HomeMy WebLinkAbout2356 MERWIN DR; ; CB022756; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-16-2002 Miscellaneous Permit Permit No: CB022756
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Building Inspection Request Line (760) 602-2725
2356 MERWIN DR CBAD
MISC
2081622400
$0.00
Subtype: REPAIR
Lot#: 0
KHATRI RES HOT MOP TILE TO EXT
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
09/16/2002
SB
09/16/2002
09/16/2002
Applicant: Owner: 6376 09/16/02 0002 01
HAMMOND & MASING CONTRACTORS
STE E
9770 CARROLL CENTER RD 92126
858 536-2440
Total Fees: $89.00
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Inspector:
KHATRI SHAHNAWAZ&SHABANAS CGP
2356 MERWIN DR
CARLSBAD CA 92008
Total Payments To Date: $0.00
PRMITFEE
Balance Due:
Clearance:
$89.00
$0.00
$0.00
$89.00
$89.00
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 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
f /exactions f whi h ou hav r vi I been iv n N TICE similar t hi r as to which the tut f limitation ha reviousl h rwi x i d.
02
89-00
\
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECTINFO~:O~ ;?,356" ~lb
FOR OFFICE USE ONLY
PLAN CHECK NO. {)!3':YL 2 7 j1:,
EST. VAL. __________ _
Plan Ck. Deposit~
Validated BJ -~~~--------
Date f I f §/0 7 '
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Existing Use Proposed Use
SQ. FT. #of Stories # of Bedrooms # of Bathrooms
~ CON.I.ACT Pj;ijSON (If different tNm appl)cant)
Name Address City State/Zip Telephone# Fax#
3. AP ICANT O Contractor O Ag__ent for Contractor O Owner O Agent for Owner
Name Address City State/Zip Telephone#
4. ~OPERTY OwriER 23,5& ~ !Jr Ler/J,A c'\ 1WOK 003 -/),/) K~lb 5 ah.,~,11,1--
Name Address City State/Zip Telephone#
6. CONTRACTOR • CPMPANY r,IAME
(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
tion. Any violation of Section 7031.5 by an applicant for a permit su jects th pp,al)l-tO a civil penalty of not ~re than five h'!!l_dred dollars ($50011.
I) : Cor , '7'v d' t: ~ 7.J./ ~---f]t~ 0
State License # _'7~_€.-f_;~S:~/_2...~-
Designer Name Address City State/Zip Telephone
State License # _________ _
8. WOR!,ERS' COMPENS~TION
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 compensation insurance carrier and policy number are:
Insurance Company ____________________ _ Policy No. ___________ _ Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
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: Failu o secure wor compensation coverage la unlawful, and shall subject an employer to crlmlnal panaltlea and clvll fines up to one hundred
thousand dollars $ 00, 00), I n to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE_NW'------'"""---,IL,-------------------DATE 9.7'"'~f--'//l/.~V=b--:~=--===:;.,__, __ ~~--
1, OWNER-BUILD DECLARATION ____ ____ 7 7
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
(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 lmprovervents 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,>roving 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). · • .....
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. 0 YES O 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 I 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 _________ _
COMPLETE THIS SECTIOJ,1 FOO NON-RESIDENTIAL BJllLDIN(lf'ERMITS ONL~--
ls 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 26605, 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.
8. CONSTRUCTION LENDING 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. APPLICANT CERTIFICATION
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 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 limitalion and become null and void if the building or work
authorized by such permit is not com ced wilhin 180 d 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 comm d for a perio 1 days (Section 106.4.4 Uniform Building Code).
DATE _..,,...;b~/4 ...... ~-~-!L.._ ____ _
YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 10/28/2002
Permit# CB022756
Title: KHATRI RES HOT MOP TILE TO EXT
Description:
Type:MISC Sub Type: REPAIR
Job Address:
Suite:
Location:
2356 MERWIN DR
Lot 0
APPLICANT HAMMOND & MASING CONTRACTORS
Owner: KHATRI SHAHNAWAZ&SHABANA S
Remarks:
Total Time: -----
CD Description Act Comments
Inspector Assignment: RF ---
Phone: 6195722472
Inspector: ,f#J(}" ~
Requested By: HOMEOWNER
Entered By: CHRISTINE
19 Final Structural
29 Final Plumbing
~-------
Associated PCRs/CVs
lns12ection HistoQ!
Date Description Act lnsp Comments
10/07/2002 19 Final Structural WC RF WRONG PERMIT#
09/20/2002 17 Interior Lath/Drywall AP RF
09/18/2002 17 Interior Lath/Drywall AP RF
09/18/2002 27 Shower Pan/Roman Tubs AP RF