HomeMy WebLinkAbout1949 SILVERLEAF CIR; ; CBR2016-0313; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 12/20/2016 Permit No: CBR2016-0313Residential Permit
www.carlsbadca.gov
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
1949 Silverleaf Cir
BLDG-Residential
2550121600
$0.00
Work Class:
Lot #:
Reference #:
P/M/E Status:
Applied:
Issued:
12/08/2016
12/08/2016Construction Type:Finaled:
Closed - Finaled
PBurn
Plan Check #:
Project Title:
Inspector:
Orig. Plan Check #:
Bathrooms:
Bedrooms:
# Dwelling Units:
Description:LACOSTAGLEN: REPIPE WATER PIPES IN WHOLE HOUSE
Co-Applicant:
REPIPE 1
19326 Ventura Blvd, 201
Tarzana, CA 91356-3016
818-344-2927
Owner:
CONTINUING LIFE COMMUNITIES LLC
1940 Levante St
CARLSBAD, CA 92009
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $166.00
Total Fees:$166.00 Total Payments To Date:$166.00 Balance Due:$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: PPLANNING DENGINEERING nr3UILDING EIFIRE E3 HEALTH EI HAZ friATIAP C D
A(
Carlsbad
City of Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. CSV-2-c't6 - 0 3
Est. Value
Plan Ck. Deposit
Date ‘1_, ( ,S.-' I t(tz, SWPPP
JOB ADDRESS ) 61 Li q
i ci lect -
SUITEI/SPACEUNITO V
APN _ _ _
CT/PROJECT S LOT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) K c p.',pe ii 0 kit ).e 47/ Pe
EXISTING USE USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES EIN NO
AIR CONDITIONING
YES DNO
FIRE SPRINKLERS
YES NO
APPLICANT NAME _
Primary Contact 0 A 'k I 3 ) \ (AT) d PROPERTY OWNER
L-1:I coo-q Li fe,/ re,' V
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE
1 I L I 3k 0 3 41 1
FAX PHONE FAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME R--- p i p -e
ADDRESS ADDRESS
(I 3-1- G vi -e 1-1,1 . 1 0--z_ (71
CITY STATE ZIP CITY__r- _ STATE ZIP .
I (A i /-- co (4 L q °I l 3 5-b
PHONE FAX PHONE gi y3 L I -L, Z., tii 1,7 FAX
EMAIL EMAIL
STATE UC. # STATE LIC.# q 11 y 9 1._ CLASS .
L ., (4
CITY BU_ LLS. C.#
ik7 ) L\ C'-..
(Sec. 7031.5 Business and Professions Code: Any City or County wh'ch requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to files 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 Business 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 ($5OO)). „. --.---N -' --` .- _-___ _ _ , •--.4--- ----.-„'i:: --_:-_---.;.1.-- , ---- . - - _-..,. ,_..__„---, -
HI
This
..e.S
Workers' Compensation Declaration: / hereby affirm under penally of perjury one of the following declarations:
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.
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work f?r which lhis permit is itsiied. My workers' compensation insurance carrier and policy
number are: Insurance Co. i V (A k. k ° 1/1 (A ( Policy No. Wr _C-- ( "I 1- 61 61 1 L9 Expiration Date q-/ 6
California.
addition
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 this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
to the cost of compensation, damages-al provided for in Sectiori 3706 of the Labor code, interest and attomey's fees.
, CONTRACTOR SIGNATURE 4/ /...-- ''.' si AGENT DATE
---L:v --- D jJ J_ — 7-1V7., --.• _Is, - -,--.--,,,,T= -a-:,,---' ...----1-4.1-.::- ___
I hereby affirm that/sin 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 loan 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, are 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 MI Yes IN 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, bull have hired the following person to coordinate, supervise and provide the major work (include name! address / phone /contractors' license number):
5. lwill provide some of the work, bull have contracted (hired) the following persons to provide the work indicated (include name! address / phone / type of work):
,.PROPERTY OWNER SIGNATURE III AGENT DATE
. V ':.'1!ir- it ••7_•- .:- , .2 i: ,.. r_,,, •., ., • • ,-••• 11'..; : : ,,,, •
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? 0 Yes 0 No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 You 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.
) ul,c3 ,, _ ,_, r e, ... IL !7.- lb 12; 1 j L,,,_. ; E, . /..,2 . r , _
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
R.L.i . :,._ , -,:, _._,.., :•,, , (;2: r; !,j . . .
I certify that I have read the application and state that the above information is correct a nd that the information on the plans is accurate. I agree to comply with all City o rdinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CffY 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 permit is required for excavations over 5'0 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 any time after the work is commend fora period of 180 days (Section 106.4.4 Uniform Building Code).
— 'L - /7' ( ..APPLICANT'SKAPPLICANT'S SIGNATURE e..."2
.1
-..--, ...-----------
DATE I &
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE OF OCCUPANCY ICommercial Projects Only)
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 ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (on pg. 1)
MAIL! FAX TO OTHER:
o ASSOCIATED CB#
El NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE! NO CONSTRUCTION
..eAPPLICANT'S SIGNATURE DATE
PERMIT INSPECTION HISTORY REPORT (CBR2016-0313)
BLDG-Residential 12/08/2016Application Date:Permit Type:Owner:CONTINUING LIFE COMMUNITIES
LLC
Subdivision:P/M/E 12/08/2016Work Class:Issue Date:
1949 Silverleaf Cir
Carlsbad, CA 92009-8407
Address:06/06/2017Expiration Date:Status:
IVR Number: 705
Closed - Finaled
Scheduled
Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual
Start Date
12/14/2016 12/14/2016 BLDG-24
Rough/Topout
005444-2016 Passed Paul Burnette Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
12/20/2016 12/20/2016 BLDG-Final
Inspection
006267-2016 Passed Paul Burnette 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 20, 2016 Page 1 of 1