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Home My WebLink About2032 CIMA CT; ; CB160933; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-09-2016 Permit No: CB160933 Building Inspection Request Line (760) 602-2725 Job Address:2032 CIMA CT CBAD Permit Type:PME Status:ISSUED Parcel No:2164910400 Lot #:0 Applied:03/09/2016 Entered By:RMA Reference #:Plan Approved:03/09/2016 PC #:Issued:03/09/2016 Inspect Area: Project Title:KRUPA RES-REPLACE SHOWER SHOWER @ MASTER BATH-HOT MOP SHOWER PAN, REPLACE SHOWER SURROUND Applicant:Owner: DIVINE HOME REMODELING KRUPA TIMOTHY&MAUREEN 2001 TRUST 11 -10-01 STE 215 3636 CAMINO DEL RIO NORTH 2032 CIMA CT SAN DIEGO CA 92108 CARLSBAD CA 92009 323 251 -9222 Plumbing Fees $163.00 Electrical Fees $0.00 Mechanical Fees $0.00 Other PME Fees $65.00 TOTAL PERMIT FEES $228.00 Total Fees:$228.00 Total Payments To Date:$228.00 Balance Due:$0.00 FINAL APP OVA Inspector:Date:2-0/6 Clearance: NOTICE Please take that of ycur project indudes the"I "'d fees,cations, reservations, or other exactions hereafter collectively referred to as "fees/exacti Ycu 90 days from the date this pant wasi to protest imposition dthese fees/exactions.If you protest them you mist folk:An/the protest procedures set forth in Govarrnant rrriisSection e6020(a), and file the protest and any other reaired information With the (Sty Manager for processing in accordance with Calsbad Municipal rciri=.Section 3..030.Failure to timelyfdlaythat procedure will bar any subsequent legal action to attack review, set aside, void, or amul their imposition. You are Irati.ry FIRT1-ERNOTIFIED that yar right to protect the specified fees/exactions DOES NOT APPLY to water and sewer cornection fees and capacity changes, ncr planning, zoning, grazing or other similar application processing or service fees in connection with this projed.NCR DOES IT APPLY to any fees/exactions of which vou have ormicuslv been civen a NOTICE drilla to ths. or as to which the statute of limitations has previously otherwise expired. .„...— THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:[]PLANNING EDENGINEERING DBUILDING DFIRE PHEALTH OHAZMATIAPCD Building Permit Application Plan Check No.C6 /e CCitY of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 email: mail: Plan Ck. Deposit www.carlsbadca.gov Date 3/q It (1.SWPPP JOB ADDRESS p_20 t 2 VUNITA APN olo)Lc;iir)o'l— SUITEA/SPACE "- CT/PROJECT #LOT #PRASE #OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:Include Square Feet of Affected Area(s) Millar 5ct.4 rcorn remodel'kw-lot/el kzpiade.SI-640er Ihi-/290/0c5how-eqaii Awizto 41(k7" - -X15t/i'vk Zoca/e-k-) ii-elcull//111Scta-JArett-el kccf./14eatc-e(/1,11EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)Et S (S .REPLACE AIR CONDITIONING FIRE SPRINKLERS YESOtt NOD YES EINO El YESEl NOD APPLICANT NAE 504. PROPERTY OWNER Primary ContaMct a //ea.221Le--17rnoil(/V ry po..ADDRESS ADDRESS&39 A6ni 06 2031 Lmla J CITY STATE ZIP cog ,/...CITY r'STATE ZIP /-1Feaf0Y -)0./././26/ 7 CO r"1(%)0LJ C4-.7 20? PHONE FAX PHONE FAX/lig -301--9040 323-251 -22Z EMAIL ,,EMAIL 3oara_.pirrnii-usiIogliNil .Corrl DESIGN PROFESSIONAL CONTRACTOR BUS. NAME • 1.Vi tie HOO"kgiliki ADDRESS ADDRESS,RfryCz'eV)Cat #3Ie310 rniiv DweI4 Month 2`j CITY .STATE ZIPA"CITY ,STATE ZIP ‘,-j(),II 1 /)Rig Cil •1 Z. JO g PHO FAX PHONE FAX 32 -Zci —9Z Z7 EMAIL EMAIL t .A z-Th(1 I V I Me 111Ode. I 1 ki,g...1( o v gfilatO.MSTATE LIC.#STATE LIC.#C BUS.?../242L7"s 0 "75 / 0 i R .f2cf (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 issua'e Iso requires theapplicant 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 Sect..7 0 of Division 3 of theBusiness and Professions Code) or that 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 acivil penalty of not more than five hundred dollars ($500)). WORKERS'COMPENSATION Workers' Compensation Declaration:) hereby affirm under penalty of perjury one of the following declarations: 1::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. WI have and will maintain workers' compensation,as required by Section 3700 of the Labor Code, for the performance oithe work for which this permit is issued. My workers' compensation insu nce ca 'er and policy number are: Insurance Co.Slaf`e en m p -Policy No.Ci /0 ci b8 3 Expiration Date 8 /fa it.:47 This section need not be completed if the permit is for one hundred dollars ($100) or less. EiCertificate 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 coverage 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,/damage s .s provided for in Se .n 3706 of the Labor code,i .-t and attomey's fees. .ES CONTRACTOR SIGNATURE A ./A_401 - 'El AGENT DATE .Z6 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License Law for the following reason:0 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). EiI,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.DYes EINo 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 / 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 / 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 / type of work): AKPROPERTY OWNER SIGNATURE DAGENT DATE • • •'CoMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY 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 Act?Yes No Is the applicant or future building occupant required to obtain a permit 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 ofa 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. •1111.10CONSTRUCTIONLENDINGAGENCY01.3. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address • APPLICANT CERTIFICATION Icertify that Ihave read the application and state that the above information is correct and that the information on the plans is accurate.Iagree to comply wtth all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAYIN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavations over56' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisionsofthis Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the dateofsuch permit or if the building or work authorized by su permit is suspended or abandoned at any time after the work iscommenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ArAPPLICANT'S SIGNATURE 0.DATE 5/9/20/&? STOP 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 buildingacarlsbadca.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 ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB#MAIL TO:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (On Pg. 1)NO CHANGE IN USE /NO CONSTRUCTION MAIL/FAX TO OTHER: CHANGE OF USE /NO CONSTRUCTION AKAPPLICANT'S SIGNATURE DATE Inspection List Permit#:CB160933 Type:PME KRUPA RES-REPLACE SHOWER SHOWER @ MASTER BATH-HOT MOP S Date Inspection Item Inspector Act Comments 08/22/2016 29 Final Plumbing RI 08/22/2016 89 Final Combo PY AP 03/14/2016 14 Frame/Steel/Bolting/Weldin PY AP 03/14/2016 27 Shower Pan/Roman Tubs PY AP Wednesday, August 24, 2016 Page 1 of 1