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HomeMy WebLinkAbout2622 LA COSTA AVE; ; CB163091; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-1'.2-2016 Residential Permit Permit No: CB163091 ~ Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2622 LA COSTA AV CBAD RESDNTL Sub Type: RAD Lot#: 0 Constuction Type: NEW Reference #: 2162800400 $6,000.00 Status: ISSUED Applied: 08/12/2016 Entered By: JMA Occupancy Group: # Dwelling Units: 0 0 Structure Type: Plan Approved: 08/12/2016 Issued: 08/12/2016 Bedrooms: Bathrooms: 0 Orig PC#: Inspect Area: Plan Check #: Project Title: COLER: DRYWAL, INSULLATION & & HOT MOP OF SHOWER AS PART OF A BATHROOM REMODEL Applicant: COVINGTON CONSTRUCTION & RESTORATION STE 104 6370 LUSK BLVD SAN DIEGO CA 92121 858 5097503 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount. Strong Motion Fee Park in Lieu Fee Park Fee LFM Fee Bridge Fee Other Bridge Fee STD #2 Fee STD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee HMP Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee Green Bldg Stands Plan Chk Fee $79.11 $0,00 $55.38 $0.00 $0.00 $1.00 $0,00 $0,00 $0.00 $0.00 $0.00 $0.00 $0,00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 $0.00 Owner: COLER SIEGLINDE P 2622 LA COSTA AVE CARLSBAD CA 92009 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFO Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) Sidewalk Fee PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing lnLieu Fee Housing Credit Fee Master Drainage Fee Sewer Fee Additional Fees Fire Sprinkler Fees TOTAL PERMIT FEES Total Fees: $136.49 Total Payments to Date: $0.00 Balance Due: Inspector: m-~ FINAL /J PPf1OVAL Date: II. f1Z-/-zs>I/.... Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $136.49 $136.49 I\OTlCE: Pl""'8 la<e I\OTlCE that appro.,a cl )<)Ur ,reject irdudes tl-e "lrTl)OSiliaf cl fees, dedcatioro, reservations, or ctt., <llOdiool hereetter o:lledivay referred to as 1..,.,exactions." You rave 90 days frcrn the date !tis pemit v.as iSSJed to prctest irrpootia, cl trese fees/""3::liona If )<JU prctest them, )<JU m..st follo.vtl-e prctest ~ set forth in GcMmrerl QxleSedia, 60020(a), ard flletl-e prctest ard a,yctrer requred irtmratia,wlh the Oly~fa pooessrg in aa:x,cla-o,wlh Qrlste:I M.ridpel QxleSedia, 3.32.030. Failtretotirrayfollo.vthal IJ'OO'(l.rewll ba'a,yst.i:J6ecµrt lega a:iia,to attack, revievv, set aside, vtid, a a'YU their illlXBtioo. You ,re t-er,fy F\..RTH:R I\OllFIEDthal )OOI' rig,! to palest Ire specified -exactia,s DOES 001' l'PPL Y to v..at.,. ard ....,. oa,neda, fees ard ~ changes, ra plmrg. m-irg, gadrg or ctt., snil,r ,wicatia, pooessrg er saoAce fees in oomec:tio1 wlh tns ,reject. l'l:R DOES IT l'PPL Y to a,y :rtfflm, ... ,i....,..,,. ,h.lf"ITlrc: · · -'-'-',+hn.,.,,.,,.,,,4 · · · · (city of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 780-602,271.9 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www .ca rlsbadca .gov SUITE#/SPACE#/UN IT# Plan Check No. §, 10 ~ 091 Est. Value Plan Ck. Deposit Date g-I z, \ b SWPP APN PHASE# #OFU ITS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet ot Aftected Area(s) ADDRESS CITY STATE PHONE FM EMAIL ZIP STATE LIC. # FIRE SPRINKLERS YES □ NO □ (Sec, 7031.5 Business and P_rofessions Code: Any City or Coun_ty which requires a permit to. construct. alter, improve, demolish or repair any structure, p;rior to its issuance, also requires the applicant for such per_mit to file a s1~ned statement that he is licensed pursuant to the prov1s1ons of the Contractor's License Law JChapter 9, commending with Section 7000 of D1v1s1on 3 of the Business and Professions Code} or fhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 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: I hereby affirm under penalty of perjury one of the following declarations· □ 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. This section need not be completed if the permit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the performance of the work for which th· rmit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' comp nsation coverage is u aw ul, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as ~vi for in Se ion 370 of e Labor code, interest and attorney's fees. ,,8$ CONTRACTOR SIGNATURE lll 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 not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors 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) □ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors 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 Contractors License Law). O 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 □ Yes □ No 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 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 (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/ address I phone/ type of work): ./iS PROPERTY OWNER SIGNATURE □AGENT DATE COMP'7ETE THIS SECTION FOR NON•RESIOENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business Jjan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley...fanner 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 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 hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address \APPLICANT CERT IF IC AT IO Iii I certify that I have read the application and state that the above infonnation is correct and that the lnfonnatlon on the plans is accurate. I agree to comply with all City ordinances and State laws relating to boll ding construction. I hereby authorize representative of the City of Caisbad to enter UJXITT the atxive mentioned property br insi:ection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE Clrf OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY iN A Y WAY ACCRUE AGAINST SAID CITY IN CONSEQJENCE OF THE GRANTING OF THIS PERMIT OSHA: MOSHA pennit is required for excavations over 5'0' deep and demolltbn or oon ction of structures over 3 stories in hei;)ht. EXPIRATION: Every pennit issued by the B..!ilding Ofoc~I u rthe. pmvi·s· ns of this . shall expire by limita!Kln and become null and void if_the buik:ling orv-.ork authorized by such pennit is not oommenced 'Mthin 180 days from the date of such permit or if the bu1k:1;9 or au~~~ ,such_;:,fmt suspended or abandoned at anytime after the w:irk Is oommenced for a i of 1 180/ays (Secoon 100.4.4 Unifom, Building Code). ,.s APPLICANT'S SIGNATURE L//I ,U,,V'l, ' I DATE E✓ 0 ·1 t PERMIT INSPECTION HISTORY REPORT (CB163091) Pormit Type: BLDG-Residential Application Date: 08/12/2016 Work Class: Addition Issue Date: 08/12/2016 Status: Closed -Finaled Expiration Date: 05/30/2017 IVR Number: 716391 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status 11/02/2016 11/02/2016 March 28, 2017 BLOG-Fina! Inspection 002410-2016 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Michael Collins SIEGLINDE COLER 2622 La Costa Av Carlsbad, CA 92009 Reinspection Passed No No No No No Complete Complete Page 1 of 1 Inspection List Pennit#: CB163091 Type: RESDNTL RAD Date Inspection Item Inspector 11/01/2016 89 Final Combo MC 09/01/2016 17 Interior Lath/Drywall MC 09/01/2016 82 Drywall/Ext Lath/Gas Test MC 08/26/2016 27 Shower Pan/Roman Tubs PY 08/23/2016 21 Underground/Under Floor MC 08/23/2016 24 Rough/Topout MC Tuesday, March 28, 2017 Act CA AP we AP AP AP COLER: DRYWAL, INSULLATION & & HOT MOP OF SHOWER AS PART OF A Comments PER CONTRACTOR SHOWER LATH SHOWER DRAIN PIPING REPAIR TO SHOWER Page 1 of 1