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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 Page 1 of 1