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Home My WebLink About1925 Dove Ln; 212; CBR2019-2023; PermitPrint Date: 11/19/2019 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1925 Dove Ln, 212 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, LIKE FOR LIKE Owner: DOVE FAMILY HOUSING ASSCS WATER HEATER PERMIT Total Fees: $98.00 Total Payments To Date: $98.00 ( City of Carlsbad Permit No: CBR2019-2023 Status: Applied: Issued: Permit Finaled: Inspector: Final Closed -Finaled 08/01/2019 08/01/2019 Inspection: 11/19/2019 3:58:24Pr 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-cJ3yZ:;i.O( Cj -::Jr--...')"'-, 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<;</, /JCj lswPPP JOB ADDRESS SUITEf/SPACEI/UNIT# lAPN 1925 Dove Lane unit 212, Carlsbad, CA 92009 unit# 212 --- CT/PROJECT# ILOT# 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 40 gallon water heater for unit 212 at 1925 Dove Lane EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE !AIR CONDITIONING I FIRE SPRINKLERS YESO NoCJ YES □No □ YES □No□ APPLICANT NAME Huyen Pham PROPERTY OWNER NAME CH Works Prtnarv Con --~ ADDRESS ADDRESS 7525 Mission Gorge Road, Suite A 1953 Dove Lane CITY STATE ZIP CITY STATE ZIP San DieQo CA 92120 Carlsbad CA 92009 PHONE I FAX PHONE I FAX 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 PlumbinQ, Inc. ADDRESS ADDRESS 7525 Mission Gorge Road, Suite A CITY-STATE ZIP -CITY STATE ZIP San DieQo CA 92120 PHONE-I FAX PHONE IFAX 888-243-5353 619-924-4996 EMAIL EMAIL info@csrplumbinginc.com I STATE UC.# STATE LIC.# ICLASSC36 I CITY BUSBLOS1238369 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, prior to its issuance, also requires 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 Wortl.era' 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 -- [Z] I have and will maintain wortl.ers' 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 Insurance Company Policy No. SWC1233789 Expiration Date 4/2312020 ~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 upto one hundred thousand dollars (&100,000), In addition to the cost of compen1ation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ,,,,, Huyen Pham ~::',~:::~,::-~_,. __ ,, __ ,,,,., • .,. -4.l CONTRACTOR SIGNATURE ;,!,.,..,,..,.,,,...,.00 (Z]AGENT DATE 07/31/2019 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt 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 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 Oo 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the folk>wing person (firm) to provide the proposed construction (include name address I phone/ contra::tors' license number): 4. I plan to provide portions of the worll, 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): 8f PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON•RESIDENTIAL 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 □ 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. r hereby affinn that there 1s a construction lending agency for the performance of the work this pem11t 1s issued (Sec 3097 (1) C1v1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above information Is correct and that the information on the plans Is accurate. I agree to comply with all Cltyordlnances and State laws relating to bulldlng construction. I hereby au~Olize represenlalive of ~e Cly of C'"1sbad to enter upon ~e above mentioned prnper1y for inspection purposes. 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 CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennit is requred for excavations over 5'0' deep and demolition or construction of structures over 3 stories in he.Jht EXPIRATION: Eveiy pennit 6Slled by the Building Official under the provisions of this Gode shall expire by Imitation and become null and void if the buildilg or INOO( authorized by such pennit is not commenced Vfflhin 180 days mn the date of such perrm or if the building or work aulhclized by such pennit is suspended or abaldoned at any time after the work is commeoced fa' a period of 180 days (Section 106.4.4 Uniform Buildilg Code). Ph Dl9;1•lly,l9nedbyHuy,,nPham _,, APPLICANT"s sIONATURE H uyen am '"•'"""""""···c"""'··0 ·"•··"'·""· ,IC.:, ;::;";::::;;,':;;";~:•,;;:~• '""' DATE 07 /31 /2019 PERMIT INSPECTION HISTORY REPORT (CBR2019-2023) Permit Type: BLDG-Residential Application Date: 08/01/2019 Owner: Work Class: P/M/E Issue Date: 08/01/2019 Subdivision: Status: Closed -Finaled Expiration Date: 05/18/2020 Address: IVR Number: 20722 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 11/18/2019 11/18/2019 BLDG-25 Water HeaterNents 111095-2019 11/19/2019 11/19/2019 BLDG-Final Inspection November 19, 2019 Checklist Item BLDG-Building Deficiency 111568-2019 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, 212 Carlsbad, CA 92009-4079 Reinspection Passed No Passed No. No No No No Complete Complete Complete Page 1 of 1