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Home My WebLink About1336 CASSINS ST; ; CB972292; Permit08/15/97'08:18 BUILDING PERMIT Page 1 of 1 Job Address: 1336 CASSINS ST Permit Type: PATIO/DECK Parcel No: 215-690-35-00 T <-«JjOctr I Suite: Permit No: CB972292 Project No: A9702901 Development No: 1 080Valuation: Occupancy Group: Referenr * Description: COVERED PATIO 160 SF Appl/Ownr *** TAMBORELLI CONSTRUCTION 28250 HUCKLEBERRY LANE SAN MARCOS, CA 92069 Fees Required *** *** -i -J. ;• . - . , Construction Tj$%el~ NEW Status: ISSUED Applied: 08/15/97 Apr/Issue: 08/15/97 760 9909*0- Pees Collected &*** Fees : Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL 46.00 ,00 46,00 Total Credits: Total Payments: Balance Due: Units Fee/Unit .00 . 00 46.00 Ext fee Data 27.00 18. 00 1.00 46.00 I FINAL APPROVAL ^SR CLEAR/UK* 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 92D09 (760)438-1161 1. PROJECT INFORMATION Address (include Bldg/Suite *) FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By_ Date Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total * of units Proposed Use Description of Work SQ. FT.#of Stories * of Bedrooms # of Bathrooms Name Address iiljlgillolPSMW^En City State/Zip Telephone *Fax* Name 4. PROP Address City State/Zip *«••"« «!ig Name " ' Address ClbMP^^ City State/Zip Telephone » (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repeir 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 beais for the alleged exemption. Any vjolattoo-pf Section 7Q31.5 by any applica/lt for_a_R«fipit sjybjects the fpplican) to,a ci^il penalty of i Name State License # Address License Cless City / State/Zip City Business License * Designer Name Address City State/Zip Telephone State License * 6. :: WdRkERSVCOMPIENSATION;:^,;:7!-"^";/'!:"" " " ----- .,. --.»,. --„,.„ r, ...„,. >• _ - Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I nave 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. Q 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company PoHcy No. Expiration Date v_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100) OR LESS) J^<^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 Ho becoTne subject to the Workers' Compensation Laws of California. y^shaN subject an employer to criminal penall provided for In Section 3706 of the Labor, DATE WARNING: Failure to secure thousand dollars («100.00j SIGNATURE 7. fines up to one hundred and attorney's fees. Y-^f^- «'**• •- I hereby affirm that I am exempt from the Contractor's License Law for the following reason: / Q 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 foi 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 heve the burden of proving that he did not build or improve for the purpose of sale). Q 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 Lew does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor!*) licensed pursuant to the Contractor's License Law). D 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 CJNO 2. I (have / have not) signed an application 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 number / contractors license number): 4. I plan to provide portions of the work, but I heve 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 lcdMi«umtfHis:'8Etffto*^ Is the applicant or future building occupant required to submit e business plan, acutely hazardous materials registration form or riak management and prevention program under Sections 25605, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O YES 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? O YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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. */ * cSNSriSUCTffl^^ .-, -t - - «- . .-'-fn- • ., ^,; t* I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 30970) CivM Code). LENDER'S NAME LENDER'S ADDRESS <9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans Is accurate. I agree to comply with ell 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 TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, OSHA: An OSHA permit is required for excavations over B'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 shell expire by limitation and become null end void if the building or work authorized by such permit is noycommsnced within 365 days from thedate/oj/iurt permit or if the building or work authorize^by such^ermit is suspended or abandoned at any time after thj^tfork ta commenced for^#eriod of 18O-^ivV^^prf106.4.4 Uniform Building Code). APPLICANT'S SIGNAT ommenced for«#eriod of 1 :^^?^- t^t DATE WUITt:. C,'!,.PINK"' Pio»nr-