HomeMy WebLinkAbout2258 RUTHERFORD RD; MULTI-PERMIT FILE; CB050296; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-01-2005 Plumbing Permit Permit No: CB050296
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2258 RUTHERFORD RD CBAD
PLUM Status:
Parcel No: 2120611800 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: CBAD RESEARCH CTR-TEST EXIST Inspect Area:
GAS LINE TO GET METER RE-INSTALLED
Applicant:
LOHF TRUST 06-22-92
1425 VIA DEL CORVO
SAN MARCOS CA 92078
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master-Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
0
0
0
0
0
1
0
Owner:
LOHF TRUST 06-22-92
1425 VIA DEL CORVO
SAN MARCOS CA 92078
ISSUED
02/01/2005
RMA
02/01/2005
02/01/2005
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00
0764 02/01/05 0002 01 02
CGP 27-00
Inspector:
FINAi, AP.Pf!OVAL qt~ ___ ~-0 ____ 7 __ 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,prot,est 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, br annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
· changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have nreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired.
.~ PERMIT APPLICATION
FOR OFFICE USE 0~
PLAN CHECK No.O S 1210/ b
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL.--""---------
Plan Ck. 0!:)posit -----....,..,..---,1r-,1--
Validated By_........,,__--jr,...-_-----==-1~.__A-~--
Date_~::J {1-1--I ~l osc-+--· I---'--'
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel# Existing -use ' Proposed Use
# of Bathrooms
Name Addr'ess City State/Zip Telephone# Fax#
i~;7f,,p;g_~~!¢:MtT''.;_:/(3):;pntf~ptor:-,:;:;".Q;-,;9ent)9.r.'EtfoJjt{aiti1/ -rO~Q:w},~r'/ ':-Of~'g~ih: fgf(;i-Wpei':, :; ,:;,.-,-, .' _ -; -, ~: -,::-::_~,:, _;_--;',, -~----", ,:,: :, :, --,
Na : e · · Address
C[~t:~39Wl!fffA~T.O~(.i\cq_M'.eAij~j~fi\illit•'.--\:'~---::: --~:::, -.-. ,, ;,,,,. ,:.-.,
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, a!ter, improve, demolish or repair any structure, prior to its
issuance, also requi_res 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 70QO 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 civi) penalty of not more than five hundred dollars ($500)).
Name Address City State/Zip Telephone#
State 'License # _________ _ License Class~---------City Business License # ~-------
!)esigner Name Address · City. State/Zip Telephone
State-License # _________ _
,;z;:.:;.:;wP-aK~liJJlepr.,;)fettsAt@ij~:;~~;;t':;::/ :-.: -~,/--.: ,-· -:·:=--j -:--.:,. ,,,,_ :-·. ,;.-: .• ,:--< 0\:_-_ ;.;~_.-",:-;: ::: ,·,--:. ;, -,s:-.:c.. , ,_ t· :.:-.
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 a~ provided by Section 3-706 of the Labor Code, for the performance
of the work for v.'nich this permit is issued. '
D I have and will maintain workers' compensation, as required by Section 3100 of the Labor CQde, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company_~-----~----~~-------Policy No. ___ ~~-------Expiration Date _______ _
(THIS SECTION NEED NOT-BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LES~)
D CERTIFICATE OF EXEMPJ'ION: 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 aecure workers' compensation coverage is unlawful, and shail 'subject an employer to criminai penalties 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 l,abor code, interest and attorney's fees.
SIGNATURE. ____ ..,.......,.....----------------~--,-----..,.--DATE ________ _ "i'':;;,-·awNER jiulfoito~cli'Afiif10N·-. ,-~,t:< :~;j." :'3i.':-,,/~::t.G?)i_;s~~:-.%,)~--;·.,, : :_·.-·.//1::, _."-:-; :; -'. : , . '--~ ;;,_. ',,, ........ L ., -------L -·--· __ --•: ... ;·::· ,
I-hereby affirm that I am 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 for sale
(S~c. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buil_ds o_r improves thereon, and who does
such work himself or through his own employees, prov.ided 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 byild or improve for the purpose of sale).
'lfii. I, as owner ~f th~ property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
to';;tractor'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 o.f the,proposed property improvement. 0 YES ~O
2. 1-@t have-not). signecl an·application for a building permit f~r the proposed work.
·3, I have contr tad with the follow· g person (firm) to provide the proposed construction (include name / address / phone number / contractors license numl:/er):
.4. !plan to provide portions of the work, but I have hir d the following persori to coordinate, supervise and provide the major work (include name / address / phone
number/ contractors license number): _________ ,----~----------~-----------------------
, 5. I will provide some of the w rk, but I have contracted (hired) the following persons to provide the work indicated·(include name / address / phone number / type
~( of work): .
)'",~~~_':~~~:.~v.,-~~E,~~I_GN~:U~: ~ ATE Z,-_,C:?:-:-.. (:)~ .. , ___ -,. -~Q.MP.Pi'J:'?:-il:.l:.!!.$'~Eq;t1_9N,,f,Qfl)VL : ,'.,',-,":-~·,_,-,,_-,-_,_,::1-/,-,,··:, -:,--,.,, ... a .. ;, -
Is the _applicant or future building occupant r · d to submit a b~siness 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 O NO
Is the applicant or future building occupant required to obtain-a perl)1it from the air pqllution control district or air quality management district? 0 YES O NO
Is the facility to be· constructed within 1,000 feet of the outer boundary of a school site? D YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF .THE OFFICE OF EMERGENCY SERVICES AND tHE AIR POLLUTION CONTROL DISTRICT, '
~I-2:'.icQN~.lfflUCT1.9-tHi;ij~JN~f:~_GerieY::T/''-··-f;-,;.;-:,_,. , __ .,.· _.,;., -.. ,:-, __ ;_ ,_-,.-'·.i_-· . .-,-:\·,._ .. _,." __ ,,,.:,-·
Lhereby affirm that there-is a construction lending agency for the perfor~ance of the work for ~hich this permh is issued (~ec. 3097(i) Civil Code).
LENDER'S NAME ----------------' !~:'!;\!i\Af!.~llJg;Af\lT::~!:Rill:fCAJ'~OJ,I;\':; .r'
I ceftify 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 construqtioli. I hereby -authorize representatives of the Cit~ of Carlsbad to enter upon the above mentioned
property for 'inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND K_EEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS. costs AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITYIN CO~SEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and dernoiition 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 co enced w· in 180 days from the date of such permit.or if the building or work authorized by such permit is suspended or abandoned
at anytime aflerthe·work is com d for a P. r' d of 180 days (Section 106.4.4'Uniform Building Code).
XAPPLICANT'S SIGNAT\,JRI; , -}ATE -=7_-_,e.&_2-~-_CJ_~_,,...,_· ____ _
WHITE: File· YELLOW: Applicant PINK: Finance
i \\1.,,1 G\
City of Carlsbad Bldg Inspection Request
For: 02/02/2005
Permit# CB050296
Title: CBAD RESEARCH CTR-TEST EXIST
Description: GAS LINE TO GET METER RE-INSTALLED
Type: PLUM Sub Type:
Job Address: 2258 RUTHERFORD RD
Suite: Lot
Location:
APPLICANT LOHF TRUST 06-22-92
Owner: LOHF TRUST 06-22.;92
Remarks: GAS METER RESET
Total Time:
0
Inspector Assignment:
Phone: 7607444574
Inspector: L
Requested By: RICHARD
Entered By: CHRISTINE
CD Description
23 Gas/rest/Repairs
tft---=f'l 'ri(YC
A9t Comment
~----'--~~-Hl-\,,'\,=_;,aP=-----i-l .!..-1-V\ ----=-t 6_3_0___!.._/t
~--~-----
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
City of .Carlsbad
1635 Faraday Av Carlsbad, CA 92008
: . 11-14-2001 Miscellaneous Permit Permit No:CB013563
Building Inspection Request Line {760) 602-2725
.. '
· · :· Jbb Address:
,; '.<Permit Type:
2258 RUTHERFORD RD CBAD
MISC Subtype: REROOF
0
Status: ISSUED
11/14/2001
JM
11/14/2001
11/14/2001
· Parcel No: 2120611800 Lot#: Applied:
Valuation: $47,600.00 ·
Reference #:
Project Title: NO FEAR -REROOF 400 SF
.BUltTl)P ROOF .
Applicant:
COMMERCIAL & INDUSTRIAL ROOFING INC
9239 OLIVE DR
SPRING VALLEY, CA 91977
619-465-3737
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
LOHF TRUST 06-22-92 4555 H/14/01 0002 Oi
1425 VIA DEL CORVO
SAN MARCOS CA 92069
Total Fees: $576.00 Total Payments To Date: $0.00 Balance Due: $576.00
·. '.·'· ,. :-,'
·'
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT
FINAL APPROVAL
Date: t, ..-7,,.--()2--
$576.00
$0.00
$0.00
$576.00
Clearance: _____ _
NOTICE: Please take NOTICE thatapproval 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
02
576-00
FOR OFFICE USE ONLY
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
PLAN CHES:K NO. efl3/J/ j'jkJ
EST. VAL. £7 Ca:)
Plan Ck. Depo~:.:1t__,..,_ ___ __,,----r-
Validated By_:...,i'--"'-........ ---,--,,.-;-;,--,,,"7'~
Date _______ ___,6LJ~--'i'-......,.,.__
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Ass72or's PJ<:.I # 7:. e:.n2 G Y Existing Use
00::0::C a. Pfoposed User/. W h A-~e or..1S e
Description-of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms
:..:
State/Zip Telephone# Fax#
-Na_m_e_~-..J£:..---l---1L~..u;;.!...1::!.2...:...L::).:.._ ___ 4-::::,._!o.J---L---~-t-~~-..!>L.£.~;-,;c~-::a~.'~=· .. ;Z~ .. ·'.~~-~:::·:·=...!.);_\...:::·: ~·-lJ~:· _::,-,-:•·,:~: "":~~-_ .. ,'-· ·~: ._:-_. .L.W~~ 737
l~.:i:.cfc~ -.··:~~-~i!Jv .. t.1f. .. :i{·.·; .• :: \·. C' .. .itJo £~ '5
/!!I'.'.;~:':.7!"•!'!"~!~~;~;~; :::,:,~;""" ~h;;:,.qm= , pMm• "::,.,,o,, ,,..,, ;mpm:.•::,,,,.:,, .. 5::::~:::":~;, ;, ·;. ~ I
iss\jance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisiO!')S of the Contractor's License Law
(Chapter 9, commending with Seciion 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 Sect'on 7031. by any applicant for a permit subjects the applicant to a civil'penalty'(>f not more than five hundred dollars [$500)).
· c)t,nJ'>'I C,P.L . h o " cro •"-~ I,, .,'.) Q,9.. 7 ·Ce\" ,j Gi_
Name
State License# 5" Lj:;:l_ 7 ".:< t..J
Address · City State/Zip Telephone #
City Business License # / ~ c:> (o ci: \.f (o License Class __ C=='-,..--"'3"-_°J-L,.. __ _
Designer Name Address City State/Zip Telephone
State License # _________ _
·~; ;;;::.W.qrjl{~flS..'.;PQ.-Ml?J:~$,A:TIP~~;: .': >·, -~:.:: .. : : .. >';~:~'.-. =;· .... ~ ,:J 0Yt\.:''7· :;".: . :, ~':''I.::;: 7:.~ i:. •,' -:. • 'T~··;.: ... ·-· .. ,· [·
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
~· 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.
ft I h,!ve and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensati'l,n insurance,.swrier a policy number are: S7
Insurance Company S . C,-:: VA Policy Nb. d-& S'...., (!) \ ..., C,Cb 17 Expiration Date I~ ) . '"'0 :::;)
(THIS SECTI_ON 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.
Failure to ure ns o coverage is unlawful, and shall subjec~ an employer to criminal penalties and civil fines up to one hundred
thousand ars ($1 , 00), e o of compensation, damages as provided for in Section 3706 9t the Labor code, interest and attorney's fees.
SIGNATU~=+~:.:_J....e;;~,,LJ.-=::::::I:..&:::=+---:---:---:---:----:------:--=--:'.:".:-DATE A(o ti ] '--1 -() / ·i::~~>QW~~R¥~vi.~Q~6iO:~Q!,:'~i:i~:n4N' .. :, :;-::-,::,.:-: .. :,'·: :-.. , .. ;{[ :·<<f: ',:,'.-iX'\:·'i, J:: .tX :_j: ,;--.::/ ::..-:.... · : =.~ .. :, -:=: -~--.,i:"/Y': :_;:·.,_:>:.: <· ; · _.. :· ... , ' _. · · ·
I hereby affirm that I am exempt from the 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 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 L11w).
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 construction of the proposed property improvement. 0 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 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/ contractors license number):. _____ ~----------,-------------------------------
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
· of work):.~--------------------------------'----------------------'--
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 of the outer boundary·of a school site? D YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENC'i' SERVICES ·AND THE AIR POLLUTION CONTROL DISTRICT.
[Ef~ii~~jXRt;.c;r,IqJliJ'efi(.)J.N1i .. ~'9~'NqY,._;,; 0:?,,\ ~?>./ ~ .. , . .,, . -. .::· ":, .. ': -..... :.; .:-.·, .. -.
I hereby-affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME _____________ _
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 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 buildi Official under the provisions is Code shall expire by limitation and become null and void if the building or work
authqrized by such permit.is not com enced w· i 180 s rom the d of permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work-i ommence r 18 , ys (S .ll.4 Uniform Building Code).
--,t,_ APPLICANT'S SIGNATURE __ -,,.,e_,=::..__.1.........c;~~~=iS:-=~..!,J..,-----'--~---DATE
PINK: Finance
7J7
C .. '
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION F_OR REROOFJNG \
1. JOB ADDRESS: ~ :,__ $ 8 R o-A. .. e+ F~ }-J /2 j C (,}-~)~ k pd
2. TYPE OF BUILDING: RESIDENTIAL. ___ COMMERCIAL--X, .
3. ROOF SLOPE: RISE Y"Z--inches in 12 inche$
4. NUMBER OF EXISTING ROOF COVERING (circle one) 6) 2 3
5. TYPE OF EXISTING ROOF COVERING J3c,t'[{.,,(SH~ATHING ')'71. C~v . . ~ L8
*6. NEW ROOF·MATERIALIYIA-hv;l)e CLASS A WEIGHT PER SQUARE ~ l ~
7. -NUMBER OF SQUARES L) cr-o .
8. TRADE NAME YY)@-t:z 11,"t\,.. MANUFACTURER LJ G-Yl C
9. ROOF SYSTEM LISTING UL No. . ICBO No., ____ ---!
10. IS 'THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? ·@::, NO
All roof coverings are required to be· CLASS A. Contbustible roof coverings
of any type or classification are·prohibited.
I understand the following inspections are required: ~h
'.'
@Tear Off/Pre-inspection prior to instalf"new roof covering.
2. ·Final Inspection
. .
I agree to provide a ladder extending at least 2 rungs above the roof for
i~spect~ f/} ..
S1gnatu~. Date 1'.fov J '-ko /
Contractor X Owner ____ Contractor Nawe c;) T tfl u-, £!, tj
G_: Rolled Ro~Standard/Lite Tile, Asphalt/Comp Fiberglass,~
Other.
Inspection List
Permit#: CB013563
· Date Inspection Item
06/07/2002 19 Final Structural
04/11/2002 19 Final Stn1ctural
11/26/2001 15 Roof/Reroof
Friday, June 07, 2002
Type: MISC REROOF
Inspector Act
PD AP
TP NR
PD PA
NO FEAR -REROOF 400 SF
BUILTUP ROOF
Comments
final per Pete
LADDER LOC?
Page 1 of 1
E: IJ I L [> I i:i' G P E B M I T 1?1:rmit
P:c(,j,.?ct
[>evel 1)I_:J":t1?r, t
f.! ~ i :
r,>.., : 12/06/93 l.l: ':,1:1
Pag•.:: 1 of i
Jc•b A• 11 lrr.:•s.::: 2 2 :,e Rl.l'THERFCiHD RD
Permit Type: ViISCELLhi:EOt~:::
f' ,.:tr c '=' 1 11! o : :!. .i 2 -1J 6 J. -l b · U U
Valuation: C,,11uo
Constrll.ct i.-ln 'l'ype: V11l
Suit€':
Lot#:
Occupancy Group: Reference#:
Description: [>Ei•IO OF OFFICES/MA}JUF.
: AN[1 STAIRS
' a~&ST
COPY
619
'. 4i Ii:
4972 .12/0S/93 0001 t1.
C-C·{\~f1T
Status:
Applie,'i::
Apr/1::::::Ut?:
Entere·-=1 r:y:
432-6677
AL APPROVAL
02
I:::·=:'.JED
12/06/93
INS. ~-DATE ft<ti·??
CLEARANCE-----•
CITY OF CARLSBAD
2075 Las Palmas Dr., Qu-Isbad, CA 92009 (619) 438-1161
-' '
•
PLAN CHECK NO. PERMIT APPIJCATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 . .
A :oinmerc1al D New Bu1ldmg Lh:enant Improvement
B -D Industrial Cl New Building D Tenant Improvement
C -D Residential D Apartment D Condo D Single Family Dwelling D Addition/ Alteration
Cl Duplex Cl Demolition Cl Relocation D Mobile Home []·Electrical D Plumbing
D Mechanical D Pool D Spa D Retaining Wall Cl Solar D Other ___ _
2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY
Address .-z.-z,s-cz--~.J;t;e-rf::orJ Buudmg or Smte No;
mt o.
CHECK BELoW IF sDBMl'I rnb:
D 2 Energy Cales O 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope
ss
DESCRIPTION OF WORK '\;;>-e V"-'"\ o O
SQ. FT. # OF STORIES
3. WN IACI PERSON (u dmerent from apphcanf)
NAME Co-I\. ---t-r-a.. c:..----\--8 r -ADDREss
CI'IY frnN STATE ZIP CODE
4. Af'l'Ul.:ANT ,u IRAClOR DAGEN'} FOR CON'tMCIOR
DAY TELEPHONE
DOWNER . DAGHN'l' POR OWNER
NAME CD V)+rG:LC.,-\-0-r ADDRESS
CiiY STATE ZIP CODE DAY TELEPHONE
S. PROPfilq_x,n~ r 1 ,,.....
NAME 1JiiK, t=-0 VL-'--6. ADDRESS 5l; {b O . E:e-i2-~lb r
CITY C o-..r-lsb~ STATE Ca,. ZIPCODE q2-t.JtJr DAYTELEPHONE fJ~-+-Z..63
6. ~~~ Se-vve-rcvL--ADDRESS \,L-\._~V ~ec.t"'t-03 ~e.. Dr-o ._:p--
cITY>C{,"' fVl.a,rCCiS STATEL.q, ZIP CODE'1l06'1 DAYTELEPHONE43 2-l,1;; 7')
1.
D
D
D
STATE LIC. #53\ \:2 CI'IY BUSINESS UC. #
DAY TELEPHONE STATE UC.#
m er non: ere y a e ontracto s cense w or _ e o owmg 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 ot
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 througll 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 9wner of property who builds or improves thereon,-and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section ---~---Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500)).
SIGNATIJRE DATE
coMPLETE tHis sEcI'IoN FOR NoN-RESIDENtlAL BDIWJNG PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
0 YES D NO .
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? a YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
Cl YES D NO
IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF OCX!UPANCY MAY Nor BE ~UED AFfER JULY I, 1989UNLFSS nm APPUCANT
HAS MET OR JS MEETING nm REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICF.S AND nm AIR :p()LLUTION OON1ROL DISTRICT.
9. OONSIRUCIIDN ffiNDlNG AG£NcY
I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1V11 .Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLlcANt d:tmF1CA11oN
1 certify that I have read the apphcat10n and state that the above mformanon 1s correct. I agree to comply with all City ordinances 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 1'0SAVE INDEMNIFY AND KEEP HARMLESS THE CJ.TY OF CARISBAD AGAINSf ALL UAB~ JUDGMENTS, CDSI'S
AND EXPENSF.S WI-IlCH MAY IN ANY WAY ACDUJE AGAINSf SAID cnY IN OONSEQUENCE OF nm GRANTING OF nns 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 provi~ions of this Code shall expire by limitation and become null and void if the
building or work aut ·zed ch permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is sus nde aban ned t y time after the work is commenced for a ·period of 180 days (Section 303(d) Uniform Building Code).
APPLICANTS SI =--w--___ -.,,. DATE:\ 1., -(; .-9, 3
YELLOW: Applicant PINK: F~ance
FJ:NAL BUILDING J:NSPECTIQN
,....
DEPT: BUILDING ENGINEERING ,FIRE PLANNING U/M
PLAN CHECK#: CB931322
PERMIT#:· CB931322
PROJECT NAME: DEMO OF OFFICES/MANUF.
AND STAIRS
ADDRESS: [2258 RUTHERFORD RD
CONTACT PERSON/PHONE#: 'MH/DAVE/432-66~7
SEWER DIST:. CA WATER DIST: CA ·
~~;PECC~D J:¾01R c;L
INSPECTED
BY:
INSPECTE.D
BY:
COMMENTS:
·DATE
INSPECTED: \;;).~.111 q3
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED
APPROVED
APPROVED
&!)
RECEIVED Utt.· 1 7 1993
WATER
DATE: 12/17/93
PERMIT TYPE: MISC
~ DISAPPROVED
DISAPPROVED
DISAPPROVED
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB931322 FOR 12/22/93
DESCRIPTION: DEMO OF OFFICES/MANUF.
AND STAIRS
TYPE: MISC
STE:
INSPECTOR AREA PD
PLANCK# CB931322
OCC GRP
CONSTR. TYPE VN
LOT: JOB ADDRESS: 22·58 RUTHERFORD RD
APPLICANT·: CSI GENERAL CONTRACTORS
CO:tfTRACTOR:
PHONE: 619 432-6677
OWNER:
REMARKS: MH/DAVE/432-6677
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
PERMIT#
WDP02108
CB931113
TYPE
WDP
MISC
PHONE: d_
PHONE: ~-'
INSPECT
STATUS
ISSUED
ISSUED
ACT COMMENTS
_39-_EL _F_in_a_1_E_1_e_c_t_r_i_c_a_1 ______ 1-f10!k!c:
----_______________ __,__
-----,------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION
121793 Final Combo
ACT.INSP
CO PD
COMMENTS
I f: .
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!
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anll\11\1\1111111~ I I l ·\ I I I I I I· I I I
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1-----------. -----------------------J---.__-·---~~ -. ----1
RUTHERFORD ROAD
~
· '!t} BUILDING PERMIT
10/14/'93 11:15
Page 1 of 1
Job Address: 2258 RUTHERFORD RD Suite:
Permit Type: MISCELLANEOUS
Parcel No: 212-061-18-uO Lot#:
Valuation: 2,uoo
Construction Type: VN
Occupancy Group: Reference#:
Description: REMOVE NON-BEARING WALL A.ND
: RELOCATE PANEL &. TRANS. NO · MEZZ. PERM I TED
CITY OF CARLSBAD
P~rmit No: CB931113
Project No: A93O150G
Development No:
4284 10/14/93 0001 01 02
C-PRMT 90u00
Status: ISSUED
Applied: 10/14/93
Apr/Issue: 10/14/93
Entered By: MDP
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMfI'. APPUCATION PLAN CHECK NO. q~ -\ ! (S
<::.. City of Carlsbad Building Departllleflt
2075 las Pal111as Dr., Carlsbad, CA 92009 (619) 438-1161 FSf. VAL '-r ~ &ii _ f _,. .
PLANCK DEPOSIT 'fD' ,-U VAIID.BY -l""\.--=-0.,,..._,_p.,._-1.=---
1. P.lili}IIT TIP!
A ~m6mmerc1al LI New Bmldmg u1enant Improvement
DATE \ C)
B . D Industrial D New Building D Tenant Improvement
. C . D Residential O Apartment O Condo O Single Family Dwelling D Addition/ Alteration
0 Duplex O Demolition O Relocation O Mobile Home O Electrical O Plumbing
D Mechanical O Pool O Spa O Retaining Wall O Solar O Other ___ _
2. PROJECT INFORMATION
Address c?z,.--z._51r · ig~e,-f O ;:d Bmldmg or Smte No.
FOR OFFICE USE ONLY
mt o.
CHECK B£WW 1F s0BMll 1£b:
02 Energy C'.alcs D 2 Structural C'.alcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL
DESCRIPTION OF WORK 't)eV\.'\_~ ~NGUSE Wci,CC re.-Lo<!_a..;-e::. ~SEDUSE ~
lo l'ta.:t.
DAY TELEPHONE
4. APPU~ 0 CON'IM~ Cl AGEN I FOR CON IMCIOR
NAME ~C , -· ADDRESS
Cl OWNf;R -Cl AG£N I FOR OWNER
CITY STATE ZIP CODE _DAY TELEPHONE
S. PROPmtiY OWNmt
NAME ADDRESS
CI'IY STATE ZIP CODE DAY TELEPHONE
6
. ~Fc~ +--~a,L_ ADDRESS ~ v ~€.Q,,l.Jre'~ ~ {) reJ ~r
CITYSo-"\ vYt_~S STATEc___Cl• ZIPCODE qria69 DAY TELEPHONE 4~-z..._-(;;, fo77
STATE IJC. # s:3,J'll,4, IJCENSE CIASS {b CITY BUSINESS IJC. #
DESIGN£~~ ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE IJC. #
1. WOIUMts' OOMPENSA110N
Workers' Compensation beclarat1on: I hereby afhrm 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 ~ :f'o"'-d.d POIJCY NO. f,f:;l~ "3, EXPIRATION DATE -4-
ru 1cate o certJ t at m e per ormance o e wor or w 1c t 1s permit 1s issue , s a not emp oy any person m any manner
orkers' Compensation Laws of C'.alifomia. -
ner-m er arat10n: ere y a 1rm rom e ontracto s -cense w or t e o owmg 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 Llcense Law does not apply to an owner of property who builds
or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended
or offered for 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
D
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's Llcense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's Llcense Law).
I am exempt under Section _______ Business and Professions Code for thJS 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 th~
provisions of the Contractor's Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that h~ 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).
SIGNATIJRE DATE
COMPLETE IBIS SECTION FOR NoN-RESIDEN11AL BWLDtNG 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?
DYES 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 D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES D NO
IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF cxx::upANCY MAY NOT BE ISffiJED AFfER JULY 1, 1989 ~ nm ~PUCANT
HAS MET OR JS MEETING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POILUTION CX>N1ROL DISTRICT.
9. wNSIR0CIIDN LENDING .AGRNCY -.
I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which !:his permit 1s 1ssued (Sec 3097(1) CIVIi Code).
LENDER'S NAME LENDER'S ADDRESS
10. .APPLlCAN'I' cfiltnP:lc!AndN
I certify that I have read the apphcanon and state that the above mtormauon 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 C'.arl~bad to enter upon the above mentioned property for inspection
purposes. I .AL50 AGREE 10 SAVE INDEMNIFY AND KEEP HARMLF.5S nm Cl1Y OF-CARISBAD AGAINSf AIL IJABILITIFS, JUDGMENTS, CDSTS
AND EXPENSES WIIlCH MAY IN ANY WAY AallUE AGAINSf SAID Cl1Y IN CDNSEQUENCE OF nm GRANTING OF TIIlS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Buildin
building or work authorized by such rmit is
such permit is suspended or aban n t a
APPUCANTS SIGNATU
Official under the provisions of this Code shall expire by limitation and become null and void if the
t commenced within 365 days 'from the date of such permit or if the building or work authorized by
ime.llLl~-fftl!-.Jllork is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
DATE7C)-(lE:-93
YEU.OW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB931113 FOR 09/26/94
DESCRIPTION: REMOVE NON-BEARING WALL AND
RELOCATE PANEL & TRANS. NO MEZZ.PERMITED
TYPE: MISC
STE:
INSPECTOR AREA PD
PLANCK# CB931113
OCC GRP
CONSTR. TYPE VN
LOT: JOB ADDRESS: 2258 RUTHERFORD RD
APPLICANT: CSI GENERAL
CONTRACTOR;
PHONE: 619 432-667 ,
OWNER:
REMARKS: MW
SPECIAL INSTRUCT: DEMO PERMIT ABOUT TO
TOTAL TIME:
--RELATED PERMITS--.
CD LVL DESCRIPTION
PERMIT# TYPE
WDP02;L08 WPP
~HONE: ~IL PHONE:
INSPECT R'
EXPIRE
STATUS
ISSUED
ACT COMMENTS
-9 2 __ M_I _·c_o_m_p_l_i_an_c_e_I_n_v_e_s __ t_i_· g_a_t_i_· o_n ___ ,_ n J frv
---------------------------'---------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS