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Home My WebLink About1354 CASSINS ST; ; CB973142; PermitBUILDING PERMIT 10/20/97 12:35 Page 1 of 1 Job Address: 1354 CASSINS ST Suite: Permit Type: PLUMBING Parcel No: 215-691-57-00 Lot#: Valuation: 0 Occupancy Group: Referenced: Description: GAS LINE TO BBQ & FIRE PIT & : ELECT FOR EXTERIOR LIGHTS Permit No: Project No: Development No: 0435 10/20/97 0001 01 C-PRMT CB973142 A9704004 02 47-00 Appl/Ownr * ** AKS LANDSCAPING 1612 WARMLANDS AV VISTA CA 92084 Fees Required *** Construction Type: Status: Applied: Apr/Issue: Entered By: 760 630-3715 Collected & Credits NEW ISSUED 10/20/97 10/20/97 RMA ** * Fees : Adjustments: Total Fees: Fee description Enter "Y" for Plum; Gas Piping System Other * PLUMBING TOTAL 47 . 00 . 00 47.00 Ext fee Data 20.00 Y 7.00 20.00 ELECT FEE 47.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATIONi* CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. ^ 1 3' ' ^~ EST. VAL. Plan Ck. Deposit Validated By Date UTfc Address (include BIdg/Suite f I Business Neme lit this iddress) Legal Description Lot No.Subdivision Name/Number Unit No. Phase No. Total * of units Assessor's Parcel t Existing Use Proposed Use Name Address City 3. APPLICANT Qf Contractor 'Q Agent for Contractor r Q Own*?~ - D Agent"forlJwn*r Telephone * Fax * Name 4. PROPERTY OWNER Address City State/Zip Telephone * Address City State/Zip Telephone ItName :S. ""'CdNTHACtdR i COMPANY NAME ~" •;:•---—^—~- "~~-« — -^-r-,,., r_..-..^»-~--^^^ s ,.. ...,,,,™ ;, (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, after, 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 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 then five hundred dollars 1*5001). Name Stete License * Address License Class City ' State/Zip City Business Licence * Telephone* Address Chy State/Zip TelephoneDesigner Name State License * «. WORKERS'COMPENSATION ' .--•••-•- •---** - -,...*^.,^ ,.- ,-_.„ ---7-" /" ~«7 "vTl.? ' " , •' Workers' Compeneetion Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I fi*ve end will maintain a certificate of consent to self-insure for worker*' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. 0 I nave 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: Insurance Company PoHcy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS) fit CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shaH not employ any person In any manner so as tobecome subject to the Workers' Compensation Laws of Calif omii. WARNING: FeUure to aecure woikeiS compensation coverage la jefilawful, end anee eubject an employer to cranneJ peneWee end ohnl flnee up to one twndreo thousand dollars W 100.000). hi wMJtfrn to the Met of compensation, demeges a* provided for hi Section 3706 of the Labor code. Interest and attorney's fee*. SIGNATURE /K-^^X/t /ffaC. \J(-*^.^,^/ DATE /Cj-)-O- 7. OWNER-BUILDER DECLARATION '" ' 7';-':'- "" '"_'.'" '""^ 1 hereby eff irm that I am exempt from the Contractor's License Law for the f 0*0 O I, as owner of the property or my employees with weges as their sole < ng reason: pensation. wHI do the work and the structure to not intended or offered for sale (Sec. 7044, Business and Profession* Code: The Contractor'* License Law does not apply to an owner of property who builds or Improve* thereon, and who doe* 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 buHd or Improve for the purpose of seta). Q I, as owner of the property, em exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profession* Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and contracts for such protects with contractor!*) licensed pursuant to the Contractor's License Lew). O I am exempt under Section Business and Professions Code for this reason: 1. I personally plen 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 person (firm) to provide the proposed construction (Include neme / address / phone number / contractor* license number): 4. I plan to provide portion* 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): 6. I will provide come of the work, but I have contracted (hired) the following persons to provide the \ of work): [In Mt*du i / address / phone number/type PROPERTY OWNER SIGNATURE DATE. COMPLETE THIS SECTION FOR *BrWiiES»tn^ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materids registration form or risk management and prevention program under Sections 25505, 25533 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 qualty management district? O YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a achool *«*? 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. 1. CONSTRUCTOR LEND^G AGENCY l" " """"" -"-- ^ ™*-^r«x^!-~*-"'~*> -,-,—..—.»»—*=-» - ^T- .,- -„;••• •—,,-• •,.,-•:;",.,.• I hereby eff irm that there is s construction lending agency for the performance of the work for which this permit to 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 f* correct and that the Information en the plan* I* accurate. I agree to comply with all City ordinances end 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 end demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Budding Official under the provisions of this Code shsH expire by limitation end 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 such permit is suspended or abandoned at any time efter the work is commenced for,a Pprhtd of 180 dfs (Section 10B.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB973142 FOR 10/22/97 DESCRIPTION: GAS LINE TO BBQ & FIRE PIT & ELECT FOR EXTERIOR LIGHTS TYPE: PLUM JOB ADDRESS: APPLICANT: CONTRACTOR : OWNER: 1354 CASSINS ST AKS LANDSCAPING REMARKS: C/RUSS/619/857-3252 SPECIAL INSTRUCT: PHONE: PHONE : PHONE: INSPECTOR AREA PLANCK* CB973142 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 630-3715 INSPECTO: TOTAL TIME: —RELATED PERMITS— CD LVL DESCRIPTION PERMIT* TYPE STATUS CB972947 PATIO ISSUED ACT COMMENTS 23 PL Gas/Test/Repairs 31 EL Underground/Conduit-Wiring DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS