HomeMy WebLinkAbout1929 Dove Ln; ; CBC2019-0260; Permit{'Cityof
Carlsbad
Commercial Permit
Print Date: 07/18/2019 Permit No: CBC2019-0260
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelllng Units:
Bedrooms:
1929 Dove Ln
BLDG-Commercial
2131120700
$0.00
Work Class:
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check #:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
05/31/2019
05/31/2019
Plan Check#:
Final
Inspection: 7/18/2019 4:19:2SPM
Project Title:
Description: DOVE HOUSING: REPLACE A 40 GALLON WATER HEATER LIKE FOR LIKE IN STORAGE ROOM
Owner: Contractor:
OOVE FAMILY HOUSING ASSCS PRONTO PLUMBING AND DRAINS INC
MANUAL BUILDING PLAN CHECK FEE
Total Fees: $98.00 Total Payments To Date: $98.00
3665 Imperial Ave
San Diego, CA 92113-1659
619-691-7765
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.
$0.oo
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$98.00
\.._ C:ity of
Carlsbad
COMMERCIAL
BUILDING PERMIT
APPLICATION
8-2
-OZC-0
Pian Check (BC 2oly~
Est. Value
PC Deposit _....,r,;t~"fi.--..,_D __ V ____ _
Date _•t;;j__......_'J___.//_../_9 __
, c~ 7_c~ \)c, e.. , ... -1 ,i ,;, Job Address _....__-__ 1 __ ,.. _____ ._....._, __ "--____ Suite: ____ APN: _________ _
Tenant Name: ________________ a/Project#: _________ Lot#: ___ _
Occupancy: ________ Construction Type: ___ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
BRIEF DESCRIPTlm~ OF WORK: '2:( \?\«CC q L-\ Li ~ C1 UcJ) ~$ ~ l2 (l \:1 °' \
L&cili ( V\ pq-fe t I C) W 01 +t '( ll"\.os µ V f:.--(!D{Yl .
D Addition/New: __________ New SF and Use, __________ New SF and Use,
___ Deck SF, Patio Cover SF (not including flatwork)
D Tenant Improvement: _____ SF, Existing Use ______ Proposed Use _____ _
_____ SF, Existing Use Proposed Use _____ _
D Pool/Spa: ____ SF Additional Gas or Electrical Features? ------------
D Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes / No
"f/J Plumbing/Mechanical/Electrical Only: '2{ ft~-{l-~ C\ 46 ~tt~Cr"\ ~-vJa, :+ 1C'\ {
D other:
\}..;li k..,v \I\Qc1~v ·di LrJr•\.}-fJ \I"-? l,.p..y f!-. ccrv-
-----------------------------------
APPUCANT (PRIF,~ARY)
\.. 1,...,_u",., I , [ 1\ ~ • Name: 1XJJJJJ 1L " \;..1 · l. L-
Address: 31...:L,.$ J::.{Q;?Ct, C-f I /+vet 1.,t
City: •>'l C D, c.jC State: {f:::Zip()2 I! E
Phone: \ L; 1. r,) .., 04 ~ 1 r...: S
Email: (0-rru \ I f. ft (,_°:(!/)f( . p / \,(';Of\;,
V I ~ (_,,,,-,,.,
0-"\ ~ t1 ( \ (, t~• C, (~ '; PROPERD' mv~.ER }._,.-(..., '--. '_'-....., ./
Name: (,i(r'(i ·. Jy· -.... r:c .. S • ( '> (_....) (, r·~ S .
Address: \CJ 2 c1 r-t , e LL~ r' ( -
City: C "'r \ s !cc....::.-1 State: CA ZJp: "'iz..cc; '1
Phone: ( "9: v L ~ 1.-! 9 L; -'j '-, i,,:.'.: C
Email: -------------------
DESIGN PRO=~::s,o~.:...L
Name: _______________ _
Address: _______________ _
City: _______ State: ___ Zip: ___ _
Phone: _______________ _
Email: _______________ _
Architect State License: __________ _
(Sec. 70315 S-..::s,re.; ~c-.;: ~ ~ .i..-.. :.-, ::r :...-..re, •">C" ~ i ~<( z: -~-~ ..C:.. ~ tm:r::M.: ~ :r .._,. .,..,-. :;::-..c:.~ :re,'.: .-..3
,ssua,xe. aisc •,,.;,'"~ t:""~ =·c:.;r( f,:,, s.:.,c ;lle'""'"',t:: "':,e. ~ ~ ~ ~-1!' -~ :,..,-~ n ~ ~ :r :-"l!! :..:r.:-a:::r, -C:"""'"..x .....
{~pte, 9, a,m~ ~ S,ect,o,-:m:l-/ ::i,,,.,s,,:r 3 :f1:'oe ~ a-.: ~ .:::.:e• 7 ~ '"E-,~ !S o:emp( ~-¥C ~~ = "b-':""'e ~~
e1eemption. Arry ·~ of s.ectc,r, 700 l.5-~ a,-r,· ~ ~ 11 ~-~ 7• ~ m ii o,,,ii pe--~-of not more tr.a,. ¾-e -,~ ::>=•';.,, ;s,:,:-·
1635 Faraday Ave carlsbad, CA 92008
B-2
Ph: 760-602-2719 Fax: 760-602-8558
PaQe 1 of2 Rev. 06.'18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury one of the folfowing declarations:
-i::l I have and will maintain a certificate of consent to self•insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued.
~ I have anc! will maintain worker's compensation, as required by Section 3700 of the Labor Code, forth~ performance ~f the work_tor which this pe,rmit is is~ed.
My workers·.re,i~nsatl~q, 11-onee carrier and policy number are: Insurance Company Name: Q1 Y.-cde k""" ;1..-t Y:i L~t; t] (fl C. (._!
Polley No. r we. '1 u 2 -3 S Expiration Date: &\ 1 l I 2, u 1 9 r r
~ certificate of Exemption: I certify that In the performance of the work for which this permit Is issued, I shall not employ anv person in any manner so as to be come
&,bject to the workers' compensation Laws of catifomia. WARNING: Faflure to secure workers compensation coverace Is unlawful, and shall subject an employer to
almlnal penalties and <Ml fines up to $100,000.00, In addition the to the cost of compensation, dama,es as provided for In Section 3706 of the Labor Code,
inarestandattomey'sfees. C ~~';..---_ __ ,...,.., _ , .. -,,
CONTRACTOR SIGNATURE:~~ ft)AGENT DATE: S: /3C/'t ?'
( OPTION B ): OWNER-BUILDER DECLARATION;
I hereby affirm that I am exempt from Contractor's Ucense law for the following reason:
□ r, 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 buUdln1 or Improvement is sold within
one year of completion, the owner4>ullder will have the burden of provfng that he did not build or Improve for the purpose of sale).
□ l, 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 lmproves 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 fut this reason:
1. 1 personally plan to provide the major labor and materials for construction of the proposed property Improvement. □ Yes □ No
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 l:
4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (Include name/ address/ phone/
contractors' license number):
S. I will provide some of the work, but I have contracted (hired) the following persons to provide the worlc indicated (Include name/ address / phone / type of work):
OWNER SIGNATURE: □AGENT ------------------------DATE: _____ _
CONSTRUCTION LENDING AGENCY, IF ANY:
l hereby affirm that thefe is a construction lending asency for the performance of the work thiS permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: ___________________ lender's Address: __________________ _
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applieant or future building occupant required to submit a bvsiness plan, acutely hazar-dous materials regfstration fonn o,: risk management and ~tlon
program under Sections 25505, 25533 or 25534ofthe Presley•Tanner Hazardous Substance Account Aa7 '.::l Ye-5 ~ No
Is the applicant or Ml.tre bYitding occupant required to obtain a permit from ~ air pol!utio(> Ct;)l'ltn)I distnct or air quality management district? '.J Ye-5 , No
Is the facility to be con.st11.1cted within 1,000 feet of the outer boundary of a school si'te ~ :J Yes Q Ho
IF A"1'f OF THE ANSWiRS ARE YES. A ANAL CERTIFICATE: OF OCCUPANCY MAY NOT 8£ rs:s.uEO UHl.l:SS THE APf>UCANT HAS MET OR IS MEETING THE
REQUIREMENTS Of THE OfflCE OF EMERGENCY SERVICES ANO 1ltE AIR POU.l.J1lON CONTROl DtSTltKT.
APPLICANT CERTIFICATION:
I certify thilt I have read the applieiltioo and state th.rt the above infonnatior> 5 ~ a,-.: t"'.i\ t""~ ~' :y, tt"lE! ::,;arss :s acrurate. I agree to comp;,,-witn all
City ordinances and State taws rel.ating to t><.-ilor-,g r;o,mr~
I hereby atrt!'tome ~ oitrie C-t,, ci~ t:i ~ ,.;;iu-, l"le a0CM: ~ ~r i:r f'lSll)l!Ctia ~ .t-50 ~ 'l"Q SAVE, INOEMNiFY loJw.) QcEP
HARMLESS THE 0TY Of' CA~ AG,t,.~ A...:. UAB:dTB .• UX3J,EIITS. COSTS AH)~..,....::,.; wr N »-" #0,¥ A.C::?-IE . .r..G,IJNST SAID 0TY I~ CONSEQUENCE OF
THE GRANTING Of" Tl-il5 PiRMIT.OSHA: All OSHA permit is~ tr~ ~ 5'0' deep antJ aemariOOL.,. c;:nst-.ao-: ot su-..tt...-es ewer 3 stones in /'lectft
EXPIRATION: Every permit issued by the Buiidrc Official uocler the ~ d 'Cllls Cooe shal ex;x,re bv lirnitaticr, and become rLi1 .-1C ,oc if the ~ 01" ~ authoriied
by such permit is not commenced within 180 ~ from the s.rl ~ or i ttie ~ or won: authorizeo bv such pem-;t is suspenoed 0( ~ at ¥IV time
ifter the won,: is tommef1Ced for a ~180 da','S 1-""'......,'!l,a,I...._,:,_. ,,, __ _
APPLICANT SIGNATURE: -~~~~~~:;::'d~~~~-----DATE: _5_/ __ -3_G1/'_1 _i_/"1 __
?/
1635 Faraday Ave carlsbad, CA 92~
B-2
Ph: 760-602-2719 Fax: 760-602-8558
Page2 of2
Email: Building@carlsbadca.gov
Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBC2019-0260)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Commercial
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Dato: 05/31/2019 Owner:
Issue Date: 05/31/2019 Subdivision:
Expiration Date: 11/27/2019 Address:
IVR Number: 19438
Inspection No. Inspection Status Primary Inspector
07/18/2019 07/1812019 BLOG-25 Water
HeaterNents
097937-2019 Passed System Administrator
July 18, 2019
BLDG-Final
Inspection
Checklist ltem
BLDG-Building Deficiency
097938-2019
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Passed System Administrator
COMMENTS
DOVE FAMILY HOUSING ASSCS
CARLSBAD TCT#99-03 LA COSTA
GREENS
1929 Dove Ln
Carlsbad, CA 92009-4080
Reinspection
Passed
No
Passed
No
No
No
No
No
Complete
Complete
Complete
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