HomeMy WebLinkAbout1980 SILVERLEAF CIR; M-320; CB161957; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
05-18-2016 Permit No: CB161957
Building Inspection Request Line (760) 602-2725
Job Address:1980 SILVERLEAF CR CBAD St:M-320
Permit Type:PME Status:ISSUED
Parcel No:2550121600 Lot #:0 Applied:05/18/2016
Entered By:RMA
Reference #:Plan Approved:05/18/2016
PC #:Issued:05/18/2016
Inspect Area:
Project Title:LA COSTA GLEN-REPLACE SHOWER &
TUB
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
c:Q____"e4 FINAL APPROVAL
.Inspector:Date:--C
-"Z /4 Clearance:
NOTICE Please take NOTICE that approval of your project includes the"Irrpositiori'd fees, dedications, reservations, or other exactions hereafter collectively
referred to as Isesleections."You have 90 days from the date this per*was issued to protest inposition cithese fees/sections.If you protest them, you must
blowthe protest procedures set forth in Government Code Section 83020(a),at file the protest and any other required infarretion with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32030.Failure to timely follo.v that procedure will bar any subsequent legal action to aftack,
review, set aside, void, or annul their imposition.
You are hereby FLIRT -ER NOTIFIED that your right to protest the spedfied fees/exactions DOES NOT APPLY to water and sewer correction fees and capacity
chews,nor planning, zoning, gracing or other similar application processing orMetefees in correction with this project.NOR DOES IT APPLYto any
feeeleactions of which you have orericuslv been riven a NOTICE similar to this. or as to which the statutecilimitations has previously otherwise eacinad.
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THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:[DPLANNING GENGINEERING ElBUILDING DFIRE OHEALTH DHAZMAT/APCD
(City of Building Permit Application Plan Check No.
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value eQ/6 /j ---
7
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov Plan Ck. Deposit
viww.carlsbadca.gov if --Date rf7 11/JOB A
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CT/PROJECT #LOT #' PHASE ##OF UNITS `#BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
I .
DESCRIPTION OF WORK:Include Square FeetofAl;'ectert Area(s)
I tii0/6(1w OA_
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EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)t DECKS (SF)' FIREPLACE tAIR CONDITIONING ' FIRE SPRINKLERS
,YES_NOD
1
YES ONO 0 YESEl NOD
APPLICANT NAME PROPERTY OWNER
Primary Contact CL7-7
-
1-44 9 i.,,..._/
ADDRESS ADDRESS
t-Ct CO Lou.i-J -r.—4
-
CITY STATE ZIP CITY STATE ZIPcols14kr4CA-
PHONE FAX PHONE FAX
i
EMAIL EMAIL
DESIGN PROFESSIONAL t .
CONTRACTORJME
,,
ADDRESS ADDRESS--
?6 -130)6 41‘-t S---
CITY STATE ZIP CITY STATE ZIP..a eon il--13era-c-L-c 171-CI a-o9--t
PHONE FAX PHONE 'FAX
2F-7a (-Ng 27y9
EMAIL EMAIL
STATE LIC.#
STIF....C.#79-2 —013 1
CLASS CITY BUS. LIC.#-4S-______1
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(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 theapplicant 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 to acivil penalty of not more than five hundred dollars ($500)).
WORKERS'COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penallyofperjury oneofthe Mowing declarations:
I h 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.
have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perforiptce of
therort
for which this permit is issued. My workers' compensation josiirance carper and policy
number are: Insurance Co.001-7 C 4)Policy NO."k 9---3 D 3 C Expiration Date 7/10 /1.0
This section need not be completed if the permit is for one hundred dollars ($100) or less.
.ElCertificate 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 (5100,000), in
addition to the cost of compensation, da .ages as provided for
in Section 3706 of the Labor code, interest and attorney's A
fees.
/ES CONTRACTOR SIGNATURE iik IP 0 AGENT DATE 6fiff it
OWNER -BUILDER DECLARATION
I hereby affirm thatI am exempt 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).
IDI,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:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement.ElYes ON°
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):
4.1 plan to provide 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):
..PROPERTYOWNER SIGNATURE DAGENT DATE
5,.9.r.CCIMPLETE 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?C) Yes CI No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?CI Yes CI No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?171 Yes 0 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).
Lenders Name Lenders Address
APPLICANT CERTIFICATION
I certify thatI have read theapplkatIon and Mate that the above Infonnaton IsCOffeCtand that the information on the plans is accwate.Iagree to complyv•ith all City ordinances and State laws relating to building construction.
I hereby authorize representative of the Cityof Carlsbad to enter upon the above mentioned properly for inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THEMYOF 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 over50' deep and demolition or constnictbn of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provLsionsofthis 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 permit or lithe building or work authorized by such permit is suspended or abandoned at any time after the work is commenced foraperiodof180 days (Section106.4.4 Uniform Building Code).
/10
ASAPPLICANT'SSIGNATURE DATE ir
STOP I
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
1 Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP:o CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On P.1)
o ASSOCIATED CB#MAIL TO:o CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)o NO CHANGE IN USE /NO CONSTRUCTION
•MAIL /FAX TO OTHER:o CHANGE OF USE /NO CONSTRUCTION
48-APPLICANT'S SIGNATURE DATE
Inspection List
Permit#:CB161957 Type:PME LA COSTA GLEN-REPLACE SHOWER &
TUB
Date Inspection Item Inspector Act Comments
05/26/2016 17 Interior Lath/Drywall RI
05/26/2016 17 Interior Lath/Drywall PB AP
05/26/2016 89 Final Combo PB AP
05/23/2016 24 Rough/Topout RI
05/23/2016 24 Rough/Topout PB AP
05/23/2016 27 Shower Pan/Roman Tubs PB AP
3