HomeMy WebLinkAbout1950 SILVERLEAF CIR; 317; CB161199; Permit03-28-2016
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: CB161199
Building Inspection Request Line (760) 602-2725
1950 SILVERLEAF CR CBAD St: 317
PME
2550121600 Lot#:
LA COSTA GLEN-REPLACE SHOWER
VALVE
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/28/2016
RMA
03/28/2016
03/28/2016
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: '-I//,,. It Clearance:
$0.00
NOTICE Aease-NOTICEthat ,w-ova cf )OJ IJtjed irdudesthe"IITjXllitiori' cffees, dedcalicrs, reseM!licrs, erdhereJOOia-s-roledively
rEterred to as "fee,/eJOOicrs," Yoo rave 00 day.; frcmthe -ttis pemit v.as issu,ci to prctest ilTjXllitioo cf these fee,/eJOOicrs, ~ )00 prctesl tlm\ )00 nust
fdlONthe prctest IJOC'l(l.res set forth in G:MJnrert Code i:edioo 6002l(a), !rd file the prctest !rd ar; dher recµred infooraioo wth the Qty f;lmgerfa-
processirg i,, axodau,,.thCalsba:J M.ridpa Code i:edioo 3.3203J. FailcretotirrayfdlONthat ;nxauewll ta-ar;sutBeQJert lega edionto~
review, set aside, \Od, er anJ thair irrpositioo.
Yoo ae henfy F\.RTl-ER NOTIFIED that )OJ rig-I to prctes1 the specified fee,/e,ooicn; DCES NOf !'PPL Y to.aer !rd......,. cxrnedia, fees ard ~
cm-ges, ra pmrg, zmrg galrg er cther srrila-,wlicalion processirg er servos fees in cxrn,dia, wth ttis IJtjed. l'CR DCES IT !'PPL Yto ar;
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THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZl,1AT/APCD
(:city of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
Plan Check No.
Est. Value
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
-S\xx,uot-Arv 'b --r;Jt) --s~ d
vcuw
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SFJ DECKS (SF) FIREPLACE
ves□~
APPLICANT NAME -
Primary Contact I O \'Y\
ADDR~ -rO \30)('.. ADDR\l1 ,;-o \....ev-Av
CITY
CPdL\"'5 l3A~
PHONE
EMAIL
Q ' VVJA fL.. ,. 'QWI
~s. N'-'Efl IL DI ..V i
ADDRESS A 0 \30~ l-f-4 S""
CITY STATE ZIP STATE
SWPPP
AIR CONDITIONING
ves O No O
ZIP
FIRE SPRINKLERS
vesONoO
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Cav, s-he.vc 'OV\
Cl~-\ ~ 0 11"1\1\ I"' t"k.¼ CA. ZIPOn
PHONE FAX PHONE FAX
EMAIL EMAIL
STATE UC.• STATE UC.•
-=fC/2-013 ClASS13 CITY BUS. LIC.# \')."3 '""l-S'
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair an~ structure, prior to Its Issuance, also requires the applicant /or such permit to file a signed st~tement that he Is licensed pursuant to the provisions or ll)e Con1ra~tor'~ License Law (Chapter 9, commending with section 7000 or Division 3 or the Business and Professions Code) or !hat he ,s exempt therefrom, and the basis for the alleged exempuon. Any v1olauon or Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty or not more than rive hundred dollars ($50011, .,, •.• r..,,._ •• ,, -• ............. •··-• • •·
Workers' Compensation Declaration: / hereby alf11m under penally of perju,y one of the following declarations:
0 1 have and will malnlaln a certificate of consent to self-insure 10< workers' compensalion as provided by Section 3700 or the Labor Code, for the performance ol the work for which this permil Is Issued. 0 I have and will maintain workw"l,!l!.n~n, as reauired by Section 3700 ol lhe Labor Code, for lhe performance ol lhe work for which ~Is perm\l ls lssved. My IWrkers' compensalion Insurance earner and policy
number are: Insurance Co. : t -:;;, C..O Polley No. ~ :;;).. '"'.:J, ::Z,:]-? '2 I Explrallon Dale CJ -I(.;)-I lo
~secUon need not be completed if the permit ls for one hundred dollars ($100) Of less. • U Certificate of Exemption: I certify tnal In the performance or the work for which this permll Is Issued, I shall not employ any person In any manner so as to become subject to u1e WOike rs' CompensaUon Laws ol
California. WARNING: Falluro to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll flnes up to one hundred thousand dollars (&100,000) in
addition to the cost of compensation, damag s as provided for In Section 37~~of the ~bor ;ode, Interest and attorney's fees. '
HS CONTRACTOR SIGNATURE v...;.;....::, (;, l ~ □AGENT DATE
f hereby emrm the/ I em exempt from Contracta's Ucense Law (or the fol/owing reason: D 1, as owner or the property or my employees wlU1 wages as thofr solo compensation, will do the work and tho structure Is not lnlended or olferod for sale (Sec. 7044, Business and Prolesslons Code: The Contractofs
License Law does not apply to an owner or property who b111ds or Improves lhereon, and who does such work hlrnsoll or Uliough his own e,np(oyees, JJ!Ovlded that such Improvements ere not Intended or olfared ror
safe. 1r, however, the buffdlng 0( lmprovemonl Is sold within one year of compleUon, Iha owner-builder wn1 have the burden of proving lhat he did not build or lmprovo for Iha purpose ol sole). D I ea ovmsr of the property, am exclusively conlracilng with Ileen sad conlraclars lo construe! the project (Sec. 7044, Business and Prolesslons Code: The Conlrecto(s License Law does not apply to an 0\'11\Cr of
~oporty who builds or lmprovos thereon, and contracts lor such projects with conlraclor(s) licensed ptnuanl to Iha Contracto(s Ucenso Law). O I om oxempl under Soctlon _____ Business and Profosslons Code for U1ls roason:
1.1 porsonaKy plan lo provldo tho major labor and materials for con~trucllon of the proposed proporty Improvement. OYes 0No
2. 1 (have/ l1avo not) slgnod an oppllcatlon for a bulk/Ing pormlt for Uio proposed work.
3.1 have conuactod wllh U1e followlng parson (llrm) lo provldo tho proposed construction (lncludo name address/ phone/ contractors' llconso numha~:
4. I plan lo provtdo portions ol tha work, bu! I hava hired lho following parson lo coordl!mto, suporvlsa ond provldo Iha moJor work (lnckKfo name/ address/ phono / contraclo~• llcanse number):
6. 1 wlll provide soma of lhe work, bul I hnva conlroclod 01~cd) the followlrij porsons (o prov!cla Iha work lndlcotod Oncluda nnma t address/ phone/ type of work):
•
Inspection List
Permit#: CB161199 Type: PME
Date lnsp_ection_ltem
04/01/2016 29 Final Plumbing
04/01/2016 29 Final Plumbing
03/31/2016 17 Interior Lath/Drywall
03/31/2016 17 Interior Lath/Drywall
03/30/2016 24 Rough/T opout
03/30/2016 24 Rough/Topout
Inspector
PB
PB
PB
Act
RI
AP
RI
AP
RI
AP
LA COSTA GLEN-REPLACE SHOWER
VALVE
Comments -__ , ___ ------
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