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Home My WebLink About1323 CASSINS ST; ; CB971381; PermitBUILDING PERMIT ' 05/28/97 08:04 I Page 1 of 1 ' Job Address: 1323 CASSINS ST Suite: ! Permit Type: PATIO/DECK Parcel No: 215-690-20-00 Lot# : Valuation: 743 Occupancy Group: Referenced; Description: 110 SF PATIO COVER CITY SPECS : 743 WITH GAS AND ELECTRIC Permit No: CB971381 Project No: A9701778 Development No: Appl/Ownr : TAMBORELLI CONSTRUCTION 28520 HUCKLEBERRY LN. SAN MARCOS, CA. *** Fees Required *** Construction Type: VN Status: ISSUED Applied: 05/28/97 Apr/Issue: 05/28/97 Entered By: MDP 6119 975-2043 Collected & Credits Fees : Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee Other * BUILDING TOTAL 83. ** * . 00 .00 83. 00 Ext fee Data $726797 02 47.0014. 00 1. 00 47.00 GAS & ELEC 83. 00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 BUILDING 05/28/97 07:53 Page 1 of 1 1 Job Address: 1323 CASSINS ST Permit Type: PATIO/DECK Parcel No: 215-690-20-00 Valuation: 743 Occupancy Group: Reference*: Description: 110 SF PATIO COVER CITY SPECS : 743 Appl/Ownr : TAMBORELLI CONSTRUCTION 28520 HUCKLEBERRY LN. SAN MARCOS, CA. *** Fees Required *** PERMIT Suite: Lottf : Permit No: CB971381 Project No: A9701778 Development No; 5337 05/28/97 0001 01 02 C-PRMT 36.00Construction Type: VN Status: ISSUED Applied: 05/28/97 Apr/Issue: 05/28/97 Entered By: MDP 6119 975-2043 Collected & Credits Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL 36. * * . 00 .00 36.00 Ext fee Data 21.00 14.00 1 .00 36. 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 i.IN FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. ' Plan Ck. Deposit Validated By Date Address (include Bldg/Suite »)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel *Existing Use Proposed Use Description of WorkPATIO CJDV&L UK ID S/ CONTACT PERSON (If dHfwwt from SO. FT.(Tof Stories * of Bedrooms * of Bathrooms Name **:•«<• Address City State/Zip Telephone #Fax* Name Address Name Address State/Zip Telephone if 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 f*500J). Name State License # Address License Class B ** L / City State/Zip City Business License » Telephone » Designer Name Address City State/Zip Telephone State License f 6. WORKERS'COMPENSATION " , _ . - - , - - „„_,_,, „ ,„„,.,„ .,,„_ ,.r. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q I have end 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. O 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. Expiration Date (THJS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100) OR LESS) ""•&. 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 •^o become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (SKDO.OOO), in addition to the.coat of comp*n*«}ion, damages as provided for in Section 3706 of the Latjw code/Interest and attorney'* fee*. (^^ DATE >••f7. ••' OVRBUILDER DECLARATION • ' • • • "f I hereby-affirm that I am exempt from the Contractor's License Law for the following reason: Q 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 end 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). D I, »s 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 contractors) 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. O YES QNO 2. f (hsve / 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 2550S, 25533 or 26534 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? O YES O NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of s school site? D YES D 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 ->-*• I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) 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 Crr> 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 S'O' deep end 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 end void if the building or work authorized by such permit is not commenced within 365 days from the date of suclvaermK or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced ior a period of 1 80 daws' (S*cBjxOO6 V.4 Uniform Building Code). APPLICANT'S d by such permit is not commenced within 365 days fro t any time after the work is commenced ior a period of sf 4* jw SIGNATURE^rTTtf-^-^^^y -C--^^ N DATE PlWIf • CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB971381 FOR 07/23/97 DESCRIPTION: 110 SF PATIO COVER CITY SPECS 743 WITH GAS AND ELECTRIC TYPE: PATIO JOB ADDRESS: 1323 CASSINS ST APPLICANT: TAMBORELLI CONSTRUCTION PHONE: CONTRACTOR: PHONE: OWNER: PHONE: INSPECTOR AREA PD PLANCK* CB971381 OCC GRP CONSTR. TYPE VN STE: -v LOT: 6119 975-2043 REMARKS: C/DEBRA/485-1600 SPECIAL INSTRUCT: INSPE TOTAL TIME: CD LVL DESCRIPTION 19 29 39 49 ACT COMMENTS ST Final Structural PL Final Plumbing EL Final Electrical ME Final Mechanical ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 053097 Ftg/Foundation/Piers AP PD 053097 Gas/Test/Repairs AP PD 053097 Underground/Conduit-Wiring AP PD 052997 Ftg/Foundation/Piers AP PD 052997 Gas/Test/Repairs AP PD 052997 Underground/Conduit-Wiring AP PD COMMENTS COMPENSATION INSURANCE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 P U N D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE DECEMBER 20.1996 POLICY NUMBER: CERTIFICATE EXPIRES: r KNIGHT CONSTRUCTION CO 7310 MIRAMR ROAD STE 600 SAN DIEGO CA 92126 JOB: ALL OPERATIONS L This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Cornmissioner to the employer named, below for the policy period indicated. i ;_*..,. 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 with respect to which this certificate of insurance 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. ,AUTHORIZED REPRESENTATIVE , •* > -v' , „ PRESIDENT f EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COST: $1,000,000 PER OCCURRENCE. EMPLOYER r TAMBORELLJ CONSTRUCTION 28520 HUCKELBERRY LANE SAN MARCOS CA 92063 NR THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND SCIF 10262 (REV. 3-95)