HomeMy WebLinkAbout1950 SILVERLEAF CIR; 233; CB160617; Permit02-17-2016
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB160617
Building Inspection Request Line (760) 602-2725
1950 SILVERLEAF CR CBAD St: 233
PME
2550121600 Lot#: 0
LA COSTA GLEN-REPLACE SHOWER
PAN & ENCLOSRE, REPLACE VALVE
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
02/17/2016
RMA
02/17/2016
02/17/2016
TOM NARDINI CONSTRUCTION CONTINUING LIFE COMMUNITIES LLC
PO BOX445
SOLANA BEACH CA 92075-0445
858 449-8849
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
1940 LEV ANTE ST
CARLSBAD CA 92009
$163.00
$0.00
$0.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: 'f-/-/t, Clearance:
$0,00
r-.oTICE Aease tare r,.QTICE that~ ci )OJI' prtject irdL.des the "lrrpasitioo' ci 1-. declcaticrs, reservaliCl'lS, er ether <><a:DCllS -aJledi,<jy
refemad to as '1ees/<><a:iicrs." Yoo rave 00 days frcrn the -ths pemit"""' issued to prctast in,x,sitioo ci these feesl<><a:iicrs. If yoo prcta;t thelT\ yoo nust
fdlo,vthe prctast prooedJ'es set forth in C?<>lerrrrs1t Code Sectioo e&m(a), ard file the prcta;t ard Fnf ether req..ired infcmeioo wth the aty lv'a'e;Jerfo:
processing;,, axx,daa,wth Calstm M.ridpa Code Sectioo 3.32.CID. Failll'8totirreyfdlo,v(hal ;:roo,cl.rewll ta' Fnf s,..tm:µrl lega acliooto~
Tl:Mew, set aside, vcid, a-a-ru tter irrp::sition.
Yoo ae herecy R.RTtER I\OllFIED that yo.r ri\j't to prcta;t the specified fees/<><a:iiCl'lS IXES Nor />PPL Y to "81er ard i'BtB OCl1nedi"1 f"'5 ard ~
ctooges, ncr plmng, zairg ga:lng er ether snila Wiraioo processing er servoe fees in 0Cl1nedioo wth ths prtject. tm IXES IT />PPL Y to Fnf
i ·rus1 ·va,a ·m1 v.Ji lini i ·
!me FOLLOWING APPROVALS REQUIRED PRIOR TO PERWT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH □HAZMATIAPCD I
~'~-" C_he_ck_N_o.-\,{~li£.ft J_[7 __ If Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 1------------------(_ Cicyof
Carlsbad P h: 760-602-2719 Fax: 760-602-8558 Plan Ck. l)eposlt
email· building@carlsbadca.gov f.\ A l---....--1----.,--r--,--------,
www.carlsbadca.gov / \~/,I--Dated f I ', / / /__ lswPPP
EXISTING USE I PROPOSED USE !
GARAGE {Sf I PATIOS {SFJ IDF.C~S (SF) FIREPLACE IAIR COND:TIONING lflRE SP'llNKlERS
YEs[Ji NoCJ I YES O No D YES□ NoO
OESIGN PROFESSIONAL
f-£-M_/\_I_L ______ ---···-.
(Sec. 7031.5 Business end Professions Cooc: Any City or County which ,cquircs a pc,mil to con::,truct. alter. irnp,ovc. ctemohsh or repai, any structwe, prlor toils issuance. also rnqu1rr.s U\c applicant ror such pe1m,t to file a signed ~t.itomcnt lMt ho m licensed pursuant to tM p,ovt~lons or u,c CoJ1tractoc's license Law !Chapter 9, commending with Sechon 7000 or o,vislon 3 of 11,e Business and P10(essions Code) or that ho is o,ompt thcrcrrorn, and \llo b,l$iS ro, the allegeo exemption. Any violation or Set.uon 7031.5 by any applicant for a permit sub1eclS the sop11cant ton
c,vll penally or not mote than ftvc 11undretl dollar.; 15500)).
Worlie rs' Compensation Declaration , hetety aflimr vooer penalty of petJUIYOOO o/ Ill// /ollowi,ig c!ec!amt,cm.
B I have and will maintain • certificate of consent to self-insum fo, mr.eis' compcnS,'l:/0/\ as p,ovoded by Sec-Jon 3700 of IM Llbor Coca, ror \hO pert0<mance ol Uie work far \\liich this pcnnit ,s •~sue:!
I havo and will maintain worl<'F", ccroensation. as roooired vv ~lion 3700 of the lJtxJrCode. fO< Ille perlnunaoce of Uie wo(., lo, whloh this O.'m'Jt is issued. My v.~1<ers' compensat,oo ir.sura1.::e came, and polcy
number(ue,lnsumrceCo -\,A.i_j;, ~c (.,.' ·---· ·-Policy No G, :).-:J-~ ?2 I Exp,rationDate ('i -10. '~--<,
lb§, sect.ion naeo no1 oa comp'.;;ted d loo perm t it: tur one t;undr<!d do'l;vs {S l 00) or ltlSS LJ Cortificate of Exemption: I certify !Ml in the r,ertonnanr.e ol rt>e W1llk f01 v.hicl1 1111s per mil is issl>8<l. I sha!I net employ any petSOfl in any m;;nr,er so a; :o becoim subject to tne Wcriers· Compcnsalion Laws ol
CahfJ1rua. WARNING: Failure to secure workers' compensation coverago is unlawful, and shall subje1:t an employer to cnminal penalties and cr;H fines up lo one h1mdred thousand dollars {&100,000), in
addition to the cost of cornpensaUon, dam:.19 , as provided for In SecUon 3706 of the L~bor codo, lntcrut and ~ttomey's fHs.
2ScoNTRACTORSIGNATURE -""-"''-::1 (., (\,l. __ y __ ,.:.___ □AGENT DATE
I he:eby affrtm !NII I am e ,emJ)I /,om Contracl<V s u.:oose LitW ((){ tloe /ol/owmo 1e,:,so11
□
□
□
1, as owner of Lhc ptQPe<tf oc mt t:mp!o)1!<!.S. with wages .as 1he1r wle cnmrxmsaooo vnl! do tne W(),;, and !J1e !.it'\.l('.t\rre ,s ror irmOOc<:1 °' offmOO tor sale {$$c 704.!, 8Jsw.6SS and Pro!e:sicns Cece. The Conlractor"s
L'cense Law doos no! apoly to an own&r ol pmpe,ty v.ho bJJd~ or !fllll")Wl~ Uwcon. aod wtio ooos such WOil< himsell or trrough h,s own ,mpl;)yws, e<ovi'.letl !hat such ur.p,ovcments art 001 111tet>Jed or offorcd fo1
sale. If, however, lhP. w,ld;rq or !lllpro~~nl is sold v.,tn,o OIIO year ol oomp,eloon. IM 01'\er-oo,lder l'llll ha,e the ounreo of proving Iha! he d,a not btr.~ or improve f0t ¢e puri:ose of sale)
1, as owner or the P<O!ierty. ;ll!l e,:dus,l'lllt COl!~l·••J with lcensooconlrac11:>rs IC coosJJl)Ct tM proji!<:1 (Sec 7044. aui:,'ICS.s and Proless!Ons Code· lM Ccn1ra::ors ucensc Law does nol apply to an ov.-ner or
property l'AIO bu,k!s o, im;xoves 11111,ocn and con~acts for SUCll projecis ,.,;u, c.-in1ra::1or(sJ bcensed oursu;,nl :o tho Con:rac1or•5 li<>Jose Law)
I am exempt u,1Jer Sea.on _ _ _Busm~ss am Prol%;.'O!\s Coda lor thiS ,eaS'.ln
I I ~,e,so,u~y r,lan lo provide the mapr la~ and malerial-l Im oonstruCl<lll of the prorc-w<1 p,ope~y ,ripmvc:r,int 0 Yes O•io
7 I (Mve / ~ave notJ s,gn«i an applorotoo for a tx,ik~ng t>:>rm,1 lot the IJ<Ol)'';;>.d wor,
3.1 have oon~~w 1'f.1h ~"le loll0-.1119 person (f,nn) to provide l~c p,opo,,-u ccnrnuct,on (1nt1"1c name mress I poo1>e I ronlroctcrs· l,oense n'"rhcr).
4 I pii>tl lo proooo r,crJO<>S of Ille v.erl.. hul f hlt,1! h red the foliow,ng perton 10 ooord•r\Olij, supervise and p,o,ioe lhe ma)(lf work (or1cl,tle nanw I ~dress I phon,, I coatractois' ricenSfl number)
5 1 w!ll ~•o•<le ~cmo ot the "otl.. but I Ila~ oon1ra,;!eo fh •ool 1tw toilo•;,1r>J J)(>r!/Jn:; to crovtdc tre work ln<:icaled (•r,c•uae name I mess I ph<;Pe 11ype ol "ur!I)
_£S PROPERTY OWNER SIGNA lURE DATE
.. -J: .
Is the applicant°' luturo bi,k!•ng occupant rrn;uiroo to submit a business r,lao, acutely h:i,atooos m11terlal'S registration lorm or risk management and prevention program under Sections 25505, 25533 or 25534 of tho
PraSJey,la11'1i1r Hazardous Substar,ce Accet:nl Act' Yos NO
Is rt,e ~t I)( fUlure buldmg occupar,1 requ,rcd 10 obla.n a petTTLI from the air pollu:,on ron:rul d stroel 01 air oual1:1 management d:slrid? Yes No
Is lt.o tac,llly IO be =tnJCled w11h111 1.000 feet of tho outer boundary of a school sl.e? Yes No
IF ANY OF THE ANSWERS ARE YES, AFINIIL CERTIFICATE OF OCCUPAtlCY MAY IIOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMEITTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE IIIR FOLLUTION COIHROL DISTRICT.
I hereby affim1 Iha! tt1ere is a cons~uctJon lond1ng agency for the perlormance of tile wotk !his permit Is issued (Sec 3097 Q) Cf'lil Code).
Lender's Name Lenders Address
l.f J • :
I ref1ify Umt I have rood tile application and state that Ille a bow lnlom111tioo is oonoct and 11>.)t the information on tho plans Is na:umte. I agree ID comp.')'v,ith all C1tyo<dinarooosand Sllltei.ms ro!Jtiog lob<rildingconstn,;tion.
I he'Cb-1 a..lhcmc n:pr=nt..it-.eof lt.c ()tyol ~ t>enter upin hi .txM! men!O'led ~ Ix mped,Jn l',(JlX)5eS I 111.."{l AGREE TO SAVE V-lDE.VNIFY #ID KlIP HARVLESSTHE CITY OF CARLSBI\O
AGAliSl Al.l LJA61UTIES, JOOGMENTS COOTS A/JOEJITT:NSES \\1 hCH MAY IN MN WAY ACCRUE AGAINST SND CflY I'~ COISECXJENCE OF •HE GR~iNG Cl' TH!S PER"IJT
OSHA IV1 OSHA~"<:-il11i ISttq,led f()'e,cava.'lOns(M)r bO deepandelenV.:t\OO()(O))SIIIJl"..>:lllofslJ\ld!Jr,?SO\\)! 3st>neS n he!glt.
• EXPIRATION-E~l)' perm,t issued b-/the Burd',ngordaluoder DIO p-011Sbnsof ~lis Cooc :.hallc)(f}re CJ)' lmlat.on and tJeoome nul Ol'ldvod If ihetuld,ngotv.orkauroized rrt su::h pinm Is nol ~ v.1Um
tOOdays ~(XTI toe 11:ieof sudl ??in, or ,f f1C bo11'Jr,g ocw.xl< au~ by sidl pem1lt is sos~°' ~at any line a.'\er lhe \\OCkis CXlO'YTlelmikiraperod of 100days (Secoon 1034 4 Ur,IOlm ~tl-ngC.ode)
---~APPLICAtlT'SSlGNATURE ~ (~ ~~-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.
CERTIFICATE OF OCCUPANCY fCommerciaf l'roJP.cts O 11 Iv I
Fax (760) 602-8560, Email buildinq@carlsbadca.qoy 01 Mall tt1e completed form to City of Carlsbad, Buiding Division 1635 Faraday Avenue, Carlsbad, Cahfomia 92008. I CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS !IUILOING ADDRESS
CITV STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE -_rAX -------
EM41L OCCUP4NT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT tllstou above) OCCUPANT (Listed abo>cl
CONTRACTOR (On Pg. 1)
ASSOCIATED CB#
MAIL TO: CONTACT (Listed abOVe) OCCUPANT (Listed alJorn)
CONTRACTOR (On P~ 1) NO CHANGE IN USE / NO CONSTRUCTION
MAIL/ FAX TO OTHER: --CHANGE OF USE / NO CONSTRUCTION
,_ ______ ---· .. ---·-··-•·-· ------
J!S ,J>PUCANl'S SlGNATURE DATE
•
Inspection List
Penni!#: CB160617 Type: PME
Date lnsp_ectjon_ltem __
04/01/2016 29 Final Plumbing
04/01/2016 29 Final Plumbing
02/19/2016 17 Interior Lath/Drywall
02/19/2016 24 Rough/Topout
Monday, April 04, 2016
Inspector Act
PB
PY
PY
RI
AP
AP
AP
LA COSTA GLEN-REPLACE SHOWER
PAN & ENCLOSRE, REPLACE VALVE
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