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HomeMy WebLinkAbout1303 CASSINS ST; ; CB000873; Permit03/13/2000 City of Carlsbad Patio/Deck Permit Permit No:CB000873 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1303CASSINSSTCBAD PATIO 2156901500 Lot#: 0 $1,102.00 Construction Type: NEW COVERED PATIO 152 SF ICBO# 2228P Applicant: AMERICAN AWNING STE115 336 RANCHEROS DR SAN MARCOS CA 92026 760-744-8610 Total Fees:$47.55 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Strong Motion Fee Renewal Fee Add'l Renewal Fee Other Building Fee TOTAL PERMIT FEES Status: ISSUED Applied: 03/13/2000 Entered By: JM Plan Approved: 03/13/2000 Issued: 03/13/2000 Inspect Area: IVING TRUST 05-10-88 '*'": 0842 03/13/00 jn $47.55 02 47.55 Due: $47.55 Iff nW 1•8.21 $0.00 • 8.34 Ro.OO '$1.00 $0.00 $0.00 $0.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition* of fees, dedications, reservations, or other exactions hereafter collectively referred to as fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PRGJiCT INFORMATION : 6 Address (include Bldg/Suite #) FOR OFFICE USE ONL PLAN CHECK NO.ff (_J EST. VAL. Plan Ck. Validated^. Date Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total tt of units Assessor's Parcel #Existing Use Proposed Use Description of Work 2. . : SQ.FT.#of Stories # of Bedrooms <f of Bathrooms Urn. Name 3,-' APPLICANT Q Contractor Address City State/Zip Telerelephone J Fax* Address City State/Zip Telephone •« JS>^ ?•& i1Jh Name Address City State/Zip Telephone # S/, 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 civiLpenalty of not more than five hundred dollars [$500]). Name State License » ~7l %OQ+ Address * License Class I? - / City State/Zip 1 OCity Business License # I «*v Telephone # OtlA? * ^/Jc/t,-, Designer Name State License * 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. B"**l 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 AC^L-Of^-jJ Policy No. KjtAir^v I | l<3 M \ 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: Failura>to^secure/workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&roa,000)/jfri addition**) the cost of compensation, damages ai provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE /5yV ' &V&tStA^&*LS*iS) DATE 'S//3/ Q & 7, OWNER-BUILDER DECLARATION . . . I hereby affirm that I am exempt from the Contractor's License Law for the following reason: n 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). n 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). n 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? Q YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES f~l NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? D 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, 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 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 is not commenced.within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenc0j?fo/a periqo^oj/SO days (jjection 106.4.4 Uniform Building Code). &&- WHITE: File YELLOW: Applicant PINK: Finance APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 4/4/2000 Permit# CB000873 Title: COVERED PATIO 152 SF Description: ICBO# 2228P Inspector Assignment: Type: PATIO Sub Type: Job Address: 1303 CASSINS ST Suite: Lot 0 Location: APPLICANT AMERICAN AWNING Owner: NORTHRIDGE LIVING TRUST 05-10-88 Remarks: Phone: Inspector: Total Time: CD Description 11 Act Comments Requested By: BILL Entered By: ROBIN Associated PCRs Inspection History Date Description Act Insp Comments I.fI I IS II S-5 3«S SL,IE ACORD. CERTIFICATE OF LIABILITY INSURANCE AON Risk Services. Inc. of Northern California One Market, Spear Tower, Suite 2100 San Francisco, CA. 94105 Tonya Miller (415) 512-5835 American Awning Co; c/o American Employer* Group 839 Mitten Road Burllngame. CA 94010 CTU2TJI *A»f !•*" M»»«» 11/9/99 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERtlFICAtE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE United Pacific Insurance Company INSURER ft INSURER C: M9URERD: USURER £ COVERAGES 1 1 if ronciEs OP INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE H AIIY nCOUinCMFNT. tEWUI On CONDITION OF AMY CONTRACT OR OTHEI MAY IT 111 AIM. tllE INSURANCE AFFORDED BY THE POLICIES DESCRIBED 1 rtH«:ifS AOOnEOATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIt "7n it«orm«mANct rouct NUMBER (WNntAi iMnnnr rv «.<MrarMi nfurmn iMmurv <:IAIM*MAI« | joccun ..tin <Kwim TAIM mi ArpiKS rtn ««=>! !S£'I llOC *i it cM*om c i«AM.irv »*tr MHO *M owiirr>Miiew nriirniariiAifinit mnrn MHOS ftntinwurnMllOS QAnMIC IMMUtT «rir WHO ricMtiMinutr i<H»l i laAMMMAIlE Mimrittir IH II 11111)11 | wonurn* coMrrmAtioN AND f MnwrtMf IMMItTA omtn " NWA0141341 MSUREDNAMEDA ^ DOCUMENT WIT «REIN IS SUBJEC > CLAIMS. 'witttWWBYV* 10/1/99 8OVEFORTHEPOH RESPECT TO Wl TTOALLTMETEn NKicVlxflfiAJioH 10/1/00 LICYPEmOOIIIDIC'MEO HO«V/»H»FI MH^Hl^CH THIS cEniiricME ».^v rr i$«iiri» t«»iMS. Exclusions Annro»»iiir«i« '* *»"'11 iKRIS EAaiocciimwurt « nneoAMAoe«-^ «-»'•" « MCD EKI* |*n» PM» r^»»f—l • rcnsoNM. * APV »Mi<nt < OCflEKAl AOCOTFCUft « rnooucis • co*.* or A»W « COMeniEpynmiF »».•»• ,(E* urMpiO BOtMLV dlJIinv ,irwprwn) BOON.V mjimv , |fW*Tl*^l ttwreim pAtMpr ,m»« »«i*-<i AUIOOMtV-tAACCiWII * oniEn nwi r* *r<~ '«jiooia> A00 , EAcMoccirtmeucfe i AOOREOAIE « t « »• wcJIAlu MII'1 IPOYI«.»II? in ci.eAcMAcanrNt « 1,000.000 EL tMSM$E • C« C>.>no<ri: * 1 ,000.000 EL DISEASE • 1 WC » f.ll t 1 .000,000 * i-r %cmri«oM or oftmmNSM.oc«fio(wvtMcuMxcuiW)m ADDCO •» iNoomtMOiTmtcuL PROVIWONS Coverage Is provided for all classifications and codes approved for the policy Including the Alternate Employees Endorsement. American Awning Co., 338 Rancheros Drive, Suite 11 5, San Marcos, CA. 92069-0000 CERTIFICATE HOLDER | | AOOITIOMAC nnmto; >«wtn UTTtft CANCELLATION American Awning Co. 336 Ranchero* Drive, Suite 115 San Marcos, CA. 92069-0000 •HOULtt ANY OF THfi ABOVE OMCWMO MllCttS M CAWCtlltn Mrtmt (II* f WtfMMlM DAT! THERtor. THE (9SUMQ MSUMN Will ENMAVON to M«H 3Q M»« MHIftt Notici TO THE cEmmeATC MoLbCii MAMCO to tnc urt. lut r A«un» t« MI tMlMMi IMPOSE NO OSUOATIOfc OH LIAMLItV OT ANY KttlO WON tltt HIHimtK H» AnfNI* fM RCPRESCNTA1IVES. AUTOomZEO RCPnESENTATIve 25-S (7/97) 00 I) ACORD CORPORA!