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HomeMy WebLinkAbout2261 RUTHERFORD RD; MULTI-PERMIT FILE; CB011307; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04/05/2001 Mis~ellaneous Permit Permit No:CB011307 Building Inspection Request Line (760) 602-2725 Job Address: .Permit Type: 2261 RUTHERFORD RD CBAD MISC Subtype: 2120612100 Lot#: OTHER 0 Status: Applied: Parcel No: .Valuation: 0Reference #: $0.00 Entered By: ISSUED 04/05/2001 MDP 04/05/2001 04/05/2001 Plan Approved: Issued: Project Title: CALLAWAY GOLF Inspect Area: DEMO, UNDEGROUND PLUMBING & 1 ELEC.CONDUIT Applicant: .owner: GOOD & ROBERTS INC. CALLAWAY GOLF CO 1090 JOSHUA WAY VISTA, CA 92083 619-598-7614 -2285 RUTHE.RFORD RD CARLSBAD CA 92008 5944 04/05/01 0002 01 02 Total Fees: $50.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees Total Payments To Date: PERMIT $0:00 Balance Due: $50.00 $0.00 $0.00 CGP 50-00 $50.00 TOTAL PERMIT FEES $50.00 FINAL APPROVAL Date: / ~ /;, /t 1 I ; Clearance: _____ _ NOTICE: Pleas 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 hav~ 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 annultheir imposition. You are hereby FURTHER NOTIFIED that your right to protest the s~cified 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. v" ·~ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Lot No. Assessor's Parcel # Existing Use Name r· .. ·-·---"· _,. ,.. . . .,,_. .. ,. . 14,,·_: .PJIQRERT.¥_:OWNElt: ., ·-. · Narhe Address ts,.,.:,, ·.®~.rttM;t<>Kt:P0.M~JJrJ~i9J,e,, .. ::.::::.:::::.,:::.~.,.~ .,,. : ~-· .. , City FOR OFFICE USE ONLY PLAN CHECK NO. 6 \ --~] EST. VAL.--,--------- Plan Ck. Deposit ________ _ Validated By __________ _ Date _____________ _ Phase No. Total # of units Proposed Use State/Zip Telephone# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions 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). ffl{) r--RcRecfS ;I;Jc 2 s.2t1 Co-u,577?/4; er t.d.W J:JP---7,dY Name Address · City State/Zip Telephone# State License # .J 2 2!CIL License Class .(fl City Business License # _______ _ Designer Name Address City State/Zip Telephone State License #-------~-- [s:::.3xQB{f::]$f' C,Qr.tP,,E,N§A'lJ.OJ~ :·,. • ~.":.:.~ ~:'7:.-::::::C.:C;..,.;,l.:;,;,.·i:.-~.: :, -.,.,__:_:;;;~:·. ~t~.:-:L. ;;.;_;5.!~ •. ·/..J;,,,;:~.,_t;:.;;.~;;:~L.:2J:cW:2~:2:::'.f:~::1::;'·;, ;~" 2~;:·.2-?':.'~ 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 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. Jij"' I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company ~~ jC£JyfJ Policy No. Z>¢()C) ;? ~ Expiration Date / O ·..,/-(J f • (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, arid shall subj!lct an employer to crimim,11 penalties a_nd civil fines up to one hundred thousand dollars ($100,00i, in a itio o the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE . . DATE Y-o'"C)/ L~:~~:o,NijtijfJIVJbt>"~~~p~q,~t&T: '. ~r.n·::~:-: .. ~:,::;:: :~, ;-~--::~_: ~-:-~::,y --~:n:,,~,=~:r" :'/f'~' N~ y~~~t:?I.:w&-'t 'ft?d~~:~~ .y~mL:-~~~~~~~~lJ:Z'!i;;~p~_:fx?:J:0ft~')~:£~ 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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does n.ot apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such 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). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide·the major labor and materials for construction of the proposed property improvement. 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_~------- f£Qmijtelf,Bi_t~E¢i-fJgifF};ffiJ({jBf.f!{.~IJ.qj,Jl8,.'f,_jyj~p!!'tciiftfiM!Jfj;pJi.i:iI2~:;.{'.f~7:'"E.:~~;:::f:~~'~;t':;'i,lf::~:t'."~'7;1;'~'.}£:/:;:.?0;!:;] 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 A«et? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollutjon 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 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. l1l"i?:: .. ,:'C6NSTR!l'CTTON:.LENt5lNITGE'ffcW"~'-,. ... : -~: ·~:-;c. ,h,• •• I hereby affirm that there is a construction lending agency for the performance of the work tor which this permit is issued (Sec. 3097(i) Civil Code). 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 Ci.W 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 ~CCRUE 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 vqid if the building or work authorized by such permit is not commenced within 180 days from t_he date of such permit br if the building or work authorized by such permit is suspended or abandoned at any time after the work is-commence r a eriod of 1 0 days (Section 106.4,4 Uniform ·Building Code). DATE --+-,Y:_--=Q°"--~~--) ___ _ YELLOW: Applicant PINK: Finance City of ·Carlsbad Bldg Inspection Request For: 05/t5/2001 Permit# CB011307 Inspector Assignment: TP --- Title: CALLAWAY GOLF Description: DEMO, UNDEGROUND PLUMBING & 1 ELEC.CONDUIT Type:MISC Sub Type: OTHER Job Address: 2261 RUTHERFORD RD Suite: Lot o Location: APPLICANT GOOD & ROBERTS INC. Owner: CALLAWAY GOLF CO Remarks: · Total Time: CD Description 21 Underground/Under Floor Associated PCRs Inspection History Date Description 05/03/2001 21 Underground/Under Floor Act lnsp Co.mments AP TP Phone: 7608012426 lnspecio~ Requested By: KIRT Entered By: CHRISTINE \ I 09/29/93 09:16 l?,:i•J•::! 1 of i B TJ I L D J N G ,Job Address: 2261 RUTHERFOaD :Ri) Permit Type: MISC'ELLANEOUS Parcel No: 212-061-21-UO Valuation: u Construction Ty~e: NEW PERMI'T Suite~ Lot#: Permit b!o: Proj(?ct No: Development No: CB93104'3 A·'.:J301490 4087 09 /2f'/93 0001 01 C-PRMT 02 Occupancy Gr•)up: Reference#: Status: ISSUED Description: DEHO TO SHELL PER KELLEY Applied: 09/29/93 Apr/Issue: 09/29/93 Entered By: de 931-2660 BEST COPY . ~APPROVAL INSP.~DATE ~Ip{ CLEARANCE _____ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ' . PERMIT APPUCATION PLAN CHECK NO. City of Carlsbad Building Departllll!nt 2075 Las Palms Dr., carlsbad, CA 92009 (619) 438-1161 EST. VAL,._ __________ _ PLAN CK DEPOSIT.---'-------VAIID. BY __________ _ 1. PmtMI I l'YPE DATE ______________ _ A -0 Commercial LI New Bu1Idmg 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 DDuplex O Demolition O Relocation D Mobile Home D Electrical D Plumbing 0 Mechanical D Pool D Spa D Retaining Wall D Solar D Other ___ .....;._ 2. PROJECf INFORMATION FOR OFFICE USE ONLY 7.ess ~~I RvTl'leh,<_J) 7<d Nearest Cross Street st::.;,( L Building or SU1te No. mt· o. cHECR BEWW IF S0BMII 1£0: D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL PROPOSED USE ~RIPTION OF WORK /SQ.FT. r:)6 ~-0-0 # OF STORIES . (I) NAME CITY ADDRESS STATE ZIP CODE DAY TELEPHONE 4. APPllCANT NAME UCONIRACIOR tlAGEN:l'FORWN'I'RACIOR tlOWNER DAGEN'l'POROWNER ADDRESS CITY STATE ZiP CODE DAY TELEPHONE ADDRESS b 36/ }?1-£/tdr.J ]>£_, ZIP CODE '9;)..c}t:>p DAY TELEPHONE ADDRESS CITY STATE STATEIJC. # ZIP CODE IJCENSE CIASS DAY TELEPHONE CITY BUSINESS IJC. # DESIGNER NAME Cl-TY STATE ZIP CODE . DAY TELEPHONE STATE IJC. # 1. Wolt.RERS' OOMP£NSA'l1ON .. · Workers' Compensation beclaratlon: I hereby affirm that I have a ceruhcate 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 POIJCY NO. EXPIRATION DATE Cernhcate of Exemption: I ceru'ty 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. oWNER-Buimml DRCtAlt\'11oN 0Wner-BU1ider beclarauon: I hereby afhrm that I am exempt from the Contractor's Llcense Law for the followmg 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 (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 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 License law). D l 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 coMPiETE THls SEc11oN FOR NON-RESIDENTIAL BOltblNG 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? C YES 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 YFS, A FINAL CERTIFICATE OF CXDJPANCY MAY Nor BE ISSUED AFfER JuLy 1, 1989 UNLESS nm APPUCANT HAS MET OR IS MEETING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICFS AND nm AIR POll.UTION OONTROL DISTRiCT. 9. OONSIR0CIIDN LENDING AGENcY - I hereby afhrm that there 1s a construct10n lendmg agency for the performance .of the work for which this permit 1s issued (Sec 3097(1) ciVJJ Code). LENDER'S NAME LENDER'S ADDRESS 10. APPllCANT cmt'lfiilCA'fioN I ·certify that I have read the apphcanon and state that the above mformauon 1s correct. I agree to comply with all City ordmances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE 1U SAVE INDEMNIFY AND KEEP HARMLF.S.5 nm CTIY OF CARLSBAD AGAINST AIL UABIUTIES, JUDGMENTS, OOSTS AND EXPENSFS WIIlCH MAY IN ANY WAY ACDlUE AGAINST SAID cnY IN OONSF.QUENCE 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 pennit 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 suc~rmit is suspended or abandoned at any time after the work is commenced for a period of ISO days (Section 303(d) Unifonn Building Code). T~;! ~. . . DATE, ?f;_W92 ~ WHITE: File YELLOW: Applicant PINK: Finance -~ . , .. . -! PERMIT# CB931049 DESCRIPTION: DEMO TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 10/28/93 TO SHELL PER ~LLEY ST~: INSPECTOR AREA PLANCK# CB931049 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: -2261 RUTHERFORD RD APPLICANT: GOOD AND ROBERTS CONTRA,C'J;'OR: OWNER: REMARK$: MH/PETE/431-1870 SPECIAL INSTRUCT·: PHONE: 619 931#2660 PHONE: PHONE: INSPECTOR--'---------- TOTAL TIME:.--·-- --RELATED PERMITS-- CP LVL DESCRIPTION PERMIT# TYPE C0920043. CO;FO CB931100 MIS'C 19 ST Final Structural STATUS ISSUED ISSUED ACT COMMENTS &lJ ---r .......l..---.. --------------+ ----------------------________ .......... ___________ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP · COMMENTS B U I L D I N G P E R M I T Permit No: CB931100 Project No: A9301547 Development N'o: 10/08/93 11:40 Page 1 of 1 J"ob Ad,1ress: 2.261 RUTHERFORD RD Permit Type: MISCELLANEOUS Parcel No: 21l-061-21-00 Valuation: O · Con::1truction 'Type t VN vccupancy Group: Description: UNDERGROUND PLUMBING : BEARING WALLS BEST COPY Suite: Lot#: Reference#: AND NON- 619 CITY OF CARLSBAD- 4217 10/08/93 (H)01 Oi C-PRMT Status: Applied: Apr/Issue: Entered By: 931-2660 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 TSSUED i0/U8/'n 10/08/93 l'-IDP PERMIT APPIJCATION • . . PIAN CHECK NO. 11-l( 00 City of Carlsbad Building DepartlB'lt 2075 Las PalR1Bs Dr., carlsbad, CA 92009 (619) 438-1161 . FSf. VAL,._ _________ _ . PLAN CK DEPOSIT _ __,. _____ _ VJ\IID. BY ___ ..,.... ______ _ 1. PRRMl'l' IYPR DATE. ____________ _ A -o commercial O New Bmidmg o Tenant Improvement B -0 Industrial D New Building O 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 O Plumbing DMechanical D Pool D Spa D Retaining Wall O Solar D Other ____ _ 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address "*&> / ~ ~"2D Butldmg or Suite No. Nearest Cross Street LEGAL bEscRIPTtoN Lot No. SutxhV1s1on Name/Number OmtNo. Phase No. CHECK BEWW IF S0BMII !Eo: [J 2 Energy Gales D 2 Structural Gales D 2 Soils Report CJ 1 Addressed Envelope ASSESSOR'S PARCEL DESCRIPTION OF WORK U,"-10£..l.Gflou wilS EXI~NG USE PROPOSED USE p(u.-:; ..._' t{aiN-t/~e.Ae.\l\'J SQ. FT. # OF STORIE,S {c)-4,12.-K,... t.,..,,.._L u 3. WN IACI PERSON (If dmerenf from applicant) NAME ADDRESS CrIY STATE ZIP CODE DAY TELEPHONE 4. AP.l'J.JCAN'l u CU!flHA(;lOH u AGEN I FOR cON IMC JOH u oWNER DAGEN I' FOR oWNER NAME~~ GO t,._F ADDRESS CITY C~a/--1--0 STAnCA-L ZIP CODE r~?' DAYTELEPHONE. 6 /9-931"-/77/ s. ~~;:i ,¥7 ~ u~ #-.-t-C~RESS 6 30/ ~ ~~ 2> t/2.. .~s~ ~-/-£_ ;:=- CITY (!,/}e,LS,{3r}-t) STATT(h,9-L ZIP COD~,7'. DAY TELEPHONE b /9 -'7 .3 I-;;).-6 6 0 6. CDN'11tACl"oll NAME Coo b Qt.. /.< 0 6 ~r:5 ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# UCENSE CLASS CITY BUSINESS UC. # DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAYTELEPHONE STATE UC. # 1. WOIU<RRS' CDMPRNSAOON . Workers' Compensation rleciarat10n: I hereby affirm that !:have a.certihcate of consent to self-msure issued by the Director of lndustnal · Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POUCY NO. EXPIRATION DATE Certificate of Exemption: I cernfy that JO the performance of the work ior which this permit 1s issued, I shall not employ any person JO any manner so as to become subject to the Workers' Compensation Laws of Galifomia. · SIGNATURE DATE 8. oWNER-BDlIDER D.Eci.ARA'fioN Owner-Builder Declaration: I hereby afhrm that I am exempt from th·e Contracto?s License Law for the followJOg reason: O I, ~s owner of the property or my employees with wages as their sole compensation, will do the work and the structurf! 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 o.ne year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of·sale.). D I, as owner of the property, am exclusively contracting with licensed contractors to construct t)Je project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Llcense Law). D I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Llcense Law (<;:hapter 9, commencing with Sectio11 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]). SIGNAT(ijIB DATE coMPLETE 'ti-Its s£ct1oN FOR NON-RESIDEN11At 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 Presley0Tanner 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? a YES a 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 Nor BE IBmJED AFl'ER JULY I, 1989 UNLESS nm APPUCANT HAS MET OR IS MEETING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POLLUTION CDNlROL msnucr. 9. OONS'IRUCliON mNDING AGRNCY . . 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) ClVII Code). LENDER'S NAME LENDER'S ADDRESS Io. APPilcANt CRJ{TIFlcA'fioN I certify that I have read the apphcatton and state that the above mforrnatton 1s correct. I agree to comply with all City ordJOances and State ·laws relating to building construction. I hereby authorize representatives of the City of Garlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS nm CfIY OF CARLSBAD AGAINSf ALL I.JAB~ JUDGMENTS, CDSTS AND EXPENSFS WIIlCH MAY IN ANY WAY Aa:RUE AGAINSf SAID Cl1Y IN CDNSF.QUENCE 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 provisions of this Code shall expire by limitation and become null and void if the building or work authorized by s 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 suspended or ab~;j.Q!lm~t any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: /t,/¢ 3 7 WHITE: File YELLOW: Applicant PINK: Finance '· CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB931100 FOR 11/30/93 . DESCRIPTION: UNDERGROUND PLUMBING AND NON- BEARING WALLS TYPE: MISC STE: INSPECTOR AREA TP PLANCK# CB931100 OCC GRP CONSTR. TYPE VN LOT: JOB ADDRESS: 2261 RUTHERFORD RD APPLICANT: JOHNSON,DWIGHT -CONTRACTOR: OWNER: REMARKS: MH/DAVE/432-6677 S?ECIAL INSTRUCT; 1 PHONE: 619 931;;-2660. PHONE: PHONE: INSPECTOR -+,---------- TOTAL.TIME: --RELATED PERMITS--PERMIT# C0920043 CB931049 CB931078 AS930081 TYPE .COFO MISC ITI ASC STATUS ISSUED ISSUED ISSUED· ISSUED CD LVL DESCRIPTION ACT COMMENTS 24 PL Rough/Topout Jv'V ~¥ --------------2'L:.-.-~--.A~~--er-M~~~-JVt-b.~-Jt-~-~__,....if____,.--- -------------------------------------- ***** INSPECTION HISTORY·***** DATE 112493 11239~ 112393 112393 112393 112293 112293 112293 112293 112293 111993 111993 111993 111993 111793 111793 111793 111793 111693 111693 111693 111693 .111593 111593 111293 111293 DESCRIPTION Ftg/Foundation/Piers Ftg/Foundation/Piers Frame/Steel/Bolting/Welding Interior Lath/Drywall Underg~ound/Conduit-Wiring Ftg/Foundation/Piers Frame/Steel/Bolting/Welding Interior Lath/Drywall Rough Electric Gas/Test/Repairs Rough Combo Interior Lath/D~ywall · Rough/Topout Rough/Ducts/Dampers Frame/Steel/Bolting/Welding Rough/Top out Ftg/Foundation/Piers Rough Electric Ftg/Foundation/Piers Rough/Ducts/Dampers Frame/Steel/Bolting/Welding Rough Electric Fram_e/Steel/Bol ting/Welding Underground/Under.Floor Frame/Steel/Bolting/Welding Rough Electric ACT INSP AP TP AP TP AP TP AP TP AP TP NR TP AP TP AP TP AP' TP PA TP NS PK NS PK NS PK NS PK AP TP AP TP AP TP AP TP NR TP PI TP AP TP AP TP PI TP PI TP AP TP AP TP COMMENTS DRY RM SLAB@ DRY ROOM CONV 1 HR CORR DMZ WALLS DRY ROOM DMZ WALL COMPLETE DMZ WALL DMZ WALLS COMPLETE BATH W/H LINES/UTILITY RM OFFICES 100-106,BATHS BATHS SHEAR FTNS DET S8.1 16&20 OFFICES 100-106,BATHS DUCTS@ DMZ WALLS MARK ON PLANS MARK ON PLANS CONT DMZ WALLS INC MARK ON PLANS MARK ON PLANS t. . ~ CITY OF CARLSBAD . INSPECTION RE.QUEST PERMIT.# CB931100 FOR 11/24/93 INSPECTOR AREA TP PLANCK# CB931100 OCC GRP . CONSTR. TYPE VN DESCRIPTION: UNDERGROUND PLUMBING AND NON- BEARING WALLS TYPE.: MISC JOB ADDRESS: 2261 RUTHERFORD RD APPLICANT: JOHNSON,DWIGHT CONTRACTOR: . OWNER: REMARKS: RS/ SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS--PERMIT# C092.0043 CB931049 AS930081 TYPE COFO MISC ASC STE: LOT: PHONE: PHONE: 619 931#-2660 PHONE: INSPECTOR-~,=---------- STATUS ISSUED ISSUED ISSUED CD ~1 LVL DESCRIPTION ACT COMMENTS ST Ftg/Foundation/Piers .£ .~A:7 4JVJ y' ------------------------------------------------------------------------· -____ ..........,.. _________ _ ***** lNSPECTlON HISTORY***** DATE DESCRIPTION 112293 · Ftg/Foundation/Piers 112293. '.Frame/Steel/Bolting/Welding 112293 Interior Lath/Drywall 112293 Rough Electric 112293 Gas/Test/Repairs 111993 Rough Combo 111993 Interior Lath/Drywall 111993 Rough/Topout 111993 Rough/Ducts/Dampers l11793-Frame/Steel/Bolting/Welding 111793 Rough/Topout 111793 Ftg/Foundation/Piers 111793 Rough Electric 111693 Ftg/Foundation/Piers 111693-Rough/Ducts/Dampers 111693 frame/Steel/Bolting/Welding 111693 Rough Electric 111593 Fr~me/Steel/Bolting/Welding 111593 Underground/Under Floor 111293 Frame/Steel/Bel ting/Welding_ 111293 Rough Electric 110993 Frame/Steel/Bolting/Welding 110993 Rough Electric 102593 Ftg/Foundation/Piers 102593 Underground/Under Floor 102193 -,Underground/Under Floor 102193 sewer/Water service ACT N:R AP AP AP PA NS. NS NS NS AP AP AP AP NR PI. AP AP PI PI AP AP AP AP AP co AP AP INSP TP TP TP TP TP PK PK PK PK TP TP TP TP TP TP TP TP TP TP TP TP TP TP TP TP Tl? TP COMMENTS DMZ WALL COMPLETE DMZ WALL DMZ WALLS COMPLETE BATH W/H LINES/UTILITY RM OFFICES 100-106,BATHS BATHS SHEAR FTNS DET S8.1 16&20 OFFICES 100-106,BATHS DUCTS@ DMZ WALLS MARK ON PLANS MARK ON PLANS CONT DMZ WALLS INC MARK ON PLANS MARK ON PLANS SOUND WALLS/MARK ON PLANS SOUND WALLS/MARK ON PLANS SLAB PREP@ PLUMB CO ABS NDS WRAP \·