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Home My WebLink About1355 CASSINS ST; ; CB970827; PermitB U I L D I N G 04/14/97 15:51 Page 1 of 1 Job Address: 1355 CASSINS ST Permit Type: ELECTRICAL Parcel No: 215-691-39-00 Valuation; o Occupancy Group: Reference*: Description: ELECTRICAL LINE TO FUTURE : POOL EQUIP Appl/Ownr : LANDSCAPE ARTISTRY 3790 VIA DE LA VALLE DEL AMR, CA 92014 A** Fees Required *** R M Permit No: CB9 70 827 Project No: A9701071 Development No: Suite: Lot#: 4118 04/14/97 0001 01 02 C-PRHT 30.CO Construction Type: NEW Status: ISSUED Applied: 04/09/97 Apr/Issue: 04/09/97 Entered By: JM 619 792-5030 f ees : Adjustments: Total Fees: Fee description Enter "Y" for Electrj Enter "Y" for Remode Other * ELECTRICAL TOTAL ollected & Credits * * A . 00 50.00 3 0 . 0 0 Ext fee Data 10.00 Y 1 0 . 0 0 Y 60.00 REINSP FEE 80 .no Fl PPROVAL HATE S~-(f-'7 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 (619)438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. ^ Plan Ck. Deposit Validated By. Date *). . Hour Business Name (at this MMran) Lot No.Subdivision Name/Number Unit No.Phase No.Tottl» of units Assessor's Pare* *Existing Use PropoMdUM Address City State/Zip Telephone* (Sec. 7031.5 Business and Pn Any City or County which requires e permit to construct, attar, improve, demolish or repair any structure, prior to Ha issuance, also requires the applicant for such permit to file a signed statement that he ia 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 Codsl or thet 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 crvH penalty of not more than five hundred dollars [1500)). Ugnc* SO Qu3L> qrfrs m4_ ^-790 Via oLt I <L u/rii 6 . -*^&J Ek&.i H ft f C Nsme State License * ioU>( Designer Nsme State license * Xodress °l 1 S (-f> License Class (* """T^ Address City 7 CrtvBusfnea City Stste/Zp,^ s License * 1 L Stste/Zip /?32?7* m Telephone Workers'Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to serf-insure for workers' compensation aa provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for .'which this permit ia /•tailed. My worker's compensation insurance carrier and policy number are: i /"> /H Of* \ v' E f/» rVUD PoticvNc. {^45*41 0 I TO I Expiration Date M" « i ' 4 ftk f_V»rvi_p COMPLETED IF THE PI(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT 18 FOR ONE HUNDRED DOLLARS 1*100] OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which thte permit ia issued, I sheU not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fata to secure-workers' compensation coverage IB unlawful, and anal subject an employer to criminal penehies and eh* fines up to one hundred thousand doia*5(S>OO,(MRM. In addition to the cost of <x>mpeiMatlofl, demeoM as provided for In Section 3706 of the Labw SIGNATURE V VL^\(2Mt^R ' DATE *1 I hereby affirm that I am exempt from the Contractor's License Lew for the following reason: O 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 end Professions Cods: 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. If, however, the building or Improvement ia sold within one year of completion, the owner-builder win have the burden of proving that he did not buHd 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 Connector's License Law does not apply to an owner of property who builds or improves thereon, and contracts for auch projects with comractorte) licensed pursuant to the Contractor's License Lew). O I sm exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor end materials for construction of the proposed property improvement. Q YES QNO 2. I (have / have not) signed an application for a building permit tor 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 b tha tpplicsnt or future building occupant required to *ubmit a DUMMS* pien, acutely hazardous materials regntration form or risk management and prevention program under Sections 26605, 26533 or 26534 of the Presley-Tenner Hazardous Substance Account Act? O YES Q NO Is the applicant or future buflolng occupant required to obtain a permit from tr» air po«utkm control dtetri« or air quality rrwnagenMm Astrict? O YES O NO laths facility to be constructed within 1,000 feet of the outerboundary of a school she? Q Y6S Q NO f ANY OF THE ANSWERS ARE YES. A RNAL CEfmHCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETMQ THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is e construction lending ogency 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 reed the application and state that the above information i* correct and that the information on the plans is accurate. I egree to comply with all City ordinances and State lawa 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 M CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 6'0* 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 Cods shell expire by Imitation and become null end void If the building or work authorized by such pormjtjs not or abandoned at anytime, APPLICANTS SIQNA rnenced within 365 days from the date of such permit or if the building or work authorized by such permit la suspended iced for a period of 180 days (Section 106.4.4 Uniform BuBding Code). )DATE WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT! CB970827 FOR 05/14/97 INSPECTOR AREA DC DESCRIPTION: ELECTRICAL LINE TO FUTURE PLANCK* CB970827 POOL EQUIP OCC GRP TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 1355 CASSINS ST STE: LOT: APPLICANT: LANDSCAPE ARTISTRY PHONE: 619 792-5030 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: RS/AMY/792-5030 SPECIAL INSTRUCT: INSPECTO: TOTAL TIME: —RELATED PERMITS—PERMIT* TYPE CB970749 PLUM CD LVL DESCRIPTION 39 EL Final Electrical STATUS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 041597 Underground/Conduit-Wiring AP PD 041097 Underground/Under Floor CO PD COMMENTS CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB970827 FOR 04/10/97 INSPECTOR AREA DESCRIPTION: ELECTRICAL LINE TO FUTURE PLANCK* CB970827 POOL EQUIP OCC GRP TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 1355 CASSINS ST STE: LOT: APPLICANT: LANDSCAPE ARTISTRY PHONE: 619 792-5030 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: RS/AMY/792-5030 SPECIAL INSTRUCT: INSPECTO: TOTAL TIME: —RELATED PERMITS— CD 21 PERMIT* TYPE CB970749 PLUM LVL DESCRIPTION PL Underground/Under Floor STATUS ISSUED ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE 438-3550 2075 LAS PALMAS DRIVE TIME PERMIT NO.. D^i / ../ /J FOR INSPECTION CALL 438-3101. RE-INSPECTION FEE DUE? | | YES FOR FtiefHER INFORMATION, CONTACT PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER