HomeMy WebLinkAbout2399 MERWIN DR; ; CB040833; PermitCity of Carlsbad
' ~ 1635 Faraday Av Carlsbad, CA 92008
03-12-2'004 Miscellaneous Permit Permit No: CB040833
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2399 MERWIN DR CBAD
MISC
2081621700
$0.00
DEGRAW RESIDENCE
Subtype: REPAIR
Lot#: 0
REPAIR TO MASTER BATH SHOWER
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/12/2004
MOP
03/12/2004
03/12/2004
HAMMOND & MASING CONTRACTORS DEGRAW GREGORY T&SUZANNE C
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
2399 MERWIN DR
CARLSBAD CA 92008
PERMIT
Total Payments To Date: $0.00
$89.00
$0.00
$0.00
$89.00
Balance Due: $89.00
7395 03/12/04 0002 01
CGP
Inspector: Clearance:
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 infonnation 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 sim~ar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
r i I N imil i h limit l . I
02
::19 .. -JC
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO.?~'~ ~._$$
EST. VAL. / y;__C,
Plan Ck. Deposit ---'£'--___ ' ___ _
Validated By __________ _
Date _____________ _
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Existing Use Proposed Use
SO. FT. #of Stories # of Bedrooms # of Bathrooms
Address City
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Name Address City State/Zip Telephone II
(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 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
ption. An violation of Section 7031.5 by any applicant for a permit su jects_Jh'japplicant to a civil penalty g,Lnot mar ~t~an five hundr llars.l!~gJJ.
f 1411 ~ r,t../)..6 -> ~--,U/'f,,J
City State/ZiJt Telephone #
License Class _,._.,_________ City Business license # / 'J / 3'ft{(
Designer Name Address City State/Zip Telephone
State License # _________ _
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the
0 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.
--~ ----1 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
~-My worker's comp ion insurance car · and policy number are: I/ . ~
Insurance Company _ _,!_,~k::~~[l"..-/.,/6.:C~!;L------Policy No. l(;:,t};,81) ':z Expiration Date/L/~)..?~
(THIS SECTION NEED NOT BE COM TIS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) ;,
□
SIGNATURE
!lt\ii!'ffllWtlilll .
I hereby affirm t for the following reason:
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).
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(sl licensed
pursuant to the Contractor's license Law).
D t 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 / 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. 1 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 _________ _
!®M~(~i$;'.$eCrf1QN):f06lNP~~iii~1~lfi!Qlj~!l$'9N,t~~@fufl!I&1iE;i;JQci¾kiidhi:!/:":§~~Nkltbiit1l~'tJ.'.±ifidtQ4,i<&ii,i1is'f'?t41K\ii·, ; :11:'.-r:ir~.¥~c;~; :J
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 26634 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO
Is the applicant 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 7 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
i!!lf;fit!!Jf$;rll~l:!!"IPN ~e.111p11i1oi~!!Ei!PV, ,;;t'ii"[" ·(;;i}. " :;; P:
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
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 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 b · Official un provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commen 1thin 180 d r 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 comma l""~ll"'a•Y:s (Section 106.4.4 Uniform Building Code).
7 I 1
m . . City of Carlsbad Bldg Inspection Request
For: 03/30/2004 .
Permit# CB040833
Title: DEGRAW RESIDENCE
Description: REPAIR TO MASTER BATH SHOWER
Type: MISC Sub Type: REPAIR
Job Address:
Suite:
Location:
2399 MERWIN DR
Lot 0
APPLICANT HAMMOND & MASING CONTRACTORS
Owner: DEGRAW GREGORY T&SUZANNE C
Remarks:
Total Time:
CD Description Act Comment
Inspector Assignment:
Phone:
Inspector: ----
Requested By: CRAIG
Entered By: CHRISTINE
17 Interior Lath/Drywall ££_ ______ _
27 Shower Pan/Roman Tubs 1-------
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
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1 • 6 VOOD ILOCL S
AlOl/11» TOP UID
3IDES Of SlAl
h:10 vooo,
llLOCIS
BOTTOM FLANGE OF DRAIN SET FLUSH ~ITH FLOORING.
BLOCKIJG TO EXTEND 4'' ABOVE CURB OR DAH.
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-o-si. L,e.ak,s occu~
ai. t.lti.-s joi.ni.
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llAST
PIPE
DRAIN
GRILL TILE
TAR
SLOPE
P,LY\IOOD
BOLTS COMPRESS TAR/FELT HEHBRAffE
BETllEE~ DRAIN TOP AND DRAIN BOTTOM
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