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Home My WebLink About1933 DOVE LN; 101; CB143489; Permit12-12-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI43489 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1933 DOVE LN CBAD St: PME 2131120700 101 Lot#: REPLACE WATER HEATER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/12/2014 JMA 12/12/2014 12/12/2014 Applicant: CSR PLUMBING, INC Owner: DOVE FAMILY HOUSING ASSCS 8985 HAVETEUR WAY SAN DIEGO CA 92123-2316 619-699-9629 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: O^XJUM^ FINAL APPROVAL Date: C^-^l^ Clearance: NOTICE: Please tal<e NOTICE that approval of your project includes ttie "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "fees/exactions." You have 90 days from the date this pemnit 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 legai 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 previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv othenvise expired. . (THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING EjENGINEERING •BUILDING IHFiRE DHEALTH •HAZMAT/APCD Plan Check No. CBH^ Ccityof Carlsbad Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Est. Value Plan Ck. Deposit Date CT^ji^/H' SWPPP JOB ADDRESS ^ '^37> X^^iP ^-yC^ 'PROJEa» rtofi SUITE«/SPACE«/UNIT* Xl PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. r^PE DESCRIPTION OF WORK: /ncluito Squara Faat of Affactad Ana(t) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~|» N0| I AIR CONDrriONING YES QNO I I FlRESPRINKLERS YES I |NO| I APPLICANT NAIME Primary Contact PROPERTYOWNER ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL I AC DESIGN PROFESSIONAL :ONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE . ZIP PHONE FAX PHONE FAX EMAIL EMAIL ATELl6.# CLASS tITY BUS. Ut.» ^ (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 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 Worfcwi' Compansilion DKlintion: / Aereby affi/m under penalty ot perjury one of the following dedaratkms: 1 hava and wiii maintain • cartlflcata of consent to selMnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for whk:h this pennit Is Issued. I hava and wili maintain wotkara' coinpensation, as required by Section 3700 of the Labor Code, for the perfonnancejf the wotk for which tbis pennit is is;iijed. Uy workers' compensatkin insurance purler and polk^ number are: Insurance Co. PolfcyNo.. Explraton Date ^/ •» / This sectkin need not be completed if the pernilt Is for one hundred dollars ($100) or less. ' I I Certificate of Exemption: I certify that in the perfonnance of the wotn. for which this pennit is issued, I shall not employ any person In any manner so as to become subject to the Worfiers' Compensatkin Laws of Califomia. WARNINQ: Failura to secure worked' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollan (&100,IX)0), In addition to the cost of compansatlon, damages as provided for in Section 3706 of the Labor code, interest and attomsy's fees. ygf CONTRACTOR SiGNATURE /yX>^ QAGENT DATE /2.//2/ OWNER-BUILDER DECLARATION / hereby affinn that I am exempt from Contractor's License Law for the following reason: • I, as owner of the pmperty or my employees with wages as their sole compensatkin, will do the work and the stmcture is not Intended or offered for sale (Sec. 7044, Business and Pmfessions Code: The Contractor's Lfcense Law does not apply to an owner of property who buikls or impmves thereon, and who does such worti himself or thmugh his own empfcyees, provkled that such impmvements are not intended or ofleied for sale. If, however, the building or improvement is sokl within one year of completkin, the owner-bulkier will have the bunlen of proving that he dkl not bulk! or improve for the purpose of sale). I I I. as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Contractors Ucense Law does not apply to an owner of property who builds or Improves thereon, and contracts kir such projects with contractor(s) Ifcensed pursuant to the Contractor's Ucense Law). I I I am exempt under Sectfcn _ .Business and Professions Code for this reason: 1.1 personally plan to provkle the major labor and materials for constructkin of the proposed property improvement QYes I iNo 2.1 (have / have not) signed an applfcatkm for a buikiing pennit for the proposed worit. 3.1 have contracted with the folkiwing person (fim) to provide the proposed construction (include name address / phone / contractors' lfcense number): 4.1 plan to pravkle porttons of the worit, but I have hired the foltowing person to coordinate, supenrise and provkle the major worit (include name / address / phone / contractors' lfcense number): 5.1 will provkle some of the work, but I have contracted (hired) the following persons to provkle the worit indfcated (include name / addross / phone / type of worit): >efi PROPERTY OWNER SIGNATURE QAGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the appltoant or future buikiing occupant required to submit a business pian, acutely hazanlous materials reglstratton form or risk management and prevention program under Secttons 2S50S, 25533 or 25534 of the Presley-Tanner Hazanlous Substance Account Act? Yes No Is the appltoant or futura buikling occupant required to obtain a permit from the air pollutton control district or air quaiity management districf? Yes No Is the facmty to be constructed within 1,(XX) feet of the outer boundaiy of a school site? Yes No IF ANY OF THE ANSIMERS 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. CONSTRUCTION LENDING AGENCY I hereby affinn that there is a construction lending agency fbr the peifbrmance of the woik this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I ceitiiy that I hBM lead the applicatton and state that the above infcimiatkin is conect and th^ I hereby authorize representative of the City of Cailsbad b enter upon the above mentkmed propeity ix inspedkm puiposes. I ALSO AGf^ TO SAVE, INDEMNIFY AND KEEP HAfM£SS THE CfTY OF CARLSBAD AGAINST AU. LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA peimit is required fbr excavalnns over 5'(]'deep and demolition or constnk^tio^ EXPIRATION: Every pemiit issued by the Building Oflicial under the provisions of Ihis Code shall expire by limitation and become null and void if the building or writ authorized by such permit Is not commenced within 180 days fiom the dale of such peimit or If the buiicUng or wik authorized by such pemiit s 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(S)carlsbadca.qov or Mali the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califbmia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAIME ADDRESS BUILDING ADDRESS cmr 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) MAILTO: CONTACT (Listed above) OCCUPANT (Usted above) CONTRACTOR (On Pg. 1) MAIL/FAX TO OTHER: ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE ' DATE Inspection List Permit*: CB143489 Type: PME REPLACE WATER HEATER Date Inspection Item Inspector Act Comments 02/24/2015 25 Water HeaterA/ents - Rl 02/24/2015 25 Water Heater/Vents MC AP 02/24/2015 29 Final Plumbing - Rl 02/24/2015 29 Final Plumbing MC Fl Tuesday, February 24, 2015 Page 1 of 1