HomeMy WebLinkAbout1970 SILVERLEAF CIR; G-112; CB161124; Permit--111N11111111111111
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
03-23-2016 Permit No: CB161124
Building Inspection Request Line (760) 602-2725
Job Address:1970 SILVERLEAF CR CBAD St:G-112
Permit Type:PME Status:ISSUED
Parcel No:2550121600 Lot #:0 Applied:03/23/2016
Entered By:JMA
Reference #:Plan Approved:03/23/2016
PC #:Issued:03/23/2016
Inspect Area:
Project Title:LA COSTA GLEN-REPLACE SHOWER
AND TUB
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
or.::FINAL APPROVAL
411111Inspector:
Vk N Date:1/1.C-th Clearance:
NOTICE:Reese take NOTICE that approval cf yourpilled indudes the "In-pcsftiorr cf fees, dedaaticns, reservations, or other exactions hereafter cciledively
referred to as 'feestexactims"You have 90 days from the date this permit vas issued to protest imposition cithese feesfeecticns.If you protest them you mist
follow thevilestpirceckres set forth in Goverment Code Seim 66020(a), and file the protest at any otherwired informlionlnith theatyMsnager fcr
processing in maid.. xx Kith Carlsbad Munidpd Cat Section 3.32030.Failtre to timely fclicw that procectre will be-any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FLRTI-ER NOWIED thatyarright to protest the specified fees/exactions MFSNOT /PRYto waterat sewer comedian fees and capacity
chancjes, 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 vm have cieviouslv been riven a NOTICE similar to this. or as toWich the statute cf limitations has previously ctharvAsa arq red.
•
THE FOLLOWING APPROVALS REOUIRED PRIOR TO PERMIT ISSUANCE:EIPLANNING DENGINEERING 0 BUILDING OFIRE 0 HEALTH EjHAZ MA T1APCD
Building Permit Application Plan Check No.C''/-.I 124City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax 760-602-8558
email: building@carlsbadca.gov plan Ck. Deposit
wvAv.caristradCa.gov Date v0 jz.iii-
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!JOB ADDRESS
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DESCRIPTION OF WORR!iinClutle Square Feet
of Affected
Are\,a(s)ckbta--
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COSTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YEA:).NOC3 YES cjNoc3 yisiD PI00
APPLICANT NAME -.ewe...•
Primary Contact I 0 n't Niekt2-1)110%Call 1170-vatiA.P"PEPOrgit CO..C;TgA eiLe 0
ADDRESS
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CITY STATE ZIP CITY STATE ZIPSC)k111 V%*Besitctex CA CIac i -4-5
-_cif1/421.s 15•4 6 C‘'‘\sac --PHONE FAX PHONE
IFAX,2152 -1449 ;SR44q
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DESIGN PROFESSIONAL
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AODr()1304.ii -Lf7OnSTATEZIPCITYSTATE ZIP
PHONE Fa2ic PHONE
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k (Set. 7031_5 Business and Professions Code: Any City or County which requiresa permit to consbuct. alter, improve. demolish or repair an structure, prior to its *silence. 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 the•
business and Professions Code) or that he is exempt therefrom, and the basis for the atieged exemOtion. Any violation or Section 7031.5 by any applicant for a pound subjects the eophcant toacivil penalty of not more than five hundred dollars ($500))
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Workers' Compensation Declaration:I hereby arm underpin*0/ perfury one offie fotithory deriarabons
I have and will maintain a certificate at contenttoSIN•ittelltil for *wirers' compensation as provided by Seaton 3700 of the taborCode. for the performanceof the work la which this permit a issue).R I have and will maintain
worlitcntoensatlen.
as reavirtie by %Cam 3700 of lho labor Code. tor the pertomiante of the auktot whchAS penit is ....*:.-.d Pity workers compertsatton insurance carerand policy
number are: Insurance Co
1 E -5 ex..Policy No Q D---4 -.5.P --7 I Experaion Pax 9 .
-10 -/6.._..._....._
section need not be corncleted 4 Ihegame is Ware hundred doltarS 15100) or less
Certificate of Exemption:I oar*that In the restomiance of the mirk for whist this permit is issued,I shot not employ any person in any manner so as to become sub;ett to the Workers' Compensation Lae;ofCaVomiaWARNING: 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 ($100,000), Inaddition to the cost of compensation, damag as provided for In Section 3706 of the Leer code, interest and attorney's fees.
ci rRSCONTRACTOR SIGNATURE \A-o.-1 C '%l v(-..t"--0 AGENT DATE
....*
t herebyOmMel1ernmop. km Contractors License Low fry lho lotlov.ing i easonLiI.as owner at the property or my employees with wages as their sole compensation. will do the work and the structure is rot intended or offered for Salo (Sec. 7044, Ousinoss and Professions Code; The Cixeracturs
license Law does not apply to an owner of property who betels or improves thereat. and who does such work himself or through his own employees, presided that such improvements are not intended or offered for
sale. It, (lovertver, the building or improvement is sold within one year of completion. the owner-builder wit have the burden of proving that he rid not build or improve for the purpose of sale).ElI.as owner of the pmpeny,anexclusively oontracting with licensed contractors lo construct the project (Sec. 7044, Business and Profession Code. The Contractors License Law does not apoly to an owner ofproperly who buids or improves thereon, and contracts for such projects with contrasto(s) licensed pursuant to the Contractors License Law).0 I an exempt under Section .___..__Business and Professions Cede for this reason.
1.1 personally plan to provide the mayor iabor and materiais for constucron or the proposed property it lorovetrent DYes Did
2.1 (have r have not) signed an application for a '.elidingmime for the proposed work.
3.1 nave tonnacted wig/ the halowtne person (firm) to provide the proposed construction (include name address: phone I contra...Jed itaines number).
4.I plan to provide portionsOf the work. but I have hood the following person to =retinal°, supervise end provide the major work (indude namei address.:phone /contractors' itense number):
5.I will provide someoche woe. butt have contratted (nixed) the fosewro terscis to pordethe titork indcaled (include name /address I phoner type of work).
-.
IAKPROPERTY OWNER SIGNATURE ['AGENT DATE _
Is the applicant or future building occupant regrind to submit a business plan, acutely hazardous materials registration form or Asti management and prevention program under Sections 25505. 25533 Of 25534 of the
Presley-Termer Hazardous Substance Account Act?Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution contra! district or air rurality management district?Yes No
is the &citify to be construded*thin LOGOfeet of the outer boundary of a 9cbool site?Yes No
I IF ANY OF THE ANSWERS ARE YES, A FINAL CERTWICATE 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 cc-.r:climb lending agency for the performance of the work this permit is issued (S.-1097 (I) Civil Code).
Lenders Name Lender's Address
.„
Icertifytail have read the application and state that teestovehtformabon Is ostrectand that meintimation on the diarists aocurawA agreetocomply wun alt city=finances and Statetamrelating to buildings:0E101141m
hereby Whonze roprerzntativeofthe CityofCanshari benter upon die abovemenkred ccortyiv invodka porixiseL .TOSAVE, .:iDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL uzure,JUDGMENTS. COSTS ANDETffilM.SWHICH MAY IN ANYWAY ACCRUE AGAINST SAODIY IN CONSEWENCE OF THE GRAMING OF THIS PERMIT„
OSHA:re OSHA permit is requiredbrexcavations over 517 deep anddentitioncc construction of stozdures over 3 stories n height
EYPIRATIOR Every perrnd issued by the Building Offrial unckl the provisionsofthis Coleshall odYre by rrnitatton and became mik and voidtithe turtling or work authorized by such permit is nottad vethtt
1.i daA from tie date of such permit orit'll.* buiiting orvoltauthorized by such perrnit is suspended or ahandoced at anybiteafter the walk's oorynenosdlor a ceriad of 180days (Section 1C16.4.4 tiniten BuiingCoda).
._....ESAPPLICARrS SIGNATURE L6k..4.04..DATE .61z."5 I(0
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 buildingacarlsbadcagov 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. LC. No.
DELIVERY OPTIONS
PICK UP:CONTACT (Listed above)OCCUPANT (Listed stove)
CONTRACTOR (On Pg.i)
ASSOCIATED CB#
MAIL TO:CONTACT (Listed above{OCCUPANT (Listed above)
CONTRACTOR (on Ps I.)NO CHANGE IN USE/NO CONSTRUCTION
MAIL J FAX TO OTHER:CHANGE OF USE /NO CONSTRUCTION
2SAPPIJCANTS SIGNATURE DATE
Inspection List
Permit#:CB161124 Type:PME LA COSTA GLEN-REPLACE SHOWER
AND TUB
Date Inspection Item Inspector Act Comments
04/05/2016 17 Interior Lath/Drywall RI
04/05/2016 17 Interior Lath/Drywall PB AP
04/05/2016 27 Shower Pan/Roman Tubs -RI
04/05/2016 27 Shower Pan/Roman Tubs PB AP
04/05/2016 89 Final Combo PB AP
04/04/2016 29 Final Plumbing RI
04/04/2016 29 Final Plumbing PB NR
03/31/2016 24 Rough/Topout RI
03/31/2016 24 Rough/Topout PB AP
Tuesday, April 05, 2016 Page 1 of 1