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Home My WebLink About1980 SILVERLEAF CIR; M-311; CB160044; Permit.• City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 01 -07-2016 Permit No: CB160044 Building Inspection Request Line (760) 602-2725 Job Address:1980 SILVERLEAF CR CBAD St:M-311 Permit Type:PME Status:ISSUED Parcel No:2550121600 Lot #:0 Applied:01/07/2016 Entered By:RMA Reference #:Plan Approved:01/07/2016 PC #:Issued:01/07/2016 Inspect Area: Project Title:LA COSTA GLEN-REPLACE SHOWER PAN & ENCLOSURE Applicant:Owner: 1 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 , I Total Fees:$163.00 Total Payments To Date:$163.00 Balance Due:$0.00 FINAL APPROV L Inspector.Date:.Clearance: , .NOTICE Please take NOTICE that approval of your project includes the "'mg:abort' of fees, decications, resenratiers, or dher exactions hereafter collectively. mimed to as leseloactions." You have 90 clays from the date this permitMS issued to protest in position dthese feeslexactions.If you pretest them you trust follcw thepriest procedires set forth in Government Code Section 66)20(a), and file the priest aidany other requited information with the City Manager for processing in accordant with Carlsbad Municipal Cade Section 3.32030.Failure to timely folic:mitt-et procedure will bar any subsequent legal aztion to attack, review, set aside, void, orarul their inceition. You are herebyRRI1-ER NO11RED that your rip to protest the specified fessfacazticns DOES NOT AFPLY to water and saver comedian fees and capacity changes, nor plaming,axing, gracing or other similar application processing cr service fees in comecticn with this project.NOR DOES IT AFPLY to any ' 1 feeste<adtions ofMich you have previously been civen a NOTICE similar to this. or as to which the statutedlimitations has Previously otherwise mired I 1. 1 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:EIPLANNING CJENGIN EERING ElBUILDING OFIRE 0 HEALTH DHAZMAT/APCD .AI .4 //"`°BuildingofBuilding Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Plan Check No.e 1 i -c/v ei y Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov ALID3l:tn Ck. peposit www.carlsbadca.gov e i /7 it &SWPPP JOB AplEss SUffEf/SPACEWUNITE APN t /30 ''Sl ‘ Oekft/r4 C e-M —-31 \--_ CT/PROJEC #LOT#PHASE##OF UNITS #BEDROOMS #BATHROOMS TEN NTA OPir ii-6‘alBUSINESS NAME CONSTR. TR.TYPE OCC. GROUP DESCRIPTION OF WORK:Inc!Square Feetof ANEW ;a(s)'15 .cic (.Le.ill C..e_WI tv‘.#a -.A 1 evic(05.Ax.e Si. EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESD____NO YES ONO D YES 0 NOE APPLICANT NAME .......1—..PROPERTY OWNER t ia .4 L .- 017-0 E7 reef ge fricer.4.0.-...G4Primary Contact 1 OVVI L)via 4lvt i ADDRESS-ADDRESST0o>c k q S---WSZ)L_e oirii-h--5/- CITY STATE ZIP CITY vTE ZIP'54)k ON A --Be otEL C64 ct o-I'S""Cim (64 -cl 6.. PHQhlf......FAX PHONE FAX Viff.-83 Vq EMAIL EMAIL DESIGN PROFESSIONAL CONTR CTOR BUS. NAME ADDRESS ADD CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL STATE LIC.#STATE LIC.#7A.CLASS-4 CITY BUS. LIC.#cir e'i 3 a)yi,2 3 75.'(Sec.7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or air 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 {cater 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 70 1.5 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)). WORKERS'COMPENSATION Workers'Co pensation Declaration: I hereby affirm under penaltyofpenury one of the following declarations: ye 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. Ihave and will maintain workers' compensatk.as required by Section 3700 of the Labor Code, for the performan the 'tit'.-to is issued. My workers' compensation insuranceTrier and policy number are: Insurance Co.talj t -)C-0 Policy •No.i •1 Expiration Date 9/14)//4 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 (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. AK CONTRACTOR SIGNATURE ...01111i di A. e ElAGENT DATE (-•1(0 OWNER -BUILDER DECLARATION I hereby affirm thatlamexempt 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 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). EiI,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 Contractors License Law). 11 I am exempt under Section Business and Professions Code for this reason: I 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement.DYes ONo 2.I (have / have not) signed an application for a building permit for the proposed work. 3.1 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, butI have hired the following person to coordinate, supervise and provide the major work (include name/address / phone / contractors' license number): 5.1 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): -r -.— • 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 future 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 state that the above information Is correct and that the Information on the plans is acculate.Iagree to comply with all City ordinances and Slabs lava relatingto bulkling constmcdon. Ihereby authorize representativeof the CityofCarlsbad to enter 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 required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisionsofthis Code shall expire by limitation and become null and void if the buildingor work authorized by such permit is not commenced Within 180 days from the date of such permit or if the buikling or vvork authorized by such permit is suspended or abandoned at any time of the work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code). JeAPPLICANT'S SIGNATURE DATE I 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@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 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. DELIVERY OPTIONS PICK UP:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (On P.1) ASSOCIATED CB# MAIL TO:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (On Pg.1)NO CHANGE IN USE /NO CONSTRUCTION MAIL/FAX TO OTHER:CHANGE OF USE /NO CONSTRUCTION LAPPLICANT'S SIGNATURE DATE Inspection List Perrnit#:CB160044 Type:PME LA COSTA GLEN-REPLACE SHOWER PAN & ENCLOSURE Date Inspection Item Inspector Act Comments 01/19/2016 29 Final Plumbing RI 01/19/2016 29 Final Plumbing PB AP 01/15/2016 24 Rough/Topout RI AFTER 10:00/MOUNTAIN VIEW BLDG/#311 01/15/2016 24 Rough/Topout PB AP • • •• Wednesday, January 20, 2016 Page 1 of 1