HomeMy WebLinkAbout1925 Dove Ln; 213; CBR2019-2008; PermitPrint Date: 11/19/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1925 Dove Ln, 213
BLDG-Residential
2131120700
$0.00
Residential Permit
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: DOVE: REPLACE WATER HEATER
Owner:
DOVE FAMILY HOUSING ASSCS
WATER HEATER PERMIT
Total Fees: $98.00 Total Payments To Date: $98.00
(city of
Carlsbad
Permit No: CBR2019-2008
Status:
Applied:
Issued:
Permit
Fina led:
Inspector:
Final
Closed -Finaled
07/31/2019
07/31/2019
Inspection: 11/19/2019 3:58:15Pr
Contractor:
CSR PLUMBING INC
7525 Mission Gorge Rd
SAN DIEGO, CA 92120
888-243-5353
Balance Due:
$98.00
$0.00
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.
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 HAZMAT/APCD
Ccityof
Building Permit Application Plan Check No.r ,qf], .:l r, I Cj' _ ~-r, ~
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Qeposlt email: building@carlsbadca.gov
www.carlsbadca.gov Date 7 J,7, 1 // '1' lswPPP
JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 1925 Dove Lane unit 213, Carlsbad, CA 92009 unit# 213 ---
CT/PROJECT# I LOT# l PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Replaced 40 gallon water heater for unit 213 at 1925 Dove Lane
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING ~ FIRE SPRINKLERS
YESO No0 YES □No□ YES □No□
APPLICANT NAME Huyen Pham PROPERTY OWNER NAME CH Works Prlna "on ·~
ADDRESS ADDRESS
7525 Mission Gorge Road, Suite A 1953 Dove Lane
CITY STATE ZIP CITY STATE ZIP
San Dieao CA 92120 Carlsbad CA 92009
PHONE I FAX PHONE IFAX 888-243-5353 619-924-4996 760-476-9860 760-476-9638
EMAIL EMAIL
info@csrplumbinginc.com manager.lacostapaloma@chworks.net
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME CSR Plumbina. Inc.
ADDRESS ADDRESS 7525 Mission Gorge Road, Suite A wv~-STATE ZIP CITY STATE ZIP
San Dieao CA 92120
PHONE I FAX PHONE I FAX 888-243-5353 619-924-4996
EMAIL EMAIL info@csrplumbinginc.com I STATE UC.# STATE UC.# ICLASSC36 I CITY BUSBLOS1238369 982358
(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_m1t to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law [Chapter 9, comme_ndmg with Section 7000 of Div1s1on 3 of the Business and Professions Code) or 01at he 1s exempttherefrom, and the basis for the alleged exemption. Any v1olat1on 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
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. 0 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 Compa~~ ____ Policy No. SWC1233789 Expiration Date 412312020
~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 .
.as coNTRACT0RsIGNATURE Huyen Pham
I hereby affirm that I am exempt from Contractors 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 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. OYes 0No
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/ phone/ 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/ phone/ 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/ type of work):
,a$ PROPERTY OWNER SIGNATURE □AGENT DATE
'
COMPLETI! THIS SECTION FOR NON•RBSIDENTIAL 8UILDING PBRMITS 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 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? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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.
CONSTRUCt'JON ~l!Nl:>JNG.AGENCY
I hereby affirm that there 1s a construction lend mg agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1v1I Code)
Lender's Name Lender's Address
APPLICANT Cl!RTIFICATIOI\I
I certify that I haw read the application and state that the above information Is oorrect and that the information oo the plans Is accurate. I agree to complyYlith all City ordinances and State laws relating to building construction.
I hereby authotize represenlative of the Ci~ of Garlsbad to enter upon the above mentioned propeny for ilspection pul])OSOS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILrTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT.
OSHA: An OSHA permit is required for excavations ewer 5'0' deep and demolition or consbuction of structures over 3 stories in height
EXPIRATION: Every permit issued by the Buikling Official under the pl'C>V6ions of thi.5 Code shall expire by limitation and becoo1e null and void if the buikling or'M)O( authorized by such permit i.5 not commenced v.ffllin
180 days from the date of such permit or !the bui~irg or wOl1< authorized by such permit• suspended or abandoned at any time after the wOl1< • commenced for a period of 180 days (Section 106.4.4 Unifonn Bui~"!I Code).
H Ph D!s't~''''"'°""'H"""""'m
A$APPLICANT'SSIGNATURE uyen am ~;e:,'i£fE~]t,~=~a!,":·00 DATE 07/30/2019
PERMIT INSPECTION HISTORY REPORT (CBR2019-2008)
Permit Type: BLDG-Residential Application Date: 07/31/2019 Owner:
Work Class: P/M/E Issue Date: 07/31/2019 Subdivision:
Status: Closed -Finaled Expiration Date: 05/18/2020 Address:
IVR Number: 20693
Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
11118/2019 11/1812019 BLDG-25 Water
HeaterNents
111096-2019
1111912019 1111912019 BLDG-Final
Inspection
November 19, 2019
Checklist Item
BLDG-Building Deficiency
111567-2019
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed Luke Storno
COMMENTS
Passed Luke Storno
COMMENTS
DOVE FAMILY HOUSING ASSCS
CARLSBAD TCT#99-03 LA COSTA
GREENS
1925 Dove Ln, 213
Carlsbad, CA 92009-4079
Reinspection Complete
Complete
Passed
No
Complete
Passed
No
No
No
No
No
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