HomeMy WebLinkAbout2721 Abejorro St; ; PC2019-0068; PermitPERMIT REPORT
Print Date: 04/21/2020
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Bathrooms:
Project Title:
2721 Abejorro St
BLDG-Plan Check
2153003600
$ 0.00
Plan Check Permit
Work Class: Residential
Lot#:
Project#:
Construction Type
Orig. Plan Check#:
Plan Check#:
{city of
Carlsbad
Permit No: PC2019-0068
Status:
Applied:
Issued:
PermitFinal
Closed -Finaled
10/11/2019
11/12/2019
Close Out: 04/21/2020
Inspector:
Final
Inspection:
Description: ROZANSKY: MOLD AND WATER DAMAGE REPAIRS TO DUPLEX// 546 SF BATHROOM AND KITCHEN REMODEL// REMOV
WALL IN DOOR OPENING// 60 SF REPLACE WINDOW WITH SLIDING DOOR
Applicant:
HADASSAH ROZANSKY
760-809-1788
FEE
MANUAL BLDG PLAN CHECK FEE
Total Fees: $ 100.00
Building Division
Owner:
TRUST ROZANSKY HADASSAH LIVING
6421 Tobria Terrance
CARLSBAD,CA 92009
Total Payments To Date : $ 100.00
Contractor:
LIM SOLUTIONS INC
16352 Spartan Cir
Huntington Beach, CA 92649-2526
714-875-2134
Balance Due:
AMOUNT
$100.00
$0.00
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.tarlsbadca.gov Page 1 of 1
•
( Cicyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Job Address .272.J / z, 72,3 08({l<9flJlJ 1 £1-Suite: ____ APN: 2./S'l@"DO
CT/Project#: ________________ Lot#: ___ _
Fire Sprinklers: yes/~ Air Conditioning: yes {y Electrical Panel Upgrade: yes {,Y,
BRIEF DESCRIPTION OF WORK: e G Av 1' lQ I' l11(,,.. 8P:18 ll Hou J f I J.JJ 1/)lll /./ ?-It .,;u Pt;, It
i»s16L~-l'.4-1✓(; 09\Pfl 11i1Jz~lrl? co? ,r/11tt-ut. /Jr?-11~ w11i1Dtw '
□ Addition/New: _____ Living SF, ___ Deck SF, ___ Patio SF, ___ Garage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __
D Remodel: ____ SF of affected area Is the area a conversion or change of use? Yes/ No
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
□ Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground , Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: __________________________________ _
%) Plumbing/Mechanical/Electrical Only: _ _,_R~f-c,8:cc· _,l!>'-"v_-,..1 --'-'---'·,y---"-_,,(..__,_ _______________ _
i)Q Other: f?t?J?/AC& DGreL'T.\16 j)t1t,,G /9JJ!) R.&'p(/rt-€-f't..1't2ln//rwl>Jt)bJ,J
wi Ilr ',,, ,-o, 1,J/,-noons, Ref,4;:e1,Ju--.,,,w,:i) P/21:1/v:G
APPLICANT (PRIMARY CONTACT)
Name: l:½1W-,S'..r-9)i B &<'.'. ta-i.l ~ )<..)'
Address: iPQ]im J.. }~(!) I ]f.p
City: @ J.Jf:af) State: Ce: Zip: C, I.. o 13
Phone: 7 6 o -W '.1 -l 7J--:k'. , Phone: _4--.J:;J....~____.s;,~..J-:....L_!_.P.,.-O.---,----:-
Email: C O B-<)'.t1' o , .i-Jxi e ?IJIZT#t/;.iJ <.. Email: _.t;,_fLE,~z::l.....::~=--t,-t::.:.21.!L£.Z.:.~=~~
· Iii&(
DESIGN PROFESSIONAL CONTRACTOR BUSINESS 1
Name: Rth'>,t() ,ki7(t;IG1)( Name: //4.o/? LJ(J-}7J.1A(J/tJ?
Address: qo3c2 kt;AIAJ..AAJI DR!v6??11/ Address: /b3£J .SfO(L.Zi::;1-.J .
· City: ,$. O State: M Zip: ___ City:J}vi11,'1Jt,i,!!l'l1Jtl/-State: C/1 Zip: q 2', 1/9
Phone: k.DB, -2)17-213] Phone: J / 1../ -g 7 .l -Z 131-;
Email: Dt))t,'a6' Jit1~h/Dk•7rt:t&11S. (.'01...{ Email: JM/2.(), I it:1s01,un'111.Jf.(Q{?
Architect State License:___________ State Licensel!17&'. 'B,x' Bus. License: ~f f Ii f~
{Sec. 7031.S 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 fflr such permit to file a signed statement that he/she 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 that he/she 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}).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8S58
"-1 Paae 1 of 2 Rev. 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby 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 provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued.
□ I have and will maintain worker's 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 Company Name: _____________________ _
Policy No. ______________ Expiration Date: _________ _
□ Certificate of Exemption: I certify that in t'he performance of the work for which this permit is issued, I shall not employ any person in any manner so as to be come
subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful, and shall subject an employer to
criminal penalties and civil fines up to $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code,
Interest and attorney's fees.
CONTRACTOR SIGNATURE: _________________ □AGENT DATE: _____ _
( OPTION B ): OWNER-BUILDER DECLARATION:
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).
,JI I, as owner of the property, am exclusively contractin.g 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. □ 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/ phone/ 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/ address/ 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/ phone/ type of work):
OWNER SIGNATURE: /_/4__,,/4_.,/4 ~ □AGENT -.,f-"-"'-"-<-""':U."-"'---7+-"'"----------------DATE: _c,+= ....... l__,_7__,. l_,_9_
CONSTRUCTION LENDING AGENCY. IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: _____________________ _ Lender's Address: _____________________ _
ONLY COMPLETE THE FOLLOWING 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 prevention
program under Sections 25505, 25533 or 25534 of the Presley~Tanner Hazardous Substance Account Act? □ Yes □ No
ls 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.
APPLICANT CERTIFICATION:
I certify that l have read the application and state that the above information is correct and that the information on the plans is accurate. l agree to comply with all
City ordinances and State laws relating to building construction.
I hereby authorize representative of the Oty of carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE CllY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF
THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized
by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at anytime
after the work is commenced for a pe~od of 180 days Section 106.4.4 Uniform Building Code).
APPLICANT SIGNATURE:
1635 Faraday Ave Carlsbad, CA 92008
B-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
DATE: October 23, 2019
JURISDICTION: Carlsbad
PLAN CHECK#.: CBPC2019-0068
✓• EsG1I
A SAFEbuilt Comp.irty
SET: I
PROJECT ADDRESS: 2721, 2723 Abejorro St
PROJECT NAME: Repair to Rozansky Residence
jAPPLICANT fa JURIS.
D The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
C8:J The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
D The check list transmitted herewith is for your information. The plans are being held at EsGil until
corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
D The applicant's copy of the check list has been sent to:
C8:J EsGil staff did not advise the applicant that the plan check has been completed.
D EsGil staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone#:
Date contacted:/0 /2,.-1/lC'J (by:(tl,,f ) Email:
Mail Telephone ax In Person
C8:J REMARKS~
1
Revise notes C, J, and O on sheet 2 of the plans to show 1.8 GPM. DoY'L
~Plans must be signed by the person responsible for their preparation.
By: Abe Doliente
EsGil
10/17/19
Enclosures:
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
Carlsbad CBPC2019-0068
October 23, 2019
[DO NOT PAY -THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad
PREPARED BY: Abe Doliente
PLAN CHECK#.: CBPC2019-0068
DATE: October 23, 2019
BUILDING ADDRESS: 2721, 2723 Abejorro St
BUILDING OCCUPANCY:
BUILDING AREA Valuation
PORTION ( Sq. Ft.) Multiplier
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code cb By Ordinance
1 97 U 9 BC Build in Permit Fee g .... _J
1997 UBC Plan Check Fee ---~]
Type of Review: □ Complete Review
□ Repetitive Fee □ Other
Reg. VALUE
Mod.
□ Structural Only
-----;;·1 Repeats 0 Hourly
EsGil Fee
1 IHr.@ •
~=====$=1 o=s=.o:a * Based on hourly rate
Comments:
($)
Sheet 1 of 1
I
{ Cicyof
Carlsbad
PURPOSE
CLIMATE ACTION PLAN
CONSISTENCY CHECKLIST
B-50
Development Services
Building Division
1635 Faraday Avenue
(760) 602-2719
www.carlsbadca.gov
This checklist is intended to assist building permit applicants identify which Climate Action Plan (CAP) ordinance
requirements apply to their projects. The completed checklist must be included in the building permit application. It may be
necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate
full compliance with CAP ordinance requirements. For example, projects that propose or require a performance approach
to comply with energy-related measures will need to attach to this checklist separate calculations and documentation as
specified by the ordinances.
NOTE: The following type of permits are not required to fill out this form
❖ Patio I ❖ Decks I ❖ PME (w/o panel upgrade) I ❖ Pool
~ If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required by ordinance,
an explanation must be provided to the satisfaction of the Building Official.
~ Details on CAP ordinance requirements are available on the city's website.
~ A CAP Building Plan template (form 8-55) shall be added to the title page all building plans. This template shall be
completed to demonstrate project compliance with the CAP ordinances. Refer to the building application webpage and
download the latest form.
_________ BPNo.: P(2o(i-00b'.b
Property Address/APN: 2121/2-72,5 B8lf-:S0fl~C, c+ CAjH-([S(V) Cjli;J q 2/S3005te~
Applicant Name/Co.:
Applicant Address:
k"> /H2 AS~lHt R o Vb J .S \< '(
Contact Phone:
Contact information of person completing this checklist (if different than above):
Name:
Company
name/address:
Contact Phone:
Contact Email:
Applicant Signature: _7+-}_·J~l -~~~-Z----________ Date: -f-/ ..... (2_. _\"'---\._\_°I_,__
B-50 Page 1 of 6 Revised 08/19
City of Carlsbad Climate Action Plan Consistency Checklist
Use the table below to determine which sections of the Ordinance Compliance checklist are applicable to your project.
For alterations and additions to existing buildings, attach Building Permit Valuation worksheet.
Building Permit Valuation (BPV) from worksheet: $ U :ci l
~dential
□ New construction
□ Electrical service panel upgrade only
□ BPV 2: $200,000
D Nonresidential
□ New construction
□ Alterations:
□ BPV 2: $200,000 or additions 2: 1,000
square feet
□ BPV 2: $1,000,000
□ 2: 2,000 sq. ft. new roof addition
1. Energy Efficiency
Naeal:
A high-rise residential building is 4 or more stories, including a
Low-rise High-rise mixed-use building in which at least 20% of its conditioned floor
area is residential use
2A, 3A, 18, 28,
4A 38, 4A
1A, 4A 4A
1A, 4A* 18, 4A*
1 B, 28, 38, 48 and 5
18,5
18,28,5
28, 5
I residential additions and alterations
1-2 family dwellings and townhouses with attached garages
only
*Multi-family dwellings only where interior finishes are removed
and significant site work and upgrades to structural and
mechanical, electrical, and/or plumbing systems are proposed
Building alterations of 2: 75% existing gross floor area
18 also applies if BPV 2: $200,000
Please refer to Carlsbad Municipal Code (CMC) sections 18.21 .155 and 18.30.190, and the California Green Building Standards Code (CAL Green) for
more information when completing this section.
A D Residential addition or alteration 2': $60,000 building pennit valuation.
See CMC section 18.30.190.
□ NIA _________ _
□ Exception: Home energy score<! 7
(attach certification)
Year Built Single-family Requirements Multi-family Requirements
□ Before 1978 Select one:
□ Duct sealing □ Attic insulation □ Cool roof □ Attic insulation
□ 1978 and later Select one:
□ Lighting package □ Water heating Package
□ Between 1978 and 1991 Select one:
□ Duct sealing □ Attic insulation □ Cool roof
□ 1992 and later Select one:
□ Lighting package □ Water heating package
B. D Nonresidential* new construction or alterations 2': $200,000 building pennit valuation,
or additions 2': 1,000 square feet □ N/A
Updated 8/15/2019
'
2
I City of Carlsbad Climate Action Plan Consistency Checklist
See CMC 18.21.155 and CAL Green Appendix AS, Division A5.2 -Energy Efficiency.
AS.203.1. 1 Choose one: □ . 1 Outdoor lighting □ .2 Warehouse dock seal doors
□ .3 Restaurant service water heating (comply with California Energy Code section 140.5, as amended) □ N/A ________ _
□ .4 Da~ight design PAFs □ .5 Exhaust air heat recovery
AS.203.1.2.1
Choose one as applicable: □ .95 Energy budget □ .90 Energy budget □ N/A
AS.211.1 ..
□ On-site renewable energy □ N/A
AS.211.3**
□ Green power (if offered by local utility provider, 50% minimum renewable sources) □ N/A
AS.212.1
□ Elevators and escalators □ N/A
AS.213.1
□ Steel framing □ N/A
* Includes hotels/motels and high-rise residential buildings
** For alterations ;:: $1,000,000 BPV and affecting > 75% existing gross floor area, or alterations that add 2,000 square feet of new roof addition: comply
with CMC 18.30.130 instead.
2. Photovoltaic Systems
A. D Residential new construction (for low-rise residential building permit applications submitted after 1/1/20). Refer to 2019 California
Energy Code section 150.1(c)14 for requirements. Notes: 1) High-rise residential buildings are subject to nonresidential photovoltaic
requirement (2B below) instead. 2) If project includes installation of an electric heat pump water heater pursuant to CMC 18.30.1 SO(B)
(high-rise residential) or 18.30.170(8) (low-rise residential), increase system size by .3kWdc if PV offset option is selected.
Floor Plan ID (use additional CFA #d.u. Calculated kWdc*
sheets if necessary)
Total System Size:
kWdc = (CFAx.572) / 1,000 + (1.15 x #d.u.)
*Formula calculation where CFA = conditional floor area, #du= number of dwellings per plan type
If proposed system size is less than calculated size, please explain.
Exception
□
□
□
□
kWdc
B. D Nonresidential new construction or alterations 2!$1,000,000 BPV and affecting 2!75% existing floor area, or addition that increases roof
area by 2!2,000 square feet Please refer to CMC section 18.30.130 when completing this section. Note: This section also applies to
high-rise residential and hotel/motel buildings.
Choose one of the following methods:
□ Gross Floor Area (GFA) Method
GFA:
□If < 10,000s.f. Enter: 5 kWdc
Min. System Size:
□If <! 10,000s.f. calculate: 15 kWdc x (GFA/10,000) **
___ kWdc
**Round building size factor to nearest tenth, and round system size to nearest whole number.
□ Time-Dependent Valuation Method
Updated 8/15/2019 3
City of Carlsbad Climate Action Plan Consistency Checklist
Annual TDV Energy use:••• ______ x .80= Min. system size: _____ kWdc
***Attach calculation documentation using modeling software approved by the California Energy Commission.
3. Water Heating
A. D Residential and hotel/motel new construction
Please refer to CMC sections 18.30.150 and 18.30.170 when completing this section.
□ For systems serving individual dwelling units choose one:
□ Heat pump water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise
residential only)
□ Heat pump water heater AND PV system .3 kWdc larger than required in CMC section 18.30.130 (high rise
residential hotel/motel) or CA Energy Code section 150.1 (c) 14 (low-rise residential)
□ Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher
□ Solar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectors
□ Exception:
□ For systems serving multiple dwelling units, install a central water-heating system with all of the following:
□ Gas or propane water heating system
□ Recirculation system per CMC 18.30.150(8) (high-rise residential, hotel/motel) or CMC 18.30.170(8) (low-
rise residential)
□ Solar water heating system that is either:
□ .20 solar savings fraction
D .15 solar savings fraction, plus drain water heat recovery
D Exception:
B. D Nonresidential new construction
Please refer to Carlsbad Ordinance CMC section 18.30.150 when completing this section.
□ Water heating system derives at least 40% of its energy from one of the following (attach documentation):
□ Solar-thermal □ Photovoltaics
□ Water heating system is (choose one):
□ Heat pump water heater
D Electric resistance water heater(s)
□ Recovered energy
□Solar water heating system with .40 solar savings fraction
D Exception:
Updated 8/15/2019
'
4
. 1 City of Carlsbad Climate Action Plan Consistency Checklist
4. Electric Vehicle Cha in
A D Residential New construction and major alterations*
Please refer to Carlsbad Ordinance CMC section 18.21.140 when com letin this section.
□ One and two-family residential dwelling or townhouse with attached garage:
□ One EVSE Ready parking space required □ Exception :
□ Multi-family residential· □ Exception ·
Total Parking Spaces EVSE Spaces
Proposed Capable I Ready I
I I
Calculations: Total EVSE spaces = .10 x Total parking (rounded up to nearest whole number)
EVSE Installed= Total EVSE Spaces x .50 (rounded up to nearest whole number)
EVSE other= Total EVSE spaces -EVSE Installed
(EVSE other may be "Capable," "Ready" or "Installed.")
Installed I Total
I
*Major alterations are: (1) for one and two-family dwellings and townhouses with attached garages, alterations have a building permtt valuation ;,: $60,000
or include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building permit
valuation;,: $200,000, interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing
systems are proposed.
B D Nonresidential new construction (includes hotels/motels) □ Exception ·
Total Parking Spaces EVSE Spaces
Proposed Capable I Ready I Installed I Total
I I I
Calculation: Refer to the table below:
Total Number of ParkinQ Spaces provided Number of re<iuired EV Spaces Number of reauired EVSE Installed Spaces
D 0-9 1 1
D 10-25 2 1
D 26-50 4 2
D 51-75 6 3
D 76-100 9 5
D 101-150 12 6
D 151-200 17 9
D 201 and over 10 percent of total 50 oercent of Required EV Spaces
Updated 8/15/2019 5
City of Carlsbad Climate Action Plan Consistency Checklist
5. D Transportation Demand Management (TOM): Nonresidential ONLY
An approved Transportation Demand Management (TOM) Plan is required for all nonresidential projects that meet a threshold of employee-generated ADT.
City staff will use the table below based on your submitted plans to determine whether or nor your permit requires a TOM plan. If TOM is applicable to your
permit, staff will contact the applicant to develop a site-specific TOM plan based on the permit details.
Acknowledgment:
Employee ADT Estimation for Various Commercial Uses
EmpADTfor
first 1,000 s.f.
EmpADTI
1000 s.f.1
Office (all)2 20
Restaurant 11
Retai'3 8
Industrial 4
Manufacturing 4
Warehousin 4
, Unless otherwise noted, rates estimated from /TE Trip
Generation Manual, 1 (JlhEdition
13
11
4.5
3.5
3
1
2 For all office uses, use SAN DAG rate of 20 ADT/1,000 sf to
calculate employee ADT
3 Retail uses include shopping center, variety store, supermarket,
gyms, pharmacy, etc.
Other commercial uses may be subject to special
consideration
Sample calculations:
Office: 20,450 sf
1. 20,450 sf/ 1000 x 20 = 409 Employee ADT
Retail: 9,334 sf
1. First 1,000 sf= 8 ADT
2. 9,334 sf -1,000 sf= 8,334 sf
3. 8,334 sf/ 1,000 x 4.5 + 8 = 46 Em lo ee ADT
I acknowledge that the plans submitted may be subject to the City of Carlsbad's Transportation Demand Management Ordinance. I agree to be contacted should
my permit require a TOM plan and understand that an approved TOM plan is a condition of permit issuance.
Applicant Signature: _________________ _ Date: _____ _
Person other than Applicant to be contacted for TOM compliance (if applicable):
Name (Printed): __________________ _ Phone Number: ____ _
Email Address: __________________ _
Updated 8/15/2019 6
PROJECT NUMBER: 44-14-964PRV
RECF 1'1~D
OCT 11 2019
CITY OF CAlh ,,fi/\D
BUILDING DIVISION
JUNE 20, 2019
POST REMEDIATION VERIFICATION
AIRBORNE AND SURFACE FUNGAL STRUCTURES
~l~-,:;,,•-
~ ROZANSKI amnr
2721 & 2723 ABEJORO ST. CARLSBAD, CA ~2009 0
PREPARED FOR:
HADASSAH ROZANSKI
Project# 44-14-964PRV Post Remediation Verification 1
CONTENTS
1.0 Executive Summary ............................................................................................................. 2
2.0 Standards and Guidelines ................................................................................................... 3
3.0 lntroduction ......................................................................................................................... 3
4.0 Purpose of Investigation .................................................................................................... .4
S.0 Post Remediation Verification Criteria .............................................................................. .4
6.0 Investigation Background ................................................................................................... 5
7.0 Investigation Methodology ................................................................................................. S
8.0 Hygienist Observations and Recorded Data ....................................................................... 6
9.0 Sampling Methodology ....................................................................................................... 6
9.1 Spore Trap Air Sample(s) .................................................................................................... 6
10.0 Sampling Results ................................................................................................................. 7
10.1 Spore Trap Air Sampling Results ......................................................................................... 7
11.0 Conclusions .......................................................................................................................... 7
12.0 Recommendations .............................................................................................................. 7
13.0 Limitations and Approvals .................................................................................................. 7
APPENDIX A ................................................................................................................................. 9
Analytical Laboratory Report(s) ................................................................................................. 9
APPENDIX B ............................................................................................ , .................................. 11
Chain af Custody ........................................................................................................................ ] 1
APPENDIX C ............................................................................................................................... 13
Photo Log af Key Observations ................................................................................................. 13
Additional photos retained in project file are available upon request ................................... 13
Safeguard EnviroGroup, Inc. 158 N. Glendora Ave., Suite R, Glendora, CA 91741 (626) 335-3154
Project# 44-14-964PRV Post Remediation Verification 2
1.0 Executive Summary
The following will provide an overview of assessment activities, key observations and results of
the investigation conducted at the subject property located at 2721 & 2723 Abejoro St. Carlsbad,
CA 92009:
• Safeguard EnviroGroup conducted a Post Mold Remediation Verification for Clearance
on Thursday, June 20, 2019 at the subject property as authorized by the client.
• As agreed with the client, the investigation was specifically related to the following
known, affected and subsequently, remediated area(s), hereinafter referred to as the
"designated work area(s)":
1st Floor:
kitchens
bathrooms
bedrooms
• SEG investigation included a visual and olfactory inspection, moisture content
measurements of structural components and other materials, temperature and relative
humidity measurements, and the collection of spore trap non-culturable air samples and
surface samples (if suspect microbial staining is observed) within the designated work
area(s).
• SEG did not perceive any malodors, elevated moisture readings ( equal to or less than the
established reference moisture reading or less than 16% Wood-Moisture-Equivalent) or
observe staining consistent with microbial growth on floor surfaces, structural framing,
building or structural finish materials within the designated work area(s).
• At the time of testing, based on the results of the visual observations, data collected and
laboratory analysis, the designated work area(s) has PASSED our clearance criteria .
•
Safeguard EnviroGroup, Inc. 158 N. Glendora Ave., Suite R, Glendora, CA 91741 (626) 335-3154
Project# 44-14-964PRV Post Remediation Verification 3
2.0 Standards and Guidelines
Safeguard EnviroGroup follows the Standards of Practices and Code of Ethics for sample
collection and the assessment of indoor environments for microbial contamination as published by
governmental entities and professional societies, including, but not limited to, the following:
• American Industrial Hygiene Association (AIHA), Recognition, Evaluation, and Control
of Indoor Mold, 2008
• American Conference of Governmental Industrial Hygienists (ACGIH), Bioaerosols
Assessment and Control, 1999
• America Society of Testing and Materials (ASTM), D7338-14 Standard Guide for
Assessment of Fungal Growth in Buildings, D7392-09 Standard Test Method for
Categorization and Quantitation of Airborne Fungal Structures in an Inertial Impaction
Sample by Optical Microscopy
When establishing remediation criteria, preparing remediation protocols and procedures, or
confirming remediation success, Safeguard EnviroGroup utilizes standards and guidelines
published by governmental entities and professional societies, including, but not limited to, the
following:
• U.S. Environmental Protection Agency (EPA), Mold Remediation in Schools and
Commercial Buildings, 2008
• Institute oflnspection, Cleaning and Restoration Certification (IICRC), ANSIIIICRC S520
-Standard for Professional Mold Remediation v3 and ANSIIIICRC S500-Standard for
Professional Water Damage Restoration v4
Frequently, there are no published data against which field investigation data may be compared.
Subsequently, the comparison of data may be based on internal (in-house) documentation and
findings. Safeguard EnviroGroup recognizes that all indoor environmental projects are unique and
in certain circumstances, common sense and professional judgment may justify deviation from the
above standards and guidelines.
3.0 Introduction
Per client's request and authorization, Safeguard EnviroGroup, Inc. (SEG) was retained to perform
a Post Remediation Verification (PRV) for mold clearance which was conducted on Thursday,
June 20, 2019 at the subject property by Safeguard EnviroGroup Staff Hygienist, Choose an item ..
Safeguard EnviroGroup, Inc. 158 N. Glendora Ave., Suite R, Glendora, CA 91741 (626) 335-3154
Project# 44-14-964PRV Post Remediation Verification 4
The investigation was specifically related to the following known affected and subsequently,
remediated area(s), hereinafter referred to as the "designated work area(s)" as agreed upon with
client at the above referenced project site:
1st Floor:
kitchens
bathrooms
bedrooms
SEG does not guarantee that all contaminated areas in the property were recognized during our
evaluation. This report is limited only to the scope of the investigation, samples taken and locations
sampled. Areas or topics not explicitly discussed within this document should not be assumed to
have been investigated. Additional sampling may be needed to further identify other pollutants, or
other affected areas inside the property.
4.0 Purpose of Investigation
The purpose of this Post Remediation Verification was to determine the efficacy of cleaning
aerosolized fungi spores and microbial growth on the structural elements, finishing materials
and/or personal items/contents within the designated work area(s).
5.0 Post Remediation Verification Criteria
The Post Remediation Verification provides a measure of assurance, within sampling, testing and
analysis limitations that the structure and contents have been remediated to Condition 1 as defined
by the Institute of Inspection, Cleaning and Restoration Certification (IICRC) S520 Mold
Remediation Standard:
Condition 1: (normal fungal ecology) an indoor environment that may have settled spores, fungal
fragments or traces of actual growth whose identity, location and quantity are reflective of a normal
fungal ecology for a similar indoor environment.
The following Post Remediation Verification criteria has been established by SEG:
• Absence of visible dust, debris and mold -like odors;
• Absence of microbial growth reflective of a normal fungal ecology for a similar indoor
environment and;
• Moisture content of structural components and other materials should be equal to or less
than the established reference moisture reading or less than 16% Wood-Moisture-
Equivalent (WME) and;
• Air samples collected should be quantitatively equal or less than the outdoor baseline
sample and qualitatively similar and reflective of a normal fungal ecology for a similar
indoor environment.
Safeguard EnviroGroup, Inc. 158 N. Glendora Ave., Suite R, Glendora, CA 91741 (626) 335-3154
Project# 44-14-964PRV Post Remediation Verification 5
If all criteria are met, then the microbial remediation efforts are considered acceptable "Passes"
and no further action is recommended. If the project fails to meet one of the clearance criteria by
a narrow margin and; if the project analyst determines substantial improvement and acceptable
levels can be obtained with minimal remediation efforts, the project may be given a "Conditional
Clearance" with recommendations for further minimal remediation actions to be completed by
contractor prior to contractor vacancy and no further testing will be required. If the project
substantially fails to meet any of the above criteria, the project will have "Failed" post remediation
verification and additional testing and/or remediation efforts will be required followed by
additional rounds of post remediation clearance testing until the project achieves clearance.
Following successful clearance, reconstruction work can begin.
Minor abnormalities oftest results are not unusual and are subject to the interpretation of Safeguard
EnviroGroup.
6.0 Investigation Background
The following background information was gathered from various parties and/or observations by
the Hygienist:
• The subject property is a single story, condominium/townhouse.
• SEG observed designated work area(s) in good condition with containment and HEPA air
scrubbers were operating efficiently with clean filters.
• At the time of the investigation, SEG observed the following conditions present at the subject
property which restricted access to area(s), structural or building components within the
designated work area(s):
Location Photo ID Comoonent or Substrate ** Access restricted bv:
bathrooms 11 ceiling Plastic barrier
** Restricted access to locations, substrates, finishes or structural components can limit the scope
of the investigation, altering the sampling strategy or area( s) sampled. SEG makes every effort to
inspect all areas within the designated work area(s). However, SEG cannot guarantee or warrantee
the absence of contamination/microbial growth in areas not accessible or excluded from the
inspection.
7.0 Investigation Methodology
The scope of our investigation and methods used during our Post Remediation Verification
include:
• Visual and olfactory inspection of the known affected, exposed, and readily accessible
areas within the remediated containment.
• Collection of surface moisture level data and relative humidity/temperature readings.
Safeguard EnviroGroup, Inc. 158 N. Glendora Ave., Suite R, Glendora, CA 91741 (626) 335-3154
Project# 44-14-964PRV Post Remediation Verification 6
• Photographic documentation of key observations.
• Baseline air sample collected from outdoors to be used for comparative analysis.
• Spore trap ambient air sample collected pursuant to the method described in IESO Standard
1210 within each contained work area or if containment includes several rooms, sufficient
air samples to characterize work areas.
• Laboratory analysis of collected samples.
• Interpretation oflaboratory results
• Production of a written report of findings
The investigation was executed in accordance with the authorized scope of work; however, this
report does not indicate the termination of work at the subject site. This report is solely a record of
activities, observations, analytical results, and recommendations performed to date
8.0 Hygienist Observations and Recorded Data
At the time of the investigation within the designated work area(s), SEO observed and/or recorded
the following:
• No malodors were perceived.
• Surface moisture readings were equal to or less than the established reference moisture
reading or less than 16% Wood-Moisture-Equivalent.
• Temperature and relative humidity measurements collected during the assessment were
within the ANSI/ ASHRAE Standards 55-2013 and 62.1-2013 acceptable levels for
habitable spaces.
• No staining consistent with microbial growth was observed on floor surfaces, structural
framing, building or structural finish materials.
9.0 Sampling Methodology
Variation is an inherent part of biological air sampling. The presence or absence of a few genera
in small numbers should not be considered abnormal. An outdoor baseline air sample is collected
to identify the regional occurrence and concentration of mold spores in the ambient outdoor air
and used for comparative analysis. In General, the levels and types of fungi found should be similar
indoors (in non -problem buildings) as compared to the outdoor air.
All samples collected were delivered, under chain of custody (COC) documentation, to Safeguard
EnviroGroup, Inc. (Laboratory Division) for analysis by qualified microbiologists under the
direction of P. Chakravarty, Ph.D. -Environmental Microbiologist. The results of the analysis are
presented in Appendix A.
9.1 Spore Trap Air Sample(s)
A total of 3 non-culturable spore trap air sample(s) were collected inside the designated work
area(s) and I outdoor air sample(s) for fungi analysis using Allergenco D cassettes pursuant to the
method described in IESO Standard 1210. 75 liters of air were pulled through the cassette with a
Safeguard EnviroGroup, Inc. 158 N. Glendora Ave., Suite R, Glendora, CA 91741 (626) 335-3154
Project# 44-14-964PRV Post Remediation Verification 7
high-volume air pump at a rate of 15 liters per minute. Particles in the air will stick onto the
collection plate in the cassette. Molds were identified by direct microscopy, under a 600 -power
microscope, a method that counts both viable and non-viable spores to derive the total spore count.
Safeguard EnviroGroup, Inc. utilizes either the TS! 4146 Primary Calibrator providing continuous
real-time volumetric flow rate readings or Buck Primary Calibrator which is calibrated according
to A.P. Buck, Inc. calibrating procedure APB-I, Ver. 6.2 and is traceable to the National Institute
of Standards & Technology (NIST). ·
10.0 Sampling Results
A detailed laboratory report of all sampling results is provided in Exhibit A.
10.1 Spore Trap Air Sampling Results
The laboratory results of Spore trap air sampling within the designated work area( s) were
unremarkable indicating the area(s) did not have amplification of fungal spores at the time of
sampling. The spore count was lower than or equal to the outdoor baseline sample.
A conservative acceptance criterion calls for indoor airborne fungal spore types and concentrations
to be equal to, or less than, those found outdoors during the sampling period. However, bioaerosol
sampling is highly variable and, accordingly, the presence or absence of a few genera in small
numbers is generally not considered abnormal.
11.0 Conclusions
At the time of testing, based on the results of the visual observations, data collected and laboratory
analysis, the designated work area(s) has PASSED our clearance criteria.
The results, assessments, conclusions and recommendations stated in this report are factually
representative of the conditions and circumstances observed at this location on the date of the
inspection only. We cannot assume responsibility for any change in conditions or circumstances
that occurred after the inspection.
12.0 Recommendations
This project has met our clearance criteria and no further mold remediation is recommended.
13.0 Limitations and Approvals
This report was prepared for the exclusive use of the client in a manner consistent with that level
of care and skill ordinarily exercised by members of the profession currently practicing under
similar conditions. Any use of, reliance upon or interpretation of any information contained in
this report by a party other than the client specifically named above shall be solely at the risk of
the third party and without legal recourse against Safeguard EnviroGroup, Inc. (SEO).
Safeguard EnviroGroup, Inc. 158 N. Glendora Ave., Suite R, Glendora, CA 91741 (626) 335-3154
Project# 44-14-964PRV Post Remediation Verification 8
The findings in this report are based on information gathered at the subject property at the time of
the investigation and Safeguard EnviroGroup's opinion and/or recommendations are made without
regard to coverage. The Insurance Carrier determines coverage and any issues related to coverage
are the responsibility of the Insured and the Carrier. Our report is based on the information
available to us at the time of our investigation and limited in scope to the stated purpose and/or the
areas inspected. Other conditions elsewhere in the subject building(s) may differ from those in the
inspected/survey locations and such conditions are unknown, may change over time and have not
been considered. This report does not claim to identify all potential hazards and/or contaminants
that may be present, nor does it imply any medical opinion on the relationship of potential health
effects with any reported hazards and/or contaminants. Our opinions are based on our findings and
upon professional expertise with no warranty or guarantee implied herein. The data obtained in
this report does not establish habitability of the building( s) nor does it determine if a building is
safe or unsafe. This inspection is not intended to reflect the structural integrity, or value of the
property, nor do we make any representation as to the advisability of purchase or the suitability
for use. We do not assume responsibility for choices or decisions made regarding the purchase or
rental of properties, mitigation or potential legal action, based on information in this report or
opinions expressed. The inspection is not intended to be technically exhaustive, and is not to be
used as a guarantee or warranty, expressed or implied, regarding the adequacy, performance, or
condition of inspected structure.
The results, assessments, conclusions and recommendations stated in this report are factually
representative of the conditions and circumstances observed at this location on the dates of
inspection. We cannot assume responsibility for any change in conditions or circumstances that
occurred after the inspection. Should additional information become available, we reserve the
right to determine the impact, if any, of the new information on our opinions, conclusions, and
recommendations, and to revise our opinions, conclusions, and recommendations if necessary, as
warranted by the discovery of additional information. SEG has relied in good faith upon the
information and representations of others in the preparation of this report and the opinions
expressed herein. Accordingly, SEG accepts no responsibility for deficiencies, omissions,
misrepresentations, or fraudulent acts of persons interviewed. It is also possible that the testing
methods employed at the time of the report may later be superseded by other methods. SEG does
not accept responsibility for changes in the state of the art. In no event shall SEG be liable to a
client or any third party, whether based upon theories of tort, contract or any other legal or
equitable theory, in excess of the amount paid to SEG by client thereunder. When necessary,
SEG may partner with affiliated individuals or companies whose expertise lend themselves
toward the successful completion of any given project.
Thank you for the opportunity to be of service to you on this project. After reviewing this report
in its entirety, if you have any questions or need further assistance, please feel free to contact our
office at (626) 335-3154 or email us at clientservices@safeguardenviro.com. Please include your
name and project number when corresponding.
Approved by:
Safeguard EnviroGroup, Inc.
Brad Kovar, CIEC, CEICC, CFSC, MRS, AMRT
Safeguard EnviroGroup, Inc. 158 N. Glendora Ave., Suite R, Glendora, CA 91741 (626) 335-3154
Project# 44-14-964PRV
Safeguard EnviroGroup, Inc.
Post Remediation Verification
APPENDIX A
Analytical Laboratory Report(s)
158 N. Glendora Ave., Suite R, Glendora, CA 91741
9
(626) 335-3154
Project# 44-14-964PRV Post Remediation Verification
Spore Trap Fungal Report
June 20 2019
Mr. Brad Kovar
Safeguard EnviroGroup
158 N. Glendora Ave, Suite R, Glendora, CA 91741
Tel: 626-335-3154 Fax: 626-335-4525
E-mail:safeguardenvirogroup@gmail.com
Client's Project: Rozanski 44-14-964PRV
Laboratory Sample ID 4716 4717
Client Sample ID A-01 A-02
Location Outdoors Kitchen
Volume (L) 75 75
Moderate Light
Safeguard EnvlroGroup, Inc.
(Laboratory Division)
158 N. Glendora Ave. Suite R
Glendora, CA 91741
Tel: (626) 335-3154
Fax· (626) 335-4525
Lab Reference No.: 00001-19-1524
Date Collected: June 20, 2019
Date Received: June 20, 2019
Date Analyzed: June 20, 2019
Sample(s) analyzed: 4
4718 4719
A-03 A-04
Bathrooms Bedrooms
75 75
Light Light Background Debris•
:~arnp,e uescnpt1on Allergencou A11ergencoD A11ergencou A11ergencolJ
Raw cts. Spores/rn"' % Raw cts.Spores/m % Raw cts. Spores/m % Raw cts. Spores/m %
Altemaria 1 13 0.92
•uu,nmum
Ascospores 2 27 1.91
Basidiospores 34 453 32.08 2 27 50.00 1 13 19.70 1 13 50.00
Bipolaris/Drechslera group 1 13 0.92
Botrytis
Chaetomium
Cladosporium 49 653 46.25 2 27 50.00 2 27 40.91 1 13 50.00
Curvularia
Epicoccum 7 93 6.59 1 13 19.70
Nigrospora
Penicillium/Aspergillus types 3 40 2.83
Rusts
Smuts,Myxomycetes 6 80 5.67 1 13 19.70
Stachybotrys
Stemphylium 2 27 1.91
Toruta 1 13 0.92
Uloctadium
Zygomycetes
utner:
T I
I I I
I I I
I I I I I
Total numbers I m' 1,412 54 66 26
Comments
Limit of Detection 13 13 13 13
•Background debris is an indication of amounts of non-fungal biological and non-biological particulate matter present on the sample and is
characterized as very light, light, moderate, heavy or very heavy. Heavy background debris may obscure spores, reducing spore visibility
during analysis.This report may not be reproduced except in full, and only wHh the written approval of this laboratory. The laboratory and its
personnel shall not be held liable for any misinformation provided to us by the client regarding these samples or for any misuse or
1-· -•-inn nf i"''"ff""""'inn "'""'"'liP.rl "'" ""'. Thir mf0 '"""' nnfv fn _<C;;::fffl"'I"'"' .c::11"'m"h.., --.., --
Sample/s) were analyzed by: P. Chakravarty, Ph.D., Environmental Microbiologist
American Soc. Microbiologist Member ID 56341613
.~
Page 1 of 1
10
Safeguard EnviroGroup, Inc. 158 N. Glendora Ave., Suite R, Glendora, CA 91741 (626) 335-3154
Project# 44-14-964PRV
Safeguard EnviroGroup, Inc.
Post Remediation Verification
APPENDIX B
Chain of Custody
158 N. Glendora Ave., Suite R, Glendora, CA 91741
11
(626) 335-3154
Project# 44-14-964PRV Post Remediation Verification 12
CHAIN OF CUSlO0Y/SAli'IPLE LOO
,-CO\IU!Ell IEll'.'!C;O
• Safefiltard ,, .. ,._.,Ml(!Sl
£uviro0roup
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Safeguard EnviroGroup, Inc. 158 N. Glendora Ave., Suite R, Glendora, CA 91741 (626) 335-3154
Project# 44-14-964PRV Post Remediation Verification 13
APPENDIX C
Photo Log of Key Observations
Additional photos retained in project file are available upon request
Safeguard EnviroGroup, Inc. 158 N. Glendora Ave., Suite R, Glendora, CA 91741 (626) 335-3154
Project# 44-14-964PRV Post Remediation Verification 14
P-1 kitchen P-2 kitchen
P-3 kitchen P-4 Moisture reading kitchen
P-5 T/RH P-6 bathrooms
Safeguard EnviroGroup, Inc. 158 N. Glendora Ave., Suite R, Glendora, CA 91741 (626) 335-3154
Project# 44-14-964PRV Post Remediation Verification 15
P-7 bathrooms P-8 bedroom
P-9 bedroom P-10 bedroom
'
P-11 exclusions
Safeguard EnviroGroup, Inc. 158 N. Glendora Ave., Suite R, Glendora, CA 91741 (626) 335-3154
9/1712019
Re: Code Violation letter
From:
To:
Subject:
Date:
To:
Igor Lichtmaher <L_igor@yahoo.com>
Rozansky
Re: Code Violation letter
Sep 17, 2019 10:51 AM
City of Carlsbad
Scope of work
Re: Code Violation letter
OC1 11 20\9
,-~ J
CITY CJ; '·· .. ',·,•\! .r '\ BUIUY., ;"' '·" V -,. .
1) replace water
base; PC66 post
damaged post in a living room (same location as an old one). PB66 post
cap
2) re-wire electrical in a kitchen to accommodate replacement cabinets; add 6 can lights;
bring kitchen electrical up to code
3) install replacement cabinets in a kitchen
4) retile all bathrooms (water damage); bring plumbing up to code
5) replace water damaged floor
w4~0,:,~w 6) replace sliding in a living room with a new one (height to remain the same -no
header change)
No other work will be done
Thanks
Igor Lichtmaher
LIM Solutions, Inc.
714-875-2134
Lie. 978938
> On Sep 17, 2019, at 8:16 AM, Rozansky <coastcondo@earthlink.net> wrote:
>
>
> There was no attachment just this 2 page letter dated 09/11/2019
>
> -----Original Message-----
>> From: Igor Lichtmaher <L_igor@yahoo.com>
>> Sent: Sep 16, 2019 6:17 PM
>> To: Rozansky <coastcondo@earthlink.net>
>> Subject: Re: Code Violation letter
>>
>> Hadassah,
>> There is no attachment to this letter
>> Please re-send
>>
>> Thanks
>>
>> Igor Lichtmaher
https://webmail.earthlink.netlwamlprintable.jsp?msgid=14229&x=-830049600