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1950 SILVERLEAF CIR; C-133; CB163754; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 10-04-2016 Permit No: CB163754 Building Inspection Request Line (760) 602-2725 Job Address:1950 SILVERLEAF CR CBAD St: C-133 Permit Type:PME Status:ISSUED Parcel No:2550121600 Lot #:0 Applied:10/04/2016 Entered By:SLE Reference #:Plan Approved:10/04/2016 PC #:Issued:10/04/2016 Inspect Area:PB Project Title:LA COSTA GLEN-REPLACE SHOWER & VALVE 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 41P1IP FINAL APPROVAL Inspector:Date:"q" (7 Clearance: NOTICE Please take NOTICE that approval of your project indudes the "Irrpositiorf cf few, decications, reservations, or other exactions hereafter colledively referred to as "fees/exactions."You have 93 days from the date this permit was issued to protest imposition of these fees/exactions.If you protest them you rrust fdlow the protest procedures set forth in Government (frt. Section 66020(a), and file the protest and any other reqiired information with the Oty Manger far processing in accordance with Carlsbad lAinidped Cori. Section 3.32.030.Failure to timelyfdloN that procedure will bar any subsequert legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTI-ERNOTIFIED that your rip to protest the specified fees/exactions fncS NOT APPLY to water and seiner connection fees and capacity changes, nor planring, zoning, gracing or ether similar application processing or service fees in connection with this project.NOR CrFS IT AFFLY to any fees/exactions ofMich vim have oreviaely been civen a NOTICE similar to this. or as toWirt the statute of irritations has previously otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:[]PLANNING DENGIKERING EIBUILOING C3FME ©HEALTH OHAZMAT/APCO -.'•Building Permit Application Plan Check No.C17)1L0 --- /GJ.e_4.City of 1635 Faraday Ave., Carlsbad, CA 92008 Ed. Value Ph:760-602-2719 Fax: 760-602-8558Carlsbademail:building@carlsbadcagov Plan Ck. Deposit www.carlsbadca.gov Datelbp -77.--7 - 1SWPPP me . r sUrte,,m ,.-_„•„.•(-4-1-'ClAe-)' ##'Ars # ' #44 -•usholssPE 0ONSte. WPC CCC.GROUP' U31/4 ClUa/DESCRIPTION OF WORK:Include Square Feet of Affected Area(s) 0...CCA-ar i A kj ---r....4perir (2_,,p .4 .z_c:we v1-4.----v)._..•(...u.../ta___i, Value-1 i t hear NU use PROPosEo USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE Atli CONDITIONING FIRE SPRINKLERS YES011 NOE1 YES ONO E3 YES0 NOOw APPUCANT NAME Printery Conteet7r ”'0 flit pAxt..f1/4.31 eft -TratiersAZ"`"riclaco:-. r:,f.t..t.A.L.)AD RESS°150 )(Ai fits- ADDREftri .......4') G't;..tcLe de_ CITY STATE.....i ZIP WY STATE ZIP-- Clef %AV%”1:3f010/1.CIA el aoi -c c4A-05 /5.46 oak Cf PHONE FAX PHONE IfAX25..i4441 -11;3 ‘441 , EMAIL EMAIL 4."111W1 $.01 .1A Cli wft 6 G olio .....eicri4i DEMON PROFESSIONAL BUS.NallitC"Illitarwi -Affl A al ill 1 Coo 6-t'e.4cfi evk ADDRESS ADC117C 730A 1+4 r CITY STATE ZIP CITY_...STATE CA WM Oar 13e•Fickr‘CA gziC3S._ PHONE FAX PHONE FAX , EMAIL EMAIL MUM.a STATE uC.4 CASS CITY sus.Mit ."TS si-47S' -•0 1.3 B i):3 -71-s 2. (Sec.7031.5 Business and Professions Code: Any City or County Mitch requires a permit to construct alter, Improve. demolish or repair any structure, pnor to its issuance, also requires theapplicant for such permit to file a signed statement thergis licensed pursuentfortheme provisions of the Contractor's License Law (ChapterB.commending with Section 7000, of Division3 of theBusiness and Professions Code) or that he is exempttrom, and the basis for the alleged exemption.My violation of Section 7031.5 bin any applicant for a permit subjects the applicem to achrtlpenaily of not more than five hundred dopers ($500)). 0i..;trz.attiiz.*::'•ir.,f '.-;;!.;: - .1 :-i--!..;..1::i:-i c.:,-..Z),.••:..!::'-,':•••.:•:-.•-••.i --.':.ii 2•; --..!.;•.:-..:::.'.'..•.--.:....-`..--•-•..-.-'•.....'- -.:.•! ---.:.:.;..:•.._::.....--..„- :...„•,.:..:•:.' -- .-.•..z.-;::..:i-;,,.-7•:it:'. -..:.-• Workers' Comminution Declaration.1 herebyOm underpenaly of pokey one oldie foikreity dartitimeons: BI have and win assIataina cantatas of consent to self-insunt for workers' compensation as provided by Section 3700 of thelater Code. for the performance oltie work tor Meth the permit is issued. I have and will make* wortrtorrisr.as smelt by Section 3700 of the Labor Code. for fl.e perfomenos of the eye& for 1411C11,ft Dann* '54ssued ley workers' conkwinsation hiluelote canter are potty number are: Insurance Co.CC./Pettey No ry.---- 4' 7-5 1-D - "Z‘vi Emsration Date Ci lt-1.-No Dlijksection need not be condoled leis permit is kw one hundred dolars (St 03)or fees.uCertificateofExemption:I certify Mal in the performance of the work to which this permit is issued,I slay not employ any person in any manner so as to become subject to the Workers' Compensationland Cabmen WARNING: Failure to secure workers' compensation coverage is unlawful, and shat subject an employer to criminal wattles and civil fines up to one hundred thousand dollars (&100,00011a addition to the cost or compensation, demeg as provided for in Section 3706 of the Lebo( code. interest and attorneys fess. LI. 415" CONTRACTOR SIGNATURE tAr--•—$(...'`aL..-.-..._.AGENT DATE VDIW (1 (p •.-,...,.., I hereby ram flat i am exempt from Contractor's License Lawtoethe toacelne reasonElI,as °eruct at 0*property or my employees with wages as their sole compensation, wie do the work end the unmanis not intended or offered for sale (Sec 7044,Mumsaid Professions Code: The Ccntacior's i license taw The not apply to an omen Oiproperty egio builds Ofimproves thereon, and who does Such oak)inse)fOrthrough his own ediployees. provided that such improvements are not Intended or °Oared far salt It, however, the balding or In/movement is said within one yea ci completion, lhe leaner-tvilder WI have the bunien of moving that he de not buitolor Improve for the purposecesale). I, as owner of Me properly, ammeek*contracting with loomed contractors in construct the project (Sec 7044, Eiusiness mid Professions Code: The Contractor's license Lair does not apply to an owner of property whobulls &improves thereon, andcontrols ticsuch projects with contracto(s) boomed pursuant to the Contractor's License Law). ElI am exemptwideSection Business and Professions Code for the rearm. I.I personalty plan in provide the rnajor labor arid materials he construction of the proposed property imovvernent.[les DM 2.I (have/have nor) signed an application for a beading permit for the proposed work 3.I have cortracted with the follovang person (firm) to provide the proposed construction (includenave address / phonei contractors' hoarse minter): 4. t plan to provide portions or the work but I have heed the following person I o coordinate. supenise and provide the majorwokOrickidenaffs / address1 phone I connectors' icense Norbert: 5.I vat provide some of the wont. butI have contracted (hired) the following persons to Provide the work indicated lockide nine /address /Phone/type of sorb) £PROPERTY OWNER SIGNATURE DAGENT DATE .....mi....____ :,',..,.'-.-: i.••k:-•i L 1-::-...:'.1;/i'...."...•.•.-......:4-•••.'.-•.'....,-..;'.L:...-..ti......---....;.::z:•Te/ri .7.:..i...7-.....i.:;!....."i..--:..•.':...i -_103.—.;.. I . i...;....A-T1 .:elf .‘. - ..-Tr.'......4 ' .'' . '''"..' IS the aPPIcant Or futureWitting occupantwired bsubmit a business Wan, acutely hazardous materials tegistrallonbrm or risk management and prevention program moor&dons 25505, 25533 or453(of the Rustily-Tame Hazardous Subsist=Account Act?Yes No (athe appicant or figurebonitooampant Rehired to°NOa permit from beakpollution contratimidet*pudgy movement done?Yes No 1 Islie ladity to be constructed WSW 1,000 NetWS*outer boundary ot a schsolsk?Yes No IW ANY Os TIMANSWERS ARE YES.A FINAL CERTIFICATE OF OCCUPANCY MAY NOT REISSUED UNLESS THE APPLICANT HAS MET OR ISNEErNOTHE REammeas OF THE OFFICE OF EMERGENCYSERICE];AND THE AIR POLLIMON CONTROL DISTRICT. ,,''-,-^,"',.„•....,^••,„,,.,,,,,,1„... •-;... I hereby affirm that Isere is a construction Mixing agency for the perfomsanca of We witthis permit is issued (Sec.3097 (I) Civil Code).$ Lender's Name Lander's Address -•-,'••••••-:'•••--•••••••:••—:••.••••••-•••••:... ,.•.,...•.;:-.L;F:.:'.F i.....!'.; ;'.:...:7.:::.:.':='.. -i.:ril.c4:t- .5.i:::. .-;):.1..':'.-.1.„:.„ - zz.,•t•?:.•••••....••••.•.:-•••.••.••••"• .-:":••••••.:•••••••... -. ,.,,....... 1 I cerlily that I havemedtheaRilcation end Mete dedthesbove Inionnefon is conemand Mat ihelemmation on Iful Maw Isactuate Istreet)WanTAYultflanity odnammaedge*WM MIrdreWWI**IX4mOtiodon- I hereby mailmen represents.** o( the City of Carlsbad lo enter uponbeabovemantionadputaty far impeachpurposes.I ALSO AGREE TO SAVE. INDEMNIFY AND W HARMLESS ThE CITY OF CARLSBAD AGAINSTAILLIABSUIES, JUDGMENTS. COSTSAMD(PENSES WHICH KAY IN ANY WAY ACCRUE AGAWST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. ClEftec An OSHApendia muted Wei:evertorsover 517 deep and demotion or consfructfal ofswansmar 3Wes0 height EXPIRATICet Everypandissued byheBolding Oficial underte provisionsones CaleshaRespire byIntim and bscome nue and voidit*Wedelnmeataukeized by such;emit nostcomenced vain 1E0daysbun hsMealsuchpanto(Itlebuildhg or nod(melon*.by eachpentis stepenthei ("abandoned al any imeaterIhe nark is commencedkra pedalof103 days(Swim 10b4AOaten Bidding Code). ASAPPLICAMTI SIGNATURE C4L*—C -A''‘'''12--CATE itC)/(0((sy .,•.,..,.....„'•••• 1.17W ...:•••Is. '''- 1 . •: ...../ 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, Erna'.btfildifig@carfsbarlde.gov or Mail the completed form to City of Carlsbad, Buik9ng Division 1635 Faraday Avenue, Carlsbad,Cation*92008. 'DOCNXKos (Jae Only) -CONTACT NAME OCCUPANT NAME 'ADDRESS suILDINO ADDRESS CITY STATE ZfP Mr STAB 21P Carlsbad CA •'PHONE FAX EMAIL OCCUPANT'S SUS. LIC. No. DEMERS' CREWS PICK UP:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO:CONTACT(Usted above)OCCUPANT Meted above)ASSOCIATED CON CONTRACTOR ton Pg. 1)NO CHANGE IN USE /NO CONSTRUCTION MAIL/FAX TO OTHERS CHANGE OF USE/NO CONSTRUCTION ASAPPLICANT'S SIGNATURE I DATE PERMIT INSPECTION HISTORY REPORT (CB163754) Permit Type:BLDG-Commercial Application Date:10/04/2016 Owner:CONTINUING LIFE COMMUNITIES LLC Work Class:P/M/E Issue Date:10/04/2016 Subdivision: Status:Closed -Finaled Expiration Date:04/03/2017 Address:1950 Silverleaf Cr ,C-133 Carlsbad, CA IVR Number:717511 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary inspector Reinspection Complete 12/30/2016 12/30/2016 BLDG-24 007760-2016 Passed Paul Burnette Complete Rough/Topout Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 01/03/2017 01/03/2017 BLDG-91 007990-2016 Passed Paul Bumette Complete Complaints Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 01/04/2017 01/04/2017 BLDG-Final 008144-2017 Passed Paul Bumette Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final Yes BLDG-Electrical Final No nA 9ni7 Page 1 of 1