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Home My WebLink About2376 MERWIN DR; ; CB040205; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-20-2004 Miscellaneous Permit Permit No: CB040205 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2376 MERWIN DR CBAD MISC Subtype: REPAIR Status: Parcel No: 2081621900 Lot#: 0 Applied: Valuation: $0.00 Reference #: Project Title: DELAMATA RES-HOT MOP & TILE MASTER 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 Entered By: Plan Approved: Issued: Inspect Area: Owner: DELAMATA FELIX B&ROSEANNE D 2376 MERWIN DR CARLSBAD CA 92008 ISSUED 01/20/2004 RMA 01/20/2004 01/20/2004 $89.00 $0.00 $0.00 $89.00 Total Fees: $89.00 Total Payments To Date: $0.00 Balance Due: Inspector: FINAL Date: L 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. 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 whi I N E i ii r h' r f Ii I h rw· PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK No.C(3 a1./0J DS EST. VAL. _________ _ Plan Ck. Deposit (}t! Validated By ',. , .---LfF:. Date I ~ a/ot-; Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# S.tate/Zip Telephone# (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. }h,e provisions of the Contractor's License Law (Chapter 9, commendmg with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged mption. Any violation o(jPl:tion 7031.5 by, any applicant fo~ a permits bjec~t~e ap ·,c,rt to a ivil penalty of not more than fve hundred ,d,9llars ($500)1. 1 ',, 0 r I c.. F--4 '(.,I C ..,5 '6·,J. I/() Designer Name Address City State/Zip Telephone State License # _________ _ 6. WQJiK..l;J'IS' COMP~§ATION 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 of the 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 pensation insur ce carrier and policy number are: Policy No. /60 ~'1 Expiration Date l¾J/<:J'1 (THIS SECTION NEED NOT BE C PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 CERTIFICATE OF EXEM TION: 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 rkers' Compensation Laws of California. WARNING: Failure t tion coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred st of compensation, damages as provided for In Section 3706 of the abor code, Interest and attorney's fees. DATE ~ 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 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 _________ _ [@Mfl..UE.JHIS SECitQ!'i.fQR NON./fiSIDENTIAI. 81.JJIJ)IN_G l'E.B""1I.f> 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 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? O 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 ANO THE AIR POLLUTION CONTROL DISTRICT. ~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). 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 limitation and become null and void if the building or work authorized by such permit is not mane d within 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 co or a period of 180 days (Section 106.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance DATEl¥'7 · City of Carlsbad Bldg Inspection Request For: 01/22/2004 Permit# CB040205 Title: DELAMATA RES-HOT MOP & TILE Description: MASTER SHOWER Type: MISC Sub Type: REPAIR Job Address: 2376 MERWIN DR Suite: Lot 0 Location: APPLICANT HAMMOND & MASING CONTRACTORS Owner: DELAMATA FELIX B&ROSEANNE D Remarks: PM PLEASE Total Time: ----- CD Description 17 Interior Lath/Drywall Inspector Assignment: Phone: 6192477769 Inspector: ---- Requested By: RUDY Entered By: CHRISTINE 27 Shower Pan/Roman Tubs 6:.-Comment 'P------ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments