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Home My WebLink About2355 MERWIN DR; ; CB050683; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-07-2005 Miscellaneous Permit Permit No: CB050683 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2355 MERWIN DR CBAD MISC 2081620600 $0.00 Subtype: REPAIR Status: Lot#: 0 Applied: Entered By: Reference #: -~-----Plan Approved: --~-- Prpjee{1'itle: / /Applicant: DENSON R -REPAIR/HOT MOP EXISTING MA TER BATH ( 'HAMMOND & MASING CON STE E .___....J:IUIJ..i;.Att1;uLL CENTER RD 92126 858 536-2440 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Issued: Inspect Area: Owner: DENSON MARGARET E 2355 MERWIN DR CARLSBAD CA 92008 Total Fees: $89.00 Total Payments To Date: $0.00 Balance Due: ISSUED 03/07/2005 LSM 03/07/2005 03/07/2005 $89.00 $0.00 $0.00 $89.00 $89.00 3163 03/07105 0002 01. Inspector: ~ /. ;#2-FINAL APPROVAf. Date: "J{ft/b-, P I [;f3F" 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 '1ees/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 A' .,,J,1/'I, ,mu L.A•'" ::i '-l"Tl,...C · ' ' • • , ti.",..,.,, ... ,. nf ' ' ' , nti,,,.,,...,;.,,., ,.v,..;,,.,1 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. &v ~Obg 3 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ~ Validated By _ ___,,-----,-------- Date &jJ/05" Address (Include Bldg/Suite #) Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use #of Stories # of Bedrooms # of Bathrooms . -•L"·. : ",,-;, .. Address City l:a·J~i!i~!Ili,lf!PAN:t>!. l!): <;:pn~f.~ptp'rl}', .. ElfAg"e'nHor;C:.911tt11ctor ; 0. Owner ... TJ A'ger,t•Jqr;:Ov-.iner . .._., .. Name Address City State/Zip Telephone # ~1i~~-:~N)!if'ii;!i:;:~:~j;'~~7 -7d1'.J .fil: ·))~-:lo Or ··>56a/; Name Address City •· ·t~ S:at~i' ,, T~lepiiii ~C)fi/ iJ;:~t'.<iNfPCJTQ.6,.~lCP~\';'8AM.E.;t::i/,t,•1:,,;s:::2\ / .;:: ·.,,. · "' ,;.,,,:;,r-,r •. , .. ,,., ,.;;:•,··0: •• ,~, ··,·;::t•· .. :.,.:•::;,<',,!, (Sec. 7031.6 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 ptlon. Any violation of Section 7031.6 b any applicant for a permit subje ts the ap leant to a civil penalty of not more than five hundred dollars ($~01). 7.) Gr,., s: · S7 -01 "'>s"'"l License Class _ _,(!{'_.,_'-------- City State/Zip Telephone # City Business License # 7.,z 13''1(_( Designer Name Address City State/Zip Telephone State License # _________ _ ra.t1~WJ>Jfiiii~CO~!;N'$,;litl!:IN,.•J,!;_;(ec;t.:/. .., J ,rf',;.,, ;c): .. ,.'-,; ; •' • ... ~:j,•. ·,., : ·,:,;;;;;.~-'-;i< :> :~_;,, J"i(;, :.'-·-,. , , • '·· Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 which this permit is issued. ~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 c~ensation insura arrier and policy number are: Insurance Company ....'.!:~~-2~t£.-_.!.,;~~::!!:~-------Polley No. lcosor, YJl?O (THIS SECTION NEED NOT BE COMPLETED IF TH PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) Expiration Date /~/i"~ 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: Fallura. to aacw worlcer1' compeneatlon coverage Is unlawful, and shall subject an employer to crlmlnal penaltlea end civil fine■ up to one hundred thousand doUar, ($100 ), In addhion to tha cost of compeneatlon, damage■ a, provided for In Section 3706 of the L r ode, Interest and attorney's fees. ~:~1%~;;;:jili,_1~,wi;•;,[€i_!lt: .~JID.::!i• ~; __ ij~j~·,i·,[i:,fffl . .1.r6.· lii~~~~ij;~~~~~~~~~~~0 DATE.:';;" ;':l~75"~;;;::;i;:;;;~~i1J 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 ISec. 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, •'Tl exclusively contracting with licensed contractors to construct the project ISec. 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 contractorls) 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 lfirm) 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 I 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):. ________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ ~QMm'.it1;'.ht i'l1it~i!Jcif'.1Qbl:FoP/1iorJ~$,I/JNh~i-eij11:P.1N.o:eeaMff$dN1;Y.,s1/,:: DATE ----------- •-•,y-''~:.,a Is the applicant or future building occupant required to submit a business plan, acutely hazardous matecials 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? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. tlfrJl..i~Pft~ij9.,;1~Jil~iNOIJ~~ .. A9EN~~-· r. :1 J' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued ISec. 309711) Civil Code). LENDER'S ADDRESS ________________________ _ I certify that I have read the application and state that the above information is correct end that the information on the plans is accurate. I agree to comply with ail 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 l>ERMIT. 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 lhe 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 commence In 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenc r a f)eriod of 180~ection 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE -£.!.=;::i~---~~:::::::::.....!:.._______________ DATE -'"'~:>"V'--_'?'-c7~fr---=-------- WHITE: File ·YELLOW: Applicant PINK: Finance . @ City of Carlsbad Bldg Inspection Request . For: 03/30/2005 . Permit# CB050683 Title: DENSON RES-REPAIR/HOT MOP Description: EXISTING MASTER BATH Type: MISC Sub Type: REPAIR Job Address: 2355 MERWIN DR Suite: Lot 0 Location: APPLICANT HAMMOND & MASING CONTRACTORS Owner: DENSON MARGARET E Remarks: AM PLEASE Total Time: CD Description Act Comment Inspector Assignment: Phone: Inspector:~ Requested By: JEFF Entered By: CHRISTINE 4!1117 Interior Lath/Drywall All_ ________ _ 27 Shower Pan/Roman Tubs +------_Z<j_ _________ ~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments