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Home My WebLink About2760 VISTA DEL ORO; ; CB162916; Permit07-28-2016 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: TREEIUM INC STE 200 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB162916 Building Inspection Request Line (760) 602-2725 2760 VISTA DEL ORO CBAD PME 2153506417 Lot#: ZVONEK RES-REMODEL BATHROOM 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/28/2016 RMA 07/28/2016 07/28/2016 CONVERT TUB TO SHOWER-WI NEW SURROUND. REPLACE FIXTURES-NO ELECTRIC Owner: ZVONEK ELIZABETH A TR 5352 LAUREL CANYON BL VALLEY VILLAGE CA 91607 855-833-8733 2760 VISTA DEL ORO CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: $228.00 Total Payments To Date: Inspector: /re7L. Date: $163.00 $0.00 $0.00 $65.00 $228.00 $228.00 Balance Due: Clearance: $0.00 NOTICE: Please ta<e I\OTICE that~ ct ya.Jr i:rtjed irdudes Ire "lrrpcsitioo" d fees, dedaii0"5, resavctioos, O' ether exocli0"5 t-ereafter ooledively ra'am:J to as ''fees'exa:::tioos." Yoo rave 00 days frcrn tre date ths panit v.as issued to pretest irrpcsitioo ct these fees'exoctioos. If :PJ pretest them, :PJ m.st fcilON tre pretest ~ set foth in G:Mmra1t Ca:le Sooioo OOJ20(a), crd file tre p-otest crd any cther req.ired infooratioo wth u-e Oty IVa'1ager fcr p-cx:essirg in occcrdcrce wth Calsbad Mridpa Ca:le Sooi01 3.32.(ID. Faih.re to tirrely fcilo,vthci p-oced.re wll oor any sub.eq.Jert legal adioo to attad<, review, set aside, 1.0d, cr anj their irrpcsitim Ya., ere herecy Fl.RTl-ER I\OTIAED that y::u: rigi to pretest tre sµicified fees'exa:::ti0"5 i:o::.s NOr .APPLY to v.eter crd &Mer aimed:ioo fees crd ~ty d'a"g35, ncr plmrg, zxrirg, ga::irg cr ether sirrilcr ~icatiai p-cx:essirg a-service fees in oa,nectioo wth tns i:rtject. t\C'R i:o::.s IT AFR.. Y to any ff:J/£J • v..hch ·a.,s1 been ·ven a NOTICE sirrilcr to tns cr t v..hch tre stat ct lirritali0"5 t-as • ctrawse 'red. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING . { Cicyof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov JOB ADDRESS~ -=rloo \J \ & -\ Cf De, 0'(0 CT/PROJECT# EXISTING USE APPLICANT NAME Primary ADORES LOT# PHASE# # BATHROOMS PROPOSED USE GARAGE (SF) □BUILDING □FIRE Plan Check No. Est. Value CONTRACTOR BUS. NAME STATE LIC. # □HEALTH O HAZMAT/APCD SWPPP CONSTR. TYPE OCC. GROUP (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve. demolish or repair anl 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 Divrsion 3 of the Business and Professions Code} or !hat he is exempt therefrom. and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarabons: D I have and will maintain a certificate of consent to self-Insure for 1Wrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the \\Ork for which this permit is issued. ~have and will maintain worke 'com ensation as required by Sectio 3700 of he Labor Code, for the.performnofJhe IWrk for whicJ4hi~rmit is issued. My workers' compen~n)lsu~n~licy number are: Insurance Co . ...._..J.1.><::.>....1'--'-ai--">-<--f--l'-"-1~...,,,,=t1-=-1L-+-.µ..LJL-,f--Policy No. ~ l QO Y Cl k Exprrat10n Date-➔--.,-L~k-.V-~f+r--r--::¢::....,._ __ ~ section need not be completed if the permit is for one hundr dollars ($100) or less. LJ 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 secure workers' compensation covera Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, p vided r in Secti 06 Labor code, interest and attorney's fees. ·• ~ CONTRACTOR SIGNATURE GENT DATE ~ u?J ~lo I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ 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 Contracto(s License Law does not apply to an owner of property who builds or improves thereon, and who does such work himse~ 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). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors 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 Contractors License Law). 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 p,operty imp,ovement. O Yes 2. I (have I have not) signed an application for a building permit for the proposed \\Ork. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address / phone I contractors' license number}: 4. I plan to provide portions of the worl<, but I have hired the following person to coordinate, supervise and provide the major worl< (include name I address/ phone / contractors' license number): 5. I will provide some of the work, but I have contracied (hired) the following persons to provide the work indicated (include name I address I phone I type of IWrk): ~ PROPERTY OWNER SIGNATURE 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 or the Presley-Tanner Hazardous Substarce Account Acfl □ Yes □ No i; the applicant or future building occupant required to obtain a penmit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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. of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify that I have read the application and state that the above lnfonmation is correct and that the information on the plans is accurate. I agree to comply with all City ordinarces and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter u~ the aoove mentioned property br inspectioo purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSB\D AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN MN WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is requred for excavations over 5'0' deep and demolition or constl\Jction of structures over 3 stories n height EXPIRATION: Every permit issued by the Building Offcial under the provisions of • Code shall expire by limitaoon and become null and voiJ ff the building or 'Mll1< authorized by such permit is not rornmenced v.ithin 100days from the date of such permit or if the build. or'Mlli< authorized by it is s nded or abandoned at any time after the 'Mll1< is rornmenced tr a period of 100 days (Section 100.4.4 Unoorm Building Code). ,/IS APPLICANT'S SIGNATURE DATE f, ~ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELNERY OPTIONS PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) o CONTRACTOR (On Pg. l.) MAIL TO; o CONTACT (Listed above) o OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) MAIL/ FAX TO OTHER: _________________ _ A$ APPLICANT'S SIGNATURE o ASSOCIATED CB#'------------- □ NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP ~nspection List Permit#: CB162916 Type: PME Date Inspection Item 09/21/2016 89 Final Combo 09/21/2016 89 Final Combo 09/20/2016 89 Final Combo 09/20/2016 89 Final Combo 08/22/2016 17 Interior Lath/Drywall 08/12/2016 24 Rough/T opout Thursday, September 22, 2016 Inspector AEK AEK AEK AEK Act RI Fl RI co AP AP ZVONEK RES-REMODEL BATHROOM CONVERT TUB TO SHOWER-WI NEW SU Comments SEE NOTICE// CHANGE PLUGS TO GFCI Page 1 of 1