HomeMy WebLinkAbout1925 DOVE LN; 213; CB160787; PermitCity of Carlsbad
'1635 Faraday Av Carlsbad, CA 92008
Plumbin!~/Mechanicai/Eiectrical (PM E) Permit
02-29-2016 Permit No: CB160787
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
1925 DOVE LN CBAD St: 213
PME
2131120700 Lot#:
Status:
0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: LA COSTA PALOMA: REPLACE WATER
HEATER
Applicant:
NORTH COUNTY PLUMBING
P 0 BOX 1758
VISTA CA 92085
760 735-4900
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
DOVE FAMILY HOUSING ASSCS
1820 S ESCONDIDO BLVD #101
ESCONDIDO CA 92025
ISSUED
02/29/2016
JMA
02/29/2016
02/29/2016
$38.00
$0.00
$0.00
$60.00
$98.00
Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due:
Inspector: fV!. ~< FINAL A~PRf?YAL
Date: 07. ll4Jib Clearance:
$0.00
NOTlCE Please take N011CE that approval of ycur project includes the "lrrp::sition" of fees, cledcations, reservatioos, or other exactions hereafter rollectively
referred to as "fee'>' exactions." You rave 00 days from the date this penrit WciS issued to protest irrp:JSition of these fee'>' exactions. If you protest !tan, you rrust
foil ON the protest procedures set forth in Goverrmant Code Section 66020(a), ard file the protest and any other required inforrration wth the Oty Mmagerfor
processing in aa;orc:Janrewth Carlsbad IVI..inidpal Code Section 3.32030. FailuretotirrelyfoiiONthat procedure ~Mil bar anysutsequent legal action to attack,
reilw, set aside, void, or annul their irrpcsition.
You are hereby FLRTHER NOn RED that your rifJht to p-otest the specified fee'>' exactions IXlES Nor APPLY to water ard ~ ronnection fees ard capocity
changes, nor planning, zoning, grading or other sirrilar application processing or service fees in ronnection wth this project. NOR IXlES IT APPLY to any
fee'>' exactions of vvhich vou have oreviouslv been aiven a NOTlCE sirrilar to Ins or as to \1\Mich the statute of !irritations has oreviouslv othet'vlise exr:ired.
IT•;e t:oLLowtNG APPROVALs REautREo PRIOR ro PERMIT IssuANcE: 0PLANNING 0ENGINEERING ts!..BUILDING OFIRE 0HEALTH 0HAZMATIAPCD
Building Permit Application Plan Check No. C-6\~. 0781
'1635 Faraday Ave., Carlsbad, CA 92008 Est. Value CITY OF Ph: 760-602-2719 Fax: 760-602-8558
CARLSBAD email: building@carlsbadca.gov Plan Ck. DepOfit
www.carlsbadca.gov Date Zl z~ II Ia jsw~~': ····--·
JOB ADDRESS I q 41 Oove Lcu\e SUITEI!/SPACE#/UNIT# rPN -:\:t. 2.J 3 ---._ -.. -CT/PROJECT # 'LOT# 'PHASE# r OF UNITS
1
# BEDROOMS #BATHROOMS lTENANT BUSINESS NAME l coNsTR. TYPE I ace. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected ArE•a(s)
~move.. ~ ~p\cvu.. L,(Cl.:te-v'" \-t:c.t .. :\-t.[
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE riR CONDITIONING rRE SPRINKLERS
YESO. NoD YES0No0 YESONoO
APPLICANT NAME IJ::::c (y . -'£ Primary Contact .\ .\Y\\rv:\ ') C (JC\ \,/ PROPERTY OWNER Con --ccv1n PruJ1 rttA-
ADDRESS p .0 tOO)(. \\S?)
ADDRESS (CfS'b Qr_; v -e, LCU'LQ.. !.J
CITY /' ~ · \; 12>\'a. s~¥:\ Cf·:z._cn~ CITY w J..OI uriS be STATE CA ZIP · q20o'l
PHONE I FAX PHONE
rAX I (CO\ 6~ -L-j-C{ OD l<..oO· qLfO l£t£;'~ .. 1 (J!o-Ltl ({'}-Cfvwo luo .... 4/UJ .... Clw61.J
diL ;) ·-co.nn cw nof\·hCCLYY\"lA pl ufY\k::>·~~·Cd' EMAIL
DESIGN PROFESSIONAL ·~ CONTRACTOR BUS. NAME noAy, (OLJ{tt-u PI orYHd 1'"\J'i
ADDRESS ADDRESS p ~~ IISB
(.,J a .o
CITY STATE ZIP CITY Vl2:>T<:A sotc4 ZIP a, 2...02:1s-
PHONE rAX PHONE . !FAX IU-D "\6S £.fUiOO ll.O() CjLft} l.c:.j £~-
EMAIL c:r eon\'\ a cDr\of\-Vl CWVlt'vt ¥Jiumtoll'la-1. cam
ISTATELIC. # STATE LIC.# I c~ o j CITY sus. uc.# iJ lt?CC::?\ \ ~-::;-
(Sec. 7031.5 Busmess and Professions Code: Any C1ty or County wh1ch requ1res a permit to construct, alter, Improve, demolish or repa1r any structure, pnor to 1ts Issuance, also reqwres 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 the Business 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 a civil penalty of not more than five hundred dollars {$500)). ·
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: J::! l have 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 tor which this permit is issued. lafr have and will maintain w~ers' compe~satlon. as ~rouired by Section 3700 o~J!;J+a'¥,Code, tor the performance of th~ work for which t~ permit is issued. My workers' compensation insurance carrier and policy
numberare:lnsuranceCo.f \Of uuaro IVtbt )(Q..\1~ <....0. PolicyNo.f1CLuC"lCL.~ Expiration Date '2/ I I /2d4-
This section need not be completed if the permit is for one hundred dollars {$1 00) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permitis issued, I shall 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 {&100,000), in
addition to the cost of as provided for in Section 3706 of the Labor code, interest and attorney's fees.
,2S CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the foffowing reason: 0 I, 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 tor 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 onn year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
D
D
I, 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).
I am exempt under Section Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes 0No
2. I (have I have not) signed an application for a building rwmit tor the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. 1 plan to provide portions of the work, but I have hired th,e following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number):
5. 1 will provide some of the work, but I have contracted (hilred) the following persons to provide the work indicated (include name I address I phone I type of work):
~PROPERlY OWNER SIGNt>.TURE DATE
I certify that! have read the application and state that the above infonnation is correct and that the infonnationon the plans is accumte.l agree to comply with all City ordinances and Stare laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon th1~ above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF 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 penn it is required for excavations over 5'0' deep and demolition or oonstruction of structures over 3 stories in height
EXPIRATION: Every penni! issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such penni! is not commenced ~thin
180 days from the date of such penni! · orWJrk authorized by such penni! is suspended or abandoned at any time afierthe work is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code).
,2$ APPLICANT'S SIGNATURE DATE 2_ 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.
CERTIFICATE Of OCCUPANCY I Commercial Projects 0 nly)
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.
I CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICKUP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1) NO CHANGE IN USE I NO CONSTRUCTION
MAIL I FAX TO OTHER: CHANGE OF USE I NO CONSTRUCTION
25 APPLICANT'S SIGNATURE DATE
lnspecti n
Permit#: CB160787 Type: PME
Date ln!)_pection Item
07/14/2016 25 Water HeaterNents
07/14/2016 25 Water HeaterNents
07/14/2016 29 Final Plumbing
07/14/2016 29 Final Plumbing
03/01/2016 25 Water HeaterNents
03/01/2016 29 Final Plumbing
Inspector
MC
MC
MC
MC
Act
Rl
AP
Rl
Fl
NR
NR
LA COSTA PALOMA: REPLACE WATER
HEATER
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