The URL can be used to link to this page

Home My WebLink About1308 CASSINS ST; ; CB991347; Permit04/07/1999 City of Carlsbad Plumbing Permit Permit No:CB991347 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1308CASSINSSTCBAD PLUM 2156904200 Lot#: Construction Type: GAS LINE FOR BBQ W/ELEC 0 NEW Status: ISSUED Applied: 04/07/1999 Entered By: DT Plan Approved: 04/07/1999 Issued: 04/07/1999 Inspect Area: Applicant: SECRET GARDENS STE153 422 W SAN MARCOS BL SAN MARCOS CA 92069 760-591-0231 H JR&JEANNE B Total Fees:$47.00 e Due:$47.00 \s~ Plumbing Issue Fee ~ > **. Fixture or Trap T «- 1 Building Sewer ! f ,-J- '• - Roof Drain ; ' \- '- Install/Repair Water Line Water Heater and/or Vent ~_ Gas Piping System " : Vacuum Breaker : Other Plumbing Fees - Master Drainage Fee "-'"** Sewer Fee 0 0 V - , 0 g o • •1 -. 0 **• •.''-" « -4i "•*'--' i- - 5i,' .;,>3^r * '-' * L4' ' **•» 4- ,1 •* ?^rt>- ^5 i< ^i? S-l , $ *,. ?•»' , , ss-Vr^^* ,- ^-'* S--s^-^- ^- -- ^4"*-r ' - > f „ , L •? * T ' " *~r , ^$^~; ^^ v " 11%"--*:, 'j-' %^ ', -»-^4~-4~ *L $20.00 WO.OO ^ $0.00 V $7.00 $0.00 $20.00 $0.00 $0.00 TOTAL PERMIT FEES $47.00 SECTION 106.4.4 Inspector: FINAL APPROVAL SIDate: 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 wfth 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 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 1. PROJECT INFORMATION , FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit Validated By. Date Address (include Bldg/Suite *)Sf-.usiness Name (at this address) Legal Description Lot No.Name/Unit No.Phase No.Total # of units Assessor's Parcel tt Description of Work 2. CONTACT PERSON (tf drfferent from applicant) Existing Use Proposed Use Name State/Zip Telephone *Fax #Address Contractor Q Agent for Name Address 6. 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. Anu^uiolation of S/clion 7031.5i>y arm,applicant for a permiusubjects the applicant to a civil penalty of not more than five hundred dollars ($5001)." fit 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 ,1 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: G 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. l£\ 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 cc/npensation insurance carrier and policy number are: ,>—^» ...._* s\{3 A 'II Expiration Date 4" ' *Insurance Company Policy No. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) G 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 worhefs^jeomnenaation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (jJjUu.BJWl. juM3Hwi to thfc cost of compensation, damages as provided for in Section 3706 of the Le,bof code, interest and attorney's fees. SIGNATURE ^"-^S'^i^r'Vai .V^"""*?"' DATE 7. OWNER-BUILDER DECLARATION ' ( L I hereby affirm that I am exempt from the Contractor's License Law for the following reason: G 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). G 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). l~l 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 COMPLETE THIS SECTION FOR WO/V-fifS/OeVTMi 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? D YES D 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 RNAL 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. 3097(i) 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. 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^2Q5 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 \ygfiris~gpmiijjQi-n/^pr a Period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance DATE City of Carlsbad Inspection Request For: 4/26/99 Permit* CB991347 Inspector Assignment: SP Title: GAS LINE FOR BBQ W/ELEC Description: Type: PLUM Sub Type: Phone: 7605910231 Job Address: 1308 CASSINSST Suite: Lot 0 p Location: Inspector: >\ APPLICANT : SECRET GARDENS Owner: WELLS KENNETH H JR&JEANNE B Remarks: Total Time: Requested By: ALAN Entered By: CHRISTINE CD Description Act Comments 21 Underground/Under Floor 23 Gas/Test/Repairs Inspection History Date Description Act Insp Comments 4/19/99 21 Underground/Under Floor CO SP SEE NOTICE ATTACHED 4/19/99 31 Underground/Conduit-Wiring AP SP 4/15/99 21 Underground/Under Floor WC SP 4/15/99 23 Gas/Test/Repairs CO SP 4/15/99 31 Underground/Conduit-Wiring AP SP City of Carlsbad Inspection Request For: 4/19/99 Permit* CB991347 Title: GAS LINE FOR BBQ W/ELEC Description: Inspector Assignment: SP 1308 CASSINSST Lot Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT : SECRET GARDENS Owner: WELLS KENNETH H JR&JEANNE B Remarks: 591-0231 613-3200 Phone: 7609189949 HOMEO Inspector: Total Time: CD Description 21 Underground/Under Floor 31 Underground/Conduit-Wiring Requested By: ALAN Entered By: CHRISTINE Act Comments CD Inspection History Date Description Act Insp Comments 4/15/99 21 Underground/Under Floor WC SP 4/15/99 23 Gas/Test/Repairs CO SP 4/15/99 31 Underground/Conduit-Wiring AP SP NOTICECITY OF CARLSBAD " ^ ^^ " " ^^ ^^ (760)438-3550 BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE DATE - TIME LOCATION ( 3 O % PERMIT NO. f/re FOR INSPECTION CALL (760) 438-3101. RE-INSPECTION FEE DUE?YES FOR FURTHER INFORMATION, CONTACT •57^t/£ F)^^/A/> 7-9 PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER City of Carlsbad Inspection Request For: 4/15/99 Permit^ CB991347 Title: GAS LINE FOR BBQ W/ELEC Description: Inspector Assignment: Type: PLUM Sub Type: Job Address: 1308 CASSINS ST Suite: Lot 0 Location: APPLICANT : SECRET GARDENS Owner: WELLS KENNETH H JR&JEANNE B Remarks: Phone: 7609189949 HOMEO Inspector: Total Time: CD Description Act Comments 21 Underground/Under Floor \jjC- 31 Underground/Conduit-Wiring Requested By: ALAN Entered By: CHRISTINE Inspection History Date Description Act Insp Comments NOTICECITY OF CARLSBAD " ^ ^^ " • ^^ ™~ (760)438-3550 BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE DATE T " ' ^> ' y 7 TIME_ LOCATION / ^ £> % C ASS / A/ 3 PERMIT NO. FOR INSPECTION CALL (760) 438-3101. RE-INSPECTION FEE DUE? FOR FURTHER INFORMATION, CONTACT YES PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER COMPENSATION INSURANCE FUND r'H V. r :<): ! i" t1'»' 1 ' li u P.O. BOX 420807. SAN FRANCISCO, CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE POLICY NUMBER: CERTIFICATE EXPIRES: L This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the CalifOrflja Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon ten days' advance written notice to the employer. We will also give you TEN days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document wftfi respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the poHcies described herein is subject to all the terms, exclusions and conditions of such policies. AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER r THIS DOCUM lfiM!FiK»iw:TllIa»iiM3slJlaMs»»wii5fiH-iwi