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Home My WebLink About1373 CASSINS ST; ; CB971225; Permit- ,.* BUILDING PERMIT Permit No: CB971225 05/14/97 09:57 Project No: A9701596 Page 1 of 1 Development No: Job Address: 1373 CASSINS ST ' Suite: Permit Type: PATIO/DECK 493805/14/97000101 02 Parcel No: 215-691-44-00 Lot#: C-PRHT 23-00 Valuation: 1,674 Construction Type: VN Occupancy Group: Reference*: Status: ISSUED Description: 140 SF+148 SF-2 PATIOS : CITY SPECS. Appl/Ownr : TAMBORELLI CONST. 28520 HUCKLEBURY LANE SAN MARCOS, CA. *** Fees Required *** 619 975-2043 Collected & Credits Applied: 05/14/97 Apr/Issue: 05/14/97 Entered By: MDP Fees : Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL 65.0 * ** .00 42 .00 23. 00 Ext fee Data 39.00 25.00 1.00 65. 00 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 (760)438-1161 PROJECT INFORM* FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit. Validated By Date Address (include Bldg/Suite *)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total * of units Existing Use Proposed Use Name Address Cfty State/Zip Telephone t - Fax* Name Address City State/Zip Telephone* Name Address City State/Zip Telephone * lpfv^p**^U I-**HW,, , »«: J, (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 he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7O31.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars 1*500]). Name State License », 3*^5/70 Address Llcenae Class Cty ' State/Zip Telephone » City Business License * // / /S& 9 Designer Name Address City State/Zip Telephone State License * 6. WORKERS'COMPENSATION ". ' ~— _'-~" ---""--. «^^r^^^-twrr«-.«r •-.•'->*''t ' Workers' Compensstlon Declaration: I hereby affirm tinder penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 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 to issued. My worker's compensation insurance carrier and policy number are: Insurance Company PoScy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS If 100] OR LESS) CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which thto permit to issued, I shall not employ any person in any manner so as •o become subject to the Workers' Compensation Laws of California. WARNING: Failure to eecpre workers' compensation coveageJa unlawful, and aha! subject an employer to criminal penalties and dr» fines up to one hundred thousand dolars ($100.000), hi addition tetha coat>ftp*|»M«mfc^lamagee as provided for hi Section 3706 of the Labo/l9O>/«tt«est and attorney's fees. SIGNATURE ^\^f ~(^*Zs5£&y DATE. !7/:::!;-OYfl*_|jiuttb&i_tSct;A'RVkTlofe ^i**"*** "~'-'^"~^~"'"^'ijf^-.-- . .~=r.,:.'-. : ._u_-_»..*': A_SS^\ •_: 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I, ss owner of the property or my employees with wsges as their sole compensation, will do the work and the structure to not intended or offered for sale (Sec. 7044, Business snd Professions Code: The Contractor's License Law 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 to sold within one yeer of completion, the owner-builder will have the burden of proving that ha did not build or improve for the purpose of sale). D 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 contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section Business end Professions Cods for thto reason: 1. 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES QNO I (have / have not) signed en application for a building permit for the proposed work. I have contracted with the following parson (firm) to provide the proposed construction (include name / address / phono number / i mtractor* 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 fflmMMMNimHMMt^^ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials 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 quality management district? O YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES Q 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. K-2 ••:g~ysSfrffi t jjK^ff Ha'• _j^iBtrCJ3PKTB-SiMia t t?fffik|JHStJJriJM 'MfP**V**3f **B*y****V'^B*/>smJBBM^lii^--BB)BHjKJ{^lp^MyiH^*fi*g<S*"•M*J«ffS;"_-r '3-fir'"HJ'*5^jJ"4'?*_*4S*lf*'*|!1''''" ""fi*^" ^<^%j^gW#y>|^jA]nVfi' fc I*** *~f* f*k^* »-wr*JJQjj&jujtt*H^WWSS:tJWJ\?I-(QM^LEfWinNw• jMwCNCvv •*••*• *- faS—aB^sst•—«*«*> &£•%»« ^ *•* •$ ^ » » ** * H».»^» "" *»• «<* * _ TS •* •« I hereby affirm that there is a construction lending agency for the performance of the work for which thto permit to issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS ipfff<FBci!#]wifuwaii' sptjtft ^i«$TOi|mHi-^^ sy-x: I certify that I have read the application and state that the above information to correct and that the information on the plans to accurate. I agree to comply with all City ordinances and State laws relating to buHdmg construction. I hereby authorize representatives of the Ot> 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 CfTY W CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over S'O* deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of thto Cods shall expire by limitation and 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 after the vy#k to commenced for a period o> ISg^ajTISection 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE,DATE IXUITF. en,. vet I n\M- 4nnlirsn» PINK- Rn»nc» CITY OF CARLSBAD INSPECTION REQUEST PERMIT! CB971225 FOR 09/29/97 INSPECTOR AREA PO DESCRIPTION: 140 SF+148 SF-2 PATIOS PLANCK* CB971225 CITY SPECS. OCC GRP TYPE: PATIO CONSTR. TYPE VN JOB ADDRESS: 1373 CASSINS ST STE: LOT: APPLICANT: TAMBORELLI CONST. PHONE: 619 975-2043 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: C/LEE/942-7812 SPECIAL INSTRUCT: INSPE TOTAL TIME: CD LVL DESCRIPTION 14 ST Frame/Steel/Bolting/Welding ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION 051597 Ftg/Foundation/Piers ACT INSP AP PD COMMENTS