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1970 SILVERLEAF CR CI; G105; CB163637; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-23-2016 Permit No: CB163637 Building Inspection Request Line (760) 602 -2725 Job Address:1970 SILVERLEAF CR CBAD St: G105 Permit Type:PME Status:ISSUED Parcel No:2550121600 Lot #:0 Applied:09/23/2016 Entered By:EH Reference #:Plan Approved:09/23/2016 PC #:Issued:09/23/2016 Inspect Area:PB Project Title:LA COSTA GLEN -SHOWER AND VALVE REPLACEMENT 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 qt FINAL APPROVAL Inspector:16-'""lb "IR Date://-Z1-7C'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 previously been aiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:I.:PLANNING DENGINEERING CIBUILDRIG C3FIRE C3HEALTH OfIAZMATIAPCO 1 7,. 'Crty ofC Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Plan Check No.g(03 -1 Est. Value Carlsbad email: building@carlsbadca.gov Plan Ck. Deposit www.carlabadca.gov Date Vas /1 p SWPPP JOBABRESSSUITEWSPACEI/UNIT4 APRSiivogy(42/PHASE erit_e 010,,C ti OSCJ'il.0117 L A •-''0 OF UNITS #ft BAT MS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORM include Square Feet of Affected Area(s) A kJ I)--r-0.6=-4.E44=zirT-1 (2.NPt 64 4-C:WlevN4‘fieLAjelt-- Vajj/Q EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESOe NCO YES ONO0 yEs0NOO APPLICANT NAME •PRO ER N.Primary Contact.T.Z7 VA IQ fk(LID 1 IQ %e (NI 'S.raV Crii•le,PEtri C CI,:a- e4N t.-c,k.) ADDRESS ,,.ADDRyti ...--; .I „..17C4110)„1-14 .-..)L'1.--ev -At/ rt--sir CITY „,....-...I STATE ZIP CITY STATE ZIPc41w"1.4' —8eetciA CA ciaL)i'6-C ftin '5 -edik 6 Accg FAXPHONEFAXPHONEFAX 352 -Licl :242 Ltq EMAIL......0.....A .iovi t.)41a ci rf.a 6 trnit ri-•.f'EMAIL DESIGN PROFESSIONAL C„,,„rieRUS. NAMEvinA.0"A if-bi AI(Cal -Sfe_.wc+1 eve ADDRESS ADDRESS SL '10 —BO(44 c CITY STATE ZIP CITY „...STATE ZIP.0.--- ,..- -,Cr k WW1 Pi-13eArte-k eA q )offtc PHONE FAX PHONE FAX EMAIL EMAIL STATELC.A STATE LIC.e CLASS B CITY BUS. LIC.0-IV 141S—0 13 1 ''3 '1-52 (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 tp its issuance, also requires Umapplicant 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 Oasis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit sub)ects the applicant to acivil penaltyof not more than five hundred dollars ($500)). ,.i '..-.,•,:.,-ek-;'*4.,':-.1 -.;•...---.r•....,,_..--:,.,g -.:,..,:,.44:,:11.?..'4Q.Yik.?:Z..;:...:';:.'...:..'''' ....‘1,-.z-...1.-...-i,::.A.--'.'74..y:-'-*-'.-:4 -.4'.''''.'''.... '.--;''..'' +.:*'';'.''-.-''''.'. ''-''.-''.'.''.i.....24.'1.I.,:i-'•...:.:-.'.%::-%'..r‘-'.':10:0 ..4''''...•..''..:' ::...:•::--s... Waken'Compensation Declaration: I heathy atimi under penally of perjury one of the following dactentons: RIhave and wilt maintain acertificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code,forthe performance of the work for which this permit is issued. I have and will maintainwarkys'crInwsatn.as racked by Section 3700 of the Labor Code, for the performanceofthe work for which this permit is issued. My workers' compensation insurance carder andpoky number arm Insurance Co Lk/'.CC.:.Policy No.fit,.').74-3.71 P9 I Eimiradon 00 Ci -/0 --116 ejsecttin need not be completed if the permit is for one hundred dollars (5100) or less. Certificate ofExemption:I certify that In the performance ofthe work for which this permit is issued,Ishall not employ any person in any manner so as to become subject to the Workers' Compensation Lawsof CaRomia.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 (8100,040), In addition to the costofcompensation, darn as provided for in Section 3706ofthe tor coda, Interest and attorney's fees.t..fe CONTRACTOR SIGNATURE -Cry 11\0 %"--0 AGENT DATE Cli /'' I hereby affirm thatI em exempt from Contractor's License Law for the following reason:0 i, as ownero I the properly or my employees with wages as their sole compensation, will do the work and the stricture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License tawdoes notapph,iloan owner of property who builds or improves thereon, and who does suchwok himself or throughItsown employees, provided that such improvements are not Intended or offered for sale. If, however, theWang or improvement is sold within one year of completion, Me owns butlerwill have the burden of proving that he did not bind or Improve for thepumas ofsale).0 t, as ownerof the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owneroi property who bolds or frgsoves thereon, and contracts for such projects with contractors) licensed pursuant to the Contractor's License Law).[3 Ian exempt under Section Business and Professions Code for this reason: I .1 personalty plan to provide the major labor and materials for construction of the proposed property improvement.Oyes EINoZI(have /have not) signed an application for a building permit for the proposed wort. 3.1 have oontaOted with the following person (firm) to provide the proposed =McCort (include name address !phone /oontractors' license number): 4.1plan to provide portions of the work, but Ihave hired the following person to coordinate, supervise and provide the major work (include sane/address/phone tcontractors' license number): 5.1will provide some of the work, buti have contracted (hired) the following persons to provide the work Indicated (include nameI address I phoneItype of work): s .AKPROPERTY OWNER SIGNATURE DAGENT DATE •,• Is the app cart or future WOWCCCUPBAWiredtostraita business Ilan, 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 thearckedorfuture bulking occupant required to obtain a permit tom the airMiltoncontrol districtor air quality management district?Yes No is the facilly to be constructed within 1,000 feet of the eider bounder/ of a schoolsib?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 NR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a conslruction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address ';a4;6 v --.0:.04..vzt !certify that I have read the application and statetetteabcseinfoimatIon Is conectand that the Information on the plansIs accurate.'Vest°cornplyvAth allco=finances and State leas relating tobultdigoostructIon. Ihereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for Inspectron purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINSTPal MINUTES,JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRIEAGANST SAD CITY IN CONSEQUENCE CF THE GRANTING OF11-11SPERMIT. OSHA: An OSHA permit is weedfor excavaions over517 deep and demolition or condructionofskuctun3s over 3 stories heightsotAnOttEvery perma issued by the Building Oftrial imder Me provisionsofthis Code shahwireby lintation and become nullaidvoidIthe building or work authorized by such permit is not cominenTedvain 180days tem the daleofsuch peakor lithe buidng or v.ork authoriaed by suchpent sespenclador abandonedat anytineafter the work is=manned for a periodofSIdays (Seca3n 106AA Uniform Building Code). AKAPPuctarsSIGNATURE (4fr...A"......C DATE 43/1Go ip! 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©carlsbatagovor 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 OCCUPANTS BUS.LAC.No. WINERYwino PICK UP:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (On Pg.i) ASSOCIATED cRaMAILTO:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (On PE NO CHANGE IN USE/NO CONSTRUCTION MAIL/FAX TO OTHER:CHANGE OF USE/NO CONSTRUCTION ATCAPPLICANT'S SIGNATURE DATE Inspection List Permit#:CB163637 Type:PME LA COSTA GLEN -SHOWER AND VALVE REPLACEMENT Date Inspection Item Inspector Act Comments 11/01/2016 24 Rough/Topout PB AP 11/01/2016 27 Shower Pan/Roman Tubs PB AP Wednesday, January 18,2017 Page 1 of 1 PERMIT INSPECTION HISTORY REPORT (CB163637) Permit Type:BLDG-Commercial Application Date:09/23/2016 Owner:CONTINUING LIFE COMMUNITIES MGMT Work Class:P/M/E Issue Date:09/23/2016 Subdivision: Status:Closed -Finaled Expiration Date:05/01/2017 Address:1970 Silverleaf Cr ,G105 Carlsbad, CA IVR Number:717312 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 11/21/2016 BLDG-Final 009611-2017 Passed Paul Burnette Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final Yes Jarman/11 9017 Page 1 of 1