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Home My WebLink About1332 CASSINS ST; ; CB982151; PermitPermit No: CB982151 Project No: A9802841 Development No: BUILDINGPERMIT 07/09/98 11:05 Page 1 of 1 Job Address: 1332 CASSINS ST Suite: Permit Type: ELECTRICAL Parcel No: 215-690-36-00 Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: Referenced: Status: ISSUED Description: INSTALL ELECTRIC LINE FOR Applied: 07/08/98 : FUTURE SPA Apr/Issue: 07/08/98 Entered By: RMA 760 480-4041Appl/Ownr : ALLSCAPE LANDSCAPE 905 LILAC CT SAN MARCOS CA 92069 *** Fees Required ***ollected & Credits Fees : Adjustments: Total Fees: Fee description Enter "Y" for Elect Single Phase Per Enter "Y" for Remo 33 *** . 00 20. 00 OT/W/fl OQtOb 02 it ExfHllfc DataO-OO 10.00 Y 12. 50 10.00 Y FINAL APPROVAL INSP., CLEARANCE, DATE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 BUILDING PERMIT 07/08/98 12:09 Page 1 of 1 Job Address: 1332 CASSINS ST Permit Type: ELECTRICAL Parcel No: 215-690-36-00 OccuJancT croup: ° Description: INSTALL ELECTRIC LINE FOR : FUTURE SPA Appl/Ownr *** ALLSCAPE LANDSCAPE 905 LILAC CT SAN MARCOS CA 92069 Fees Required *** Permit No: CB982151 Project No: A9802841 Development No: Lot#:Construction Type: NEW .. Status: ISSUED Apr/Is*rf»IT 07/08,0800 Entered By: RMA 760 480-4041 Collected & Credits Fees : Adjustments: Total Fees: Fee description Enter "Y" for Elect Enter "Y" for Remod 20. ** * . 00 . 00 20.00 Ext fee Data 10.00 Y 10.00 Y FINAL APPROVAL INSP.DATE 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 PRO JECT iNFORMAtiONm2 Addresslinclud FOR OFFICE USE ONLY PLAN CHECK N0._ EST. VAL. Plan Ck. Deposit Validated By. Date <7"» Hinclude Bldg/Suite #)Business Name 1st this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Psrcel 9 Existing Use Proposed Use Description of Work a." CONTACT PERSON (If diffafeni from applcanti SQ.FT. •«,r*«- #of Stories f of Bedrooms &"•> ,j|*j «v** t* *• f ! * of Bathrooms Name Address City ,State/Zip Telephone *Fax t Name Address City State/Zip Telephone f Name City State/Zip Telephone fAddress Uji|.a»aagsiii pHlu1 JIHUUI ••iiijinii»dBa!HK»»d»jyTg»»faa-w.i*=»«!A.4iX»a'^ -~ (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 stetement that he is licensed pursuant to the provisions of the Contractor's License Lew (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 (45001). Name State License Address License Class City State/Zip City Business License f Designer Name Address City State/Zip Telephone State License * _____^_^_^__ 6. WORKERS'COMPENSATION " . .-.-.,- ,.,-„_„„.„..,.„.„ „, ,.. ., . , 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. 0 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 end policy number are: s? s Insurance Company $T/) "f & f-£lK,<ff , Policy No. /*/ jZjpjQ— t 6 Expiration Date / <D~'1/<— "?% (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS) 0 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 as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shad subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (»100.000), kyaxfdjtjon to tip cost of compensation, damages as provided for In Section 3706 of Hit-Labor code^hiterest and attorney's fees. SIGNATURE ''tytlA{(faffi (/*££*>•} DATE //tf/'^fl 7. OWNER-BOLDER DECLARATION ' • " * -~* *•" • "'•--'••"• - '-> " "•"•-• --'"'- •""• ' ---" f« 1 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 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). Q 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). C] I am exempt under Section Business and Professions Code for this rasson: 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 / eddress / 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 «v»^rtqHM! Is the applicant or future building occupant required to submit e business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25S33 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a 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*a:CON^ -T**"' ~ •"•"• *"" "T1 4 **:""•' I hereby affirm that there is e 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 ft^AMJCAiit eW«»1»ll*'«^-'y">* -irfgg^^^^irr^^mafsnji rM.-ar- -«nusi -r-ar——- -7, - .\~.\-rc-i. 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 Crt> 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 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 shell expire by limitation and become null and 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 such permit is suspended or abandoned at any time after tip-work is commenced for a period-of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE /flt^ ttrhtfl (f/2/ff, ) DATE WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB982151 FOR 07/09/98 INSPECTOR AREA DESCRIPTION: INSTALL ELECTRIC LINE FOR PLANCK# CB982151 FUTURE SPA OCC GRP TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 1332 CASSINS ST STE: LOT: APPLICANT: ALLSCAPE LANDSCAPE PHONE: 760 480-4041 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: C/MARK/480-4041 SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 31 EL Underground/Conduit-Wiring fl ' ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS IMPORTANT - THIS IS NOT A BILL. SEND NO MONEY UNLESS STATEMENT IS ENCLOSED. o-TATE<f 1 /"%. I EM COMPENSATION INSURANCE FUND HOfaE OFFICE SAN FRANCISCO POLICY DECLARATIONS CALIFORNIA WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY POLICY THESE DECLARATIONS ARE A PART OF THE WORKERS' COMPENSATION POLICY INDICATED HEREON. THIS INSURANCE IS EFFECTIVE FROM 12:01 A.M., PACIFIC STANDARD TIME 10-05-96 TO 10-01-97 AND SHALL AUTOMATICALLY RENEW EACH 10-01 UNTIL CANCELLED ALLSCAPE LANDSCAPE AND DESIGN, INC 905 LILAC CT SAN MARCOS, CALIF 92069 CONTINUOUS POLICY 1452630-96 DEPOSIT PREMIUM MINIMUM PREMIUM PREMIUM ADJUSTMENT PERIOD $650.00 $650.00 MONTHLY N SD NAME OF EMPLOYER- TRADE NAMES- ALLSCAPE LANDSCAPE AND DESIGN, INC (A CORPORATION) ALLSCAPE 1. WORKERS1 COMPENSATION INSURANCE - PART ONE OF THIS POLICY APPLIES TO THE WORKERS' COMPENSATION LAWS OF THE STATE OF CALIFORNIA. 2. EMPLOYER'S LIABILITY INSURANCE - PART TWO OF THIS POLICY APPLIES TO LIABILITY UNDER THE LAWS OF THE STATE OF CALIFORNIA. THE LIMIT OF OUR LIABILITY INCLUDING DEFENSE COSTS UNDER PART TWO IS, $1,000,000 CODE NO. PRINCIPAL WORK AND RATES EFFECTIVE TO 10-01-97 0042 LANDSCAPE GARDENING—ALL OPERATIONS-- INCLUDING MAINTENANCE OF GARDENS BASE RATE 16.36 , INTERIM^ BILLING RATE* 14.35 ********BUREAU NOTE INFORMATION******** MARK SMITH PRE TRE 50.002 CYNTHIA SMITH SEC 50.00% TOTAL ESTIMATED ANNUAL PREMIUM $2,009 COUNTERSIGNED AND ISSUED AT SAN FRANCISCO OCTOBER 10, 1996 POLICY FORM L 1