HomeMy WebLinkAbout1356 CASSINS ST; ; CB970962; Permit08-18-2003
Job Address:
Permit Type:
Parcel No:
Valuation:
OccGroup:
Project Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Permit Permit NO.-CB970962
Building Inspection Request Line (760) 602-2725
1356 CASSINS ST CBAD
PLUM Sub Type:
2156915600 Lot #:
$0.00 Const Type: VN
Reference #:
INSTALL GAS LINE AND ELECTRIC
OUTLET
Status:
Applied:
Entered By:
Appr/Issued:
Inspect Area:
Applicant:
NATURE DESIGNS
727 E. OHIO
ESCONDIDO, CA.
619 745-7218
Owner:
PORTER GEORGE A&JANET L
92025
ISSUED
04/24/1997
MDP
08/18/2003
PD
Total Fees:$70.50 Payments To Date:$47.00 Balance Due: $23.50
Description
* PLUMBING TOTAL
Fee
70 .50
2159 08/18/03 0002 01
CGF*
L APPROVAL
CLEARANCE
BUILDING PERMIT Permit No: CB970962
04/24/97 08:11 Project No: A9701249
Page 1 of 1 Development No:
Job Address: 1356 CASSINS ST Suite:
Permit Type: PLUMBING 4397 04/24/97 0001 01 02
Parcel No: 215-691-56-00 Lot#: C-PRHT " 47.00
Valuation: 0 Construction Type: VN
Occupancy Group: Reference*: Status: ISSUED
Description: INSTALL GAS LINE AND ELECTRIC Applied: 04/24/97
: OUTLET Apr/Issue: 04/24/97
Entered By: MDP
Appl/Ownr : NATURE DESIGNS 619 745-7218
727 E. OHIO
ESCONDIDO, CA. 92025
*** Fees Required
Fees :
Adjustments:
Total Fees:
Fee description
Enter "Y" for Plumbin
Gas Piping System
Other
* PLUMBING TOTAL
collected & Credit:** *
. 00
. 00
47. 00
Ext fee Data
20.00 Y
7 . 0 0
20,00 ELECTRIC
47. 00
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 N0._
EST. VAL.
Plan Ck. Deposit.
Validated By
Date
Addreea BldgTSutte *)Business Name («t tMt address)
Legal Description lot No.SubdMeion tome/Number UnttNo.PhaaeNo.Total f of unto
r"s Parcel*L*le
Description of Work
ExtotingUee
SQ. FT.*of Stories
Proposed Us*
• of Bedroom** of Bathrooms
,<;•*- i»» «. ->..— .
Fax*
(Sac. 7031.6 Business and Professions Coda: Any City or County which requires a parmtt to eonatruct. attar, Improve, demoieri or rapair any (tructura, prior to to
iaauanca, alao requires tha applicant for such permit to fHa a signed ttatamant that ha la aeanaad purauam to tha provisions of tha Contractor'* Ucanaa Law
IChaptar 9, commanding wtth Section 7000 of Division 3 of tha Business and Prafaaaiona Coda) or that ha la axampt tharafrom, and tha baaia for tha alleged
AnyjdolatJon of Section 7031.5 by any applicant for a parmtt aubjacta tha appHeant to a dvfl penalty of not more than «va hundred dotara 1*6001).
12*7 £
Nama
State Llcanaa *
Address
UeanaaClaaa 27
Cfty
City
State/Zip
Deans* *
Telephone*
Designer Nama
State Ucanaa t
e. wo«u»r
Addraaa Ctty State/Zip
"jt
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 serf-insure for workers' companaation aa provided by Section 3700 of the Labor Coda, for tha performance
of the work for which this parmtt to issued.
O I have and wiH maintain workers' companaatlon, a* required by Section 3700 of the Labor Coda, tar the performance of tha work for which this parmtt to
issued. My worker'* companaatlon iheurance carrier and policy number are:
Insurance Company ' Poacy No. Expiration Data
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS)
D CERTIFICATE OF EXEMPTION: I certify that in the performenca of the work for which thto parmtt to toeued, I shall not employ any person In any manner so as
to become subject to the Workers' Companaation Laws of Caifomia.
WARNING: Fastm to eecure wcfsers compeneattofi coverage to unlawfuL ano anal auafact at) atnajRDyar to aniMnal penatejee ajno oMI flnaa up to 01
thouaand dotea (*100,000), hi addition to tha coat of compensation, damages aa provided for hi Section 3706 of tha Labor coda, brtareet and attorney's fees.
SIGNATURE DATE
I hereby affirm that I am axampt from tha Contractor's Ucanaa Law for the following reason:
O I. •* owner of tha property or my employees with wagaa aa their sol* companaatlon, wiN do the work and tha structure is not Intended or offered for sale
(Sec. 7044, Buainaaa and Professions Code: The Contractor'* Ucanaa Law does not apply to an owner of property who buHda or improve* thereon, and who doe*
such work himself or through Ms own employees, provided that auch Improvement* are not intended or offered for sale. If, however, the building or improvement Is
sold within one year of completion, the owner-builder wHI have the burden of proving that ha did not build or improve for tha purpose of aaJa).
Q I, aa owner of the property, am exclusively contracting with licensed contractors to eonatruct the project (Sac. 7044, Buainaaa and Prolaaaloni Coda: The
Corrtrsctor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for auch projects with contractorls) aoanaad
pursuant to the Contractor's Ucanaa Law).
D I am axampt under Section Business and Profaaaloni Coda for this raaaon:
of thai r improvement. Q YES1. I pareonafly plan to provid* the major labor and material* for conatr
2. I (have / have not) aignad an application for a buHdlng permit for tha propoaad work.
3. I have contracted wtth tha following person (firm) to provide tha propoaad construction dnduda name / addraas / phono number / contractors Scenae number):
4. I plan to provide portions of tha work, but I have hired tha following person to coordinate, superviaa and provide the major work (induda name / address / phone
number / contractor* Ucanaa number): _ .
6. I will provide some of tha work, but I have contracted (hired) the following persons to provide the work indteated (include name / addraaa / phono number / type
of work): _ ^ _ ' _ ; _
PROPERTY OWNER SIGNATURE DATE .
la the applicant or future buttdlng occupant required to aubmtt a business plan, acutely hazardous materials regisuettc
program under Section* 26105,28533 or 26634 of tha. Presley-Tenner H*»rdoi* Substance Account Act? D YES
i form or risk management and piavanthm
D NO
Is thesppHcant or future building occupant required to obtain a parmtt from tto air pollution control olatn^ or air qualrty mariao«inam dkttrict? Q YES Q NO
Is tfie facility to be constructed within 1,000 feat of tha 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 TW APPUCANT HAS MET OR » MEETWIO THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AM POLLUTION CONTROL OttTRNTT.
va****tiami!f*jmfaiw*k'<>'vf***''+ •vyfew**™** Mf"? ^'Wf^tf^'r- ,< i •••}-"• j!«s-"Hip ,** ,-*§*-•=« te »~ ,*-*•—'• z ^ >•> •» >'» * * * •> *
cthm landing agency for tha performance of the work for which this parmlt to toauod (Sac. 3097P) CM) Coda).I hereby affirm that there la a
LENDER'S NAME LENDER'S ADDRESS
I certify that I have read th* application and state that tha above information to correct and that tha Information on the plan* to accurate. I agree to comply wtth a*
Ctty ordinance* and State towa relating to buMng construction. I hereby authorize repreeent stive* of the Ctty of Carlabad to enter upon tha above mentioned
property for Inspection purpoaae. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABfUTIES.
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAD CITY M CONSEQUENCE OF THE ORANTMQ OF THIS PERMIT.
OSHA: An OSHA permit to required for excavation* over 6'0* deep and demoStton or construction of structures over 3 atorlaa in height.
EXPIRATION: Every permit toaued by the Buldtog Official under the provisions of Ma Coda ahal expire by limitation and become nuM and void if the buiMng or
work authorized by auch parmtt to not commenced within 306 days ffom the date q/jeieh parmtt or M the butWng or work authorized by auch permit to suspended
or abandoned at any time after the work to commenced.*^ period of 180 day* (SjNjtyb/i 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
WHITE: FHe YELLOW: AppfcarrK PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 08/19/2003
Permit* CB970962
Title: INSTALL GAS LINE AND ELECTRIC
Description: OUTLET
Type: PLUM Sub Type:
Job Address: 1356 CASSINS ST
Suite: Lot
Location:
APPLICANT NATURE DESIGNS
Owner: PORTER FAMILY TRUST 05-10-90
Remarks:
Inspector Assignment: PD
Phone: 7606723010
Inspector:
Total Time:
CD Description
29 Final Plumbing
39 Final Electrical
Requested By: KURT
Entered By: ROBIN
Act Comment
Associated PCRs/CVs
Inspection History
Date Description
10/22/1997 29 Final Plumbing
04/30/1997 23 Gas/Test/Repairs
04/28/1997 23 Gas/Test/Repairs
04/28/1997 31 Underground/Conduit-Wiring
Act Insp Comments
CO PD NO PLANS/CARD
AP PK PIPING & TEST ONLY/NO EL
CO PD COVERED
CO PD
ACORD. CERTIFICATE OF LIABILITY IN$URANCE SRJKr DATE (MM/DD/YY)
Jl 03/04/97
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MERIDIAN INSURANCE SERV. INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
NICKIE HEATH HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
4501 E. LA PALMA AVE. *150 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
ANAHEIM CA 92607 COMPANIES AFFORDING COVERAGE
KMs-lr-io Moat-h COMPANYNicfcae Heatn AMERICAN EAGLE INSURANCE CO
phwwNo. 714-693-9100 FKNO.
INSURED ' COMPANY
B CALIFORNIA COMPENSATION
ESCONDIDO LANDSCAPE, INC. COMPANY
DBA: NATURE DESIGNS c
727 East Ohio Avenue ; COMPANY
Escondido CA 92025 . D
C0\
COLTR
A
A
B
/ERAGES " ,. , .
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
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
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
!— 1 | "I
•'<: -•':-•: | CLAIMS MADE j X | OCCUR
X OWNER'S & CONTRACTOR'S PROT
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
X SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/ 1 1 ,NC,
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
OTHER
POLICY NUMBER POLICV EF(!ECTIVBPOLICY NUMBER DATJ (MWDD/V¥)
CAEF10011123 12/31/96
CAEF10011123 12/31/96
G96C132372 12/31/96
POLICY EXPIRATION
DATE (MM/DD/YY)
12/31/97
12/31/97
12/31/97
LIMITS
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
PERSONAL & AOV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Any on* flr«|
MED EXP (Any an*p«r»onl
COMBINED SINGLE LIMIT
8ODILY INJURY
(Per p«r*on)
BODILY INJURY(Per «ccld«ntl
PROPERTY DAMAGE
AUTO ONLY • EA ACCIDENT
OTHER THAN AUTO ONLY;
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
1 WC STATU-1 TORY LIMITS IOTH-1 ER
EL EACH ACCIDENT
EL DISEASE - POLICY LIMIT
EL DISEASE - EA EMPLOYEE
*2, 000, 000
42,000,000
*1, 000, 000
*1, 000, 000
* 50,000
* 5,000
'1,000,000
$
•
4
$
*$
*
*
*
.!•;;...,...:::. :7'-.- : •::••• "•
«1, 000, 000
*1, 000, 000
(1,000,000
DESCRIPTION OF OPERA TIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
*10 DAYS NOTICE NON-PAYMENT OF PREMIUM
C|RTlFICATE:HOLDER
FOR INFORMATION
iACORD :25rS<W95) £3
CANCELLATION ', ,
FOR INFO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE C
EXPIRATION DATE THEREOF. THE ISSUING COMPANY W
3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HC
PURPOSES ONLY Buy FA1U(RE TO MAIL SUCH NOTICE SHALL 1MPOSE N0
OF ANY KIND UPON THE COMPANY. ITS AGENTS OH REI
AN CELLED BEFORE THE
ILL ENDEAVOR TO MAIL
1LOER NAMED TO THE LEFT.
OBLIGATION OR LIABILITY
'RESENTATIVES.
AUTHORIZED REPRESENTATIVE
Nickie Heath '
9 ACOROiCQRpOtiATibNJ 1 988