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HomeMy WebLinkAbout2375 MERWIN DR; ; CB041925; PermitJ,S<07eJ0 ~ City of Carlsbad \-t /J ~ 1635 Faraday Av Carlsbad, CA 92008 05-2~-2'504 \(\/\~C.\~ Miscellaneous Permit Permit No: CB041925 I V \IJW a , Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2375 MERWIN DR CBAD MISC 2081621100 $0.00 Subtype: OTHER Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: ISSUED 05/21/2004 KMT 05/21/2004 05/21/2004 Project Title: MILLER RES-HOT MOP & TILE EXISTING MSTR BTH SHOWER 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: MILLER BRIAN F 2375 MERWIN DR CARLSBAD CA 92008 Total Fees: $89.00 Total Payments To Date: $0.00 Inspector: Date: Issued: Inspect Area: $89.00 $0.00 $0.00 $89.00 Balance Due: Clearance: $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 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. PERMIT APPLICATION CITY Olr CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. G8 D l//9 2S- EST. VAL. __________ _ Plan Ck. Deposit ----,-.....,.-,---,---- Validate~fY~ Date :ii C>LI /o~ Address (include Bldg/Suite I) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use I of Bedrooms I of Bathrooms D ContraC}!or O.0wnar Name Address City State/Zip Telephone I State/Zip City Business License Address City State/Zip ....,._......,..,§RS'C~IiSATLQ!II 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 of the work for which this permit is issued. · 0 I have and will maintain worker~• 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 ensation Ins ranee arrier and policy number are: (THIS SECTION NEED NOT BE COMPL Expiration Date /~/ o/<?1 7 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: Failure to secure thousand dollars ( • 1 00 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 auch 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 I 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): ______________________________________________ _ 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 _____________________ _ DATE _________ _ COMPLETE THIS SECTIOt,I FOR NON-R~SIDENnAL 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 25605, 25633 or 26634 of the Presley-Tanner Hazardous Substance Account Aot7 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~nstructed 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 ANO THE AIR POLLUTION CONTROL DISTRICT. e •· &Qhl,f.B!lc:usm 1,~~QLttG A~E~i;;y___ ~--·-· _ ,. ·-.. ---• _ ....... , 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). -~ 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 s•o· deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit Issued by the bu' ·ng 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 ithin 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 commen r a peri 80 days (Section 106.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance DATE 51/?'P'J -I City of Carlsbad Bldg Inspection Request For: 05/27/2004 Permit# CB041925 Title: MILLER RES-HOT MOP & TILE Description: EXISTING MSTR BTH SHOWER Type: MISC Sub Type: OTHER Job Address: 2375 MERWIN DR Suite: Lot 0 Location: APPLICANT HAMMOND & MASING CONTRACTORS Owner: MILLER BRIAN F Remarks: AM INSP PLEASE Total Time: CD Description Act Comment Inspector Assignment: Phone: 6192477769 Inspector: ---- Requested By: RUDY Entered By: ROBIN 17 27 Interior Lath/Drywall Shower Pan/Roman Tubs M----~--~---'-'-+-· ------- Af!----1('--:C--~P'-MI .............. M~*~---- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments ( I ( ( ( ru, 2116 IIOOD ILOCIS AlOUIID TOP .a,10 :SIDES or sin h.10 vooo f'J.C!. surs .t, l'ILOCIS ~ .. \,\, VITI 1LJ1/00D , .. 1 t,.C.,.~\.1.•"009 •"' THI[!. ZJ:4 '• FOi UN PLJVOOD FLOOI BOTTOM FLANGE OF DRAIN SET FLUSH AlTH FLOORING. BLOCKI~G TO EXTEND 4" ABOVE CURB OR DAM. ·- . ---______ __. a'< ~pL.e.a.6,e noi.e.: Ao.6l L,eak.6 o~cu4 al U.1..6 joi.ni. DRAIN TOP DRAIN BOTTOM \IAST PIPE DltAIN GRILL TILE c.;o,-.:· . 0 / ~ o O ,..MORTAR t 'J O o ,l(..,.. :.,. _, ["" '\,J ... TAR SLOPE P,L)'.VOOD BOLTS COMPRESS TAR/FELT MEMBRANE BETWEEN· DRAIN TOP AND DRAIN BOTTOM