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Home My WebLink About1925 DOVE LN; 203; CB140028; Permit01-08-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB140028 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1925 DOVE LN CBAD St: PME 2131120700 203 Lot#: LA COSTA PALOMA APTS-REPLACE WATER HEATER- SAME LOCATION Status Applied Entered By- Plan Approved Issued Inspect Area ISSUED 01/08/2014 RMA 01/08/2014 01/08/2014 Applicant; NORTH COUNTY PLUMBING Owner: DOVE FAMILY HOUSING ASSCS P 0 BOX 1758 VISTA CA 92085 760 735-4900 1820 S ESCONDIDO BLVD #101 ESCONDIDO CA 92025 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $158.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: $0.00 Inspector: FINAL AI?PR Date: ^ .PPROVAL Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refeaed to as "fees/exactions," You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required infomiation with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3,32.030. Failure to timely follow that procedure will bar any subsequent legal action to attacii, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor pianning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired. « CITV OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carisbadca.gov suirS^SpScSTuNr™ am Plan Check No. Est. Value Plan Ck.|Dei Date/ SWPPP 40B ADDRESS WIS OOvt LOuOJL 2C& CT/PROJECT # LOT# PHASE # # OF UNfTS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPnONOFWORK: /Delude Square Feet of Afr«cte<fArea(s; EXISTINQ USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AJR CONDmONING FIRESPRINKLERS YESQ* N(Q YESFINOI 1 YESr~lNOf~~| APPUCANTNAME (Secondary Contact) ADDRESS CITr' STATE ZIP PHONE „ ^ J ^ ^ ^ TttOni'o 4^00 PHONE FAX SsfA/i (^cCina^mcajntgdomiaV)'!- Ccnn EMAIL CONTRACTORBUS.NAME^^_,>^^ ^,„, „. . . ^ ., , """=iqj5 Otl/t/L/Uv^ ADDRESS _ . U CITY , . ^ , STATE _ ZIP ^ ^ ''^OH-lLpq'dLpO PHONE ^ y , ^ . FAX EMAIL ARCH/DESIGNER NAME & AODRESS STATE LIC. # STATE LIC.« ^ ^ CLASS cm-BUS. Lie* , ' (Sec. 7031.5 Business and Professions Code: Any Qty or County which requires a permitto construcL alter, improve, demolish or repair any structure, priorto 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 7(X)0 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the tiasis for the alleged exemption. Any violation of Section 7031.5 t)y any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Dedaratloo: / Aereiiy affirm under pena/(y of peijiify one of the foltowing declaratbns: I have an<J will maintain a certificate of consent to self-insure for wortiers' compensation as provided by Section 3700 of the Labor Code, for ttie performance of the worli for wtiicti this permit is issued, I Iiave ana will maintain woriters' compensation, as tequired by Sedion 3700 of the Labor (Me. for the perfomiance of the WQi3< for ijdjtch thjs oemiit is issued. My worisers' compensation insuraice canier and policy number are Insurance Co|\Dir^l)<Xrd I AS • M^^/7CQ|- , Policv NoT O 3/w ICi?/ Expiration Date This section need nol de compieted il I I Certificate of Exemption: I certify that in the performance of the work fbr wtiich this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Calilbmia WARNING: Failure to secure workef^' compensation coverage is unlawful, and shall sul>|ect an employef to criminal penalties and civil fines up to one hwidred thousand dotars (&100,000), In addition to the cost of comp«ns^opr4amages as provided for in Section 3706 of the Labor code, Interest and attomey's fees. CONTRACTOR SIGNATURE I rA )f\j. ^ QAGENT DATE l.'c>.7.0l'^ O W N E R • B U I L DER DECLARATION / hereby affirm that i am exempt from Contractor's License Law for the foliowing reason: I I I, as owner of the ptoperty or my employees with wages as their sole compensation, will do the work and Itie stnxSure is not intended or offered for sale (Sec. 7044, Business and Professkxis Code: The Contiactor's LicenseLawdoesnotapply to an owner of property who buikls or improves thereon, akl who does siKii work hiinseif or thnx his own empkjyees, provkied that such improvements are not intended or offered for sale. If, however, the building or improvement is sok) within one year of oompletkxi, the owner-buiWef will have the burden of proving that he dkl not buiW or improve for the puipose of sale). I, as owner of the property, am exclusively contracting with lk»nsed contractore to constmct the project (Sec. 7044, Business and Professions Code: The Contractor's Lk»ise Law does not ^y to an owner of property who buikls or improves thereon, and contracts fdr such projects with contractoits) licensed puisuant to the Contractoi's Ucense Law). I am exempt under Sectkxi Business and Professkxis Co6e tor this reason: 1.1 peisonally plan to provkle themajorlaborand materials for constnx*n of the proposed property improvenient I jYes I |NO 2.1 (have / have not) signed an application for a buikiing pemiit for the proposed work. 3.1 have contracted with Ihe folkiwing person (firm) lo provkJe the proposed constnjclkxi (include name address / phone / contractors license number): 4 I plan to ptoMe portions ot the work, but I have hired the foltowing person to coordinate, supervise and provkte the major work (inciude name / address / phone / contractors' Iksnse number): 5.1 will piovide some of the wodt, but I have contracted (hired) the following peisons to provkle the work indicated (inciude name / address / phone / type ofwork): • • jgS'pROPERTY OWNER SIGNATURE •AGENT DATE :VMPLETE THIS SECTION FOR NON-RESIOENTIAL BUILDING PERMITS ONLY Is the applicant or future buikiing occupant requiied to submit a business flian, acutely hazardous materiais registration fomi or risk management and prevention program under Sectfons 25506,25533 or 25534 of the Presley-Tanner Haz»dous Substance Account Act? C3 Yes ^ No Is the applicant or future buikiing occupant lequlied to obtain a pemiit from TO air pollutfon control district oi air^uality management district? O Yes Is the faciiity to be constructed within 1,000 feet of the outer boundaiy of a school site? OYes nNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY II AY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREIIENTS Of THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ^No NGTHE CONSTRUCTION LENDING AGENCY I hereby affinn that there is a construction lending agency for the performance of the woiit this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify tlist I ham lead the applkiatkm and state that the above iiifbmiatxxi is conect I hereby authorize representative of the City of CailstMd to enter upon Ihe above mentioneti property for inspection purposes. I ALSO AQ?£E TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CffY OF CARLSBAO AGAINST ALL UABLITIES, JUI3GMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF TXIS PERMIT. OSHA; An OSHA permit is requred for excavations over Sff deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by Ihe Building Offcial under the provisions otthis Code shaH expire by limilatkxi and bec^ 180 days fttim the date of such peiTiiit^Uithebuiidfig or wikauJK^^ peirnjissuspentjedaabandonedalanytimeaftef the vwk is commenced for a period of 180 da^ ygS"APPLICANT'S SIGNATURE PO • DATE Inspection List Permit*: CB140028 Type: PME LA COSTA PALOMA APTS-REPLACE WATER HEATER- SAME LOCATION Date Inspection Item Inspector Act Comments 01/09/2014 25 Water HeaterA/ents - Rl 01/09/2014 25 Water Heater/Vents MC AP 01/09/2014 29 Final Plumbing - Rl 01/09/2014 29 Final Plumbing MC Fl Monday, January 13, 2014 Page 1 of 1