HomeMy WebLinkAbout1950 SILVERLEAF CIR; C203; CB162493; Permit06-24-2016
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: CB162493
Building Inspection Request Line (760) 602-2725
1950 SILVERLEAF CR CBAD St: C203
PME
2550121600 Lot#: 0
LA COSTA GLEN-REPLACE SHOWER
& TUB SURROUND
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
06/24/2016
RMA
06/24/2016
06/24/2016
PB
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
$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: J· Z../~ fv Clearance:
$0.00
l>OllCE: Rease ta<e l>OllCE Iha 'l)lllw.ll cl yrur prtject irdl.des the "lrrposjtiori' rJ fees, ciejc:aliais, reseMtiors, or ether ex,rlia,s rereafter <dlec:tively
referred to as 'fues/"""'1iors." Yoo have 00 days from the-llis pemit l'.85 iSSLed to pretest irrposjtioo rJ thase fees'"""'1ioos. If yru pretest lhsrn yru ITUSI
fdlootl'e pretest proosdures set forth in G:M,,,m-ert Code Sec:tioo 00020(a), ard filetl'e pretest ard a,yether reqLJred infonretioowththeOly~far
processing in ao:xin:larce\Mlh Calsboo M.Jridpal Code Sec:tioo 3.32.030. Failcreto tirrayfdloothat proa,wewll bar anysubsequert legal adioo to attad<,
revie.v, sE!t asicE, vcid, er amul tl"eir irrposition.
Yoo are herel:ly FLRTJ-ER l>OllFIED that ye,., nghl to pretest the specified fees'"""'1iais OCES i'l'.JT l'PPl. Y to water ard ser.er ooonec:tioo fees ard a,pa:ity
c:ha'9'S, nor ~arring, zoong, grajng or ether snnlar ,wlic:alioo processing or se-vioe fees in ooonec:tioo wth tns prqect. ii.CR OCES IT l'PPl. Y to acy
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMAT/APCD
Plan Check No.
Est. Value
Plan Ck. Deposit
('city of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov Date SWPPP
EXISTING USE PATIOS (SF)
ADDRESS
CITY STATE ZIP CITY
PHONE FM PHONE
EMAIL EMAIL
STATE LIC. #
STATE
FM
I~
CLASS e
AIR CONDITIONING
YES □No □
ZIP
FIRE SPRINKLERS
YES□No□
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 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 ($500)).
Workers' Compensation Declaration: I hereby affirm under penalty of peryu,y one of the following declarations:
!:9th ave 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 wori< for which this permit is issued.
Whave and will maintain workers' compensation, as required by Section 3700 of the Labor , for the performance of the wor1< for which this permit is issued. My wor1<ers' compensalio1insuranpe carrier and policy
number are: Insurance Co.-\-f.-L.-.:x._..:...o,,_,,u,....<--..>..1..--'--1,,..._A-",j--4-"""'+-"'(52_,::..:c.___,-=.,Policy No. ');\Nl)e_ b I ( Q L[ QY;3:: Expiration Date Cf I D/L 0
~ section need not be complet if the permit is for one hundred dollars ($100) °' less. LJ Certificate of Exemption: I oert!fy..th · the performance of the wori< f()( which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' ComJl8nsation Laws of
California. WARNING: Faily'.e fo secu workers' i9!!1Een~ n c e is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost ~nsatio f61'1iie In Sectl 3706 of the Labor code, Interest and attorney's fees.
2S CONTRACTOR~SilG~NmmEa,mamliz~,~~~~-1-~~ c.,..::;_
I hereby affirm that I am exempt from Conlfactor'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 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 ot sale).
I, as owner of the property, am exclusively contracting with ricensed 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 therecn, 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. O Yes 0 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 (furn) to provide the proposed construction Onclude name address I phone/ contractors' license number):
4. I plan to provide portions ot the wori<, but I have hired the following person to coordinate, supervise and provide the major won< (include name/ address f phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the wori< indicated (include name I address/ phone I type of wori<):
2S PROPERTY OWNER SIGNATURE DATE
(
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? □ Yes □ No
Is the applicant or future building occupant required lo obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ 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 AND THE AIR POLLUTION CONTROL DISTRICT.
I certifythatl have read the application and state that the aoor infonnation is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad lo enter upon lhe above mentioned P'Qperly for 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 ANYWAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permn is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by lhe Building Official under the provisions of this Code shall expire by limnation and become null and voo ~ the building orv.ork authorized by such permit is not commenced wthin
180 days from the date of such permit or if the uilding or v.ork authorized by such permn is suspended or abandoned at any time after the v.ork is rommenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
~ APPLICANT'S SIGNATU~ DATE (I!. (9-L{ (( (,p
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 form to City of Carlsbad, Building Division 1635 Faraday Avenue, Cartsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY
Carlsbad
STATE
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: ________________ _
A$ APPLICANT'S SIGNATURE
o ASSOCIATED CB#-------------
0 NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE/ NO CONSTRUCTION
DATE
I I
ZIP
Inspection List
Permit#: CB162493 Type: PME
Date Inspection Item
07/21/2016 17 Interior Lath/Drywall
07/21/2016 17 Interior Lath/Drywall
07/21/2016 19 Final Structural
07/14/2016 24 RoughfTopout
07/13/2016 24 RoughfTopout
07/13/2016 24 RoughfTopout
07/13/2016 27 Shower Pan/Roman Tubs
Friday, July 22, 2016
Inspector Act
RI
PB AP
PB
PB
PB
AP
RI
RI
AP
AP
LA COSTA GLEN-REPLACE SHOWER
& TUB SURROUND
Comments
UNIT 203
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