HomeMy WebLinkAbout2383 MERWIN DR; ; CB041926; Permitv~leJl
: u City of Carlsbad r/'1--/l,~fld 1635 Faraday Av Carlsbad, CA 92008
05-21-~004 A/\llMIVl0-" Miscellaneous Permit Permit No: CB041926
V ¥ l....¼2>1 •c,-iilding Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2383 MERWIN DR CBAD
MISC Subtype: OTHER Status:
Parcel No: 2081621300 Lot#: 0 Applied:
Valuation: $0.00
Reference #:
Project Title: CAVOLT RES-HOT MOP & TILE TO
EXISTING MSTR BATH 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:
CAVOLT JAMES A&ALICIA L
2383 MERWIN DR
CARLSBAD CA 92008
ISSUED
05/21/2004
KMT
05/21/2004
05/21/2004
$89,00
$0.00
$0.00
$89.00
Total Fees: $89.00 Total Payments To Date: $0.00 Balance Due:
Inspector:
FINAL
Date: Clearance:
$89.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseNations, 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
f / x ion of hi h hav r I n iv n N Tl E imil r to hi r which h f limi r vi sl th rwi
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. CtoL//9 2~
Cl4Y Of CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
,. I PR~~l!IIFO~fi 3rt.Me A'adress (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units
Proposed Use
II of Bedrooms II of Bathrooms
Name Address City State/Zip Telephone I
·eactrJ,,t
City
·ec 970-27 =;&;--l27_;'lhl y
S.tate/zTp Telephone I
Designer Name Address City State/Zip Telephone
State License I _________ _
6. WORKJ;RS' c.QJIPENSATJQN
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 es 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)!' compensatio , as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
Issued. My worker's compe · and policy number are: , /
Insurance Company _........!C....1..!:'.Zll!t,'-"::::........L---"'.~'::..I.'.!(,,..______ Policy No. /6c.) LU '1
(THIS SECTION NEED NOT BE COM IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
Expiration Date_l_o/ ___ ~-~ ... ~--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 • ur rker1' compen1ation coveraga 11 unlawful, and ahaU aubject en employer to criminal penaltlea and civil flnea up to one hunclrad
thouaand dollar, 1•1 , In ~to the coat of compenaatlon, damage, aa provided for In Section 3706 of a or code, lntareat and attorney'■ feaa.
SIGNATURE ~ DATE
W.rtUlill.!l~~DON = ..
I heieby affirm that I am exempt from the Contractor's License Law for the following reason:
O 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 la
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, es owner of the property, em 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(&) 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):. ______________________________________________ _
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 _________ _
COM~LETE THIS SECTION F;OPJ!ON-RESIOENnAL 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 25634 of the Presley-Tanner Hazardous Substance Account Act7 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 slte7 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 .~ g..Q!!S'T!'!_UC.ItQtiJ!:~QJ~~.9!!'iC'( .-.-_,.~ .
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 __________________________ _
[ii_: AiPLIC~T CfflTIFICA T!Q.N
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 ls 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 ls e for of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATU
WHITE: File YELLOW: Applicant PINK: Finance
DATE _ _,.,,....f.,,...b ... _,t;,cP:__~ ____ _ --7 7
City of Carlsbad Bldg Inspection Request
For: 05/27/2004
Permit# CB041926
Title: CAVOLT RES-HOT MOP & TILE TO
Description: EXISTING MSTR BATH SHOWER
Type: MISC Sub Type: OTHER
Job Address: 2383 MERWIN DR
Suite: Lot 0
Location:
APPLICANT HAMMOND & MASING CONTRACTORS
Owner: CAVOLT JAMES A&ALICIA L
Remarks: AM PLEASE
Total Time:
CD Description Act Comment
-;,
Inspector Assignment: _) V\I\
Phone: 6192477769
Inspector: Y ~
Requested By: RUDY
Entered By: CHRISTINE
17 Interior Lath/Drywall M-~-~-+------~ f-r; ti;;;, i--27 Shower Pan/Roman Tubs
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
·,
BY_
(
(
(
TV•
Tffltl h:4'•
FOi DAN
1•6 VOQO ILOCtS
AlOIJICJt TOP HtD
!11D&!I Of S?n
1:1: 10 YOO[)
bLOCIS
BOTTOM FLANGE OF DRAIN SET FLUSH 4ITH FLOORING.
BLOCKI!G TO EXTEND 4'' ABOVE CURB OR DAM.
0
-----------
DRAIN
TOP
DRAIN
GRILL TILE
:,-, __ ..
\)
TAR
s-LOPE
P}.,)'VOOD
~pLLa~L noi..L:
no~J... LLak~ o~cU4
at. U.1.~ jo.i.n:l.
DRAIN
BOTTOM BOLTS COMPRESS TAR/FELT MEMBRANE
BET\lEEN· DRAIN TOP AND DRAIN BOTTOM
I
\lAST
PIPE