HomeMy WebLinkAbout1970 SILVERLEAF CIR; 117; CB160806; Permit1111111111111111111111 PM III111 111a 11111111111111111MOM 111111111111111~__
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
03-01-2016 Permit No: CB160806
Building Inspection Request Line (760) 602-2725
Job Address:1970 SILVERLEAF CR CBAD St: 117
Permit Type:PME Status:ISSUED
Parcel No:2550121600 Lot #:0 Applied:02/29/2016
Entered By:RMA
Reference #:Plan Approved:02/29/2016
PC #:Issued:02/29/2016
Inspect Area:
Project Title:LA COSTA GLEN-REPLACE SHOWER
AND 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
FINAL APPROVAL
Date:ef-2-2Inspector:Clearance:
NOTICE Reese take NOME that approval af your project indiees the "Inceitiorr cf fees, dedcatians, reservations, or other exactions hereafter odlectively
referred to as "fees/exactions."You have 90 days from the date thiswritwas issued to protest imposition cf these fees/sections.If you protest them, you must
follow the protest procedures set forth in Goverriment Code Section 66020(a),aid file the protest and any other required infcirration with the City Mierfor
processing in accordance with CarlsbadKricipal Cale Section 3.32.030.Failureto timely fdlarythat procedure will bar any subsequert legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTI-ERNOTIFIED that your rill to protest the specified fees/exactions DOES NOT APPLY to water and saner comedian fees and cepa*
(lenges, nor planning, zoning, grazing or other similar application processing or service fees in correction with ttisproject.NCR DOES IT APPLY to any
fees/exactions of which vcu have deviously been riven a NOTICE similar to this. or as to which the statuted limitations has orericusly otherwise eadred
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:(PLANNING DENGINEERING 0 BUILDING OFIRE CIHEALTH LiHAZMATJAPCD
/(-Building Permit Application Plan Check No.LI b_...._(City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
_._D ik.„_
Ph:760-602-2719 Fax: 760-602-8558Carlsbademail building@carlsbadca.gov Plan Ck. Deposit
www.cartsbadca.gov
-
Dat Wirth SWPPP
A
JOB ADDRESS .I SINTEVSPACEvutat(A M1--,•---Iiql)46 t Lk)E ti
<ci
i'"C-
L2(14L
-11!__!6:2 Li
'"--
trimmer«.Z."pii•si.•tt Ofunrrs :-•ripkIHNAS a BAlitafreS TENANT BUSINESS NAME •-—r!;5r-
r?.7
-47ry PE -0177.Pi5Ti
.—_i....
—_---dDESCRIPTIONF WO It •quartFeetof Affected Arsets)
I 5‘loweit_.A k.'--.011 -5441111111116'8 2.ekOt
I tea-it-tc--
(COSTING USE PROPOSED USE GARAGE (SE)PATIOS (SF)DECKS (SE)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESOa HOC]YESONO0 YES0 NOO
APIUGANT NAME P ROPEROY OWNER ,-,,
Primary Conteetr4 IQ A1213 !IQ %Coll --5 .ibi(-NA..(....0.7.-
..re\elLek 1
ADD
Rit 0 ....so A 1.4 tic.4'711 S-
4%LekitAi."`"-i
-
V
-
CITY STATE 2P CITY STATE —ZIP'SO IAV%^"BeAciA c cla0.15 Cpc(Ll 5 ISA 6 oq CI)O
25 -4
CR'
PHONE FAX PHONE
.1..FAX24-49 -2'.?44
EMAIL EMAILI .-Gail c e. iniii ti.....eV y1
DESIGN PROFESSIONAL
121.))31197;11a.VA it D1 :V i COW 5tleAlCil eV%
ADDRESS ADTo 1:30C 44 c
CITY STATE ZIP CITY _STATE ZIP..r•-----,Atrall Pi "SeArl". CA q )c -t-s-
PHONE FAX PHONE
[
FAX H
EMAIL EMAIL
r„......STATE .„i.A„..;,CITY Bus.HO.
US."Vii '147'..42 la i .0 Ti )3 --1-S 2 ,(Sec.7031.5 Business and Professions Code: Any City or County which requires a permit to construct, atter. Improve. demolish or repair an structure, prior to its issuance, also rempres the
applicant for sucn 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 has* for the alleged exemption. Any vie:Oben of Section 7031.5 by any applicant for a permit sublet's the aopticant to achit penalty of not more than five hundred donors ($500)1.
4--4n4414....:-•.:f..-7.-.-.-!-4p3.7...........,.....04..Vitr<ila;.7 :..:.(....cist 3....r"'...-;.-:7:31?kz..t..,ks)..'ot!,--,':3n ac.....p...' .1.-c----`,,,,.;:;%'!--
`.•!' ff'1..V'
.....„..
-
..:--'..•..•'.'7 ..-"Y-
i Workers' Compensation Declaration' I hereby afflirg tinder penally of aericirf one of me toticming de:Orations-
.
I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700cl the LiborCode, for the performance of the work la which This permit is issued.A I have and will maintainwort conatinsatisin as rewiredby Section 3700 of he Labor Code, for the performance of the work for which this permit is issued Mywaken'compensation irzurance caner andpoky
number are: Insurance Co __V.L.2.i I...'7„:.)C. (...'Policy No A __:....174.3.1.3 '2 i Expiration Daie ei 10-ilo__
bsection
need not be completed athe permit is fur one hundreddealarS (S100) or less.
Certificate of Exemption:I certify that in the performance of the work for which this permit is issued, I shell not employ any person in any manna so as to heopme subiect It the Waken'Compensation Laws ei
California.WARNING: Failure to socure workers' compensation coverage is unlawful, and shall sullied an employer to criminal penalties and civil fines up to ono hundred thousand dollars (8100.000), in
addition to the cost of compensation, demag as provided for in Section 3706 of the
Libor
code, Interest and attorney's fees.•
AKCONTRACTOR SIGNATURE totA......--y C.''f\A----".--'L-s-0 AGENT DATE
-•'
-•:-l''''-••.-/-..•-'''.;,:s.•--..:,-:-..„-;.-:........•:.„..--.„,
I herebyOm thatI am exempt from Contractors License Law kw the tokown;g reason'0 I,asMINof the properly or my employees with wages as their sole compensation. eel do the work and the structure is not intended or offered for sate (Sec 7044. Business and Prolessions Code. The Contractor's
License Law does not apply M an comer al property wtio biatds or improves thereon, and who does sect work himself or through his own employees.minded Mai suit improyernents are not attended or offered for
sate. lf, however, the bonding or Improvement is sold ohm one yew of competion, the owner-builder wit have the burden of proving that r.e did not build or improve for the purpose of sale).0 I,as owner of the poverty.an exclusively contracting with kenselcontractors to construct the project (Sec 7044, Business and Professions Code the Contra:10es iicense Law does rut apply to an owner cf
Property who butsOf inisoves thereon. and contracts tor such protects with coreactor(s) licensed pUrsiant to the Contractor's License Lew!
DI am exempt under Section _,_.____Business aidProles ions Code for Mrs reason..
1.1 personally plan to provide the major labor and materials for construction el the proposed prope.q improvement CYes to
2. I (have !have nob signed an apraication tor a holding oenrvi for Mepouredwork
3.I have 01:1117aC1841 with theWowed person Pinot to provide the proposed construction (viclude name address .'phone / contractors' license 'herbed.
4.I Man to provide portiorn of the work. but I have hired the following person to cocudedre, supervise and provide the MAO! weds(mks&name r addressiphone 'contractors license number):
5.1 wif provide some of the work, but I have ccultramect ored) liefollowing persons to provide Me work 'llIdiCated (dr,.ule name r address!More rtype of work)
AtcPROPERTY OWNER SGNAT UNE OAGENT DATE
...._.„
•
.
Is the appkam or tote nuil4n4 occupant required to submit a busaess a-an,a.:utey hazirbows reateriais leuistration form of risk nialiagenient and prevention program under Stcbarts 25505, 255330r 25534 of the
Presley-Tanner tia.iartIons Substaire Account Act?Yes f
Is the applicant or future btakfing occupant required to obtain a permit '.cirri the air pollution control district or gr Quads/manor omen MOO?Yes No
its the tacili). 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.
I hereby affirm that there is a construction tending agency for the performance of the work this permit is issued (Sec. 3097 (I)Civil Code).
Lenders Name Lenders Address
..•..
••
!certify that I have read the apptica nandstatethattheatldueinformationIscormctandttuattheinfonnationoetriteplansisaccurate.IbraetoarrptywithallCityomfitainxis arei StateteeS relating to boikling construction.
1Irzrcoyouthoizcropw....entative of the City Cartbad in •071 the kovementfoned pioperty fat instkcinn pulp.y-;es.AL )A '1E ISAVE.'.DEMNIFY AND 1(77.1 HAM/LESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE CANTINGOF THIS PERMIT.
C*.HA. An OSHA permit is related for excavations over 50' deep and deniChtion Orconstruil'on ofMuresover 3 storiesit he
E>TIRATION Every permit issued by the Bonding Official under thepro .ions of this Code shall expire by ;inflation 311dbiK1DftleiltitWW1 voidif the building or work autorized try uch permit is notcame/Icedwithin
180 daystun tiedale of such permit or if tiebolding or work authorted by such parmil is sum sled or abandoned at any lime after the Nods soommenoad for apeedof 180days (Section 106.4.4 Lhildrin Butting Cale).
AtcAPPLICANT'S SIGNATURE DATE 1190it (0
41.t *
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 bUilDillg@CRtiSbadCa.gOV or Mail the completed form to-City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO*:(ONIce Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS
PICK UP:CONTACT (Listed above)OCCUPANT (Listed above)
CONTRACTOR (On Pg.it
ASSOCIATED CB#
MAIL TO:CONTACT (Usted above)OCCUPANT (Listed above)
CONTRACTOR (On pg. 1)NO CHANGE IN USE /NO CONSTRUCTION
MAIL /FAX TO OTHER:
CHANGE OF USE /NO CONSTRUCTION
.4t5APPLICANTS SIGNATURE
I
DATE
Inspection List
Permit#:CB160806 Type:PME LA COSTA GLEN-REPLACE SHOWER
AND VALVE
Date Inspection Item Inspector Act Comments
08/22/2016 29 Final Plumbing RI
08/22/2016 29 Final Plumbing PB AP
03/14/2016 17 Interior Lath/Drywall PB AP
03/14/2016 89 Final Combo PB AP
03/10/2016 24 Rough/Topout PB AP
03/10/2016 27 Shower Pan/Roman Tubs PB AP
Tuesday, August 23, 2016 Page 1 of 1