The URL can be used to link to this page

Home My WebLink About1980 SILVERLEAF CIR; M-104; CB160045; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 01-07-2016 Permit No: CB160045 Building Inspection Request Line (760) 602-2725 Job Address:1980 SILVERLEAF CR CBAD St:M-104 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: 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 APPROVAL Inspector:em.Date:/V0'Clearance: NOTICE:Reese take NOTICE that approve cf yaracjed indudes the "Irrpositiorr at fees, dedations, reservations, or other exactions hereafter cdlectively referred to as "fees/exactions."You Ieve 90 days from the date thispentwas issued to attest irrpositiond these feeskotacticrs.If you protest them you must fdloN the protest proceares set forth in Goverment Code Section 66020(a),at file the protest and any other requited infarretion with the CityMeager for processing in accorcialce with Carlsbad Kridpal Code Section 3.32030.Failure to timelyfdloN the procedire will bar any subsequent legal action to attack, review, set aside, void, a.ant their in-position. You are hereby FLRTNER NOTIFIED thatyarright to protest the specified feeskrecticns DOES NOT APPLY to voterat sewccmection fees and capacity chengss, nor planing, zoning, gracing or other sirrilar epplication processinga service fees in canner:Sal with this project.NCR DOES IT APPLY to any feestexactiorsd which you ham creNiously been riven a NOTICE similar to this a as to which the statutect lirritations has creviotelv otherwise mired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:OPLANNING DENGINEERING OBUILDING DFIRE OHEALTH OHAZMAT/APCD tor..fr City of Building Permit Application Plan Check No. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value CO/004ff Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: building@carlsbadca.gov /4;ian Cl.Deposit www.carlsbadca.gov ate t 7 fie.SWPPP JOB AD R SUITEB/PACEB/UNITI APN ic}istb '5 (1 v ea 1 t 4 -c ci/--i0 1 --- CT/PROJECT #LOT#PHASE##OF UNITS # BEDROOMS #BA ROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:Include Square Feet of Affected a(s)i'5411ov.) olt-t o-cevcorka )64.1...t t d7,144)70.4.bit EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESla__Noci YESEINO 0 YESO NOD APPLICANT NAME •••••"*"1 =PROPERTY OWNER Primary Contact t W1 t3 feta-k i ATAT4(-1:75:—L.6( ADDRESS to ADDRE5S..— c —ao<-qt.(..t1cc.)Le u4.4.-.4 r-S CITY STATE.54)i 0N01 ierC.-C A ON CITY STATE ZIP I-0—;Ca9V1k loon cl CO PHON Eead5g 4 1 -s49 FAX PHONE FAX EMAIL ,(5)K EMAIL DESIGN PROFESSIONAL CONTRACT R ME I • ADDRESS 4ESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL STATE LIC.#STATE LIC.#CLASS CITY BUS. LIC.# 13 "792 .-0((-)--)S -- 8'.. (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 issuance, also requires 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 Section7000 of Division 3 of theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exempffon. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a,•civil penalty of not more than five hundred dollars ($500)). '.WORKERS'COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: .. •I have 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. I have and will maintain workers' compensation,as required by Section 3700 of the Labor Code, for the performance of theAriAr whiclAs,43ns issued. My workers' compensation insurance carrier and policy ar '91/0i /6number are: Insurance Co.LUC5CG.Policy No.a .7..3.Expiration Date nsection 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 forin Section 3706 of the Labor code, interest and attorney's fees. ..ESCONTRACTOR SIGNATURE V .....DAGENT DATE I ?/lee9, 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).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.Dyes DNo i,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 number): , 1 4.I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I 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): iSPROPERTY OWNER SIGNATURE DAGENT 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 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 Icertifythatl have read theapplication and state that theabove information is conectand thatthe information on the plans is accurate.Iagreeto comply with all City ordnances and Shib3 laws relatIngio bulldingconstructIon. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspecton purposes.IALSO 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 CRY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requited for excavations over 50' deep and demolition or constructionofstructures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by lintation and become null and void if the building or work authorized by such permit's not commenced within 180 days 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 fora periodof180 days (Section 106.4.4 Uniform Building Code). AKAPPLICANT'S SIGNATURE '---- 821..A..k.C....t -.DATE (I ,...._/) S:(17(M3 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) MAIL TO:CONTACT (Listed above)OCCUPANT (Listed above)ASSOCIATED CB# CONTRACTOR (On P.1)NO CHANGE IN USE /NO CONSTRUCTION MAIL /FAX TO OTHER: I CHANGE OF USE /NO CONSTRUCTION 1 ..f.SAPPLICANT'S SIGNATURE DATE Inspection List Permit#:CB160045 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 #104 01/15/2016 24 Rough/Topout PB AP Wednesday, January.20, 2016 Page 1 of 1