HomeMy WebLinkAbout2344 JEFFERS PL; ; CB070532; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-26-2007 Plumbing Permit Permit No: CB070532
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2344 JEFFERS PL CBAD
PLUM Status:
Parcel No: 2081615800 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #:
Project Title: GROVE RES HOT MOP & DRAINfTILE
TO EXISTING MSTR SHOWER
Applicant:
HAMMOND & MASING CONTRACTORS
STE E
9770 CARROLL CENTER RD 92126
858 536-2440
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
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
0
0
0
0
0
0
0
Plan Approved:
Issued:
Inspect Area:
Owner:
GROVE JAY R&VICKI F
2344 JEFFERS PL
CARLSBAD CA 92008
ISSUED
02/26/2007
KG
02/26/2007
02/26/2007
$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
Total Fees: $89.00 Total Payments To Date: $89.00 Balance Due:
Inspector: Date: Clearance:
$0.00
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 pennit 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 infonnation 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 annut 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
f x in fwhih uhv vi 1 nivn T hi ratwhihh flimi in i I xird.
FOR OFFICE USE ONLY
PLAN CHECK No.C!3I) 763.2/
PERMiT AP-PLICATION EST. VAL ---------=--
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Legal Description Lot No. Subdivision Name/Number
2.
3. APPLICANT □ Contractor □ Agent for Contractor □ Owner
Name Address City
4. PROPERTY OWNER
Name
Unit No. Phase No. Total# of units
# of Bathrooms
Agent for Owner
State/Zip Telephone#
State/Zip Telephone#
5. CONTRACTOR -COMPANY NAME
(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 7031.5 by
anY. a plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollar $500]).
• ,I # . Ci,
Name Address Jilj City
State License# 7 Y7 S /).. License Class. 0
State/Zip TE;l~one #
City Business License# __.b'-'~"-'.....:=~::....:..~,:::~=-~-----
Designer Name Address City State/Zip Telephone#
State License# ________ _
6. WORKER'S COMPENSATION
Workers' Compensation Declaration: I hereby affirm under 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 '!t)lich this permit is issued.
~ I have and will maintain worker's 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 i
Insurance Company J~::rll!lt4,_!i.HJ.~W,------Policy No. /Ctv.SOI., SI-M Expiration Date_/....,~,::: .. a--. .... ~~b;:..,.,...,)c__ ___ _
(THIS SECTION NEED NOT BE OMPLETE IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS)
D 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 S&cure workers' compensation coverage Is unlawful, and shall subject an employer to crlmlnal penalties and clvll fines up to one hundred thousand
dollars($100,000), In ad ·-"--~-, damages are provided for In Section 3706 of the Labor Code, Interest and attorney's lees,
SIGNATURE_J~~~---!'!:::::::::~~!!:':!!~-----------------DATE . ..,~~==-=~b""'-?=------
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor·s License Law for the following reason:
D I, as owner of the property or my employees with wages as their sole compensation, will d 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).
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).
□ 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. □ YES D NO
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 I 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 I phone number/
/ontractors 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 ___________ _
WHITE: File YELLOW: Applicant PINK: Finance
m . .
. City of Carlsbad Bldg Inspection Request
For: 02/28/2007 .
Permit# CB070532
Title: GROVE RES HOT MOP & DRAINfTILE
Description: TO EXISTING MSTR SHOWER
Type: PLUM Sub Type:
Job Address: 2344 JEFFERS PL
Suite: Lot 0
Location:
APPLICANT HAMMOND & MASING CONTRACTORS
Owner: GROVE JAY R&VICKI F
Remarks:
Total Time:
CD Description Act Comment
Inspector Assignment:
Phone: 6195724742
Inspector: ----
Requested By: NA
Entered By: JANEAN
24 RoughfTopout ~ k-1,ft ✓ 5/4ot,,J,&/ f4h,
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments