIOT LASER PRODUCTS 2251 RUTHERFORD RD CARLSBAD, CA 619 438-2131 00136104885 Plan Check 2251 RUTHERFORD PARTNERSHIP TH $18.00 ; -- Fees: ; $18.00 j Additional Fees: : $0.00 i I i Total Fees: $18.00 Balance: $0.00 . PLAN CHECK NO. City of Carlsbad Building Department 2075 Las Palmas Dr., carlsbad, CA 92009 (619) 438-1161 1. PillMII IYPE A -0 Commercial O New Bu1ldmg O 'tenant Improvement B -){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 D Electrical D Plumbing D Mechanical D Pool D Spa )(Retaining Wall D Solar D Other ____ _ 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address 2 "2 $ I RvTH£t<. Fo 1<.D tu>, Bu1idmg or Suite No. Nearest Cross Street £ L CA M. \ N 6 ({ 1:£) ._ LEGAL DESCRIPTION Lot No. sulid1V1s1on Name/Number Umt No. Phase No. CHECK BEWW IF sOBMI I I ED: D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE A /A fr1 0 (VI. A -f,A tJ )-L,- PROPOSED USE DESCRIPTION OF WORK SQ. FT. J,2. # OF STORIES 3. WN IACI PERSON (If dmerent from applicant) NAME :r1::ssc: SM \it\ ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 4 38 -..2 J 31 4. APPDCANI OWNiltACIOR DAGENI FORCONIRACIOR )8'.,0WNER DACENI FOHOWNER NAME fYl t L L.€:'S ~I< i.oi-L./t.SFI<.. ft&iD_REss -z. 2s l RvTH ~1<,.F o ~c rc:.o • CI1Y C/)RL$ 6f\D STATE ~ ZIP CODE '1'?. oo (. DAY TELEPHONE </-3 ft r 213 I s. PROPERIY OWNmt NAME ADDRESS ZIP CODE CI1Y STATE DAY TELEPHONE 6. mN1RAcloR NAME ADDRESS CI1Y ZIP CODE LICENSE CIASS ADDRESS DAY TELEPHONE STATE LIC. # CI1Y BUSINESS LIC. # DESIGNER NAME CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WOIU<RRS' WMPRNSAIIDN Workers' Compensation Dedaratlon: I hereby affirm that I have a cert1hcate of consent to self-msure issued by the Director of Industnal 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 POLICY NO. EXPIRATION DATE Cernhcate of Exemption: I certify that m the performance of the work for whtch thts penmt 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE s. oWNill-BOIIDElt DECI.ARA'11oN D D OWner-Bmlder Dedarat1on: I hereby affirm that I am exempt from the Contractor's License Law for the followmg 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 tha he is e empt therefrom,~nd e basis for the alleged exemption. Any violation o. f Section 7031.5 by any applicant for a permit subjec th plicantJo}'civil ~-ofno~ore than five hundred dollars [$500]). _ SIGNATIJRE ~~ ~ DATE .) -/ 8 r o/ 3 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? DYES 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? DYES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES )(NO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCDJPANCY MAY NOf BE~ AFTER JULY 1, 1989 UNLESS TIIE APPUCANT HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICF.S AND TIIE AIR POlllJTION CDN11lOL DISTRICT. 9. UJNS'IROCIIDN Lf:NDING AGENCY I hereby afhrm that there 1s a construction lendmg agency tor the performance of the work tor which thts permit 1s issued (Sec 3097(1) CiVI[ Code). LENDER'S NAME LENDER'S ADDRESS to. APPl1CAN1' cmt11FlCA'110N 1 certify that 1 have read the apphcatmn and state that the above mtormatlon 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 AISO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS TIIE CfIY OF CARISBAD AGAINSf AIL UABIIJTIF.S, JUDGMENTS, msrs AND EXPENSES WHICH MAY IN ANY WAY ACX:RUE AGAINSf SAID CfIY IN CDNSEQUENCE OF TIIE 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. 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 authorized by such permit is suspended 9[,a';d/d at any time after thMk is commenced for a period of 180 days (Section 303(d) Unifo~ Building C~e). APPLICANT'SSIGNATURE ~~-7~~ DATE: ,j -/8 --r.3 WHITE: File YEU.OW: Applicant PINK: Finance \.rl*'-' .-? 1; City of Carlsbad 1635 Faraday Av Carlsbad; CA 92008 04-27-2011 Miscellaneous Permit Permit No: CB110875 Building Inspection Request Line (760) 602-2725 Job Address: 2251 Rl)THERFORD Rb CBAD Permit Type: MISC Subtype: OTHER Status: Parcel No: 2120612000 Lot#: 0 Applied: Valuation: $0.00 Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: UPPER :0ECK: DEMO IN PREP FOR Inspect Area: Tl (CB110588)//NO NEW CONSTRUCTION Applicant: PACIFIC SOUTHWEST COMPANY 6631 LITTLER DR SAN DIEGO CA 92119 619-466-3324 Miscelaneous Fee #1 Miscelanepus Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $65.00 0-ela..~ +c, PERMIT FEE Owner: PACIFIC RESEARCH CENTER L P 3838 CAMINO DEL RION #300 SAN DIEGO.CA 92108 Total Payments To Date: $65.00 Balance Due: ' .. . ,. PE~IT HAS EXPIRED IN ACCORDANCE WITH c.e.c. SECTION 106:.iA AS AMENDED BY C.M.C.18.04.030 DATEL~IGNATURE_4:-n_._. _. __ __ c,g,·, ,10~ o.!G.o e~. ISSUED 04/27/2011 JMA 04/27/2011 04/27/2011 $65.00 $0.00 $0.00 $65.00 Inspector: FINAL APPROVAL Date:-..-----Clearance: _____ _ $0.00 NOTICE: Please take NOTICE that approval cf 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 tiniely 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, gracjing 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 otherwise exoired. L \ ~~ «.<~ ~ CITY OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. CB { \ 0 l?-7,~ Est. Value CARLSBAD JOB ADDRESS ~~5 \ R~ecf'ord 'Rd Fax: 7 60-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Ck. Deposit Date ~'1 ,, SWPP O<ol -20 -00 CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. lYPE OCC. GROUP u DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) o-+-\-\r\\o~ \"''"\e1\(/( EXISTING.USE PROPOSED USE GARAGE (SF) · PATIOS (SF) DECKS (SF) f"IC FIREPLACE AIR CONDITIONING FIRE SPRINKLERS b+f--lc..-e.s cf-ht.es no no YESO #_ NOii(. YES ,II. NO O YES.IJ NO 0 ~TACT NAME ff Different Fam App/leant) '°'"' o~e--z.. APPLICt-¥~~AME ..{ J~ LL 0 WOOCI -nv-e ST0v5 C. ADDRESS ADDRESS VO-~ 9q30 2.~10 C.tlmson CCAA °" D<" STATE C.Pr ZIP 'l20bi CITY LC\.s V '5 STATE N\I ZIP 1 l-f PHONE PHONE FAX 7"110 ,:).11-78"03 70Z..-31s"'f-3 \C12 702-3t''i -'3\Sb EMAIL e\ 1\.0 I\J ~ '3oo STATE ZIP Cfr 'f'2-0\ S" STATELIC.# C 1'18'2!, (Sec. 7031.5 ·Business and Professions Code: Any City or Councy which requires a permit to construct,-alter, improve, demolish or repair any structure, prior to its issuance, lso equires the applicant for suet\ 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 70 0 o 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 oy any applicant for a permit subjects the applicant to a civil-penalty of not more than five hundred dollars ($500)). . . . Workers' Coinpilnsation Declaration: I hereby affirm under penalty ofpe,jury one of the fol/owing declarations: D I have a·nd will maintain a certificate of consent lo 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. D 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 workers' compensation insurance carrier and policy number are: Insurance Co.·-----~-----------'-'----Policy No. _____________ Expiration Date ________ _ 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 j is section need not be completed if the permitis for one hundred·dollars ($100) or less. alifornia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penallies·and civil fines up to one hundred thousand dollars (&100,000), in addition to·the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest arid attorney's fees. ~ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from.Contractor's License 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 through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvementis 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 for this reason: 1. I personally plan lo 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. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address I phone/ contractors' license number): , 4.1 plan lo provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ 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 I phone/ type of work): ~ PROPERTY OWNER SIGNATURE ClAGENT DATE •·' Is the applicant or future building occupant required to submit a business plan, acutely hazardous malerials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? CJ Yes CJ No Is the applicant or future building occupant required to oblain a permit from the air pollution control district or air quality management district? CJ Yes CJ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school sile? CJ Yes CJ 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. 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 State laws reiatingto building construction, I hereby authorize represenjative of the City of Ca.rlsbad 1o enter upon the above mentioned property for inspecoon purposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST, SAID CITY IN CONSEQUENCE OFTHE GRANTING OFTHIS PERMIT. OSHA: An OSHA permtt is required fur excavations CNer 5'0' deep and demolition or construcfun of structures CNer 3 stories in height. ·EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitatiol) and become null and void if the buTiding or work authorized by such permit is not commenced within 180 days from the date of such permit or if the buiding or work authorized by such pemntt is suspended or abandoned at any time after the work is commenced Tor a period of 180 days (Section 106.4.4 Uniform Building Code). _KS APPLICANT'S SIGNATURE DATE ' • ..fe /;1) I .. f ~ wnl/tP~/~ F/2-&n j2e-t'M~~ CJ /log 7S- 'Re-, Fr~ S:o~~ 7 Co. 3c;)/3~9 CB110875 2251 RUTHERFORD RD UPPER DECK: DEMO IN PREP FOR Tl (CB110588)//NO NEW CONSTRUCTION MISC OTHER I riff·-___ PAC.ll::'JC~<:r:\l.r,n.J\AJC:Cl:r.c-nuo11"'"---- ,., .\ ,I , ,L__,-' C?(n/11 _ ~ ~~,,._ /njed. S/-,4-/uf: /l-i/mved 1~-Jo· _1:2-f'tt ~c r1ok-oo pu-AU± · ~ ~!fl ._~_.:<-