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Home My WebLink About1937 DOVE LN; 208; CB153113; Permit09-22-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB153113 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1937 DOVE LN CBAD St: PME 2131120700 208 Lot #: LA COSTA PALOMA-REPLACE WATER HEATER Status Applied: Entered By: Plan Approved Issued Inspect Area ISSUED 09/22/2015 RMA 09/22/2015 09/22/2015 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 Ottier PME Fees $38.00 $0.00 $0.00 $60.00 TOTAL PERMIT FEES $98.00 Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due: $0.00 Inspector: Date: FINAL APPR^OVAL Clearance: NOTi(X Hease take IMOTtE that approval of your project indudes ttie Imposition" of fees, dedications, reservations, a cither exactions hereafter cdlectively referred to as "fees'exactiore." You have 90 days from ttie date this permt v\as issued to protest imposition of these fees'exactions. If you protest ttiem you must fdlcw the pn:itest procedures set forth in Govemment (3ode Section 66020(a), and file the pnatest and any other nequred information with ttie Qty IVIanager for processing in accordance viith Cahstad iVLnidpal Code Section 3.32.030. Failure to tirrely fdlcwthat procedure vwll bar any subsequent legal action to attack, review, s^ aside, vdd, a annul ttieir imposition. You are hereby FIKTHER N0T1RBD that your tigtt to protest the spedfied fees/e^ ctianges, nor planning, zoning, grading or other similar application processing or service fees in connecticn with this pnqject. MOR DOES IT APPLY to any fees^exactions of wtiich NOJ have previousiv been dven a NOTICE simiar to this, a as to vvtiich ttie statute of limitations tas cra/iouslv ottiefwise expired i frH/FOLLOWING APPROVALS REQUIRED PRIOR TO PERMiT ISSUANCE; •PUNNING Lyl jENGINEERINO iZlBUILDING ClFIRE 1_J HEALTH JHAZMAT/APCD C City.of Carlsbad Builciing Perinit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@cadsbadca.gov www.carlsbadca.gov Plan Check No. / 5 ,T / / J^ Est. Value Plan Ck. Deposit pate lie SWPPP TiTT /jc^i/^ cM^^^ noof'^^ SUini/SPACE*/UNIT# TENAHT BUSINESS NAMI coN§To?prTo5trsB3np' [CT/PROJEa # PHASE* I« OF UNITS | « BEDROOMS » BATHROOMS DESCRIPTION OF WORK: bicfiiito SQMra Feet of Affected Afaa(ai EXISTINO USE PROPOSEO USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIRCONDITIONING FIRESPRINKLERS YESQ» NOT") YESnNOn YESnNOf"! Primary Contact H^ ^^H'^^/^ PROPERTYOWNER ADDRESS y, . y. ^^3' miy£'T^t/y^ ^Y ADDRESS CITY STATE ZIP 779-^91^ nx 9 FAX PHONE FAX EMAIL ^ ^ ^ A EMAIL DESIGN PROFESSIONAL C0NTRACT0R8US.NAMI /^^^^tlB/^C ADDRESS ADDRESS - . y. MAiy^ rs\y{X i^Y CITY STATE ZIP CITY ^ STATE 2S> PHONE FAX PHONE ^ . ^ , . i</9'^f^-9^J^ EMAIL : i STATE uc. # STATE UC.# _ CLASS y cnv SUS. uea (Sec. 7031.5 Businesa and Professiona Code: Any City or County which requires a permit to construct alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a sleied statement that he is licensed pursuant to the provisions of Uie Contractor's Ucense Law (Chapter 9, commending with Section 7000 of Division 3 of the Businesa and Professions Code) or that he la exemot therefrom, and tha basis for the alleged exemption. Any violation of Section 7031.5 by any appiicant for a permit subjects the applicant to a civil penalty of not more than five hundred doiiars ($500)). WORKBifS' COMPEMSATIOM^ Workart' Compensation DadanllM: / Iwaty affinn uiMlar penally ol perjury one of the folowkig dedaisltana: LJlhave and will maintain a caitlfleatt of content to stlf'4ntura for woilws' compensation as providad by Section 3700 of the Labor Code, lor the perfbrmsnce of Ihe woiii for which this pemiit is Issued. I231navt and will maintain woricers' compenaatlon, as laquirad by Section 3700 of Ihe Labor Code, tor the perfonnanca of the worii ior which Ihia pemiit Is Issued. My woricers' compensaiian insurance < Policy No., Expiration Date "/ *' number aie: Insuanca Co. /'^AA^Ai'^ /A<S policy TMsactian need not be compielad If Ihe permii is lor ons hundred dollars ($100) or less. I I Ceitllleats of Exemption: I ceitify that In the perionnance of the woric tor which this pemiH Is Issued, I shaH not ampioy any person In any manner so as to become subject to Ihe Woricers' Compensalion Laws oi Caltfornia: WARNINO: Fallura to secura workera' compensation coverqa ia unlawful, and shaH subjact an smpioytr to criminal ptnaltlas and civil finn up to one hundrtd thousand ddlara (1100,000), In iddMcn to tha cott of compensation, damagM at providtd for in Stcttop 3706 of tht Labor codt, Interatt and tttomty's fttt. .^S" CONTRACTOR SIGNATURE /yj^t-^htn^ J^^^^S^ •AGENT DATE ^ I / ^ ^ e n* - B U I L O E !»' DECLARATION* / haradv a/IInn that / am axampf Aom Conlracfty's Ucante Law Ibr tfie ibHowfrig reason.' I I I, as owner of Iht pnxieriy or my empkiyeat with wages as their sole compensatkin, will do Ihe work and Ihe struck Ucense Law does not apply to an ovmer of property who buikis or improves Ihereon, and who does such woric himself or 1^^ sale. If, howavar, the buildirig or impRnemenl is sou within one year of ompleto I I I, as ownar of Iht pio|Mrty, am exckoively conHading with licensed oonlractort to conslmct the project (Sec. 7044, Business andl^kwons Code: The Contractors Ucense Law does not apply to an ownar of property who buikis or improves lharaon, and contracts tor such projecis wilh cantractor(s) ricansad pursuant to the Co^^ • I am exempt under Seclion. .Business and Professkxis Coda for this reason: 1 I personaiiy pian to provkle Ihe major labor and materials kxconslriKtton olthe proposed property improvement l~iYes PHNO 2.1 (have/have nol) signed an appitoalton tor a buikling permit tor the proposed vroric 3.1 have contracted witti the lafcwkig person (finn) to provkle the proposed constructton Ondude name address / phone / contractors' ltoense number): 4.1 plan to provkle portnns of the woric, bul I have hirsd the toHowing person to coordinate, supenrise and provkle the major worit (kKlude name / address / phone / contractors' licanse number): 5.1 WiH provkle some of the woric, but I have contracted (hired) the Ibltowvig persons to provide the work indtoated (include nanw / addrass / phone / type ol woric): .g^PROPERTY OWNER SIGNATURE •AGENT DATE IPLETE THIS SECTION FOR N O N - R E S I O E N T I A L BUILOING PERMlfs ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risi( management and prevention program under Sections 25505,25533 or 25534 of tlie Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant or future building occupant required to obtain a pemiit from the air pollution control district or air quality management district? Yes No Is the lacility to be constructed within 1,000 feet of the outer boundaiy 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 REQUIREHENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance ofthe work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I ceitify that I have lead the application and state that the above Infonnation is conectand that the Infbmiation on the plans is accurate. I agiae to comply vvith all City ordinances and State laws relating to building constniction. I hereby authorize representative of the City of Carisbad to enter upon tiie above mentioned pioperty 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 pennit is requined for excavations over 50' deep and demolition or constmction ot structures over 3 stories in height EXPIRATION: Every pennit issued by the Buikiing Official under tiie provisbns of this Code shall expire by limitation and become null and void if the building or vwri< authorized by such pemiit te not oommenced within 180 days frcim the date of such pennil or if the buildiijg or viori< authorized by such permit te suspended or abandoned al any time after the wori< is commenced for a period of 180 days (Section 106,4.4 Unifomn Building Code), ^APPLICANT'S SIGNATURE /Jyfy^j ^^^^^^ 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 buildina(S)carlsbadca.qov or Mail the completed form to City of Carlsbad, 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 FAX OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAIL 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 ygf APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB153113 Type: PME LA COSTA PALOMA-REPLACE WATER HEATER Date Inspection Item Inspector Act Commente 10/01/2015 25 Water HeaterA/ents - Rl AM PLEASE 10/01/2015 25 Water HeaterA/ents PY AP 10/01/2015 29 Final Plumbing - Rl 10/01/2015 29 Final Plumbing PY AP Monday, October 05, 2015 Page 1 of 1