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Home My WebLink About1343 CASSINS ST; ; CB981060; PermitSuite: Permit No: CB981060 Project No: A9801415 Development. No: 6197 04/20/98 02 BUILDING PERMIT 04/20/98 12:30 Page 1 of 1 Job Address: 1343 CASSINS ST Permit Type: ELECTRICAL Parcel No: 215-690-25-00 Lot*: " C-Pf?MT 27-00 Valuation: 0 Construction Type: NEW Occupancy Group: Reference*: Status: ISSUED Description: ELEC LINE TO WATER FOUNTAIN Applied: 04/15/98 : GAS LINE TO BBQ-NOT UNDER STRUCT/PATIO Apr/Issue: 04/15/98 Entered By: JM Appl/Ownr : BUELCHLER JOE 760 804-9133 1343 CASSINS STREET CARLSBAD CA 92009 *** Fees Required *** Fees : Adjustments: Total Fees: Fee description Enter "Y" for Elect Enter "Y" for Remod Other ' : -wnits Fee/ *_ * ** . 00 20.0 0 27.00 Ext fee Data 10.00 Y 10.00 Y 27.00 GAS FEE APPROVAL DATE. CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 Permit No: CB981060 Project No: A9801415 Development No: BUILDING P E R M I T 04/15/98 13:05 Page 1 of 1 Job Address: 1343 CASSINS ST Suite: Permit Type: ELECTRICAL 604804/15/98000101 02 Parcel No: 215-690-25-00 Lot#: C-PRMT 20.< Valuation: 0 Construction Type: NEW Occupancy Group: Reference*: Status: ISSUED Description: ELEC LINE TO WATER FOUNTAIN Applied: 04/15/98 : Apr/Issue: 04/15/98 Entered By: JM Appl/Ownr : BUELCHLER JOE 760 804-9133 1343 CASSINS STREET CARLSBAD CA 92009 *** Fees Required *** & Credits *** Fees : Adjustments: Total Fees: Fee description Enter "Y" for Elect Enter "Y" for Remod 20 . . 00 . 00 ^^ ^ t 20.00 Ext fee Data 1 0 . 0 0 Y 10.0 0 Y j'NSP- 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 ECT INFO1. PROJECT I/ 3 H 3>,. ^.Msr CAK tern o FOR OFFICE USE O PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validate Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total f of units r's Parcel # ^4CJMT I Use Ckn r\ t-o Proposed Use Description of Work 2. CONTACT PERSON (H different from applicant)h) j \i [x- ( f^\ SQ.FT.#of Stories if of Bedrooms # of Bathrooms c.r, Name Address 3. APPLICANT O Contractor Q Agent for Contractor City Q Agent for Owner State/Zip Telephone #Fax* -Wame Address City State/Zip cV Telephone # Name Address City State/Zip Telephone # 5. CONTRACTOR - COMPANY NAME (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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Name State License # Address License Class City State/Zip City Business License # Telephone # Designer Name Address City State/Zip Telephone State License # __^_ 6. WORKERS'COMPENSATION ... Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: l~l 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. 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 Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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 any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE . 7. OWNER-BUILDER DECLARATION ! 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 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, 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 sale). 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, end contracts for such projects with contractors) licensed pursuant to the Contractor's License Law). [3 I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 1. 2. 3. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise a£d>fAvrde the major work (include name / address / phone number / contractors license number): 5. I will provide some of the wojk, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): • PROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR .DATE BUILDING PERMITS ONLY 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? Q 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? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil 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 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, 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 5'0" deep anjpdejjlolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issuedxby the Building Official und«r*ne provisions of this. Code shall expire by limitation and become null and void if the building or work authorized by such permjKls'pfjt comrperffto' within3<f5^lays faOfrp?he date qfsuch permit or if the building or work authorized by such permit is suspended or abandoned at any time after tb« work^rfs^fimenced^flfr a/period^-f 80 daysJ5«ction 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB981060 FOR 04/22/98 INSPECTOR AREA PD DESCRIPTION: ELEC LINE TO WATER FOUNTAIN PLANCKi CB981060 GAS LINE TO BBQ-NOT UNDER STRUCT/PATIO OCC GRP TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 1343 CASSINS ST STE: LOT: APPLICANT: BUELCHLER JOE PHONE: 760 804-9133 CONTRACTOR: PHONE: ^) OWNER: PHONE: // /? S-. REMARKS: C/ SPECIAL INSTRUCT: INSPECTOR TOTAL TIME! CD LVL DESCRIPTION 23 PL Gas/Test/Repairs ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 041798 Underground/Conduit-Wiring AP PD COMMENTS &ULc4fLkd. PULL