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Home My WebLink About2343 MERWIN DR; ; CB021954; Permit\ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-28-2002 Plumbing Permit Permit No: CB021954 Job Address: Permit Type: Parcel No: Reference #: Project Tille: Applicant: Building Inspection Request Line (760) 602-2725 2343 MERWIN DR CBAD PLUM 2081616000 Lot#: 0 Construction Type: NEW SIERRA RES-HOT MOPE & TILE TO EXISTING TILE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: HAMMOND & MASI NG CONTRACTORS SIERRA SANTIAGO A&VIRGINIA T ISSUED 06/28/2002 RMA 06/28/2002 06/28/2002 STEE 9770 CARROLL CENTER RD 92126 858 536-2440 2343 MERWIN DR CARLSBAD CA 92008 0317 )6/28/02 J002 '.l: Total Fees: Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain $89.00 Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Total Payments To Date: 0 0 0 0 0 0 0 FINAL APPROVAL Date: rz-lb 12 -z-I $0.00 Balance Due: Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $69.00 $0.00 $0.00 $0.00 $89.00 $89.00 NOTICE: Please tak at approval of your project includes the ulmposition" 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 . I •h i~ PERMIT APPLICATION FOR OFFICE USE O)1-LJ PLAN CHECK NO.~ 2-,/fSc/' CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit 7'JJ Valida: B,,v ~ . cJ4::. Date / ;) £/_ ..2 I ~'v I • . 1. PROJECT INFO~ ;)393 ~V) Address (include Bldg/Suite #) /o9 Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use SQ. FT. #of Stories # of Bedrooms # of Bathrooms ~-CON.I.ACT PERSON (If different from eppllcant) Name City State/Zip Telephone# Fax# 3. APPLICANT O Contractor o ·own_er 0 Agent for Owner Name Address City State/Zip Telephone# /111u-r,,.111c """"' State/Zip Telephone II ~ ,Jo,· (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 exem tion. Any violation f Section 7031. y any applicant for a permits bjects the pplicant to a civil penalty of not more than five hundred dollars ($500)). 7 0 . ~ -SJ~ City State/Zip Q_/ TelJphone # State License# J'j; $})_ License Class /S 1/Je, City Business License II /" Jl.../([5 Address City State/Zip Telephone ~-Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: G--,J 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 tf'li 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 Is issued. My worker's compensation insurance carrier and policy number are: Insurance Company_____________________ Policy No.____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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: Fallure to aecura workers' compensation coverage la unlawful, and ahan subject an employer to criminal penalties and civil flnaa up to one hundred thousand dollars ($100,000), In addition to the coat of compenaation, damages aa provided for In Section 3706 of the Labor coda, Interest and attorney's fees. SIGNATURE::-:::=:::::::;:::;::::;:::::::;:::-::--:;::::::::=--==--==-:::;;;:;-~-=:--:==:;;:-::;;:-:;;;:;;:::;;:--:;;:;::;;::;; DA TE fi. OWftER-BUILDf;R DECLARATION ___ ,,___ ',.;;;-;;;;;:;;:;;;;;;;;:;;:::;;;;;;;;;;;;;;::=:::;;:;:::;; t I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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(sl 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 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 SIGN.ATURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMIT~ ON!.Y 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? 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. rs. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). 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 Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. ·1 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 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permil issued by th uildlng Official under lhe provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permil Is not comme ed within 180 days fr e date of s h permll or If the building or work aulhorized by such permit Is suspended or abandoned at any lime afler the work is commen for a period of 18 s (Section 10 .4.4 Uniform Building Code). DATE l ' WHITE: File YELLOW: Applicant PINK: Finance • ~ w City of Carlsbad Bldg Inspection Request For: 12/13/2002 Permit# CB021954 Title: SIERRA RES-HOT MOPE & TILE TO Description: EXISTING TILE Type: PLUM Sub Type: Job Address: Suite: Location: 2343 MERWIN DR Lot 0 APPLICANT HAMMOND & MASING CONTRACTORS Owner: emarks: Total Time: CD Description Act Comment Inspector Assignment: Phone: 6192477769 Inspector: Requested By: RUDY Entered By: CHRISTINE 19 Final Structural 29 Final Plumbing i===fl:1Jli=4--c=t---========== Associated PCRs/CVs lns[1ection Histo,:y Date Description Act lnsp Comments 07/10/2002 17 Interior Lath/Drywall AP RF OK TO TILE 07/09/2002 17 Interior Lath/Drywall WC RF 07/09/2002 27 Shower Pan/Roman Tubs AP RF I to 7