HomeMy WebLinkAbout1950 SILVERLEAF CIR; ; CB154068; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
11 -23-2015 Permit No: CB154068
Building Inspection Request Line (760) 602-2725
Job Address:1950 SILVERLEAF CR CBAD
Permit Type:PME Status:ISSUED
Parcel No:2550121600 Lot #:0 Applied:11/23/2015
Entered By:SLE
Reference #:Plan Approved:11/23/2015
PC #:Issued:11/23/2015
Inspect Area:PB
Project Title:LA COSTA GL:TUB/SHOWER C-215
Applicant:Owner:
TOM MARDINI 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:Date:a-'3 'AC Clearance:
NOTICE Please take NOTICE that approval of youproject inducts the "hp:sitar)"dfees, dedcations, reservations, or other exactions hereafter ccrledively
referred to as "fees/exactions."You have 90 days from the dateths paritwas issued to protest imposition of these feeste>acticns.If you protest them you must
fdlow the protect procedures set forth in Goierment Code Section643020(a),aidfile the protest aid any other noticed information with the (Sty Manager for
processing in accordance with Carlsbad MiniCpsi CodeSalim 3.32030.Failure to timely fdlow that prcoedre will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTFER NOTIFIED that your right to protest the specified teas/ea:bons COES NOT APPLY to wateraidsewer comecticn fees and capacity
dtriym, no-plaming, zoning, gracing or other similar application processinga service fees in connection with this project.NCR DOES IT APPLY to any
feesbaections of Ankhxxi have Previously been riven a NOTICE sirrilar to this. or as to which the statutecf limitations has previously ofilaveise eroired
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41 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:0 PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH 0 HAZMATIAPCD
15 40u
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Building Permit Application Plan Check No.
City of 1635 Faraday Ave., Carlsbad, CA 92008
era le
Est. Value
Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: building@carlsbadca.gov Plan Ck. Deposit
www.carlsbadca.gov Date 11/2./i•SWPPP
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DESCRIPTION OF WORK:Include Square Feetof Affected Area(s)—
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EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESDA NOEI YES ONO 0 YES NOD
APPLICANT NAM i PROPEBTY OWNER NAME
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DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY /{ATE ZIP
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PHONE FAX PHONE FAX
EMAIL EMAIL
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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 fora permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)).
WORKERS'COMPENSATION
Workers' Compensation Declaration:Ihereby affirm under penalty of perjury one of the blowing declarations:
I 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.
II have and will maintain workers' compensation,as required...U:1Section 3700 of the Laboride,for the performance of the work for which this permit is issued. My workers' compensation insurance rrier and policyEDave
number are: Insurance Co.iut‘51--CO __.P4 'Su ‘t_64-1/1 C(..-Policy No.a 50 lt Expiration Date CI (tS-l(P
This section need not be completed if the permit is for one hundred dollars ($100) or less.0 Certificate ofExemption:I certify that in the performance ofthe 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 subjectan 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 Section 370 fthe abor code, interest and attorney's fees.
..re CONTRACTOR SIGNATURE ,,... sk. 0 .ElAGENT DATE... _...
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's License Law for the following reason:pI,as owner of the properly 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).r:I,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 Ofilo
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 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 I 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 I type of work):
.ESPROPERTY OWNER SIGNATURE DAGENT DATE
COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY
Isthe 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?0 Yes 0 No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?El Yes 0 No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?I]Yes 0 No
IFANY 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.
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
Icertify thatIhave mad the application and state thatthe above information Is correctand that the information on the plans Is accurate.Iagree to comply with all Cigiordinancesand State laws relating to building consbuction.
I hereby authorize representative of the CityofCarlsbad to enter uponbeabove mentioned property for inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY INANY WAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permit is required for excavations over60' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by imitation and become nul and void if the building or work authorized by such permit is not commenced within
180 days from the date of such permitor if tiding or work authorized by such permit is suspended or abandoned at any time after the workiscommenced fora period of 180days (Section 106.4.4 Uniform Building Code).
AKAPPLICANT'S SIGNATURE C DATE
Inspection List
Permit#:CB154068 Type:PME LA COSTA GL:TUB/SHOWER C-215
Date Inspection Item Inspector Act Comments
12/02/2015 29 Final Plumbing RI
12/02/2015 29 Final Plumbing PB AP
11/30/2015 24 Rough/Topout RI RM 215
11/30/2015 24 Rough/Topout RI ROOM 215
11/30/2015 24 Rough/Topout PB AP
Thursday, December 03, 2015 Page 1 of 1