Loading...
HomeMy WebLinkAbout2387 MERWIN DR; ; CB050104; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-11-2005 Plumbing Permit Permit No: CB050104 Job Address: Permit Type: Parcel No: Reference #: Project Title: ,-::'" Building Inspection Request Line (760) 602-2725 2387 MERWIN DR CBAD PLUM 2081621400 Lot#: 0 Construction Type: NEW . GAVRILENKO~RE-\\OT-MOP & TILE MASTER BAT -_ .. ---.----~--------------~' Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/11/2005 LSM 01/11/2005 01/11/2005 / Applicant: f HAMMOND & MASING CONTRACTORS / GAVRILENKO NATALIA LIVING TRUST ,. ___ vST~E;;EOO'!R€>!±-j3EllrfE!tmJ9:i12E:---97l'~ CAR 92126 858 536-2440 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 0 0 0 2387 MERWIN DR CARLSBAD CA 92008 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $69.00 $0.00 $0.00 $0.00 $89.00 Total Fees: $89.00 Total Payments To Date: $0.00 Balance Due: $89.00 J\M._ FINALtfPPF %VAL Inspector: Date: IJ Clearance: . ., ....... l V.J v~ 'Ji. •./,./., NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter ff>!l~lir.:1V referred to as "fees/exact1ons." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest thein, ou 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. NOA DOES IT APPLY to any fees/exactions of which 11ou have nreviouslv been riven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exr ired. "89 I :)0 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. (li:J o5" IJI O~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit --,""t---------- Validated By (~~ Date I /_L_JS I Business Name (at this address) Legal Description Lot No, Subdivision Name/Number Unit No. Phase No. Total II of units Proposed Use /lot Stories II of Bedrooms II ot Bathrooms ~~=r---a~,L.ID,U~--........... "---L,,,;::;_.-....cLL.L..u..L.1---,!.....i....1:.....U..:......::_~..1.,_----"-Ll"'-"--~:..:::....__..u,,=:::1.,l,,_--.....::::....::....=..--=--.:....:....lL Yio Nam a Address City Fax II ,; ~cAtffiit.l.i'll!J~o•' ra.a.t~;. Qi;~gent 1or~Co'litri!lloi:c,D:i:>wr1.i"i:;:;.:@ A;ent for Owner · State/Zip Telephone II I'?;.' 1 '" 7~;,1 I r ~.· . Name A drus City State/Zip Telephone II l;i c~tMctoli' •C01"1PAfOfNAMl;1'.t~ ~~½!#~..,.•·1~·•.'.;~:i1~'r.{'.t!"N'1':.." ·~•·!,"''~,C.1l',;\';;•-"71',:1-;:.'<••: ':'l\f••.~·. ·; (Sec. 7031.5 Business and Professions Code: Any City or County which requires I permit to construct, 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 Licansa Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that ha is exempt therefrom, and the basis for tha alleged a mption, Any vi latlon of Section 7031.5 by any applicant for a permit subjec the a :11crnt to a civil penalty of not more than five hundred dollars )$Ji00)). 1· ~ ,re,, (.). c... -S?(-J.'1l-/v City tate/Zip Telephone II State License II --"--+-....... -=--'--"--""---License Class -~~-------City Business License II )J.. 13'-ft,s Designer Name Address City State/Zip Telephone State License II _________ _ tit •• .Q.i,,tc'easr Qt>J.ie,:fi.,-~T10N~.r..t:..,i.~ ••• .:-""',.;!..··.:'d ... ...:;, ··~ .• :. ..• ,.L • • ..... : • :-• ,· _,_.., ,;1i,. , . Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of tha following declarations: O I have and will maintain a certificate of consent to salt-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of tha work for which this permit Is issued. ~ I have and will maintain workers' compensation, es raquirad by Section 3700 of tha Labor Code, for the performance of the work for which this permit is -~d. My worker's ~sation insura~rrier and policy number are: .., ..{_ 1 Insurance Company ~rl'?lz(,/._ ~i'._):;rrf'1l.y' _____ Policy No._j_(.£J5..J/'J'fJ.'0£_ Expiration Date / /~), (JS_ (THIS SECTION NEED NOT BE ""~L .. TED IF THE 'r'~ ..... 7 IS FOR ONE HUNDRED DOLLARS ($100) ON LESS) T 7 ' O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any parson in any manner so as to b&com• ~ubject to the Workers' Compensation Laws of California. WARNING: Fallura to a ura worltara' comp■nHtlon covaraga la unlawful, and ah■U aubJect an amployar to crlmlnal peneltla■ end clvll flnea up to one hundred thouHnd dollar• ($1 0), I a o the coat of companHtlon. damage• a, provided for In Section 3706 of th;L• der lntaraat and ■ttorney'a fees. =~:m.ii:~11~Li.1·ieli1~~i;~H1~mi.a~ .. liii~~~~~~~~~·~"'~b-:.ck' -~~;~~~,~~:~·~~~;-~.\.,,~;:~~ .. ~: ... t I hereby affirm that I am axampt from tha Contractor's License Law for tha following reason: O I, -as owner of the property or my amployaas with wages as their sole compensation, will do the work and the structure is not intandad or of farad for sale (Sac. 7044, Business and Professions Code: Tha Contractor's Licansa Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employa11, provided that such improvements are not intended or offered for sale. If, however, tha building or improvamant 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, ■s owner of the property, am axcluaively contracting with licensed contractors to construct the project (Sec, 7044, Business and Professions Code: The Contractor'• License Law doe■ 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 Law), O I am exempt under Section ______ Busln11s and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of tha proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit for tha proposed work. 3. I have contracted with tha following person (firm) to provide tha proposed construction (Include name / address / phone number / contractors license number): 4. I plan to provide portions of tha work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address I phone number/ contractors license number): ______________________________________________ _ 6. I will provide some of tha work, but I have contracted lhirad) tha following persons to provide tha work indicated lincluda name / address / phone number/ type of work): _________________________________________________________ _ Is tha applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26606, 26533 or 25534 of the Presley-Tenner Hazardous Substance Account Act7 · 0 YES O ND Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district 7 0 YES O NO Is the facility to ba 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. ~ ·,. :'-Q.NSTB.U~0'NJ,.E.!'J~~9ENCJj~ ,·lP.,.•~•-·•v; ·' : •;~ ;;•i1ni?-•il.''J.,e;:,·t·,':,,._..:....._,_,;:, •.• ....:.. . -;;.. .. :...,_, ~ -- ) hereby affirm that there is a construction lending agency for tha performance of the work for wliich this permit is issued (Sec. 3097(1) Civil Code). LENDER'S ADDRESS ________________________ _ f!i_"'· ' ·p..Pi:JcANT{CE8TIF.l.~1Uiti r r._~_;;,,:.i.-•~ .:,~.;.~~~~:._-,_~-..;_.,·~~:.;~, ~✓;, . ..;_,, •. ~-:. • .::....,, , ,: .:,1.;;, , .•. ~ ,i;,"·--..1•,f.,, I certify that I have read the application and at■te 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 tha 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 raquirad 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 ii the building or work authorized by such permit Is not commence 180 days from the date of such permit or If the building or work authorized by such permit Is suspended or abandoned al any lime after the work is commenc period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance DATE 1/l~/qJJ 7 fl . . City of Carlsbad Bldg Inspection Request For: 04/13/2005 . . Permit# CB050104 Title: GAVRILENKO RES-HOT MOP & TILE Description: MASTER BATH Type: PLUM Sub Type: Job Address: 2387 MERWIN DR Suite: Lot 0 Location: APPLICANT HAMMOND & MASING CONTRACTORS Owner: GAVRILENKO NATALIA LIVING TRUST Remarks: AM PLEASE Total Time: CD Description ---Inspector Assignment: j ""'- Phone: 6192477769 Inspector: ---- Requested By: RUDY Entered By: CHRISTINE As;t Comment ~,,( · ______________ _ 17 Interior Lath/Drywall "-X- 27 _s_h_o_w_e_r_P_a_n,_R_o_m_a_n_T_u_b_s __ t_-------------------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments l -~ I ( ( ( , TVD THIU 2J& '_, TOl DAN 2a6 \l'OOD IL.OClS UOVllll TOP Ufit :IIDU Of Sl.AT h 10 YOO() 8LOCIS PLJVOOD FLOOI BOTTOM FLANGE OF DRAIN SET FLUSH KITH FLOORING. BLOCKIJG TO EXTEND 4'' ABOVE CURB OR DAH. r, 0 0 .,· " ., ~pLLa-s,e noLL: no.st L,eak-s ~~CUA at. U..i.-s jo.i.nl DRAIN JlOTTOK \lAST PIPE DRAIN GRILL TILE TAR SLOPE P;L)'VOOD BOLTS COMPRESS TAR/FELT MEMBRANE BETWEEN· DRAIN TOP AND DRAIN BOTTOM