HomeMy WebLinkAbout2401 LA TINADA CT; ; CB162666; Permit07-12-2016
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
2401
PME
2550.
WRIC'
WITI'
BREA:
SAFE STEP WALK=IN TUl\
15262 PIPELINE LN
HUNTINGTON BEACH er,
714 373-8545
Plumbing Fees
Electrical Fees
Mechanical r=-ees
Other PME Fees
TOTAL PERMIT FEE::
Total Fees:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
.rmbing/Mechanical/Electrical (PME} Permit
Permit No: CB162666
luilc!ing Inspection Request Line (760) 602-2725
·' \D,\ CT CBAD
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
"PLACE EXISTING TUB
-IN TUB AT MASTER BATH, 2 NEW OUTLETS, 20A
lRYWALL REPAIR
,\NY
Owner:
WRIGHT THERESA
.2401 LA Tl NADA CT
CARLSBAD CA 92009
760-635-3375
ISSUED
07/12/2016
SLE
07/12/2016
07/12/2016
$163.00
$38.00
$0.00
$0.00
$201.00
~otal Payments To Date: $201.00 Balance Due: $0.00
FINAL APP:OVAL
Inspector: Jl,1 · ~:__ __ _;D:'.'.a~te:::,:..:O::7::!!:[:::1 ~::~!:::/:::;b=:;:;;_ __ ..:C~le:;a!'.r:!an'.!!c::e::_: -======--~
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THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMAT/APCD
(''city of Building Permit Application Plan Check No.('\ P..,\LQ_,Z_l C\( ll ( f\
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date 7-12 -l n lswPPP
JOB ADDRESS su,, .. f/SPACEf/UNITf IAPN 2401 La Tinada Ct ---
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Remove existing Tub, replace with walk in jet tub. 2 new outlets, 1 GFCI. 1-20 amp breaker.
MINOR drywall repair (10 sq ft total)
1--"1 O..';Jfe.,( Bad,t-'\
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YES[), N<O YES0No0 YESONoO
APPLICANT NAME Tim Seaman PROPERTY OWNER NAME Thersa Wright Primary Contact
ADDRESS ADDRESS
PO Box 5955 2401 La Tinada Ct
CITY STATE ZIP CITY STATE ZIP
Chula Vista CA 91912 Carlsbad CA 92009
PHONE IFAX PHONE IFAX 619-993-8846 760-635-3375
EMAIL EMAIL
Tim@ChampionPermits.com
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Safe Step Walk in Tubs
ADDRESS ADDRESS 15262 Pipeline Lane
CITY STATE ZIP CITY STATE ZIP
Huntinaton Beach CA 92649
PHONE I FAX PHONE I FAX 714-892-5202
EMAIL EMAIL
! STATE LIC. # STATE UC.# !CLASS B IT2~792._ 983603
(Sec_. 7031.5 Business and P_rofess1ons Code: Any City or Coun_ty which requires a permit to_c_onstruct, alter, improve, demolish or repair any structure, p_rior to its issuance, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law [Chapter 9, commending with Section 7000 of Div1s1on 3 of the B_usiness and Professions Code} or that he ts exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a
c1v1I penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of peryury one of the following declarations: D I have and will maintain a certificate of consent to self.Insure for wori<ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued,
[Z] I have and wm maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the perfonnance of the won< for which this oermit is issued. My wori<ers· compensation insurance earner and policy
number are: Insurance Co State Comp Policy No. 90024772016 Expiration Date 01/0112017
This section need not be completed if the pennit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for whic his permit is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' comp Ion cov nlawful, and shall subject an employer to criminal penaltles and civil fines up to one hundred thousa dollars (70,000), In
addition to the cost of compensation, damages as pro f In S of the Labo de, Interest and attorney's fees. Q l / /_
.a$ CONTRACTOR SIGNATURE AGENT DATE O C\_ I[)
I hereby affirm that I am exempt from Contractor's License Law for fhe following reason: D I, as owner of the property or my employees wlth wages as their sole compensation, will do the work and the strucrure 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 wi!I 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 Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for suet, 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/ have not) signed an application for a building pennit for the proposed work
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I 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 I address I 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 I address I phone I type of work):
.IS PROPERTY OWNER SIGNATURE □AGENT DATE
' COMP LIM' 11 TH I $ $ II CT ION FOR NON· I! ES 11) 11:N TI A~ BU IL l)i NG P II It M ITS 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 !he applicant or future building occupant required to obtain a permit from the air pollution control distlict or air Quality management district? Yes No
!s the facility to be constructed ~thin 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.
I certify that I have read the application and state that the above infonnation is correct and that the lnfom1ation oo the plans is accurate. I agree to comply 'Mth all Cify 01dlnances and State laws relating tD building construction.
I hereby authorize representative of the City of Cartsbad to enter UpJn the aOOve 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 requred for excavations over 5'0' deep and demolition ronstruction of structures over 3 stories in height.
EXPIRATION: Every perm~ issued by the Building Official r the provis is Code shall expire by limitation and become nul and void if the OOilding or y,0/1( authorized by such permit is not rommencei· n
180 days worn the date of such permit or if the building or aulhorii-,!,y)(Ji permit is suspended or abandoned at anytime after the IMlri< is commenced for a period of 180 days (Section .4.4 Uniform ilding Code} .
..A!:S' APPLICANT'S SIGNATURE DATE O<j, (
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 OPTIONS
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: _______________ _
A$ APPLICANT'S SIGNATURE
ASSOCIATED CB#-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB162666
Date ln!J)_ectlonJte111
0711312016 29 Final Plumbing
07/1312016 29 Final Plumbing
07/1312016 39 Final Electrical
Type: PME
Inspector Act
MC
MC
RI
Fl
Fl
WRIGHT: REPLACE EXISTING TUB
WITH WALK-IN TUB AT MASTER BATH, 2
Comments
PM PLEASE
20 AMP CIRCUIT AND GFI PROTECTION
OK.