HomeMy WebLinkAbout2265 RUTHERFORD RD; ; CB930081; Permitck-ll _1 1jq
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CITY OF CARLSBAD
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2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Department
2075 Las Pal.as Dr., tarlsbad, CA 92009 (619) 438-1161 EST.VAL"-------------PLAN CK DEPOSIT ________ _
VAIJD.BY ___________ _
l. PE.RM.I I IYPE DATE
A • LI Commercial O New Bu1ldmg LI Tenant Improvement
B • D Industrial LI New Building D Tenant Improvement
C · D Residential D Apartment D Condo D Single Family Dwelling D Addition/ Alteration
D Duplex D Demolition LI Relocation D Mobile Home Ii Electrical D Plumbing
D Mechanical D Pool D Spa D Retaining Wall D Solar D Other ____ _
2. PRQJECf INFORMATION FOR OFFICE USE ONLY
Address ;, di (p 5 ~.._._~...-4.,rd ii.Juildmg or Suite No.
Nearest Cross Street -f' o..,r a.., o\ (.L~
LEGAL DESCRIPTION lot No. Subd s1on Name/Number Unit No. Phase No.
cAECR BEWW IF S0BMll 1Eb:
D 2 Energy Cales D 2 Structural Cales O 2 Soils Report D I Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK~
SQ. IT. Itsf.E..
3. WN IACI PERSON (if duerni'omappicn
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. APPUCANI wcdNIRAcluk DACENI FdkCON!itACl'dk LIOWNEk LIACENI FdkOWNEH o,.i
NAMe:=t:.c--,8-, 1-ech :::e.YV1c..e,s ADDRESS \'DS 6 . .-~w, oo\-<S Vo..1~ MA
CITY$a.() (Y")()...(tD STATE ZIP CODE 9~0fn9 DAY TELEPHONE
~ t LL ADDRESS ~ 1 $'"0 NO M /; ,4 VF
c1TY ~~ JJ /J !Eli o STATE cit ZIP CODE 'lz ftJ ~ DAY TELEPHONE
6. mN'rnACIOR .
NAME+r\~\.--i Tc.C~ 5eKVIL.OS ADDRESS /06 S ~In LJ/\1:.~ c)~ /2e-{
CITY Sa.n /n()..rU):> STATE C.,A-ZIP CODE 9:/0&9 DAY TELEPHONE (p/ Cj)] t.jJ-j ..... )-:;) iJ.f
STATE uc. # 2tao1a I LICENSE cLASs c~ 1 c -, o CITY BUSINESS uc. # ·
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WOIUMts' WMPf:NSAnON
Workers' Compensation Declaration: I hereby athrm that I have a cert1hcate of consent to selt-msure issued by the Director of !ndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admirted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Buildinit Ins~tion.De12.11Jm~nt (Section 3800, Lab. C). UA-0 I DI C/30/ Yo/ (p
INsuRANcEcoMPANYl{R,c.a.ff', rns , l"OUCYNo.. XPIRAnoNoATE J-J-CJL/
Ceruhcate of Exemption: ceriify~\ne peno, .. 1ance of the work for which this pem11t 1s issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
A. oWNER-BUUDER OFn.AltAnON
Owner-Builder beclarauon: I hereby alhrm that I am exempt from the Contracto?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 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.).
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law).
D I am exempt under Section-------Business and Professions Code for this reason:
(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)).
SIGNATURE DATE
COMPLETE rnls SECTION FOR NON-RESIDENTIAL B0lt:OINC 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 D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
0 YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES ONO
IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF cxx:uJ>ANCY MAY NITT BE ISSUED AFfER JULY I, 1989 UNUSS TIIE APPUCANT
HAS M1IT OR JS MEETING TIIE RF.QUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND 1HE AIR POUlfllON CDN1ROL DISl'RJCT.
9. WNS'l1t0Ci10N LENDING AGf:NCY
I hereby all1rm that there 1s a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CIVJI Code).
LENDER'S NAME LENDER'S ADDRESS
lo. APPUCAN"f CER1rncA:110N
I certify that I have read the apphcauon and state that the above mlormauon 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 ALSO AGREE 1U SAVE INDEMNIFY AND KEEP HARMLF.SS nm Cl1Y OF CARISBAD AGAINSf AIL UABllJTIES, JUDGMENTS, CDSTS
AND EXPENSES WIDCII MAY IN ANY WAY ACX:RUE AGAINSf SAID C11Y IN CDNSF.QUENCE OF nm GRANTING OF 1lDS 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: /-11-1 c.
UNSCHEDULED INSPECTION
DATE 4 /;1:/f3 7
PERMIT # cA 930/Cj'(,, )
INSPECTOR (__ ----:r--+-------
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JOB AOORESS_2""'<~ki..i"4~s£"""-----'-/2f1......;....,.J2r..i.~"--~..;;.HJ_..;;;._" _________ _
CO LVL DESCRIPTION
PERMITS
6/15/89
~-
ACT COMMENTS
.i~E•ELEClRIC METER LOCATION AND ~lKVILt UKUtK TH BROS~/ ..; ' ()T/ '~NDERGROUND-SPECIFICATIONS ATTACHED
-~
WANTED DATE --OVERHEAD icOMMERCIAL ef RESIDENTIAL ---~ I '£OST CENTER 5 6 CONST ORDER IZ 13 PROIECT # 19 IOB # WORK# zo ZI DATE NE£0£0 l 6 j l 7 EST. HRS.: 31 CREW 55 DATE COMPL. 60
I I I I I I I I I I I ¢~~l bJj~y -I tltt -I I 7 I I I I i I I I I I I I I I I I
NAME: --:p~fFlt BELL ASSUME STREET RUNS N-S C EW 'J/
ADDRESS: ZZ&S 'EU THfJt .... Fa~ KS\ m I ST EXCAVATION&. PERMIT BY:
POWER SOURCE: Brn, 7~2-/J3 I SDG&.E 0 CUSTOMERV
SERVICE ATTACHMENT POINT AND/OR METER LOCATION: C UST.' ID PE1Hl JD t= I ll flill1:h "-l-.3 /f\r.li Cl1iJDO IT
W mt "PU LL.K..OPe: 11Z.Dm ,He-f\JOfllH 86 T CJJruJETuD"& r re IRfttlSHJV>'EE. -PMJ TZ)Tbfr
TI:::"l.lli\ mET'E,12 '1JE:DKJT7rL-
~
.,,..-~-2;t./ot /
SDG&.E APPLICATION REQUIRED ,v CALL ' NOTE: CITY /COUNTY INSPECTION REQUIRED PRIOR TO SET 1~ '
GENERAL CUSTOMER INl'ORMATION
POLE# LADDER ARMS REQUIRED C
Merer Heighr -4'0" min_ -6'3" max_ from finish grade ro cenrer line STOP TRENCH C I" r::::: 711, .. FROM POLE RISER QUAD. of merer base_ Merers are required to be readily accessible 24 hours per
day. Merers musr be locared in~' safe area free of any porenrially hazard-
• ous or dangerous condirion. Provide 3 fr. x 3 fr. minimum clear and level
working space in front of merer. Where merer room is proposed. conracr N L Cusromer Exrension Planner at nearesr SDG&.E office. I
Meter bases and main switches must be identified with address and unir
number it serves. •A.,
b
OVERHEAD SERVIICES ~ 'KJ.JTH€RFO'ED "ED
PROVIDE MINIMUM GROUND CLEARANCE OF: --~-N ~ . Ft. at point of attachment of service wires ~ p(
Fr. over driveway or parking area /
:-i;\\> 1 {"? Fr. at outer limit of vehicular m1ffic
Fr. ~% . ~~~ ~ ~~ UNDERGROUND SERVICE
PROCEDURE FOR INSTALLATION
(EfuPLICABLE. 1. Pay all monies due 0 APPLICABLE
2. Phone SDG&.E a&-.SfZ.'2..--3 workin:s days prior to trenching ro ' . I
arrange premeet with inspector and initiate rrenching process.
ADDITIONAL INFORMATION: (Derach before completing this section:)
3. Open rrench and install service entrance equipment and conduit sweep·s
ar meter location. CALL.ABOVE PHONE # FOR INSPECTION.
4. After trench is approved allow 5 working days for service installation.
5. Meter will be set after inspector has approved insrallation. backfill. com-I
paction. and city/county• inspection.
6. For underground urility location prior to trenching
Phone: 1-800-422-4133.
/
JT TRENCH GAS O TELCO i:KATV C
CABLE POLE CONDUIT BY CUST C SDG&.E C: SIZE
BEND BY CUST O SDG&.E C SIZE SEC. HGT.
HANDHOLE BY CUST C~DG&.E C STD. PAGE#
CONDUIT BY CUST ~SDG&.E C! SIZE l-3" FT
TRENCH INSPECTED&. APPROVED BY I DATE
PMNT BY CUST: CBL PL $ EXCESS$ MISC$
-~ WIRE I PHASE m..MQ_ VOLTS PLANNER ~l»-7?57 '/ (/y;.J,a)fh,l:a1~v MAIN SWITCH ~ crs r= SELF-CONTAINED C DATE
/0-2-92--
If SDG&.E encounrers hazardous or :oxic material while performing construction of your project. SDG&.E Customer-owned facililies to receive electrical service are subjecr to all
will halt work immediately and it will be your responsibility to remove and/or clean-up all hazardous applicable local and state of California inspection aurhority requirements.
or toxic marerial prior to SDG&.Econrinuing constru,:tion. SDG&.E shall have no liabiliry or obligarion Building address and/or meter base must be posted prior to meter set. Inf or-
!
whatsoever ro clean-up. remove or remediate any hazardous or toxic materials discovered during mation on this sheet is.void after 6 months from dare. Keep this notice
rhe course of construction. unless ir is through negligence of SDG&.E. wirh building permit.