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Home My WebLink About2353 JEFFERS PL; ; CB032455; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB032455 Building Inspection Request Line (760) 602-2725 Job Address: 2353 JEFFERS PL CBAD PLUM Status: Permit Type: Parcel No: 2081620200 Lot#: 0 Applied: ISSUED 09/05/2003 CB 09/05/2003 09/05/2003 Construction Type: NEW Entered By: Reference #: Project Title: SHERES-HOT MOP SHOWER STALL &TILE 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: SHE SHIKUAN&DENG NIANHUI 2353 JEFFERS PL CARLSBAD CA 92008 $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: $0.00 Balance Due: $89.00 3488 09/05/03 0002 01 02 CGP 89 .. 00 FINAL APPROVAL INSP. ~ DATE 1{¼:(B CLEARANCE FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO,CJbo 3 z_q 5S' CiTY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated BY.,.....1G-1/b~..:::;... ______ _ Date q1:-a~ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms (2. COJUACT.f.'EIJSQJ\I (!f ,!llffet_ent fro111 applicant) Name Address City State/Zip Telephone# Fax# 0 Agent for Cont(l!Ctor .D Ow.ner O Agent'for Owner Address City State/Zip Telephone# $'arn.-c, 7.i.Pt?~ <3Jv 0:'1!.t YJt -9a Address State/Zip Telephone # CONT,8ACT08 ~MPANY NAM.!; (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, commendJng with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged Any violation of Section 7031.5 by any app · ant for a ermit su jects t e applicant to a civil penalty of ot more than five hundred dollars [$500)). Si'... --l l.fO Name State License # ') L{) 'SJ l- Address License Class -'-8 ....... _./.'-'-~-'-1/_C ___ _ City State/Zip Telephone # City Business License # /,2._J .:?y('f Designer Name Address City State/Zip Telephone State License # _________ _ 6. V{QRKERS' COMPENSAT!9N Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~--··: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 ~ 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 insurance carrier aJlP:;Policy number are: . / /_.., 'tr" (/J Insurance Company __ >k-+c...t-"""'-'Q~1--4=---',<k;-===·="""!i'----Polley No. t,C../Jj( 0 ../-Expiration Date J.;;j?~? 7 R ONE HUNDRED DOLLARS [$100) OR LESS) O 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. O 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). O 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). O 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 SIGNATURE ______________________ _ DATE _________ _ ti:::OMPLETE TijlS SECTION FOR NON-RESIQ.ff'J..U.AL IIUII.P.l!'f(l_J'.~RM!TUl~l,iY -·-~ ... --.... -------------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 7 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. bi. C.ONSTRUCTION LE.ND!NG 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 NAME ______________ _ LENDER'S ADDRESS __________________________ _ [9. AfPLICA T CERTIFIC~TION 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 commenc wit · 80 days fr date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time aft;,r the work is commen eriod of 1 aa s (Se 10n 106.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance DATE~ City of Carlsbad Bldg Inspection Request For: 09/26/2003 Permit# CB032455 Title: $HERES-HOT MOP SHOWER STALL Description: & TILE Type: PLUM Sub Type: Job Address: 2353 JEFFERS PL Suite: Lot 0 Location: APPLICANT HAMMOND & MASING CONTRACTORS Owner: SHE SHIKUAN&DENG NIANHUI Remarks: Total Time: CD Description Act Comment Inspector Assignment: JM --- Phone: 61924TT769 Inspector: ---- Requested By: RUDY Entered By: CHRISTINE 29 Final Plumbing #------- Associated PCRs/CVs Inspection History Date Description 09/18/2003 17 Interior Lath/Drywall 09/17/2003 27 Shower Pan/Roman Tubs Act lnsp Comments AP JM AP JM