HomeMy WebLinkAbout2275 RUTHERFORD RD; ; 85-732; PermittJ) z 0 ~ a: C ..J (.) w
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I hereby affirm that I am licensed under
0 Iona of Chapter 9 (commencing with
tlon 7000) of Division 3 of the Business
d Professions Code, and my license 1s In
II torr ~-_'•U98t.n C-10 No k !(. ./' Clas r .
a: w 0 ..J 3 ~ w z 3 0
t hereby alllrm lhal I am exempt lrom 1he Conlrac
·s License Law for the lolloNing reason !Sec 7031 5 10,
Bu qu,
rep p11ca lice
Lie o,v em v,o
Jee
dre
siness and Professions Code Any c,ty or county wtuct. re·
res a perm,t to construct. ane, improve. dernohsh or
air any structure. prior to ,ts issuance also requires !heap
nt lor such permit to hie a s,qned Matement lhat he 1s nseCI pursuant to the prov1s1ons ol lhe t.:ontractor s
ense Law /Chapter 9 comment.1ng w,th Sec11on 7000 ol
1s1on 3 ol lhe Business and Profes51ons Code, or that 1s ex
pt there1rom and the basis for the a11egee1 e)empt on Any
1a11on of Sec11on 7031 5 by an apphcant tor a pcrm1t sub-ts the acpucant to a civu penally ol not more than five hun
d dollars (S500J
I as owner of !he properly, or my employees w,tr, wages
their so1e compensation w1tl do the work and lhe slruc· as lur
and nol lhe em ed me w,I
pro
e 1s not intended or ollered tor sa1e (Sec 7044. Business
Professions cooe. The Conuactors license Law does apply to an owner of property ¥."ho bu,1ds or improves
reon and who does such work h msell or lhrough his own
ployees. provu:led that such improvements are not intend-or of1ered tor saie If however. the bu1ldtng or improve-
nl 1s sold w1th1n one year of completion the owner-bu11der I have !he burden ol proving thal he did not build or 1m-
ve for the purpose of sa1e1
J. as owner ol the proper1y. am exclusively contracttng
h hcensed con1rac1ors 10 construct the protect (Sec 7044 ,.,1
Bu Law pro con Law
smess and Pro1ess1ons Code The Conlraclor's License
does not apply to an OWl'ler ol property who builds or 1m-ves thereon and who contracls IOJ each protects with a
(1
ing
0 !or
I
')actor(s) hcense pursuant to the Contractor· s Ucense
As a homeowner I am 1mprov1ng my home. and the follow
cond,hons exist
1 lhe work ,s being performed prior 10 sale
2 I ha'" hved in my home for 1welve months pnor to completion of this work 3. I have not c1a1med 1h1s exemption during !he
last three years
I am exempt under Sec B&PC this reason
I hereby afft,m that I have a cert1l1cate of consent to
sure. or a certificate of Workers Compensation In-
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z 0 ;:::
ance. o• a4cert1f1~ co:~<.r.· 11Codel I
LICY No:;/Jt3 .• • I
MPANv!J Tl17l* e.o/'. Ft.fwd I
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Copy is hied with lhe city .1 X I z w IL ~ 0
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C Cert1hed copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE
(This section need not be completed 11 the permit
1s !or one hundred dollars ($100) or less)
I certify that 1n the performance of the work for which
lhlS
ma
sat
permit 1s issued. I shall not employ any person 1n any
nner so as to become sub1ect to the Workers' Campen-
,on Laws of Cahforn,a
TICE TO APPLICANT If after making this Certificate NO
of E
Com
fort
be
xemphon. you should become subJect to lhe Workers
pensat1on p.-ov1s1ons of the Labor Code. you must
hw1th comply with such prov1s1ons or this permit shall
deemed revoked.
f ~ L Len
I hereby affirm that there is a construction lending
ncy tor the performance of the work for which I his per·
is issued (Sec. 3097. c~11.W.J.}__
dersName~
der's Address ---
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-1989 (619) 438-5525
OB ADDRESS AV ST AD NEAREST CROSS ST I D;b:F '?p~;:?NI
BUSINESS LICENSE It VALUATION PERMIT NUMBER
~ IJ-;:; k'u 7'1./,E;.J::1 .Pt;/!.}) 0sc11'-(?r, g.,--
1 3)-LOT BLOCK I SUBDI VIS ON I ASSESSOR PARCEi NC! CONTRACTOR CONTRACTORS PHONE• ZONE
212-061-09 1:L£Cr alV ,~JJcr,AJ~ .//..X_ Lf$'1-'7?'10
'WNf R' NAM£ k 619 ;;N~ ;~p;;N; Associates CONTRACTOR"S AODRESS ~c. CA. LICENSE NO PLAN 1.0. # BUILDING SO FOOTAGE BCS l1.f37 I..vdU$7~tAl 451 &,g7 C: -/i ,.,,., <" ·Wf\lE: H ', V.A ..,, Ar>oREss %Robert M. Irish DESIGNER OESIGNER"S PHONE 400 s. Sierra Ave.,Suite 100,Solana Beach,C ~-A/{),VF -/<'.Al ~l"~ J --f.,[5CR ._ r r,N ;')F wr·FI,.
DES , ,NE R"S ADDRESS LICENSE NO
Vt>o Ap ? • ---C cJ,1().5 7/( tic TIO AJ m1:7Et-e. I F p FLA ELEV NO OCC GP EDU
STORIES •
vO • '<O ---
CENSUS TRACT
I
GP LAND USE I PARKING SPACE RES UNITS GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FIRE SPP AREA CONST
Nor Va/Jd Un/err Machine Certd,ed YO N 0 ,o "o vO NO
QTY. PLUMBING PERMIT -ISSUE ~ QTY. MECHANICAL PERMIT · ISSUE ~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP ~ 17 INSTALL FURN OUCTS UP TO 100.000 BTU -BUILDING PERMIT 001·810·00-00-8220 -
EACH SUILOING SEWER OVER 100.000 STU SIGN PERMIT 001-810·00-00·8221
I---'---------
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810-00·00·8806
BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001 ·810·00-00-8222 EACH GAS SYSTEM 1 TO 4 OUTLETS + -'----1..<. i) c::> EACH GAS SYSTEM ~ OR MORE -=i MET AL FIREPLACE ELECTRICAL 001 ·810-00-00-8223 ---,.... -EACHINSTAl ALTER. REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 001-810-00·00-8224 ---f-----
EACH VACUUM BREAKER MECH EXHAUST HOOO DUCTS MOBILEHOME 001-810-00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
FACH ROOF DRAIN · NS10[1 SOLAR 001-810-00-00·8226 '--TOTiiL MECHANICAL STRONG MOTION 880-519·92-33 ,_ 1 -
TO I AL Pt UMBING FIRE SPRINKLERS 001 ·810-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE lj QTY.
PUBLIC FACIL:TIES FEE 332-810-00·0Q·fil)30
SOLAR -ISSUE -
NEW CONST EA AMP SWl BKR COLLECTORS SCHOOL FEE · DISTRICT -
1 PH 3 PH STORAGE TANKS Carlsbad -
EXIST BLDG EA AMP SWT BKR ROCK STORAGE Encinitas -1 PH 3 PH PUMP San 01egu110
REMOOEL ALTtR PER CIRCUIT PLAN CHECK FEE San Marcos -
TEMP POLE 200 AMPS t/ In ·<N
OVER 200 AMPS LICENSE TAX 001-810-00-00-8162
rEMP OCCUPANCY (30 OA YSI MFF 880-519-92-57 ---
CREDIT DEPOSIT
TOTAL ELl:LTRICAL I !S-_ciV TOTAL SOLAR TOTAL FEES PAYABLE I I~-() 0
1 HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT ANO DO HEREBY Exp1rat1on Every permit •ssued by the Bu1ld1ng Offic11t under the prov,s,ons of this * AN OSHA PEAM:T IS REQUIRED FOR EXCAVATIONS OVER
CERTiFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expire by l1m1tat1on and become null and void If the building or work ~-o·· DEEP ANO 0£MOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such perm1t 1s not commenced within 180 days from the date of such STRUCTUMS OVER J STORIES IN HEIGHT
ISSUED TO COMPLY WITH All CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON :~~~n°~ 1
~t ·=~v ~~~~·;Ptei~h=~~,:~!hco~~:,de~ie~~~~ ;'~~~~d
1
~fs~;g~n8~~ 0: ~
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO 7/Z S2RE • /} /J A ~WNERD CONTRACTO~
APPR°Zi:3(0~
DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS AND
I /o,1 -r:s-EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT · 1 -~ ,,.J AA..l'I ,,~'YI BY PHONE []
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -
GUNITE OR GROUT ' I INSPECTION REQ IF INSPECTOR S DATE CHECKED APPROVAL
SUB FRAME D FLOOR D CEIUING
SHEATHING D ROOF D SHEAR
SOILS COMPL ANCE
PRIOR TO
FRAME I
I
FOUNDATION INSP ---
EXTERIOR LATH I STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRESTRESSED
INTERIOR LATH & DRYWALL !
I
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
D SEWER AND BL/CO D P~/CO
UNDERGROUND D WASTE D WATER
--..--Hll,H STRENGTH
BOLTS
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN J
I
GAS TEST ' D WATER HEATER D SOLAR W~TER
PILES CAISSON~
I
ELECTRICAL I ~~
D ELECTRIC UNDERGROUND o:uFFER ~.
ROUGH ELECTRIC I -
D ELECTRIC SERVICE D TEMPORARY -·-~--
D BONDING D POOL I -.
I
MECHANICAL ' D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS ' I
' CALL FOR FINAL INSPECTrON WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROV D. '
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING J
SPECIAL CONDITIONS