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HomeMy WebLinkAbout2260 RUTHERFORD RD; MULTI-PERMIT FILE; CB060484; PermitW, t, ,..,, .... 41 City of Carlsbad ,( • (j 1635 Faraday Av Carlsbad, CA 92008 02-22-2006 Mechanical Permit Permit No: CB060484 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2260 RUTHERFORD RD CBAD St: 101 MECH 2120610800 Lot#: $0.00 PHOTOTHERA-ADD ROOF MOUNJED NC UNIT 0 Owner, Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/22/2006 LSM 02/22/2006 02/22/2006 G!=NE RAY CRIVELLO COMMERCIAL INVESTMENTS L L C 5889 OBERLIN DR SAN DiEGO CA 92121 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES 1 0 0 0 0 ,Q. 2260 RUTHERFORD RD #110 CARLSBAD CA 92008 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $44.00 Total Fees: '$44.00 Total Payments To:Qate: $44.00 Balance Due: .1 nspector: , EXPIRED PERMIT PERMIT HAS tXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106;4.4 AS AMENDED BY C.M.C.18.04.030 DATE~SIGNATURE_C .... ~Y .... A .... > _____ _ FINAL APPROVAL Date: _______ _ Clearance: ------ $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal.Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are,hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fe / x c i n f whi h hav r vi I n iv n a N Tl E imil r o hi r as whi h the statute of limita ions has reviousl otherwise ex ired, FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. ~o ~ ot.f ~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit___,,---:------- Validated By ___ ~-=----=e-.;.... ___ _ Date ____ ~_/_>_:i,.-,_/_E)~{o~-- Addre~s (include Bldg/Suite #) Business Name (at this address) Legal Description c;'?l e;) -047 1 -og ~ OD Lot No. Subdivision Name/Number Unit No. Phase No·. Total # of units Assessor's Parcel # INhVrUA71cJN 'Existing Use ~ tri&tlNTW ..+Jc.-.t.11\/.-r Description of Work SQ.FT. I · #of Stories Proposed Use .5b'S J~ # of Bedrooms # of Bathrooms N me .Address City State/Zip Telephone# ~iI~f@l~m::cfwlilm .. "' :::_~ :::.: ..... ~,",. Y,: ," ,, ,, ff-,,: S:-,.;,,_,..::~h,'',,f, ,,M'.,,, Name Address City S.tate/Zip Telephone# fi,;_,,~;.''.CJ>.N.IB@:.t.Qlt::.P.O.~N~(N~~~ ___ .. -:=; ~----"~---"""' _:_ • ,,. (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 exe ption. Any violation of Se tion 7031.5 by any applicant for a permit subjects the applicant a civil penalty of not more than five hundred ollars [$500]). 7 ~;. -#tf\J 01, ~~~ 'Al t?~_C/f 92/-Z./ ~ ' , o Name Address.a, ! A---City State/Zip Telep one# State License # g/#J, 3'· '?:; License Class ~!Z_~..,/--~rr~----City Business License # fr'P .p L,\. €..D Designer Name Address City State/Zip Telephone / ~z~~~;_:_:s:;:e'o.MRl~.$.'A.IlOJ'~ T · · · ·_::· :~. :=-. :--: .7· ~::-::.:::,-:-:0-: . ~ •• :: :::--,:::·.-"...::::2~.\-:t~ .~;:-~J;~c1&J~~~-j. ·\:'.::;::·~~«.:.:::iT .~;:;:::;.::~:::;:-,,:.-.. ,<--::-:?-'::'·),"'_ I Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ,0 I have and will maintain a certificate of consent to selfsinsure for workers' compensation as-provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Fi( I have and will maimain workers' compensation, as required -by Section 3700 of the Labor Code, for the performance of the work for which this permit is ifsued. My worker's compensation insurance carrier and policy number are: ,,;f~ . O 72 006 ·0(. ,/ / lnsurl!nce Company ~~ Policy No. ___________ ~_ Expiration Date 71 /') tJh (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' Co pensation Laws of California. WARNING: Failure to secure er. ' ompensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,0 • 10n to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE . . DATE 2-' -Z.."Z , 0 ,b . ft:"" · ·qw.f'ifi~Qjcp~ifttes:~i!A 1Qrt:. · · .. · ~. . .... . _ .L ~-.. :::: ~-:.:: ~ :.:· · I hereby affirm that I am exempt rom the Contractor's license Law for the following reason: 0 I, as own·er· 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, Bl!siness 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 Contra~tor' s License Law). D I am exempt under Section ______ Business and Professions Code for this reason: i. I personally plan to provide the major labor and materials for c?nstruction 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): ____ ~----,------------------------------------------------- PROPERTY OWNER SIGNATURE _____________ ~------~--DATE _________ _ jfiOMPlEl'.E:)THlS ,sec'rjpyoa~ffeob:tiisipiNfiif,stJ1t.DiN,G :rERllliti:f,ONL-Y"T ·.: :·: ~--.. 't ."·:,.1'-.\ 0~}A_f,';~ F·::~'5:£:f'T5Z'" ::'~)±::" ... 2: .... Is the appiicant 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 ,8l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES 1:3' NO ls-the faciiity to be constructed within 1,000 feet of the outer boundary of a school site? D YES 181 NO IFANY OF THE-ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCl,IPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REOUiREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLU°TION CONTROL DISTRICT. i§xA~OrlS;TRUCTiOJi'fENP,IN$U~Glf[cv"'"7_::?----::=::-::::;::-:-:-;':""_:;;".--:::--::'7::.:.~7::"':,7:7-::;;~:;;::r~:·;t8'if!':.·'·"0;t:--:-::: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec·. 3097(i) Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS ~,~ ·.-ARPLICA]'t"'.'CER,TlAcAno,~·-.---·,-;·c~~::~.,.:-~, 0··0':'''",: ·· •. /; ~ .. ·""::-:=-,-;;-~ ,;: __ ::::_ .. :-: .. :;::;-;:::;::;:;:;;:_;:;::::;;;::;::;:;;;::::;;;:~;;;::;:;::;::;_;;;~~-;:::;;::;:;;:;:;;;;:;;:;::;:::::;::::;;;:=;::;:;:;;:;::., 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 building icial 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 wi · O ys 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· commenc of 180 days (Sectio . . Uniform Building Code). DATE --------------- 'WRITE: File YELLOW: Applicant PINK: Finance ,,. City of Carlsbad Bldg Inspection Request For: 09/21/2006 Permit# CB060484 Title: PHOTOTHERA-ADD ROOF MOUNTED Description: A/C UNIT Type: MECH Sub Type: Job Address: 2260 RUTHERFORD RD Suite: 101 Lot 0 Location: Inspector Assignment: TP Phone: Inspector:£_ OWNER CRIVELLO COMMERCIAL INVESTMENTS L L C Owner: Remarks: can you final this p_ermit? Total Time: CD Description 49 Final MechanicaJ Act Comment Requested By: CHRISTINE Entered By: CHRISTINE A./~ J/!f?CP.I ~ Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description 03724/2006 44 Rough/Ducts/Dampers 03/13/2006 43 AirCond/Furnace Set 03/10/2006 43 AirCond/Furnace Set Act I nsp Com_ments AP TP NEW RTU, NEED RECP W/IN 25 FT OF UNIT CO TP SEE CARD NR TP NO ACCESS TO ROOF Llt-.\ iT ~.~D7 ~ ~~-\. ~ ~~ C>~ ~\<l N6r Av-<--eA ~1--r-e- \O l City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-25-2003 Electrical Permit Permit No: CB031739 Building Inspection Request Line (760) 602-2725 Job.Address: Permit Type: Parcel No: Reference #: Projeet Title: 2260 RUTf-:(ERFORD RD CBAD ELEC Lot#: LASER FACILITY MISC. OUTLETS 0 Applicant; Owner: s·ERVICE MASTER BY RESTORATION PROFESSIONALS 9370 WAPLES ST 92121 Electric Issue Fee Single Phase per AMP Three Phase p~r AMP Three Phas~ 480 Per AMP Reinodel/Alter~tion per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES Total Fees: $20.00 0 0 0 0 Total Payments To Date,: $0.00 Inspector: , FINAL APPROVAL Date:. 6--:2--?-~ Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/25/2003 SB 06/25/2003 06/25/2003 82.10 06/25/03 ~ijpll 02 20u00 $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00, $0.00 $0.00 $20.00 Balance Due: $20.00 Clearance: ------ NOTICE: Please take NOTICE that approval of your·project includes the "Imposition'' of fees, dedications, reservations, or other exactions hereafter collectively · referred to as "fees/exactions:; You have 90 days from the date this permit was issued to.protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a); and file.the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void,. or annul their impo~ition. You are hereby FURTHER NOTIFIED-that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor plann[ng, zoning, grading or other similar application processing or service fees in connection.with this project. NOR DOES IT APPLY to any f es/ x c ion fwhi o h v r vi I b n iven · Tl E imil rt hi or t which he statute oflimitations has r viousl t erwise ex ired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NoC~a s I 7 3 7 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit,_..__ ______ _ Validate~j, ~ E, Date f2.µr/o~ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Existing Use · Proposed Use Total #. of units ;;::;:~~:~~~q,~=;:::;~s::-z•:"~:;,cT,:3:"t•·:•~·'.~:~~~~,iii~~i 0 Name Address City State/Zip Telep ne # Fax # ~-~~c~Nr.; J16PEt~\icrrAae~1it~<1CCl~~I::O:i,,.JiJirii1ti?r:G"YP~t:.~:::>'.i. ~,:,~-~z:'.l:s.:~:;~f:~;:·,~:~~6~"::'IZc.~ Name-Address City State/Zip Telephone# r~~r[$~fr-~trf ·::::.C6 ~~~ = -~sm ~:·-ij:-:.::~:11-~:1~2.;::.~~:::,;t t6:::': ;;~:~: '-B~',]:t::lf ~L:l:L~}i?;;;;J;::i:~::J~X~~'.~;~Z/~~t''<'.2: -~ Name =-"'c:,r-::"==' Address --~---------· City State/Zip Telephone # · ~;;<;GONT.RAQT08;-CCJMR~N~,l'JAME ·,.,; . ..__, __ . -~ _,,_~,, .. _,,_, __ ~-· ·· ---·, ·-<·s-:c-_.,, •• ,,,_. (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or rep.iir 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. ~ny violation of Se~ion 7031.5 y any applicant for a P.ermit _subjects the applicant to a civil penalty of not more than five hun?red dollar [$50?)). . Q., , "S ·t, re 'tJ"" , ~ "'le l · · · '-A J';D GPr l.,f>t> t-7-ttJ Name Address City State/Zip Telephone# City Business License # -:;;;--:--.-.'7"----Do S,i> c., City State/Zip Telephone Designer Name State License # 1§. . WQRKl;R;;,S;;,::;;G;;O::;M;:P:;;E::;N;:S'A;;T;;J:;:;O:;N:,::;:: __ = __ = .. =,_:..._-._-_ """--;~--. , .. -.. ;', ,,. : ,';",·" ... J _____ . '. --~~;:_,~'7:~·::"2-"\: > , ',,,,,. _..:<'.;'.<:. -·· '::';'' ";-:;Il,_z.0-::,::;:;;,7:._;.;:: 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 tor workers' compensation as provided by Section 3700 of the Labor Code, for the performance ;Jti,e 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 worker's cor:npensation insurance carrier and policy num er are: . Insurance Company "11..f Jo \,,< l\-Policy No. r::z j 2,_,1,CJ3 ,-,O) (THIS-SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Expiration Date __ J_,~,..l~-~-~C\....,1..,.1 __ , 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 tc;, become subject to the Workers' Compensation Laws of California. W~RNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and· civil fines up to one hundred thousand dollars O 00), in addition e cost of compensation, damages as provided for in Section 3706 of the La~r code, interest and attorney's fees. s1GNATURE _ , ' . DATE C/ L r/o ·2 · ,i:.~J!)ivJiEti~~Xll: .. KD~QJJ~ilAtJgt,i'--.: ~--.,:::: · :: C:.:I~L~:;Jt=:::_.': ::Z~:;S.:;::·:I:I::-:.::::;§?:~'-~':i:t::f:z:;~:~:l?/,;;';;:~~-; :co:; .~;:r~::;, :~~--:l:Yi:_:J 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 Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. 2. '3. I personally plan to provide the major labor anti materials for construction of the proposed property improvement,J!,--YES ONO I (have / have not) signed an application for a building permit for the proposed work. 1· 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}:. ________________________________________________________ _ PROPERTY bWNER SIGNATURE _____ "'----~-~-------'----~~ DATE ___ ~~---- ;p,QM,PtlJl1:t!JS._SijJif.11Jtf(Qff:tifff!.;,jg$fp_if{ta_(r,JJ@[ti~\fi:RM'ji(s'jn~t'(;::::':; :Ir:t·;:!:::::zt:'::~-;-:,-;;>::Ci.ili~:.:;~~~-?~:s::.:·.;;::';'..·::~:2::::··.:::·::z::::7:r:,~ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or rjsk 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 polluti_on 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? 0 YES D 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. t!i5";,~~Q.H~TIMt911'Q.N...:t:.~PJN.9,A.Q~1{q,y.:.:_,..,:,;. ·, ·.· · :_: 2-::::.z~,_,,;_, ... : .. .:.. ..... I hereby affirm that there is a construction lending agency for the performance of the work for which this-permit is issued (Sec. 3097(i) Civil Code}. LENDER'S NAME _____________ _ LENDER'S ADDRESS:;::::;:::;;;:-::;:::::::;::;:::::;::;::;;:::;;::;:::::::;::::-;: . .;::.,;;:;,;:::,..;::;,;:;::._::::.;:;;:;::::;::::::;::::;::::::=:::::::::::::;:;;:::: l~~~P1:.1c~~-P~13.UfJ~l9~~-:=:~---J::;~ ~-:,:...~~1~:_;_ .~;\ -__.,,.:..~:<~~~~-:__:~--~.,.;;._ ~~~~--:~~-~(~~___,·,;.:~, :,; :~ /.l~~t?iJ~Bf.t/:;;~~L~-~~~"' .{1'2'Z7&7~~:3::~J 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 Cit~ 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 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 comma f a peri~-of 180 s (Section 106.4.4 Uniform Building Code). C,_ [_ 11 r,/D.·" APPLICANT'S SIGNATURE --L::.4-4'«='-4,'-==-'--/-~z....=~-------~-----DATE --,-,-1---(..;._J_,.r----'U=:.,_ ____ _ WHITE: File YELL;OW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/26/2003 Permit# CB031739 Inspector Assignment: -~ Title: LASER FACILITY MISC. OUTLETS Description: Type: ELEC Sub Type: hone: 6197262070 Job Address: 2260. RUTHERFORD RD Suite: Lot O /J L9cation: -----Inspector: -L.,.._---..__, APPLICANT SERVICE MASTER BY RESTORATION PROFESSIONALS Owner: Remarks: Total Time: Requested By: KEVIN Entered By: CHRISTINE- CD Description A% Comment ~J _R_o_ug_h_E_le-ct-ri_c--~-·~---~-_____________ _ Associatec:I PCRs/CVs Inspection History Date Description Act lnsp Comments --------------------------~------------------------- P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 -03 L This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for-the policy period indicated. This policy is not subject to cancellation by the Fund el(cept upon ten days' advance written notice to the employer. Wewill also give you TEN days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the · policies listed herein. Notwithstanding any requiren_,~nt, Jeyn, or condition_ pf any contract .. or other document with respect to which this-.c::ertificate of __in~µr~nce may-:1;>_eJ~$_Ue<;t9c may pertfiiri, tf:J,~ insur~n9E;j)1.fforc;!e9-_by the policies. described herein is_§~~je9t to all t~~,t~~n:i~;'~xc~ysiot_jf~fld·con~i!!~.9~of sucfJ;pi;,_lici~_s. :./-·:: · :>.: ·::J..,,;_\ <' :- r L ~ . , _;.. ~ .. :::.--. .· .. · .... -.• .: -~:~ __ ·{_ ._::_-_-:-::,··}_ .. : -~: . ·-.:·r.. . EMPli: '•\'.:;,x;if ,·:-::·,· HESTOAAT!l5i~~l,~S,'\ir~( . ;.r' 9370 l.JAPLES STREET # 100 SAN :OIESO CA 92121 . .. .. :,, :--:·: .. · ,,:_ .. .;_: .. :·. :·; .. ,:· .. ; ...... :· , ...... (;_ ·: . :·. :· ~ . . .·. ~ . ·: · .. -~- . .. ·'-- ... ·: ~ .. ;,, ·:. :,· : .. : .: ~; : ,=:· ·.· ... . ·.·· , ·., -": .. _· -.~ ; ·-,':._-}'/·.-:'_ ... v...-: .-} • ··\:}:~/ ... > ... ··:.: ·. "}•' ... ·. ~·.'··· :·--. : .-:\·. ·-.-. . r _..-··:_/_··:·-::>:::. ·· .. ,• . ·.:_. ~~-:· .... •. , ·:, . , THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND sc1F 10252 !REV. 3-95). ' POL!CYHO!-,DER'S COPY B U I L D I N G P E R M I T Permit No: 04/21/93 13:45 Page 1 of Job Address: Permit Type: Parcel No: Valuation: 1 2 2 6 0 RU'rHERFORD RD PLUMBING 0 Construction Type: NEW Sttite: Lot#: Project No: Development No: 111 1991 04/21/93 0001 01 C-·PRMT Occupancy Group: Reference#: Status: Description: UNDERGROUND ONLY FOR 2 LAVS., : 2 WATER CLOSETS AND 1 SINK Applied: Apr/Issue: BEST COPY 619 Entered By: 458-9440 Fl NAL APPROVAL INSP. d/4 f~ DATE lo -{~_,,q3 CLEARANCE _____ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 CB930349 A9300526 ISSUED 04/21/93 04/21/93 MDP PERMIT APPIJCATION PLAN CHECK NO. 9 3 -,S c.{ 1 City of carlsbad Building Departllll!l'lt 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FSf. VAL . PLAN CK DEPOSIT 3, S • o.::S VAIID. BY ~,,.,_, I u 1. PERM1'I IYPE DATE Vv1. ,/:)f A -0 commercial d New Bmldmg O Tenant Improvement B -D Industrial D New Building D Tenant Improvement . C -D Residential D Apartment D Condo D Single Family Dwelling D Addition/ Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing D Mechanical D Pool D Spa D Retaining Wall D Solar D Other ____ _ 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address 2. "Z_ b O l(_ 1,.t,_,The 1c p0tc.cl3mldmg or Slit· Nearest-Cross Street LEGAL DESCRIP:tiON lot No. SulxhV1s1on Name/Number .,.f-.. Umt No. Phase No. CHECK MWW lF s0BMU IEO: C. [cl. ue,u.o COWt.i'\-1..VLc.e c erv...Q/\.. D 2 Energy Cales a 2 Structural Cales a 2 Soils Report D 1 Addressed Envelope s DESCRIPTION OF WORK L) b 06'~ SQ. FT. # OF STORIES 3. ~~'A~/= (1~r~11 apphcanf) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE c.t.~ tO~ ZIP CODE q :Z.lL DAYTELEPHONE l(_5g,---qqf.{O STATE (2_p,...t ZIP CODE DAY TELEPHONE 6. ~~V\B_Q.A tf= £./ ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. #591 19'.S LICENSE CLASS B CI1Y BUSINESS LIC. # t I (j<?:3-z. ~ DESIGNER NAME ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE . STATE LIC. # 1. WoltkERS' WMl'ENSA.fiON D D D ·' Workers' Compensation Oeclarauon: I hereby afhrm that I have a ceruhcate of consent to self-insure issued by the Director of !ndustnal 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). ere y a 1rm t at am exempt rom t e ontracto s cense .w or t 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 or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not applyto 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 ContractoITs 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 Llcense 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 [$5001). SIGNATURE DATE COMPLETE THIS sEci'loN FOR NoN-RESJDENtlAL BUlwlNG 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, 2553~ 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? C YES ONO . Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES D Nb 1F ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:IJPANCY MAY NOT BE~ AFJ:ER JULY 1, 1989 UNLESS TIIE APPUC.ANT HA.5 MET OR IS MEETING TIIE REQ~ OF nm OFFICE OF EMERGENCY SERVICES AND TIIE AIR POILUTION CX)NTilOL DISfRICT. 9. cDNslRUCIIDN llNDING AGENCY I hereby athrm that there 1s a construction lendmg agency for .the perform<jnce of the work for which this penmt 1s issued (Sec 3097(1) C1V1i Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CERTIFICATION I cerufy that I have read the apphcauon and state that the above mformauon 1s correct. I agree to comply with all City ordinances and State laws relating t<J building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the apove mentioned property for inspection purposes. I ALSO AGREE 1U SAVE INDEMNIFY AND KEEP HARMLF.SS TIIE Cl1Y OF CARI.SHAD AGAINSf AIL UABIUTIES, JUDGMENTS, CXJSTS AND EXPENSES WIIlCH MAY 1N ANY WAY ACX:RUE AGAINSf ~ CTIY 1N OONSEQUENCE OF TIIE GRANTING OF TIIlS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. 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 or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: 4~(·--93 OW: Applicant PINK: Finance ..,, B U I L r> I N G P E R M I T Permit No: CB930339 Project No: A9300512 Development No: 04/i-9/93 16:06 Page 1 of 1 t' ) Job Address: 2260 RUTHERFORD RD Permit Type: ELECTRICAL Pa.reel No: Valuation: 0 Construction Type: NEW Suite: Lot#: Occupancy Group: Reference#: Description: ELEC REMODEL PER PETERSON : .4.0,t>17)r?Jt> . -~ ~ " Appl/Ownr : COMMONWEALTH ELECTRIC • )1,4,~ 310 1707 ARTESIA BOULEVARD MANHATTAN BEACH, CA-·,-91'.i"f~-~ ,.,,,,./ .. ,, 108 1945 04/.19/93 0001 01 C-PRMT Status: Applied: Apr/Issue: Entered By: 374-4524 20,,0{) ISSUED 04/19/93 04/19/93 DC ,, ''r':) !1 '-* * * Fees Required ***/ :"\2,:><1,*;-. /tlr<S>i0i\Cc.:.~, cted & Credits *** / ..--,.. \/) , '-.. ,.-, \ r . l ' --------~~~~~---------~,o~~/();S-· > ;:~,~~t,-s«;.; ------------------·----, . Adjustments: / ,,, uo "-.,_/_,.,,, ,,~~ rro:&~ <2r\~d'9=,s :\\ . 00 Total Fees: / ;µ),~1.0 ¾ To·~'&!. ~~t;~! \ .oo / "--·< // · ;~V}1\1~~'Balan e\<f,u·~. \ 20.00 Fee description ! I-:··· ' v Uni ts--? FErez:i:Jni \ Ext fee Data -~~~=~-::i;:-~~~-~!!~~~t~i~e ~~-//g~/1\1-~ ~1· ·-----~g:gg-~--- * ELECTR;tCAL TOTAL\ ---\ \ , ),/) ,, ~u, , fi.; 1 20. 00 \ \\~;~ j I • > J \ ~LI ,~i -:,_;;:r // \ ~ r, ~ INCO~~~~TED / ~? ~ "0/4/ I) --._JL~ ~ ~v ~(}@~~ ·-----~ CITY OF CARLSBAD 1 FJN/4. APPROVAL ifN~.~£.-~ATE ~1.;/73 !CLEARANCE W#¾ k57!J.;... j. - 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPUCATION PLAN CHECK NO. 9' °3 _. ~ 3 C1ty_of Cartsbad Building Departaent 207.5 Las Pal11111s Dr., carlsbad, CA 92009 (619) 438-1161 EST. VAL,___ __________ _ PIAN CK DEPOSIT _______ _ VAIID.BY ___________ _ DATE ____ __,,_...,.... ______ _ A :, enant mprovement D New Building Tenant fmprovement . C -i:J Residential O Apartment O Condo O Single Family Dwelling O Addition/ Alteration 0-0uplex O Demolition O Relocation O Mobile Home j(Electrical O Plumbing 0 Mechanical O Pool O Spa O Retaining Wall O Solar O Other_~--- 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address Bmldmg or Smee No. ~!fr &oss Street '\2.v¼e_v \ov cl_ '72..d_ D 2 Soils Report O 1 Addressed Envelope ZIP CODE ADDRESS ZIP CODE DAYTELEPHONE ~\D -5?-{ ,..452l/ CITY BUSINESS IJC. # CITY STATE ZIP CODE DAY TELEPHONE STATE IJC. # 1. Wrnuams' wMPENSA:fiON Workers' Compensation beclaratlon: i hereby athrm that I have a certihcate of consent to selt-msure·1ssued by the Director of lndustnal Relations, or ·a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by· the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POIJCY NO. EXPIRATION DATE· Ceruhcate of Exemption: I certify that m the performance of the work for which this permit 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. oWNER-BUIWER DECl.AllAnbN 0 0 0 Own_er-Hmlcter Declaration: I hereby affirm that I am exempt from the Contractor's Llcense 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 ow11er-builder will have the burden of proving that he did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's license Law). I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's license Law (Chapter 9, commencing with Section 7000-of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by-any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]). SIGNATIJRE DATE COMPLETE 1'Hls SECTION FOR NoN-RESIDENTIAL BUILDING PERM11's 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? a YES a 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 CJ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ONO IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF OCDJPANCY MAY Nar BE~ AFfER JULY 1, 1989 UNLESS nm APPUCANt HAS MET OR IS MEETING nm RF.QUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POILUTION OONTROL DISfRICI'. 9. wNSliOCIIDN :crummG AGENCY 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) civil Code). LENDER'S NAME LENDER'S ADDRESS lo. APPLlCAN'r cmt.TIFiCAiIDN I certify that I have read the apphcanon and state that the above mformat1on 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 AfSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS TIIE CfIY OF CARISBAD AGAINST All. UAB~ JUDGMENTS, COSfS AND EXPENSF.S WHICH MAY IN ~ WAY ACDUJE AGAINST SAID CfIY IN OONSEQUENCE OF TIIE GRANTING OF TillS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and deqiolition or construction of structures ov~r 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 s ch permi is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). IGNA DATE: +11-c:ra WHITE: File YELLOW: Applicant PINK: Finance UNsc;m:ouwo INSPECTIO~ DATE (p/J p/o/J · INSPECTOR ~P:L:::: PERMIT ; Qh2oo3S9 / P~CK # ------ JOB ADDRESS 2-2/4~ /<...y~ -~/7G /iJ§}i TIME ARRIVE: TIME LEAVE: ----------- co LVL DESCRIPTION ¼2. ._· ---- PERMITS 6/15/89 ~-- ACT COMMENTS 'r B U I L D I N G P E R M I T Permit No: CB93033<i 04/16/93 10:22 Page 1 of 1 Project No: A9 3005ti4 Development No: Job Address: 2260 RU'l'HERFORD RD Permit Type: ELECTRICAL Parcel No: Valuation: ---Construction Type: NEW 0 Suite: 107 Lot#: 1923 {ilr/161193 00<)1 01 Occupancy Group: Reference#: , Status: Description: ADD 3 RECPT/1 SWITCH/4 LITES Applied: : PER MIKE PE'rERSON ' £2/ Apr/ Issue: /}_ ,,,__ _J;;:7""' Entered f:v: µ/ ?5' ~ 486-1585 . Appl/Ownr: ICKLER ELECTRIC I • ; • \)~\~ ~~. CITY OF CARLS.BAD 2075 Las PaJmas Dr., Carlsbad, CA 92009 (619) 438-1161 02 1s:.:;uED U4/1b/9 ~; 04/16/':!3 DC PERMIT APPUCATION PLAN CHECK NO. City of Carlsbad Building Departlllel"lt 2075 Las Pal!Es Dr., Carlsbad, CA 92009 (619) 438-1161 FSI'. VAL _________ _,... ___ _ PLAN CK DEPOSIT _______ _ VAIJD.BY __________ _ t.PEltMl'l'1YP.R DATE ____________ _ · A -U Commerc,al O New Building U Tenant Improvement B -D Industrial U New Building D Tenant Improvement C -D Residential O Apartment D Condo D Single Family Dwelling D Addition/ Alteration U Duplex U Demolition U Relocation D Mobile Home D Electrical D Plumbing D Mechanical -·o Pool D Spa D Retaining Wall D Solar D Other ____ _ 2. PROJF.CT INFORMATION Aa~"o Bmlding or Smte No. ST'= 101 FOR OFFICE USE ONLY ~rest Cross Street LEGAL DESCRIPTION Lot No. SutxhV1s10n Name/Number OmtNo. Phase No. cHEcR BEWW IF sOBMil 1£O: D 2 Energy Cales a 2 Structural Cales D 2 Soils Report [J 1 Addressed Envelope AbD '3 ~"""t--/0\u.,.~ . . "J ?-o # OF STORIES 3. WNl:ACI PfiltSON (1fdtfferenf from apphcanf) NAME ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 4. APPllCANt NAME U CON'l'RACIOR 0 AGENT FOR wN'l'RAC'IOR ADDRESS DOWNER DAGEN! FOR OWNER CITY STATE. ZIP CODE DAY TELEPHONE S. PkOPfiltl'Y oWNIM ,;-c, I STATE '8-1\-, ZIP CODE -q;2 l O) J ;).:;2..0 ADDRESS DAY TELEPHONE NAME j: c.1<-U:-e.. eL<ao--r...,t:tc.. Coe.t> ADDRESS ZIP CODE cITY s_D. sTATE cA DAY TELEPHONE tf fJ6 /S-f!y!:" STATE LIC. # ?il.f] 3~8,..LICENSE CIASS C,_ J Q CITY BUSINESS LIC. # / / 9 q b @ Cf CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. # 1. wrnnmru,., wMPENSA:rtoN Workers' Gompensauon beclaratlon: I hereby athrm that I have a.cert1hcate of. consent to self-insure issued by the Director of ~ndusti;-ial 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 POIJCY NO. EXPIRATION DATE Ceruhcate of Exempt10n: l certify that in the performance of the work for Which this penmt IS issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNIM-BOlIDER Dfil.ARATION · Owner-BmJder beclaratlon: I hereby athrm that I am exempt from the Contractor's Llcense 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 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.). D I, as owner of the property, am exclusively contracting with licens~d 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 improv~ thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Llcense Law). D I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which reqQires a permit to construct, alter, imprqve, 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 mis SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 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? DYES Cl NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF ocx;:t.JPANCY MAY Nor BE ISSUED AFfER JULY 1, 1989 UNLESS nm ~PUCANT HAS MET OR IS MEETING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POU,UTION CX>N1ROL DISfRICT. 9. OONSiR0ClloN lliNDffiG AGENt:Y . I hereby athrm that there IS a construction lendmg agency tor the performance of the work tor which this permit IS issued (Sec 3D9°7(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS Io. APPIJC\N'l' CEltTIFil!A1IDN I certify that I have read the apphcat10n and state that the above mformauon 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 inspectipn purposes. I AI.SO AGREE ro SAVE INDEMNIFY ANI? .KEEP~ nm CTlY OF CARISBAD AGAINSf All. 11ABJ1!11ES, JUDGMENTS, CDSTS AND EXPENSES WHICH MAY IN ANY WAY ACDUIE AGAINSf SAID-CTIY IN CX>NSEQUENCE OF nm GRANTING OF TIIlS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building 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 or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: Cf-I 6 --°f 3 WI-IlTE: File YEIJ...OW: Applicant PINK: Finance j ,I B U I L D I N G P E R M I T Permit No: C:.8921284 Project No: A92025~? 12/14,-f':)2. 0-9:52 Pag'.? l of 1 Job Address: 2260 RUTHERFORD RD Suite: Permit Type: ELECTRICAL Parcel No: Lot#: Valuation: o Construction Type: NEW Occupancy Group: Reference#: Description: FUTURE 400.AMP PER KELLEY 619 CITY OF CARLSBAD Development No: 04.49 .12/14/92 0001 0.1 02 C-PRMT Status: Applied: Apr/Issue: Entered By: 486-1585 ISSUED 12/14/92 DC 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPUCATION PLANCHECKNO. q;;?-t?rf City of Carlsbad Building Departllll!l"lt 2075 Las Palmas Dr., carlsbad, CA 92009 (619) 438-1161 F.sT. VAL~-------------... ~ 'i-.. PLAN CK DEPOSIT. _______ _ VAUD. BY __________ _ 1. PIDlMrl' h'PR DATE _______________ _ A -U Commercial LI New Buildmg U Tenant Improvement B -Cl Industrial D New Building Cl Tenant Improvement . c -D Residential LI Apartment LI Condo D Single Family Dwelling .J] Addition/ Alteration D Duplex O Demolition O Relocation D Mobile Home Ernlectrical Cl Plumbing D Mechanical Cl Pool LI Spa Cl Retaining Wall O Solar O Other ___ _ 2. PROJECf INFORMATION FOR OFFICE USE ONLY ·Address .;>:).(;,D ~u"t\¾'fl.Fof!.6 IC,b Bmldmg or Smte No. Nearest Cross Street f)R1e.;iTL'-( Df. LEGAL DESCRIPTION Lot No. SuixhV1s1on Name/Number Omt No. Phase No. CHECRBHWW IF S0BM111£O: Cl 2 Energy Cales D 2 Structural Cales D 2 Soils Report Cl 1 Addressed Envelope ASSESSOR'S PARCEL DESCRIPTION OF WO~RI<=--- EXISTING USE PROPOSED USE NAME CI1Y ' J"f') (?.(t S. PROPmt1'Y oWNfill NAME CI1Y ADDRESS STATE ZIP CODE DAY TELEPHONE UAGEN'I FORWNIMclOk DoWN£k DAG£N'I FokoWN£k ADDRESS STATE ZIP CODE DAY TELEPHONE ADDRESS ST-A.TE ZIP CODE DAY TELEPHONE ADDRESS 1.3 )-'2,e ~ IIT"t,ll ~ G:, e..~1::1£\'-'br. STATE CA. ZIP CODE q.).l~'e DAY TELEPHONE i./~C, -/58t;° STATE LIC. #-5'-fl 381o LICENSE CIASS C---t O CI1Y BUSINESS LIC. # D£SIGNEk NAME ADDk£SS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 1. WoR.RiltS' CiiMPRNSA:fioN Workers' Compensat10n Oeclaranon: I hereby affirm that I have a ceruhcate of consent to self-msure issued by the Director oHndustnal ~elations, 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 Ceruhcate of £xempt10n: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNRR-DOIIDEit DECLARATION bwner-Bmlder Oeclaranon: I hereby afhrm that I am exempt from the Contracto?s Llcense 'raw for the followmg reason: Cl 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 provirig that he did not build or improve for the purpose of sale.). Cl 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). Cl I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLETE fills s£ci1oN FOR NON-RESIDENTIAL BOlIDING 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 Cl 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 ONO IF ANY OF nm ANSWERS ARE YE.5, A FINAL CERTIFICATE OF OCDJPANCY MAY NOT BE~ AFfER JULY 1, 1989 ~ nm APPUCANT HAS MET OR IS MEETING nm REQUIREMENTS OF nm OFFICE OF ~G~CY SERVICES AND nm AlR POUUTION OONIROL DISI'RICT. 9. CDNS'IROCltoN LRNDING .AGENCY I hereby:athi:m that there 1s a construction iendmg agency for the performance of the work for which this permit 1s issued (Sec 3097'(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS 10. APPilcANT CEkffllltAnoN I cerufy that I have read the apphcat1on and state that the above mformat1on 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 TO SAVE INDEMNIFY AND ICEEP HARMLESS nm CITY OF CARISBAD AGAINSf AIL IJABIIITIES, JUDGMENTS, oosrs AND EXPENSF.S WIIlCH MAY IN ANY WAY .Aall.UE AGAINSf SAID CITY IN OONSEQUENCE OF nm GRANTING OF TIIlS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provjsions 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 or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: //-30-9 ';)___ WfllTE: File YEILOW: Applicant PINK: Finance '-- :,; CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB921284 FOR 01/27/93 DESCRIPTTON: FUTURE 400 AMP PER KELLEY TYPE: ELEC STE: INSPECTOR AREA MC PLANCK# CB921284 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2260 RUTHERFORD RD APPLICANT: ICKLER ELECTRIC CONTRACTOR: PHONE: 619 486-1585 PHONE: OWNER: REMARKS:·MH/ANDREA/486-1585 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# . TYPE SE910036 SWOW 39 EL Final Electrical ----~------------- -·-----------------'-- ACT PHONE: INSPECTOR /1/4.PG -r-------- STATUS ISSUED ----------------'-----· --------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS • J JANUARY 22, 1993 TO: CITY OF CARLSBAD AND CRIVELLO CORPORATION ICKLER ELECTRIC CORPORATION HEREBY CERTIFIES THAT ALL LUGS, BOLTS, AND CONNECTIONS IN THE ADDED SWITCHGEAR AT 2260 RUTHERFORD ROAD, CARLSBAD, CA. 92008, HAVE BEEN TORQUED TO MEET MANUFACTURERS SPECIFICATIONS. SINCE~LlLt_ /'i .. l)~ TIM ~ON. OPERATIONS MANAGER 13230 Evening Creek Dr. South • Suite 213 • San Diego, CA 9212a (619) 486-1585 • FAX 486-4137 • Lie.# 547388 I \1.C>OA'60S -) \1.CC>A~~ ~' lZO::::,A.. 120/z.~v ~1,c...E:. ELECl~ICAL D1·51~\60T10N 2-2(;::0 RUTHE:a<;~ORD ~D. (~JC..\..A~ i-100,AMP 6 )4cx:,,AMp ~ ~K-1 J, L-'f'N-l<K ' 8 -n'Plt:AL· 1'NL-\o\ 4oc,AM~ 1.zo/-zd3v IOK-AIC- (z_; 5e.. T~ ~\~ I , 2,."e:t-/\, -100 (L-l) o/c, "\l-H\tJ Cu t:::)(IOT 1rJ 9 I N~vJ (619) 486-1585 13230 Evening Creek Dr. South, Suite 213 FAX 486-4137 San Diego, CA 92128 t }! .. / .--.. ' ; -' Cun-ent Limitation Curves 400. 000 ,-----,--,-..,......., ......... ..,.._.,.,_.,......,.....,...,,. __ ..----,--..,......~--.----,-~-.-,,....,....-.....,,,....., 300 .000 ~, --4----1,---1,-4-...J.-..........i~---........ ,l...;...-.....,....J--+-.;.....;-1--!--+-l-l--+-4--J.~-4 ' i l i 1000 L- 1 -""""'-~--'----'---'-'---' .......... -1 ....... 1 ..1.f-1--....i....-...1.---1.--'-4--L......1.....i....J.....L...J.___~ :::, 0 Q Q C Cc:, C C) C Q c:,Cc, c::, c::, c::,c, c:::,Oc, .-NM..,. C.OCDO .... C) Q ~ Cl N C) c:, C) Q C) N PROSPECTIVE SHORT ClRCt_JIT C RR ENT -SYMM TRICAL RMS AMPERES ·. \ ' , _, .· . ' -.. . . _ _;- ----~ ~'2--.. · "'25 ·•·()Q;)1<iw .· ... 61-·A~·.··· . . --;: ,, . ' -:· -. -- • • tN"-~~ . . At~<--· · Mo ·. ~ ,,kiJ .. si,h. ·· ... ' / tbSlJ~ j '' 'i '' -I - 'I . I . -:?A:C~ '' 'I -~ . . ~--__ b"',...ll~y · ·i.k. · ~·~ .· +h, sc· · · .·· ..... ·:D.· ... ' . . . . ' -. :J1¼k ~ 10<:::R_ · H.--.s'CJ b CD· :to _ :~ _ · ciHTh\-~ · . • l{OO At\? ·· _ C--C .. 5~~0N ~-~ :?f\~€( _ KATlT\ ~ ~-/0 .. -. -:b _.·-.• -:r_ bO' !\ t>-y ?-A.Wlt::L-;; - __ ____,:~: ____ . -TO \?'1 AA.) .. s·Ac-(-1c:_ _ · ~y-_ N e-'6 T -E~ \ { . l)N .Dei<-5E::7~ . ?~-~\'\' . -:::-o-\8~~5 .. ~' •t -t·' -' B U I L D I N G PERMIT Permit No: CB911720 12/27/91 09:27 Page 1 of 1 Job Address: 2260 RUTHERFORD RD Permit Type: SIGN Parcel No: Valuation: 1,000 Construction Type: NEW Occupancy Group: Description: 1 MONUMENT SIGN/2 : UMENT SIGNS Project No: A9102217 Development No· I" }/ / r·1 / Str: Fl: Ste: -~ . Class Code: ADDRESS MON- CITY OF CARLSBAD Status: ISSUED Applied: 12/27/91 5745 ~~/91.5 e'OOO: :0112 ,62 7 /91 ValidatedclpRHT SBB 42-00 578-8487 619 578-8487 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ... '• PERMIT APPLICATION City of Carl·sbad· Building Department 20.15 Las Palinas Dr., Carlsbad, Cf\ 92009 (619) 438-1:161 1. PERMIT TYPE 'A -0 COMMERCIAt T~NANT l MPR0VEMENT • . . B -'O.INDUSTR!AL OTENANT IMPROVEMENT C -O'RESIQENTIAL OAPARTMENT OCONDO OSINGLE FAMILY DWELLING O.ADDI.T.ION/ALTERATIO_N' 'ODUPLEX QDEMOLITION ORELOCAT!ON OMOBILE HOME OELECTRICAL OPLUMB!NG OMECHANICAL [JPOOL OSPA ORETA·IN!NG IIALL OsoLAR' l;]OTHER Sign.:. ; _ 2. PROJEcT.INFoRMATioN .PLAN CHECK No. F Address Rutherford Dtive Building or Suit!! No. Nearest Cross Streets Priestly Drive L,EAAL DE_S,CRIPl;JON .II. ,Lot No. Subdivisi'on Name/NUTtler . .c'ar.J or map. 1t·l3194 Filed Feb 29, 1984 File #-84-074J26 ·Unit Ne;,. Phase No. · · · CHECK BELOII IF SUBMITTED:· ·02 Energy Cales 02 Structural Cales D 2 Soils Repart D 1 Addressed. Envelo·pe · . ASSESSO.R IS ,PARCEL EXISTING USE . · PROPOSED US_E - One monument sign 'Iwo address monument sign$. CA I P-e.Lt::-o BLDG. SQ. FTG. # OF STORIES 3. -·CONTACT PERSON NAME S 14 e Yh_ L,t ... cloc... j:::_ C, cm: ..S"a..-. '?c. re PS STAT":-' ~\G~ATURE 4--a J--.___ ~ ADDRESS ""i 4,-'--Z ZIP t&i-.a(.,1 . DAY. -,~LEPH0NE i 4. APPLICANT · NA.ME Glanz Signing ~ CONTRACTOR O AGENT mR C9NTRACTOR & Graphics, Inc ADDREss 0 OWNER . 0 AGE~T 'FOR-OIINER· 9653 Dist::d.fuut±ori Ave mY San Die o ·s. PROPERTY OWNER NAME lMlght & Donna Johnson _ CITY Vista · · STATE . CA 6. ·coNtRACTOR NAMEGlanz Signing cmSan Diego _ SJGNA.TURE & Gra:phics, Inc STATE CA •1 ....... , DAY .~rEL-~PHONE · ADDRESS ZIP_ CODE: . [JlESSEE. 1753 Elevado · [JTENA~_T _9.2083. QAY TELEPHO~E- ADDRESS ZIP CODE 9653 Distribution Ave 92121· LICENSE CLASS _._· C---'-6~1'--, ___ TIT_LE DAY -:TElEPH0NE CHY BUSINESS UC. # D_ATE I, DESIGNER CITY $TATE ADDRESS ZI~ CODE DAY -TE[EPHONE. STATE_Llt'.-# --- 7. WORKERS' COMPENSATION · llorkers' Ccxrpensation Declaration: I hereby affirm that I have a ~ertificate of con~ent to·sel:f-insure·ii,sued by the.Directo'r 9f Industrial< Relat.ib_ni, or a certificate of llorkers' Ccxrpensation Insurance by an a~itted insurer, or an exact copy or aupl.ic'ate ·thereof -cef-.tified by the Director of the' insurer thereof filed with the Building Inspection Department (Section 3800, Lab. cj·. · · INsuRA~cE cOMPANY Republiq PoucY No. NC528078 ExP1Rf1TI6N:DA.fE-10/92 . ~rtify that.in the performance of the wad:' for which this P!!rmit is issued, ts.hall not .employ any'·person, in a_ny manner.· ;€he llorkers' Ccxrpensation Laws of Cal rtornia. · · · DATE 8. ow I ereby aff.irm that I am exempt from the Contractor•·s ·L'icense law for the 'foll'owf1Jg-·reasqn:. D I as owner of the property or my employees with wages as their sole compensation,· wJ l l'-d~ the work_ ahd the structure is n_ot in.tended .or, offerea for sale (Sec. 7044, Busi'ness and Professions ·Code: The Contractor's License _Law does hot apply to an. ow11er of proper.ty who b'!ilds or improves-tliei'eon., and who · does. suc_h work himself or through his own employees, provided that such improvements are not intended or offered foh'·iiale. If, however, the building or irrprovement is sold within one year of COIT'pletion, the owner·builc;ler will hgv,e the burden.of proving that he did'riotobui'ld or ·improve f.or the purpose of sale.). .. 0 I, as owner of the property, am exclusively contracting Wlth licensed contractors to construct the proj'ec/c'se,. 704.4-, Business· and Profess,ons Code: The Contractor's License Law does not apply to an owner of property who builds or improves ·th·ereon, and contr.acts for ;;:uch projects wi,th eontractor(s) - licensed pursuant to the _Contractor's License Law). '· · · • · • . D I am exerrpt under Section Business and Profess'ions Code for this reason:· ---------~ '·. (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit .to ~onstruct; at:t;er, improve, demolish, or repai'r-any,structure, prior to its .issuance, also requires the applicar,t for such· permit to. fil·e ·a signed statement that he is lii:ens~;l'·pursuant to_.th!!•provisfons pf the. Cpntractor's Li'cense Law (Chapter-9, conmencing ~ith Section 7000 of Division 3 _of the·.Business and Professions ,Cc;,de) o,r th~t he is exempt therefrom, -ar19 ·the basis for the alleged ex~tion. Any violation of Section 7031.5 _by. any appl·icant for a permit subjects -th_e aPl?licaht to a-civil· penalty of not more than five hundred dollars ,[$500]). ' · · S:i:G~ATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY.: Is the applicant or future building occupant required to submit a business plah, acutely hazardous materials registrai:io'n, form or· risk management .anp prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner. Hazardous Subs~ance Account Act? · · tlm ONo . , . . . . _ Is the applicant or future building occupant required to. obtain a permit from the air pot'lution c~n!rol di'str'ict or air' qu;lity_nianageine~t c;listri~t? DYES -ONO Is'the fac.ility to be constructed w.ithin 1,000 -feet of the outer boundary of a ·school site? DYES If ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY ~y NOT BE isSllED ·AFTER, JUt,Y 1, 19!19 llf!tESS THE.APPLICANT .HAS MET OR .IS MEETING THE REQUIREMENTS Of THE OFFICE OF EMERGENCY SERVICES All) THE AIR POLLUTION CQ!ITROI. DISTRICT_- 9. CONSTRUCTION LENDING AGENCY .-hereby affirm that there i·s a construction lending agency for the performance of the work_ for which··this permit is. issued (Sec. 3097(,i) Civil Code). LENDER IS. NAME LENDER'S A_DDRESS 10. APPLICANT'S SlGNA TURE _ . . I certify that I have read the applicati.ori and state that the above infqrmation ·is c·or.rect. · 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 l)lenti.oned property for 'inspection purposes. -I-ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL 'LIABIL.ITIES,' JUDGMENTS, COSTS ANQ··EXP.ENSES IIHtCH,MAY IN-ANY ,IIA,Y ACCRUE AGAiNST SAID CITY IN CONSEQUENCE OF THE GRANTING ()F THIS PERMIT. . . . . Expiration. Every permit issued by the Building Official under the provisions of this,-·Code shal.l e~pir~ by. limitation.anci'>t,ecome null and void.if th·e,buililing or work authorized· by such permit is not conmenced within 180 days from the date of .such permit or (f the ,bl!i lding or w9r.k autnodzed by such _permit is su~pe'nded or aband d at any time aft the work is conmenced for a period of 180 days .(Section 3,03(d) Unifprm Building Code). · D _owNER rfJ CONTRACTOR [J BY PHON_E WHiTE:. File YELLOW,: Applicant PIN!<: Ffna(lce "' DATE cs-/; I If 1.--A I ( PERMIT # C;dCf/ /7'2,c, UNSCHEDULED INSPECTION . INSPECTOR lv!f-~ ~CK~-~--·~.---- JOB ADDRESS °Zr "Z<e-o " 2--'.?:u -z.. 03/ 4> I)) J- TIME ARRIVE : _______ TIME LEAVE: _____ _ CD LVL DESCRIPTIO~ ---- • -- PERMITS 6/15/89 ACT COMMENTS -4P 5/(aJ·-.. I •