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HomeMy WebLinkAbout1970 SILVERLEAF CIR; G-120; CB160477; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 02-08-2016 Permit No: CB160477 Building Inspection Request Line (760) 602-2725 Job Address:1970 SILVERLEAF CR CBAD St:G-120 Permit Type:PME Status:ISSUED Parcel No:2550121600 Lot #:0 Applied:02/08/2016 Entered By:RMA Reference #:Plan Approved:02/08/2016 PC #:Issued:02/08/2016 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 ii4PP FINAL APPROVALr '111P geDate: Inspector:Clearance: NOTICE Pease to NOTICE that approval cfyour project indudes the imposition'dfees, dedcations, reservations, or cater exactions hereafter cdleatively referred to as "feeskocaddre."You have 90 days from the date this pant was issued toattest insertion of these fees/exadions.If you protest them you trust fdlow the protest procedures set forth inGDvarrentCodeSedim 92020(a), and file the protest and any other reclined information with the City Manager for accessing in accordance with Carlsbad Mirecipei Cade Sacticn 3.32.030.Failureto tirrely fdlow that procedure will bar any subsequent legal action to attack, review, set aside, vcid, ormnil their imposition. You are her FURTHER NOTIFIED that yar right to protest the specified fees/exactions DOES Nal-APPLY to water and sewer cdrinedicn fees and capacity changes, nor plaming, zoning,gating or other sonar application accessing cr service fees in comedian withttis projed.NOR DOES IT APPLY toay fees/exactions of which You have deviously been given a NOTICE similar to this. cr as toWiththe statuted !irritations has previously otherwisemired. ..„.,..,I IIMMIIIIIIIIIII.. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:OPLANNING DENGINEERING 013UILDING DFIRE 0HEALTH OHAZMAT/APCD Building Permit Application Plan Check No.CF:.(b.(4.---77(*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 Date a_.E .1 6 SWPPP JOB ADDRESS SUITEVSPACEVUNITB APN(110 (Iki ell Itcrr Cw-(1*q.--110 --- 1 CT/PROJECT#LOT #PHASE #'#UNITS # BEDROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:Include Square Feet of Affected Area(s) ."5‘10t1.-)ea-trvb R.pietc c oilin --.-ptowk Ftv...4 c..--lAct..r...it.e EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES.D Noo YES EINO El YESDNoo APPLICANT NAME —r----i -.PROPERTY OWNER LB cus..r14Primary Contact I OVVk LIVie-6 (4 %el LE-60 ADDRESS ADDRESS?0 -6o(iii-K- IcIS-0 LeQ...4v.4e 54- CITY STATE ZIP CITY STATE ZIP56.tottrIA -- ie'OC (1 C A I (Ii -S- ..CAR Vs1SA b C A 9)-009 PHONE FAX PHONE FAX 3<-3S.-q 49 -$81t9 EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME . ---1.75 ifV1 W of1n.AWI."%Cf..M4MLJCVI vl- ADDRESS ADDRESS —. CITYCITY STATE ZIP CITY STATE ZIP -..... ".50V4eW%44 --Ttc-vrk C A CtCY3'S PHONE FAX PHONE FAX$52 tiqcf Sect EMAIL EMAIL STATE LIC.#STATE LIC.#CLASS CITY BUS. LIC.# -9-cr2 -6 1 -2 R 1 -3 -ISR (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 filea 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 {$5001). WORKERS'COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: AI 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 performance of the work for which this permit is issued. My workers' compensation iniuranceicarrier and policy number are: Insurance Co.W E.SCI-.)Policy No.C:t )24 D-2'(Expiration Date CI /ro 100 Thi section 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 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 (8100,000), in addition to the cost of compensation, damag ...as provided for in Section 3706 of the Labor code, interest and attorney's fees. AS CONTRACTOR SIGNATURE VII C._.)0 AGENT DATE ....8 (to OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License Law for the following reason:EiI,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 Contractors 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). ElI am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement.ElYes ON° 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 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.Iwill provide some of the work, butI have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ...e5PROPERTY OWNER SIGNATURE DAGENT DATE • 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) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION Icerlify thatIhave lead the application and statetate above information is conect and that theIntonationon the plans Is accurate.Iagree to comply with all City ordnances and State lava relating to building constuction. I hereby authorize representative of the City ofCarlsbad to enter upon the above mentioned property ter inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CFTY 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 requhed 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 provisionsofthis Code shall expire by limitation 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 the building or work authorized by such permit is suspended or abandoned at any time after the work is commencedforapalled of 180 days (Section 106.4.4 Uniform Building Code). ASAPPLICANT'SSIGNATURE 11111 C (kL.SIA DATE FC. it!)OP 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. 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 LIP:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (On Pg.I) ASSOCIATEDCB* MAIL TO:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (On P.1)NO CHANGE IN USE/NO CONSTRUCTION MAIL /FAX TO OTHER:CHANGE OF USE /NO CONSTRUCTION ..eAPPLICANT'S SIGNATURE DATE '4 , Inspection List Permit#:CB160477 Type:PME LA COSTA GLEN-REPLACE SHOWER PAN & ENCLOSURE Date Inspection Item Inspector Act Comments 02/11/2016 29 Final Plumbing RI 02/11/2016 29 Final Plumbing PB AP 02/10/2016 24 Rough/Topout PB AP 02/10/2016 27 Shower Pan/Roman Tubs -RI 02/10/2016 27 Shower Pan/Roman Tubs PB AP Friday, February 12,2016 Page 1 of 1