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Home My WebLink About1933 Dove Ln; 201; CBR2018-0203; Permit{city of Carlsbad Residential Permit Print Date: 06/19/2018 Permit No: CBR2018-0203 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 1933 Dove Ln, 201 BLDG-Residential 2131120700 $0.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: DOVE: REPLACE 40 GALLON WATER HEATER Owner: DOVE FAMILY HOUSING ASSCS WATER HEATER -PLUMBING, ELECTRICAL, MECHANICAL Total Fees: $98.00 Total Payments To Date: P/M/E $98.00 Status: Applied: Issued: Permit Fina led: Inspector: Final Inspection: Contractor: CSR PLUMBING INC 8985 Haveteur Way San Diego, CA 92123-2316 888-243-5353 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. Closed -Finaled 01/25/2018 01/25/2018 6/19/2018 11:53:24AM $98.00 $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BU1LD1NG OFIRE 0HEALTH D HAZMATIAPCD ('city of Building Permit Application Plan Check No./"~Y?.-.,""' 5<> !Jolc.J1 1635 Faraday Ave,, Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca,gov -d6-\X lswPPP www.carlsbadca.gov Date JOB ADDRESS SUITE#/SPACE#/UNIT# APN 1933 Dove Lane unit 201 , Carlsbad, CA 92009 unit# 201 --- CT/PROJECT# I LOT# 1 PHASE# l # OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) replaced 40 gallon gas water heater for unit 201 at 1933 Dove Lane FIREPLACE EXISTING USE 1 PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I AIR CONDITIONING l FIRE SPRINKLERS YESD NOD vESONoO vesONoD APPLICANT NAME Huyen Pham PROPERTY OWNER NAME CH Works Prlna -ntact ADDRESS ADDRESS 6876 Cibola Road 1953 Dove Lane CITY STATE ZIP CITY STATE ZIP San DieQo CA 92120 Carlsbad CA 92009 PHONE I FAX PHONE IFAX 619-699-9629 619-924-4996 760-476-9860 760-476-9638 EMAIL EMAIL hpham@.csrplumbinginc.com manager.lacostapaloma@.chworks.net DESIGN PROFESSIONAL CONTRACTOR BUS. NAME CSR Plumbina. Inc. ------------------ ADDRESS ADDRESS 8985 Haveteur Way -------------------- CITY STATE ZIP CITY STATE ZIP San Dieao CA 92123 ------------------ PHONE ]FAX ----r~~ PHONE - 619-699-9629 619-924-4996 --------------- EMAIL EMAIL hpham@.csrplumbinQinc.com ----1 fATELIC.# ___ -STAiE LIC.# ----- ICLASSC36 I CITY BUSBLOS1238369 982358 (Sec. 7031.5 Business and P.rofess1ons Code: Any City or Coun.ty which requires a permit to construct. alter, improve, demolish or repair an~ structure, prior to its issuance, also requires the applicant for such per.mil to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, comme_nd1ng with Section 7000 of Division 3 of the B.usmess and Professions Code} or [hat he is exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any applicant for a permit subJects the applicant to a c1v1I penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. [Z] I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co ___ Security_National Ins _____ Policy No SWC1149958 Expiration Date 4/2312018 This section need not be completed if the permit 1s for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees . ..@S°CONTRACTORSIGNATURE Huyen Pham '·":;;,;:,,',"::..:'""'"-"" ___ ,_,,, IZ]AGENT DATE 1/23/2018 I hereby affirm that I am exempt from Contractor's License Law for the following reason: I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure 1s 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 building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale) D D D I, as owne, 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 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have I 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 I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number)· 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work) ..@S' PROPERTY OWNER SIGNATURE 0AGENT DATE I COMPLETE THIS SEC:'l'U:1111 !!!OR NOlll•RESIIU!l!l'l'lillL BUltOll!IG l!ERMl'l'S Ol!IEf Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D No 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 REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above information Is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection pufl)OSeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAR.WlESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permtt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories ifl height EXPIRATION: Eveiy pem,it issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced IMlhin 180 days from the date of such permit or if the building or work authorized by such pem1tt is suspeoded or abandoned at any time after the work is commenced for a period of 180 days (Seciion 106.4.4 Uniform Building Cooe) . .A! APPLICANT'S SIGNATURE H LI yen p ha m ;::~~~i~:;::~;:2~:~~:~~~~1r~~"0 "' DATE 1 /23/2018 Date: 2018.01.13 1H04l os·oo• ~ERMIT INSPECTION Hl~TORY REPORT (CBR2018-0203) Permit Type: BLDG-Residential Application Date: 01/25/2018 Owner: DOVE FAMILY HOUSING ASSCS Work Class: P/M/E Issue Date: 01/25/2018 Subdivision: CARLSBAD TCT#99-03 LA COSTA GREENS Status: Closed -Finaled Expiration Date: 12/17/2018 Address: 1933 Dove Ln, 201 Carlsbad, CA 92009-4081 IVR Number: 9120 Scheduled Actual Inspection Type Date Start Date Inspection No. Inspection Status Primary Inspector Re inspection Complete 06(19/2018 06/19/2018 BLDG-25 Water 061363-2018 Passed Andy Krogh Complete HeaterNents BLDG-Final 061354-2018 Passed Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLDG-Plumbing Final Yes June 19, 2018 Page 1 of 1