HomeMy WebLinkAbout1349 CASSINS ST; ; CB970726; PermitB U I L D I N G
04/01/97 12:11
Pa eye 1 of 1
Job Address: 1349 CASSINS ST
Permit Type: ELECTRICAL
Parcel No: 215-691-36-00
Valuation: 0
Occupancy Group: Referenced:
Description: GAS LINE TO BBQ & ELEC LINE
Appl/Ownr : UNLIMITED LANDSCAPE
11374- CAMINITO CORRIENTE
SAN DIEGO, CA 92128
*** Fees Required * * *
E R M I. T Permit No: CB970726
Project No: A970095C
Development No:
Suite
Lot#:3748 04/01/97 0001 01 02
C-PRMT 47-00Construction Type: NEW
Status: ISSUED
Applied: 04/01/97
Apr/Issue: 04/01/97
Entered By; JM
619 485-1600
Collected & Credits
Fees :
Adjustments:
Total Fees:
Fee description
Enter "Y" for Electr
Enter "Y" tor Remod
Other
* ELECTRICAL TOTAL
47.0!
* * *
. 0 0
. 0 0
47 . 0!)
Ext fee Data
10.00 Y
1 0 , 0 0 Y
27.00 PLUMBING
47.0 0
APPROVAL
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 NO,
EST. VAL.
Plan Ck. Deposit,
Validated Bv J
Date
Address (include Bidg/Suite *)Business Name («this address)
Legal Description Lot No.Subdivision Name/Number Unit No. Phase No.Total * of units
Assessor's Parcel *Existing Use'sF/e.Proposed Use
* of Bedroom*» of Bathrooms
(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 ha is exempt therefrom, and the Mils for the alleged
Any violation of Section 7031.5 by ap<applicant for a permit subjects/the applicant to a civil penalty of not more than five hundred dollars 1*5001).
f Wh> f %r
Name
Stete License t
_
Address
Licena. Cla»
City State/Zip
City Business License t
Designer Name
State License *
Address City State/Zip Telephone
Wockers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
fo(_ I have and will maintain a certificate of consent to self-insure for workers' compensation aa provided by Section 3700 of the Labor Code, for the performance
/ofthe work for which this permit is issued.
Q I have and will maintain workers' compensation, as required by Section 3700 of the Labor Codey for the performance of the work for which/this permit is
issued. My worker's otfrfaefcefibn insurance carrier and policy number are: /I/O/ « / ?/">-// *»/
Insurance Company I ^J|rL-f)UJ) Policy No. (*>IVG Jy 4ID J Expiration Date tV T ^*~
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) ' f
Q CERTIHCATEpF 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.*) the Workers' Con
WARNING
tnouond
SIGNATURE
ion Laws of California.
coverage is unlawful, and ahal subject an employer to criminal panaNUs and chrtt fines up to one hundred
to the cost of compensation, damages as provided for In Section 3706 of the Lat/qr c/tde, interest and attorney's fees.
/1/4DATE -
I hereby affirm trlat I am exempt fi^rnt^e Contractors 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 snd 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 are not intended or offered for sale. H , 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).
O I. as 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 contractorts) licensed
pursuant to the Contractor's License Law).
0 I *m 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 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
SECT^
Is tha applicant or future building occupant required to oubmit a buwnmui plan, acutely hazardous materials registration form or risk management end prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O YES O NO
Is the applicant or future building occupant required to obtain a permit from trw air po«uticfl oamrol district or ak *jalrty marao^ment district? Q YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O YES D NO
IF 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 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
^|.A«PMCAN13CERTIFICATK)N,- - "'.^ •;*»/.'", • '"&- •^-^•'- -,,"i * '. •/' -"~~.y :^&^S^I^SSS^^^^^^^MBIKXK:'c-:^i:^
I certify that I have reed the application and state that the above information is correct and that the information on tha plans is accurate. I agree to comply with ell
City ordinance* and Stete lews relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned
property for inspection purposes. 1 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 M 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 njbjk commenqedwfrNn 38B Jgys from the date of such permit or if the building or work au
york is pommjrfced for a oeriorfotl 80 days (Section 106.4.4 Uniform Building Code).or abandoned at any time after t
APPLICANT'S SIGNATURE
WHC YELLOW: Applicant PINK: Finance
DATE
by such permit is suspended
7
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB970726 FOR 08/11/97
DESCRIPTION: GAS LINE TO BBQ & ELEC LINE
TYPE: ELEC
JOB ADDRESS: 1349 CASSINS ST
APPLICANT: UNLIMITED LANDSCAPE
CONTRACTOR:
OWNER:
REMARKS: C/DEBRA/485-1600
SPECIAL INSTRUCT:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA PD
PLANCK* CB970726
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619 485-1600
INSPECTO:
TOTAL TIME:
CD LVL DESCRIPTION
39 EL Final Electrical
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION
040297 Gas/Test/Repairs
040297 Rough Electric
ACT INSP
AP PD
AP PD
COMMENTS
CONDUIT ONLY
04/01/1997 00:56 48517S0 UNLIMITED LANDSCAPE PAGE 01
TANENBAUM-HAKBKM
11610 IBERIA KL.
SAN DIEGO, CM.I!'
(619) 467-8839
INSURED
UNLIMITED LANDSC;
11374 CAMINITO D
SAN DIEGO, O «:•
THIS IS TOCERTIFV TH/>
INDICATED, NOTWlTMSTuNHA:
CERTIFICATE MA* BF IS:-l'!:r'
EXCLUSIONS AND COM!' -"!i.j
A. INC.
1'E 200
92128
INC.
NTE
^AWEH'OF^Q^ATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
CAL COMP INSURANCE COMPANY
COMPANYB
COMPANYc
COMPANY
D
r , ^
NSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TH6 POLICY PERIOD
MENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
.IN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL IHfc
ES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
COLTD TYPE Of mSUR I POLICY EFPECHVC
DATE (MUWJCVYY)
GENERAL LIABILITY
COMMERCIAL GENEfW LIABl! "
; CLAIMS MADE ."';'
OWNER'S *CONTnAC-"M i
POLICY EXPIRATION
DATE(M*VDO/YY)(.UMTS
AUTOMOBILE LIABILITY
1 Ar_'ALTTO
AU. OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
OARAGE LIABILITY
ANV AUTO
EXCESS UAB1UTYnUMBRELLA FORM
OTHER THAN UMBRELLA !• '.
WORKERS COMPENSATION ANC.
EMPLOYERS' LIABILITY
THE PROPRIETOR'
OAHTNSPS.'SXECUTiVI
OFFICERS AHSi:
•U43954
OTHER
I GENERAL AGSREGATE
PRODUCTS - COMP/OP AQQ t
PERSONAL & ADV INJURY
EACHOCCURRENCt
FIRE DAMAGE (Any OKI lira)
MED EXP (Any on, pr«Cfl)
COMBINED SINGLE LIMIT
BODILY INJURY
BODILY INJLWY
PflOPEdTY DAMAGE
AUTO ONLY • EA ACCIDENT
: OTHER THAN AUTO ONLY:
8/01/96 j8/01/97
EACH ACCIDENT : S
I-AGGREGATE S
EACH OCCURRENCE
AGGREGATE "K—
i w^s»*iu- r| TORY LIMITS |
DESCRIPTION OF OPERATIONSfl.OCflT!C)N?r "!'.'IAL ITEMS
EL EACH ACCIDENT $ 1,000,OOC
[EL D?SEASE • POLICY LIMIT t 1,000, 0 0 C
EL DISEASE-EAlMPLOYgB $ 1,000,000
CITY OF CARLSBAD
2075 LAS PALMAS I/J
CARLSBAD, CA
SHOULD ANY OF THE ABOVE DCECniBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUlNO COMPANY WILL ENDEAVOR TO MAIL
3..Q.._ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIOATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.