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1970 SILVERLEAF CIR; G111; CB161386; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-31-2016 Permit No: CB161386 Building Inspection Request Line (760) 602-2725 Job Address:1970 SILVERLEAF CR CBAD St: G111 Permit Type:PME Status:ISSUED Parcel No:2550121600 Lot #:0 Applied:04/12/2016 Entered By:JMA Reference #:Plan Approved:04/12/2016 PC #:Issued:04/12/2016 Inspect Area:PB Project Title:LA COSTA GLEN-REPLACE SHOWER & TUB 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:$0.00 FINAL APPROVAL Inspector:NIP ----Iva Date:S Z 7 -lb Clearance: NOTICE Please take NOT that approval cf ycur project includes the "Imposition"dfees, decioations, ressvaticns, or other exacticns hereafter cdlectively referred to as "fees/sections."You have 93 days from the date this writwas issued to protest itrpositicnd these feestesedicns.If you protest them you must folloN the Fittest procedree set forth in Goverment Code Section 66:00(a), and file the protest and any other requited infcrrraticn with the CityWagerfor dccessing in accadance with asisbad Municipal CadeSalim3.32030.Failtre toOm*folbm that prccedire will ter any suteedent legal Mtion to attack review, set aside,wid, oran!their imposition. You are hereby FLIR'TI-ERNOTIFIED that your right to protest the specified feestocalicns DOES NOT APPLY to water and sewer ccmedion fees andovecity changes, nor plarring zoning,gaping cr other similar application pccessing cr service fees in comedion withttis plat NOR FYIFS IT*FLYto any feee/sedions ofWith vou have orevicuslv been awes aNC3T10E ant'to this cr as to which the statuteci lirritaticns has ciwicuslv dhenniss excited r THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:OPLANNING 0ENGINEERING [BUILDING OHRE ©HEALTH 0 HAZMATIAPCD f;"•.Building Permit Application Plan Check No.ce>ib.5€34.City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Valu;... _ Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov Plan Ck. Deposit www.cartsbadca.gov Date q, It.1 (,SWPPP JOB ADDRESS —ISUITEO/SPACEO/uNiTir IAPN ,__—.,....-i ,(,,,16:11..1 — 1CONSTR. TYPE OW. Grialli CT/PROJECT #TOT #PHA.5e. e # OF UNITS 4 81unkrurAS a BATNRuuMS TENANT BUSINESS NAME DESCRIPTION OF WORK:include Square Feet of Affected Area(s)t e--A -riCuitit--A 1.-.b --T-LA)--5L.;c c t:'..; 'A C.(2-eiA .4 4-C:V"e -4 EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESD$NOEI YES DNOD VE5E:Iwo ,APPLICANT NAME -......-..-...PROPERTY CONNER .....-...) Primary Contact I 0 rik N. Ata-t)1 K.)1 eNI --Titvclii.u.-----A c oc.71.1.1 GILe ADDRESS7 .._0 - (;..-x.11 4S--- ILI '..7)()Levey'Ic'''''')'"VADDRESS...-.....„.. Ftrry STATE ZIP CITY STATE ZIP '..S.Cd k %4VI A '."-BCoNC.kft cIA el aCl'i-S.Cfk ilk ..5 P3t4 6 C t4N cl.)citg.,.... PHONE FAX PHONE FAX a.52 -1-1 -LM -. - 2.cfci EMAIL EMAIL1..4-77;y.juila DESIGN PROFESSIONAL BUS. NCO.:•••GMV.. .-I CE6---i,-i Di id i COY) ..5i-e....fc+ i ev‘ ADDRESS ADDRESS _AAA Bc>4.1-1 -4 CITY STATE STATE ZIP CITY _,,,STATE ZIP..r"---...----) 0 k Wail e.173eAck CA q )(DI-4-) PHONE FAX PHONE FAX EMAIL EMAIL STATE 110. #STATE LICAI IXASS.B CITY BUS.LICA7.4 *1472-0 13.i)3 -1-s F. (Sec.70313 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve. demolish or rep sir any structure, prior to its issuance, also requires theapplicant for such permit to file a signed statement that he is licensed pursuant to the provsions of the Contractors License Law{Chu*.9.et'.mending with Section 7000 of Division 3 of theBusiness and Proterfpns Code) or Mat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7011 5 !"..,'l'n• aor.cant for a permit subjects the applicant to a Civil penalty of not More than f:ve hundred dollars 15500)). ....„ .....'....-.., Workers' Compensation Declaration: I hereby affirm under penaltyofperjury one ofthe following declarations: RI have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700ofthe Labor Code, for the performance of Me work for which lids permit is issued. t have and will maintain workeCcinsAnsa jon,as required by Section 3700 of the Labor Code,ear the performance of the WOfkfor which ihis permit is issued. My workers' compensation insurance carrier andpoky number are: Insurance Co.t......e)e<..rx .):-.43-i. P2 1 Expiration Date ci -IC •-Itv-.poricy No. 'EtIsetion need not be completed if the permit is for one hundred dollars (SI00) or lees. CertificateofExemption: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 subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (S100,000), in addition to the cost of compensation, damag s as provided for in Section 3706 of the Leer code, interest and attorney's fees. .ES CONTRACTOR SIGNATURE •.,...,'.......„..C 07 c 0 AGENT DATE .,. • .'',..--F.-_f.•,-r_...-F."...:..;•::4'.:'..y ::.•...:..i,.!,.;.•'..•i....:..•....•J••.'!.....:!..r;•..•.••••:••.••."•••................. '-'''••—•' I hereby affinnlhat tam exempt* from Contractor's License Law far the following reason:0 1,as owner of the property or my employees with wages as their sole compensation,van do the work and the structure is not intended or offered for sale (See 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 ho did notbutt or improve for the purpose of sale).0 I, as owner of the property. am exclusively contracting with licensed contractors lo construct the project (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 contracts for such projects with contractor(s) licensed pursuant to the Contractors License Law).0 I am exempt under Section ____Business and Professions Code for this reason: 1.I personally plan to provide the major labor and materials for construction of the proposed property Improvement OYes Duo 2.I (have I have not) signed an applicationforabuilding permit for tire proposed work.. 3.1 have contracted with the following person (frin) to provide Me proposed construction (inCILItleMite address /Phone foontrahord Poem number): 4.1 plan to provideportion of the work, but1 have hired the following person to coordinate. supervise and provide the major work {include nameIaddress Iphone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name /address/phone Itype of work): ..... ___________1..ePROPERTYOWNER SIGNATURE DAGENT DATE • • .•••...•.. Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk manajement and prevention program under Sections 25505. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?Yes No Is tne applicant or future building occupant required to obtain a pondfrom the air pogution control district or atnualiry management district?Yes No Is Me 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. •.. .,••.•••••• . 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 .. I certify thatIhave read the application and state that theabovaIntonationis co/reason that the Intonation on the plans is accurate.Iagree to comply with all City ordinances and State laws telatIng to building construction. Ihereby authorize representativeofthe CityofCarlsbad to enter upon the above mentioned property t.rinspection purposes.I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSSAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAiD CRY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA:M OSHA permit is required for excavations over50' deep and dernoWnn or vAstruction of structures over 3 stonesnheight EXPIRATION: Every pennit issued by the Building Official under the provisions of this Code shall expire by lineation and become null arid void if the Wildingorwork authorized by suchpermits not commenced within 180 days from the date of such peimit orifthe buildingor work authorized by such permit is sioended orabandoned at any lime after the workscommenced fora periodof180 days (Section 106A.4 Uniform fkliding Coda). .115'APPLICANT'S SIGNATURE f •OATS Li/1114.**" •"i • N .N• STOP:THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. 'r 1 C 7 C C r A (4 CY fC a nr rr f :-I Fax (760)602-8560, Email buildingecarlsbadca.gov or Mail the completed farm to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (office Use onto 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 UP:CONTACT (Lister) above)OCCUPANT (Listed above) CONTRACTOR (On P.1) ASSOCIATED CB#MAIL TO:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (On Pg. 1)NO CHANGE IN USE/NO CONSTRUCTION MAIL/FAX TO OTHER: CHANGE OF USE /NO CONSTRUCTION -eAPPLICANT'S SIGNATURE DATE Inspection List Permit*:CB161386 Type:PME LA COSTA GLEN-REPLACE SHOWER & TUB VALVE Date Inspection Item inspector Act Comments 05/27/2016 17 Interior Lath/Drywall PB AP 05/27/2016 89 Final Combo PB AP 05/26/2016 17 Interior Lath/Drywall RI 05/26/2016 24 Rough/Topout RI 05/26/2016 24 Rough/Topout PB AP 05/26/2016 27 Shower Pan/Roman Tubs PB AP