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Home My WebLink About1937 DOVE LN; 100; CB142162; Permit08-26-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB142162 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1937 DOVE LN CBAD St: ICQ PME 2131120700 Lot#: DOVE HOUSING- REPLACE WATER HEATER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/26/2014 RMA 08/26/2014 08/26/2014 Applicant: NORTH COUNTY PLUMBING Owner: DOVE FAMILY HOUSING ASSCS PO BOX 1758 VISTA CA 92085 760 735-4900 1820 S ESCONDIDO BLVD #101 ESCONDIDO CA 92025 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $33.00 $0.00 $0.00 $62.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspector: CeU^ FINAL APPROVAL Date: o'^W'^^f Clearance: NOTICE: Please tal<e NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "fees/exactions." You have 90 days from the date this pemnit 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 Carisbad Municipal Code Section 3.32.030. Failure to timely foiiow that procedure will bar any subsequent legal action to attacl<, 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 oiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING •ENGINEERING BUILDING IZlFIRE nHEALTH • HAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building(gcarlsbadca.gov www.carisbadca.gov Plan Check No. Cf^/C-j Est. Value Plan Ck. Deposit SWPPP JOB ADDRESS RSI DQ\rc LOne SUITE#/SPACE#/UNIT# OO CT/PROJECT # PHASE # # OF UNiTS tt BEDROOI^S # BATHROOIvIS TENANT BUSINESS NAiVIE CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s) 4o 6ajuon uoouttr Hccxter (^iox:ijfYVjLA±, EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES I |# N0| I AIR CONDITIONING YES I |NO| I FIRE SPRINKLERS YES I |NO| I APPLICANT NAIVIE Primary Contac PROPERTY OWNER ADDRESS ADDRESS CITY V STATE^ CITY STATE ZIP PHONE .. _ FAX _ ^ ^ PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE CITY. ,. _ STATE cA " qxoe)S PHONE FAX PHONE FAX „ 1 x% EMAIL STATE LIC.# ICLftSSy ' I CITY BUS. LIC.« (Sec. 7031.5 Business and Professions Code: Any City or County vKhlch requires a permit to construct, alter, Improve, demolish or repair any structure, prior to Its Issuance, also requires the appiicant for such permit to fiie a signed statement that he is iicensed pursuantto the provisions ofthe Contractor's License Lav^ {Chapter 9, commendingwlth Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis for the aiieged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred doiiars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty ol perjury one ofthe foilowing deciarations: ,L_J I tiave and will maintain a certificate of consent to self-insure for wori<ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. r\J I have and will maintain workers' compensation, as required bj 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. {\nY CrUClfO \fy^KC)S\C}i PolicvNo r\Ca:)C^2/4 i IS ExnlratlonDate'"^/20l^ Thjs section need nol be completed Ifthe 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 pemiit is Issued, I shall nol 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 penaities and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensati/mTtlsmages as provided for in Section 3706 of the Labor code, interest and attomey's fees. I hereby affinn that i am exempt from Contractor's License Law for the foiiowing reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure Is 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 complelion, the owner-builder will have the burden ol proving that he did not build or Improve for the purpose of sale). I I i, as owner of the property, am exclusively contracting with Iicensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner ol property who buiids or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I [ I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property Improvement. QVes I INO 2.1 (have / have not) signed an application for a building permil for the proposed work. 3.1 have contracted with the following person (firm) to provide Ihe proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major wori< (Include name / address / phone / contractors' license number): 5.1 will provide some ol the work, but I have contracted (hired) Ihe following persons to provide the woric Indicated (Include name / address / phone / type of work): >^PROPERTY OWNER SIGNATURE QAGENT DATE ttf i TION FOR Nt !ESIOENTIAL BUILDING P E R M i f S |0 ll L Y 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 26505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is ihe applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary ol 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 1 -r- I hereby affirm that there is a construction lending agency for the performance of the wori( this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certily ttiat I have read the appiication and state that ttie above information is conectand tfiat the infomiation on the plans is accurate. I agree to complywith all City ordinances and State laws relating to building construction. I hereby authoree representative of the City of Carlsbad 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 CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: An OSHA permi is required for excavations over 5'0' deep and demolltkjn or constaiction of stmctures over 3 stories in height. EXPIFWTION: Every pemiit issued by the Building Ofiicial under the provisions of this Code shall expire by limitation and become null and void if the buikJing or woric authohzed by such pemiit is not commenced within 180 days from the date of such pejifiiforTSlje building or vwric authohzed by such pennit Is suspenrjed or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifomi BuikJing Code). APPLICANT'S SIGNATURI DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY If a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email bullcling(a>carlsbadca.qOV 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 ZIP CITY STATE ZIP Carlsbad CA PHONE EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) iVIAIL TO; MAIL / FAX TO OTHER CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^ef APPLICANT'S SiGNATURE DATE Inspection List Permit#: CB142162 Type: PME DOVE HOUSING-REPLACE WATER HEATER Date Inspection Item Inspector Act Commerits 08/28/2014 25 Water HeaterA/ents - Rl AM PLS 08/28/2014 25 Water HeaterA/ents MC AP 08/28/2014 29 Final Plumbing - Rl 08/28/2014 29 Final Plumbing MC Fl Friday, August 29, 2014 Page 1 of 1