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Home My WebLink About2376 MERWIN DR; ; CB040496; Permit/~\\y 1/J . City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-13-2004 Miscellaneous Permit Permit No: CB040496 Job Address: Permit Type: Parcel No: Valuation: Reference#: Project Title: Building Inspection Request Line (760) 602-2725 2376 MERWIN DR CBAD MISC 2081621900 $0.00 Subtype: REPAIR Lot#: 0 DELAMATA RES-HOT MOP & TILE DOWN STAIRS BATH Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/13/2004 RMA 02/13/2004 02/13/2004 Applicant: HAMMOND & MASING CONTRACTORS Owner: DELAMATA FELIX B&ROSEANriil3fi 02/13/04 0002 01 02 STE E 9770 CARROLL CENTER RD 92126 858 536-2440 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $89.00 Inspector: 2376 MERWIN DR CARLSBAD CA 92008 PERMIT FEE Total Payments To Date: $0.00 $89.00 $0.00 $0.00 $89.00 Balance Due: Clearance: CGP 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 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 tl,a 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 seNice fees in connection with this project. NOR DOES IT APPLY to any x in f i h h I T E imil r whi he flimi has r th rwi FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. Cl>IJ'fl) l/C/ /p CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ') Validated By • }t4--= Date Q... / l J { () b{- Address (include Bldg/Suite #) Business Name (at this addressl Legal Description Lot No. Subdivision Name/N4mber Unit No. Phase No. Total # of units Proposed Use #of Stories # of Bedrooms # of Bathrooms Address City Telephone# 1 Name City S.tate/Zip Telephone# (li,t. 1 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to corstruct, altar, 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 by any appllcant for a permit subjects the a plicant o a civil pe lty <J!..not more than five hundred d,9Jl!!"s ($5001). c;;.,,. 7,;2.J "' ( ~ S ,;tr.)..lf'fo City State/Zip Telephone # State License # _ _...,c._<......!.--.==---License Class __________ City Business License # / A / J l/ ,(S Designer Name State License # Address ,:-:-:::;;;;:=,;~::;;i,,,;---;..~;;;;;; .... ~~~":,--... --,- City State/Zip Telephone 'fJ 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. 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 comP. nd policy number are: Policy No. /{jz 7 Jfi?:vJ JS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) Expiration Date / .Z. 15.,/@ '1 7 I O 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 aecur orkers' compensation coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ( $1 , In addition to SIGNATURE , . ' OW _C!,A8AI! ''•-· •' · . i'li.l.':l:l 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 salel. 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(sl licensed pursuant to the Contractor's License Lawl. 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 (firml 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 numberl: ______________________________________________ _ 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 _________ _ lC9.MP.,l;.~lliTI!.!.$c ~~Qil!Ui FQ.IL-¥~U{.i{~0'.JMt:1!3,il;,QJMQlP..fflM~:: '"''."l°'~;;i.~~u/~ii; ltMI'("' · · 11ifi ,' ru~,;_ ~ ., ~...!:.~-~ Is the applicant or future building occupant required to submit a business plan, acutely laaz_ardous 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? 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. ' I ~QHl;.tfil.)..Ql'JQ.N~JiQIHQ;/\J!t_;.«;, ~ ·r/i'.glw,,"s~cy;'~~~~~irli1l..:r~:!:.J'.~~¥L,~1;'~~;:.,,.;i:~~i..: ... ~. '; .:~ .:tb1.Ji :.:..~ . I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sac. 3097(il Civil Codel. LENDER'S NAME --------------------------LENDER'S ADDRESS !j, .emcANL.C1!!IlFi~;tiON~t,a,~-' '\!,, ' t\•11Ri'1'. ~.-."'.'-,1.,ij:-,~-.-: -•• -.-~---,:--. ------------------ 1 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 buildln Official under the provisions of this Code shall expire by limitation and become null and void II the building or work authorized by such permit is not comma d w· 180 days from t I uch permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenc f eriod of 180 d =(.Sect 06.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE _.._r1;;,,_./J......_,~,._'/~_l ___ _ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For 02/17/2004 Permit# CB040496 Title: DELAMATA RES-HOT MOP & TILE Description: DOWN STAIRS BATH Type: MISC Sub Type: REPAIR Job Address: 2376 MERWIN DR Suite: Lot 0 Location: APPLICANT HAMMOND & MASING CONTRACTORS Owner: DELA.MATA FELIX B&ROSEANNE D Remarks: AM PLEASE Total Time: CD Description ?< Comment ?£__ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: ~ Phone: 6192477769 Inspector: Ji\/\ Requested By: RUDY Entered By: CHRISTINE \ \ \ \ i ( ( ( \ ', ,· i TUB TKl!t h • • • FOi UN BOTTOM FLANGE OF DRAIN SET FLUSH ~ITH FLOORING. BLOCKIYG TO EXTEND 4'' ABOVE CURB OR DAM. \,OQO BLOCl S A.1O1/JID TOP Oil> 31Dt3 Of SlH PLJ\'OOD fLOOl D.RAIN GRILL TILE .. . , ---------- f.) DRAIN TOP TAR SLOPE P1,J\/OOD !pL.e.aJJ1t. n.o:1..1'.: BOLTS COMPRESS TAR/FELT MEMBRANE BETWBB~ DRAIN TOP AND DRAIN BOTTOM AoJJ:I.. L1t.ak6 occu~ a:I.. U.L1> jol.n.:I.. I VAST PIPE -----~·-·-------··