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Home My WebLink About1355 CASSINS ST; ; CB970749; PermitL DING PERM T 04/14/97 15:45 • Page : of" 1 Job Address: 1355 CASSINS ST Suite: Permit Type: PLUMBING Parcel No: 215-691-39-00 Lot#: Valuation: 0 Occupancy Group: Reference*: Description: GAS FOR FUTURE FIREPLACE-REAR : YARD-IF UNDER 6 FT-NO PERMIT NEEDED Permit No: CB970749 Project No: A970098.1 D e v e 1 o pme n t No: 4118 04/14/97 0001 01 02 Appl/Ownr : LANDSCAPE ARTISTRY 3790 VIA DE LA VALLE #204 DEL MAR CA 92014 *** Fees Required *** Fees : Adjustments: Total Fees: Fee description Enter ''Y" for Plumbi Gas Piping System Other %*$; * PLUMBING TOTAL __m I -. „ , , _ *»« '«!!._,» <JVConstruction Type: *\>EW Status: ISSUED Applied: 04/03/97 Apr/1 s sue: 04/03/97 Entered By: RMA, 760 792-5030 ollected & Credits . 0 0 57 . 00 3 0 . 0 0 Ext fee Data 20.00 Y 7 , on 60 . 00 REINSP FEE 8 7 . 0 0 APPROVAL CLEARANCE. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palrhas Dr., Carlsbad CA 92009 (619)438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. °[~~70^7\f*l EST. VAL. Plan Ck. Deposit Validated By Date Address {include Bldg/Suite *) I3S>5 BusinMS Name (it thto address) Legal Description Lot No.Subdivision Name/Nurhits FiorElumber Unit No. Phase No. Total * of units Assessor's Parcel f Existing Use Proposed Use Description of Work • 84$ Un-c * of Bsthrooms State/Zip Lf\- Telephone * Fax t Nsme Jud\j Address /35S 5~ /C/t Telephone* (Sec. 7031 .5 Business end Professions Code: Any City or County which requires s 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 ha 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 penalty of not more than five hundred dollars It500]l.Land Sea Of Art-tsfru 3110 Vi* d, TA.VAIU -*^W DC i Har CA Name State License * 34 Hi Address' License Class 12-7 City State/Zip City Business License t Telephone* Designer Name State License t • Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Coda, for the performance of tbe work for which this permit is issued. 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 My worker's compartsatiog insurance caa|er and policy number are: , Insurance Compeny (_ A U A • ' tTTH £> • Policy No. JV^^T /0< 16 / Expiration Date H' I • (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 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: Fettuce to secure-workers' compensation coverage is tmlawfuUand shafl subject an employer to criminal penalties end chri fines up to one hundred thousand dollars (»>00,000). hi add-on to the cosjof (compensation, damage* aa provided for hi Section 3706 of the Labo) code, (Merest and attorney's fees. 1 hereby affirm thsVt am exempt from the Contractor's License Law for the following reason: D I' «s 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 Cods: The Contractor's License Lew does not apply to an owner of property who builds or improves thereon, end 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). O 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 comractorla) licensed pursuant to the Contractor's License Law). n I «m exempt under Section Business and Professions Cods 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 NO Is thg applicant or future building occupant required to .utmit a biwineM pan, acutely hazardous materials registration form or risk management and prevention program under Sections 25605, 25533 or 25534 of the Presley-Tenner Hazardous Substance Account Act7 O YES D 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 Is the facility to be constructed within 1,000 feet of the outer boundary of a school she7 Q YES O NO F 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. 30970) Civil Code). LENDER'S NAME _ LENDER'S ADDRESS 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, 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 Coda shall expire by limitation and become null end void if the building or work authorized by such pwmit is not commenced within 366 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 a perWftrf 180 days (Section 106.4.4 Uniform Building Coda). APPLICANT'S SIGNATURE'* Jf . /LJLl /Hat\ /^^ 4LA ffH.^.-X DATE WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB970749 FOR 05/14/97 DESCRIPTION: GAS FOR FUTURE FIREPLACE-REAR YARD-IF UNDER 6 FT-NO PERMIT NEEDED TYPE: PLUM JOB ADDRESS: 1355 CASSINS ST APPLICANT: LANDSCAPE ARTISTRY PHONE: PHONE: PHONE: CONTRACTOR: OWNER: INSPECTOR AREA PD PLANCK* CB970749 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 792-5030 REMARKS: RS/AMY/792-5030 SPECIAL INSTRUCT: INSPE TOTAL TIME: —RELATED PERMITS—PERMIT* TYPE STATUS CB970827 ELEC ISSUED CD LVL DESCRIPTION ACT COMMENTS 23 PL Gas/Test/Repairs ***** INSPECTION HISTORY ***** DATE DESCRIPTION 041597 Gas/Test/Repairs 041497 Gas/Test/Repairs 041097 Underground/Under Floor 040897 Underground/Under Floor ACT INSP AP PD CO PD CO PD CO PD COMMENTS NOTICECITY OF CARLSBAD " w ^^ " " ^^ ^^ 438*3550 BUILDING DEPARTMpNr 2075 LAS PALMAS DRIVE PATE / ' fQ'" I / TIME LOCATE MS $ PERMIT NO. . - -7 ' , ,*•/ Nt ^ i J-o D v/Jpt/2 L c c r /c / c s i '(/ FOR INSPECTION CALL 438-3101. RE-INSPECTION FEE DUE? | | YES FOR F0RmER INFORMATION, CONTACT __PHONE - n1Me |N8PEcroR CODE ENFORCEMENT OfTICER CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE -•*- 7 LOCATION. PERMIT NO._ O 438-3550 2075 LAS PALMAS DRIVE TIME_ & /V Q r> nT<> FOR INSPpCTIpN CALL 438-3101. RE-INSPECTION FEE DUE? | | YES FOR FURTHER INFORMATION, CONTACT _PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER CITY OF CARLSBAD BUILDING DEPARJMENt DATE NOTICE / ^ C^ C PERMIT NO 438-3550 2075 LAS PALMAS DRIVE TIME. 4 C fi l p FOR INSPECTION CALL 438-3101. RE-INSPECTION FEE DUE? lAI YES FOR FURTHER INFORMATION, CONTACT__PHONE BUILDINGUNSPECTDR CODE ENFORCEMENT OFFICER