HomeMy WebLinkAbout1950 Silverleaf Cir; C335; CBR2019-0952; Permit(City of
Carlsbad
Residential Permit
Print Date: 09/18/2019 Permit No: CBR2019-0952
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1950 Silverleaf Cir, C335
BLDG-Residential
2550121600
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Fina led:
Inspector:
Closed -Finaled
04/23/2019
04/23/2019
PBurn
Plan Check#:
Final
Inspection: 9/18/2019 1:06:28PM
Project Title:
Description: LA COSTA GLEN: SHOWER AND VALVE REPLACEMENT
Owner: Contractor:
CONTINUING LIFE COMMUNITIES LLC TOM NARDINI CONSTRUCTION INC
Po Box445 1940 Levante St
CARLSBAD, CA 92009 SOLANA BEACH, CA 92075-0445
SSS-449-8849
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $17S.OO Total Payments To Date: $175.00 Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest Procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with thls
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$175.00
( City of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check (J6\?JQ\q -QqSJ.-
EsL Value
PC Deposit------:----
Da te _ ___.t_✓_'J,'5_-_l_t\"----
Job Address 1950 Silverleaf Circle Suite: _C_3_3S ___ APN: _________ _
CT/Project#: __________ lot#: ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
BRIEF DESCRIPTION OF WORK: --.Shower and valve replaceCTll-,cu _______________ _
0 Addition/New: _____ ,living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __
0 Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _
O Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground , Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
n Reroof: ________________________________ _
b.il Plumbing/Mechanical/Electrical Only: _S_h_o_w_e_r_a_n_d_v_al_v_e_r_e_,_p_la_ce_m_e_n_t_. ____________ _
D Other:---------------------------------
APPLICANT (PRIMARY)
Name: Tom Nardini Construction, Inc
Address: PO Box 445
City: Solana Beach State: CA Zip: 92075
Phone: 858-449-8849
Email: tom@tomnardiniconstruction.com
DESIGN PROFESSIONAL
Name: ________________ _
Address: _______________ _
PROPERTY OWNER
Name: La Costa Glen
Address: 1950 Levante Street
City: Carlsbad State: CA Zip: 92009
Phone: ___________________ _
Email: ____________________ _
CONlRACTOR BUSINESS
Name: Tom Nardini Construction, Inc
Address: PO Box 445
City: ________ State: ___ ,Zlp: ___ _ City: Solana Beach
Phone: 858-449-8849
State: CA Zip: 92075
Phone: ________________ _
Email: _________________ _
Architect State License: __________ _
Email: tom@tomnardiniconstruction.com
State license: 798013 Bus. License:...:1.::2..;;.37.;..5.c..8.:._ __ _
{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 it!.
issuance, also requires the applicant for such permit to file a signed statement that he/she ls licensed pursuant to the proo.-isions of the Contractor's license law
{Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or ttlat he/she is exempt therefrom, and the basis for the alleged
exemption. Any violation of Sectwn 7031-5 by any applicant for a permit subj~ts the applicant to a civil penalty of not more than five hundred dollars {$500}).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Bui!ding(t1JcJr!sbzdca.gov
8-1 Page 1 of 2 Rev. 06/18
( OPTION A): WORKERS'COMPENSATION DECLARAJION:
I hearby affirm under penalty of perjury Q.rut of the fol/awing declarations:
Cl! have and will maintain a rnrtihtate of consent to self-insure for workers' compensat1on provided by Section 3700 of the Labor Code, for the performance of the
work which !hi!. permit is issued.
Ml I have and will maintain worker's compensation, as required by Section 3700of the Labor Code, for the performance of the work for which thiS permit Is issued.
My workers' compensation insurance carrier and policy number are: Insurance Company Name: ~~~:::~~ed Surety and ~a_s_u_a~lty~C_o_m_p~•-"'~'n_c ______ _
Policy No. 1ATCA160002770 Expiration Date: _B_11_0_12_0_10 ________ _
0 Certificate of Exemption: I cert,fy that in the performance of the work for which lhis permit is is.sued, I shal! nnt employ any person in any manner so as to be come
subject lo the workers' compens,Hion l.aws of Califomia. WARNING: Failure to secure workers compensation coverage is unlawful, and shall subject an employer to
criminal penalties and civil fines up to $100,00;§;0.00 in addition the to the cost of compensation, damages as provided for in St!ction 3706 of the Labor Code,
interest and attorney's fees.
CONTRACTOR SIGNATURE: ~ □AGENT DATE: 4/Z'J,019 -"''-'--'-----
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's license Low for the following reason:
0 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, ar1d 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 of sale).
□ l, as owner of the property, am exclusively contracting with hr,enser:I contractors to construr.t the project (Sec. 7044, Business and Professions Code: The
Contractor's liceme Law does not apply to an owner of property who builds or improves th~reon, and contracts for such proje<:ts 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 canstruc1ion of the proposed property improvement. □ Yes □ 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 {firm) to provide the proposed construc11on (inciude name address/ phone/ contractors' license number}:
4. I plan to provide portions of the work, but I ha'we hired the following person to coordinate, supervise and provide the major work {include name/ address/ phone/
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/ address/ phone/ type of work):
OWNER SIGNATURE: _________________ =:JAGENT DATE: _____ _
CONSTRUCTION LENDING AGENCY, IF ANY:
! hereby affinn that there is a construction lendinR ,1gtmcy for the performance of the work this peITT1it i_~ issued (Sec. 3097 (i) Civil Code).
Lender's Name: _____________________ Lender's Address: _________ . ___________ _
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely halllrdous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Prnsley-TanMr Halardous Substance Account Act? 0 Yes □ No
Is the applicant or future building occupant required to obtain a pNmit from th~ air pollution rnntrol d1stnct or air quality management district? 0 Yes □ No
15 the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No
IF ANY OF THE ANSWERS AR£ YES, A f1NALaRTIACATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE
REQUIREMENTS Of THE OFflCE Of EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
APPLICANT CERTIFICATION:
1 certify that I have read the application and state that the above information is correct and that the information on the plans is acwrate. l agree to comply with all
City ordinances and State laws relating to building construction.
l hereby authorize representative of the City of 03r1sbadto enter upon the above mentioned property tor inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP
1-tARMU.SSTH[ CITY OF CARl5BADAGAINST All UABltrnES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF
THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit 15 required for excavati005 over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Bui1d1ng Official under the provisions of Ulis Code shall e~ire by limitation and become null and void if the building or work authoriled
by such permit 1s not commenced within 180 days the date of such permit or if the building or work autht'Kited by ~h permit ls .suspended or abandoned at any time
after the work is commenced for a period of 180 da ect:ion 06.4.4 Uniform Building Code).
APPLICANT SIGNATURE:
1635 Faraday Ave Carlsbad, CA 92008
B-1
Ph: 760-602·2719 Fax: 760-602-8558
Page 2 of 2
Email: Buliding@carlsbadca.gov
Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBR2019-0952)
Permit Type: BLDG-Residential Application Date: 04/23/2019 Owner:
Work Class: P/M/E Issue Date: 04/23/2019 Subdivision:
Status· Closed -Finaled Expiration Date: 10/23/2019 Address:
IVR Number: 18580
Scheduled
Date
Actual
Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
04/25/2019 04/25/2019
04/26/2019 04/26/2019
09/18/2019 09/18/2019
September 18, 2019
BLOG-24
RoughfTopout
089912-2019
Checklist Item
BLDG-Building Deficiency
BLDG-27 Shower
Pan/Tubs
089913-2019
Checklist Item
BLOG-Building Deficiency
BLDG-17 Interior
LathfD,ywall
090061-2019
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
104470-2019
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed Paul Burnette
COMMENTS
Passed Paul Burnette
COMMENTS
Passed Michael Collins
COMMENTS
Shower only
Passed Chris Renfro
COMMENTS
CONTINUING LIFE COMMUNITIES
LLC
CARLSBAD TCT#92-08 GREEN
VALLEY
1950 Silverleaf Cir, C335
Carlsbad, CA 92009-8410
Re Inspection Complete
Complete
Passed
No
Complete
Passed
No
Complete
Passed
Yes
Complete
Passed
Yes
Yes
Yes
Yes
Yes
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