HomeMy WebLinkAbout1970 SILVERLEAF CIR; G-227; CB161958; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
05-18-2016 Permit No: CB161958
Building Inspection Request Line (760) 602-2725
Job Address:1970 SILVERLEAF CR CBAD St:G-227
Permit Type:PME Status:ISSUED
Parcel No:2550121600 Lot #:0 Applied:05/18/2016
Entered By:RMA
Reference #:Plan Approved:05/18/2016
PC #:Issued:05/18/2016
Inspect Area:
Project Title:LA COSTA GLEN-REPLACE SHOWER &
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
FINAL APPROVAL
Inspector:.10 Date:2Clearance:
NOTICE Pleasetie NOTICE that approval of your project includes the "Inpositiorr of fees, decications, reservations, or other sections hereafter ollectively
referred to as "fees/sections."You have 93 days from the date this penrit was issued to protest irrpositimci these fees/sections If you protest them you must
folloNthe protest procedures set forth in Govemm3nt Code Section 66320(a), and file the protest and any other required informed:la) with the City Manager for
prooassing in accordance with Carlsbad AAnidpal Code Section 3.32.030.Failure to tirreiy Tolley that procedure will bar any subsequent legal action to attack,
review, set aside, void, orand their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactionsMFS NOTAPFLY to water and saner ocmection fees and apadty
changes, nor planning, zoning, gracing or other similar application processing or service fees in connection with this project.NCR DOES ITAFPLY to any
fees/exactions ci Mich you have previously beenohm a NQT10E similar to this. or as toMich the statute of limitations has oreyicusiv ctherwise spired
1.11.1111111111
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I THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:OPLANNING DENGINEERING IDBUILDING CIFIRE Ej HEALTH ElHAZMATIAPCD
ri".Building Permit Application Plan Check No.06/i /95/.k_ City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: building@carlsbadca.gov Plan Ck.
Deno7www.carlsbadca.gov Date 5 f_ir IL SWPPP
JOB ADDRESS SUITEWSPACEVU APN
1
C 10 she.le..--C Ca-C;—i—i---
CT/PROJECT #LOT #PHASE#' #OF UNITS # BEDROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK:Include Square Feetof Affected Area(s)
'..1110u.)CTL ITs-it0 gete tONL elAA c vt A
EXISTING USE PROPOSED USE 'GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESa_NOD YES E1NO 0 YESD NOD
APPLICANT NAME PROPERTYOr114r
_tPrimary Contact CV--T A 6--).Le I.)
ADDRESS ADDRESS
tCt s--6 L=%.!‘Avvt-c a5k—
CITY STATE ZIP CITY STATE ZIP
C era t..-.64 CA
PHONE FAX PHONE FAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACrgS.
NAME ..i ..
WI gAj ?ILOr •ti i Cup(5-1-iv C—I-n-1k
ADDRESS ADDRESS.-----VD 0 —60 )L 14 Y (.-
CITY STATE ZIP STATE ZIPCITY1Cq103-E.
PHONE FAX PHONf
4k4 -S IAN
FAX
.2058-
EMAIL EMAIL
i
STATE LIC.#STATE LIC.#LASS-BC CITY BUS. LIC.#
.
-r3 -1-58 -0 (3 I.)---iC8
(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 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 Division3 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 a
civil penalty of not more than five hundred dollars ($500)).
WORKERS'COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penaltyofperjury one of the following declarations:
jbaVe 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,l_wIttlpeggitis issued. My workers' compensation in)Inceeirierand policy
number are: Insurance Co.Ll4tril—00 Policy No.CR .d'3(Expiration Date 9/10/itt
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 subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
•addition to the cost of compensation, damages as provided for in S on 3706 of the Labor code, interest and attorney's fees.
RS CONTRACTOR SIGNATURE .A/1/4-CA 0 AGENT DATE A?'/•--(")1 6i
•OWNER -BUILDER DECLARATION
I hereby affirm that!am exempt from Contractor's License Law for the following reason:
ElI,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
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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).0 I,as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
1 property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's 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.DYes ON°•
2.I (have / have not) signed an application for a building permit for the proposed work.
3.I 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, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number):
i
1 5.I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
1
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ll irSPROPERTY OWNER SIGNATURE ['AGENT DATE
:1
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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?CI Yes 0 No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
0 Yes CI No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes CI No
IFANY 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
Icatty thatI have mad the application and state thatthe above infolitiation is conect and that the infonnation on the plans is accurate.I agreeta comply with all Cityordinances and State lava 'elating to building consbuction.
Ihereby authorize representative of the CityofCarlsbad to enter upon the above mentioned propertybrinspection purposes.I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY 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 required for excavations over50' deep and demolition or construction of structures over 3 stories N 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 ofsuch penult or if the b bing or work authorized by such permit is suspended or abandoned at any time after the work is commenced foraperiodof180 days (Section 106.4.4 Uniform Building ('role).
AKAPPLICANT'S SIGNATURE DATE v%-1D r e(1
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@Cal1SbadCa.g0V or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 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.
DEUVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. I.)
ASSOCIATED CB#
MAIL TO:o CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg,.
• NO CHANGE IN USE /NO CONSTRUCTION
MAIL /FAX TO OTHER: CHANGE OF USE/NO CONSTRUCTION
...11KAPPLICANT'S SIGNATURE
DATE
J
Inspection List
Permit#:CB161958 Type:PME LA COSTA GLEN-REPLACE SHOWER &
TUB
Date Inspection Item Inspector Act Comments
05/23/2016 17 Interior Lath/Drywall RI
05/23/2016 17 Interior Lath/Drywall PB AP
05/23/2016 89 Final Combo PB AP
05/20/2016 24 Rough/Topout RI
05/20/2016 24 Rough/Topout PB AP
05/20/2016 27 Shower Pan/Roman Tubs -RI
05/20/2016 27 Shower Pan/Roman Tubs PB AP
05/19/2016 24 Rough/Topout RI CARD POSTED/ #227 1
05/19/2016 24 Rough/Topout PB NR
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