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HomeMy WebLinkAbout1337 CASSINS ST; ; CB980911; PermitPermit No: CB980911 Project No: A9801193 Development No: BUILDING PERMIT 03/27/98 16:16 Page 1 of I Job Address: 1337 CASSINS ST Suite: Permit Type: MISCELLANEOUS Parcel No: 215-690-23-00 Lot#: Valuation: 6,240 Construction Type: VN Occupancy Group: Reference*: Status: ISSUED Description: CONVERT 260 SF GARAGE TO BEDRM Applied: 03/27/98 : PER ESGIL APPROVED PLANS FOR OPTION Apr/Issue: 03/27/98 Entered By: RMA Appl/Ownr : EQUINOX BUILDERS 760 929-1071 911 - D CAMINO MADRIGAL CARLSBAD CA 92009 *** Fees Required *** & Credits *** ^ s _ _.__,, ,____„ ™~ „„.,,,„,„„„, ., 02 Fees ; Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS T^ -SW W2779ET OJ5&I ~QT C-PRMT 145. . 00 145 . 00 Ext fee Data 145 . 00 PERMIT FE1 145.00 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 ,1, 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 Z-CoQ Proposed Use \ Description of Work SQ. FT.#of Stories • <VfsAA?r Ps S # of Bedrooms # of Bathrooms Name 3. APPLICANT Address Q Agent: for Contractor Q Owner City State/Zip Telephone #Fax # Name 4. Address ity State/Zip Telephone # CftssvtAS <>>., * /WH-OVQ7 Address City State/Zip TelephoneName S. CONTRACTOR I 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 Codel 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 ($500)). Name State License » "*t\2*&l&i Designer Name State License # Address \f_ License Class ^2^ Address 1 City City Business City State/Zip License # rXPPl State/Zip Telephone # il2^T> FG\P-/ft£*>fcaMv2r>r Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: FJ 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. FJ 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 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) [Or 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 workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to-the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE CLJKa>-« . ^ ^VA \* XAjJli J> \V DATE I hereby affirm that I am exempt from the Contractor's License LavVfor the following reason: FJ 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). Fl 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). FJ 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. FJ YES FjNO 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 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? [_] YES FJ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? FJ YES l~l 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 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 is issued (Sec. 3097(i) Civil Code). LENDER'S ADDRESSLENDER'S NAME _ ______________ 9. APPLICANT CERTHileAfibN ....... .--.,. .-:.,•." -:-.-.. . ,.-,,.-, j^-vt 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, 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 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 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 the work is commenced for g period of 1 80 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB980911 FOR 05/27/98 DESCRIPTION: CONVERT 260 SF GARAGE TO BEDRM PER ESGIL APPROVED PLANS FOR OPTION TYPE: MISC JOB ADDRESS: 1337 CASSINS ST APPLICANT: EQUINOX BUILDERS PHONE: CONTRACTOR: PHONE: OWNER: PHONE: STE: 760 929 INSPECTOR AREA RB PLANCK* CB980911 OCC GRP CONSTR. TYPE VN LOT: REMARKS: C/CHARLIE/929-1071 SPECIAL INSTRUCT: INSPE TOTAL TIME: —RELATED PERMITS— CD LVL DESCRIPTION PERMIT* TYPE RW970157 ROW CB972308 PLUM STATUS ISSUED ISSUED ACT COMMENTS 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 051598 Final Combo CO PD 051298 Final Combo CO PD 041798 Interior Lath/Drywall AP PD 041798 Exterior Lath/Drywall AP PD 041598 Rough Combo AP PD 041498 Frame/Steel/Bolting/Welding CO PS 041398 Rough Combo CA PD 040398 Underground/Under Floor AP RB COMMENTS S.D. DRAFT STOPS