HomeMy WebLinkAbout1324 CASSINS ST; ; CB972222; PermitBUILDING PERMIT Permit No: CB972222
08/07/97 09:56 Project No: A9702800
Page 1 of 1 Development No:
Job Address: 1324 CASSINS ST Suite:
Permit Type: PLUMBING
Parcel No: 215-690-38-00 Lot#: .,_,,,„,.
Valuation: 0 Conitru^ction 5^f>§:* NEft
Occupancy Group: Reference*: Status!: ISSUED
Description: GAS AND ELEC LINE TO BBQ Applied: 08/07/97
: Apr/Issue: 08/07/97
Entered By: JM
Appl/Ownr : DUFFEY JOANNE 760 804-0885
1324 CASSINS STREET
CARLSBAD, CA 92009
*** Fees Required *** *** ' P*es Collected & Credits ***
Fees: 47.00
Adjustments: ,00
Total Fees: 47.00
Fee description
Total Credits:
Total Payments;
Balance Due:
Units Fee/Unit
.00
.00
47.00
Ext fee Data
Enter "¥" for Plumbing Issue Fee >
Gas Piping System >
Other >
* PLUMBING TOTAL
1
20. 00
7.00
20.00 Y
7.00
20.00 ELEC
47.00
APPROVAL
CLEARANCE.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(619)438-1161
FOR OFFICE USE ONLY
PLAN CHECK
EST. VAL.
Plan Ck. Deposit
Validated By
Date
Addrass (include Bldg/Suita f)Business Nam* (at thta addraaa)
Lagal Description Lot No.
96
Subdivision Name/Number
TRACT 90036
Unit No.Phase No.Total * of units
Assessor's Parcel t
215-690-38-00
Existing Use Proposed Use
Description of Work SQ. FT. *of Stories
GAS & ELECTRIC TO BARBECUE
^iro«fr^:PERsww
DONALD OR JOANNA DUFFEY 1324 CASSINS STREET CARLSBAD
f of Bedrooms * of Bathrooms
CA. 92009 (760) 804-0885
Name Address State/Zip Telephone *Fax*
Name Addrass City State/Zip Telephone*
Name Address City State/Zip Telephone t
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, altar, 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 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1(5001).
Name
State License #
Address
License Class
City State/Zip
City Business License *
Telephone f
Designer Name
State License t
Address City State/Zip Telephone
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Q I have and will maintain a certificate of consent to sett-insure for workers' compensation aa provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
D I have and will maintain workers' compensation, aa 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 Compeny Policy No. Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 11100} OR LESS)
O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shell not employ any person in any manner so aa
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure-workers' compensation coverage la unlawful, and anal subject an employer to criminal penerttea and chril fines up to one hundred
thousand dollars 1*100,000). in addition to the cost of compensation, damages aa provided for hi Section 3706 of the Labqr code. Merest and ettomey's fee*.
SIGNATURE DATE.
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
O 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 Lew 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 ere not intended or offered for sale. If, however, the building or improvement is
sold within one veer of completion, the owner-builder will have the burden of proving that he old not build or improve for the purpose of sale).
EX I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (See. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, end contracts for auch projects with contractors) licensed
pursuant to the Contractor's License Lew).
n 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. Q YES QNO
2. I (have / JSKKfct) signed en application for a building permit for the proposed work.
3. I have contracted with the following person (fjrml to provide the proposed construction (include name / address / phone number / contractors license number):TO BE DETERMINED
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
is ths applicant or future building occupant required to *ubnnit e buwnms pien, ecutety hazardous materials regulation form or risk management end prevention
program under Sections 26605, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES O NO
Is the applicant or future building occupant required to obtain • permit from the air po4lution cc^rtrol district or air quality management district? O YES D NO
Is the facility to be constructed within 1XXX) feet of the outer boundary of a school site? O YES Q NO
V ANY OF THE ANSWERS ARE YES. A FMAL 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.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS _____
I certify that I have reed the application and state that the above information is correct and that the information on the plena is accurate. I agree to comply with all
City ordinances end State laws relating to building construction. I hereby authorize representative* of the City 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 ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit Is required for excavationa 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 end 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 auch permit ia suspended
or abandoned at any time after the work ia commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE ^^~^JtiC .dU <&** • </ V*- *-l ?&*t-r^~^ 2*^ #&%$6^ DATE> x /' <S
: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB972222 FOR 10/02/97
DESCRIPTION: GAS AND ELEC LINE TO BBQ
TYPE: PLUM
JOB ADDRESS:
APPLICANT:
CONTRACTOR:
OWNER:
1324 CASSINS ST
DUFFEY JOANNE PHONE:
PHONE:
PHONE:
INSPECTOR AREA PD
PLANCK* CB972222
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
760 804-0885
REMARKS: C/JOANNA/804-0885 AM PLEASE INSPECTOR
SPECIAL INSTRUCT: IF NOT AT HOME THE INSPECTION CARD WILL BE BY THE FAMILY RM
DR
TOTAL TIME:
CD LVL DESCRIPTION
29 PL Final Plumbing
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP
092597 Final Plumbing CA TP
091697 Exterior Lath/Drywall AP PD
090897 Gas/Test/Repairs AP PD
082097 Gas/Test/Repairs AP PD
081897 Underground/Under Floor AP PD
081897 Underground/Conduit-Wiring AP PD
081497 Gas/Test/Repairs CA PD
COMMENTS
CANNOT DO TODAY PM