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Home My WebLink About2404 LA TINADA CT; ; CB151964; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 06-24-2015 Permit No: CB151964 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2404 LA Tl NADA CT CBAD PME 2550700700 Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: WILLETT RES=REMODEL MASTER BATH LIKE FOR LIKE REPLACE TOILET, TUB, SINK NO STRUCTURAL MINOR ELECTRIC Applicant: Owner: TERRY MONTELLO WILLETT LIVING TRUST 08-04-08 2404 LA TINADA CT CARLSBAD CA 92009 619-994-5557 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES ISSUED 06/24/2015 LSM 06/24/2015 06/24/2015 $160.00 $35.00 $0.00 $0.00 $195.00 Total Fees: $195.00 Total Payments To Date: $195.00 Balance Due: Inspector: J'lf\-lo~ Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 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. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0 HI\ZMAT/APCD Ccityof Carlsbad JOB ADDRESS L/04 Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov I V1 a, SUITEI/SPACEI/UNIT# Plan Check No. e£::, l '5 ~ 9 (,? '-f Est. Value Plan Ck. Deposit Date~~ f~ SWPPP APN CT/PROJECT# LOT# PHASE# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP • EXISTING SE GARAGE (SF) PATIOS (SF) 0ECKS {SF) APPLICANT NAME PROPERTY OWNER d/l'5 . (lQ/r ADDRESS CITY ZIP ZIP PHONE EMAIL CLASS 6 (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 appllcant for such per_mit 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 Division 3 of the Business and Professions Code) or fhat he 1s exempt therefrom, and the basis for the aueged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars ($500}). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affltm under penalty of petjury one of the following declarations: I have and wm maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this permit. is issued have and will maintain wo f the La Code for the _pertormance ~er:r ~h t~in~ My wo~e~' compensatio in r ce number are: Insurance Co,__'-.L''_!,,~Lc;__Jl,._!,,-l[L{/,C.,,f:,''-!'..c..J."-.tL_f_l(.~~Pol1cy No. --LL~-c_.:QK_,,.,_.(j_.<...:~"'--L~1C_,_ __ Expiration Oale _J..,l---1--1--'---""----- ~section need not be completed if the permit is for one hundred ollars ($100) or less LJ Certificate of Exemption: I certify that in the pertorrnance 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 Califomia. WARNING: Failure to secure workers' co ensatlon coverage ls 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, d~mages ro eel for In Se n 37 r code, Interest and attorney's fees. ,15 CONTRACTOR SIGNATURE 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 r.ot 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. !I, however, the building or improvement ls 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such pro.)ects 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. OYes 0No 2. I (have I 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 I phone I 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 (ioclude name I address I phone I 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 I type of work): 8$ 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 materias 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 conslructed 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 1s a construction lendmg agency for the performance of the work this permit 1s issued (Sec. 3097 (1) Civil Code) Lender's Name lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state lhatlhe above lnbffl'l8tlon Is conectand that the infolTI'l8tion on the plans Is accurate. I agiee to compty\Wlh all ctty oltlinances and State lawlielating to builclng construction. I hereby authorize representative of the City of Carlsbad to enter upon the alx>ve mentioned property br insi:e,::lion pullX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN AfN WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE CRANTING OF THIS PERMIT. OSHA: An OSHA pennlt is requred for excavations over 5'0' deep and demolitbn or cx:nstrucoon of structures over 3 sbries i1 heght, EXPIRATION: Every J):lnnlt 5Sued by the &lik:ling Offdal under the provisk:ms of this Ccxle shall expire by limitation and become null and vok:I W the buik:ling or w:irk authorized by such pennlt is not CXlITlmenc:ed 'Mthin 180 days from the date of sLK:h J):lnnlt or if the · orm authorized nn IS SJ):lnded or abandoned at any time after the w:irk is oommenced for J):lricxl of 180 days (&lction 106.4.4 Unibnn &lik:ling Ccxle). ,If 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 Ol'l'IONS 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: _______________ _ .15 APPLICANT'S SIGNATIJRE ASSOCIATED CB#•------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP ,' . Inspection List Permit#: CB151964 Type: PME Date lnspecU<>nJtem ·-· 01/14/2016 89 Final Combo 01 /1412016 89 Final Combo 0111312016 89 Final Combo 01113/2016 89 Final Combo 01107/2016 89 Final Combo 12/3112015 89 Final Combo 10/2312015 17 Interior Lath/Drywall 1012012015 27 Shower Pan/Roman Tubs 10/2012015 84 Rough Combo 10/19/2015 84 Rough Combo 10/15/2015 84 Rough Combo Friday, January 15, 2016 Inspector Act RI MC Fl RI MC co RI MC PA PY AP MC AP MC AP MC co MC co WILLETT RES=REMODEL MASTER BATH LIKE FOR LIKE REPLACE TOILET, Comments COMPLETE SMOKE/CO DETECTOR INSTALLATION MINOR PICK UP, SEE CARD. MASTER BATH ONLY NOTICE NO PLANS/CONTRACTOR ON SITE Page 1 of 1