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Home My WebLink About1933 DOVE LN; 102; CB150337; Permit02-02-2015 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB150337 Building Inspection Request Line (760) 602-2725 Job Address; Permit Type: Parcel No: Reference #: PC #: Project Title: 1933 DOVE LN CBAD St: 102 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 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: FINAL APPROVAL Date: g^^fg Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refenred 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 Manager for processing in accordance with Cartsbad 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 previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. yprHEroLLOWINO APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING •ENGINEERING jZiBUILDING IZiFIRE DHEALTH •HAZMAT/APCD Ccity 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. QSxS'O ^3"? Est. Value Plan Ck. Deposit Date <5\^ l£ SWPPP JOBADDRESS SUITE*/SPACEf/UNrr« CT/PROJECT # LOT# » OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME ^ CONSTR. TYPE OCC GROUP N DESCRIPTION OF WORK: Include Square Feat ot Aflvcttd Ana(t) ijo (?Att<iA/ ijfnif< EXISTINQ USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESFT* NOj I AIR CONDmONING YES I |NO| I FlRESPRINKLERS YES| |NO| I APPLICANT NAME Primary Contact PROPERTYOWNER ,, ADDRESS ADDRESS CITY STATE ZIP CfTY , . STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP ci-n^ STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL crrv BUS. LIC.# air, \i2^mi 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 sieied statement that he Is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9, commending with Section TOOOof Division Sof 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 permrt subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS COMPENSATION Wofkara' Compentilion Declaration: //lersbyafffim under penalty of peijury one of the fotomngdeclaniions: LJ I have and will maintain a cartilieate of content to telf-lntur* for workers' compensation as provided by Sectbn 3700 of the Labor Code, for the perfonnance of the work for which this pennit Is Issued. 1201 hava and will inaintain woiken' compenutian, as required by Section 3700 of the Labor Code, fbr the perfomiance of the work for which this permit Is Issued. My workers' compensation jij|ura;ce carrier and poltey number are: Insurance Co. HM/tiLc . Policy No. ^Q^^^^''^- 1^ Expiratkm Oate. atkin jniuraoce carrier Bsectnn need not be completed If the permit is for one hundred dollars ($100) or less. Ceitiflcata of ExempUan: I certify that in the performance of the work for which this pemiit Is issued, I shall not empkiy any person in any manner so as to become suliject to the Workers' Compensatkin Laws ot California. WARNING: Failure to tacura worken' compensation coverage it unlawful, and ihali tubjtct an empioyer to criminal penaitiet and civil fines up to one hundred thousand dollan (S100,000), in addition to the cost of compentatian, damagei at provided for in Section 3706 of the Labor code, inttrett and attomay't feet. ytS" CONTRAaOR SIGNATURE /^^i——" /^/'^'•^ •AGENT DATE "^j 2-/ O WNER-BUILOER DECLARATION I fiersiy affimi that I am exempt from Conirador's Ucense Law forthe fokrwing reason: I I I, as owner of the property or my empkiyees with wages as their sole compensatnn, will do the work and the stnuture is not intended or offered for sale (Sec. 7044, Business and Professkins Code: The Contractor's Lk»nse Law does not apply to an owner of property who buikls or improves thereon, and who does such wori( himsell or through his own empkiyees, provkled that such improvements are not intended or offered for sale. If, however, the buikling or Improvement Is sold within one year of completkin, the owner-bulkier wiU have the burden of proving that he dkl not bulM or improve for the puipose of sale). I I I, as owner of the property, am exclusively contracting with Hcensed contractors to constmct the project (Sec. 7044, Business and Pmfessions Code: The Contractor's Lksnse Law does not appiy to an owner of property who buikis or improves 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 for this reason: 1.1 personally plan to provkie the major labor and materials for constnctkin of the proposed property improvement I lYes [~~INO 2.1 (have / have not) signed an applcatkm for a buikling pemiit for the proposed wod(. 3.1 have contracted with the folfowing peison (fimi) to provkle the proposed constmction (include name address / phone / contiactors' lk»nse number): 4.1 plan to provide portfons of the work but I have hired the folfowing person to coordinato, supenrise and provkle the major work (include name / address / phone / contractors' Ifoense number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the woik Indicated (Include name / address / phone / type of woik): >Cf PROPERTY OWNER SIGNATURE •AGENT DATE / L i COMPLETE THIS SECTION FOR N O N - R E S I O E N T I A L BUILDING PERMITS ONLY Is the applfoant or future bulMing occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevenlkin Drooram undar Sadtant 2SS0S "IVSA nr wok n Hik Presley-Tanner Hazaidous Substance Account Act? Yes No ^ •»«»»,«o*iw«a»gim». Is the applkant or future buikling occupant required to obtain a permit from the air pollution control district or air quality management district Yes No Is the fadlity fo 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 ISSUEO UNLESS THE APPLiCANT HAS MET OR IS MEETING THE REQUREMENTS OF THE CFFIttafl ' EMERGENCY SERVICES AND THE AiR POUUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I tiereby affirm that there is a constmction lending agency for the perfbnnance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lendei's Address APPLICANT CERTIFICATION lrnflttf1hritlhnfnnmtf1hnnppllrminninTlrtitliTlhnihrnfTTTtinfinrliTmh~nT^ —i.-^—i.^——piy..i^PH«.»y^iil]iiniiii,i i«iil'itiilnlimiii<MliHtltaiiii|u I heieby aulhorize representative of the City of Carisbad to enter upon the above mentioned property fcr inspection purposes. I ALSO AGIREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLsiiili^5l AGAINST ALL UABILfriES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA'An OSHA pemiit Is required Ibrexcavatlonsover5'(}'deepanddeniolltionoro<xisb^^ '1> ' EXRRATION: Every permit issued by the Building OflBal under the provisions of this Code shaH expire by limitation and become nul and void if the building or wori< auihorized by such pemit is notooniiiieiimilollih,vf' 180 days from the dale of such pemit or If the bulMing or vtork authorized by such permit Is suspen(kd or aba APPUCANT'S SIGNATURE DATE 2/^//^ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the foliowing ONLY if a Certificate of Occupancy will be requested at finai inspection. Fax (760) 602-8560, Email buiidlnataicailsbadca.aov or Mail the completed fomi to City of Cartsbad, Buikling Division 1635 Faraday Avenue, Cartsbad, Califbmia 92008. COf: (Offlca Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EIVIAIL OCCUPANT'S BUS. LIC. No. DEUVERY 0PT10l«iS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION >C$'APPLICANT'S SiGNATURE DATE Inspection List Perinlt#: CB150337 Type: PME PALOMA APT=REPLACE WTR HTR Date Inspection Item Inspector Act Comments 02/24/2015 25 Water Heater/Vents - Rl 02/24/2015 25 Water HeaterA/ents 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