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Home My WebLink About1937 DOVE LN; 305; CB140309; Permit02-10-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electricai (PME) Permit Permit No CB140309 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 1937 DOVE LN CBAD St 305 PME 2131120700 REPAIR GAS LINE TO METER status ISSUED Lot# Applied Entered By Plan Approved Issued Inspect Area 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 Electncal Fees Mechanical Fees Ottier PME Fees $125 00 $0 00 $0 00 $0 00 TOTAL PERMIT FEES $125 00 Total Fees $125 00 Total Payments To Date $125 00 Balance Due: $0 00 Inspector FINAL APPROVAL Date 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 Govemment Code Section 66020(a), and file the protest and any other required information with the City Manager for processing m 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 previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired / A —— THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMrr ISSUANCE nPLANNING dENGINEERING DBUILDING nFIRE nHEALTH ClHAZMAT/APCD ^ CITY OF CAR^^BAD 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. Est. Value Plan Ck. Deposit Date SWPPP 731 77oi/^ /.y^y ^Mc^jS/r/P '^'^ CT/PROJECT # PHASE # # OF UNITS # BEDROOMS SUITE#/SPACE#/UNIT# # BATHROOMS Tl CONSTR TVPE OCC GROUP DESCRIPTION OF WORK rnclude Square Feet ol Affected Area(s) /^(J/yC^T- 07^ /7(/^^^y^6 7^d)/3 C/yCy/rz5 '^/^'^ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESQ* N0| I AIR CONDITIONING YES j^NO I I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact; ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX ElVIAIL EMAIL PROPERTY OWNER NAME CONTRACTOB^US NAM£ . ^ ADORES: ESS» ADDRESS STATE CA ZIP 9 ^oo 9^ CITY ///FLO STATE PHOt^E _ FAX ^ - y ^ <-PUONE FAX _ , ^ 9^2 ^ r g-s-^- 77 5 7 EMAIL ARCH/DESIGNER NAME 4 ADDRESS CITYBIIS LIC,# (Sec 70315 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuanae, also requires 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 for the 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)) PP' 7^3'^\-m^77j^,p^^% Workers' Compensation Declaration / hereby affirm under penalty of perjury one of <he frfloAing declarations Bl have and will maintain a certficate of consent to self Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the work for which this permit is issued fTlavo 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 camer and policy numberare Insurance Co j/Y^/jyA /• ^ Policy No . Expiration Date 7^ 30 7 ^ ^ Th]s seclion 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 perfomance of the work for which this penrat is issued, 1 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 cnril fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages^SHXipvided for in Section 3706 of the Labor code, interest and attomey's fees JS£ CONTRACTOR SIGNATURE • AGENT DATE '\ / thereby affinn that I am exempt from Contractor's Ucense Law for the follomng 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, the building or improvement is sold within one year of completion, the owner builder will have the buiden of proving that he did not build or improve for the purpose of sale) I I I, as owner of Ihe 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) I I I am exempt under Section _ .Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for constmction of the proposed property improvement •Yes I INO 2 1 (have / have not) signed an application for a building penrat for the proposed work 3 1 have contracted with the following person (fimi) to provide the proposed constmcton (include name address / phone / contractors' license number) 4 1 plan to provide portions of the work, but 1 have hired Ihe following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number) 5 1 will provide some of Ihe work, but I have conlracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work) >eS'pROPERTy OWNER SIGNATURE QAGENT DATE Inspection List Permit# CB140309 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 UOPN ARRIVAL Tfiursday, February 13, 2014 Page 1 of 1