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HomeMy WebLinkAbout1356 CASSINS ST; ; CB970962; Permit08-18-2003 Job Address: Permit Type: Parcel No: Valuation: OccGroup: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Permit Permit NO.-CB970962 Building Inspection Request Line (760) 602-2725 1356 CASSINS ST CBAD PLUM Sub Type: 2156915600 Lot #: $0.00 Const Type: VN Reference #: INSTALL GAS LINE AND ELECTRIC OUTLET Status: Applied: Entered By: Appr/Issued: Inspect Area: Applicant: NATURE DESIGNS 727 E. OHIO ESCONDIDO, CA. 619 745-7218 Owner: PORTER GEORGE A&JANET L 92025 ISSUED 04/24/1997 MDP 08/18/2003 PD Total Fees:$70.50 Payments To Date:$47.00 Balance Due: $23.50 Description * PLUMBING TOTAL Fee 70 .50 2159 08/18/03 0002 01 CGF* L APPROVAL CLEARANCE BUILDING PERMIT Permit No: CB970962 04/24/97 08:11 Project No: A9701249 Page 1 of 1 Development No: Job Address: 1356 CASSINS ST Suite: Permit Type: PLUMBING 4397 04/24/97 0001 01 02 Parcel No: 215-691-56-00 Lot#: C-PRHT " 47.00 Valuation: 0 Construction Type: VN Occupancy Group: Reference*: Status: ISSUED Description: INSTALL GAS LINE AND ELECTRIC Applied: 04/24/97 : OUTLET Apr/Issue: 04/24/97 Entered By: MDP Appl/Ownr : NATURE DESIGNS 619 745-7218 727 E. OHIO ESCONDIDO, CA. 92025 *** Fees Required Fees : Adjustments: Total Fees: Fee description Enter "Y" for Plumbin Gas Piping System Other * PLUMBING TOTAL collected & Credit:** * . 00 . 00 47. 00 Ext fee Data 20.00 Y 7 . 0 0 20,00 ELECTRIC 47. 00 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 FOR OFFICE USE ONLY PLAN CHECK N0._ EST. VAL. Plan Ck. Deposit. Validated By Date Addreea BldgTSutte *)Business Name («t tMt address) Legal Description lot No.SubdMeion tome/Number UnttNo.PhaaeNo.Total f of unto r"s Parcel*L*le Description of Work ExtotingUee SQ. FT.*of Stories Proposed Us* • of Bedroom** of Bathrooms ,<;•*- i»» «. ->..— . Fax* (Sac. 7031.6 Business and Professions Coda: Any City or County which requires a parmtt to eonatruct. attar, Improve, demoieri or rapair any (tructura, prior to to iaauanca, alao requires tha applicant for such permit to fHa a signed ttatamant that ha la aeanaad purauam to tha provisions of tha Contractor'* Ucanaa Law IChaptar 9, commanding wtth Section 7000 of Division 3 of tha Business and Prafaaaiona Coda) or that ha la axampt tharafrom, and tha baaia for tha alleged AnyjdolatJon of Section 7031.5 by any applicant for a parmtt aubjacta tha appHeant to a dvfl penalty of not more than «va hundred dotara 1*6001). 12*7 £ Nama State Llcanaa * Address UeanaaClaaa 27 Cfty City State/Zip Deans* * Telephone* Designer Nama State Ucanaa t e. wo«u»r Addraaa Ctty State/Zip "jt Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I nave and will maintain a certificate of consent to serf-insure for workers' companaation aa provided by Section 3700 of the Labor Coda, for tha performance of the work for which this parmtt to issued. O I have and wiH maintain workers' companaatlon, a* required by Section 3700 of the Labor Coda, tar the performance of tha work for which this parmtt to issued. My worker'* companaatlon iheurance carrier and policy number are: Insurance Company ' Poacy No. Expiration Data (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performenca of the work for which thto parmtt to toeued, I shall not employ any person In any manner so as to become subject to the Workers' Companaation Laws of Caifomia. WARNING: Fastm to eecure wcfsers compeneattofi coverage to unlawfuL ano anal auafact at) atnajRDyar to aniMnal penatejee ajno oMI flnaa up to 01 thouaand dotea (*100,000), hi addition to tha coat of compensation, damages aa provided for hi Section 3706 of tha Labor coda, brtareet and attorney's fees. SIGNATURE DATE I hereby affirm that I am axampt from tha Contractor's Ucanaa Law for the following reason: O I. •* owner of tha property or my employees with wagaa aa their sol* companaatlon, wiN do the work and tha structure is not Intended or offered for sale (Sec. 7044, Buainaaa and Professions Code: The Contractor'* Ucanaa Law does not apply to an owner of property who buHda or improve* thereon, and who doe* such work himself or through Ms own employees, provided that auch Improvement* are not intended or offered for sale. If, however, the building or improvement Is sold within one year of completion, the owner-builder wHI have the burden of proving that ha did not build or improve for tha purpose of aaJa). Q I, aa owner of the property, am exclusively contracting with licensed contractors to eonatruct the project (Sac. 7044, Buainaaa and Prolaaaloni Coda: The Corrtrsctor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for auch projects with contractorls) aoanaad pursuant to the Contractor's Ucanaa Law). D I am axampt under Section Business and Profaaaloni Coda for this raaaon: of thai r improvement. Q YES1. I pareonafly plan to provid* the major labor and material* for conatr 2. I (have / have not) aignad an application for a buHdlng permit for tha propoaad work. 3. I have contracted wtth tha following person (firm) to provide tha propoaad construction dnduda name / addraas / phono number / contractors Scenae number): 4. I plan to provide portions of tha work, but I have hired tha following person to coordinate, superviaa and provide the major work (induda name / address / phone number / contractor* Ucanaa number): _ . 6. I will provide some of tha work, but I have contracted (hired) the following persons to provide the work indteated (include name / addraaa / phono number / type of work): _ ^ _ ' _ ; _ PROPERTY OWNER SIGNATURE DATE . la the applicant or future buttdlng occupant required to aubmtt a business plan, acutely hazardous materials regisuettc program under Section* 26105,28533 or 26634 of tha. Presley-Tenner H*»rdoi* Substance Account Act? D YES i form or risk management and piavanthm D NO Is thesppHcant or future building occupant required to obtain a parmtt from tto air pollution control olatn^ or air qualrty mariao«inam dkttrict? Q YES Q NO Is tfie facility to be constructed within 1,000 feat of tha outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS TW APPUCANT HAS MET OR » MEETWIO THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AM POLLUTION CONTROL OttTRNTT. va****tiami!f*jmfaiw*k'<>'vf***''+ •vyfew**™** Mf"? ^'Wf^tf^'r- ,< i •••}-"• j!«s-"Hip ,** ,-*§*-•=« te »~ ,*-*•—'• z ^ >•> •» >'» * * * •> * cthm landing agency for tha performance of the work for which this parmlt to toauod (Sac. 3097P) CM) Coda).I hereby affirm that there la a LENDER'S NAME LENDER'S ADDRESS I certify that I have read th* application and state that tha above information to correct and that tha Information on the plan* to accurate. I agree to comply wtth a* Ctty ordinance* and State towa relating to buMng construction. I hereby authorize repreeent stive* of the Ctty of Carlabad to enter upon tha above mentioned property for Inspection purpoaae. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABfUTIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAD CITY M CONSEQUENCE OF THE ORANTMQ OF THIS PERMIT. OSHA: An OSHA permit to required for excavation* over 6'0* deep and demoStton or construction of structures over 3 atorlaa in height. EXPIRATION: Every permit toaued by the Buldtog Official under the provisions of Ma Coda ahal expire by limitation and become nuM and void if the buiMng or work authorized by auch parmtt to not commenced within 306 days ffom the date q/jeieh parmtt or M the butWng or work authorized by auch permit to suspended or abandoned at any time after the work to commenced.*^ period of 180 day* (SjNjtyb/i 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: FHe YELLOW: AppfcarrK PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/19/2003 Permit* CB970962 Title: INSTALL GAS LINE AND ELECTRIC Description: OUTLET Type: PLUM Sub Type: Job Address: 1356 CASSINS ST Suite: Lot Location: APPLICANT NATURE DESIGNS Owner: PORTER FAMILY TRUST 05-10-90 Remarks: Inspector Assignment: PD Phone: 7606723010 Inspector: Total Time: CD Description 29 Final Plumbing 39 Final Electrical Requested By: KURT Entered By: ROBIN Act Comment Associated PCRs/CVs Inspection History Date Description 10/22/1997 29 Final Plumbing 04/30/1997 23 Gas/Test/Repairs 04/28/1997 23 Gas/Test/Repairs 04/28/1997 31 Underground/Conduit-Wiring Act Insp Comments CO PD NO PLANS/CARD AP PK PIPING & TEST ONLY/NO EL CO PD COVERED CO PD ACORD. CERTIFICATE OF LIABILITY IN$URANCE SRJKr DATE (MM/DD/YY) Jl 03/04/97 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MERIDIAN INSURANCE SERV. INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE NICKIE HEATH HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4501 E. LA PALMA AVE. *150 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ANAHEIM CA 92607 COMPANIES AFFORDING COVERAGE KMs-lr-io Moat-h COMPANYNicfcae Heatn AMERICAN EAGLE INSURANCE CO phwwNo. 714-693-9100 FKNO. INSURED ' COMPANY B CALIFORNIA COMPENSATION ESCONDIDO LANDSCAPE, INC. COMPANY DBA: NATURE DESIGNS c 727 East Ohio Avenue ; COMPANY Escondido CA 92025 . D C0\ COLTR A A B /ERAGES " ,. , . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY !— 1 | "I •'<: -•':-•: | CLAIMS MADE j X | OCCUR X OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS X SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ 1 1 ,NC, PARTNERS/EXECUTIVE OFFICERS ARE: EXCL OTHER POLICY NUMBER POLICV EF(!ECTIVBPOLICY NUMBER DATJ (MWDD/V¥) CAEF10011123 12/31/96 CAEF10011123 12/31/96 G96C132372 12/31/96 POLICY EXPIRATION DATE (MM/DD/YY) 12/31/97 12/31/97 12/31/97 LIMITS GENERAL AGGREGATE PRODUCTS - COMP/OP AGG PERSONAL & AOV INJURY EACH OCCURRENCE FIRE DAMAGE (Any on* flr«| MED EXP (Any an*p«r»onl COMBINED SINGLE LIMIT 8ODILY INJURY (Per p«r*on) BODILY INJURY(Per «ccld«ntl PROPERTY DAMAGE AUTO ONLY • EA ACCIDENT OTHER THAN AUTO ONLY; EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE 1 WC STATU-1 TORY LIMITS IOTH-1 ER EL EACH ACCIDENT EL DISEASE - POLICY LIMIT EL DISEASE - EA EMPLOYEE *2, 000, 000 42,000,000 *1, 000, 000 *1, 000, 000 * 50,000 * 5,000 '1,000,000 $ • 4 $ *$ * * * .!•;;...,...:::. :7'-.- : •::••• "• «1, 000, 000 *1, 000, 000 (1,000,000 DESCRIPTION OF OPERA TIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS *10 DAYS NOTICE NON-PAYMENT OF PREMIUM C|RTlFICATE:HOLDER FOR INFORMATION iACORD :25rS<W95) £3 CANCELLATION ', , FOR INFO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE C EXPIRATION DATE THEREOF. THE ISSUING COMPANY W 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HC PURPOSES ONLY Buy FA1U(RE TO MAIL SUCH NOTICE SHALL 1MPOSE N0 OF ANY KIND UPON THE COMPANY. ITS AGENTS OH REI AN CELLED BEFORE THE ILL ENDEAVOR TO MAIL 1LOER NAMED TO THE LEFT. OBLIGATION OR LIABILITY 'RESENTATIVES. AUTHORIZED REPRESENTATIVE Nickie Heath ' 9 ACOROiCQRpOtiATibNJ 1 988