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