HomeMy WebLinkAbout1980 SILVERLEAF CIR; M-102; CB162383; Permit„....
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City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
06-17-2016 Permit No: CB162383
Building Inspection Request Line (760) 602-2725
Job Address:1980 SILVERLEAF CR CBAD St:M-102
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
VALVE
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:7 --/C9C2;).Clearance:
Is.40T10E Peasetele NOTICE that approval cf ycur poled indudes the "Irrpositiorr of fees, decications, reservations, or other accticos hereafter cdlectively
referred to as "feesbacacticns.”You have 90 days from the date this pant was issued to protest irroosition cf these fees/exactions If you protestitem you mist
follondhe protest procedures sat forth in Gwerrirrant Code Section 03020(a), and file the protest and any other requiled infractionwith the City Manager for
processing in acca dance with Ca isbad futinicipal Code Section 332030.Failure to timely follcw that procedure will bar any subsecxent!egad action to attack,
review, est aside, void, or annul their inposition.
You are hereby FURTHER IslOT1FIED that your right to protest the specified fees/a/actions DOES NOT AFFLYto water and saner cainedicn fees and capacity
chances,na plaiting,zoning,gaing or other similarwilication procecsing or service fees in ccdrection with this prciect.NCR DOES ITAFFLY to any
fees/ma:km ofwhich you have deviously been civen aNOME similar to this.a as toWiththe statute of !irritations has previouslyitemiseexpired.
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TRii FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:CIPLANIMIG EIENGINEERMG [BUILDING DFIRE (HEALTH 0HazMATIAPCD
Building Permit Application Plan Check No.ail /6 ozy3
41/4_City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: building@cadsbadca.gov I Plan Degft-It
www.cadabadca.gov
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DESCRIPTION OF WORK:Include Square Feet of Affected Area(a)4
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EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
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APPLICANT NAME -.........PROP
Primary Contact I 0 F.F"4-P ik12-blik...2 1 e oyt s-caticut...warn cos-
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(Sec. 7032.5 Business and Professions Code: Any City or County which requires a permit to construct. alter,Improv.demolish or repair anystructure,prlOrvt,o.its issuance.Mso_requires theapplicant for such permit to rile a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License LawMarker 9. comapmpigall
Witt n 70M of Division 3 of the
Business end Professions Code) or mat he is exempt therefrom, and the basis for the alleged exemption. Any violation or Section 7031.5 by any t for a permitsubretis the applicant to a
twit penalty of not more than five hundred dollars (5500)).'.
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Waiters' Compensation Declaration:Ihereby effem under penallyof paltry one or the lottelng dedarationr.
I have and will maintain a certificate of consent to self4nsure for Aitken'compensation as provided by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued.
d I have and will maintainwatt)....ialt ctensatign, as required by Section 3700 of the Labor Code, for the performance of the work for
*tack&vernal 's_Issued. My v.orkers' compensation Insurance carrier and policy
number ate: bnurance Co .7...ex)_Porm. No.4)..;)1.-3 :/-3 4.1 Expiration Date 9 -to -/to
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tsectfon
need not be completed if thepemitM for one hundred dollars ($100) or less.
CattifIcate of Exemption:I Whet*In the performanceof the work for which this permit is Issued,I shall not employ any person In any meaner so ask) become "tiedletheWelton'ComPertsetiontanof
Callomia WARNING: Failureto secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil lines up to one hundred thousand dollars (61e0,000), in
addition to the cost of compensation, dam as provided for in Section 3706tithe
tor
code, interest and attorney's fees.r
.61 CONTRACTOR SIGNATURE •.Cr....YNA.„„..-1.-.,„,„,0 AGENT DATE (411r41/49
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I hereby earn: MelIam exempt horn Contractor's license Law for the following reason:0 I, as twiner of the property or my employees with wages as their sole compensation,witdo the wort and the structure is not intended or offered for sale (Sec 7044, Business end Professions Code: The Contractor's
Licensetawdoes riot apply to en owner of propetty who buikis or improves thereon. and who does such wont himselforthrough his own employees. provided that such Improvementsasnot Intended mattered for
sale.Ithomier,the II uI0 iri gaimprovement is Sold within one year of completion, the owner budderwithave Me burden of meting that he did nothidor improve for the parixiseofsale).
0 I, as owner of the properly.anexclusivelycontratngwith licensed contractors tocarductthe project (Sec. 7014, Business awl ProfesSions Code: TheConealofs License Law does not apply to an owner of
Plefiefil MID builds or improves thereon, and contracts for such projects writscontractor(s) licensed pursuant to the Contractor's License Law).
0 I am exempt under Section__Business and Professiam Code lor Bus reason.
1.1 Pelson*plan to provide the major labor and material for construction of the proposed property improvement.[]Yes Ohio
21 pave/hawnapalmed atapplication for a baling permit for the proposed work.
3.I have GMT/OFF with the following Person (ram) to Provide the proposed construction (include name addressIphone /contractors' license number):
4.Iplan to provide earlier*athe work, but there hired the following person to coordinate,swot*eand provide the major work (include nameI address/phone Icontractors' &sense number):
5. I *Vprovide some of the work. but I have contracted (hired) the following persons to provide the work Indicated (include name /address/phone/type of work):
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(fiSPROPERTYOWNER SIGNATURE DAGENT DATE
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IsTheasamal orhauteWangoccupant requiredbsubmit a business Man, mutely hazardousnoted&iegistradon formor Mk management and prevention program under Sections 25505, 25525 or 25534 of ihe
Presley-Tanner Hazardous Substance Amount Act?Yes No
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Isbeapplicant orMum biAing moment mtpired bobbin a pondSem the air pi:Murtonmaddistricta airamity management&Mot?Yes No
Istie fealty lo be conducted*Oh 1.003bet el&emirbound./of a school NW?Yes NoFANY OFTIEANSWERS ARE YES, A FP/A/CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESSIREAPPliCANT HAS MET OR ISMINGTHE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND TIEAIR POLLUTION CONTROL DISTRICT.
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I hereby affor that them is a construction lending agency for the performance of thewortthis pound is issued (Sec. 3091 (I)C4 Code).
Leaders Name Lenders Address J
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Ica*thatIhir•entedtheappleedonandstate that theabamtnfonreaon isconactand that thelvdoimallon on the*vialsecotone.Ireneto compeviehaliCityorterances andante lareethengineuerrineconsuucrim
I hereby authorizeape:malaria of be City ot Carlsbadberilar upon the stovemankindproperty bir Insbedlon purposes. I ALSO AGREE TO SAVE PIDEMNIFY AND KEEP HARMLESS THE CITY OF CN2LSSAD
AGAINSTAL/UABILITES, JDGMENTS,COMM)EXPENSESYNICH MAY IN ANY WAY ACCFUE AGAINST SAD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT.
OSiA. An OSHA perm/ is monied larvae:Mons over St7 deep and damotoim or construdisn of slruskres over 3 sbries0 height.
DFIRATION: Every gamrt issued by the BuidngafolalunderIre prorisimsdaisCode shall expire by Saltationaidbecome OUTand void itthe bulldog orymik aultiodzed by sudi moralsnolocrnmencadwthb
110days tramhadaleofsudi panait orifMe baking orate* autheriazdtysuchpermitsuspended or abandoned at anytine alter beoak acannienced im a period M180 days(Sidon 10E4.4 UniformBub%Code).
AKAPPUCANTSSIGNATURE L4L'.-C -41\A--.--Q-"\,„DATE
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STOP:THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
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Fax (760) 6024560, &Bldg building@carlstedcagov Or Mail the completed form to City of Cadsbed, Witch% Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO*:melee use Crib)
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CONTACT NAME ODOUPANYNAME
ADDRESS -BUILDING ADDRESS
•
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
I .
EMAIL OCCUPANT'S BUS. UC. Na.
DELIVERY OPTIONS
PICK UP:CONTACT (Listed above)OCCUPANT (Listed above)
CONTRACTOR (On Pt 1)
ASSOCIATED CRAMAILTO:CONTACT (Listed above)OCCUPANT (listedabove)
CONTRACTOR (On Pg. 1)NO CHANGE IN USE/NO CONSTRUCTION
MAIL!FAX TO OTHER:
CHANGE OFUSE!NO CONSTRUCTION
ASAPPUCAtirSsawuRe DATE
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Inspection List
Permit#:C6162383 Type:PME LA COSTA GLEN-REPLACE SHOWER
VALVE
Date Inspection Item Inspector Act Comments
07/06/2016 17 Interior Lath/Drywall RI
07/01/2016 24 Rough/Topout RI
07/01/2016 24 Rough/Topout PY AP
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