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HomeMy WebLinkAbout1324 CASSINS ST; ; CB972222; PermitBUILDING PERMIT Permit No: CB972222 08/07/97 09:56 Project No: A9702800 Page 1 of 1 Development No: Job Address: 1324 CASSINS ST Suite: Permit Type: PLUMBING Parcel No: 215-690-38-00 Lot#: .,_,,,„,. Valuation: 0 Conitru^ction 5^f>§:* NEft Occupancy Group: Reference*: Status!: ISSUED Description: GAS AND ELEC LINE TO BBQ Applied: 08/07/97 : Apr/Issue: 08/07/97 Entered By: JM Appl/Ownr : DUFFEY JOANNE 760 804-0885 1324 CASSINS STREET CARLSBAD, CA 92009 *** Fees Required *** *** ' P*es Collected & Credits *** Fees: 47.00 Adjustments: ,00 Total Fees: 47.00 Fee description Total Credits: Total Payments; Balance Due: Units Fee/Unit .00 .00 47.00 Ext fee Data Enter "¥" for Plumbing Issue Fee > Gas Piping System > Other > * PLUMBING TOTAL 1 20. 00 7.00 20.00 Y 7.00 20.00 ELEC 47.00 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 (619)438-1161 FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit Validated By Date Addrass (include Bldg/Suita f)Business Nam* (at thta addraaa) Lagal Description Lot No. 96 Subdivision Name/Number TRACT 90036 Unit No.Phase No.Total * of units Assessor's Parcel t 215-690-38-00 Existing Use Proposed Use Description of Work SQ. FT. *of Stories GAS & ELECTRIC TO BARBECUE ^iro«fr^:PERsww DONALD OR JOANNA DUFFEY 1324 CASSINS STREET CARLSBAD f of Bedrooms * of Bathrooms CA. 92009 (760) 804-0885 Name Address State/Zip Telephone *Fax* Name Addrass City State/Zip Telephone* Name Address City State/Zip Telephone t (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, altar, 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 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1(5001). Name State License # Address License Class City State/Zip City Business License * Telephone f Designer Name State License t 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 sett-insure for workers' compensation aa 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, aa 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 Compeny Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 11100} OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shell not employ any person in any manner so aa to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure-workers' compensation coverage la unlawful, and anal subject an employer to criminal penerttea and chril fines up to one hundred thousand dollars 1*100,000). in addition to the cost of compensation, damages aa provided for hi Section 3706 of the Labqr code. Merest and ettomey's fee*. SIGNATURE DATE. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 Lew 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 ere not intended or offered for sale. If, however, the building or improvement is sold within one veer of completion, the owner-builder will have the burden of proving that he old not build or improve for the purpose of sale). EX I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (See. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, end contracts for auch projects with contractors) licensed pursuant to the Contractor's License Lew). 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 / JSKKfct) signed en application for a building permit for the proposed work. 3. I have contracted with the following person (fjrml to provide the proposed construction (include name / address / phone number / contractors license number):TO BE DETERMINED 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 ths applicant or future building occupant required to *ubnnit e buwnms pien, ecutety hazardous materials regulation form or risk management end prevention program under Sections 26605, 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 • permit from the air po4lution cc^rtrol district or air quality management district? O YES D NO Is the facility to be constructed within 1XXX) feet of the outer boundary of a school site? O YES Q NO V ANY OF THE ANSWERS ARE YES. A FMAL 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. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS _____ I certify that I have reed the application and state that the above information is correct and that the information on the plena is accurate. I agree to comply with all City ordinances end State laws relating to building construction. I hereby authorize representative* 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 excavationa 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 end void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by auch permit ia suspended or abandoned at any time after the work ia commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ^^~^JtiC .dU <&** • </ V*- *-l ?&*t-r^~^ 2*^ #&%$6^ DATE> x /' <S : File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB972222 FOR 10/02/97 DESCRIPTION: GAS AND ELEC LINE TO BBQ TYPE: PLUM JOB ADDRESS: APPLICANT: CONTRACTOR: OWNER: 1324 CASSINS ST DUFFEY JOANNE PHONE: PHONE: PHONE: INSPECTOR AREA PD PLANCK* CB972222 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 804-0885 REMARKS: C/JOANNA/804-0885 AM PLEASE INSPECTOR SPECIAL INSTRUCT: IF NOT AT HOME THE INSPECTION CARD WILL BE BY THE FAMILY RM DR TOTAL TIME: CD LVL DESCRIPTION 29 PL Final Plumbing ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 092597 Final Plumbing CA TP 091697 Exterior Lath/Drywall AP PD 090897 Gas/Test/Repairs AP PD 082097 Gas/Test/Repairs AP PD 081897 Underground/Under Floor AP PD 081897 Underground/Conduit-Wiring AP PD 081497 Gas/Test/Repairs CA PD COMMENTS CANNOT DO TODAY PM