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Home My WebLink About1377 CASSINS ST; ; CB972618; PermitBUILDING PERMIT 09/16/97 13:02 Page 1 of 1 Job Address: 1377 CASSINS ST Suite: Permit Type: MISCELLANEOUS Parcel No: 215-691-45-00 Lot#: Valuation: 5,304 Con Occupancy Group: Reference*: Description: CONVERT 3RD GARAGE TO OFFICE Permit No: CB972618 Project No: A9703324 Development No: DEV89028 Appl/Ownr ** * BULLOCK, TOM 1377 CASSINS STREET CARLSBAD CA 92009 Fees Required *** 760 929-1071 Collected & Credits ISSUED App Apr/Issue: 09/16/97 Entered By: MDP. Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee Miscellaneous Fee Miscellaneous Fee * MISCELLANEOUS 177, *** .00 .00 177.00 Ext fee Data 133.00 PERMIT 20.00 ELECTRIC 24.00 MECH. 177.00 APPROVAL 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 1377 Cassins St., Carlsbad, CA 92009 FOR OFFICE USE ONLY .. - PLAN CHECK NO. ? ' -7-G JO EST. VAL. , Plan Ck. Deposit Validated By Date Address (include BIdg/Suite #) Legal Description 215-691-45 Assessor's Parcel # garaqe conversion Description of Work Business Name (at this address) 73 Mar Fiore 90-36 4 Lot No. Subdivision Name/Number residential Existing Use 240 1 SQ. FT. #of Stories Unit No. Phase No. residential Proposed Use 0 # of Bedrooms 99 Total * of units 0 f of Bathrooms Charles Wickliffe 911-D Caminito Madrigal Carlsbad, CA 92009 760/929-1071 Name Address City State/Zip Telephone # Fax * _ _ . ... . . Tom BuITo"cF 1377 Cassins St. Carlsbad, CA 92009 760/931-1809 Nome same as applicant Address City State/Zip 7ft Telephone # Name Address 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 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 Address State License f License Class City • State/Zip Telephone* City Business License # - . Designer Name Address Stat* License f City , State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. D 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. i____ Expiration Date L_——^— (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 mariner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful/and shal subject an employer to criminal penalties and civlt fines up to one hundred thousand dollars ($100,000), hi addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code. Interest and attorney's fees. SIGNATURE DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: IXl I, as owner of the property or my employees with wages as their sole compensation, win 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). 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). LD 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 ONO 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 havered 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,JjuH*riave cjmtraqted (hireaYfljB followipg persons to provide the work indicated (include name / address / phone number / type of work): " " raoted (hirednrte follow! t /i / T- JTA 1C? Is the applicant or future building occupant required to submifa business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 2S533 or 2S534 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? D 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. 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 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, OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit js-not corprrfenced withjrj_3B5 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time ai APPLICANT'S SIGN, 80 days (Section 106.4.4 Uniform Building Code). DATE 9-11-97 .OWfApplicant PINK: Rnance PERMIT! CB972618 DESCRIPTION: CONVERT CITY OF CARLSBAD INSPECTION REQUEST FOR 10/15/97 3RD GARAGE TO OFFICE TYPE: MISC JOB ADDRESS: APPLICANT : CONTRACTOR: OWNER: 1377 BULLOCK , CASSINS ST TOM PHONE: PHONE: PHONE: INSPECTOR AREA PD PLANCK* CB972618 OCC GRP CONSTR. TYPE VN STE: LOT: 760 929-1071 REMARKS: C/CHARLIE/930-0296 SPECIAL INSTRUCT: INSPECTO: TOTAL TIME: CD LVL DESCRIPTION ST Final Structural PL Final Plumbing EL Final Electrical ME Final Mechanical ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 092697 Interior Lath/Drywall AP NF 092697 Insulation AP NF 092397 Frane/Steel/Bolting/Welding AP PD COMMENTS —> tfv T-TT - -4-- i ===^^sgtr-fe- _J.1 L. :T r--:- .-^v-4+.._j—i— _.. x ..s*x . <_,.. ) ,,;'-,j <;-{ v i ^\\* J=-JU. ! I -r^--^ -t- T! -iM —.-..3 t • ^r •Jv.' I c h JI__T -r™ "^AX^ ^ ! '\ ! i t \L^ ^_; ^t._. SPECIFIC TO EACH.EtEVATJON^-FOp IN FOLIATION SYMBOLS AND COMPLETE INFORMATION. ; !' r ' ' : • t ' ! U I •\ ' X ^ ';!:!i ! . i \J i-- -I -f 1 THIS PLAN DRAWN TO SHOW OP.TION INFORMATION ONLY. SEE ELEVATION A FOR NOTES, SYMBOLS AND COMPLETE INFORMATION, ; T \.