HomeMy WebLinkAbout1950 SILVERLEAF CIR; C211; CB163479; Permit09-09-2016
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: CB 1634 79
Building Inspection Request Line (760) 602-2725
1950 SILVERLEAF CR CBAD St: C211
PME
2550121600 Lot#: 0
LA COSTA GLEN-REPLACE SHOWER
& TUB SURROUND
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
09/09/2016
JMA
09/09/2016
09/09/2016
PB
TOM NARDINI CONSTRUCTION
PO BOX445
SOLANA BEACH CA 92075-0445
858 449-8849
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
$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: 9·P -[6 Clearance:
$0.00
NOTICE Rease ta<e NOTICE that 'WM cJ yo,: p-tject irdudes Ire "lrrpcsitiori' cJ fees, dedcaticrs, resavaticni, ex ether """1icrs -ajl~vely
ra'ared to as '1ee,/exa:iicrs." Yoo ra-,e 00 days Iran Ire-Iris pemil l'o0S iss..eJ to pretest irrµ,sitirn cJ treso fees'"""1iCl1S. If )00 pretest !terr\ )00 rrust
fdlONlhe pretest pocedres rel forth in GoJerm-enl Code Sectia, 60020(a), ard filetre pretest ard any ether req.ired infoomtirnv..ilh Ire Clty ~fex
proo,ssirg in ax:crdamv..ilh Ga1slm Mndrs Code Sectirn 3.32.030. Falu-etotirrelyfcllONlhal proced.rev..ill tar enysubseqJa,l lep aclirnto~
review, set asiCE, vcid, er anJ treir inµ:l3itioo.
Yoo 1re herecy F\.RTl-ER NOTIFIED that yo,: ri!tt to pretest Ire specified fee,/"""1ia,s 0CES NOT APPLY lo'-"'er ard SEIM9I' CX>Tedirn fees ard ~
c:ra,gss, rcr ptmrg, zoi~ ga::irg ex ether sinrila-applicai01 proo,ssirg er servic,, fees in CX>Tedirn v..ilh Iris p-tject. N:R OCES IT APPLY to any
t widl af'Oll ·1 tlis er wi lini ·se
·'
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCO
. r'P>th-~'-\.'1q ·c City of
Building Permit Application Plan Check No.
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. ~eposlt email: building@carlsbadca.gov
www.carlsbadca.gov Date Q /4/11, lswPPP
JOBie't~ SJv,12. l~~ c,12. C.,-J-l\ SUITE#/SPACU/UNITt rPN ---
CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of ~r rDS) -s \,)Dv,; <-1"L -s l, P-ll ll'<ll V'-M {<..e o \l'l'c to \-'VI.<" 11\,'t
'
EXISTING USE I PROPOSED USE l GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONIN_G I FIRE SPRINKLERS
YESO,._ No[] v,s□No□ YES□No□
APPLICANT NAME PROPERTY ~WN~ C cr"'lT A G,t,.e}J Primary Contact
ADDRESS ADDRESS \q.::,c, \_e U -""' -\-..,. ~
CITY STATE ZIP
CITY(' ,A1'1. \ --:, ~ I'\ c\ STATE ZIP l Cf'o. .::no l
PHONE IFAX PHONE IFAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTR I (') 'WIE t--}ARDt I\.J i c'<..IV\ ""5'T ~u c I'-'-"-.
ADDRESS ADDRESS -::Po 13();< '--1 Ltc;
CITY STATE ZIP CITY l [,_ -So vrn f\ 7»r.,.·c STATE ZIP
CV' q ;i<.l =t(:"
PHONE IFAX PHO~_ <1<1 q. ~'iS IFAX
EMAIL EM~ AJ fl(L J 1·~ i I OM 6 « /fVl//'IL .('~
ISTATELIC.# sr~•r"j;?-0\3 ICK ICITY\~~# -r-, lS
(Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to.construct, alter, Improve, demolish or repair any_ structure, prior to its issuance, also re(luires 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 B_usiness and Professions Code) or fhat 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
crvil penalty of not more than five hundred dollars {$5001).
WORKERS• COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I 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 pem,it is issued.
□ I "'" and wm maintain worl<,,.' compens~. as ui"' by Seclion 3700 of lhe Labo, Code, lo, lhe peOom,an~f lhed:~ lo, which ~is pem,it • issued My wo~ern' compensation insuraP. :mer and p'.llicy
numbe,a,e:lnsuranceCo. \ },_)(,',IC PolicyNo. ~ 31-) 8' I &pkalonDa~ [{ ➔ F=J
Jl!,§.section need not be completed if the pem,it is for one hundred dollars {$100) or less. LJ Certificate of Exemption: I certify that in the perfom,ance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, amages as irovided f~ i~ectlon 3706 of the Labor code, Interest and attorney's fees.
A$ CONTRACTORSIGNATUR ~ □AGENT
I hereby affirm that I am exempt from Contractor's License Law for the follrming 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 Contracto(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 sl1Cf1 improvements are not intended Of 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, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto(s license Law does not apply lo an owner of
property who builds Of improves thereon, and contracts for suet, 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. 0Yes 0No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (fim,) to provide the proposed construction (include name address/ phone/ contractors' license number):
4. I plan to provide portions of the work, lxit I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone/ type of work):
~ PROPERTY OWNER SIGNATURE □AGENT DATE
COMP.LETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the-applicant or future building occupant required to submit a business ~an, acutely hazardous materials registration form or risk management and prevent on 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 to obtain a pennit from the air pollution control district or air quality management district? O Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school sae? □ 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 certify that I have read the application and state that the a bow information Is conectand that the infoonation on the plans Is accurate. I agree to comply'Mth all Cityoltlinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter uP')n the alxlve mentioned property tlr inspecoon purJX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSB,t,J)
AG\INST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG\INST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA permit is required for excavations over 5'0' deep and demolltion or construction of structures over 3 stores in height.
EXPIAA TION: Every permit issued by the 0.Jilding Oflml under the provisiofls of this Code shall expire by limitation and tro:ime null and voK:l W the l\Jilding or 'M!rk authorized t:rf such permit is not commenced within
180 days from the date of such permit or if the building or'Mlfk authorized~ such_ permit is suspended or abandoned at anytime after the 'M)O( is commenced for a period of 180 days (Section 106.4.4 Unifoon 0.Jilding Code).
A5 APPLICANT'S SIGNATURE l 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.
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.
CONTACT NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
DEUVERY OPTIONS
PICK UP: □ CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above)
o CONTRACTOR {On Pg. 1)
MAIL/ FAX TO OTHER: _______________ _
,.65 APPLICANT'S SIGNATURE
CO#: (Office Use Only)
OCCUPANT NAME
BUILDING ADDRESS
CITY STATE
Carlsbad CA
OCCUPANT'S BUS. LIC. No.
□ ASSOCIATED CB#-------------
□ NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB163479 Type: PME
Date lnspectio11_ltem
09/13/2016 17 Interior Lath/Drywall
09/13/2016 17 Interior Lath/Drywall
09/13/2016 19 Final Structural
09/12/2016 24 RoughfTopout
09/12/2016 24 RoughfTopout
09/12/2016 27 Shower Pan/Roman Tubs
09/12/2016 27 Shower Pan/Roman Tubs
Wednesday, September 14, 2016
Inspector Act
RI
PB AP
PB AP
RI
PB AP
RI
PB AP
LA COSTA GLEN-REPLACE SHOWER
& TUB SURROUND
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