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Home My WebLink About1937 DOVE LN; ; CB110573; Permit03-18-2011 City of Carlsbad 1635 Faraday Av Carisbad, CA 92008 Plumbing Permit Permit No: CB110573 Building Inspection Request Line (760) 602-2725 Job Address: Pemiit Type: Parcel No: Reference #: PC #: Project Title: Applicant: AIR TEMPEATURE 4580 WARDS SYN SAN DIEGO, CA 1937 DOVE LN CBAD PLUM 0000000000 Lot#: 0 Construction Type: NEW LA COSTA PALOMA APARTMENTS REPLACE GAS LINE FROM GAS METER • ALONG THE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: ISSUED 03/18/2011 RMA 03/18/2011 03/18/2011 Plumbing Issue Fee $20.00 Fixture or Trap 0 $0.00 Building Sewer 0 $0.00 Roof Drain 0 $0.00 Install/Repair Water Line 0 $0.00 Water Heater and/or Vent 0 $0.00 Gas Piping System 2 $14.00 Vacuum Breaker 0 $0.00 Other Plumbing Fees $20.00 Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $54.00 Total Fees: $54.00 Total Payments To Date: $54.00 BalanceDue: $0.00 Inspector: FINAL APPROVAL Date: Clearance: NOTICE; Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, or other exactions hereafter collectively refened to as lees/exactlons." 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 seivice fees in connection with this project. NOR DOES IT APPLY to any fees/exactlons of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otheiwise expired. ^ c ITY OF CARLSBAD Building Perniit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Cic. Deposit SWPP WOOMS # BATHROOMS *• | TENANT BUSINESS NAME CONS V/t/ts if) J/P^ JOB ADDRESS t/ayt UA^ ECf# ' I LOT # SUITE#/SPACE#/bfllT# CT/PROJECT# PHASE # # OF UNITS # BEDROOMS # BATHROOMS ' TENANT BUSINESS NAME CONSTR. TVPE OCC. GROUP DESCRIPTION OF WORK: (nc/ude Souare Feet of Atfected Area(s) EXISTING USE PROPOSED USE I GARAGE (SF) PATIOS (SF) DECKS (SF) FiREPLACE YES • # NOD AIR CONDITIONING YES • NOO FIRE SPRINKLERS YES D NOD CONTACT NAME (If Different Fom Applicant) ADDRESS ADDRESS APPUCANTNAME, y» - y-s / ^ *» CITY STATE ZIP CiTY STATE Co-' TXP PHONE FAX PHONE EMAIL EMAIL PROPERTY OWNER NAME ADDRES ADDRESS CONTRACTOR BUS. NAME, ' » CTATI CITY STATE ZIP CITV /Tui/ioUl^ PHONE ZIP PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS CLASS (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 issuancsf^lso requires the applicant for such permit to file a signed statemerrt 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 wat 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 penalt)t of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workera' Compensation Declaration: / hereby affinn under penalty (^peijuiy one olthe following decleretions: O I have and tvttt maintain a certificate of consent to self-Insure for woriters' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the worit for which this permit is issued. {I'fhave and wiH maintain wortiers' compensation, as requited by Section 3700 ofttie Labor Code, for Ihe performance of the woric for whicti this penjit is issued. My wortiers' compensation tosuranoa carrier and policy number are: Insurance Co.:ptj6, j/ft^ ^ . f^J^.^^^ Policy No. ^ $ t> I^OO ^i/^^fOif Expiration Date This section need not be completed if the permil is fbr one hundred dollars ($100) or less. n Certificate of Exemption: I certify that in the performance of the worti fbr which this permit is issued, I shall not employ any person in any manner so as to become subject to the VI/ort(ers' (^pensation Laws of Califbrnia WARNING: Failure to secure wortieis' compensation coverage is uniawfui, and shall subjeet an employer to criminai penalties and chril fines up to one hundred thousand doiiars (&100,000), in addition to the cost of compensation, damages as provided forji Section 370$ o{;ll0Labor code, interest and attorney's fees, y CONTRACTOR SIGNATURE /^-^^^^S^J^A^A (SWENT DATE IL OWNER-BUILOER UcCLARATION I hetetiy affimi ffisf / am exempf from Contractor's Ucense Law for the following reason: a I, as owner of tbe properly or my employees with wages as their sole compensation, wiH do the wori< and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contracior's License Law does not apply to an owner of property who builds or improves thereon, and who does such worit himself or through his own employees, provided that such improvements are not intended or offered for sale. If, howevr, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did nol build or improve for the puipose of sale). • I, 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 improves Ihereon, and contracts for such projects with contractor(s) licensed pursuant to fl\e Contractor's Ucense Law). • I am exempt under Section Business and Professions Code lor this reason: 1.1 personally plan to provide the major labor and malerials for constmction of the proposed propeity improvement DYes ONo 2.1 (have / have not) signed an application for a building pemiit for the proposed worit. 3.1 have contracted with the following person (fimn) to provide the proposed construction (include name address / phone / contractois' license number): 4.1 plan to provide portions of the wortt, but I have hired the following person lo coordinate, supen/ise and provide Ihe msjor worit (include name / addiess / phone / contractors' license number): 5.1 win provide some of the worit, but I have contracted (hired) the following persons to provide the worit indicated (Inckide name / address / phone / type of worit): VSITPROPERTY OWNER SIGNATURE •AGENT DATE N FOR NON RESIDENTI AL BUILDINC PERMITS ONLY wm Is the,.'3ppligant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sectk>ns 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q Yes O No Is the applicant or future building occupant required lo obtain a pennit from the air pollution control district or air quality management district? • Yes • No Is Ihe facility to be constructed within 1,000 feet of the outer boundaiy of a school site? O Yes O 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. CONSTRUCTION LEND ING AG E N C Y I hereby affirm that there is a construction tending agency for the perfomiance of the work this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address P P L I C A N T CERT 13F I C ATION I certifythat I have read the applk:ation and state thatthe above Infonnatkm is conect and thatthe InfomiatkHi on the plans is accuiate. I agiee to comply with all oidlnances and State laws relatlngto buikling consbuctkxi. I hereby authorize representative of Ihe CHy of Carisbad to enter upon the above nnentioned property for inspection puiposes. I ALSO AGREE TO SAVE, MEMNIFY AND KEEP HARI^LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AM) EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemift is lequiied for excavations over S'O'deep and deniolition or constnjction of stnj^^ EXPIRATION: Eveiy pemilt issued by the BuiUing (Slilcial under tffi provisions of 8ie C^i^^ 180 days Irom the date of such pennit or if the buldira or worit^morized by sud^|i|mi$suspended or abandoned at any time after the wortt is commenced fbr afieiiod of 180 days (Section 106.4.4 Unifomn Buikling Code). s//r/// ^ CITY OF CARLSBAD Unscheduled Building Inspection Building Department 1535 Faraday Avenue Carlsbad CA 92008 760-602-2700 DATE: 's.vA.w INSPECTOR PERMIT #: vun^-.3 CONTACT: PHONE #: JOB ADDRESS: ^<^^^-r>w:>^/(2„ Ul^ DESCRIPTION: CODE DESCRIPTION 4^ ACT COMMENTS BIdg Inspection Form Page 1 of 1 Rev. 06/09