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Home My WebLink About1925 Dove Ln; 206; CBR2019-1585; Permit(city of Carlsbad Residential Permit Print Date: 07/18/2019 Permit No: CBR2019-1585 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: WATER HEATER PERMIT Total Fees: $98.00 1925 Dove Ln, 206 BLOG-Residential 2131120700 $0.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig, Plan Check#: Plan Check#: CH WORKS: REPLACED 50 GAL WATER HEATER Owner: DOVE FAMILY HOUSING ASSCS Total Payments To Date: P/M/E $98.00 Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Contractor: CSR PLUMBING INC 7525 Mission Gorge Rd SAN DIEGO, CA 92120 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 limitation has previously otherwise expired. Closed -Finaled 06/19/2019 06/19/2019 7/18/2019 4:21:28PM $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: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMA T/APCD C'cityor Building Permit Application Plan Check No. GB~ -l 5 ~ 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 (Q-\C'l-1&\ lswPPP JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 1925 Dove Lane unit 206, Carlsbad, CA 92009 unit# 206 --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I acc. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replaced 50 gallon water heater for unit 206 at 1925 Dove Lane EXISTING USE I PROPOSED USE l GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING l FIRE SPRINKLERS YESD NO□ YES □NO □ YES□ NO□ APPLICANT NAME Huyen Pham PROPERTY OWNER NAME CH Works PrlnaN Contact ADDRESS ADDRESS 7525 Mission Gorge Road, Suite A 1953 Dove Lane CITY STATE ZIP CITY STATE ZIP San Die!lo CA 92120 Carlsbad CA 92009 PHONE PHONE 888-243-5353 I FAX 619-924-4996 760-476-9860 IFAX 760-476-9638 EMAIL EMAIL info@csrplumbinginc.com manager.lacostapaloma@chworks.net DESIGN PROFESSIONAL CONmACTOR BUS. NAME CSR Plumbina. Inc. ADDRESS ADDRESS 7525 Mission Gorge Road, Suite A CITY STATE ZIP CITY STATE ZIP San Dieao CA 92120 PHONE PHONE I FAX 888-243-5353 I FAX 619-924-4996 EMAIL EMAIL info(.@,csrplumbinginc.com ~ I STATE LIC. # STATE LIC.# l CLASS I CITY BUSBLOS 1238369 982358 C36 (Sec: 7031.5 Business and P,rofessions Code: Any City or County which requires a permit to_construct. alter, improve, demolish or repair any structure, p_rior to its issuance, also requires the applicant for such per_mIt 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 [hat he Is exempt 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)). WORKli'RS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations· 0 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. [l] 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 National Insurance Company Policy No SWC1233789 Expiration Date 4123/2020 This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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 Calrtornia. 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. ,i6 CONTRACTOR SIGNATURE Huyen Pham :.".'.'C:::,,,C".';::,C.~., •• ,,. __ -__ .,, [ZIAGENT DATE 6/19/2019 OWNl!R-BUILDl!i'R DECLARATION I hereby affirm that I am exempf from Contractor's License Law for the following reason: □ □ □ 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 himse~ 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 Oo 2. I {have/ 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/ contractors' license number): 4. I plan to provide portions of the wor!(, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone / contractors' license number)· 5. I will provide some of the work, but I ha~e contracted (hired) the following persons to provide the work indicated (include name/ address/ phone / type of work): ,i6 PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON•Rl!SIDENTIAL BUILDING 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? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes D No tf 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 I have read the application and state that the above lnfonnation is correct and that the infonnatlon on the plans is accurate. I agree to comply with all City oKlinanc:es and State laws relating to building construction. I hereby authorize representative of lhe C!y of Carlsbad lo enter upon lhe abcwe mentioned property for inspeciion purposes. I ALSO AGREE TO SAVE, INDEf.tllFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: Ari OSHA permit is requred for excavations CNer 5'0' deep and cleroolition or construction of structures over 3 stories in heighl EXPIRATION: Every permit issued by lhe Building Official under the pl'CM:Sions of !his Code shall expire by limitation and become null ood void W lhe building or v«>rk authorized by such penm is not commenced within 180 days from !he date of such permit or if the building orv«>rk authorized by such permit is suspended or abandoned at any time after the v«>rk is commenced for a pefkx:I of 180 days (Sectm 106.4.4 Uniform Buildilg Code). Ph o,g;t,l11,'9"""biHuyonPham A!A••ucANT'ss10NATURE Huyen am :,7.;::~..:::;:;::::.::,::~,·~·· DATE 6/19/2019 Da!oc>Ol9.06.1912,14o%•0700 PERMIT INSPECTION HISTORY REPORT (CBR2019-1585) Permit Type: Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 06/19/2019 Issue Date: 06/19/2019 Expiration Date: 12/16/2019 IVR Number: 19868 Inspection No. Inspection Status 07(1812019 07/18/2019 BLDG-25 Water HeaterNents 097939-2019 Passed July 18, 2019 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 097940-2019 Checklist Item BLOG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed COMMENTS Owner: DOVE FAMILY HOUSING ASSCS Subdivision: CARLSBAD TCT#99-03 LA COSTA GREENS Address: 1925 Dove Ln, 206 Carlsbad, CA 92009-4079 Primary Inspector Reinspection Complete System Administrator Complete Passed No System Administrator Complete Passed No No No No No Page 1 of 1