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Home My WebLink About1970 SILVERLEAF CIR; 124; CB162226; Permit•, City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 06-08-2016 Permit No: CB162226 Building Inspection Request Line (760) 602-2725 Job Address:1970 SILVERLEAF CR CBAD St: 124 Permit Type:PME Status:ISSUED Parcel No:2550121600 Lot #:0 Applied:06/08/2016 Entered By:JMA Reference #:Plan Approved:06/08/2016 PC #:Issued:06/08/2016 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 APPROVALQCL-1lGInspector:Date:Clearance: NOTICE Reese take NOTICE that approval dwur project indudes the "Irrpasiticrfdfees, decicakias, reservations, ar etherexadias hereafter cdlectively referredto as "feestaections."You have 90 daysfranthe date this permit was issued to protest irrpcsition of these feestecactions.If you protest than you rust fdlowthe protest prozedixes set forth in Cidierrment Code Section 69020(a), and file the protest and any other required infatuation with the CityWieder for processing in accordance with Carlsbad M.riPpet Code Section 3.32.030.Fakir-et°finely fdlcw that prixedu-e will he any subsequent legal action to attack, review, eat aside, void,aannul their imposition. You are hereby FU 11-ERNOTIFIED that yoix right to protest the specified fees/exactions DrfSNOT APPLY to water and sewer connection fees and capacity changes, nor planting, zoning, gracing or other similar application processing or service fees in ccmection with this project.NDR OOPS IT APPLY to any fees/exactions of which vou have previously been chum a NOTICE similar to this.aas to which the statutecf linitations has deviously otherwise accired. -............„___...—NI. ., THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE El:PLANNING ET:ENGINEERING !TA BUILDING DARE ONEALTII 0 HAZMATIAPCO Building Permit Application Man Check No. ._...A•. (:'.City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value. Ph.760-602-2719 Fax 760-602-8558Carlsbademailbuilding@carlsbadca gov Plan Ck. Deposit www.carlsbadca.gOv Date SWPPP —................................_........_........-....,......,,SUITE.PAcEs.V •4MRADDRESS_-- l''.'C'E.-'9---'"1.04e‘ac Q:r..Dii;Nii.kr-117/74; -.Ili liH;S?f -ANT aLlitittSiviles --FTErryil:' "bsTiftiTaF1 i i DESCRIPTION OF WORK:Include Square Feet ofAffeAroo(s)-•• . i • 4. --- ‘,/)..•1 ".L.A LI Me..1..)'..5 l:C i'L;%;A 8 (2.,._.11 .A 4.(..--vo 4 Ti-1UTA f Z:-.)LU-1:‘• 1 . !MISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF-)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SnRINKI.ERS ,YESO*NC]YES ONO 11 YESONOE3i. 1APPLICANT NAM •ROPER.TY WiNER C.PrImary Contatt Om tO tta-t) Lk)I COO "crib.icil4A.L..^c tj .c)-TA GiLe L) AD", C -Bo A 444c- ADDREm ..;........Le. v .146c.wr- :AA.........._ CITY STATE ZIP C!T.STATE ZIPSitAlt) "STATEcol -...c't -ex..)i-g-Cpczk-s .544 6 IltiN CI') Cdi PHONE -755i PHONE FAX4;)252 _Lf401 -2..44.99 1 ...._-IEMAn.EMAIL--rom A..)414‘14. re.c 6 01.4i..., cows DESIGN PROFESSIONAL COinNIDIftlx!t BUS.Nrig i bilu i call ifiesicii al'''-'oi IADDRESSADTO1)(144 S-..CITY —•SIAM.ZIP .CITY STATE ZIP ---- ...„.. ''....'....-,CA Lew'r -BeettA. CA qc..:1-s PHONE FAX PHONE FAX .•--.-., EMAIL EMAIL — STATE LC li STATE late .....GTE DCA.-rs --+cr -o la ra -B 1).3 -1-5? (Sec.7031.5 Business and Professions Code: Any City or County which requires a permit to consuucL alter, improve. Cemoksh or repair any_structure, prior to Its issuance, also requires theapplicant for such permit to file a signed statement that he Is licensed pursuer' to the prowsions of the Contractor's License Law !Chapter 9. commending with Section 7000 of Division 3 or theBusiness and Professions Code) or that he is exempt therefrom, and trio basis for the alleged exemption Any violationof Section r031.5try any applicant for a permit subjects the noolicant to acivil penalty of not more than five hundred dollars (S500)) ,.•':',::.ti:..•I •••;- .;::'a:-.,'C', .. '.r. i't i?':3 .:'.'F.'.' '.1 ' es :;. ' Workers' CompeosaGon Declaration*/ hereby adorn urgerpertlyof perjury one 0 I the Mowing declarations BI have and 00111 maintain a certificate of consent to self-insure lor workers' comperratran as provided by Section 3700of the tat&Corte. for the perfcnnance el the wont tor whichWaspaned is Issued. I have and wilt maintain noru'conwnsation as remind by SecriOn 3700ofthe tato.Code,krere performance of the workkrwhkh die permit Issued. My workers' compensation insurance corner andWig number are. Insurarce Co ,_Aek!!..;tt ''':› C E.-) _.Poky .....c-x.x43 -1_2 -a6 I Egarmien Date ,4:12•Sp "...Pc tsection need not tie comoieled if the pond is for one hundred dollars (E100) or less Certificate of Exemption:Icertify that in the pen:mance of the work for which this permit rs issued.I shat not employ any person in any manner so as to become sutreci43theWaters'Compensabentaws of 1CaliforniaWARNING: Fodor* to secure workers' compensadon coveragere unlawful. and shall subject an employer to criminal penalties and civil Ines up to one hundred thousand dollars (5100.000). In relation to the cost of compensation, dameg as provided far in Section 3706 of the Lrorcode, interest and attorney's fees AK CONTRACTOR SIGNATURE k„._..._.C •.0.4.-._.IL ":---DAGENT DATE (41(0.i.... I hereby affirm That I are exempt horn ConfractoA Licence Low for the Wowing meson. 1 iI,as owner of the property or my empioyees with wages as thee soleconvert-atm.wetdo the work aryl Me structure is not irteroed of Oust!for :ale (Set 7044, Eusisess end Professons Ccde•11.eContractor's Licensq Law does not apply toanemic of property who beads or improves thereon, and who does such wonthosed or 0/ouch its own eirioloyen. ortivided That such improvements are not intended or offered tor I sale.Ithowever.he beading or improvement tSSoldWhinOne year of completion. the crozertrallerwill have the burden of proving tat he do notWV or improve for the purpose or ssle)0 I,as owner of the property. am exclusively contraceng with (Ceased contractors to construct the pasted (Sec. 7044. Ettaness and Professans Code. The Contractor's license Law does not app.'y to an clivnet of property whobtrofdsof imsvores thereon, and apnea.% for suchpoueels WM contra:100)109mM PursuantVthe COMITcloes license Law).0 I alit exemptwhet Seam •________Businessand Proles:signs Code for Nis reason. 1.I personafty Par to provei.. the Map Laborand materials for construeton of the proposed"Pere.orreokerrtrat pees 010 2.I glare/have net) sgned an apprication for a bubling permit for the proposed work 3 I have conTaxed red! the FAcwing person gem t to provide the proposed construction jrnstude name address iphone 1contractors frame nuntel. 4.1 plan to provide portions of the work, but I have Wed Use following person to coordinate, supervise wet Footle on motor work (inCSOla °ante I addreSS Iphone !contactors license number). 5.10 provide some of the work, butt have contractedMOOthe Wawa*nelsons le Prokihe ire work indicated filifillhe name.address 'P'Ione/type of work): &PROPERTY OWNER SIGNATURE °AGENT DATE • ... to the m4ce:11er Wipe bulidno moor:antre.oulre6 lo suNnit a hesiness Nan, acutely hazardous malaria's mrialration form or Pak martagement and preirenlon program under ScCWnE 25505 23533 or 25534 of the F"resloy-1 anne;SubVac:cif! Acznoin A.1?Yes Ho the deriicaro firiam required to cblzin amina f crn tee air pelltrionmat:disVid or air oualfzt mangement;LOW Yes No Ult:fa-Atha to to awatnxted vAthtn LOCO feet of the eutrboundary of a sr;Tval sae?Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR ISMETING THE REQUIREMENTS OF 7HE OFFICE OF EMERGENCY SERWCES AND THE AIR POLLUTION CONTROL DISTRICT. .,.. •'....•••.•-4.,. hereby affirm that there is a cOnsiruCtiOn tending agency for the performance of the work this permit is issued (Sec 3097 (I) Civil Code). Lender's Name Lender's Address fealtythatIhaw madtiearpileation axidstate mat vieBtravEiInformation 1st:01'51am! OM the Infairnationon the mans is accunsta agmetoteffiptywitb ell City ordinance:sand State lava relating to buiicangsonsouction. ihenzi4 a.iltoroz rerst:e‘tative ofthe City ofCarltad to enter upontte abo.e ineisomi c.m.t.e:i?t bii.ci.don Lorposes.Al..SO AGREE TO SAVE. INDEMNIFY AND KEEP HARMIESS THE arr OF CARLSEAD AGAINST ALL LIARLIT;ES, JUDGMENTS< COST'S AND EXPINSES WHICH MAY AM WAr ACCRA AGANsT SAID CiTY IN CON%OUENC.F: OF THE GRANTINGOF THIS PERMIT. OSHA. An (X.1-LAGenii Tequirod krexcavaoons over 5T1 cieepaatlakeinclitiori or coAsIniato of Aral:Jr-es over 3taxies n EXPIRATION: Every pzImrt issued by 7teEa;bloc;°Welunder theproisixis of hisCode shail os7 -ze by intitation and bcoxitenuCarch *Siif ale:Joking or wadi authorizedtysuch permitis riot cernmenoalveto ISOdarn has be daleofsail mm4E:fitthe boatingawciiiauthorized by such perinii is susrentql or abaidored alany 5maAar*availsoararenced fora*add lebdays(%clial lQa4.4 Uniform Bo hgCote). AKAPPLICANT'S SIGNATURE DATE Cp STOP:THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. C C F C C Y i C o i•rcidj Fax (760) 602-8550, Email buildinggeorlsbadcagovor 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 AODRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA P I FAX EMAIL OCCUPANT'S BUS. LIC No. DELIVERY OPTIONS PICK UP:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR ton P5.1-) ASSOCIATED CBSMAIL TO:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (on Pg.it NO CHANGE IN USE /NO CONSTRUCTION MAIL/FAX TO OTHER: CHANGE OF USE /NO CONSTRUCTION ..II5APPUCANT'S SIGNATURE 1 DATE Inspection List Permit#:CB162226 Type:PME LA COSTA GLEN-REPLACE SHOWER & TUB Date Inspection Item Inspector Act Comments 06/16/2016 17 Interior Lath/Drywall RI G-124 06/16/2016 17 Interior Lath/Drywall PB AP 06/16/2016 89 Final Combo PB AP 06/15/2016 17 Interior Lath/Drywall RI 06/15/2016 24 Rough/Topout PY AP 06/14/2016 24 Rough/Topout RI unit 124 06/14/2016 24 Rough/Topout PY AP 06/14/2016 27 Shower Pan/Roman Tubs -RI 06/14/2016 27 Shower Pan/Roman Tubs PY AP Friday, June 17, 2016 Page 1 of 1