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Home My WebLink About2341 JEFFERS PL; ; CB032379; Permit7~?5'~ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-27-200j Miscellaneous Permit Permit No: CB032379 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2341 JEFFERS PL CBAD MISC 2081615600 $0.00 Subtype: REPAIR Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: PEREIRA RES HOT MOP & RE-TILE Inspect Area: Applicant: HAMMOND & MASING CONTRACTORS STE E 9770 CARROLL CENTER RD 92126 858 536-2440 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Owner: PEREIRA TREVOR X&JOAN M 2341 JEFFERS PL CARLSBAD CA 92008 PERMIT FEE ISSUED 08/27/2003 SB 08/27/2003 08/27/2003 $89.00 $0.00 $0.00 $89.00 Total Fees: $89.00 Total Payments To Date: $0.00 Balance Due: $89.00 2816 JB/27/03 J002 )1. )2 - Inspector: ..JW\. Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any hi h uhav vi I ' Tl i h f' h PERMIT APPLICATION CITY OF. CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NcflJ3D'32°57f EST. VAL. _________ _ Plan Ck. Deposit _________ _ Validated By_:":7__..:;..~ .. / ______ _ Date ~/o3 Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use #of Stories # of Bedrooms # of Bathrooms ~-CO.!t!ACT e,i;MQH Of different from applicant) Name Address City State/Zip Telephone# Fax# ~-APeJ.IPAN_T , 0 Contraptot .0 Agent for Contractor O Ownar .0 Agent for Owner Name Address City State/Zip Telephone# Address City State/Zip Telephone# .. Na e State License # J l/] $ n . License Class ,:r~ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WQRJSERS' CO~PEt,ISATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: -A 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 ;;, t'l.e work for which this permit is issued. O 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 issued. My worker's com tion insurance carrie and policy number are: Expiration Date /-'b,I 7/ p? 7 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: Failure to sec e workera' c sation coverage 11 unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred OJ, I e cost of compensation, damages as provided for In Section 3706 of ttlt. La or code Interest and attorney's fees. DATE "lf' ?, . 0 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 and 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 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). 0 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). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted w ith 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 _________ _ lCQMPLE~,il"HIS SECTION FQR /'!ON-RESIDENTIAL BUILJ;!ING PERMITS ONLu-_,._ 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 25506, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. a o STRUCIION LE!\!DING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3og7(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS. ________________________ _ ~-'flJCMfi, CEl!TIFICATION 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 Citt 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 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 Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days fro 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 commence ays (Sectio 106.4.4 Uniform Building Code). APPLICA ~ SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/29/2003 Permit# CB032379 Title: PEREIRA RES HOT MOP & RE-TILE Description: Type: MISC Sub Type: REPAIR Job Address: 2341 JEFFERS PL Suite: Lot 0 Location: APPLICANT HAMMOND & MASING CONTRACTORS Owner: PEREIRA TREVOR X&JOAN M Remarks: AM PLEASE Total Time: Act Comment Inspector Assignment: JM --- Phone: 6192477769 Inspector: ---- Requested By: RUDY Entered By: CHRISTINE CD Description 19 Final Structural .li_ _______ _ 29 Final Plumbing Associated PCRs/CVs Inspection History Date Description 09/08/2003 27 Shower Pan/Roman Tubs Act lnsp Comments AP JM