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1980 SILVERLEAF CIR; M-210; CB162382; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 06-17-2016 Permit No: CB162382 Building Inspection Request Line (760) 602-2725 Job Address:1980 SILVERLEAF CR CBAD St: M-210 Permit Type:PME Status:ISSUED Parcel No:2550121600 Lot #:0 Applied:06/17/2016 Entered By:RMA Reference #:Plan Approved:06/17/2016 PC #:Issued:06/17/2016 Inspect Area: Project Title:LA COSTA GLEN-REPLACE SHOWER & TUB SURROUND 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:Date:Clearance: NOTICE Please take NOTICE that approval of your project induces the "Irrpositiorf of fees, deciatiors, resevaticns, or othermediaehereafter collectively referred to as"fees/setae"You have 90 daystante date this pewit was issued to protest irrpositicn of thesefeeesectian.If you protest therh you must fclIcw theWestprocedures sat forth inaternrrent Cale Section 66920(a), and file the protest and any cther required infortrefion with the City Manager for processing in accordance with Carlsbad Muridpal Cale Section 3.32.030.Failureto timely folloav that procedue41 bar any subsequent legal action toattack, review,se aside, void, or annul their imposition. You are hereby FLRWER NOTIFIED that your night to '.Vest the specified fees/erections DOES NOT tovvater andewer amedionfees and cacadty changes, nor plaming, zoning, grating or other simian application processing or service fees in correction with this project.NCR DOES ITAPFLY to any •fees/exactions ofWithyou hate orevicusN been civen a NOTICE similar to this.aas to which the statute oflimitation has deviously otherwisemired THE FOLLOWING APPROVALS RH)UIRM) PRIOR TO PERMIT ISSUANCE:OPLANNING DENGINEERING DRUKJANG DARE ©HEALTH ,Z ONAZMATJAPCD City of Building Permit Application Plan Check No./ b 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: buildingOlcarlsbadca.gov Plan Ck. Deposit www.cartsbadca.gov i)A—Date St i 17 II (4 SWPPP JOS A ..- ril 'alp •0 C.71 1. tie(d•(0 1 al 0 SuMr51 --- OT*Ea 0 U sis ..i•-itBATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ. ottOun- 1 DESCRIPTION OF WORK:Include Square Feat MAROON! Area(s)I ; f t:'%A a 12 .C'-Q-1 t.4 1...c:wiekid EXISTING USE I PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESEle NOO YES ONO0 YESO NOID i APPLICANT NAME FA ,-... Primary Contao;7-Frit pika.t... ukr.edyt -s-raxicT""PERCAN (...0 .c- 71-1A citz.0 ADDRESS7 C. -Bo i.1-14c---ADORE..SS.........t' -')C LeV"t‘4"**SA' CITY STATE ZIP CITY STATE ZIP'Sf.i \OiIA 44 '.-8(Ft1Lill Cl'A COO 4.6.CA-i2-1'S 'BA 6 C''C) Chi PHONE FAX PHONE 1FAX B52 -449 -22441 I EMAIL EMAIL'--7Fik;1\its)OaCI4.04.4 CI:6 milli_,cow DESIGN PROFESSIONAL MM.NAPAEC"Iarev14 la AAA Di A; i CCM •Stilacil tivk ADDRESS AcioDass--R..)PCX-4 C CITY STATE ZIP CRY _.,STATE ZIP .......e.--- tflbel P•13eAck CA Ci (.:' --t‘') PHONE FAX PHONE FAX EMAIL EMAIL STATE LIE.01 STATE LIC.re 1 -CiAsS CITY BUS. UC.0" "45? .147•?"-e2 i -3 B i 1)3 --S2 (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 Section 7000 of Division 3 of theBusiness and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption.Myviolation 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)).---•........ .,„_.' -'; - •. - --'''!'..',',;..'':C:v -..f..i"::: ';'14:1.'C.:.74*1 -:;:..li:;*:41 ''.-1:' ' Workers' Compensation Declaration: I herebyAntunder penaltyofperjury oneoftha Mowing dedaationr AI have and wet maintain a certificateof consent to selMnsure for workers' compensation as provided by Section 3700 of the Labor Code. for the performance of the work for which Nis permit is issued. I have and wEt maintain work as as moulted by Sk..fiun 3700 of the Labor Code, for the performance of the wont tor which thisnem*is issued. My makers' conlPennelien inseranoe.canler and Pao/ number are: Insurance Co V..)....-..Policy No.G4 a7.4 1 P '53 1 Eviration Dam .9 —IL.'.-ilo_____.,___ tisection need not be completed walecome Is for one hundred dollars ($100)Or /ass CertificateofExemption: I certify that in the performance of the workbreath this permit aIssued Ishalt not employ any person In any manner so as to become subject to the Workers' Compensationlaws of Carecints.WARNING: Failuretosecure workers' compensation coverage is unlawlul, end shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damag as provided for in Section 3706 of theI .horcode, Interest and attorney's fees.- 6."£CONTRACTOR SIGNATURE —.C'`fkri,..ell-L.s,....0 AGENT DATE (011.111 V IA..i:i'.:'ik.f- 72 i P-...1.1.;....fir zi r:.:i ...,:-.:J •J .:'.• -:ii..Li f.....''..'r'f .:'.':.:i"..c;(1;.•G.r.'i • ' .1 •.,..i ....:i•.•...• ., I hereby alaim that t am exempt from Contractor's License Lawfixthe following (MOW0LasGamerof the property or my employees with wages as their sole compensation. will do them*and the Misuseis not intended or offered lot sale (Sec. 7044, Business and Professions Cede: The Contractor's Licensetawdoes not apply to an miner td property who builds or knproves thereon, and who does such work himself or through has own employees, provided Mat such improvements are not blendedor offered for Sale. If,Weever,Ole building or improvement is sold within one year of completion, the owner-bolder mil have the burden of preying that he dkt not braidorimprove for the purpose ofsale). 0 t, as owner of the property,anexclusively ccatfaling with Scensed contractor's to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an ownerof weedywho tvabis or improves thereon,aid contracts for such projects with contractods) Warmedpumasto the Contractor's license Law). 0 1am exempt under Section ..Business and Professions Code for this reason; 1.1 personally plan to provide the major latex and materials for construction of the proposed property improvement Dyes Dia 2.((have/have non signed an application for a building permit tor the proposed work. 3.1 have contracted with the following person (lam) to provide the proposed construction (iikrittle name address/phone/contractors' license number)! 4.1 plan in provide portions of the work.bullhave hired the following person to coordinate, supervise and provide the major work (include name Iaddress/shore /contractors' license number): 5. I will provide some of the work, but I have contracted(fred)the following persons to provide the work Indicated (include name / address/phoneItype of work): __________.....•......___....._______________— ,Ili PROPERTY OWNER SIGNATURE DAGENT DATE ...... •• '..1t4,!..:l.it i::%!:i.t .i..,:...i..U:..- :.• -;"T-..!..;;.'!:'. ik!.L.-.•!.f: -' tr.I:•".;......tl..•'";'-i'::::'!;•:4.l••!...i ':.'-..:i..'.'.-•*..1 -i,I-:•-:••13 -:'41.1'1.'' ilr.14c'1:l 'i'1;".,'•7'.....:..•.....,.... Is the aPPIkeeltY IsereWWIImoupeN required lo sub*a business Wm, aculely hazardous;naafi®istrationbrm or risk management and prevadon program under &oboes 25505, 25533 or 25534 of the Resley-Tamer Marimbas Substance Mowed Act?Yes No Isbeapplicant or hawsbiking=pantmated loobtain a permitban be air pollution cooed district or air quaky managementdatitt?Yes No Is Melack is be condos:led wIlan1.00DieeloneWmlameirivy da Schools*?Yes No FANY OPTIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESSTIEAPPLICANT HAS NET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. :ir.i ::';:.;!...'''''::':;.6 .'.-'•ij• i'!:6:i'i;;; ,V..;•:'..V... -t :61 .; ''. '. -....... ,,..:'- •'-l'.'''''..•'''''.'.1 : !:::-':'.:':':..''' ::::, . -. Ihereby Minn that there is a construction tending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address .• •;,.-..-.,...,..;,,..: I certify Mat I hare mad Me application andstare lbattbeoboeInionnetion Is conectend Mat the Informakon on theparishaccurate.1epee)complywithalOrtedineneesaid Statelax rasa*to buildingeonsuuaks. Ihes*authorize rep eseNaMeofMeMyof Carlsbad lo enter upon the above mentioned propany for inspeckim purposes. I ALSO AGREE TO SAVE NDEMNIFY AND KEEP HARMLESS THE COY OF CARLSBAD AGAINST ALL LIABEJTES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY INMY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 0:51AAn OSHApan*Is requiredbrexcavationsaerSO' deepaiddanokiion or conskudian of skuckses over3 sbiesitheight EWIRATIOtt Every permit issued by the Bulking Offelat undertieproWsionsof Ibis Code shallemke by anitaten and becorre null and vod if thebaling onto&authorized by such permit is not comnencedMtn 180days fromliedate ofsuchpander if b3 bulking oreataultairedby suchnem*is suspendedor abancbredstany bole after theyakis=matedfor a period of180da$s (9addn 106.4.4Unibm Bidding Code). 45.APPUCANTSEIGNATURE t1A.A.....(.•elikit..."*C- N....... DATE UtigiG. ., 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 buildingOcarlsbadca.gov or Mail the completed form to City of Carlsbad, Building Dlirision 1635 Faraday Avenue, Carlsbad, California 92008. CO*: mince use Only) 'CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX I EMAIL OCCUPANT'S BUS. LIC. No. ..... 1 DELIVERY OPTIONS PICK UP:CONTACT (Listed above)OCCUPANT (listed above) CONTRACTOR (On Pg.1.). MAILTO:CONTACT (Unto* above)OCCUPANT Waled above)ASSOCIATED CS* CONTRACTOR (on Pg.1)NO CHANGE IN USE/NO CONSTRUCTION MAIL/FAX TO OTHER: CHANGE OF USE /NO CONSTRUCTION ISAPPUCANT'S SIGNATURE .DATE i .- Inspection List Permit#:CB162382 Type:PME LA COSTA GLEN-REPLACE SHOWER & TUB SURROUND Date Inspection Item Inspector Act Comments 07/13/2016 17 Interior Lath/Drywall RI AM PLEASE/M-210 07/13/2016 17 Interior Lath/Drywall PB AP 07/13/2016 19 Final Structural PB AP 07/11/2016 24 Rough/Topout RI 07/11/2016 24 Rough/Topout PB AP 07/11/2016 27 Shower Pan/Roman Tubs PB AP 1 A