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HomeMy WebLinkAbout2003 COSTA DEL MAR RD; 686; CB161986; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-19-2016 Permit No: CB161986 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2003 COSTA DEL MAR RD CBAD St: 686 PME 2162100301 Lot#: PETERSON RES-REMODEL BATH #2 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: MOVE TOILET 32", NEW SHOWER, REMOVE NON-BEARING WALL & POCKET DOOR Owner: GILBERT CONSTRUCTION SMITH ROGER&MARSHA 917 LA FIESTA PL SAN MARCOS CA 92078 760 271-2476 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 3680 CAMINO DEL PILAR ESCONDIDO CA 92025 ISSUED 05/19/2016 RMA 05/19/2016 05/19/2016 $163.00 $38.00 $38.00 $0.00 $239.00 Total Fees: $239.00 Total Payments To Date: $239.00 Balance Due: Inspector: FINALAPPROVA~ Date: f_ ~ • ')-Z-• It Clearance: $0.00 I'DllCE: Aease ~ I'Dll<l: tta ~ d your prqed inducles the "lrrpa;ition" ri fees, decic:aions, reserv.tia1s, or ether exa:iicrs hereafter oolledively referred to as "feeslexa:iions." You have 00 da'ys fran the date Ills pemit was issued to pn:test irrposition d these feeslexa:iions. If you pn:test them, you rrust follo.vthe pretest proa:!Ck.res set forth in G:M!rrrrert Ccx:te Section 60020(a), and file the pretest and anyd:her reqtired inli:mliionWth the aty M!nagerfor pocessirg in a:xntlaslcBwth Qrlsba:l Mridpal Ccx:te Section 3.32.030. Falt.retotil"l"Byfollo.vtta ~wlll:B" anySlb;ecrJert legal adionto attac:k, review, set aside, wid, or ami their irrpa;ition. You ere herel:7t R..RTH:R I'DllAED that your rigt to pretest the SIEdfied feeslexa:iicrs oces I'OT ,APPLY to waer and 'i?BN8f cxrre::tion fees and ~ cha"ges, nor pla1nirg, zonirg, gatrg or ether sinilar ~ic:aion pocessirg or service fees in CXll'll'leCtion wth this prqed. I'm oces IT ,APPLY to any · · · · ·ml hi · r · i · · · ' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILDING DFIRE 0HEALTH D HAZMATIAPCD \(City of Building Permit Application Plan Check No. f;{J I 6 I tziY 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ,-'V-'0 Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 .~ Plan Ck. Deposit email: building@carlsbadca.gov b4- www.carlsbadca.gov Date .S//'1/ lb jSWPPP JOB ADDRESS b,,J rnw-SUITEI/SPACEII/UNIT!V lAP~ )ot/3 (,Jk (,f't - - - CT/PROJECT # 'LOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMs· I TENANT BUSINESS NAME I CONSTR. lYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) S /a t,llf/c_r Cb-/ 0/ J /jUitrlr-fr;JI-ef ;.J /( +~#'I .e..~flt:t 1/'u.L -1-rt J"'-5k II /J..tA. t:/1..-;.h)l -/-0 t 1-t.i-loCa·ft,, 1 rt /J1.VV<-/1#1t. b~a1:-.1 )Jv;dv-IX/,{;/( .,Tfl.,-c.i<l-~ IIA-rlf-712... EXISTING USE • I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE ! I AIR CONDITIONING I FIRE SPRINKLERS YESQ NoD YES0No0 YESONoD APPLICANT NAME PROPERTY OWNER /&byrz ~i-,->~ Primary Contact ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE ct!?-71'1-f"¥72-I FAX EMAIL EMAIL DESIGr-4 PROFESSIONA CONTRACTOR BUS. NAME G;I~A (o..n s-}, ADDRESS ADDRESS ri~ 5J...-Pl.c L ~t/7 t,.,_ CITY STATE ZIP CITY STATE ZIP slfi/1 H!~~:rcvS c.a '72v7i' PHONE I FAX PHONE I FAX 7tt/ -,271 -2Y ~ EMAIL EMAIL f. I ..j, lit I -/(ri'Vt,l btr {Y.h) U -~~~ ~ ttlf.o') ~ tr<T.J; ....... ISTATELIC.# STATELIC.# I rLASS ~ , lc~r;;~ .til I~J./~1 /1!. rLIE.r rrLi (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or re~air any structure, prior to its issu;f,f!J.so require~ ra.f -t::::..J applicant for such permit to file a si ed s~tement tliat he is licensed pursuant to the provisions of the Contra9tor·~ License ~aw C apter 9, commef1dingwith Secti~ 7 .t'lo of Divisio~ of the Busmess and Profess1ons Code} or th'at he 1s exemP.t therefrom, and the bas1s for the alleged exemption. Any v1olat1on of Section ~031.5 by any applicant for a perm1t sulijects the applicant to a civil penalty of not more than five hundred dollars {$500}). -1 WORKERS" COMPENSATION ' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. ISd'r have and will maintain workers' compensation. as req ired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation i suran carrier and policy numberare:lnsurahceCo. ~h {1111 Sot "~"~ '1h t.Ar-U.. ~ PolicyNo. f/.Z£4/7 ExpirationDate '..2'/ I This section need not be completed ~the permit is for one hundred dollars ($1 00) or less. , 0 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 California. WARNING: Failure to secure workers' compensation covera e Is unlawful, and shall subject an employer to c,riminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, dama~rovided for in Se · 37 of the Labor code, interest and attorney's fees. / 25 CONTRACTORSIGNATURE '7f:eiJf_ ~ -OAGENT DATE 51f'1f/t --OW-NER-BUILDER DECLARATiolli-------------~-~ ------------· ·--l ~------------------------------ I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compen~ktion, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's D D 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 wHh 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 matertals for construction of the proposed property improvement. DYes 0No 2. I (have I 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 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 I phone I type of work): 25 PROPERTY OWNER SIGNATURE 0AGENT 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 registralion form or risk management and prevention program under Seclions 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act:? 0 Yes 0 No Is the applicant or future building occupant required to obtain a penmit from the air pollulion control district or air quality management district:? 0 Yes 0 No Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? 0 Yes 0 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 have read the application and state that the above lnfonnation is conectand that the infonmation on the plans is accurate. I agree to complyMI:h all City ordinances and State lav.s relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD 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 penm~ is required for excavations over 5'0' deep and demol~ion or construction of structures over 3 stories in height. EXPIRATION: Every penm~ issued OffK:ial under the provisions of this expire by lim~tion and berome null and void if the buik:ting or oork authorized by such penmit is not commenoed IMthin 100days from the date of such authorized such at anytime after the oork is commenoed for a period of 100days (Section 106.4.4 Unifonm Buik:ting Code). 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 fonm to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. DELIVERY OPTIONS 0 PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed abcve) o CONTRACTOR (On Pg. 1) 0 MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) 0 MAIL/ FAX TO OTHER:----------------- AS APPLICANT'S SIGNATURE (Office Use Only) CA o ASSOCIATED CB#·------------ o NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE Inspection List CB161986 PME PETERSON RES-REMODEL BATH #2 Date Inspection Item Inspector Act Comments MOVE TOILET 32", NEW SHOWER, REMO Permit#: Type: 17 Interior Lath/Drywall PD AP05/31/2016 24 Rough/Topout PD AP05/24/2016 Tuesday, December 27, 2016 Page 1 of 1 PERMIT INSPECTION HISTORY REPORT (CB161986) BLDG-Residential 05/19/2016Application Date:Permit Type:Owner: Subdivision:P/M/E 05/19/2016Work Class:Issue Date: 2003 Costa Del Mar Rd , 686 Carlsbad, CA 92009 Address:11/28/2016Expiration Date:Status: IVR Number: 714655 Closed - Finaled Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual Start Date 12/27/2016 12/22/2016 BLDG-Final Inspection 006743-2016 Passed Jonathan West Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes December 27, 2016 Page 1 of 1 JPeterson Job Scope of Work Bathroom by Entry Door • Demo & remove toilet, drywall on shower valve wall & flooring as needed o Leave flooring in room & save toilet to reinstall • Demo & remove wall with pocket door between toilet & vanity • Supply & install new shutoffs for vanity & toilet • Supply & install hot water line to new shower area • Relocate drain lines for toilet & shower as needed • lnstaii"Owner Furnished" shower valve • Supply & install 60"x 32" fiberglass shower base for tile install • Supply & install tile backer to shower area • Supply & install (1) recess shampoo box to shower area • Supply & install tile to shower walls • Supply & install tile to shower base & curb • Supply & install matching tile to finish existing floor to new shower • Grout, clean & seal new tile • Supply & install ultra quiet exhaust fan to replace existing • Drywall, tape & texture entire room o a light skip trowel finish to walls & ceiling • Prep, prime & paint walls & ceiling • Replace switches & outlets with decora white • Reinstall toilet to bathroom area • Supply & install sliding shower glass door o Includes $700 allowance • Remove all trash & debris from jobsite "" "" 0 .... r- 1- = ~ ~ I I ' l I """""""" i -I - '= =.... 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