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Home My WebLink About2262 RUTHERFORD RD; ; CB910596; PermitB U I L D I N G PERMIT Permit No: CE91U59t U4 09/91 ld:44 Pag 1 nf 1 Job Adiress: 22o2 RUTHERFORD RD Permit ~ype: ELECTRICAL Parcel No : ValuatiCln: 0 Construction Type: NEW Occupancy Group: Class Code: Description: TEMPORARY POWER POLE Appl/Ownr: TEMPORARY UTILITY SERVICE 1167 LAW STREET SAN MARCOS , CA 92069 Fees Required *** f'ees: Adjustments: Total Fees : Fee desc:i:iption Enter "Y" for Eleqtr1 Enter "Y" for Tempe a.ry * ELECTRICAL TOTA I< * ProJect No: AY1U0707 Development N~.i: Str: Fl: Ste: App.1.1ea: Apr/Is ... ue: Validated By: 619 471-5494: :SSUED 04/0g;g .. 04/09/91 DC llecte1 & Credits *** ,00 .00 15.00 Lt Ext fee Data 5 .00 y 10.00 y 15.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PCR~Il APPLICATION City of Carl sbad Building Department 2075 l as Palmas Dr., Carlsbad , CA 92009 (619) 438-1161 EST. VAL·---------------- PLAN 0: DEPOSIT ____________ _ VALID. BY ______________ _ 1. PERMIT TYPE DATE ----------------- A CCJ14HERCI AL TENANT I HPROVEHENT D I NDUSTR I Al ONEIi D TENANT I HPROVEHENT C QRESIDENTIAL QAPARTHENT QCONOO QSINGLE FAHILY DI/ELLING QADDITION/ALTERATION 0DUPLEX 0DEHOLITION 0RELOCATION OHOBILE HOME ~LECTRICAL 0PLUHBING Q HECHANICAL QPOOL OsPA ORETAINING I/ALL OsoLAR OoTHER _____ _ 2. PROJECT INFORMATION PLAN CHECK F Address 2 2-G, 2 RI,\. -t h-t. r{ov-cf J2 Nearest Cross Streets LEGAL DESCR I PT I OIi Lot unit No. Phase No. CHECK BELOII If SUBIIITTED: 02 Energy Cales 02 Structural Cales 02 Soils Report 01 Addressed Envelape ASSESSOR'S PARCEL EX I ST I NG USE BLDG. SQ. FTG. # OF STORIES 3. CONTACT PER~Of MAHE VV\ ~c.,k~ s ~0 tt mY 5~ i vto...r c cs sTATE ~ SIGNATURE 111~/u.14 -s C-<J r::t ADDRESS ZIP CODE °I z_ 0 ~ 1 4. APPLICANT ~CONTRACTOR NAHE VV\ t c.J< 11 e.. Sc o ti 0 AGEN1 FOR CONTRACTOR QOIINER ,tto7 l ctw CITY ~ ~"\.. VJ. JC\ v c.o~ 5. PROPERTY OWNER J MAHE K O 1 ( Con s c c ITY :5 a..,,,-PI 6. CONTRACTOR MAHE ~ "-"',,, u ('"' r (A ~, I , cm SQ.M.. 01 tt v 1 CJ:) s STATE~- OIINER STATE Ctt . ty S~t.!..V, STATE CA\ SIGNATURE ~ m:,e ;P. # s2-3 :£ Cf t /4// ~:/~c :Seu. 7:t DES I GNER NAHE ADDRESS ZIP CODE 920(,'7 TITLE&.' ADDRESS CITY STATE ZIP CODE 7. WORKERS' COMPENSATION PROPOSED USE DAY TELEPHONE '-/ 7 /-S-Y'1 '-J, D AGENT FOR OIINER ~i.' DAY TELEPHONE Lj 7 / -'5 '/9 '/, QTENAN1 DAY TELEPHONE z. Z-55SD Sf DAY TELEPHONE L/ 7 1-s '/ 9 // LIC. # 19C20 -/-q DAY TELEPHONE STATE LIC. # llorkf!rs• C...-.,ensation Declaration: hereby affirm that I havf! a certlf1cate of consent to self·1nsure issued by the Director of Industrial Rf!lations, or a cert If 1 cat e of 1/orkers' Co,rpensat ion Insurance by an adni t ted insurer, or an exact copy or dupl 1 cate thereof cf!rt if 1 ed by the Di rector of the insurer thereof filed with the Building Inspect on Department (Section 3800, Lab. C). <$-{ ~ "te_ t l,\_A, POLICY NO. 30 '=r3 5 l-$" EXPIRATION DATE -l -q, INSURANCE COMPANY Cert ificate of Ex.,..,tion: I Cf!rt1fy that in the performance of the work for which this per111t 1s issued, I shall not """loy any person in any manner so as to become subjf!ct to the llorkers• C...-.,ensat,on Laws of California. SIGNATURE DATE 8 . OWNER-BUILDER DECLARATION Owner-Bu1lder Declaration: I hereby aff1rm that I arri ex("f'll)t from the Contractor•s L1cense Law f,1r the follow1ng reason: 0 I as owner of the property or my errployees with wages a, their sole compensation, will do the work and the structure 1s 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 ,~roves thereon., and who does such work h1n,self or through his own .,...,loyees, provided that such 1..-provements are not intended or offered for sale. If, however, the bu1ld1ng or i~rovement 1s sold within one year of c°""let1on, the owner·bu1lder will have the burden of proving that he did not build or 1..-prove for the purpose of sale.). 0 J, as owner of the property, am excluslvely contracting w1th licensed contractors to construct the proJect (Sec. 7044, Buslness and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or i..-proves thereon, and contracts for such projects with contractor(s) l 1 censed pursuant to the Contractor• s License Law). O I am ex~t 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, l"l)rove, demolish, or rf!pair any structure, prior to its 1ssuance, also requires the applicant for such per1111t to f1le a signed statement that he 1s l1censed pursuant to the provisions of the Contractor's License Law (Chapter 9, c°"""'nc1ng with Section 7000 of D1v1s1on 3 of the Business and Professions Code) or that he 1s '""""t therefrom, and the basi s for the alleged exe~t1on. Any v1olat1on of Section 7031.5 by any applicant for a permit subiects the applicant to a c1v1l penalty of not more than five hundred dollars [S500l). SIGNATURE DATE COMPLETE THIS SECTION FOR NON·RESIOENTIAL 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 2SS05, 25533 or 25534 of the Presley· Tanner Hazardous Substance Account Act> DYES Is the applicant or future bu1ld1ng occupant required to obtain a permit from the air pollution control d1str1ct or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer bouldary of a school site' DYES IF ANY Of THE ANS\ERS ARE YES, A FINAL CERTIFICATE OF OCC1JPANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS NEETING THE REQUIREMENTS Of THE OFFICE Of EMERGENCY SERVICES AND THE AIR POI.LUTIOII CONTROL DISTRICT. 9. CONSTRUCTION LENnING AGENCY hereby affirm that there 1s a construction lending agency for the performance of the work for which this permit is issued (Sec 3097Ci) Civil Code). LENDER'S NAHE LENDER'S ADDRESS 10 . APPLICANT'S SIGNATURE I cert1fy that I have read the appl1cat1on and state that the above information ,s correct. I agree to COO'f)ly w1th all City ordinances and State laws relating to building cons.truct1on. I hereby authorize rcpre~entattvec of the C1ty of Carlc;.bad to enter upon the ,ibovc l"C'nt1oned property for inspection purposes. I ALSO AGR[E TO SAVE INOEIINIFY ANO KEEP HARMLESS THE CITY Of CARLSBAD AGAINST All LIABILITIES, JLOGHCNTS, COSTS ANO [XP[NS£S 1/HICH NAT IN ANY 1/AY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Building Off1c1al under the provisions of this Code shall expire by l1m1tat1on and become null and void 1f the building or work author12ed by such permit 1s not cc,m,,enced w1th1n 180 days from the date of such permit or 1f the building or work author12ed by such permit 1s suspcrlded or abandoned at any t11ne after the work is c°"""'nced for a period of 180 days (Section 303Cd) Unlform Bu1ld1ng Code). D OIINER ~ CONTRACTOR D BY PHONE YELLOW: Applicant PINK: Finance APPROVED BT: -------- DATE: CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB910596 FOR 05/02/91 DESCRIPTION: TEMPORARY POWER POLE TYPE: ELEC JOB ADDRESS: 2262 RUTHERFORD RD APPLICANT: TEMPORARY UTILITY SERVICE CONTRACTOR: OWNER: REMARKS: MH/MICHELLE/471-5494 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS--PERMIT# SE910035 CB910508 TYPE swow INDUST PHONE: PHONE: PHONE: STATUS ISSUED ISSUED INSPECTOR AREA MC PLANCK# CB910596 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 471-54 4 CD LVL DESCRIPTION ACT COMMENTS 32 EL Const. Service/Agricultural _H ol h Je/J-,s ~ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS 043091 Const. Service/Agricultural CA MPC 042991 Const. Service/Agricultural CA MPC 042291 Const. Service/Agricultural CA MPC 041891 Const. Service/Agricultural NR MPC INCOMPLETE INSTALLATION 041791 Const. Service/Agricultural CA PK