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Home My WebLink About1950 SILVERLEAF CIR; C209; CB162494; Permit_-- •City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 06-24-2016 Permit No: CB162494 Building Inspection Request Line (760) 602-2725 Job Address:1950 SILVERLEAF CR CBAD St: C209 Permit Type:PME Status:ISSUED Parcel No:2550121600 Lot #:0 Applied:06/24/2016 Entered By:JMA Reference #:Plan Approved:06/24/2016 PC #:Issued:06/24/2016 Inspect Area:PB Project Title:LA COSTA GLEN-REPLACE SHOWER & TUB SURROUND Applicant:Owner: TOM NARDINI CONSTRUCTION PO BOX 445 SOLANA BEACH CA 92075-0445 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 FINAL APPROV L Inspector:Date:Clearance: NoTicE:Please take NOTICE that approval of your project includes the "Impositiorr cf fees, decications, reservations, or cther exactions hereafter collectively referred to as "fees/exactions."You have 93 days from date this pant was issued to protect imposition of these feee/exactions.lf you protect than you must follow the protect procedures set forth in Goverment Code Sedion 66020(a), and file the protest and any other required infarretion with the City Manager for processing in accordance with Carlsbad Municipal Code Sedion 3.32030.Failure to timelyfdlow that procedue will bar any subsequent legal action to attack, review, set aside, void, or amid their imposition. You are hereby FURTI-ERNOTIFIED that your right to protest the specified fees/exactions CCFS NOT APPLY to water and sewer connedicn fees and capacity changes, nor planning, zoning, grating or cther similar application processing or service fees in ccnnedion with this prded.NCR DOES ITAPPLY to any fees/exactions of which vou have previously been aiven a NOTICE sirrilar to this. or as to which the statute of limitations has oreriousivcthavise _____—•___ • ,..- 17/IFOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:[PLANNING DENGINEERING [BUILDING OFIRE OHEALTH EDHAZMAT/APCD 6Building Permit Application Plan Check No.C51.24 (34.4(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.carlsbadca.gov Dee (i .2.1. Ile SWPPP JOB ADDRESS r SUBEVSPACEI/UNITS APN liq50 A k.11k02X W6t k Corota.69.091 ((-cA'_-- CT/.ROJECT #LOT#PHASE ##OF UNITS # BEDROOMS #BA 1200MS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:Include Square Feet of Affected Area(s) 5nov_Wv u aA ti€i‘c\c.(x<..ko 444.“.ar-Pikme(ipe(qce„.-024ic.„ EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESEK____NOD YES ONOEl YESEI NOEI APPLICANT NAME ,.....--.r pROPERTY0,,IWNER c N "T t i4. 1 Primary Contact 1 owl tn .t3v co A.ce.A.kgff“.6-1011...Covt1 NGLait4.1 v l. g-Q.OW MILO Li /'4;2;iADDRESStvu2.ADDRESSV 0 V-)a<k4 (--C k ALA0 /191.2 CITeat._ STATEO'VLi (12-X.061A rOVA ZIPSek-Oic CITY PH( STATE Clifk ZIP 09 Pglr..6 F Lc Q.61 SeQ-4C '6 '‘e/14 I Ci.(PH NE FAX EMAIL ,..EMAIL 4.1/2/OWI e.40vvl ilaxac vLt eziGicAll • . -t . , DESIGN PROFESSIONAL C TRACTOR BUS. NAME ADDRESS ADDRE CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL STATE LIC.#STATE L #CI ASS CITY BUS. LIC.# I 6 s i SS5 (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)). i- WORKERS'COMPENSATION Workers' Compensation Declaration: I hereby affirm under penaltyofperjury one of the following declarations: EIhave and will maintain a certificate ofconsent 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. have and will maintain workers' compensation,as required by Section 3700 of the Labor Co for the performance of the work for which this permit is issued. My workers'compensatioriinsuray carrierand policy number are: Insurance Co. ,y).4?:29;C .0 l.in 'ettAra 02--.Policy No.W1/4/0e--'6 i (0 Li0 -71--Expiration Date 4:3 I I CY .I Es]section need not be comple ifthe permit is for one hundred dollars ($100) or less. Certificate of Exemption: Ice '..-.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: Fai .o secu .orkers'.ion c.-.e 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 ••ensad.;y4 •--•-.-"-ilair".in Secti .3706 of the Labor code, interest and attorney's fees......iiidiiiip..€5 CONTRACTOR SIGN .'E 'GENT DATE (0..(.„ OWNER -BUILDER DEfLARATION 1 I hereby affirm that I am exempt from Contractor's License Law for the following reason:EjI,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).DI,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 1 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.[-Yes 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 /phone / contractors' license number): 4.I plan to provide portions of the work, butI 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): AKPROPERTYOWNER SIGNATURE ['AGENT DATE ...,- le.n- ..t114PLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submita 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?CI Yes CI No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?0 Yes CI No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 Yes CI 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) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION Icertify that !have read the application and state that the above information isconedand that the information on the plans Is aocurate.I agree to comply vAth all City ordinances and State lava relating to bulking construction. I hereby authorize representative of the CityofCarlsbad to enter upon the above mentioned property tor inspection purposes.IALSO 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 over50 deep and demolition or constructionofstructures over 3 storiesii height. EXPIRATION: Every permit issued by the Building Official under the provisionsofthis Code shall expire by imitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if th -•• ing or authorized by such permit is suspended or abandoned at any time after the work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code). ASAPPLICANT'S SIGNATURr:,o0fLASIIIIIPii.DATE (& (94../it (42PP.........0.--... - 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 blliklif196CarlSbadCa.gOV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#:(Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA 'PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP:o CONTACT (Listed above)o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB#MAIL TO:(3 CONTACT (Listed above)o OCCUPANT (Listed above) o CONTRACTOR (On Pg.d.)o NO CHANGE IN USE /NO CONSTRUCTION MAIL/FAX TO OTHER:o CHANGE OF USE /NO CONSTRUCTION A6APPLICANT'S SIGNATURE DATE Inspection List Permit#:CB162494 Type:PME LA COSTA GLEN-REPLACE SHOWER & TUB SURROUND Date Inspection Item Inspector Act Comments 08/01/2016 19 Final Structural RI 08/01/2016 19 Final Structural PB AP 07/01/2016 17 Interior Lath/Drywall PY AP 06/30/2016 24 Rough/Topout PB AP 06/30/2016 27 Shower Pan/Roman Tubs PB AP Tuesday, August 02, 2016 Page 1 of 1