HomeMy WebLinkAbout1925 Dove Ln; 306; CBR2018-1363; Permit{city of
Carlsbad
Residential Permit
Print Date: 06/18/2018 Permit No: CBR2018-1363
Job Address:
Permit Type:
Paree! No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
1925 Dove Ln, 306
BLDG-Residential
2131120700
$0.00
Work Class:
lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check #:
Plan Check#:
DOVE: REPLACE 50 GAL WATER HEATER FOR UNIT 306
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
888-243-5353
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 planning, 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 !imitation has previously otherwise expired.
Closed -Finaled
06/06/2018
06/06/2018
6/18/2018 11:19:59AM
$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 0BUILDING DFIRE 0HEALTH 0HAZMAT/APCD
Ccityof Building Permit Application Plan Check N(:Y)e:)t{Y-/-:Z ( /13
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Dt'POSit email: building@carlsbadca.gov
www.carlsbadca.gov Date'-• //,, / Jy lswPPP
JOB ADDRESS SUITE#/SPAC£#/UNITI APN 1925 Dove Lane unit 306, Carlsbad, CA 92009 unit# 306 ---
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME l CONSTR. TYPE 1 OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
replaced 50 gallon water heater for unit 306 at 1925 Dove Lane
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YESO, NOD vesONoO vesONoO
APPLICANT NAME Huyen Pham PROPERTY OWNER NAME CH Works ' Prtnaru Contact
ADDRESS ADDRESS
6876 Cibola Road 1953 Dove Lane
CITY STATE ZIP CITY STATE ZIP
San Dieao CA 92120 Carlsbad CA 92009
PHONE PHONE
619-699-9629 I FAX 619-924-4996 760-476-9860 IFAX 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
-----CITY STATE ZIP CITY STATE ZIP
San DieQo CA 92123 ... ------------------PHONE PHONE I FAX 619-699-9629 I FAX 619-924-4996 ------EMAIL EMAIL
hpham(@,csrplumbinginc.com ------I STATE UC. II STATE UC.# ICLASSC36 I Cl1YBUS8LOS1238369 982358
(Sec, 7031.5 Business and P_rofess1ons Code: Any City or Coun_ty which requires a permit to_construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such per_m1t to file a sij'(ned statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, comme_nding with Section 7000 of D1v1s1on 3 of the Business and Professions Code} or that he 1s exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars [$500)).
w ORK E'IU C ~·MIU! Ills A 'l'Ullll
Workers' Compensation Declaration: I hereby affirm under penaffy 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 Lat>or Code, for the performance of the work for which this permit is issued
[Z] I have and will maintain workers' compensation, as required bv 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 National Ins Policy No. SWC1149958 Expiration Date 4/2312019
This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 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 Jn Section 3706 of the Labor code, interest and attorney's fees.
A6 CONTRACTOR SIGNATURE Huyen Pham ,,;·":;~::,:;,:s;;-·· -• · , ___ ,--,--"' [ZJAGENT DATE 6/6/2018
OWIIIE'R•IIUII.DIIR DIICLARA'l'IOJII
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 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).
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. 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}:
,6$ PROPERTY OWNER SIGNATURE 0AGENT DATE
ls 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? Cl Yes Cl No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Cl Yes Cl No
Is the facility to be constructed within 1,000 feet Of the outer boundary of a school site? Cl Yes Cl No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR 1S MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT,
I certify that I have read the application and state that the above information Is correct and that the Information on the plans ls accurate, I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize rep""°ntative of the Cly o! Cailsbad to entarupon the above mentioned properly for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrTY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: An OSHA permit is required for excavations r:JJer 5'0' deep and demolition or construction of strucll.lres over 3 stories in height
EXPIRATION: Every permit 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 sudl permit is not commenced within
180 days from the date of sudl permit or if the building or work authorized by sudl permit is suspended or abandoned at any time after the work is commenced for a period of 180 days {Section 106.4.4 Uniform Building Code).
H Ph Dig,t,llys,goedb,Hu)""Ph,m
A5APPLICANT'SS1GNATURE uyen am ::.:,·;;;:-:::::,::::::~::0;'' DATE 6/6/2018 Date 201806061'·08.J0-01'00'
Permit Type:
Work Class:
Status:
Scheduled
Date
0611812018
June 18, 2018
PERMIT INSPECTION HISTORY REPORT (CBR2018-1363)
BLDG-Residential Application Date: 06/06/2018 Owner:
P/M/E Issue Date: 06/06/2018 Subdivision:
Closed -Finaled Expiration Date: 12/03/2018 Address:
IVR Number: 11806
Actual
Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
BLOG-25 Water
HeaterNents
061236-2018
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
061237-2018
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Scheduled Paul Burnette
COMMENTS
Passed Paul Burnette
COMMENTS
DOVE FAMILY HOUSING ASSCS
CARLSBAD TCT#99-03 LA COSTA
GREENS
1925 Dove Ln, 306
Carlsbad, CA 92009-4079
Re inspection
Passed
No
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Incomplete
Complete
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