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Home My WebLink About1340 CASSINS ST; ; CB980064; PermitBUILDING PERMIT 01/12/98 11:08 Page 1 of 1 Job Address: 1340 CASSINS ST Suite: Permit Type: ELECTRICAL Parcel No: 215-690-34-00 Lot*: Valuation: 0 Occupancy Group: Reference*: Description: GAS AND ELCTRIC LINE TO BBQ Permit No: Project No: Development No: CB980064 A9800106 Appl/Ownr * ** UNLIMITED LANDSCAPE 1334 EMERAUDE GLEN ESCONDIDO CA 92029 Fees Required *** Construction Type: Status: Applied: Apr/Issue: Entered By: 760 747-3500 * * *Fees Collected & Credits NEW ISSUED 01/12/98 01/12/98 JM *** Fees : Adjustments : Total Fees : Fee description 47 47 .00 .00 .00 Total Credits: Total Payments: ' Balance Due : Units Fee/Unit .00 .00 47.00 Ext fee Data Enter "Y" for Electric Issue Fee > Enter "Y" for Remodel > Other > 10.00 Y 10.00 Y 27.00 27.00 PLUM 2SSS &/J2/98 0001 01 02 C-PRMT 47-00 F APPROVAL U/.ff aa__i.,_a_l_DATE 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 (760)438-1161 FOR OFFICE USE ONLY PLAN CHECK EST. VAL. . Plan Ck. Deposit Validated Bv Date Address (include Bldg/Suite *)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total 9 of units Assessor's Parcel 9 Existing Use • Proposed Use * of Bathrooms' (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, 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). Address License Class NBme State License #//«," Designer Name State License f 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 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. ^Ct 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: _ I I / /li<n fl_ /*o}'7'i,/N/'J.'x7 C fl/lf1 / c3 V*Insurance Company l_nj^ I ,fiyt\J7 Policy No. &^O$ Ik O 1 ~r / Expiration Date DJlC/l / { f]fiyKp 3MPLETEDI(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS) Q 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 I to become subja£t\to the Workers' Compensation Laws of California. WARNING: Fa Ul to secure workers'jsampansation coverage is unlawful, and aha* subject an employer to criminal pen/ thousand dollaft («|;00,000), JrrWelgen to the coiToTcwnpensatton. damages as provided for hi Section 3706 of the I. j ^^ 4 ny manner so as SIGNATURE A \ A. OWNER-E xiA DATE I hereby affirm that I am exempt from the/Contractor'sJJeense Law for the following reason: D I, >s owner V 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, end 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). O 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). Q 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 / 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 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 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? D YES Q 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O 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. 4k «jNsw»cno»«0iDiN(»^E»ic*-'' " _,^^11*-**=-'STT&TV' -, '. '£ 'i«'.St*eS-**-."*,- ^ " ' • - I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS ,*,, I certify that I have read the application and state that the above information is correct and that the information on the plens is accurate. 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 TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, OSHA: An OSHA permit is requir EXPIRATION: Every permit issuafaj work authorized by such permit^ or abandoned at any time a APPLICANT'S SIGNATURE for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. |by the Building Officialjjnder the provisions of this Code shell expire by limitation and become null and void if the building-or rithiix?65 days from the date of such permit or if the building or work authorized by such pennitjs suspendedt commenced work is i a period of 1 80 days. (Section 1 06.4.4 Uniform Building Code). DATE '[ WHIITE: File 'W: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB980064 FOR 01/13/98 DESCRIPTION: GAS AND ELCTRIC LINE TO BBQ TYPE: ELEC JOB ADDRESS: 1340 CASSINS ST APPLICANT: UNLIMITED LANDSCAPE CONTRACTOR: OWNER: REMARKS: C/DENISE/747-3500 SPECIAL INSTRUCT: INSPECTOR AREA PLANCKfl CB980064 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 760 747-3500 PHONE: PHONE: INSPECTO TOTAL TIME: CD LVL DESCRIPTION 23 PL Gas/Test/Repairs 31 EL Underground/Conduit-Wiring ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS PRODUCER TANENBAUM-HARDER OF CA. INC. 11610 IBERIA PL., SUITE 200 SAN DIEGO, CALIFORNIA 92128 LIECNESE # 0783125 (619) 487-8839 DATE (MM/DDSYY) i 10/29/97 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIRCATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A CAL COMP INSURANCE COMPANY UNLIMITED LANDSCAPE, 1334 EMERAUDE GLEN ESCONDIDO, CA 92029 INC. COMPANY B INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE OATE(MMXWV) POUCY EXPIRATION DATE (MM/DO/YY)UMTS GENERAL UAMJTY GENERAL AGGREGATE COMMERCIAL GENERAL UABEJTY CLAIMS MADE [ ) OCCUR OWNER'S t CONTRACTOR'S PHOT PRODUCTS - COMP/OP AGO PERSONAL AADVWJORY EACH OCCURRENCE FIRE DAMAGE (Any on* in) MEO EXP (Any on* PWMM) AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE UMTT BOOLY INJURY (Pwpmon) BODILY INJURY(Pwktidani) PROPERTY DAMAGE OARAGE LIABILITY ANY AUTO AUTO ONLY -EA ACCIDENT S EACH ACCIDENT AGGREGATE EXCESS UAMJTY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE AGGREGATE WORKERS COMPENSATION AND EMPLOYERS'LIABILITY THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: G968160147 08/01/97 08/01/98 MCL EXCL EL DISEASE. POUCY UMTT $1,UUU,UUU EL DISEASE. EA EMPLOYEE |S 3T,UUU, UUU OTHER L ITEMS CITY OF CARLSBAD 2075 LAS PALMAS DRIVE CARLSBAD, CA 92009 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUMG COMPANY WILL ENDEAVOR TO MAR. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL MPOSE NO OBLIGATION OR LIABILITY OF ANY MHO UPOM THE COMPANY,,jn AGENTS OH- REPRESENTATIVES.