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Home My WebLink About2348 JEFFERS PL; ; CB032961; Permit(' (' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ."' 'v 10-29-2003 Miscellaneous Permit Permit No: CB032961 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2348 JEFFERS PL CBAD MISC Subtype: REPAIR Status: Parcel No: Valuation: Reference #: Project Title: Applicant: 2081620400 $0.00 CONDON RES-HOT MOP & TILE MASTER SHOWER HAMMOND & MASING CONTRACTORS STE E 9770 CARROLL CENTER RD 92126 858 536-2440 Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: CONDON SCOTT M&CORINNA K 2348 JEFFERS PL CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees PERMIT FEE TOTAL PERMIT FEES ISSUED 10/29/2003 RMA 10/29/2003 10/29/2003 $89.00 $0.00 $0.00 $89.00 Total Fees: $89.00 Total Payments To Date: $0.00 Balance Due: $89.00 7530 10/29 /03 0002 01 CGP Inspector: 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/exacions 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 ion of ih hv vi lb ni n NTIEimilr hi r whi h efi inh rvi I hi 02 89-00 PERMIT APPLICATION FOR OFFICE USE °N PLAN CHECK NO.U) {fJ dC/6 ( CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit -----,."1,------ Validated By/ £ Date / ~ r). t?/ /@,~ Business Name (at this address) Legal .Description Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms Fax # 0 C9ntractor 0 Owner Name Address City State/Zip Telephone# Name Address State/Zip Telephone# [~, C.ONI.RA!.J~ • COJ,1PANY 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 exempt' n. Any violation of 2;c~/n ~031 r~;y lica forf ;:mit subjects the applicant to a civil pen~~f no9 ;e th6 five hu,%o~S J5t& <;~/ Address 1 ; / City State/Zip Telephone # State License# "? hS)L License Class lln'!? City Business License# a J._n('f Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPE(IISATlON . Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ve 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 ork 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 com and policy number are: Insurance Company I' r.., Policy No. / 602"'K'6/ (THIS SECTION NEED NOT BE COMPL TED IF THE PERM1-r1s FOR ONE HUNDRED DOLLARS ($100) OR LESS) Expiration Date 11/lf;,J§ 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' Compensatio aws of California. WARNING: Failure to I re workers' p ation coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred , 00 e cost of compensation, damages as provided for In Section 3706 of the La or code, Interest end attorney's fees. DATE O b2, ;J'? SIGNATURE.____,w,""""'--~~..c..---':::-------------------- W~~-• 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 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). 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 and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D 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 SIGNATURE _______________________ _ DATE __________ _ COMPLEI.E THIS SECTION FOR NON-RESIDENTIAL BUI.IJ)l"!.QJ.'ERMJI§ ONLY 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 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 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? D YES D NO Is the facility to be constructed w ithin 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. 6~~Ifill£IION t;~H!G AGJNCY ___ ___:_. •--.., I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS. ________________________ _ [9 AePIJ~~ ~EI\TIEICATION 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 5'0" 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 wit · 180 days from th s permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced of 180 da1\/.9'~~irn1"'1tl6.4.4 Uniform Building Code). ' APPLICANT'S SIGNATURE ___ ....., _____ ... ..:_-:,-;,~=-----------DATE /d qp_;:) WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 11/10/2003 Permit# CB032961 Title: CONDON RES-HOT MOP & TILE Description: MASTER SHOWER Type: MISC Sub Type: REPAIR Job Address: 2348 JEFFERS PL Suite: Lot 0 Location: APPLICANT HAMMOND & MASING CONTRACTORS Owner: CONDON SCOTT M&CORINNA K Remarks: AM PLEASE Total Time: CD Description Act Comment Inspector Assignment: JM --- Phone: 6192477769 Inspector: ---- Requested By: RUDY Entered By: ROBIN 17 Interior Lath/Drywall f,:£, _________ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments