HomeMy WebLinkAbout2395 MERWIN DR; ; CB021423; Permito-pS}-City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-10-2002 Plumbing Permit Permit No: CB021423
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2395 MERWIN DR CBAD
PLUM
2081621600 Lot#: 0
Construction Type: NEW
HASELHUHN RES/ NEW TRAP &
HOT MOP SHOWER
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
05/10/2002
CB
05/10/2002
05/10/2002
HAMMOND & MASI NG CONTRACTORS HASELHUHN MICHAEL D&ROii&lifl".IM/10/02 0002 01
STE E
9770 CARROLL CENTER RD 92126
858 536-2440
Total Fees:
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
$87.00
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
2395 MERWIN DR
CARLSBAD CA 92008
Total Payments To Date: $0.00
1
0
0
0
0
0
0
Inspector: Ut./t!..~ FINAL fo~PR~~L
Date: 'OtlJ/o
Balance Due:
Clearance:
$20.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$60.00
$0.00
$0.00
$0.00
$87.00
CGP
$87.00
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. lf 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
' ,nf,uh:,-.h.,,..,,h,,.,,.. ' •ho,..n '•-.,MnTlf"'C:'' \ ,<>t<'ll11+-9of"' ' ... __ • ·-• .. --•·=---u-:.-.a
02
87-00
'
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NoCftC2-/ q.2.-_.3
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By __ _:C=f!z...:::. _____ _
Date 5-I ()'02
;1. PROJECJ.INFORl\!A.TION ··• -r 23 'iS h n ,.IA
Address (include Bldg/Suite #)
fj r, 'J--L
l?Z
54,
Bkss Name (at this address)
Legal Description Lot No.
JA:'ii;w . ,SZ-1
Subdivision Name/Number Unit No. Phase No. Total # of units
xisting Use Proposed Use
sa. #of Stories # of Bedrooms # of Bathrooms
~~~Cl-~:.JS,~~~L___jfl~;;__a~~~~~~~~yr_~~L,--3!!-Wc.&t:~~
Name Address City
3:(ZiMAietrC~T:. ·ra:. Cantr8~~~rF .\:EJz~g_tndi;,1<COnti_Qcitq,r_ J>□;-owner · □ -~9erit·tor owner
Name Address City State/Zip Telephone#
"' ,:El;,-r::;w,ERu_~~A-~io_. .•. Zf?s
Name Address
C<rk•L, ✓ State/Zip
~ ~ ~18'-"8?c_
Telephone#
ti;;: :;,,~!lN:1:PCTOB:ia QO;.ii'AN"<'.!NAME • ·': • .
(Sec. 7031.6 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 the provisions of the Contractor's License law
(Chapter 9, commending with Section 7000 of Division 3 of the Business lmd Professions Code) or that he is exempt therefrom, and the basis for the alleged
n. Any violation of Section 7031.5 by any applicant for a permit subjects the ap~icant to a c"v' penalty of not mor than five hundred dollars ($5001).
,.___,! ~s. 7a I (~ .....
Name
State License # __ r'/7;L+---l-~5'u/_,?._ __
Designer Name Address City State/Zip Telephone
State License # _________ _
·1:.·•·,:rWAAAelis:.cor.iPlNS'ATIOl,I'
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D 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.
D 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 compensation insurance carrier and policy number are:
Insurance Company______________________ Policy No .. ____________ _ Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shell not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California,
WARNING: Failure to re workers' compensation coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($1 0), in addl n to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
--:i-51GNATUREc-,--_,-',"'..._ __ _a...,._ _ _.<Ll.--------------DATE $-/~ -"'9(
'7••'." '.i)Wtli;ll•~U
I hei'eby affirm D 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).
D 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. D 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 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 I 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 _________ _
•~r.;~i:ne:i'Hl$•$ECTIP1j•.~011.•NoN;C//.ES/lil/NifALcii01L~iN(l•PEII.MIJ:lr l!N~Y•••·
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 Act7 D YES D NO
rs the applij:ant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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.
,a.-•' •·tor,i~TII.UCTior,i·.LEND)NG}IGENCY
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).
LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _
•Ii, ,,,:,C,l\.ll'lilCANr·ce11.J1FlCATION·•··
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 Jaws 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 nutl and void if the building or work
authorized by such permit is not commenced wi in 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 commenced for riod of 180 d s (Section 106.4.4 Uniform Building Code).
DATE __..5-"-L;,.,_o---,__,C,"'-Z,-'-"'----
PINK: Finance
,
City of Carlsbad Bldg Inspection Request
For: 06/12/2002
Permit# CB021423
Title: HASELHUHN RES/ NEW TRAP &
Description: HOT MOP SHOWER
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
2395 MERWIN DR
Lot 0
APPLICANT HAMMOND & MASING CONTRACTORS
Owner: HASELHUHN MICHAEL D&ROSEMARY
Remarks: AM PLEASE
Total Time:
CD Description Act Comments
29 Final Plumbing
Associated PCRs
lnsi;1ection Histo(¥
Date Description Act lnsp Comments
05/24/2002 19 Final Structural WC RC
Inspector Assignment: RCB
Phone: 6192477769
Inspector: {?c..f>
Requested By: RUDY
Entered By: CHRISTINE
05/24/2002 29 Final Plumbing NR RC SHOWER DOORS NOT INSTALLED (ON ORDER)
05/14/2002 15 Roof/Reroof WC RC
05/14/2002 27 Shower Pan/Roman Tubs AP RC
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LIFETIME SHOWERPANS
P.O. Box 6377
.eanslde, CA 92058-6377
G1<;-7;.'/-l.35'J..
. " ,. THU!. l2•••
FOl DAN
:h6 VOOD ILOC(S
AIOU'IUI TOP UD :nnu ot suy
hlO VOOD
JLOCIS
BOTTOM FLANGE OF DRAIN SET FLUSH KITH FLOORING.
BLOCKI~G TO EXTEND 4'' ABOVE CURB OR DAM.
.. .,
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DRAIN
GRILL TILE
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DRAIN
BOTTOM BOLTS COMPRESS TAR/FELT MEMBRJ
BETWEE~ DRAIN TOP AND DRAIN BC
\IAST
PIPE APPROVED
y C.112,
MAY 1 0 2002
City of C/\RI.SBAO
BUILDING DEPT.