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Home My WebLink About1933 DOVE LN; 203; CB150336; Permit02-02-2015 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB 150336 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Titie: 1933 DOVE LN CBAD St: 203 PME 2131120700 Lot #: PALOMA APT- REPLACE WTR HTR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/02/2015 LSM 02/02/2015 02/02/2015 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: O^-f^f^ 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 pennit 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 vou have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othew/ise expired. fiHEFOLLOWINQ APPROVALS REQUIRED PRIOR TO PERIIIIT ISSUANCE: DPLANNING [ZiENGINEERiNG •BUILDING DFIRE DHEALTH •HAZMAT/APCD Ccity of Carlsbad Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buildlng@carlsbadca.gov www.carlsbadca.gov Plan Check No. i «51? "5"Bii Est. Value Plan Ck. Deposit Date ^ SWPPP JOBADDRESS ^ /) ^ , APN - CT/PRdjSet* HOT* PHASE H It OF UNrrs It BEDROOMS It BATHROOMS TENANT BUSINESS NAME ^ CONSTR. TYPE OCC GROUP DESCRIPTION OF WORK: Inc/iHto Squar* Fast of Affected Ana(a) ^ DESCRIPTION OF WORK: Inc/uda Squara Faat of A/factadAfaaW •-I ^0 GAttflA/ ijjFnf< Hi^m^C EXISTINQ USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESQ* Nd I AIR CONDrriONING YES QNO • FIRE SPRINKLERS YES I |NO| I APPLICANTNAME Primary Contact PROPERTYOWNER ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EIVIAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP 7AA/ OlBlO STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL cmr BUS. Lic.# i (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 fbr a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COIVIPENSATION Wcrktra' Companulion Dadintlon: / hereby affinn under penalty of perjury one of the following declaralions: S I hava md wlll miintain • ctitiflcata of content to salf.insure for worlters' compensation as provided by Section 3700 of the Latnr Code, for the perfbnnance of the worit for which this pernilt Is Issued. I hav* and will maintain woriiara' comptnution, as required by Section 3700 of the Labor Code, fbr the perfonnance of the wotii for which this pemiK is issued. My workers' compensation insuraoce carrier and policy number are: Insutance Co. Hf^t\Lt, PoiicyNo. ^0^^^8'~)— 1^ Fxpiialion Date ^/yQf/^ Thjs section need not be compietad If the permit is fbr one hundred dollais ($100) or less. I I Caitiflcat* of Exnnptlon: I certify that in the performance of the wori( for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Woriiers' Compensation Laws of Califomia. WAIWING: Faliura to secur* worken' compensation covarag* ii unlawful, and shall subjact an empioyer to criminai penaiti** and civil flnes up to one hundnd thousand dollan (SiOO,000), In addition to th* cost of compmtalion, daniag** at provided for in S*ction 3706 of tha Labor cod*, interest and attorney's feet. ^CONTRACTORSIGNATURE /^.~..«fc-—^ /^•'^--t-. QAGENT DATC "Z/^//^ O WNER-BUILOER DECLARATION / /wBiy affimi (het I am exempt from Coatradots Ucense Law for the following reason: I I I, as owner of the property or my empioyees with wages as their sole compensation, will do the worli and the stnicture Is not intended or offersd for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not appiy to an owner of property who builds or improves Ihereon, and who does such work himself or through his own empkiyees, provkled that such improvements are not intended or offered for sale. If, however, the buikling or improvement Is soU within one year of completkin, the owner-bulkier will have the burden of proving that he dkl not buiU or improve fbr the purpose of sale). I I I, as owner of the property, am exclusively contracting with Ikxnsed contractors to constmct the pioject (Sec. 7044, Business and Professkins Code: The Contractor's Lk»nse Law does not appiy to an owner of property who buikls or improves thereon, and contracts for such projects with contractor(s) iicensed pursuant to the Contractor's License Law). I I I am exempt under Sectkm. .Business and Professions Code for this reason: 1.1 personally plan to provkle the major labor and materials for constnx^n of the proposed property improvemenl I lYes I [No 2.1 (have / have not) signed an apptetkm for a buikling pemiit for the proposed work. 3.1 have contracted with the foHowing person (finn) to provkle the proposed constroction (include name address / phone / contractors' lk»nse number): 4.1 plan to provkle portkxis of the work, but I have hired the folbwing person to coordinate, supenrise and provkie the major worti (Include name / address / phone / contractors' ik»nse number): 5.1 wHi provkle some of the work, but 1 have contracted (hired) the following persons to provkle the work lndk:ated (Include name / address / phone / type of worii): yfiTpROPERTY OWNER SIGNATURE •AGENT DATE A X COMPLETE THIS SECTION FOR N O N - R E S I O E N T I A L BUILDING P E R IVI I T S ONLY Is the appicant or futurs bulkUng occupant raqulred to submit a business plan, acutely hazanlous materials registratkin form or risk management and prevention Drooram under Sadkmi 25505. VISA rt vfotit Wia Presley-Tanner Hazanlous Substance Account Acr? Yes No «B«ui«a«oim, is the applk:ant or future buikling occupant required to obtain a pemiit from the air pollutkin control district or air q Yet No Is the facility lobe constnided with«i 1,000 tiset of the outer boundary of a school site? Yes No ^ f 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 REQUISMEMTS OF THB WFO tm- - EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. w I rw «-riw^ W^f 5^,1 f CONSTRUCTION LENDING AGENCV I hereby affiim that there is a construction lending agency for the perfbnnance of the work this pemiit is issued (Sec 3097 (i) CivU Code). Lender's Name Lender's Address APPLICANT CERTIFICATION l( llllll; Ihillhniininnrllhrnpplkiillnnnnrtiitiitnthftflhniihmrinftiiiniillnn IT rnnnrt liirmnlrrnmptjfinrilhiiliritrnrtlntinriii iwtl'niitoliiiwirtittgti^Hl^^ I hereby aulhorize representative Of the aty of Caristiad to enter upon the atxive mentioned pro^ AGAINST ALL LIABILfTIES, JUDGMEMTS, COSTS AND EXPBiSES WHICH MAY IN ANY WAY ACCf^UE AGAINST SAD CITY IN CONSEQt£NCE OF THE GRANTING OF THIS PERMfT. CSH A An OSHA permit is required fix excavatkxis over S'O'deep and demolition or constnictkx^ B<HRATION: Eveiy periTiit issued by the Building (Dflicial under Ihe previsions of Ihls (>xle shal ex^ 180 days ton Ihe dat9 of such permit or if lhe buiiding or Moik auihorized by such permit is >e$'APPUCANT'S SIGNATURE DATE 2/2//^ 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 buildinafScarlsbadca.OOV or Mali the completed fbrm to City of Cailsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califbmia 92008. C0#: (Offlca Usa Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS cmr STATE ZIP cmr STATE ZiP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) INMILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL/FAX TO OTNER: 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 vefAPPLICANT'S SiGNATURE DATE Inspection List Permit#: CB150336 Type: PME PALOMA APT-REPLACE WTR HTR Date Inspection Item Inspector Act Cornments 02/24/2015 25 Water HeaterA/ents - Rl 02/24/2015 25 Water HeaterA/ents IVIC AP 02/24/2015 29 Final Plumbing - Rl 02/24/2015 29 Final Plumbing IVIC Fl Tuesday, February 24, 2015 Page 1 of 1