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Home My WebLink About2012 PINTORESCO CT; ; CB110196; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-27-2011 Plumbing Permit Permit No: CB110196 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2012 PINTORESCO CT CBAD PLUM 2164813400 Lot#: 0 Construction Type: 5B KROUSKUP:REPLACE SHOWER IN MASTER BATH, NEW TOILET Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/27/2011 JMA 01/27/2011 01/27/2011 KROUSKUP THOMAS A&JANICE E TRUST A 03-12-78 KROUSKUP THOMAS A&JANICE E TRUST A 03-12-78 2012 PINTORESCO CT CARLSBAD CA 92009 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 Total Fees: Inspector: $34.00 2 0 0 0 0 0 0 2012 PINTORESCO CT CARLSBAD CA 92009 $20.00 $14.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $34.00 Total Payments To Date: $34.00 Balance Due: VAL Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project Includes the "Imposition" of fees, dedications, reseivations, or other exactions hereafter collectively referred to as "fees/exactions." You have 00 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 I h h v r i imil r hi r i h i i n h ·r ' ~~ Building Permit Application Plan Check No. Ci~ I lr"'llq,b 1635 Faraday Ave., GarJsbad, CA 92008 Est. Value • ~ CITY OF 760-602-2717 / 2718 / 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.ci;!rl§bs!dQ§.gov Date t 1ZJ1l11 jswPP JOB ADDRESS i-~' c.-/-c, ;,,,-,,S'<:'a SUITE#/SPACE#/UNIT# aPN Cf----:2-6/,2 CT/PROJECT# LOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. lYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Afrected Al'H(a) T,-,,,,,,,.c:-J,..,-/2-+1 1~ ,,, "-'--1 =LA ., •er , '~ I},;, ,.-,,,, /1 , " -/, J,. ."\A~ / . ' ·J -----;;_ ;) .,, -I /'.,, ,A I A , ,, , EXISTING USE I PROPOSED USE . l GARAGE (SF) PATIOS (SF) 1DECKS (SF) FIREPLACE l AIR CONDITIONING 1 FIRE SPRINKLERS YES O #_ NOD YES O NO O YES □ NOD CONTACT NAME (If Different Fom Applicant) APPL'i-NT NAME J< Y',.,, , , < l , . -~ . -n ADDRESS AD':;ESS ;-:::>, ·-f,:; ,-,,-,;co ( f-012 , CITY STATE ZIP CITY/?, STATE ZIP ·,.. J.-I., /,,r .J r' ,?-9-,:z_C)C) 7 PHONE IFAX PHONE 1FAX "71-0..:;''J315/ ~ EMAIL EMAIL 1L f, r-S k ,'") t'cL) Cle> I, c:' 6 M-1 PROPERTY/WNER NAME J< r6u""J: ... ~ CONTKACTOR BUS. NAME • , ,, n/ce' ADDRESS J?' • -,/,c, ~ -<' c' G (' I- ADDRESS :}C>J,.J CITY STATE ZIP CITY STATE ZIP C /', -Is J, c. ,,r ~ '7 Z c,d "J PHONE IFAX PHONE IFAX 7£-CJ-753-/ 5) ;y EMAIL / k ,,. ., le ci n'J EMAIL ~,.,,) ,,,,h-r ARCH, ..,....,IGNER NAME & ADDRESS I STATE UC.# STATE UC.# 1= I CITY BUS. UC.# (Sec. 7031.5 Busmess and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demohsh or repair any structure, pnor 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 JChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he Is exem_(>t therefrom, and the basis for the alleged e11:emptlon. Any violation of Section 031.5 by any applicant for a permit subjects the appHcant to a civll penalty of not more than five hundred dollars {$500]). WORKERS COMPENSATION Wortters' Compensation Declaratlon: I hereby affirm under penalty of perjury one ofth8 folJow/ng declarations: □ I have end wlll maintain a certificate of consent to self-lnaure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pennit Is issued. 0 I have and wlll maintain work.era' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which lhi~ pennit is issued. My worken;' compensation insurance earner and policy number are: Insurance Co. ____________________ Policy No. _____________ Expiration Dale ________ _ This section need not be completed ii the pennit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall oot employ any person in any manner so as to become suti;ec:t to the Workers' Compensalion Laws of California. WARNING: Fallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvtl fines up to one hundntd thousand dolars{&100,000), In addition to the cost of compensation, damagea as provided for In Section 3706 of the Labor code, lntfieat and attorney's fHa. ,,,1$ CONTRACTOR SIGNATURE OAGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt mn Contractor's License 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 stn.Jcture Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlraclor's License Law does not apply to an owner of property V.00 builds or improves thereon, and who does such work himself or through his own emploY885, provided that such improvements are not intended or offered for sale. If, however, the bullding or improvement is sold within one year of completion, the owner-builder will have the burden d proving that he did not build or improve for the purpose of sale). ~ as owner of the property, am exclusively contracting with licansed contractors to construct the project{Sec. 7044, Business IM'ld Professions Code: The Contractor's License Law does not apply to an OW!'l8f' of property who builds or improves thereon, and contracts for such projects with conlractor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section ____ ,Business and Professions Code for this reason: 1. I persooally ~n to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the folkw,;ng person (finn) to provide the proposed construction (include name address/ phone/ contracm· license number): 4. I plan to provide portions of the work, but I have hired the following person to coon:linate, supervise and provide the major work (include name I address I phOne / 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 I address I phone/ type of work): 0AGENT DATE / 2 26// COMPLETE THIS SECTION FOR NON~RESIDENTIAL BUILDING PERMITS ONLY Is lhe applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risll management and prevention program uoder Sections 25505, 25533 or 25534 of the li'resley-Tan~ Hazardous Substance Account Act? □ Yes □ No Is lhe applicant or futt.e building occupant required to obtain a penntt from the air pollution control dislricl or air quality management district? □ Yes □ No Is lhe facility to be constructed 'Mthin 1,000 feel of the ooter boundary of a school site? □ Yes □ No F 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 OFACE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affim, that there 1s a construction lending agency for the perfomiance of the work this pem11t 1s issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I ceflly dlatl have read the application and state that the alxlve Information Is corred.and that the Information oo die plans Is accurate. I ag,ee to comply_. all City oldlnances and Stale laws relallngto bulkllng coostrudlon. I hereby autlorize _,.live of Ile Cilyof Cslsbad ~ anlar l-l)Or1 lhe above menooned property for ilS!)8cii)n purpooas. I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGANST ALL L~LmES, JUDGMENTS, COSTS AND EXPENSES WHK:H MAY IN ANYWAY ACCRUE AGAINST SAllCITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSI-V\ permit is 1'8QLi'ec1 br exc:avalk>ns over 5'0' deep and demolion or o:insb'ucti::>n of structures w« 3 sbies n heqlt. EXPIRATION: Eva~ permit issuad bylha Buijilg Olfm urderlha pro,isi)nsoflhi!Coda shol a,q,ia by linilafion ar<f become nuU ar<f void llhe ludilg e< --by such permit• ooloommeoo,d \\ilm 180 days from lhe dale of such permit " ~ lhe buldi1g """" aulf-aized by such permit ;; suspended e< alaldonad at any lire after Ile WOif< Is oommeoo,d for a period of 180 days(Sediln U~A.4 lkiform Buijilg Coda). A! APPLICANT'S SIGNATURE DATE I City of Carlsbad Bldg Inspection Request For 03/28/2011 Permit# CB110196 Inspector Assignment: TP Title: KROUSKUP:REPLACE SHOWER IN Description: MASTER BATH, NEW TOILET --- Type:PLUM Sub Type: Phone: 7607531518 Job Address: Suite: Location: OWNER 2012 PINTORESCO CT /2- Lot: 0 Inspector: KROUSKUP THOMAS A&JANICE E TRUST A 03-12-78 Owner: KROUSKUP THOMAS A&JANICE E TRUST A 03-12-78 Remarks: final shower inspection Total Time: CD Description 17 Interior Lath/Drywall Act Comments Requested By: JAN Entered By: CHRISTINE ~--------------- /<j Fldfa- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# lns12ection Histo[Y Date Description Act lnsp Comments 02/15/2011 17 Interior Lath/Drywall AP TP LA TH FOR SHOWER ENCL. 02/15/2011 27 Shower Pan/Roman Tubs WC TP 02/14/2011 17 Interior Lath/Drywall NR TP NOONE HOME 02/14/2011 27 Shower Pan/Roman Tubs NR TP 02/11/2011 18 Exterior Lath/Drywall co TP SHOWER ENCL. WALLS SHORT NAIL 02/11/2011 27 Shower Pan/Roman Tubs AP TP