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HomeMy WebLinkAbout1980 SILVERLEAF CIR; ; CB153265; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 10-01-2015 Permit No: CB153265 Building Inspection Request Line (760) 602-2725 Job Address:1980 SILVERLEAF CR CBAD Permit Type:PME Status:ISSUED Parcel No:2550121600 Lot #:0 Applied:10/01/2015 Entered By:SLE Reference #:Plan Approved:10/01/2015 PC #:Issued:10/01/2015 Inspect Area:PB Project Title:LA COSTA GLEN:REPLC TUB/SHOWER UNIT 0-320 Applicant:Owner: TOM MARDINI CONSTRUCTION CONTINUING LIFE COMMUNITIES LLC PO BOX 445 1940 LEVANTE ST SOLANA BEACH CA 92075-0445 CARLSBAD CA 92009 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 (9 FINAL APPROVAL 41Inspector:Date:/0 Clearance: NOTICE:Please take NOTICE that approval of your project indudes the"Irrpcsrtiaf cf fees, dedcaticrs, reservations, or other exactions hereafter cdledivery referred to as "feeelecactions."You have 90 days from the date this perrritvasissuedto attest imposition of thesefeedeectias.If you protest them, you mist fdlcw the protest procedures set forth inavermentCode Section ee320(a),aid file the protest and any other required infarretion with the CityWagerfor processing in accadance with Carlsbad Mricipal Code Section 3.32.030.Failure to timelyfdlcwthat procedure will be any subsequent legal action to attack, review, set aside, void,a annul their irrpcsition. You are hereby FLRT1-ERNO11F1ED that yea right to protest the specified fees/exactions IYFS NOT APPLY to water aidsewer correction fees and rapacity *lenges, nor Flaming, acing, gracingaother similar application praisssing aservice fees in connection with this project.NOR DOES IT'WRYto any feeskoactions c which vou have aevicuslv been given a NOTICEsirrilato this.aas to which the stable of limitations has orwicuslv otherwise emired ,• [THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:OPLANNING DENGINEERING ©BUILDING ©FIRE OHEALTH IDHAIMATIAPCD r...Building Permit Application Plan Check Nom 15 e)32.11(City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: building©carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date —1—is SWPPP JOB ADDRESS ....--nS0bk i 041Y1-t•eitl-t Cit-CAI(4 4 SUITECSPACEO/UNIT.APN --- CT/PROJECT #LOT #PHASE##OF UNITS #BEDROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:include Square Feetof Affected Area(s) .3-ciouot).n_tgewa_clm_i.......(4..e e t 64_c.e-(A EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESElf.NO YES ONOD YESE3N00 APPLICANT NAM .PROPERTYOWM.1_Prim ary Contatr37:0114 Oa J...u..C-0764 1-&.Y.-' .4.AsEso/c i/(/3.__ ADDRESS 1 en 1....e...).44 r ...5.1__ CITY STATE Zle.,)CITY STATE ZIP-5...i.."in'Fare c-Co c.).c cert `--5 /lb C/4 cic) Pli0g--q— CH9 2W FAX PHONE FAX 2.01.A I_.,EMAIL I ----I 44.1.(c-tv?A4111 c'/4-1 a Cat dfLacl via . C clIA- I DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS • CITY STATE ZIP CITY 6/171- STATE ZIP PHONE FAX PHONE t & EMAIL EMAIL STATE LIC.#STATE LIC.#Cl AcS CITY BUS. LIC.# 3 -- 4-.8 0:5( (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 issionce.also_reabires the_applicant 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 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 toacivil penalty of not more than five hundred dollars ($500)). WORKERS'COMPENSATION Work .ompensatlon Declaration: I hereby affirm under penalty of perjury one of the following declarations: ,111.5 I have and will maintain a certificate ofconsent 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. III I have and will maintain workers' compensation, 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.Policy No.Expiration Date 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,Ishall 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 (8100,000), in .addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.•.FSCONTRACTOR SIGNATURE lip 6A...$0 AGENT DATE )4)/ I /c-- .4. OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License Law for the following reason: g El I,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 himseff 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). ElI,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 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.Oyes 1:::INo 2.I (have / have not) signed an application for a building permit for the proposed work. 1 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address /phone 1contractors' license number): I 4.I plan to provide portions of the work, butI have hired the following person to coordinate, supervise and provide the major work (include name I 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 I type of work): I 1 I..eSPROPERTY OWNER SIGNATURE ['AGENT DATE 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?Yes No Is the applicant or futum building occupant required to obtain a permit from the air pollution control district or air quality management district?Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?Yes No IF ANY 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 I certify thatI have read the application and stateKatthe abate Intimation is correct and thatthe intonation on the plans Is accurate. I agme to complywith all City ordinances and Stale laws relating to biglding construction. Ihereby authorize representative of the City of Carlsbadbenter upon the above mentioned property for inspection 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 requied for excavations over 50' deep and demolition or construction of structures over 3 stories Weight. EXPIRATION: Every permit issued by the Building Official under the provisions of this 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 of such 'building or work authorized by such permit's suspended or abandoned at any time after the work is commenced fora 'of180 days (Section 106.4.4 Unit=Building Code). AKAPPLICANT'S SIGNATURE building or DATE /0 // ,- 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@carisbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. 1 I COM: (office Use Only) CONTACT NAME OCCUPANT NAME A•DDRESS BUILDING ADDRESS C•ITY STATE ZIP CITY STATE ZIP Carlsbad CA P•HONE FAX EMAIL OCCUPANT'S BUS.LTC.No. DELIVERY OPTIONS PICK UP:CONTACT (Listed above)OCCUPANT (Usted above) CONTRACTOR (On Pg. 1) MAILTO:CONTACT (Listed above)OCCUPANT (Listed above)ASSOCIATED CB# CONTRACTOR (On P. i)NO CHANGE IN USE/NO CONSTRUCTION MAIL/FAX TO OTHER: CHANGE OF USE /NO CONSTRUCTION AKAPPLICANT'S SIGNATURE DATE 1 1 ) 1 1 1 I 1 1 Inspection List Permit#:CB153265 Type:PME LA COSTA GLEN:REPLC TUB/SHOWER UNIT 0-320 Date Inspection Item Inspector Act Comments 10/07/2015 17 Interior Lath/Drywall PB AP 10/07/2015 27 Shower Pan/Roman Tubs -RI 10/07/2015 29 Final Plumbing PB AP 10/02/2015 24 Rough/Topout RI 10/02/2015 24 Rough/Topout PB AP 10/02/2015 27 Shower Pan/Roman Tubs -RI 10/02/2015 27 Shower Pan/Roman Tubs PB AP Thursday, October 08, 2015 Page 1 of 1