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Home My WebLink About1362 CASSINS ST; ; CB971146; Permit2131 BUILDING PERMIT 05/U7/97 11 : 04- Page 1 of 1 Job Address: 1362 CASSINS ST Permit Type: PATIO/DECK Parcel No: 215-691-53-00 L Valuation: 1,620 Occupancy Group: Referenced: Description: COVERED PATIO 240 SF Appl/Ownr : UNLIMITED LANDSCAPE 11374 CAMINITO CORRIENTE SAN DIEGO, CA 92128 *** Fees Required * Permi t No: CB971146 Project No: A9701468 Development Mo: Suite; ot# ; Fees ; Adjustments: Total Fees; Fee description Building Permit Plan Check Strong Motion Fee t. * BUILDING TOTAL "' 4746 05/07/97 0001 01 02 C-PRMT 65.00Construction Type: NEW Status: ISSUED Applied: r^/06/97 Apr /Issue: 0 S./ 0 7/97 Entered By: JM 760 485-1600 Collected & Credits . 0 0 . 0 0 65.00 Ext fee Dar.ct 3 9 . 0 0 25.00 1 , 00 65.00 ROVAL 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 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated Date Business Mime («this address) Legal Lot No.Subdivision Mime/Number Unit No.Phase No.Total * of units Assessor's Parcel *Existing Use Proposed Use f of Stories # of Bedrooms * of Bathrooms Stete/Zip Telephone * Fex * State/Zip Telephone f State/Zip Telephone *Name 4. ^ CONTRACTOR--COMPANT (Sec. 7031.6 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 Lew (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 qf Section 7031.5 by anvjpplicant for a permit subjects the applicant to a civil penalty ofMibt more than five hundred dollars 1*5001). SGapgy Inrj . \\xsi4- cWn;+» Name Stete License » Address License Pass £2-7 -*- City State/Zip City Business License * I dollars |*5< 4&- Designer Name State License * e.' : WORKERS' COMPENSATION Address City Stete/Zip THar " Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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 i work for which this permit is issued. 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 couippiMSrtiorulnsurance carrier and policy number are: Insurance Company f ^A (^gWt^O PoHcy No. Expiration Date /?/ / (THIS SECTION NEED NOT BE COMPLETED «F THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100) OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shaH 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 la unlawful, and shal subject an employer to criminal penettfes and chril fines up to one hundred thousand dollars 1*100,000), hi addition to the cost of compensation, damages as provided for hi Section 3706 of the Labor code. Interest and attorney's fees. SIGNATURE DATE 7. OWNER-BUILDER DECtARATrON ' I hereby affirm that I am exempt from the Contractor's License Lew for the following reason: O I. »* 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 end Professions Cods: 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 ssle. If, however, the buHding or improvement Is sold within one yesr 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, em 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). 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 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 number / contractors license number): 5. I win provide some of the work, of work): but I have hired the following parson to coordinate, supervise and provide the major work (include name I address / phone have contractedXnired) the following persons to provide the work Indicated (include name / address / phone number / type PROPERTY OWNER SIGNATURE COMPLETE TrllS DATE Is the applicant or future building occupant required to Hbfnit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26B05, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O YES O NO Is the applicant or future building occupant required to obtehi a permit from the air pollution control district or sir qusHty msnsgement district? D YES D NO Is the fecilrty to be constructed within 1,000 feet of the outer boundary of e 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. mfft^l^lfrnpf^-^^"!!^ -r*a-**^r*l<SI&*E<Z?* -mt* r^x^fmxi^air^ I hereby affirm that there is a construction landing agency for the performance of the work for which this permit la Issued (Sec. 3097(1) Civil Code). LENDER'S ADDRESSLENDER'S NAME 8^^ I certify that I have reed the application and state that the above information Is correct and that the information on the plans is accurate. I agree to comply wfth 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 EXPIRATION: Every permit work authorized by such permit or abandoned at any time after, APPLICANT'S SIGNATURE I for excavations over S'O* deep and demolition or construction of structures over 3 stories in height. /by the Building Official under the provisions of this Code shaH expire by limitation and become null end void if the building or *i 385 days from the date of such permit or if the building or work authorized by such permit is suspended a period oTTBOsdeys (Section 106.4.4 Uniform BuHding Code). DATE fj/fUITC. ell* CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB971146 FOR 09/18/97 DESCRIPTION: COVERED PATIO 240 SF TYPE: PATIO JOB ADDRESS APPLICANT: CONTRACTOR: OWNER: 1362 CASSINS ST UNLIMITED LANDSCAPE PHONE: PHONE: PHONE: INSPECTOR AREA PD PLANCK* CB971146 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 485-1600 REMARKS: C/DEBRA/485-1600 SPECIAL INSTRUCT: INSPECTO: TOTAL TIME: —RELATED PERMITS—PERMIT* TYPE CB970644 POOL RW970069 ROW STATUS ISSUED ISSUED CD LVL DESCRIPTION 19 ST Final Structural ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION 052897 Ftg/Foundation/Piers 052797 Ftg/Foundation/Piers ACT INSP AP PD NR PK COMMENTS 10:40 AM DATE (MM/DD/YY) 08/21/96 PRODUCER TANENBAUM-HARDER OF CA. INC 11610 IBERIA PL., SUITE 200 SAN DIEGO, CALIFORNIA 92128 (619) 487-8839 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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 INSURED UNLIMITED -LANDSCAPE, INC. 11374 CAMINITP CQRRIENTE SAN DIEGO, CA7 92130 COMPANY B COMPANYc COMPANY D 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. CO LTH TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY)LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY | CLAIMS MADE | | OCCUR OWNER'S & CONTRACTOR'S PHOT GENERAL AGGREGATE PRODUCTS • COMP/OP AGG PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Any one flm) MED EXP (Any on* person) AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT BODILY INJURY(Perperwn) BODILY INJURY(Per accident) PROPERTY DAMAGE OARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE, IREGATE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY G968143954 08/01/96 087-01/97 WC 5TATU- I V' IOTH"[ TORY LIMITS I & ER EL EACH ACCIDENT.- .—..$..1,000,000 THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: • INCL EXCL EL DISEASE - POLICY LIMIT $1,000,000 EL DISEASE - EAtMPLOYEE $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CITY OF SAN DIEGO 1222 FIRST AVENUE SAN DIEGO, CA 92101 FAX(619) 492-5098 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.