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Home My WebLink About1937 DOVE LN; 105; CB140308; PermitCity of Carlsbad 02-10-2014 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No CB140308 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 1937 DOVE LN CBAD St 105 PME 2131120700 REPAIR GAS LINE TO METER Lot# Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 02/10/2014 JMA 02/10/2014 02/10/2014 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 $158 00 $0 00 $0 00 $0 00 TOTAL PERMIT FEES $158 00 Total Fees $158 00 Total Payments To Date $158 00 Balance Due $0 00 Inspector FINAL APPROVAL Date W 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 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 connecfion 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 oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othen/vise expired / THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE OPLANNING nENGINEERlNG LDBUILDING npIRE JHEALTH 1 HAZMAT/APCD 4 ^ CITY OF Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email building(gcarlsbadca gov www carlsbadca gov Plan Check No. C^i^^ Est. Value Plan Ck. Deposit ME Date SWPPP CT/PROJECT # # OF UNITS # BEDROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK /nc/ude Square Feet of Affected Area(s) zFz/r/^Y EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESfl* N0| I AIR CONDITIONING YES I |NO| I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY ZIP PHONE FAX PHONE PROPERTY OWNER NAME 5L CONTRACTOB^US NAME . . ADDRES ES^ ADDRESS STATE CA ZIP ^ CITY STATE ZIP PHON£ -?(>o kl(>~ f<^iPo ndO - 97<- V FAX EMAIL EMAIL 7//^A6^y^ , C/\CoSr/^ (E<^/lUyQ/^/T^. y^eT'//Upo ^<^S/e/7ioM5^Xy^P> //Zy^C . OoT^ 737 ARCH/DESIGNER NAME & ADDRESS -LAbti ^ CITY BUSXC# ce, llso'require (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, alsoTequires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom and the basis forthe 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 Declaration I hereby affirm under penalty of perjury one ofthe following declarations • 1 have and will maintain a certificate of consent to self insure for workers' compensation as provided by Section 3700 of the Labor Code, for Ihe performance of the work for which this permit is issued ^Jffiave and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued l^y workers' compensation insurance earner and policy numberare Insurance Co /fA^/CyA/- Policy No ^ ^3^^'^'~/3 Expiration Date ^ '^7/' ^ This section need not be completed if the permit is for one hundred dollars ($100) or less I I 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 (&10D,000), in addition to the cost of compensation, damages^s-fXfivided for in Section 3706 of the Labor code, interest and attomey's fees JS^ CONTRACTOR SIGNATURE lamages^s-uovided for in SE /77^ • AGENT DATE ^//o//^( I hereby affirm that I am exempt from Contractor's License Law for the following reason I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stnicture is not intended or offered for sale (Sec 7044, Business and Professions Code The Contractors 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, Ihe 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) I I 1, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec 7044, Business and Professions Code The Contractors 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 Contractors License Law) • am exempt under Section _ _Business and Professions Code for this reason 1 I personally plan lo provide Ihe major labor and matenals for construction of the proposed property improvement •Yes I INO 2 I (have / 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 / phone / contractors' license number) 4 1 plan to provide portions ot the work, but I have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / 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 / address / phone / type of work) ygS'pROPERTY OWNER SIGNATURE QAGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the Presley Tanner Hazardous Substance Account AcP ^ Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management distncP ' , Yes No Is the facility to 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 ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a constmction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lenders Name Lender's Address I certly that I have read ttie application and state that the above mfbimation is coirect and tliatthe infoimaton on the plans is accurate I agiee to comply with aii City ordinances and Stats iaws relatngto building constucbon I hereby authorize representative ofthe City of Carisbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID Crrr IN CONSEQUENCE OF THE GRANTING OF THIS PERMfr OSHA An OSHA permrt is required for excavations over 5'0' deep and demolition or constmction of stmctures over 3 stones in height EXPIRATION Every permit issued by the Building Official under the provisions otthis Code shall expire by limitation and become null and void if the building or vmik authonzed by such permit is not commenced within 180 days from the date of such penmit or if the building or vwrt< authonzed by such pemnit is suspended or abandoned at any time afler the vroric is commenced for a penod of 180 days (Section 106 4 4UnifonnBuilding Code) ^1 APPLICANT'S SIGNATURE DATE 2. ypr STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CATE OF OCCUPANCY { e t s Onlyl Fax (760) 602-8560, Email buildinq(5)carlsbadca gov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008 C0#. (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE CITY STATE Carlsbad CA PHONE EMAIL OCCUPANT'S BUS LlC No DELIVERY OPTIONS ' PICKUP , 4 CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg 1) IVIAIL TO < CONTACT (Listed above) !^ CONTRACTOR (On Pg 1) IVIAIL / FAX TO OTHER OCCUPANT (Listed above) ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION JSSAPPLICANT'S SIGNATURE DATE Inspection List Permits CB140308 Type PME REPAIR GAS LINE TO METER Date Inspection Item 02/12/2014 23 Gas/Test/Repairs 02/12/2014 23 Gas/Test/Repairs 02/12/2014 29 Final Plumbing Inspector Act Rl MC AP MC Fl Comments AM- CALL UPON ARRIVAL Thursday, February 13, 2014 Page 1 of 1