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HomeMy WebLinkAbout1333 CASSINS ST; ; CB971931; PermitBUILDING PERMIT 07/17/97 11:22 Page 1 of 1 ^CCTMQ qT Suite:Job Address: 1333 CASSINS ST Permit Type: PLUMBING #. Parcel No: 215-690-22-00 Permit No: CB971931 Project No: A9702453 Development No: Valuation:°Reference#: ELECTRICAL LINES Construction Type: NEW Status: ISSUED Applied: 07/17/97 Apr/Issue: 07/17/97 Entered By: JM 619 755-0151 SAN DIEGO, CA 92014 fees Collected & Credits *** *** Fees Required Fees : Adjustments : Total Fees: Fee description *** *** 47.00 ,00 47.00 Enter "Y" for Plumbing Issue Fee > Gas Piping System > Total credits: Total Payments: Balance DIMM Units Fee/Unit 1 7.00 20.00 .00 .00 47.00 Ext fee Data 20 . 00 Y 7.00 20.00 ELEC 47.00 * PLUMBING TOTAL CORDANCEWTTHUB.C. FINAL APPROVAL ?SP. / DATE LEARAN6E CITY OF CARLSBAD 2075 Las Pabnas Dr., Carlsbad, CA 92009 (619) 438-1161 'ERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 ill, PHOJECt INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. , Plan Ck. Deposit Validated By Date * GO 7//W7 Address (include Bldg/Suite *)Business Name (at this address) Legal Description Lot No.Unit No.Phase No.Total * of units Assessor's Parcel #Existing Use Proposed Use Description of Work SQ.FT. ^;:;::ed^dt' yp^>f y* Name f fof Stories vt»G*'V*eri?*<tJ!Bt 9 of Bedrooms *» Tf "*» I f of Bathrooms Address cty State/Zip Telephone» Fax * UMUiUI^^IU*igMMB^^I^^^-j<^g7^T:^|^T^E::^u^ ^^"^if^^^^^-*.1:; ~: •''' ^ ':^::;|:'';:::: Name 4. Address City C4££,\&> Telephone » Name Address JticdMplMTlliAwif^sw^'tf^ City State/Zip Telephone f (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 penafty of notjnore than five hundred dollars 1*5001). Name State License * Address License Cless City State/Zip City Business License f TelephoneDesigner Neme Address City State/Zip State License # _ 6. WORKERS' COMPENSATION T ,' " " " ", ' ^i~»-^-*;*~w«r«r"T '«r< Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O ' 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. J0 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 ^VcT\~fe_ V0y*& _ Policy No. _ Expiration Date _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100) OR LESS) O 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 se^Ve workers' compensation coverage la unlawful, and ana* subject an employer to criminal penalties and eh* fines up to one hundred thousand doHara fJlOO.I SIGNATURE S \ to the cost of compensation, damages as provided for hi Section 3706 of the Labor coda, interest and attorney's fees. DATE 7, OWNER-BUILDER DTsfeLARATION '* *"'-'"- "'"*'' " < r -"«»-»,- ,. -^*-^-'. S^Ai;^.;.-«., 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 I* not intended or offered for sale (Sec. 7044, Business end Professions Code: The Contractor's License Law does not epply 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/rithin 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). l|pC l, 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(a) 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. O YES QNO 2. I (have / have not) signed en application for a building permit for the proposed work. 3. I have contracted with the following parson (firm) to provide the proposed construction (include name / eddress / phone number / contractor* 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 heve 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 material* registration form or risk management and prevention program under Sections 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES O NO Is the applicant or future bidding 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 a school site? D YES O 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 te 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 I* correct and that the Information on the plan* is accurate. I agree to comply with all City ordinances and State law* 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. 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 permitia not cemrnenced 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 APPLICANT'S SIGNATURE for a period of 180 days (Section 106.4.4 Uniform Building Code). DATE PINK' Fin»ne» CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB971931 FOR 10/- DESCRIPTION: GAS & ELECTRICAL LINES / TYPE: PLUM JOB ADDRESS: 1333 CASSINS ST APPLICANT: PANATTI CONSTRUCTION CONTRACTOR: OWNER: REMARKS: C/DAN/999-0492 SPECIAL INSTRUCT: INSPECTOR AREA TP PLANCK# CB971931 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 619 755-0151 PHONE: PHONE: INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 39 EL Final Electrical ACT COMMENTS A* ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 100797 Final Electrical NR TP 100797 Underground/Conduit-Wiring NR TP 100797 Final Plumbing NR TP 100797 Underground/Under Floor NR TP 072197 Gas/Test/Repairs AP TP 072197 Underground/Conduit-Wiring AP TP COMMENTS NO RESPONSE @ HOUSE NO RESPONSE § HOUSE NO RESPONSE @ HOUSE NO RESPONSE @ HOUSE U/G CONDUIT ONLY