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Home My WebLink About1970 SILVERLEAF CIR; G103; CB161714; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-03-2016 Permit No: CB161714 Building Inspection Request Line (760) 602-2725 Job Address:1970 SILVERLEAF CR CBAD St: G103 Permit Type:PME Status:ISSUED Parcel No:2550121600 Lot #:0 Applied:05/03/2016 Entered By:SLE Reference #:Plan Approved:05/03/2016 PC #:Issued:05/03/2016 Inspect Area:PB Project Title:LA COSTA GLEN-REPLACE SHOWER 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:.1110PAO115'-4 Date:-C.-Z6 Clearance: NOTICE Please take NOTICE that approval dyourpled includes the "Iniceitionr offees,dedations,reservations,aother secticris hereafter cdledively referredto as "fees/emotions" You have 93 days from the date this parr it %nes issued to protest imposition of these fees/exactions.If you protest than you net fdloN the protest procedues set faith in Govern-nent Code Section e€020(a), and file the protest and any other reclined informationwraith the City Manager for processing in accordance v.ith Carlsbad Miridpal Code Secticn 3.32030.Palire to timelyfdlaythat amainwill bar any subsequent legal action to attack, review, set aside, mid,aamul their imposition. You are herebyRRWERN.OT1FIED thatyarright to protest the specified fees/mations DOES NOT APFLY to vvater and saner comedian fees and capacity chancges,nor planing, airing, gating aother similar application processingcr service fees in ccmection wththis pled.NCR DOES IT AFFLY to any feesialacticns cfWithyou have creviouslv been dyer aNOTICE sirrilar to Os. or as toWiththe statute of lirritaticns has previously otherwise eadred .—......_.,...alb. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:{';PLANNING ri;ENGO4EERING 0 BUILDING °FIRE C3HEAL1H ONAZMATIAPCO ••-,Building Permit Application Plan Check No.C.5(&.ii i C/4-.\'City of 1635 Faraday Ave., Carlsbad,CA 92008 Est. Value Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail:building@carisbadCa.gov Plan Cis. Deposit www.carlsbacica.gov Date cc.Gi.ii.iSWPPP JOB AURESS ,c..surTEVSPACE*OPOTaV-1.30 3jA .t_:(Z tr 1 Clit 2) MBA(I„„.._,,.r•0 Nit.a ll WOKS Ir SA TOWNBUSINESsNATar '•WOOF -- 1= ..—.1DESCRIPTION OF WORK:include Square Feet of Affected Ateals) ..,..-.I 1 - 2-‹t'"-C7.WIV‘11C-1 ,)CU. l.'-e-- memo USE PROPOSED USE sAnkrie iSit PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESE3.NOD YES ONOD yEsEiNGE]- APPLICANT NAME PRoPERTY OWNER _-•,1Primary Contect=tYt N.)h12-1)111/4.3 %e 0(1 -37-llvCVIL'y -- C.(C.Tiet%Ci Le i'L: ADDI 0 - .F36.A si kic-'ApoRyti ...`•(••LeViAvv‘c'..Er) CITY ,STATE ZIP CITY STATE DP.5Ci k *V%64 1.3641-.1/4 CIA Cl at.;S Cf1/412..15 'BA 6 c c'cig) ccg _.... PHONE I FAX PHONE 1FAX 2_52 ..i .141 -224q i--1._I —^EMAIL EMAIL.....--. A...1 c.1 .•./awl 'el A.1 l r LE 6 iinel f L-,004.1 DESIGN PROFESSIONAL SUS -•d-s 11911331714%i Xi 14 ae eil 4.;(C-Oil A5fieac.+1 OvI_ ADDRESS AddamsVC)BCA 144 S—_ CITY STATE Z;P CITY_,,STATE zip ---de"--) 0 I WW1 r•13eettA CA q )cti - 73 PHONE FAX PHONE FAx EMAIL EMAIL !-----,.- !STATE I.M.n -------STK% tft1...!n [CLASS BlaryStr. tic..I ...--?-47 - --'e;)3 1)3 - 1-52..iSec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, Met, imptovo. demolishOt repair( any Structure, p”or to Its issuance, also requttes theapplicant for such permit to hie a signed statement mat ne ts licensed pursuant to the provisions of the Contractor's License Law !Chapter 9. commending with Section 7000 of Chrism 3 of theBusiness and Professions corm; or that he Is exempt therefrom, and the basis for the oileged exemption. My violation of Seaton 7031.5 by any applicant for a permit subjects the applicant to acavilpenalty of not more than five hundred dollars (5500)1. .,,•,:,7 1;,-•:'•t..:,';.:.,.:'',...,7 :::•:-.;.::'4,....-::',.!...;:.' .•-: • ..-, Workers' Compensation Declaration.I hereby affirm under penaltyof popsy ON010 triton*dew/aeons er I have andalt maintain acertificate of consent to self-Mum tor workers' compensator as Plovded by Suction 3700 of the ISM.Code. for the PerformanceOf Me work for *Nth ms tiered .S Issued —Iham and will roshiteln wady:Loon iiiirislhon. as remand by Section roo 0. Me Lebo.Coe.nor me pelyermencte of me %KA to/ ededt this Dernst.inued.My wprkels•comperr.ation insurance earner and policy number am. Insurance Co _......)e .c 2 powy No.‘.1---4 -"ci•D 46.t Expiration Date 9 77.11-":'.- ,k__ trion need mlcecon*IadIthe permit is for one hundred dollars ($100) or less Certificate of Eriampdon: I ceitty that in the perionnance of the work for‘14110 this perrne is rased I Shalt not employ any person:any marncso as zbecome subtect to the Workers' Compensation Laws o' Catiroinia WARNING: Failure to secure workers' compensation coverage it unlawful, and shall sub(ect an employer to criminal penalties and civil fines up to one hundred thousand dollars 18100.000.In addition to the cost of compensation, damag as provided for in Section 3706 of the Lpbor code. interest and attorney's fees. .!'J CONTRACTOR SIGNATURE 1.1.t".......`••••-y C ' 'I Vt......•Q.1..-`-0 AGENI DATE 4--:::51)ji (c I I hereby affirm MatI am exempt troveCom:sawsverire Law forfete roeovurru reason01,as owner.). the property or n employees with wages as their so*compentalvw. wa do me won. and he structure A.not WItenticd or altered for see (Sec.7044. Business and Pr:Assorts Ccde. The Contract: 4SLicense Law does not apply to an comer01 nevemwho beads or employes !hereon, and vita does stizt work himself or though ha own amok/sees. trovided that such insownienkmts me nor intended or offered In( sale.II homer,thetubingcr imbeoversent is SO:: valnin one year or cornoletron, the miner-baler will have the burden of Droving mar ne ere nottakior irefrove for the PlIaase of sake).0 I,as owner of the property.anexeusively contract's]with licensed contractors to construct gie pro;ect (Sec.70cS, BusXless. and Professmns Code. The Contracmes License Law does not apply to an owner of property afro bliH%a imposes Meech. and orseracts for such projects with contractods)iimmod purouant to lie Contractor's License Law). ElI am exempt under Section Business and Professions Code for thistenon' 1 I personate.plat to provide the major labor and mated&krcanstruction of the ay sect onmeity immure:nen:.Dyes ONG 2 I (have!have nee sgnE4 an epplr..stian for 3 Punning perm(to the PIVI.Sen wart 3.I have LI:masted well the Iola:marl person;lentto prorde the preecw..swnsvuo.on (niclule name address I onixta IontrackutImmsenatter). 4 Satan to provide proteins of the work. P.itIhave hired !lie blowing person to cotedmate, surienese and provide the maxwork gnciude name i addressI phone (contactors' hce.Ae rwmt*r). 5.1allprovide some of die work, pia I have contracted piked) the fotowing owners lo =vide treework indicated textural name /addressi phoneI type of esukt ..........._...._ AKPROPOrrtOWNER swarm ['AGENT DATE I—........ ..••• ....•,••••••.,.•,•,•.-•.,.•-.-• Is Gm apincam or Imre occupant required k SI.ItYPit a Liminess elan, acutelyWallow;rriaieria..s registration form or risk management and inevontion program under Sections 25605, 25513 or 25534 of the Presley-Tanner Hazardous Substarte Account Act?Yes No Is the aprdcant or Mum btilc§ng occupant required to obtain a remit horn the an pollution control district or air quality inanagemen1 dSInce Yes No 13 theWillylo be consbuclad within 1,000 feet c4the outer boundary of a school sits?Yes No IF ANY OfTHE 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 beperformance of the work this permit is issued (Sec. 3097 (i) Civil Code). lender's Name Lender's Address • 'certify thatIhate read theaplicadon and stela Mattheme°Information is=reamthat the Inlormadon on die plans iswarm.Isgreeto carnoty with an City ordinances and State lane Tel/Anglo building owAyuction. thereby aievorize reismentalive of the City of Cattad benter upon fir. abmsmeldedproperty 17 impaction (isr.v...I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAE/ AGAINSI ALL.UABILIPES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY ANY WAY ACCRUE AGALV.4) CITY IN CONSEQUENCECFI liE GRANTINGOf THIS PERMIT. OFT:1A An CGHApant is required h excavations over5'0dc6xp andderrdition er oiristruclion of strictures ow 3 s EXPIRATION: EveryFendissued ty the et:Wry atrialunder the provisions of iris Codedial capeby Imitaban and beznxi nutario void if /he buiding oryakaulhorizod byset permits not conTreicod within 180 days tram tiedateofsuds permita if Ihe builikig awork authorized by such Germga suspaded or abandoned ate% time attar Pe workt commercel kira period°.180 days (Semen I06.4.4 Uniform Building Code). AcAPPuckirsSIGNATURE (-4(A.A....DATE -‘515)(12 e_A LRM:ri-ff,; • STOP:THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. .nrcc ;C C PRNCY C :II e t'Only; Fax (760) 602-8560, Email buildingOcarlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. COO.: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA cwt. EMAIL • OCCUPANT'S BUS. TIC. No. DELIVERY OPTIONS PICK UP:CONTACT (Lttett above)OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO:CONTACT (Listed above)OCCUPANT (Listed above) ASSOCIATED CBS CONTRACTOR (On Pg. 1)NO CHANGE IN USE /NO CONSTRUCTION MAIL /FAX TO OTHER: CHANGE OF USE /NO CONSTRUCTION I.16APPUCANT'S SIGNATURE DATE •