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Home My WebLink About1925 DOVE LN; 108; CB160789; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbin!g/Mechanicai/Eiectrical (PME) Permit 02-29-2016 Permit No: CB160789 Buildin9 Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 1925 DOVE LN CBAD St: 1 08 PME 2131120700 Status: Lot#: 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: ft\. ~~ FINAL APPIROVAL Date: o~/ 0 1 lro Clearance: $0.00 NOTICE: Please take NonCE that approval of your project includes the "lrrpcsition'' of fees, dedicatiCXlS, reservatioos, or other exactioos hereafter oollectively referred to as "feeslexactioos." You have 00 days frorn the date this pemit \J\aS issued to protest irrpcsition of these feeslexactioos. If you protest then'\ you must fallON the protest procedures set forth in C?ovemreni: Code Section 66020(a), and file the protest and any other required inforrration wth the 0~11\i'anager for processing in aaxrdanoe wth Carlsbad M.lnidpal Ccxle Section 3.32. 030. Failure to tirrely fallON that prooodure wll bar any subsequent legal action to attack, review, set aside, void, or annul their irrpcsition. You are herei:Jy FLRTHER Non RED that your right to protest the sj:edfied feeslexactioos ca::s Nor APPLY to water and SEMer CXJnnection fees and capacity dlanges, nor planning, zoning, grading or other sinilar application prcx::essing or servioe fees in CXJnnection wth this prcject. NOR OCJES IT APPlY to any feeslexactiCXlS of W"!ich vou have oreviouslv been civen a NonCE sinilar to this or as to \1\hich the statute of linitatioos has oreviouslv othenMse eXPired. lrt;E rOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING lSleuJLDING OFIRE OHEALTH 0HAZMAT/APCD Biuilding Permit Application Plan Check No. CBfb. 078q 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. Deposit www.carlsbadca.gov Date f; 1) 2-~Jfl.h t~II'JPPP ·-··--~·---- JOB ADDRESS 0 .. 1q2s ove LCLne SUITEII/SPACE#/UNIT# -:tt. JQ8 rPN --- CT /PROJECT # I LOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME rONSTR. TYPE 1 occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected ArE>a(s) Re.move. ~ ~p\o.A....t u..:::cu-e_,.... \-t:.o ..... tt[ EXISTING USE I PROPOSED USE ., GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE II AIH CONDITIONING •I FIRE SPRINKLERS YEsO NoD YEs ONo O YESO NoD APPLICANT NAME ~ .. • Primary Contact .\ /\Y\\'""\C\. ()1 C C\ 0. Vt PROPERTY OWNER Cbn .. a.,/} ) -u n PVCf1li rtc 1- ADDRESS p ADDRESS /GfS~ {)ov-e, LCtYL~ (J .o IDDY:. \I,S?.J CITYVi~-tn s(;¥-1 Cf·2.-Ct)s-CITY STATE ZIP G:;c_,VISbc~ CA Cf20o9 PHONE I FAX PHONE 1FAX 1\.CO ·1 6~ L.fG{ OD l<.oO CjL.fO lq~:=t. liJ)O-Lfl(,-,-Cf'l;;(J)U luo -41(.£)--CJ~61.J dll ~ '-e':O.VIVL cOcUnot'l·ncc:. ... :.IYY~ ., ..-1. 0 urY\k:::>·~~-ca EMAIL DESIGN PROFESSIONAL -... CONTRACTOR BUS. NAME noAYI c n JVrt-01 PI orYt_d ~~ ADDRESS ADDRESS p ~)(_ \\Sa (.,J !} .o CITY STATE ZIP CITY V1~i-G\ STATf:\ ZIP C] 2...02::is-0 PHONE I FAX PHONE • I FAX 1 uD ""16 ~ L..f-C1CO ll.C() Cf4'0 I "'-1 S-=1· EMAIL c:r eaY1na ci:Jnot~\tl CW~t \0\umld 1101. cern I STATE LIC. # STATE LIC.# jcC&_oo] CITY BUS. UC.# IJ lt?S:l \ <::-:=::f- (Sec. 7031.5 Busmess and ProfessiOns Code: Any City or County which requ1res a perm1t to construct, alter, tmprove, demolish or repatr any structure, pnor to 1ts 1ssuance, 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 p.erjury one of the following declaraffons: .r:J 1 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 for which this permit is issued. ~have and will maintain wo ers' com_pe?sation: as. Quired by Section 3700 of the Latyr, Code, far the performance ofth~ work for which t~ permit is issued. My workers' (;ompensation insurance carrier and policy numberare:lnsuranceCo. 0/(JU · Wl.i) )({J.X]QQ<...O. PolicyNo.f1CLuC'lCL'[:;{Y4 ExpirationDate 2/11/2d+ -This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 Certificate of Exemption: 1 certify that in the perfonnance of the work for which this permit is 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 compensation, as provided for in Se•;tion 3706 of the Labor code, interest and attorney's fees. Ji'5 CONTRACTOR SIGNATURE ~-· I hereby affinn that I am exempt from Contractor's Ucense Law for the following reason: 0 I, as owner of the property or my employees with wages as their sol•l compensation, will do the work and the structure is not intended or offered for 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 one 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 1. 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 permit for 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. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): Ji'5 PROPERTY OWNER SIGNATURE 0AGENT DATE I certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon th1l above mentioned property for inspection purposes.! 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 OFTHE GRANTING OF ·cHIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Eve!)' penn it issued by the Building Official under the pro1isions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit · building ori'IQrk authorized by such permit is suspended or abandoned at any lime after the I'IQrk is commenced for a period of 180 da~rs (Section 106.4.4 Uniform Building Code). ~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 Fax (760) 602-8560, Email building@carlsbadCc!..flQ.V 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. DEI.IVE~Y 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/ NO CONSTRUCTION ./6 APPLICANT'S SIGNATURE DATE I pecti Permit#: CB160789 Type: PME Date __ _!rl_sp~!i~_~_!!~m~-----~ 03/01/2016 25 Water HeaterNents 03/01/2016 25 Water HeaterNents 03/01/2016 29 Final Plumbing 03/01/2016 29 Final Plumbing Tuesday, March 01, 2016 Inspector MC MC Act Rl AP Rl Fl LA COSTA PALOMA: REPLACE WATER HEATER Comments Page 1 of 1