HomeMy WebLinkAbout1970 SILVERLEAF CIR; G206; CB162611; Permit----,......,mmrmitiliNINIIININIMOW 4 "........--
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
07-06-2016 Permit No: CB162611
Building Inspection Request Line (760) 602-2725
Job Address:1970 SILVERLEAF CR CBAD St: G206
Permit Type:PME Status:ISSUED
Parcel No:2550121600 Lot #:0 Applied:07/06/2016
Entered By:JMA
Reference #:Plan Approved:07/06/2016
PC #:Issued:07/06/2016
Inspect Area:PB
Project Title:LA COSTA GLEN-REPLACE SHOWER
& TUB SURROUND
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 .
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FINAL APPROVAL
Inspector:Date:-ZS-
Clearance:
NOTICE Please take NOTICE that approval d ycur project indudes the "tirpositiorf dfees, decications, reservations, or other emotions hereafter cdlectively
referred to as "fees/motions."You have 90 days from the date this pemit was issued to protest inositicn cithese fees/exactions.If you protest them you trust
fdloN the protest prxxedues set forth in Gorernrrent Code Section 6SIKI(a), and file the protest and any other requiredinteraionwith the CityWagerfor
processing in dux.; Lis1LV with Carlsbad IViridpal CabSection 3.32030.Failure to timelyfdlow that procectre will bar any stkeequent legal action to attack,
review, set aside, void, orant their imposition.
You are hereby RATHERNOTIFIED that yarright to protest the spedfied fees/exactions nrFSNOT APPLY to wateraid sewer connection fees and mipacity
changes,rot piercing, zoning,gadng or other similar application processing or service fees in comedian with this pro:0d.NOR DOES IT APPLY to any
fees/exactions ofMich vou have Previously been civen a NOTICE similar to the. or as to which the statuted lirritaids has deviously otherwise mired
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THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:OPLANNING []ENGINEERING 0 BUILDING OFIRE OHEALTH OHAZMATIAPCD
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(1
)-.Building Permit Application Plan Check No.Cat to .24'i f
CitY of 1635 Faraday Ave., Carlsbad, CA 92008 Eat. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Depositemail: building@carlsbadca.gov —
WwW.C8r191)11c1CILgOV Date 1/(0 /1 (0 SWPPP
SUITEO/SPACEP/UNITO ASHJOGDRESSr•
CT/P .1 /I LO PHASE i P OF UN 1 *BATHR MS BUSINESS NAM CONSTR. TYPE 0 GROUP
DESCRIPTION OF WORK:Include Square Feetof Affected Area(s)
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EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
-YESOOr NCO YES ONOEj YESEJNoI
•APPLICANT NAME
Primary Contact I OM l'..)fka-t.Ito%toil -Traves"...""c"tr"coc7rA Q.ek.)
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CITY ,..,....-I STATE ZIP CITY STATE ZIP---3 0 t w vl A —Beotc.tA coct ciao 'i-S.CA-21..5 'BA 16 i"C4).06
PHONE FAX PHONE FAX
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EMAIL EMAIL,...,,,,,......i(SI /u4lizcs...f.a e.WI A 1 -
DESIGN PROFESSIONAL C°jIli e BUS. NPOA"EttiaarFbi g-Nit i Coq -rte iseADDRESSADOFF.4St-10 —BCA 44 C'CITY STATE ZIP CITY ;STATE ZIP
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PHONE
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-EMAIL EMAIL
STATE LIC. /I STATE LIC.P -
CLASS,CITY BUS. LICA
...n. .1-C74?*0 ia B 133 .1-S2(Sec.7031.5 Business and Professions Code: Any CO 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 Contractors License Law (Chapter 9. commending with Section 7000 of Division 3 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 acivil penalty of not more than five hundred dollars ($500)).
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Workers' Compensation Declaration: I hereby ann under penalty ofperjury one of the following declarations:
RI have andwitmaintain a certificate of consentto 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 maintainwotitypispn.as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy
number are: insurance Co.VAii U._ .")CC),FeIcY No C '',74 3 .-3.32 1 Expiration Dale 9 -it....-/19 _
Useclion
need not be completedifthe permit is kronehundred dollars ($100) or less.
CertificateofExemption:I certify that ki 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 ofCatforntaWARNING: Failure to secure workers' compensation coverage is unlawful, and shaft subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&00,000), inaddition to the cost of compensation, damag as provided forInSection 3705of the
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code, Interest and attorneys fees.rAKCONTRACTOR SIGNATURE Cr''IAIL--.l'"'*—0 AGENT DATE
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I herebyAnnthat Ianexempt horn Contractor's License Lew for the following reason.ElLas 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 properly who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements we not Intended or offered for
sale. II, however, the budding or improvement is sold within one year of completion. the owner-buider 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,anexclusively 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
property who braids or improves thereon. and contracts for such projects with contractor(s) teemed pursuant to the Contractor's License Law).0 I am exempt under Section .Business and Professions Code for this reason.
1. I person".plan to provide the mean labor and materials (or construction el the proposed property improvement Ores DiaZI (haverhave not) signed an al/citation for a building permit for the proposed work.
a I have contracted with the following person (rem) to provide the proposed construction (iiclude name address /phone /contractors' license number):
4.1 plan to provide portions of the work, but Ihave hired the following person to coordinate, supervise and provide the maim work (include name / address/phone I contractors' license number):SIwill provide someofthe work. but I have contracted (hired) the following persons to provide the work indicated (oxhide name /address/phone/type of work):
..ePROPERTYOWNER SIGNATURE DAGENT DATE
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Lsthe applicant or future building occupant requiredbsubmitabusiness plan,zulely hazardous materials registration form or risk management and prevention program under Sections 25506, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act?Yes No
IIsthe aPPlicantor future building occupant requiredbobtain a permit nom the air pollution control ifistrict or air Quaky management district?Yes No
Is thefealtyto be corium:tad within 1,000 feet of the outer boundary of a school site?Yes No
I IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICESPM THE MR POLLUTION CONTROL DISTRICT.
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I hereby affinthat 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
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I certify that I have mad the appaca nandaMtethatideabovetrdommtlontsoonectaixl lhat the in on Mephitis Is accurate. I agreetoimplywah all Cllyordinances and SieteLIMISAillthlg to buncrmgconsbuction.
I hereby arborize iepesentatim of the City of Carlsbadbeaterupon the above menSoned property for inspection purposes.IALSO AGREE TO SAVE. tiD61.4NFY AND KEEP HARMLESS THE CITYOF CARLSBAD
AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIDcrreIN CONSEQUENCE OF THEGRAMMOF THIS PERMIT.
OSHA: An OSHA permit ismoiledbrexcavationsOW5.0' deep and&matron orconstruction of structures over 3 stories n height.
EXPIRATION: Everypantissued by the Balding Oficial underbe provisions ofIbis Code shall expee bybeaky)and beccxne nut and void Ithe burickg or workaulotedby such peltis not oornmenced Wein
180days from bedale of suchpealor itbe WV% one**authorized by stiltnem*is suspended or abandoned at anyTimeafler the aukis a:romanced for a period of 180 days (aac(ion 10E4.4Unto Building Code)
AKAPPUCANT'S SIGNATURE ("41Lki.......DATE -.ifit
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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 buildingecarlsbadca.gov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
C01: (once 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.
DELNERY OPTIONS
PICK UP:CONTACT (Listed above)OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAILTO:CONTACT (Listed above)OCCUPANT (Listed above)ASSOCIATEDCB*
CONTRACTOR (On Pg.NO CHANGE IN USE/NO CONSTRUCTION
MAIL/FAX TO OTHER:CHANGE OF USE /NO CONSTRUCTION
,!'APPLICANTSSIGNATURE DATE
Inspection List
Permit#:CB162611 Type:PME LA COSTA GLEN-REPLACE SHOWER
& TUB SURROUND
Date Inspection Item Inspector Act Comments
08/25/2016 17 Interior Lath/Drywall RI
08/25/2016 17 Interior Lath/Drywall PB AP
08/25/2016 19 Final Structural PB AP
08/24/2016 24 Rough/Topout RI
08/24/2016 24 RoughfTopout PB AP
08/24/2016 27 Shower Pan/Roman Tubs PB AP
Friday, August 26, 2016 Page 1 of 1