HomeMy WebLinkAbout1937 DOVE LN; 212; CB160788; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
02-29-2016 Permit No: CB 160788
Buildin9 Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1937 DOVE LN CBAD St: 212
PME Status:
Parcel No: 2131120700 Lot#: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
LA PALOMA APTS-REPLACE WATER
HEATER
NORTH COUNTY PLUMBING
P 0 BOX 1758
VISTA CA 92085
760 735-4900
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
DOVE FAMILY HOUSING ASSCS
1820 S ESCONDIDO BLVD #101
ESCONDIDO CA 92025
ISSUED
02/29/2016
RMA
02/29/2016
02/29/2016
$38.00
$0.00
$0.00
$60.00
$98.00
Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due:
Inspector: fVt. Cc..fi.ks Clearance:
$0.00
NOTICE Please take NOllCE that approval of your prqect includes the "lrrp:l>ition'' ri fees, dedications, reservations, or other exactions hereafter rollecl:ively
referred to as "fees' exactions." You have 00 days from the date this pemit V\eS issued to protest irrposition of these fees'exad:ions. If you protest tl'em, you rrust
foiiONthe protest pucedures set forth in GJverrrrent C<Xle Section 60020(a), and file the protest and any other required infoomtion wth the Oty l\t1anager for
puccssing in aa:adarlcewth Carlsbad 1\1\.Jnidpal C<Xle Section 3.32.030. FailuretotirrelyfdiONthat pucedurewll bar anysut:sequent legal action to attack,
rr:Mw, set aside, void, cr annul their irrp:l>ition
You are hereby FLRTHER NOTIRED that ywr right to protest the spedfied fees' exactions OCES NOT APPI... Y to V\ater and seNer connedion fees and rnpocity
changes, rrr planning, zoning, grading or other sinilar application prcxESSing cr service fees in connection wth this prqect. 1\.'C:R OCES IT AFf'L Y to any
fees/exactions of IIIAlich vou have oreviouslv boon aiven a NOTICE sinilar to this cr as to vhch the statute of linitations has Pre'Yiouslv othetv.ise e!<Dred.
lr•!E iOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING 0ENGINEERING ~UILDING OFIRE OHEALTH OHAZMATIAPCD
BJUilding Permit Application Plan Check No. m; b 0''7 fr
'1635 Faraday Ave., Carlsbad, CA 92008 Est. Value CITY OF Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building@carlsbadca.gov RJ-Plan Ck. Deposjt
www.carlsbadca.gov f-oate r2 /~ff J /l ~~WPP~ " .... ····--·· --
JOB ADDRESS ICfol Oove Lo .... ne SUITEII/SPACE#/UNIT# rPN -:ti: 2J. L ---
CT/PROJECT # _I LOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS ITz;rs·c~rrA-uAu->~T~~F?OUP
DESCRIPTION OF WORK: Include Square Feet of Affected Ama(s) ...... II v
Rt:.fY\0\/C.. ~ IZ:e .. pto_.,u U...Jelte..V" th.ut(
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE lAIR CONDITIONING I FIRE SPRINKLERS
YESO NoD YES 0No D YESO NoD
APPLICANT NAME ~ • _,
Primary Contact .\ .\Y\\'\0 j')} C ClC\\/t PROPERTY OWNER Cbn-arv1 PrDOx .rtc/t-
ADDRESS p \I,_SG, ADDRESS f9S~ [)c) v-e, L.Curu.. ld .o b())L.
C!TYVi ~-tt:\. s(;tci CI'·2C5t~ CITY CCc,viSbcwl STATE CA ZIP
Cf20o9
PHONE !FAX PHONE rAJ( I '-CO 1 ~CZJ .Lfe·l oa I <.cl:) CjLfO I Lf-£;·=J-, lcvo-41c-~-qvwu luo-Lfl<...o ..... C1we:f6
d!L ~ EMAIL
'-e':_O .. nVI. ci)::;-, __ ,l\0(\·hCCL'\'\\·~....-1 pl <.Jn\!a·J ~-CO' II
DESIGN PROFESSIONAL -CONTRACTOR BUS. NAME ()off\} (OJY1\t..-1 Plor(Hdl~
ADDRESS ADDRESS p e:u~ \\~<() (,..) ;) .o
CITY STATE ZIP CITY V\2>1-a SOA ZIP Ci 2i)O-.::;;-<......t
PHONE !FAX PHONE . I FAX I uD '""16 'S L.fOIDO llO() Ci"4-0 I<-! 1:..-ri-
EMAIL c:t eav1na Q)nof\'VJ G. . .D\'lt\..1. ~\umb n01. corn I STATE UC. # STATELIC.# I CG?i...o fj l CITY BUS. LIC.# tj lt?S:\ L <;;-:::t-
(Sec. 7031.5 Busmess and Professions Code: Any City or County which requ1res a perm1t to construct, alter, Improve, demolish or repa1r any structure, pnor to 1ts Issuance, also requ1res the applicant for such permit to file a signed statement that he is. licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 of the 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: I hereby affirm under penai(V of peljury one of the following declarations:
,Q 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. ltf'r have and will maintain w~ers' compensation, as · by Section 3700 of lhe La'39l Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
numberare:lnsuranceCo.l \Ov' cru ' ~ ~ ) r.....u. PolicyNo.ncwc '1Ci''~ Expiration Date 2/ II [2.d+
~section need not be completed if the permit is for one hundred dollars ($1 00) or less. U Certificate of Exemption: I certify that in the performance of the work for which this permitis 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 for in Section 3706 of the Labor code, interest and attorney's fees.
1 hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: 0 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 Contractors
License Law does not apply to an owner of property who builds or improves !hereon, 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 !he purpose of sale).
0
D
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's U<;ense 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 am exempt under Section Business and Professions Code lor this reason:
1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes 0No
2.1 (have 1 have not) signed an application lor a building permit for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed construction (include name address I phone I 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 work (include name I address I phone I 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 I address I phone I type of work):
~PROPERTY OWNER SIGNATURE 0AGENT DATE
I certify that I have read the application and state that the above infonnai~on is conectand that the infonnation on the plans is accumte.l agree to comply with all City ordinances and State laws relating to building consbUction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.! ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFTHE GRANTING OF THIS PERMIT.
OSHA A~ OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by S'Jch permit is not commenced within
180 days from the date of such permit building or work authorizEid by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
~APPLICANT'S SIGNATURE DATE 1_ 12? { 2
STOP: THIS SE:CTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE Of OCCUPANCY /Commercial Projects Only J
Fax (760) 602-8560, Email building@carlsbaclca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office llse Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICKUP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1) NO CHANGE IN USE I NO CONSTRUCTION
MAIL I FAX TO OTHER: CHANGE OF USE I NO CONSTRUCTION
.85 APPLICANT'S SIGNATURE DATE
I pecti n ist
Permit#: CB160788 Type: IPME
Date __ !rl~pe_~i~!U~m ------~----Inspector Act
03/01/2016 25 Water HeaterNents Rl
03/01/2016 25 Water HeaterNents
03/01/2016 29 Final Plumbing
03/01/2016 29 Final Plumbing
MC
MC
AP
Rl
Fl
Tuesday, March 01, 2016
LA PALOMAAPTS-REPLACE WATER
HEATER
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