HomeMy WebLinkAbout1950 SILVERLEAF CIR; 317; CB161125; PermitI
03-23-2016
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: CB161125
Building Inspection Request Line (760) 602-2725
1950 SILVERLEAF CR CBAD St: 317
PME
2550121600 Lot#: 0
LA COSTA GLEN-REPLACE SHOWER
AND VALVE
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/23/2016
JMA
03/23/2016
03/23/2016
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 LEVANTE ST
CARLSBAD CA 92009
Total Fees: $163.00 Total Payments To Date:
Inspector:
FINAL APPROVAL
Date: Clearance:
$163.00
$0.00
$0.00
$0.00
$163.00
$0.00
NOTICE Aease ta<e NOTICE Iha~ ci )00" Jltjed irducei tre ""lrrµ::sitiori" ci f-, dedcalicrs, reseivaticns, ex ether exa:licrs -cdledively
retenad to"' 1ees'exa:licrs." Yoo rave 9'.J days Iran tre date ths pemit v,,es issued to Jl"Xesl irrµ::sitiCJ1 ci tt-ese fees/exa:liCJ1S If )00 Jl"X"5t tl-..T\ )00 rrust
fcJlo,,tre Jl"Xesl proc:ecl.res set fo1h in C?oJerrmrt Code SediCJ1 68Jal(a), a-d file tre Jl"X"5t a-d ,r,y ether ""I-ired infarraljCJ1 v.ith tre Oty Wa-iagerfex
~rg in a:x:ada-<e v.ith Ca1stal Mrid?i Code SediCJ1 3.32.030. FalLre to tirrely fcJlo,,tlu ,roced.re v.ill ba' ,r,y sullsaµrt lega ooion to attack,
re.AeN, set asiOO, \odd, r:x anJ treir irrp:Eitioo.
Yoo'"" t-ereo,, R.RTI-ER NOTIFIED It-at )00" rigt to Jl"X"5t tre sµ;dfied fees'exa:licrs DCES !,OT APPL y to,aer a-d re,,er QCJ1nediCJ1 fees ard c:apa:ity
d-a-ges, ncx plannrg, 2Ill'irg g,,::lrg ex ether sinila-applic:aliCJ1 ~rg ex se,nce fees in OCJ1nediCJ1 v.ith ths Jltjed. trn DCES IT APPLY to ,r,y f . •m.::.i..., ...... , . . !::irrila-1~-♦1..:,. rras+nw,i-'-tre--'-....LJ.-lirri1,e,1;........,has '-· . __ ,_.,
.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING Q BUIL0ING Q FIRE □HEALTH O HAZMAT/APC0 -
{_ City of
Building Permit Application Plan Check No. CBrb-l \ ~".:) -
1635 Faraday Ave .. Carlsbad. CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. D~poslt email: building@carlsbadca.gov
www.carlsbadca.gov Date o/Z-3,/JL lswPPP
---JOB AOORESS -~-SUITEf/SPACE•/UNITI I Al'tl \~5-Q CJ ~ --~ ·-8£ _c 'l~ c3i c~ J · -:':, I't;;.. ...LkI, l,. --r-1 -.L ·---:l/PRU/EC• • -•·· ----· LOI • --·. -P!tA.S[ f _[: UNHS ~ 8 DR()()M5. • 6All-!HW•~S TEN4ITT BUSINESS N4ME -=ico~~n .1::ovr ·1
DESCRIPTION OF WORK: lnclud~ Square Feat or Affected AtCO(S) (2 ,c~\ vi l.~ yVl e ~\ s V) Cv.J tiL A ~b T~ -s"~d
va1w
EXISTING USE I PROPOSED USE I GAil.AGE !SF) P,1nos 1sF1 I DECKS {Sf) FlREP!.ACE r R CONDITIONING I FIRE SPRINKLERS
YESD NcQ ves O ~io O vesO ~mO
APPLICANT NAME -t-.JA,~J21w\ C ~'\ --ff (tv('Tl1,, PROPE~NER c OST,., 8 le 0 Ptlmn,v Contact l o tV'\.
"S .\-AOD~(; }3o_f L-P-lS-AOORfq '-) ( le~ t-\11~=1
.. ------------·-CITY STATE -zii> orr· STATE LIP
$v \,1\\/\A -"Bc,,,c..lA CA C''\;)() t<;' (!p.;_(l \-'S 1:,A'l:::.i C'°" Q).J;;{ji ------
PHOI.E PHONE j FAX
_3_5~ _LfY&:/-~~yq IFAX
--'--·
i ______ -----·----· --·-----~ tv ~,-zJ;V\·• E.MAIL
/WI a G Vlfl/tlL. ,. l"VW\
DESIGN PROFESSIONAL COJ!J.Bfo BUS. N,.,Ef\ IL D . . · Vl-1 J Al I Cot11 -s-t-.e.Jc.t, bV\ ---------·-·---·-··--··------·-·---------ADDRESS AOas:>o ·t-3c)( Lf4~
cirv--STATE ZIP CITY \ ~o tnVl f'< ·B ·rk'-"-STATE CA. l) )u-=r-;-
PHONE _J:~x ---· ·-PHONE !FAX
··--·-------·-·•· --------EMAIi. EMAIL ···--·
1-----·--·····-·· ••··•· --· .. ···,s1Afr11C.• -·-··-·---
~rnrrii~~-t92-0 13 TcC\ss Bl1~3ucn-,..5~
(Sec, 7031.5 Bus,ncss and P_1oless1ons Code: Any City or County which 1cqu:res a p01m1l lo const,ucL alter, lmprovo, den1011sn or ,epair any sl!ucture. prior to ,ts ,ssuanco, arso requ11es the applicant ror such permit to Mc D s,g,tr.«1 statement thal he 1s hoensed DLrrsuoru 10 the provi:;1on& of :rtlJ Conuactor'r. Uct!nsr? Law ,chapter 9. commending wtlh Section 7000 of Division 3 or ttre Business and Prorcss,ons Code) or ihal he Is exempt u,erorrom, and !ho basl~ for the allegod exemption. Any violation of See~on 1031.5 by any applicant for a permit subjects the aophcant 10 a
civil penally or not more than five hundred uollars {$500)).
Worl<er,' Compensation Dtclmtion: I ixueny affirm undel pena!l'f of pet/UV one ol Ille lo.'!o-."9 (1edamt,o,,s, 0 I hawi and will maintain a certlficata of consent to seH-lnsuro !or •M>1lers" compe,'IWtion as provide<! by Section JIOO ol t,e t,11;>,r Code. for Ille pertormance ol llHl 1\0'1< 101 which this perm,1 is Issue-:!
.
0 I have and will maintain worllrp' c~m,e!nu t19Jl. as ,euuirod by St><:tlOll 3700 of 1he LabOr Coda. lo< tlie pe1tom1aoce~I tne m1< lorwhich this oermu is isS<Je<i Myvm•.or.:· compe=tion 1nsuranc<)canicr nod po!cy
number ate Insurance Co _ \.,l.J_t __ "::JC.(~• _ _ ___ f½l,::yNo -~-~:l.7'.,J d "2 I EJ.lliralionOate C-j -ly _ _:_}lo __ _
~sacoon '1'.!<.'d no1 bacomp>,;le(j ij the p,irmil is fo< one hundred dollars (SIOO) or res\ LJ Certificate ol Exemption: I c.:rtify t,~1 in tne rcrlonM11CO of tt,~ work for .. -hic.n U11s l)'l1m,1 is ,,;sued I s.,all not ernp:oy an·1 person in any manner so as lo bc-a:,w subitct to lhC W01~rs· Corn.EnsatlOn lllws cf
Cafilomia WARNING: Failure lo secure Wo<kers' cornJMnsation coverage rs unlawful, and shall subje<:I an employcno criminal penalties and clsil fines up to one hundred thousand dollars (&100,000), in
add:tion to the c~I of compcns•tioo, damaget as p,ovldod lot In Se<:tio,, 37-06 of the L~bo, code, lnlore.st and attorney's lees.
£5 COITTRACTOR SIGNATURE ,L\.A..-"-;1 C--'(\,L-.., ~ ~ □AGEIIT DATE
I he:eby atfmn t/itir I w• e,.,,,p; r,am Colltractors !Jcv11se L&w fr,, too fol'clm,g r6ils0t1 0 1. as OWf\er or !he crop;,rty or my ,,n,p1oy,,es w,tn Wa<Je$ as Uiei1 sole oorn;,ensatoo. •lill do lhe ,_,1,~ and the "'ucture ,s no! intercw 01 oflered fo, s;;Je (Sat. 7044, s-~s<Mss Md P1oleSSJOns Corle. The Comacu,,-~
Lic.msa Law does no: apply to all 0111li:r OI property ,1/110 bulcls QI ,mp,-o~s lhere()tl_ 3'ld "1lo Oo..'!. such "Oil< h,msell 01 tnt00g?1 h,s ow emplo)-e!!S. P!OV'de<l tllat suet> 1mM)<emenls art 001,nll!nded or o!fered lor
sale. H, howo....er, me butld,ng er ,m;,1r.-emen1 ;s r.o'.d ,-.,1h,n one yoa, ol complet>011, the o~ner wddcr vrlt h3Ve tl,o burtlen ol pro,i<>J th.llllO diJ not b,.-a or improve lonlle pu,pose of sale).
□
□
1, as owner of Pie pr:Jp,Jrty, am ex.."lus<Ye,y coot:actnq v,1lh licens..'<l contrac10ts to coo~inlf.t \he t,roi<lCI (Sec ;oi4. Bus.,.,,s and Pmfessions Code. The Con:ractot's LJC:ern.e Law does not apply lo an ow,,e, cf
property whO bo11ds o, lmp,ows uiereon 31\d Cot\llilr.lS for s<dl OIOJCCIS wifh C<>OIUICf<M(S) hcenseu porsuilnt I() the Con!lilCl(M S l..rcc~ Law)
I am e,ewpt u,1der Sect;-Oll _ __Busmess nm Prolcss.'Ofls Code l01 ~'16 reawn.
1 I peri;.:;naliy plan to prov,do th<l majQr laho< all(J matenats lor o,n!.trucoon ot lM proposed pro;>P.r\y ,rnpmvomenl 0 Yes Orio
2 I (h:lvA I ha-,~ nc<) s,gned m appt,calon lor a t•r•I01ng i:-,nn,I lor U"' IJ'Ol>l"id v.<,~
3 I h:Jve o::>r\tr(¥;tetJ w1tn tn~ ln'lowing p(:!rsoo (firrn} lo ptO't'Kfo 010 ruor.o~CO ccnstJvctio11 {lf1tlude 11a1ne: :-tii'Jru:;s I phone I oon1mctum' hcense nt1cr.l.lcr)
4 I ptan 1o proV10C poroons of th• wet\:. but I l>JVe h•ed the loliow,ng person to CO<lltlinal1. su;:va:,11se and p.-ovitlo Ina m"J()r wotk (mtlu:le name / address; phor>I! I conlraclors' l,censc numtier)
5 l 1s,tt piov.de some of the -.-or~. b.11 1 lml'll convac1ed (hired} !lit lolfv•in(J person~ l<l prov<lc the v.11,i. 111d,;;1l!l\1 (•-.:·,.oe n~e I a<ldress I pnore I type of work)
£5 PROPERTY OWNER SIGNATURE DATE
' "'
ts the ap;bli o, fu!ure b\Jlldl1!) oa:upant requ,red IO Slibm ta business :>Ian, acutely haz.Jldoos matcriJ:s JL'!)is!lllboo form or r.sk ro139enl()Jlt and prcoento.1 progiam undel Sectrons 25505, 25533 or 25534 of lhe
PresJet•lanner ttazarooos Sobslaoce Aa:oun1 Acr> Yt:S uo
ts !he appl,cam or future hukl,ng oa:upan1 req1>rea 10 obtain a petm,t from lhe air po~ut.o<l control d1s~.c101 ,.;, ouakty ma•>.YJcment d•strict? Yes No
Is lt-c fa:il:ty to be cor4buded within t,000 feet of Uie ouicr bo-Jndary of a schaol sne? 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 ANO THE AIR POLLUTION CONTROL D1STRICT.
thereby affimt that there rs a consbuclloo lending <1ge11cy 101 the perfOfmance of lhc work lh1s penm,t is issued {Sec 3097 ~) Civrl Cede).
Lenders Name Lender's Addres~
. '
I certify that I hal'C l1?a<l Ille SPl)lic.atlon and state lllat tlMl nlxi\'Cln1ormation Is ronoctand thatthelnlonnallon on the prons Is OCOJl'ilte.1 ag,ee toromplyv.ilhall Cityordiranc:es and State lal-.s ratattng to buildingconstrucOOI\.
' t hcre-""i MlOl1lC rtp,e-.Mta!,'/0 cl 11>e C,tyol C:i-tll.ld to er.let UJX)f1 hi at:ow 11l1!'100000 ~I 1:y lllSfA'lCOOO ~ I Al.SO A9'EE TO SAVE. INOOINIFY /.ND KEEP HAR',ILESS iHE CfiY Of CARI.S!Wl
AC,,\ll'lST All ll"61LrTES, JUDGMENTS COOTS N-lO E>'PENSES Wli.CH MAY IN AJ,YWAY ACCRIJE AGNNSl 5,'11) Cr.' 1•~ CONSEOOEt-lCE OF 1 HE GRf#TtlG OF THIS PERMfT I OSHA M OSHApenn¢ is ra;ured fore~c,M11\00sf]>liY 50 drepaoddemoW:ln orcm.lruC!lOO of s!ruCIUrllSOvet 3 skres n heglt
II EXPIRA. TIOl'l Eve,y pe,mi issuoo by the aitimg Offdal UfiCX'I !,e l)'O>,rons of Ctis Cool shaq cxpi,e l1J ltnJialX)n ~ beco<re nul and voo ~ 1he b.Ji'dilg or v.ork auoorized tJ-f Wdl penn,t IS not ccrr-menced v.,th41
IOOdays kaTI !-.e date of s.Jdl jE!Tl'o! o-,f the butiiq o-v.oc1< aulhoozed by :.u::h pet111j, s suspeoood()( atmdooed a\my !rm a.~r Ille Y.«k IS a:im-ner(8d for a peroo of 100 days (Secoon J(l)4 4 Un.'bm ait1no Code)
l_~APPLICANT'SSIGNATURE -~ (~ ~A.....""'-= _· _____ DA~ 2 }20/1 ~
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 fCommrrcial ProJ('ClS 0 n l y J
Fax (760) 601-8560, Email building@carlsbadca.gov Of Mail Ille completed lorm to City of Carlsbad, Building Division 1635 Faraday Avenue, Cortsbad, Cofifomia 92008.
-·-~ I CO#: (0111cc Use Only)
CONTACT NAME O<;<;UPAN I NAME
ADDRESS 8UILDING ADDRESS
crrr-STATE ZIP CITY STATE ZIP
Carlsbad CA
PHO~ -----r:AX --··--· ----
EMAIL ---------OCCUPANT'S eus LIC No.
DELIVERY OPTIONS
PICK UP: CONTACT (Llstoo above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CBI
MAIL TO: CONTACT (Listed above! OCCUPANT (Listed above)
CONTRACTOR t0n Pg 1) NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION
------------
Lf APP.ICANT'S SIG/IA TURE DATE