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Home My WebLink About1937 Dove Ln; 104; CBR2019-3592; PermitPERMIT REPORT Print Date: 03/05/2020 Job Address: Permit Type; Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1937 Dove Ln, 104 BLDG-Residential 2131120700 $ 0.00 Residential Permit Work Class: P/M/E Lot#: Reference #: Construction Type Bathrooms: Orig. Plan Check#: Plan Check #: Description: DOVE: REPLACE WATER HEATER Owner: DOVE FAMILY HOUSING ASSCS FEE WATER HEATER PERMIT Total Fees: $ 98.00 Total Payments To Date : $ 98.00 (City of Carlsbad Permit No: CBR2019-3592 Status: Closed -Finaled Applied: 12/18/2019 Issued: 12/18/2019 PermitFinal 03/04/2020 Close Out: Inspector: PDrei Final Inspection: 03/04/2020 Contractor: CSR PLUMBING INC 8985 Haveteur Way San Diego, CA 92123-2316 888-243-5353 Balance Due: AMOUNT $98.00 $0.00 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. Buildin Division 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov Page 1 of 1 THE FOLLOWING APPROVALS REQUIREO PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD Ccityof Building Permit Application PlanCheckNo.,-;,.,_,~:Q. ~.,9:; 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date/;}./~ -/'f lswPPP JOB ADDRESS SUITE#/SPACE#/UNIT# APN 1937 Dove Lane unit 104, Carlsbad, CA 92009 unit# 104 --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replaced 50 gallon water heater for unit 104 at 1937 Dove Lane EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS {SF) I DECKS (SF) FIREPLACE 'AIR CONDITIONING I FIRE SPRINKLERS YES[), NO□ YES □No □ YES □No□ APPLICANT NAME Huyen Pham PROPERTY OWNER NAME CH Works p ADDRESS ADDRESS 7525 Mission Gorge Road, Suite A 1953 Dove Lane CITY STATE ZIP CITY STATE ZIP San Dieao CA 92120 Carlsbad CA 92009 PHONE PHONE 888-243-5353 I FAX 619-924-4996 760-476-9860 I FAX 760-476-9638 EMAIL EMAIL info@csrplumbinginc.com manager.lacostapaloma@chworks.net DESIGN PROFESSIONAL CONTRACTOR BUS. NAME CSR Plumbin!l, Inc. ADDRESS ADDRESS 7525 Mission Gorge Road, Suite A CITY STATE ZIP CITY STATE ZIP San Dieao CA 92120 PHONE PHONE /FAX 888-243-5353 /FAX 619-924-4996 EMAIL EMAIL info@csrplumbinginc.com I STATE UC.# STATE LIC.# ICLASSC36 / CITY BUSBLOS 1238369 982358 (Sec. 7031.5 Busmess and Professions Code: Any City or Coun_ty which requires a permit to.construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, comme_ndmg with Section 7000 of Division 3 of the B_usmess and Professions Code} or that he 1s exemj?t therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {:5500)). WORKERS' COMPENSATION Worters' Compensation Declaration: I hereby affum under penalty of perjury one of the following declarations: 0 I have and wlll 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 Co, Security National Insurance Company Policy No, SWC1233789 Expiration Date 412312020 lhi§.section need not be completed ~ the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: t certify that in the performance of the work for which this permt 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 workel'I' compensation coverage is unlawful, and shall subject an employer to climina.I penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages u provided for In Section 3706 of the Labor code, Interest and attorney's fees. ~ coNTRAcToR SIGNATURE H uyen Pham l!:';iE:::o"E:.:;-•""" __ ,_., •• ,,_,,_,, IZl AGENT oATE 12/ 17/2019 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ 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 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), 0 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 contracb~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. 0Yes 0No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted wilt1 the following person (firm) to provide the proposed construction (include name address/ 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 work (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 / address I phone I type of work)' ~ PROPERTY OWNER SIGNATURE □AGENT DATE I 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 ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer bounday 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 ANO THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AG£NCY I hereby affim1 that there 1s a construction lending agency for the perfonnance of the work this penn1t 1s issued (Sec 3097 (1) C1v1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the appllcatlon and state that the above infonnatlon Is correct and that the Information on the plans is accurate. I agree to comply with all City ordinances and State 18\'S relating to building construction. I hereby aulhorize reprosenlative of the Cny of Car1sbad ID enler upon ~•-mentioned property for inspecloo purposes. I ALSO AGREE TO SAVE, INDE~IFY AND KEEP HARM.ES$ THE crTY OF CARLSBAD AGAINST ALL W\BILrTIES, JUDGMENTS, COSTS AND EXPENSES \'VHICH W\Y 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 and demolition or construction of structures over 3 stories in heght EXPIRATION: Every permit 5SI.Jed by the Building Official under lhe provisions of this Code shall expire by Mmitation and become null and void if the building or'work authorized by such permit is not commenced ~in 180 days from ~• dale of such pemil .-ne buHdK1Q .--authorized by such permit is suspended .-abandooed at any time after ~• -is convnenced for a period of 180 days (Section 106.4.4 Unifoon Bui~i1g Code). H Ph ()jgltllly,~r>edbyHU\'OnPham ,.,,, uyen am ON.cn=~Phom,0-CSRPlumblng.la<.ou, ...E APPLICANT'S SIGNATURE =:,i~~~~~~':~""',c-us DATE 12/17/2019 PERMIT INSPECTION HISTORY REPORT (CBR2019-3592) Permit Type: BLDG-Residential Application Date: 12/18/2019 Owner: Work Class: P/M/E Issue Date: 12/18/2019 Subdivision: Status: Closed -Finaled Expiration Date: 08/31/2020 Address: IVR Number: 23776 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 03/04/2020 03/04/2020 BLDG-25 Water Heater/Vents 121094-2020 March 04, 2020 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 121093-2020 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed Peter Dreibelbis COMMENTS Passed Peter Dreibelbis COMMENTS DOVE FAMILY HOUSING ASSCS CARLSBAD TCT#99-03 LA COSTA GREENS 1937 Dove Ln, 104 Carlsbad, CA 92009-4082 Relnspection Complete Passed No Passed No No No No No Complete Complete Page 1 of 1