HomeMy WebLinkAbout2343 MERWIN DR; ; CB031648; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008 . ~
06-16-2003 Miscellaneous Permit Permit No: CB031648
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference#:
Project Title:
Building Inspection Request Line (760) 602-2725
2343 MERWIN DR CBAD
MISC
2081616000
$0.00
Subtype: OTHER
Lot#: 0
SIERRA RES-HOT MOP SHOWER@
DOWN STAIRS BATH
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
06/16/2003
RMA
06/16/2003
06/16/2003
Applicant:
HAMMOND & MASING CONTRACTORS
Owner:
SIERRA SANTIAGO A&VIRGINl~O 06/16/03 0002 01 02
CGP 89-00
STE E
9770 CARROLL CENTER RD 92126
858 536-2440
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $89.00
2343 MERWIN DR
CARLSBAD CA 92008
PERMIT FEE
Total Payments To Date: $0.00
$89.00
$0.00
$0.00
$89.00
Balance Due: $89.00
FINAL APPROVAL
CLEARANCE
--------
PERMIT APPLJCATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE O~ Y.1
PLAN CHECK No. Ci)dJ j~c._(:f
EST. VAL. __________ _
Plan Ck. Deposit---~-----
Validated B?: /~
Date 0_ //b __ l~
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
City State/Zip Telephone#
Name Address City State/Zip Telephone#
(Sec. 7031.6 Buslne-ss 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
tion. Any violation of Section 7031 by an ap111'cant for a permit subj cts the plicant to a civil penalty of n t more than five hundred dollars ($5001).
1 re-, =< (, *5.7?
State License # _J--'---l.f__,_1--=---S~J=l-=---
Address
License Class _/.5,~-~-'--'-'/_C---_____ _
City State/Zip Telephone II
City Business License # /2_/ J'fl{J
Designer Name Address City State/Zip Telephone
State License #
..--=,·.o,.,_.,RK§!'Sr Q~$ATIQ ~ ~ ~ ·"'<·' ..,;i. :<(, I ~' ""
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
"-}., 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
~e 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 co"JP."'sation insurance carrier and policy number are:
Insurance Company f..J~n!J; , aQ-n,c.. Policy No. It 07 r? L
(THIS SECTION NEED NOT BE~ T~D IF THE PERMlt IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
Expiration Date / ~~4
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
mpensation Laws of California.
o secure w rke ' compensation coverage la unlawful, and shall subject en employer to criminal penaltlea and clvll fines up to one hundred
thousand dollars ,0 OJ, In a I on to the coat of compensation, damages ea provided for In Section 3706 of th bor code, interest and attorney's fees.
DATE /, c,))
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 _with the following person (firm) to provid; 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): _________________________________________________ _
6. 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): ____________________________________________________________ _
~~~-i.u,.\, ~
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 Act7 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 site7 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.
t/1 · 90.~~J.Rll_gIJQ. _LE.t"DJ~ENC't ·~1'i,..~;~S\l;.,;:e•· . ~ •
I hereby affirm that there is a construction lending agency for the performa_nce of the work for which this permit is issued (Sec. 3097(i) Civil Code).
,.
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 Cit\! of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALS.O 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 GR~NTING 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 the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorlzc,'1 by such permit is not commenced wit · 180 da fro n.ll'le"idateciRuch permit or if the building or work authorized by such permit Is suspended or abandoned
:~::~ct~ ~;e;I:~:;~:; commenced f e ' d O <----:::.,, 1 6.4.4 Uniform Building Code). DATE _6/~7 .. Z_.,:¼_~ ... ;,.,c;.~u .... 2<---------
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 06/26/2003
Permit# CB031648
Title: SIERRA RES-HOT MOP SHOWER @
Description: DOWN STAIRS BATH
Type: MISC Sub Type: OTHER
Job Address: 2343 MERWIN DR
Suite: Lot 0
Location:
APPLICANT HAMMOND & MASING CONTRACTORS
Owner: SIERRA SANTIAGO A&VIRGINIA T
Remarks: EARLY AM PLEASE
Total Time:
CD Description Act Comment
Inspector Assignment: JE ---
Phone: 6192477998
Inspector: 6ftl ---=;....;.-
Requested By: MATT
Entered By: CHRISTINE
17 Interior Lath/Drywall _M!_ ___________ _
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
06/24/2003 14 Frame/Steel/Bolting/Welding AP JE HOT MOP