HomeMy WebLinkAbout2711 LLAMA CT; ; CB160838; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
03-02-2016 Permit No: CB160838
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2711 LLAMA CT CBAD
PME
2154200700 Lot#:
Project Title: MOSKOWITZ RES-REMODEL MASTER
0
Status:
Applied;
Entered By;
Plan Approved:
Issued:
Inspect Area:
BATH, REMOVE EXIST SHOWER & TUB & REPLACE WI NEW ROLL IN
SHOWER, REMOVE BIDET, REPLACE 2 SINKS, REMOVE WALL LIGHTS &
ADD NEW CAN LIGHTS & SWITCHES, WIDEN DOOR OPENING
Applicant: Owner:
RITA MOSKOWITZ RITA MOSKOWITZ
2711 LLAMA CT
CARLSBAD CA 92009
442 244-0813
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2711 LLAMA CT
CARLSBAD CA 92009
ISSUED
03/02/2016
RMA
03/02/2016
03/02/2016
$163.00
$38.00
$0.00
$65.00
$266.00
Total Fees: $266.00 Total Payments To Date: $266.00 Balance Due:
Inspector: Clearance:
$0.00
l,OTlCE; Rease la<e l'OTICE Iha --ri yo,: ptjed irdl.des tte "lrrpootiai' ri fees, declcalicns, reservatia,s, ex drer exa:ti<ns taa;ita-<dledi1.9Y
refooed to as 1eas'exroicffi" Yoo ta.e9Jd¥mrntte-ths pemit v.esiSSl..«1topn:iesl ilYp'.lSffioo riU-feas'axadio,s If )00 pn:iesl \tern )00 l1U!l
fcilootte pn:iest p,:x:oo.,es set fol1h in C?o.<nmrt CcxJe Serna, Eal2J(a), a-d file tte pn:iesl a-d a,y drer reqjred infarraia, wth tte Oty l'-/alager ftr
processing in~ wth Galslm Mndpa CcxJe Serna, 3.32.030. Falue to Urrey fdlootha l'"()OO(l.rewll ta" a,y sui:,;eq.Jert legal a:oa, to atta::ls
re-AeN, set aside, vd. d, a anJ treir irrp::sitioo.
Yoo a-e r,r,t,; FlRl1-ER l'OTIRED trat yw rigt to pn:iesl tte specified feas'exa:ticns CXE, 1'01" />PP!. Y tovaer ..-d se,,,er oa,necta, fees ..-d capa:;ty
cra,ges, ncx planng, mng, goong ex ether sinila-applicalia, processing ex""""' fees in O<l1nedoo wth ths ptjed. r-CR cx:es IT l'PPL Y to a,y a 1· .
., THE FO(LOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING
C Cifyof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
□BUILDING □FIRE □HEALTH
Plan Check No.
Est. Value
OCC. GROUP
EXISTING USE PROPOSED USE GARAGE (SF) PAT\OS (SF) AIR CONDITIONING
vcsONoO
FIRE SPRINKLERS
YESONoO
APPLICANT NAME
Primary Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
STATE ZIP
FAX
STATE ZIP
FAX
STATE LIC. #
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE UC.# CLASS CITY BUS. LIC.#
(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 applicant for such permit 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 B_usiness and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 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: .
8 I have and wHI maintain a certlficate 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.
1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co .. ______________________ Policy No. ______________ Expiration Date _________ _
Jhj§,seclion 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 wl1ich this permit is issued, I shal\ not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crimlnal penalties and civil fines up to one hundred thousand dollars (&100,000), ln
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees.
_15 CONTRACTOR SIGNATURE QA.GENT DA.TE
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from Contractors License Law for the following reason: 0 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 Contracbr's
License Law does not apply to an owner of property wl1o builds or improves thereon, and who does such work himseH 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 0W11er-builder will have the burden of proving that he did not build or improve for the purpose of sale). rn !, as owner of the property, am exclusively contracting w1lh licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an 0W11er 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. 0Yes
2. l~ave 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/ contractors' license number): C £4 l .btA.-\-h.,
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supeivise and provide the major work {include name / address I phone I contractors' ijcense number):
5. I wi\l provide some of the work, but I have contracted (hired} the following persons to provide the work indicated (include name I address I ptlone I type of work):
QAGENT DATE 3
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
ls the applicant or future building occupant required to submit a business plan, acutely hazarOOus materials registration form or risk management and prevenlion program under Sec~ons 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acf? 0 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 O 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.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above lnfonnatlon Is correct and that the info1TT1atlon on the plans Is aixurate. I agree to con-.:,tywlth all Cify ordinances and State lav4 relatlngto building consb'uctlon.
l hereby authorize representaHve of the Otyof Car1sbad to enter upon the atx:>Ye menlioned ~rty br insp;coorl purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF C.ARLSBAD
AGAINST ALL UAflll\TIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUEAG.AJNST SAID CITY IN CONSEOJENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA pemi~ is requred for excavations over 5'0' deep and demolition orconslruction of structures over 3 stones :n height.
EXPIRATION: Every pe!TTlit issued by the Buikfog Otfdalunderthe provisk.lns of this Code shall expre by limitalion and beo:Jme null and voKI Wthe buik:lingorv.ork authorized by such pemiit is noto:immenced v.tthin
180days from the date of such pemi~ or if the buik:1ing orv.ork authorized by such penn~ is suspended or abandoned at any Hme after the mrk is o:immenced fcr a period of 180 days (Sec!Klll 100.4.4 Unifomi Building Code) .
.AJ5 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 fonn 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.
DELNERY OPTIONS
PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed abOve)
o CONTRACTOR (On Pg. 1)
MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. 1)
MAIL/ FAX TO OTHER: _______________ _
,.IS APPLICANT'S SIGNATURE
□ ASSOCIATEOCB#------------
0 NO CHANGE IN USE/ NO CONSTRUCTION
□ CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB160838 Type: PME
Date ·~ lnsyection~ltem ~-~ ~~ ·~·~
05/12/2016 89 Final Combo
05/12/2016 89 Final Combo
05/09/2016 29 Final Plumbing
05/09/2016 89 Final Combo
03/18/2016 16 Insulation
03/18/2016 17 Interior Lath/Drywall
03/16/2016 21 Underground/Under Floor
03/16/2016 84 Rough Combo
Thursday, May 12, 2016
Inspector Act
RI
AEK AP
RI
AEK co
AEK AP
AEK AP
AEK AP
AEK AP
MOSKOWITZ RES-REMODEL MASTER
BATH, REMOVE EXIST SHOWER & TUB &
Comments
GFCI RIGHT OF SINK BAD
Page 1 of 1
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