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Home My WebLink About2364 MERWIN DR; ; CB033054; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-07-2003 Miscellaneous Permit Permit No: CB033054 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2364 MERWIN DR CBAD MISC 2081622200 $0.00 Subtype: REPAIR Lot#: 0 Status: Applied: Entered By: Plan Approved: Issued: ISSUED 11/07/2003 KMT 11/07/2003 11/07/2003 Project Title: GEBERT RES-HOTMOP MSTR BATHROO Inspect Area: Applicant: HAMMOND & MASING CONTRACTORS STE E 9770 CARROLL CENTER RD 92126 858 536-2440 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Owner: GEBERT BRAD&MICHELLE 2364 MERWIN DR CARLSBAD CA 92008 $89.00 $0.00 $0.00 $89.00 Total Fees: $89.00 Total Payments To Date: $0.00 Balance Due: $89.00 8265 11/07 /03 0002 01 CGF· FINAL APPRO A INSP. JM._ DATE {/;/{ a3 CLEARANCE 02 89,00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. Cb 03305'f CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated fy k,K Date (JI J {D;J__ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use #of Stories # of Bedrooms # of Bathrooms City Telephone# Fax# 3. APPLICANT O Contractor 0 Owner O Agent for Owner Name Address City State/Zip Telephone# City S.tate/Zip Telephone# CONT_ll~CTOR • COMPANY ~AMI (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 e ttion. Any viola ion of Section 7031: by y applic nt for a er it subjects the applicant to a civil pe1/lty Jf not ore than ft.s1T~3!?," s ($500)). Address /} l) City State/Zip Telephone # State License # ) YJ ~ License Class D h L City Business License # 1.:;, 15 'f { S Designer Name Address City State/Zip Telephone State License # __________ _ Y.,OfiK~S' OMPENSA TI0N ers' 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 of the work for which this permit is issued. (THIS SECTION NEED NOT BE CO Expiration Date /~o7 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 Wor rs' Compensation Laws of California. WARNING: Failure to a e workers' compensation coverage la unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred 0), In n to the cost of compensation, damagea aa provided for in Section 3706 of the L bor cod · terest and attorney's fees. DATE / / -r-,H'-"C.!"'-----SIGNATURE:-:-:.-P':~IP"'.T.~~-;;;--=--------:::-----------::==:- 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 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, 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). 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 (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 __________ _ COMPLETUHIS SECTION FOR NON./IESIDENnAL BUILDING PERMITS 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 26605, 26633 or 26634 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? 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 AGEN_CY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) 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 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 ANO 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 with' 180 days fr te of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commence rl da ction 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE YELLOW: Applicant PINK: Finance DATE 1//~bq City of Carlsbad Bldg Inspection Request For: 11/18/2003 Permit# CB033054 Title: GEBERT RES-HOTMOP MSTR BATHROO Description: Type: MISC Sub Type: REPAIR Job Address: 2364 MERWIN DR Suite: Lot 0 Location: APPLICANT HAMMOND & MASING CONTRACTORS Owner: GEBERT BRAD&MICHELLE Remarks: AM PLEASE Total Time: CD Description Act Comment Inspector Assignment: Phone: 6192477769 Inspector: ---- Requested By: RUDY Entered By: CHRISTINE 27 Shower Pan/Roman Tubs Ar_ ___________ _ l1_ ,~t,< ,/ ( ,,_ fl.___ -fJ:----~--- ------------·-·------------ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments , ✓ ,11-f~diJ £:~; r-Vh;t;!--_JZ~ (' ( ( i ' " , . ;,: fKlt!. z.4, '• FOi UN :1•6 b'OOD 8LOCIS AlOVRJ TOP UID 3IDE3 Of SlH 1J 10 VOOI) l! LOCJ:5 ,uvooo rLOOI BOTTOM FLANGE OF DRAIN SET FLUSH KITH FLOORING. BLOCKIIG TO EXTEND 4'' ABOVE CURB OR DAN. ,.., Ci 0 ,,· --,, ·---------- ~pL.e.a.&.e noi.e.: ~odi. Le.akd occu~ a.l lki..& jol.n.l I VAST PIPE D.RAIN GRILL TILE TAR SLOPE P,LY\IOOD BOLTS COMPRESS TAR/FELT MEMBRANE BETWEEN· DRAIN TOP AND DRAIN BOTTOM APP~~ BY:--+~~- 1~0\/ o I z,JiB City of CARLSBAD BUILDING DEPT,