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HomeMy WebLinkAbout1925 Dove Ln; 203; CBR2018-1297; Permit(City of Carlsbad Residential Permit Print Dafe: 06/18/2018 Permit No: CBR2018-1297 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 1925 Dove Ln, 203 BLDG-Residential 2131120700 $0.00 I Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: DOVE: REPlACE 40 GAL WATER HEATER Owner: DOVE FAMILY HOUSING ASSCS WATER HEATER -PLUMBING, ELECTRICAL, MECHANICAL Total Fees: $98.00 Total Payments To Date: P/M/E $98.00 Status: Applied: Issued: Permit Fina led: Inspector: Final Inspection: Contractor: CSR PLUMBING INC 8985 Haveteur Way San Diego, CA 92123-2316 88n43.5353 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 information 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 attack, 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 plannlng, 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Closed -Finaled 05/31/2018 05/31/2018 6/18/2018 11:27:07 AM $98.00 $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILD1NG OFIRE 0HEALTH D HAZMAT/APCD Plan Check No.('1,y;;-. J!A+ {'city of Building Permit Application "111 ' 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date S--31-/{:/. /swPPP JOB ADDRESS SUITE#/SPACEfi/UNIT# IAPN 1925 Dove Lane unit 203, Carlsbad, CA 92009 unit# 203 --- CT/PROJECT# I LOT# l PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NounE I CONSTR. TYPE I DCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replaced 40 gallon water heater for unit 203 at 1925 Dove Lane EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YESO NoCJ vesONoO vesONoO APPLICANT NAME Huyen Pham PROPERTY OWNER NAME CH Works P•1n--· Conta...t ADDRESS ADDRESS 6876 Cibola Road 1953 Dove Lane CITY STATE ZIP CITY STATE ZIP San Dieao CA 92120 Carlsbad CA 92009 PHONE I FAX PHONE !FAX 619-699-9629 619-924-4996 760-476-9860 760-476-9638 EMAIL EMAIL hpham@csrplumbinginc.com manager.lacostapaloma@chworks.net DESIGN PROFESSIONAL CONTRACTOR BUS. NAME CSR Plumbina. Inc. ----------------------·------~ ADDRESS ------------------------------ ADDRESS 8985 Haveteur Way ~----------------------------------·-----------STATE ZIP CITY STATE ZIP San Dieao CA 92123 --· ------------------~ ------------r_ PHONE -L PHONE 619-699-9629 619-924-4996 EM~--------------------EMA1-,-----~ hpham(@,csrplumbinginc.com -----------------1 TELIC.H ---- ~ELIC.# -982358 IC3611YBUS8LOS1238369 - (Sec. 7031.5 Business and P_rofess1ons Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, p_nor to its issuance, also requires the applicant for such per.mil to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License LawJChapter 9, commending with Section 7000 of D1Vis1on 3 of the B_usmess and Professions Code} or that he IS exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 by any applicant for a permit subJects the applicant to a c1v1I penalty of not more than five hundred dollars ($500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations· D I 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. [{] I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. --Security ~ati~!( ln_s__ ----· ·-Policy No. SWC1149958 Expiration Date 412312019 ~section need not be completed if the permit is for one hundred dollars ($100) or less LJ Certificate of Exemption: I certify that in the performance 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, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees . .@S' CONTRACTOR SIGNATURE H uyen Pham t::::;,;:::;,~ _,. ···-0""-""' 0 '•··-· 0 AGENT DATE 5/30/2018 0 W NE R • II U IL DI! R DI! CLAR A Tl O 1\1 I hereby affirm that I am exempt from Contractor's License Law for the following reason D D D I, as owner of the property or my employees with wages as their sole compensation, will 00 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). 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 lo 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. 0Yes 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)· ,85 PROPERTY OWNER SIGNATURE 0AGENT DATE I i I C'OMPLl!''l'II 'l'HU S1!'C:'l'ION FOR IIION•Rl!'SIPEN'l'IAL l'UILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes o No Is the facility to be constructed within 1,000 feel of ttie outer boundary of a school site? D Yes D No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that l have read the application and state that the above infonnatlon is oorrectand that the lnfonnatlon on the plans Is accurate. I agree to oomply with all City ordinances and Staie laws relating to building oonstruction. I hereby authonze '"!lresenlalive of the Cify of Carlsbad to enter upon the-. mentioned properfy for inspeclon purposes. I ALSO AGREE TO SAVE, INDE~IFY 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 permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in hE!ghl EXPIRATION: Every pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become nui and void ff the building or work authoozed by such pennit is not commenced within 180 days from the date of such permit or ff the builcfng oc work authorized by such permit is suspended oc abandoned at any time after the work is commenced for a period of 180 days (Secb'l 106.4.4 Unifoon Building Code). h Digitally ,lgned by Huyen Pham ""' H uyen p am DN.rn=HuyenPham.=SRPlumblng,lnc.,ou ,co APPLICANT'S SIGNATURE •m•"""""'m~"''"m°'"''"''"m.<cCS DATE 5/30/2018 Date' 2018.05.30 15.3U2 -07'00' ' , ,c , ,.; Pl;RMIT INSPECTION,HISTORY ~EPOR'!; J~BR2018·1~,9!) Pl!rrnit Type: Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 05/31/2018 lssue Date: 05/31/2018 Expiration Date: 12/17/2018 IVR Number: 11694 Inspection No. Inspection Status 06118/2018 06118/2018 BLDG-26 Water HeaterNents 061244-2018 Passed June 18, 2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 061245-2018 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Paul Burnette Paul Burnette DOVE FAMILY HOUSING ASSCS CARLSBAD TCT#99-03 LA COSTA GREENS 1925 Dove Ln, 203 Carlsbad, CA 92009-4079 Re inspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1