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Home My WebLink About1937 Dove Ln; 105; CBR2018-0209; Permit{city of Carlsbad Residential Permit Print Date: 06/19/2018 Permit No: CBR2018-0209 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 1937 Dove Ln, 105 BLDG-Residential 2131120700 $0.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: DOVE: REPLACE 40 GALLON WATER HEATER Owner: DOVE FAMILY HOUSING ASSCS WATER HEATER -PLUMBING, ELECTRICAL, MECHANICAL Total Fees: $98.00 Total Payments To Date: P/M/E $98.00 Status: Applied: Issued: Permit Fina!ed: Inspector: Final Inspection: Contractor: CSR PLUMBING INC 8985 Haveteur Way San Diego, CA 92123-2316 888-243-5353 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Closed -Fina!ed 01/25/2018 01/25/2018 6/19/2018 1153:53AM $98.00 $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING 0BUILDING OFIRE 0HEALTH 0HAZMATJAPCO Ccityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No.('.f-'1<"...:n/ 7-/J--2(')9 Est. Value Plan Ck, Dep9slt Date l /;)."i' / / J1 ISWPPP JOB ADDRESS 1937 Dove Lane unit 105, Carlsbad, CA 92009 SUITE#/SPACE#/UNIT# IAPN unit# 105 I l;l/PROJEL:l # I LOT# ! PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I T£NANT BUSINESS NAME I CONSTR. TYPE I CCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) replaced 40 gallon gas water heater for unit 105 at 1937 Dove Lane EXISTING USE I PROPOSED USE . I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING I FIRE SPRINKLERS YESQI NoO vesONoO vesONoD APPLICANT NAME Huyen Pham PROPERTY OWNER NAME CH Works I Prh,--· Cnn•-.... ADDRESS ADDRESS 6876 Cibola Road 1953 Dove Lane CITY STATE ZIP CITY STATE ZIP San Die!lo CA 92120 Carlsbad CA 92009 PHONE I FAX PHONE I FAX 619-699-9629 619-924-4996 760-476-9860 760-476-9638 EMAIL EMAIL hpham@,csrplumbinginc.com manager.lacostapaloma@,chworks.net DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ~------·---- ADDRESS CSR Plumbin!l, Inc. ·--------·-----ADDR_E_s_s_·--------.---------~~~-------~ CITY------STATE -----··-------·· ~-------STATE ZIP CITY ZIP 8985 Haveteur Way ----~~c-----~~--------- San Dieao CA 92123 -------·---PHONE PHONE 619-699-9629 J:. 619-924-4996 ------· ~---EMAIL EMAIL ----------------•. ~ hpham@,csrplumbinginc.com ~------------------- STATE~ ___ 9_8_2_3-58 lcLASsC36 l"rv=,u=,B~'i.=cQ~S-1_2_3_8_3_6_9 ~ ! STATE UC.# {Sec .. 7031.5 Business and Professions Code: Any City or Co_un.ty which requires a permit to.construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_m1t to file a siMed statement ttiat he 1s licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, comme.nd1ng with Section 7000 of D1v1s1on 3 of the Business and Professions Code} or fuat he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 1031.5 by any applicant-for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKl!RS' COMPl!NSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. [Z] I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance c.o.__ ___ _ Se~urity National Ins ______ Policy No SWC1149958 Expiration Date 4123/2016 ~section need not oe completed if the permit is for one hundred dollars ($100) or less LJ 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 California WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crimlnal penalties and civil fines up to one hundred thousand dollani (&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees • ..@S' CONTRACTOR SIGNATURE Huyen Pham ::.:~.'.:.::: --·-·-"·"-·"-"' [Z)AGENT DATE 1/23/2018 OWNER•BUILDER DECLARATION I hereby affirm that I am exempt from Contracto(s License Law for the following reason· 0 D D I, as owner of the property or my empk>yees 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such wor1< 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 br the purpose of sale) 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 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 am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. QYes 0No 2. \ {have I have not) s~ned an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major wor1< (include name I address I phone I contractors' license number): 5. I 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/ type of work): ..@S' PROPERTY OWNER SIGNATURE QAGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 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? tJ Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? [] Yes o 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 certify that I have read the appllcatlon and state that the a bow infonnation is correct and that the lnfonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby aulhooze representative of ~e City of C"1sbad ID enler upon ~e above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARi.LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES l,\\jlCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep ood deroolition or construction of structures over 3 stories in he.Jht EXPIRATION: Every permit is.sued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building oc WOO<. authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended oc abandoned at any tine after the wait is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). h Olgltol~•~"«by"'""""'"' ""' Huyen p am ONrn=H"''""""'·-"'~""''"'9·1"'·°' A> APPLICANT'S SIGNATURE ~"":':::;~::::·:::;•• ""' DATE 1/23/2018 PERMIT INSPECTION HISTORY REPORT (CBR2018-0209) Permit Type: BLDG-Residential Application Date: 01/25/2018 Owner: DOVE FAMILY HOUSING ASSCS Work Class: P/M/E Issue Date: 01/25/2018 Subdivision: CARLSBAD TCT#99-03 LA COSTA GREENS Status: Closed -Finaled Expiration Date: 12/17/2018 Address: 1937 Dove Ln, 105 Carlsbad, CA 92009-4082 IVR Number: 9128 Scheduled Actual Inspection Type Inspection No. Primary Inspector Re inspection Complete Date Start Date Inspection Status 06/19/2018 06/19/2018 BLDG-25 Water 061361-2018 Passed Andy Krogh Complete HeaterNenbl BLDG-Final 061352-2018 Passed Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLDG-Plumbing Final Yes June 19, 2018 Page 1 of1