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Home My WebLink About1929 DOVE LN; 203; CB151085; Permit04-10-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI 51085 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1929 DOVE LN CBAD St: PME 2131120700 203 Lot #: LA COSTA PALOMA HOA-REPLACE WATER HEATER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/10/2015 RMA 04/10/2015 04/10/2015 Applicant: CSR PLUMBING, INC 8985 HAVETEUR WAY SAN DIEGO CA 92123-2316 619-699-9629 Owner: DOVE FAMILY HOUSING ASSCS 1820 S ESCONDIDO BLVD #101 ESCONDIDO CA 92025 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $35.00 $0.00 $0.00 $60.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." 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 IVIanager for processing in accordance with Carlsbad IVIunicipal 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 vou have oreviouslv been given a NOTICE similar to this, or as to which the statute ot limitations has oreviouslv otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: nPLANNlNG •ENGINEERING OBUILDING QFIRE nHEALTH nHAZMAT/APCD ^ City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Value I ^,Plan Ck. Depos^ Ml Pate ^/r^/K SWPPP JOB ADDRESS _ M2(^ (J^iV^ SUITE«/SPACE*/UNIT* APN - CT/PROJECT # LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected >lrears; EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESr~> N0| I AIR CONDITIONING YES QNO I I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact PROPERTY OWNER ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE PHONE FAX EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY -STATE ZIP PHONE FAX PHONE EMAIL EMAIL ,^ STATE LIC. # CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County 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 ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code] orfnat he is exempttherefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permitsubjects the applicant to a civil penally of not more than five hundred dollars ($500)). .m.aUKMRS- COM i>iN SATION Workers' Compensation Declaration: / hereby affimi under penalty of peijury one ofthe following declarations: EZ I have and will maintain a certificate of consent to seif-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pemiit is issued. I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the uock for which this permit is issued. My workers' compensation insurance earner and policy number are: Insurance Co. M/\i\/MX M/^ . Policy No. 'f('jC5(Pj*^ ~ 1^ Expiration Date tjf/?^^^/^ This section need not be completed if the permit is for one hundred dollars ($100) or less. [^Certificate of Exemption: I certify that in the perfomiance of the worii for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of Califomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civii 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 attomey's fees. /gf CONTRACTOR SIGNATURE /f^'T_-~-^ • AGENT DATE / /lerefty affirm that I am exempt from Contractor's Ucense Law for the following reason: I I 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 I I, as owner of the property, am exclusively contracting with licensed contractors to constaict 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 I I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. QVes I iNo 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted with the following person (fimn) to provide the proposed constniction (include name address / phone / contrxtors' license number): 4.1 plan to provide portions of the wori(, but I have hired the following person to coonlinate, supervise and provide the major worit (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the wori( indicated (indude name / address / phone / type of wori<): >eirPROPERTY OWNER SIGNATURE QAGENT DATE COMPLETE THIS SECTION FOR N O N - R E S I D E N T i A L 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. |;|o.ll|^TR,UlCTION LmriOtUG AGENCY I hereby affirm ttiat there is a construction lending agency for the perfonnance of the work this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address •AP;i»l.lCANT CERTIFICATION I cettiiy that I have read the application and stale tM the ab(we information is conect and that the Info I hereby authorize representative ofthe City of Carisbad to enter upon the above menttoned property for inspectton purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CHY IN CONSEQUENCE OF THE GRANTING OF THIS PERMff. OSHA: An OSHA pemiit is required for excavations over 5'0' deep and demolition or constmction of stmctures over 3 stories in height. EXPIF!ATION: Every permit 'Esued by the Building Oflicial under the provisbns of this Code shall expire by limitation and become null and void ff the building or vrorit authorized by such permit is not commenced within 180 days Irom the date of such pemiit or if the building or v«rt( authorized by such pemiit is suspended or abandoned at any time after the vw)rt< is commenced for a period of 180 days (Sectton 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildina(aicai1sbadca.qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAIVIE ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION vg?APPLICANTS SIGNATURE DATE Inspection List Permit*: CB151085 Type: PME LA COSTA PALOMA HOA-REPLACE WATER HEATER Date Inspection Item Inspector Act Comments 04/22/2015 25 Water Heater/Vents - Rl 04/22/2015 29 Final Plumbing - Rl 04/21/2015 25 Water HeaterA/ents MC AP 04/21/2015 29 Final Plumbing MC Fl Wednesday, April 22, 2015 Page 1 of 1