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Home My WebLink About1937 DOVE LN; 201; CB143044; Permit11-06-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB143044 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1937 DOVE LN CBAD St: 201 PME 2131120700 Lot#: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: LA COSTA PALOMA: REPLACE WTR HEATER ISSUED 11/06/2014 JMA 11/06/2014 11/06/2014 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 $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: FINAL APP Date: APPROVAL 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 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 given a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING QENGINEERING DBUILDING OFIRE QHEALTH nHAZMAT/APCD <^ City of Carlsbad Buildmg Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carisbadca.gov Plan Check No. (^5 (q ^ ^^g. Est. Value Plan Ck. Deposit Date SWPPP JOB ADDRESS i<^^n o^Mi L/W'? SUITE#/SPACE#/UNIT# ft 20 1 CT/PROJECT # PHASE # I SOF UNITS # BEDROOMS • BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE lOCCGROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Areafs) ^0 [)l\iluiy k//|Ti^vc l+f/vrii^ ritSwvcLAt-t:!/^' EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES[~|# NO| I AIR CONDITIONING YES QNO I I FIRESPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact PROPERTYOWNER ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDIESS CITY STATE ZIP cipc STATE ZiP PHONE FAX PHONE FAX EMAIL ^Ri\w\Q C^fp]vw\hUc^it/^c iCO^ iTE IIC.# I OASS I CITY BU; CITY BUS. LIC.# civil penalty of not more than five hundred dollars {$500}) wonKwns: ENSATION Workers' Compensation Declaration: i hereby affirni under penalty of perjury one of the foiiowing deciarations: LJ 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 perfomiance of the work for which this permit is issued. Ijil I have and will maintain workers' compensalion, as required by Section 3700 of the Labor Code, for the perfonnance of the work&r which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co, H)/\'V/iLk I/l/^D vt/f'V<^^ PolicyNo. ffO^^ Y^'?' 1'3 Expiration Date ^/70/201^ Thjs 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 perfomiance of the worti for which this pemiit 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 (&100,000), In addition to the cost of compensation, damages as provided for In Section 3706 ofthe Labor code, interest and attomey's fees. . jfiS" CONTRACTOR SIGNATURE /^^;,_.^—^ ' QAGENT DATE /// 4/ 2 01^ vr • • / hereby affirm that I am exempt from Contractor's Ucense Law for the foiiowing reason: I, as owner of the property or my employees wilh wages as their sole compensation, will do the work and the stmcture is not intended or otfered 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 constnjct the pnjject (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 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 improvemenl •Yes I INO 2,1 (have / have not) signed an application for a building penriit for the proposed work. 3,1 have contracted with the following person (finti) to provide the proposed constaiction (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, supervise and provide the major wort( (include name / address / phone / contractors' license number): 5.1 will pravide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): PROPERTY OWNER SIGNATURE •AGENT 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 25605,25533 or 25534 of the Presley-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 district? Yes Nlo 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 constaiction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address lllMjllltHEBEBI I certify that I have read the application and state thatthe above inforniation Is conectand that the Inforniation on the plans is accuiate. I agree to comply witti all City oidinances and State laws relating to building construction. I hereby authorize representative ofthe City of Cartsbad to enter upon the above mentbned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNiFY AND KEEP HARMLESS THE CITY OF CARLSBAD A(3AINST 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 pennit is required fbr excavations over 5'0' deep and demolition or constmction of sinictures over 3 stories in height, EXPIRATION: Every pemiit issued by the Building Ofiicial under the provisions of this Code shall expire by limitatbn and become null and void if the buiiding or vit)ri< authorized by such pemiit is not commenced within 180 days from the date of such pemiit or ifthe building or wnk authorized by such pennit K suspended or abandoned at any time afler the vrork is oommenced Ibr a period of 180 days (Sectbn 106.4,4 Uniform Building Code), jgfAPPLICANT'S SIGNATURE /^,t,..,_-^ p^l-^^ 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 buildlnatajcarlsbadca.qov or Mall the completed forni to City of Carlsbad, Building Division 1535 FaradayAvenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP STATE ZIP Carlsbad CA PHONE EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPnONS 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 ^APPLICANTS SIGNATURE DATE Inspection List Permit#: CB143044 Type: PME LA COSTA PALOMA: REPLACE WTR HEATER Date Inspection Item Inspector Act Comments 11/12/2014 25 Water HeaterA/ents - Rl 11/12/2014 29 Final Plumbing - Rl 11/11/2014 25 Water HeaterA/ents MC AP 11/11/2014 29 Final Plumbing MC Fl Thursday, November 13, 2014 Page 1 of 1