HomeMy WebLinkAbout1937 DOVE LN; 300; CB142820; Permit10-21-2014
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No:CB142820
Building Inspection Request Line (760) 602-2725
Job Address;
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
1937 DOVE LN CBAD St: 300
PME
2131120700 Lot #:
DOVE FAMILY HOUSING- REPLACE
WATER HEATER - SAME LOCATION
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/21/2014
RMA
10/21/2014
10/21/2014
Applicant:
NORTH COUNTY PLUMBING
Owner:
DOVE FAMILY HOUSING ASSCS
P O 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
$35.00
$0.00
$0.00
$60.00
TOTAL PERMIT FEES $95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00
Inspector: Clearance:
NOTICE: Please tal<e NOTICE that approval of your project includes the "|/positior)7of fees, dedications, reservations, or other exactions hereafter collectively
refen'ed 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 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 othenA/ise expired.
THE FOLLOWING APPROVALS REQUIRED PRiOR TO PERMIT ISSUANCE: OPLANNING •ENGINEERING •BUILDING DFIRE •HEALTH •HAZMAT/APCD
^ City of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Pti: 760-602-2719 Fax:760-602-8558
email: building@carlsbadca.gov
www.carisbadca.gov
Plan Check No.
Est. Value
Yl tl I PI**" Ck. Dypo^t
SWPPP
tt BATHROb'i
suiTe#/sPAce#/uNiiy
PHASE tt # OF UNITS # BEDROOMS MS TENANT BUSINESS NAME I CONSTR. Pr-PE j OCC. GROUP
DESCRIPTION OF WORK: /nclude Square Feet of Affected Areafs;
yuf/oAx^ Wf>Ai) lijf^^
EXISTING USE PROPOSED USE GARAGE (SF) DECKS (SF) FIREPLACE
YES|~|# N0| I
AIR CONDITIONING
YES I [NO I I
FIRE SPRINKLERS
YES I |NO| I
APPLICANT NAIVIE
Primary Co 7fct /tl U^z^yg PROPERTYOWNER
ADDRES; ESS
' J. ^ STATE ^ ZIP '
ADDRESS
CITY CITY STATE ZIP
PHONE FAX
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS ADDR^5_
CITY . STATE ZIP CITY STATE ZIP
PHONE PHONE FAX
rEyc.# ^.1^ CLASS _ • CITYBUS^IC.# _ ^
alter. lmnroufi_ riemolL'^h or renair anv Rtrunturfi. nrinr to it.<; iRRiianr^e. also rnniiirns tha » (Sec. 7031.5 Business and Professions Code: Any Cityor County which requires a permitto construct, alter, Improve, demolish or repair any structure, priorto its issuance, also requires the
applicantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commendingwlth 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 applicantfor a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500)).
ft!' and policy
Woikers' Compensation Declaration: / hereby affirm under penalty of peijury one ofthe following declarations:
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
Nave and will maintain workers' compensation, as reguired by Section 3700 of the Labor Code, for the perfomance of the wori( for which this permit is Issued. My workers' compensation insurancyjamer ar
number are: Insurance Co PA^/V//^<V /-^f^K^firl^f) Policv t\oj~jCJC^(^ 4"^^!^^ Expiration Date / 1^
This section need not be completed if the permit Is for one hilridred 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
Califomia. 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 ofthe Labor code. Interest and attomey's fees.
ygS" CONTRACTOR SIGNATURE /^/* }\^t \ A .Jf^b «[^^ENT DATE /^/
m Section 370e ofth!
•
•
/ 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 wori( 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 completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Pnjfessions 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 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. QYes I iNo
2.1 (have / have not) signed an application for a building permit for the proposed work.
3.1 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 of the work, but I have hired the following person to coordinate, supen/ise and pn^vide the major work (Include name / address / phone / contractors' license number):
5.1 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):
7]
vfifpROPERTY OWNER SIGNATURE ,GENT DATE
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
Prestey-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management districf? Yes No
Is the fxility 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).
Lender's Name Lender's Address
•
I certily that I have read the applk:atlon and state thatthe above Infomiation Is conectand that Uie Infbnnatlon on the plans Is accurate. I agtee to complywith all City otdlnances and State laws teiating to building constniction.
I heteby authorize representative ofthe City ofCarisbad to enter upon the above mentioned property fbr inspection purposes. I ALSO AGI^E TO SAVE, INDEMNIFY AND KEEP HAFWLESS THE CITY OF CAIRLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERIVliT.
OSHA: An OSHA pennit is required tor excavations over 5'ff deep and demolitbn cr constructbn of staictures over 3 stories in height.
EXPIRATION: Every pemiit ssued by the Building (Mda\ under Sie provisbns of this Code shall expire by limitatbn and become null and void if the buikJing orvioik authorized by such pemiit is not commenced within
180 days from the date of such pemiit or ifthe building or \Aori< authorized by such pemiit is suspended or abandoned at any time after the wxk is commenced for a period of 180 days (Sedbn 106.4.4 Unifomn Building Code).
APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the followmg ONLY If a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email buildinq(5)carisba(Jca.Q0V or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAIVIE OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAILTO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
ygf APPLICANT'S SIGNATURE DATE
Inspection List
Pemiit#: CB142820 Type: PME
Date Inspection Item
10/24/2014 13 Shear Panels/HD's
10/24/2014 25
10/24/2014 25
10/24/2014 29
10/24/2014 29
Water Heater/Vents
Water Heater/Vents
Final Plumbing
Final Plumbing
Inspector Act
SP AP
Rl
SP AP
Rl
SP Fl
DOVE FAMILY HOUSING- REPLACE
WATER HEATER - SAME LOCATION
Comments
AM PLS
Monday, October 27, 2014 Page 1 of 1