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Home My WebLink About2371 MERWIN DR; ; CB033259; PermitCity of Carlsbad l • 1635 Faraday Av Carlsbad, CA 92008 11-21-2003 Miscellaneous Permit Permit No: CB033259 Building Inspection Request Line (760) 602-2725 Job Address: 2371 MERWIN DR CBAD Permit Type: MISC Subtype: REPAIR Status: Parcel No: 2081621000 Lot#: 0 Applied: Valuation: $0.00 Reference#: Project Title: BILAR RES HOT MOP RE-TILE 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 Entered By: Plan Approved: Issued: Inspect Area: Owner: BILAR JOHN F JR&SASHA S 2371 MERWIN DR CARLSBAD CA 92008 ISSUED 11/21/2003 SB 11/21/2003 11/21/2003 $89.00 $0.00 $0.00 $89.00 Total Fees: $89.00 Total Payments To Date: $0.00 Balance Due: $89.00 9293 11/21/03 0002 01 CGP Inspector: FINAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition· off , 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. 02 89,, JO PERMIT APPLICATION . CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. c.)?o'sJ'Z0>)' EST. VAL. __________ _ Plan Ck. Deposit~~------- Validated 8/1 ,,~ Date f I I Z__:__ _ I I Business Name {at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Proposed Use II of Bedrooms II of Bathrooms ~- APPLICANT O Contractor 0 Owner Name Address City State/Zip Telephone II Name City Telephone II 6. CONTRACTOR -COMPANY 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 e An io~on ~,,7031.5 :? applicant f r a permit s ject ;e ap ;_ant to 1vil penalty of not 4 re the five hun red s~Q~ j>6 ,l ~~ Name Address /")~ /J City State/Zip Telephone II State License II 7 l{] ) / J.-License Class &.,T/ff C:,., City Business License II J;../? '-/,65' Designer Name Address City State/Zip Telephone State License II _________ _ 8. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: --.....S£:t 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 ~ work for which this permit is issued. O orkers' 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 co n tion insurance carrier d policy number are: /_ Insurance Company ~--.,a....c.--'OC..,,'"-2S,-,:-,,c..-.,ur"':...L....,.1§,f-----Policy No._~/_6'/_~7W't-~'-'~----Expiration Date / 3/3/jtJ {THIS SECTION NEED NOT BE CO OR ONE HUNDRED DOLLARS [$100) 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: Fallure to aecure workers' com en on co • unlawful, and ■hall 1ubjact en employer to criminal penalties and civil fines up to one hundred thousand dollars {$100,000), In additio!J>-1:lf.:l"I.<: compensation, damages as provided for In Section 3706 of the Labor code, Interest and ettomey'1 fees. SIGNATURE:-:::-:::-:=:--::::;;;:::::22 ;.2':::J!'"""-:C::~:;:-:..-------------:::::=-DATE / 1.)2.J J2? · 7. OWNER-BUILDER DEClA r77 · 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). 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). 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 _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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, 25633 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 LENl,l!NG AGENC 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 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 in 180 days fro 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 comma eriod of 1 ys (Section '106.4.4 Uniform Building Code). \ WHITE: File YELLOW: Applicant PINK: Finance DATE ...,,,-...(f?._,/,._'2~1/--CJ,-~ ___ _ City of Carlsbad Bldg Inspection Request For: 12/04/2003 Permit# CB033259 Title: BILAR RES HOT MOP RE-TILE Description: Type: MISC Sub Type: REPAIR Job Address: 2371 MERWIN DR Suite: Lot 0 Location: APPLICANT HAMMOND & MASING CONTRACTORS Owner: BILAR JOHN F JR&SASHA S Remarks: Total Time: CD Description 17 Interior Lath/Drywall At._ Comment Inspector Assignment: Phone: 6195182278 Inspector: ~ Jl,v\, ---- Requested By: DERICK GRANT Entered By: CHRISTINE 27 Shower Pan/Roman Tubs £ _E_,,.-=~-------,-l,_£.-r-1'i~,,~-&...,,.,.J/4-mct~, 1--t--. -- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments \ \ \ 1 l. I ( ., ( \ ; i ru• llfltl z.,•., FOi UN 11000 BLOCC:S AIO(l'Jfl) TOP Ul'D 31Df3 Of Sl.t7 PLJVOOD rLOOI BOTTOM FLANGE OF DRAIN SET FLUSH ~ITH FLOORING. BLOCKIJG TO EXTEND 4'' ABOVE CURB OR DAH. .. . , ·--_____ ...,. ':,pLJ!a,u. noi..l'.: ~04l LLak4 occu~ at U..i.4 jo.i.ni.. I \IAST PIPE D.RAIN GRILL TILE c.,;o,-.: - ol ~ 0 0 ,..MORTAR ,-n O -. . ;r 6 CJ ~ ~ -TAR SLOPE P,L)'\IOOD BOLTS COMPRESS TAR/FELT MEMBRANE BETWEE* DRAIN TOP AND DRAIN BOTTOM