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Home My WebLink About1925 DOVE LN; 103; CB153114; Permit09-22-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB153114 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1925 DOVE LN CBAD St: PME 2131120700 103 Lot#: LA COSTA PALOMA-REPLACE WATER HEATER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/22/2015 RMA 09/22/2015 09/22/2015 Applicant: CSR PLUMBING, INC Owner: DOVE FAMILY HOUSING ASSCS 8985 HAVETEUR WAY SAN DIEGO CA 92123-2316 619-699-9629 1820 S ESCONDIDO BLVD #101 ESCONDIDO CA 92025 Plumbing Fees Electrical Fees Mectianical Fees Other PME Fees $38.00 $0.00 $0.00 $60.00 TOTAL PERMIT FEES $98.00 Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due: $0.00 Inspector: FINAL ARPROVAL Date: M^jM^ Clearance: NOTICE Rease take NOTlpE that approval of your prqect indudes the Inpcsiticin" of fees, dedications, reservations, a other exactions hereafter collectively referred to as'fees'exactions." You have 90 days from ttie date this pernit was issued to protest irrposition of these fees/exactions. If you protest ttiem you nxist fdlcw the protest procedures set forth in Government (Dode Section 66020(a), and file the pnatest and any other nequined information vwth ttie Qty Manager for pnxessing in accordance with Carisbad IVLridpal Code Section 3.32.030. Failire to tirrely fdlcw that procedure vwll bar any sut3sequent legal adion to attack, review, s^ aside, vdd, a amJ ttieir inTposition. You are heretiy FLRTHER IMOTl R ED that your ric^ to protest the spedfied fees/exactions DOES fCff /\PPLY to water and sesAer connection fees and capacity changes, ra planning, zoning, gradng a dher similar application pnxessing or servioe fees in oonnection with this pnqjed. NOR DOES IT APPLY to any fees'exactions of which \oj have preMOuslv been dven a NtJTICE sirrilar to this, g as to wtiich the statute of linitations has previously ottierwise exdred. I TH/PCLLOWINO APPROVALS REQUIRED PRIOR TO PERIWIT ISSUANCE: OPLANNING l_jENGINEERlNO iZlBUILDING GFIRE GHEALTH IZ]HAZHAT/APCD Plan Check No. /^J^ I ^ ^ f/C/ Est. Value ~r~ Carlsbad Building Perinit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@cadsbadca.gov www.carlsbadca.gov Qt. Plan Ck. Depoelt Pate oj 1^.9^1 SWPPP JOB.ai>DRESS , SUITE*/SPACEf/UNITt TTxJ /DOl/^ cM^-sff^lP nooj foJ "... '~ ' I I nip u '"In. laH^ u '" I u • i^.i-vA I u rti'wsi\'JCAt'^A ' r*A-ri»o/^m*/> i i TENANT BUSINESS NAME <::^5^/f CONSTR. TVPf I M. inM rcT/PROJECT » PHASE* • OF UNITS I • SEDROOMS » BATHROOMS DESCRIFTION OF WORK: fncluito Sqiisrt Fsat 0/Aflleetad Areafai EXISTINQ USE PROPOSED USE QARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIRCONDITIONING FIRESPRINKLERS YESQ^ NOj 1 YES| 1NO| 1 YES| |NO| | Primary Contact //1-' VST^ ^^6^/^ PROPERTYOWNER ADDRESS ^ yi .y H^ty^T^t/^ ^Y AOORESS CITY STATE ZIP 779^^91^ nx i FAX PHONE FAX ''Tf/'^Mf ^ <^Sye/^^^t/^/f/Ay€:/yt^C.Co/^ EMAIL DESION PROFESSIONAL CONTRACTOR BUS.NAME J^'i-i^M»/^ (, ADDRESS ADDRESS J, <^^$ Miu^T^^^ y^Y CITY STATE ZIP CITY ^ STATE _2IP 'Z PHONE FAX PHONE ^ , EMAIL STATE uc. # STATEUC* CLASS y CnYBUS.UC.# ^ ^ (S«c. 7031.5 Business and Professions Code: Any City or County wliich requires a permitto construct alter, improve, demolisti or repair any structure, prior to its issuance, also requires the applicant for such permit to file a siaied statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commenaing with Section 7000 of Division 3 of the Business and Professions Code) or uiat he is exemot therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects Uie applicant to a civil penalty of not more than five hundred doiiars ($500)). lOITKBRS- COMPEIMSATIOIvr Worksfs'Coinpensation Oedaratton; //wsty afflrm uxfar pein^ o^pai/uy OfW of ttie 1^^ PI have and will maintain a caitlficata of consent to selHnsurs for vnrtiers' compensatian as provided by Section 37(X) of lhe Labor Code, for the performance of the woiit (or which this permit is Issued, fnavt and will riMlntaln workan'eompanaatloR, as required bv Saction 37IX) of the Labor Cods, fiy th^ /-fAA<A^^ /AyS PolicyNo. Expiration Dale "/Ar ft nuniber aie: Insurancs Co.. Tjijs section need not be compleled If (he pemiit Is for one hundied doHats ($1(X)) or less. [_J Cartiltcatt of Exemptfon: I certliy that In the perfcrnnnoe of the work for which Ihis penM CaUfomia WARNINO: Failure to secura workan' compensation coverags Is unlawful, and shall subjsct an employer to criminal penaltiss and civil lines up to one hundred thousand dollare (t100,000). In addition to ths cost of compensation, damagM as providsd for In SKtfop 3706 of the Labor cods, Intsrsst and attorney's fees. CONTRACTOR SIONATURE /yJyiyU^ /^^/^^ •AGENT DATE '^/X 2y j / ^ iMfMEir-BUILOEir OECLAIIATION* ' hsrebir alfinn lhaf / am exempt Ihm Conlrscfor's Ucense Law ibr Ifie Ibllowfng reaaon: I I I, as ownsr of the property or my emptoyees vrilh vrages as Iheir sole compensatkin, will do the woik and Ihe Ucense Law does not apply to an ovvner of property who buUs or linproves thereon, and who does such work hImsM sale. If, however, the building or Impravsinent is sokt wilhin one year of campMton, Ihe owner-^ |~| I, as ownerof the pioperty, am exckoively contracling wilh Scansed contractors to construe tha project (Sea 7W^ property who buikis or Improves thereon, and contracts tor such projects wilh contractor(s) Ikxnsed pursuant to the Confr^^ f~] I am exempt under Sectkin Business and Professfons Code fof this reaaon: 1 I personaly plan to provkle tha major labor and materials tor constructton olthe pioposed propeity ImprovemenL I lYes r~lNo 2.1 (have / have not) signed an appitoatfon for a buikling pemiit for the proposed waik. 3.1 have conlracted with the folfowing person (firni) to provide Ihe proposed conslnxrlfon (inckxle name address / phone / contractors' Itoense number): 4,1 plan to provkle portfons of the work, but I have hired the Iblfowkig person to cooidinato, supenrise and pravkie the major wnk (kichjde name / address / phone / contractors' ltoense number): 5.1 WiH pmvkle some of the work, but I have contracted (hired) the loltowkig persons to provkle the work Indicatod (Inckide name / address / phone / type of wrk): >£$'PR0PERTY OWNER SIGNATURE •AGENT DATE m.mtHi'-TttMi^'tmey;tcitmiFo.tikt*am^ ftms taBH^tA^ mmhtittH<» t^Bttmtrm OH^tti.wi Is the applicani or luture building occupant required to submit a business plan, acutely hazardous materials regislration fbrm or risk management and prevention program under Sections 25505,25533 or 25534 of the Jpresley-Tanner Hazardous Substaxe Account Act? Yes No Is Ihe appiicant or future buiiding occupani required to obtain a pemiit from the air pollution control districi or air quality management district? Yes No Is the facility to be constaicted wittiin 1,000 feet of the outer boundary of a school site? Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTlFtCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRiCT I hereby affinm 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 f P if e AM T CERTIFI C A TI O 1^' I certify that I have read the appltoatton and state thatthe above Infomiatkin is conect and that the Infomiatton on the plans is accurate. 1 agree to complywith ail Cl^ ordinances and State laws relating to buikling consbuctton, I hereby auihorize reprBsentalive of the City of Carisbad to enter upon Hie above mentioned property for inspeclion purposes. I ALSO AGREE TO SAVE, INI3EMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID 007 IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA: An OSHA pennit is requined tor excavattons over 5'0' deep and demolitkxi or constnictton of stnictures over 3 stories in height. EXPIRATION: Every permit issued by the Buikling Oflicial under the pnovisions ofthis Code shall expire by limitatton and become null and void if the buikJing or work authonzed by such peimit is not commenced within 180 days Inim the date of such permit or if the buikling or vwrk authorized by such pemiit is suspended or abandoned at any time after the work is commenced for a perfod of 180 days (Sectton 106.4,4 Uniform Buitoing Code). ^APPUCANT'S SIGNATURE /\LfyyA ^^^^•''^^ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY If a Certificate of Occupancy will be requested at final inspection. C £ R r H\C A r E O ."^ occu C A ri C Y ( C O .H .n e r c 1 .1 I f o J I.- c t s i ! Fax (760) 602-8560, Email buildlnalScarlsbadca.QOV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDINQ ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT S BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAIL / FAX TO OTHER: ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB153114 Type: PME LA COSTA PALOMA-REPLACE WATER HEATER Date Inspection Item Inspector Act C^omjnents 10/01/2015 25 Water HeaterA/ents - Rl AM PLEASE 10/01/2015 25 Water HeaterA/ents PY AP 10/01/2015 29 Final Plumbing - Rl AM PLEASE 10/01/2015 29 Final Plumbing PY AP Monday, October 05, 2015 Page 1 of 1