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Home My WebLink About2626 LEWIS LN; ; CB161108; Permit... City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-22-2016 Permit No: CB161108 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2626 LEWIS LN CBAD PME 1552722200 Lot#: Status: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: BERMAN: BATHROOM REMODEL W/ MINOR PLUMBING & ELECTRIC W/HARDY BOARD AT SHOWER Applicant: BILL LAMME 2069 3110 S SANTA FE AVE SAN MARCOS CA 92069-1286 760-798-5554 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: BERMAN ARLENE S 2626 LEWIS LN CARLSBAD CA 92008 ISSUED 03/22/2016 JMA 03/22/2016 03/22/2016 $163.00 $0.00 $38.00 $0.00 $201.00 Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due: Clearance: $0.00 NOTICE Aease ta<e NOTICE that ct )WI' prtjed irdudes the "ln-positiori' ct fees. dedcaticns, ""'3MEOOS, or dt'a' exaliOl'lS h3reafter rolectivay referred to as 'fees'exa:DOl'lS." Yoo rave 00 ce,,; froolthe-tns pemit v..as issuad to p,-ctest irrµ,sitia, ct these fees'ex,dicns. If yoo p,-ctest u-..n yoo rrust fcJlo.vthe IJdesl jl'OOlCires set forth in G'.>,arrrert Oxle Section 60020(a), 81d file the p,-ctest 81d any dt'a' ~red informiion wth the Qty Tv'a1agerfor ~rg in oo:crdauawth Qrtsbad M.ricipa Oxle Section 3.32.CllO. FaltretotirrayfcJlo.vtrat ~wll t>.-anysubseq.lenl l"J" aciion to atta:l<, revie.v, set aside, vcid, a clTU tt-eir il'flXSlicn Yoo .... ~ F\RTl-ER NOTIFlED that yar ngt to p,-dest the specified fees'exa:DOl'lS llCES NOr APA.. y to-a,d f'BM!!( oonnection leas a,d ~ cra-ges, nor pannrg, zcrirg g,drg or dt'a' sinila-,qjic:ation ~rg or seo,ioe fees in oonnection wth tns prtjed. I'm DCES IT APA.. Y to any f ·oosa 'lcrtoth owi tre Uni THE FOLLOWING~PPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH □HAZMAT/APCD I Ccityof Building Permit Application Plan Check No./' ~ I b . I I 0~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date ~ ,z,,.7_. 1 '-lswPPP JOB ADDRESS ~v-.=S l..,_,;: ~~!,$<> A\) "'\2.c>riJ SUITEt/SPACEt/UNITt IAPN 2f -, ( __ --- CT/PROJECT# I LOT# I PHASE# # OF UNITS I# BEDROOMS # BATHROOMS lTENANT BUSINESS NAME I CONSTR. TYPE I DCC. GROUP ' /,,,.a.1,.c;:_,,,,::.. g~., -~ r-1 DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) c;·1,.,z~1,.. v' W M :x:. r-l G --. --~ A -· "" t , I :\ , ~~ .--, -aa rt' o nC::.~ <::, EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (Sf) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES[),_ No0 YES □No□ YES□No□ APPLICANT NAME \~, ~""'-ct., PROPERTY OWNER .t=\ r2-, ,;:_ .,__ I"\. .. rJ Primary Contact n, c..-..C ADDRESS ~ ~ ~,,n.:::.. .,,._" c... ADORES_~/ ,,,..,/" J l (.v-'-::t--l.. L-,--~ '"'-' M"'n..co~ STA~ ZIP c~ STC,.+A z1~'2,DO& -==,,,..i ~ 1.0::.."\ L.S~O<\> ~U) )':.+C\""-<:;;<;~4 IFAX PHO~ ~ izd FAX . c;-,o '1-C\ -'2,C EMAIL _(t) EMAIL 6,;...U..f,,.t--sr-,\~ '. --~-,.,._-,._ ...... DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ),,jC'.l.,L L.o..t"-'"'-'L- ADDRESS ADDRESS ~ ~ f'.-\v<i'..--'2110-. ~ CITY STATE ZIP 2:"A--N f'-\,,.-n.;c:,~ STATE z9'1.-C>C:, ~ CA PHONE l'AX PHONE Y\-::\'\ I FAX '";\(., 0 'o-c:;;; <;;~ + EMAIL EMAIL l.-P<t-,.. 'C ~ ~o--i:'-• covvi. -I STATE LIC. # STAT(_A (., c,.4(") ICLASS{2._ I a'..o'a l;..Jlcl (Sec. 7031.5 Business and Professions Code. Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License LawJChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) orfhat he 1s 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 ' Compensation Oeclaratlon: / hereby affirm under penalty of peljUfY one of the following declarations: 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. and will maintain workers' compensation, as required by Section 3700 of the La.bar Code, for the performance of the work for which this permit i_j issued. My workers' compensation insurance carrier and policy numbe, ,~ Insurance Co. C D \-<. '\' ~-:::::S::O S,. l ~ ~1;cy No. C-S,C $b()";\ \ ,qC" &p;raton Dam _______ _ ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ 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 addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees . California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred(housand doltars (&100,000), In .Nf CONTRACTOR SIGNATURE ~ ~-t.. □AGENT DATE <:::, 1--'2 I 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 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 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/ 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/ 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 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/ phone/ type of work): _6$ 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 prevenHon program under SecHons 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes O 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? O 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 haYe read the application and state that the above infonnatloo is oorrectand that the lnfonnatlon on the plans is accurate. I agree 1D complyYoith all City ordinances and State 18\'tS relating tD building oonsbuction. I hereby authorize representative of the City of Car1sbad toenteru~ the at:ove mentioned property br inspection purJX)ses. I ALSO AGREE TO SAVE, INDEMNIFY /\ND KEEP HARMLESS THE CITY OF C.ARLSBi\O 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 required for excavations over 5'0' deep and demolitk:m or 001strudion of structures over 3 stories in height, EXPIR/1.TION: Every permit issued by the BJilding Offdal under the pravisk:ms of this Cocle shall expire by linitalion and become null and vok:l if the buik:ling or 'MXk aulholized t7f sudl permit is notoommenc:ed 'Mlhin 180 days ft"om the date of sudl permit or if the building or ¼Qrk authoozed by such permit is suspended or aband:Jned at any time after the ¼Qrk is oommenced for a perbd of 180 days (~00 106.4 .4 Uniform Building Cocle). _6! 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. UC. No. DELNERY OPTIONS PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On pg. 1) MAIL/ FAX TO OTHER: _______________ _ ...JlS APPLICANT'S SIGNATURE o ASSOCIATED CB#------------ □ NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB161108 Type: PME Date Inspection Item 07/19/2016 89 Final Combo 07/19/2016 89 Final Combo 04/08/2016 17 Interior Lath/Drywall 04/01/2016 17 Interior Lath/Drywall 04/01/2016 27 Shower Pan/Roman Tubs 03/30/2016 24 RoughfT opout 03/30/2016 34 Rough Electric Wednesday, July 20, 2016 Inspector AEK AEK AEK AEK AEK AEK Act RI Fl AP AP AP AP AP BERMAN: BATHROOM REMODEL W/ MINOR PLUMBING & ELECTRIC W/HARD Comments Page 1 of 1