HomeMy WebLinkAbout1980 Silverleaf Cir; M108; CBR2019-0222; Permit(city of
Carlsbad
Residential Permit
Print Date: 04/22/2019 Permit No: CBR2019-0222
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1980 Silverleaf Cir, M108
BLDG-Residential
2550121600
$0.00
Work Class: P/M/E
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Status:
Applied:
Issued:
Permit
Fina!ed:
Inspector:
Closed -Finaled
01/29/2019
01/29/2019
Plan Check #:
Final
Inspection: 4/22/2019 10:27:02AM
Project Title:
Description: LA COSTA GLEN: SHOWER AND TUB SURROUND REPLACEMENT
Owner: Contractor:
CONTINUING LIFE COMMUNITIES LLC TOM NARDINI CONSTRUCTION INC
Po Box 445 1940 Levante St
CARLSBAD, CA 92009 SOLANA BEACH, CA 92075-0445
858-449-8849
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00 Total Payments To Date: $175.00 Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760~602-2700 I 760-602-8560 f I www.carlsbadca.gov
$175.00
( City elf
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check {bR,1Cl\q -OU~
Est. Value
PC [leposit ----------
Date / -;iq -I 'j
Job Address 1980 Silverleaf Circle Suite: M108 APN: -----------------
CT/Project#: __________ Lot#: ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
BRIEF DESCRIPTION OF WORK: --'S..,huO,.,Wns.eu.rJ.alLnu.dLjU.Uu.bLS;:,JUJ.J(.1.C01<l!.LJOU:d!.l.1.[J::eµpu:la11.ce.J::JJmwe;;,in.11tk__ ____________ _
0 Addition/New: _____ Living SF, ___ Deck SF, ___ Patio SF, ___ Garage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __
D Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No
D Pool/Spa: ____ SF Additional Gas or Electrical Features? --------------
D Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground , Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: -------------------------------
[,2l Plumbing/Mechanical/Electrical Only: Shower and tub surround replacement.
D Other: ----------------------------------------
APPLICANT (PRIMARY)
Name: Tom Nardini Construction, Inc
Address: PO Box 445
City: Solana Beach State: CA Zip: 92075
Phone: 858-449-8849
Email: tom@tomnardiniconstruction.com
DESIGN PROFESSIONAL
Name: __________________ _
Address: ________________ _
PROPERTY OWNER
Name: La Costa Glen
Address: 1950 Levante Street
City: Carlsbad State: CA Zip: 92009
Phone: ____________________ _
Email: ---------------------
CONTRACTOR BUSINESS
Name: Tom Nardini Construction. Inc
Address: PO Box 445
City: ________ State: __ ~Zip: ____ _ City: Solana Beach State: CA Zip: 92075 -------Phone: ________________ _ Phone: 858-449--8849
Email: ________________ _ Email: tom@tomnardiniconstruction.com
Architect State License: ___________ _ State License: 798013 Bus. License: 123758 ·-------
(Sec. 7031.5 Business and Professions Code: Any City or County whith requires. .:i permit to construct, alter, improve-, demolish or repair anv structure, prior to its
issuance, atso requires the applicant for such permit to me a signed statement that he/she l~ hcensed pursuant to the provisions of the Contractor's License Law
{Chapter 9, commending with S1:'ctlon 7000 of DiVlslor, 3 of the Business and Professions Code) or that he/she is exempt therefrom, a1,d the ba~is for the alleged
exemption. Any violation of Section 7031,S by any applicant for a permit sub)ect'i the applicant to a ci"i! penalty of not more than five hundred dollars {SS00}j.
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558
8-1 Page 1 of 2 Rev 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury Q!J£. of the following declarations:
OJ have and will milintain a certificate of consent to self•insure for workers' compensation provided by Section 3700 of the labor Code, for the performance of the
work which this permit is issued,
Qt I have and will maintain worker's c:ompensation, il!t required by S&etioo 3700 of the L;ibor Cod~, for the performance of the work for which this permit is issued.
My workers' compensation insurance carrier and policy number arr-: Insurance Company Name: Accredited Surety and Casualty Company inc
Polley No. 1ATCA160002?10 -----Expiration Date: B/10/2019
O Certificate of Cxnmption: ! certify that in the performance of the work for which this permit is issued, l shfl:11 not employ any person in any manner so as to be come
subject to the workers' compensation Laws of California, WARNING: Failure to se<;ure workers compensation co11erage is unlawful, and shall subject an employer to
criminal penalties and civil fines up to $100,000.00, In addition the to the rost of compensation, damages as provkfod for In Section 3706 of the Labor COde,
Interest and attorney's fees.
CONTRACTOR SIGNATURE: _ _.A...,..,,,...,/\"--........ -<"-=--:'---==---------□AGENT DATE: ..::'/29c::.:· ..;./19;__ __ _
( OPTION B }: OWNER·BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's license Law for the following reason:
O I, as owner ot 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 Ucense 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 he did not build or Improve for the purpose of sale).
□I.as owner of the property, am exclusively wntracting with licensed contrattors to construct the project (Sec. 7044, Business and Pmfessions Code: The
Contractor's License Law does not apply to :an owner of property who builds or improves thereon, and contracts for sud1 projects with contractor(s) licensed
pursuant to the Contractor's Ucense law).
□ I am e;,cempt under Section ________ ,Business and Professions Code for this reason:
1. l personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yei; □ No
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 numbef):
4. I plan to proviCW 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):
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}:
OWNER SIGNATURE: _________________ CJAGENT DATE: _____ _
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is n construction lending agency for the pPrformance cf the work this permit is issued {Sec 3097 (i) Civil Code)<
Lender's Name: ____________________ lender's Address: _______ _
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or fulure building occupant required to submit a business plan . .icute!y hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardoos Substance Account Act? 0 Yes □ No
IS, the apphcant or future building occupant required to obtain ;i permit from the air poflution control district of alr quality management district? □ Yes □ No
Is the facility to b0 constructed within 1,000 feet of the outer boundnry of a school site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL C£RTIFlCATE Of OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR lS MEETING THE
REQUIREMENTS OF THE Off ta Of EMERGENCY SERVICES ANO THE AtR POLLUTION CONTROL DISTRICT.
APPLICANT CERTIFICATION;
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building constrnction.
! hereby authorize represerttative of the City of carts bad to enter upon the above mentioned property for inspection purposes, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE CITY OF CARlSl!AD AGAINST All UABILITlES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF
THE GRANTING OF TMIS PERMIT.OSHA; An OSHA permit is required for excavations over S'O' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: E\lery permit issued by the Building Official under the provisions of this Code shall expi~ by limitation and become nuft and void if the building or work authorized
by sud1 permit IS not commenced within 180 day:,; from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time
after the work is commenced fo.-a period :a: (Section 106.4.4 Uniform Builtting Code).
APPLICANT SIGNATURE: ~ ./1. _A DATE: 1129119 -c:::.==:_ -----------
1635 Faraday Ave Carlsbad, CA 92008
B-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 06118
PERMIT INSPECTION HISTORY REPORT (CBR2019-0222)
Permit Type: BLDG-Residential Application Date: 01/29/2019 Owner:
Work Class: P/M/E Issue Date: 01/29/2019 Subdivision:
Status: Closed -Finaled Expiration Date: 08/06/2019 Address:
IVR Number: 16756
Actual Scheduled
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
02/06/2019 02/06/2019
02107/2019 02/07/2019
04/22/2019 04/2212019
April 22, 2019
BLDG-24
Rough/Topout
083111-2019
BLDG-27 Shower
Pan/Tuba
083112-2019
BLDG-17 Interior
Lath/Drywall
083187-2019
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
089527-2019
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed Andy Krogh
Passed Andy Krogh
Passed Chris Renfro
COMMENTS
Passed Paul Burnette
COMMENTS
CONTINUING LIFE COMMUNITIES
LLC
CARLSBAD TCT#92-08 GREEN
VALLEY
1980 Silverleaf Cir, M108
Carlsbad, CA 92009-8424
Relnspectlon Complete
Complete
Complete
Complete
Passed
Yes
Complete
Passed
No
No
No
No
No
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