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Home My WebLink About1320 CASSINS ST; ; CB971547; Permitt#: n f r n G y CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PERMIT AP.PLICATION PLAN CHECK NO. (/7/'jf 7 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST.VAL. . Plan Ck. Deposit Zf}.1,, oO (760)~c161";,,k/ d ,. PRojECT INFORMATION --nrn • .. cAgif.4Ad' <t32Q CA-ff.a£ -f:P Address (include Bldg/Suite I ) ~:::·~ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use £n .st,·,,,,< ..r~,.tc.., Proposed Use JE./o 'Git .{+ s: <Jn Description of W ..,_r SO. FT. lot Stories I of Bedrooms I of Bathrooms ~ CONTACT PERSON ilf dlff.,.,,t from appllcantl /Ptl If ;; w.;t4 5Ar1 C: Name Address [3. -APPUCANf • D Contraaior rr Agent for Ontrlctor D Owner . 1781?/c S/"1 -·-t: 4 'jv.J C,·cA c-Ct:· Name Address City Agent or Owner ~~- . ,f:A City State/Zip State/Zip ,,, . , . Telephone I Fax I Telephone I 4. PROPERTY dWNER ::--. • -·• 11:(/<tt:<e: Name Address :"f :It ,Z I• I CA. r2<?4: ~.l/-662= City Stele/Zip Telephone I rg, coNtRACTofi·. COMPANY NAM ___ __,_.., ______ onr>-.a~-·'"" ·----r."""'~"" (Sec. 7031.5 Business ind Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its ls■u1nce, 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 besls for the alleged exemption. Any violation of Section 7031.5 by any applicant for• permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). A11s-c,&e£ f 0 -> C .·cAC e r:: .Yn b9/rC'e::>.S /~oof' 'zr?-'Z'~II Name • Address / ? / City State/Zip Telephone I State License I 7 / '-/ oY( License Class __ <-___ L_____ City Business License I ""Ari e ----- Designer Name Address City State/Zip Telephone State License I __ __.f;: ... A_. __ /"I_...,< __ _ 8. WORKERS' COMPENSATION ·•~·--• -• •• -·-•• '"' 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. !Sa'.' 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 ils~ed. My worker's compensation insurance carrier and policy number are: Insurance Company 'fZA z c u nd Policy No. 1 L/ r:z /J o~ f tf Expiration Date ;0 -/-l? (THIS SECTION NE.ED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESSI 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 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to 11cure worker1' compenaatlon coverage la unlawful, and shaft aubject an employer to crlmk\■I penaltlea and clvll fine• up to one hundred thousand dollar• (•100,0001. In llddl to the cost of compenaatlon, d1megea es provided for In Section 3708 of the i,.t>or _;:ode. lntereat and attorney'• fee■. SIGNATURE • DATE b/'J'/ L 7 7 . OWNER-BUILDER DECLARATION J .,.. I hereby affirm that I am exempt from the Contractor's License Lew for the following reason: O I, es owner of the property or my employees with wages as their sole compensation, will do the work end the structure is not intended or offered for sele (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 salel. O I, es 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 contractorlsl licensed pursuant to the Contrector's License Lawl. 0 I am exempt under Section ______ Business and Professions Code for this rotason: 1. I personally plan to provide the major labor and materials for construction of the proposed property lmpro~ement. 0 YES ONO 2. I (have/ heve not) signed an 1pplic1tlon 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 rn1mber / 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 I the following persons to provide the work indicated (Include name / address / phone number / type of workl: _________________________________________________________ _ Is the applicant or future building occupant required to aubmit • 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 Act7 0 YES O NO Is the applicant or future building occupant required to obtain • permit from the air pollution control district or air quallty management district 7 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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. ,a. --C0NSTRUcTi0Nl..EHDINGAGENCY -,. ,....,.,~-~---· I hereby affirm that there Is e construction lending agency for the performance of the work for which this permit is Issued (Sec. 3097(1) Civil Code). LENDER'S ADDRESS , ... --:""r-.,.,.-------"T ,. --..... .. ..... ' .... ... --.. ' ..... -.-. I certify that I have read tha application and state that the above information is correct and that the infonnation on the plans la accurate. I agree to comply with 111 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 ANO 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 s•o· deep end 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 end become null and void if the building or work euthorized by such permit is not commenced within 365 days from the date of such permit or if the building or work euthorized by such permit is suspended or abandoned et any time after the work Is c mmence for perio of 180 days (Section 106.4.4 Uniform Building Code). 61/f/77 DATE WMITI;; File YfilOW: Aoolicant PINK: Finence PERMIT# CB971547 CITY OF CARLSBAD INSPECTION REQUEST FOR 08/07/97 INSPECTOR AREA PD PLANCK# CB971547 OCC GRP DESCRIPTION: ELECTRICAL 2 LIGHTS TYPE: ELEC JOB ADDRESS: 996 APP LI CANT: ALLS CAPE CONTRACTOR: OWNER: WHIMBREL CT REMARKS: C/MARK/480-4041 SPECIAL INSTRUCT : TOTAL TIME: LVL DESCRIPTION STE: CONSTR. TYPE NEW LOT: PHONE: 760 480-4041 PHONE: 4 / ~ PHONE: 2 & INSPECTO~~ ACT COMMENTS CD 39 EL _F_i _n_a_1_E_1_e_c_t_r_i_c_a_1 _______ f _r:: __ ,_J.J'_Jb_~_~ ________ _ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 071797 Final Electrical co PD NEED GREEN GROUND 061997 Underground/Conduit-Wiring AP PD 061097 Underground/Conduit-Wiring co PD COVERED