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Home My WebLink About2348 LA COSTA AVE; ; CB154503; Permit.· City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-18-2015 Miscellaneous Permit Permit No: CB154503 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: 2348 LA COSTA AV CBAD MISC 2163101201 $0.00 Subtype: REPAIR Lot#: 0 TRES VERDE-REPAIR EXTERIOR 2ND FLOOR WALKWAY IN FRONT OF REAR ELEVATOR - Owner: PREFERRED RESTORATION & CONSULTING INC PEL TON MAUREEN Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: PO BOX 7709 SAN DIEGO CA 92167 619 395-0990 2348 LA COSTA AVE #111 CARLSBAD CA 92009 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE ISSUED 12/18/2015 RMA 12/18/2015 12/18/2015 $260.00 $0.00 $0.00 $260.00 Total Fees: $260.00 Total Payments To Date: $260.00 Balance Due: Inspector: ~ FINAL AR Date: ~ Clearance: $0.00 r-.oTICE: Rease-r-.oTICE thi ~ ci yw: i,tja:I irdcxm Ire "'lnix:stiai" cit-, dedcatias. -~ a dt"er "'1d01S -a:lledi\ey reterrad toas "fees'~:· Yru rave OO~frcxntre-tns pemit""'5 issuedtoJJ"(iest inix:sti01 citresefees/~ 11)00 Jr(iest ti-em )00 m.st fdlONlre Jr(iest pm,dres set lath in G:Mrma1 Code Sedi01 ffiJl.O(a). ,m file Ire Jr(iest ,m a,y ctt-er req.jred infarraia, wit, Ire Oty ~fcr prooossirg i, ,ao:oda a,v,jtt, a.lsboo M.ridpa Code Sedia, 3.32.03l. Failuelotiirelyfdlo,ythi µucm.,ewll l:a" a,ySl.i:seqJerl lega a:jja,toallad<. rEMew; set aside, \Od, a am thar irrp:stioo. Yru ae 1-.ret,y FlRJ1-ER r-.oTIREDtrel )OJ rigt to Jr(iest Ire specified fees'"'1da,s DCES 1\1'.Jl" J>PF\. Y towat..-!m """6 cxrreca01 fees im c:,,padty era-gas. ra pla-rirg. zcrirg g-a::lrg a ctt-er sirrila-applicaia, prooossirg a """oe fees in cxrrecaa, wth Ins i,tja:1. I'm DCES IT J>PF\. Y to a,y wi . 'nila-wi lirri . ' . 1tlow1NG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE Plan Check No. Est. Value -ccityof 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 SWPPP JOB ADDRESS CT/PROJECT# LOT# PH # BATHROOMS CO STR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) f<.e +er: or ~ Fltio, APPLICANT NAME PROPERTY OWNER TI"(' ADDRESS d,_) Lt '7 CITY(.,_,/ PHONE EMAIL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY PHONE FAX PHONE EMAIL EMAIL STATE UC.# STATE UC.# tP(/D( ,J;o,1 FIREPLACE YESQ_N<O AIR CONDITIONING YES □No □ \Jerk f!-014 c'lr-E FAX STATE ZIP FAX CLASS CITY BUS. UC.# FIRE SPRINKLERS YES□No□ (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 per_m1t to file a signed statement that he is licensed pursuant to the prov1s1ons 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 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 {$5001). WORKERS" COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: 0 I have and wlll maintain a certificate of consent to self-Insure for workers' compensation as provided t1; Section 3700 of the Labor Code, for the performance of the work for which this pennit 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 th~ permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _ ~~on need not be completed if the permit is for or,e hundred dollars ($100) or less. M 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 coverage is unlawful, and shall subject an employer to criminal penaltles and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, ~ges as provided for in Section 3706 of the Labor code, Interest and attorney's fees. ~CONTRACTORSIGNATURE/'(', ~ □AGENT DATE /2-\8-1") OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from 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 structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not appfy-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). I, as owner of the property, am exciuslvely 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). 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 0Yes 0No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted witt, the following person (finn) 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 lo provide the work indicated (include name/ address/ phone/ type of work): ,N$ PROPERTY OWNER SIGNATURE □AGENT 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 reqLtired 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 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work this permit Is issued (Sec 3097 (1) C1v1I Code) lender's Name lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state thatlhe aoove lnfoonatlon Is correct and that the information on the plans is accurate. I agree to comply\'Ath all Cilyordlnances and State I8\\S relating to building construction. I hereby authorize representative of the City of Carlsbad to enter u~n the atxJve menOOlled ~perty klr inspecoon pu~. I ALSO AGREE TO SAVE, INDEMNIFY /IJ'JD KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All. LlftlllLITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CDNSEOJENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA permit is required br 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 ~visklns of this Code shall expire by lrT\itation and become null and void if the building or't\Ork authorized by such permit is not commenced 'Mthin 180 days from the date of such permit or if the building orwxk authorized by sudl permit is suspended or abaOOOfled at any time after the 't\Ork is commenood for a period of 180days {Sectkln 100.4.4 Uniform Building Code). AS APPLICANT'S SIGNATURE DATE • 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. DELIVERY OP'IIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. :1.) MAIL TO: CONTACT (Listed above) CONTRACTOR (On pg_ :1.) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ A5 APPLICANT'S SIGNATURE ASSOCIATEDCB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB154503 Type: MISC REPAIR TRES VERDE-REPAIR EXTERIOR 2ND FLOOR WALKWAY IN FRONT OF RE Date _ Inspection Item ___ Inspector Act Comments -------------------- 02/16/2016 19 Final Structural RI 02/16/2016 19 Final Structural AEK Fl 02/03/2016 14 Frame/Steel/Bolting/Weldin RI 02/03/2016 14 Frame/Steel/Bolting/Weldin AEK AP Tuesday, February 16, 2016 Page 1 of 1