HomeMy WebLinkAbout1950 SILVERLEAF CIR; C-328; CB153266; Permit•
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
10-13-2015 Permit No: CB153266
Building Inspection Request Line (760) 602-2725
Job Address:1950 SILVERLEAF CR CBAD St:C-328
Permit Type:PME Status:ISSUED
Parcel No:2550121600 Lot #:0 Applied:10/01/2015
Entered By:SLE
Reference #:Plan Approved:10/01/2015
PC #:Issued:10/01/2015
Inspect Area:PB
Project Title:LA COSTA GLEN:REPLC TUB/SHOWER
UNIT C 328
Applicant:Owner:
TOM NARDINI CONSTRUCTION CONTINUING LIFE COMMUNITIES LLC
PO BOX 445 1940 LEVANTE ST
SOLANA BEACH CA 92075-0445 CARLSBAD CA 92009
Plumbing Fees $163.00
Electrical Fees $0.00
Mechanical Fees $0.00
Other PME Fees $0.00
TOTAL PERMIT FEES $163.00
Total Fees:$163.00 Total Payments To Date:$163.00 Balance Due:$0.00
FINAL APPROVAL
Inspector:tit Zaet "`S Date:12/0/1C Clearance:
NOTICE:Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions."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 this project.NOR DOES IT APPLY to any
fees/exactions of which you have oreviously been aiven a NOTICE similar to this. or as to which the statute of limitations has oreviously otherwise exoired.
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THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:OPLANNING DENGINEERING 0 BUILDING OFIRE OHEALTH 0 HAZMARAPCD
Building Permit Application Plan Check No.eje) 15 B24.0(9city of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: building@carlsbadca.gov Plan Ck. Deposit
www.carlsbadca.gov Date 0—1 —M SWPPP
SUITEWSPACEVU 0 APNJOB
ADDRri so _........i
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CT/PROJECT #LOT *PHASE*#OF UNITS # BEDROOMS *BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK:SquareInclude Feet of Affected Mugs)
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EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESOlt NOp YES ONO0 YESEl NOE
APPLICANT NAME PROPERTY OWNER I
Primary Contact -$.1 Co .)7--A 40.7 --i
ADDRESS t "
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ADDRESS RA0 l_cu1•..).vta 6 A *.-t .ovi -(t--/-
CITY STATE ZIP CITY STATE ZIP--P o BO<-I-14 S---
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PHONE FAX PHONE FAX
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EMAIL i .EMAIL
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DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE
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EMAIL EMAIL
STATE LIC.#STATE LIC.#CLASS CITY BUS. LIC.#
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(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 theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)).
WORKERS'COMPENSATION
W.Compensation Declaration: / hereby affirm under penalty of perjury oneofthe following declarations:
.r4 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 permit is issued.
U I have and will maintain workers' compensation, as required by Section 3700 of 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 Co.Policy No.Expiration Date
Tai section need not be completed if the permit is for one hundred dollars ($100) or less.
Certificate of Exemption:I certify that in the performance 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, damages as provided for in Secti.06 of the Labor code, interest and attorney's fees.
10
....--
.415 CONTRACTOR SIGNATURE 0 AGENT DATE 10 I 1 3....—..reos................V
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's License Law for the following reason:pI,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 of sale).
EllI,as owner of the property, am exclusively contracting with licensed 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 thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).0 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.ElYes ON°
2.I (have /have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number):
4.I plan to provide portions of the work, but I have 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, butI have contracted (hired) the following persons to provide the work indicated (include name / address / phone/type of work):
ASPROPERTY OWNER SIGNATURE DAGENT DATE
MIMMINNIMMINIMMIMIN
COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY
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 to 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 MR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certifythatIhave lead the application and statetattleabode kdormaSon Is conectand thatthe iMonnatIon on the plans is accurate. I agree to complysith all City ordinances and State laws relating tobulking construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property far 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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permit is required for excavations over KY deep and demolition or construction of structures over 3 storiesin height.
EXPIRATION: Every permit issued by the Building Offizial under the provisionsofthis Code shallwire by limitation and become null and void it the building or work authorized by such permit is not commenced within
180 days from the date of such permit or if the butiding work authorized by such permit is suspended or abandoned at any time after theworkscommenced for a period 180 da (Section 106.4.4 Uniform Building Code).
JESAPPLICANT'S SIGNATURE DATE /(
(STOP
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@cadsbadca.gov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
Celt:(Office Use Only)
C•ONTACT NAME OCCUPANT NAME
A•DDRESS BUILDING ADDRESS
C•ITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
E•MAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP:CONTACT (Listed above)OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO:CONTACT (Listed above)OCCUPANT (listed above)ASSOCIATED CB*
CONTRACTOR (On Pg.i)NO CHANGE IN USE /NO CONSTRUCTION
MAIL/FAX TO OTHER:
CHANGE OF USE/NO CONSTRUCTION
AKAPPLICANT'S SIGNATURE DATE
.•
Inspection List
Permit#:CB153266 Type:PME LA COSTA GLEN:REPLC TUB/SHOWER
UNIT C 328
Date Inspection Item Inspector Act Comments
10/13/2015 17 Interior Lath/Drywall RI UNIT C-328 OPEN AND CARD
INSIDE/TOM WILL TRY TO MEET YOU
10/13/2015 17 Interior Lath/Drywall MC AP
10/13/2015 27 Shower Pan/Roman Tubs -RI UNIT C-328 OPEN AND CARD INSIDE
10/13/2015 27 Shower Pan/Roman Tubs MC AP
10/13/2015 29 Final Plumbing RI UNIT C-328 OPEN AND CARD INSIDE
10/13/2015 29 Final Plumbing MC Fl
10/08/2015 24 RoughiTopout RI
10/08/2015 24 Rough/Topout PB AP
Tuesday, October 13, 2015 Page 1 of 1