Loading...
HomeMy WebLinkAbout1950 SILVERLEAF CIR; C-112; CB160760; Permit• City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 02-25-2016 Permit No: CB160760 Building Inspection Request Line (760) 602-2725 Job Address:1950 SILVERLEAF CR CBAD St: C-112 Permit Type:PME Status:ISSUED Parcel No:2550121600 Lot #:0 Applied:02/25/2016 Entered By:JMA Reference #:Plan Approved:02/25/2016 PC #:Issued:02/25/2016 Inspect Area:PB Project Title:LA COSTA GLEN-REPLACE SHOWER PAN & ENCLOSURE Applicant:Owner: TOM NARDINI CONSTRUCTION CONTINUING LIFE COMMUNITIES LLC PO BOX 445 1940 LEVANTE ST SOLANA BEACH CA 92075-0445 CARLSBAD CA 92009 858 449-8849 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:$0.00 Inspector: FINAL APPROVAL Date:--11-/6"Clearance: NOTICE:Please take NOTICE that approval of ycur project includes the "Imp:sitar('dfees, dedications, reservations, or other exactions hereafter allectively referred to as "feesleactions."You have 90 days from the date thisparrit vas issued to protest irrpositim dthese fees/exactions.If you palest them youmat follav the protest promisesset forth in Garemment Ccde Section 60320(a), and file the protest and any other required information with the City Manager for processing in accatance with Caisbad Mridpal Ccde Section 3.32.030.Rareto*rely fdlavthat pnxedure41 bar any subsequent legal actionto attack, review, set aside, void, or ant their imposition. You we hereby FLRTI-ERNOTIFIED that yourigtit to protest the specified feesiexacticns DOES NOT APPLY to water and se ra connection fees and czpadty changes, norpia-ring,zoning, gracing or dilersimile-application processing cr service fees in au ecticn with this project.NOR DOES IT APPLY to any fees/maims clv‘hich you have asvicuslv been riven a NOTICE similar to this. or as to which the statute dlirritaticns has previously otherwisewired ....,,„.... THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:DPLANNING ©ENGINEERING ©BUILDING ©FIRE 0 HEALTH ElHAZMAT/APCD Building Permit Application Plan Check No.C.1 h (_)'7(c3.0(City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: building@carlsbadca.gov Plan Ck. Deposit www.carisbadca.gov Date ..../ss-iik.1" - S - WPPP JOB ADDRESS SUITEVSPACEVUNITO APN ICI SD 11 Vett-(at 1r C...'-I a CT/PROJECT #LOT#PHASE ##OF UNITS # BEDROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:Include Square Feet of Affected Area(s) ,.Si"Otkar(--19...e )101-c-t\Ake444 ,V et/ Iv c.-. (2.,_,.elo lutt tifIn$ EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESD NOEI YESEINO E3 YES0 Noo APPLICANT NAME PROPERTY lawNER Primary Contact L/F C057-ift 6L12-) ADDRESS ADDRESS 1 -0 Le.v.A.K-kr_.Si— CITY STATE ZIP CITY STATE ZIP Cfilitl. 5 130tet Ce4-ciao I1 PHONE FAX PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACT 19elyS. NAME -' Ci IA 10 INI.IJ i NU Curt •Critu cri okA ADDRESS ADDRESS 1--)6 -"E)6 )f•4" CITY STATE ZIP CITY__STATE ZIP---.4)I v`tv‘ e'l -Beitr....k c#t-cab 3c- PHONE FAX PHONE FAX 2rs (t.tq S'Y`t Cl EMAIL .......5MNL -I-i(CA./‘/OweAhm-e. .4.1..CUPt '5 4-4"C64.11‘•CN, STATE LIC.#STATE LIC,ThiCRY 10.1.511C.# --0 t '--CL153 31 Si (Sec.7031.5 Business and Professions Code: Any City or County which requires a permit to construct, after, 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 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 a civil penalty of not more than five hundred dollars ($500)). WORKERS'COMPENSATION Workers' Compensation Declaration: I hereby affirm under penaltyofperjury one ofthe following declarafions: 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. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performan of the work for which this permit is issued. My workers' compensation insurance carder and policy number are: Insurance Co.Vi C5T C 0 Policy No.? i-ag-2 48 i Expiration Date tsection 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 Califomia.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 (8.100,000), in addition to the cost of compensation, dame as provided for in Section 37 of eLabor code, interest and attorney's fees. .6.5 CONTRACTOR SIGNATURE C 0 AGENT DATE )-/d\----I (.0 OWNER -BUILDER DECLARATION I hereby affirm that!am exempt hom Contractor's License Law 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, 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). ElI,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 ONo 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 I 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.twillprovide some of the work, but l have contracted (hired) the following persons to provide the work indicated (include name I address / phone / type of work): RSPROPERTY OWNER SIGNATURE DAGENT DATE a ohr MIMIN1111011 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 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)CM Code). Lender's Name Lender's Address APPLICANT CERTIFICATION lcertify that I have tead the application and statethatthe abode infonnagen Is collect and that theNonagonon the plans Is accurate. I agreeto comply With allDVonilnances and State Wm reladng to bulking consbuction. Ihereby authorize representativeof the City of Carlsbadbenter upon the above mentioned property fur 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 permits requiredbrexcavations over50' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisionsofthis Code shall expire by initation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the dateof such permk or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced foraperiod of 180 days (Section106.4.4 Uniform Building Code). JeAPPLICANT'S SIGNATURE DATE .)--S (a • e 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@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. (Office Use Only) C•ONTACT NAME OCCUPANT NAME A•DDRESS BUILDING ADDRESS C•ITY STATE ZIP CITY STATE ZIP Carlsbad CA P•HONE FAX EMAIL OCCUPANT'S BUS. LIC. No. • DEUVERY OPTIONS PICK UP:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (on Pg.i) 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#:CB160760 Type:PME LA COSTA GLEN-REPLACE SHOWER PAN & ENCLOSURE 1 Date Inspection Item Inspector Act Comments 03/01/2016 17 Interior Lath/Drywall PB AP 03/01/2016 19 Final Structural PB AP 03/01/2016 27 Shower Pan/Roman Tubs -RI 02/26/2016 24 Rough/Topout RI 02/26/2016 24 RoughlTopout PB AP Wednesday, March 02, 2016 Page 1 of 1