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Home My WebLink About1937 DOVE LN; 200; CB151084; Permit04-10-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB151084 Building Inspection Request Line (760) 602-2725 Job Acjdress: Permit Type: Parcel No: Reference #: PC #: Project Title: 1937 DOVE LN CBAD St: PME 2131120700 200 Lot#: LA COSTA PALOMA HOA-REPLACE WATER HEATER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/10/2015 RMA 04/10/2015 04/10/2015 Applicant: CSR PLUMBING, INC 8985 HAVETEUR WAY SAN DIEGO CA 92123-2316 619-699-9629 Owner: DOVE FAMILY HOUSING ASSCS 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 APPROVAL Date: Clearance: NOTICE: Please take 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 pemiit 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 in accordance with Carisbad 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 oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING QENGINEERING nBUILDING DFIRE nHEALTH • HAZMAT/APCD Ccityof Carlsbad Buildmg Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov // www.carlsbadca.gov JOB ADDRESS H5n imt SUITBI/SPACE*/UNIT* CT/PROJECT # # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE DESCRIPTION OF WORK: /ncfude Square Feet of Affected Area(s) l/b UaoAy ^^'^^^ ihATt^- ^ ^GwA/f/^ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~|# N0| I AIR CONDITIONING YES QNO I I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME Primary Co PROPERTY OWNER ADDRESS ADDRESS CITY STATE CITY STATE ZIP PHONE FAX PHONE FAX DESIGN PROFESSIONAL ADDRESS CITY STATE ZIP CITY STATE PHONE FAX PHONE FAX EITY BUS. LIC.# afATE LIC.# , _ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, priorto its issuance, 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, ccmmendingwith 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)). Workers' Compensation Declaration: / hereby affimi under pena/ly of perjury one of the following declarations: [Z I have and will maintain a certificate of consent to self-insure for woriters' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the work for which this pennit is issued. 1^ I have and wiil maintain workers' compensation, as reguired bv Section 3700 of the Labor Gode, for the performance of the work for which this permit is issued. My workers'compensation insurance carrier and policy number are: Insurance Co. ^l\l^l\Lh Policy No. 01}'^^ ~ ^ 5 Expiration Date j ?6//^ This section need not be completed if the permit is for one hundred dollars ($100) or iess. I I Certificate of Exemption; I certify that in the perfonnance of the work for which this pennit 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 of the Labor code, interest and attomey's fees. Jj^CONTRACTOR SIGNATURE • AGENT DATE / hereby affimi that I am exempt from Contractor's Ucense Law for the folbwing reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stnjcture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlractor'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 I I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Contrxtor'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. •Yes I INO 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3. i have contracted with the following person (fimn) to provide the proposed constmction (indude name address / phone / contractors' license number): 4.1 plan to provide portions of the vrork, but I have hired the following person to coordinate, supenrise and provide the major worit (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but 1 have contracted (hired) the following persons to provide the worit indicated (include name / address / phone / type of worit): PROPERTY OWNER SIGNATURE QAGENT DATE SECTION FOR NON-RES TIAL BUILDI j pmri III, r j) "iil||1w|h'^%rnmiifcfliij|j||L^ is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention pnigram under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? Yes No Is the fxility to be constr\icted 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 affinn that there is a construction lending agency for the perfomiance of the work this permit is issued (Sec. 3097 (I) Civil Code). Lender's Name Lender's Address ;J»'t.\I C,i<l,,*l T , C ER Tl F 1 CATI O H I certif that I have read the application and state that the above information is conectand that the infbnnation on the plans is accurate. I agree to comply with all Ci^ ordinances and State laws relating to building constnictkin. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspecfion purposes. I ALSO A6FEE TO SAVE, INDEMNIFY ANO f<EEP HARMLESS THE CfFY OF CAf«.SBAD AGAINST Aa LIABILrriES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE QF THE GRANTING OF THIS PERMIT OSHA: An OSHA pennit is required for excavations over 5'0' deep and demolition or ccnstructtan of stnjctures over 3 stories in height. EXPIFWTIQN: Every permit issued by the Building Oflicial under the provisfons ofthis Code shall expire by limitatian and become null and void if the buikling or work authorized by such permit is not commenced within 180 days from the date of such pemiit or if the buiWIng or »ori< authorized by such pemiit is suspended or abandoned at any time after the mk is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE •A 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 buildlna(5)carlsbadca.aov or Mail the completed forni to City of Carlsbad, Building Divisfon 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAIVIE OCCUPANT NAIVIE ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EIVIAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) ASSOCIATED CB#- MAIL/FAX TO OTHER: NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB151084 Type: PME LA COSTA PALOMA HOA-REPLACE WATER HEATER Date Inspection Item Inspector Act Comments 04/22/2015 25 Water HeaterA/ents - Rl 04/22/2015 29 Final Plumbing - Rl 04/21/2015 25 Water Heater/Vents MC AP 04/21/2015 29 Final Plumbing IVIC Fl Wednesday, April 22, 2015 Page 1 of 1