HomeMy WebLinkAbout1937 Dove Ln; 207; CBR2019-3593; PermitPERMIT REPORT
Print Date: 03/05/2020
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1937 Dove Ln, 207
BLDG-Residential
$ 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: CBR2019-3593
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
AMOUNT
$98.00
Balance Due: $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 REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD
Ccityof Building Permit Application Plan Check Nor --.,o. ~ ,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 / :.J ,-/ ~ -IC:.,' lswPPP
JOB ADDRESS SUrTE#/SPACE#/UNIT# IAPN 1937 Dove Lane unit 207, Carlsbad, CA 92009 unit# 207 ---
CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANf BUSINESS NAME I CONSTR. TYPE l OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Replaced 50 gallon water heater for unit 207 at 1937 Dove Lane
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING / FIRE SPRINKLERS
YES[}, NO□ YES □No □ YES□No□
APPLICANT NAME Huyen Pham PROPERTY OWNER NAME CH Works Prtn ,. n -
ADDRESS ADDRESS
7525 Mission Gorge Road, Suite A 1953 Dove Lane
CITY STATE ZIP CITY STATE ZIP
San DieQo CA 92120 Carlsbad CA 92009
PHONE I FAX PHONE I FAX 888-243-5353 619-924-4996 760-476-9860 760-476-9638
EMAIL EMAIL
info@csrplumbinginc.com manager.lacostapaloma@chworks.net
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME CSR Plumbina, Inc.
ADDRESS ADDRESS 7525 Mission Gorge Road, Suite A
CITY STATE ZIP CITY STATE ZIP
San Dieao CA 92120
PHONE isAX PHONE I FAX 888-243-5353 619-924-4996
EMAIL EMAIL
info(@,csrplumbinginc.com
I STATE UC.# STATE UC.# ICLASSC36 1 CITY '"s'Los1238369 982358
(Sec. 7031.5 Business and Professions Code: Any Crty or Coun_ty which requires a permit to.construct, alter, improve, demolish or repair an~ structure, prior to its issuance, also requires the applicant for such per_mit to file a signed statement tt\at he is licensed pursuant to the provisions of the Contractor's License LawJChapter 9, comme_nding 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 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Woril.ers' Compensation Declaration: I hereby affm under penalty of perjury one of the following declarations: D 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 wlll maintain woril.ers' 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
J_hi§.section need not be 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 criminal penalties and clvil 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 attorney's fees.
R5 H Ph
,.,..,_,. __ _
Uyen am ""~'-"""'""''""-.. ,~.~ CONTRACTOR SIGNATURE ,::~:;;;:;:t;,,a;---·-[ZJAGENT DATE 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).
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 OOes not app~ 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 materiais for construction of the proposed property improvement. OYes Oo
2. \ (have I have not) signed 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 work (include name I address I phone / 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 I type of work):
R5 PROPERTY OWNER SIGNATURE □AGENT 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 urider 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? □ Yes □ No
Is the facility to be constructed 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a oonstruct1on lending agency for the performance of the work. this permit 1s issued (Sec 3097 (1) C1v1I Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above lnfonnatlon is correct and that the Information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby aulhorize representative of ~e City of C811sbad ID enter upon the alxwe mentioned property for 11speclioo purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA pennl • requred for excavalions r,,er 5'0' deep aid de!oollion or coos1ruclion of slruclu11!S rmr 3 s!Dlies 11 height
EXPIRATION: Every pe,mlt issUed by the Buikling Obi under the prcNisions of thi.5 Gode shall expire by limitation and become null and void if the buikling or WOO: au1hofiZed by such penm: 6 not commenced 'MIilin
180 d8jS from~• date of such pennl or !the bui~ilg or-au1horized by such pennl • suspended or abandooed at any tirre aller ~•-is oowrnenced for a period of 180 days (Section 106.4.4 Uniform Bui~irl,i Code).
h Digitally signed by Huyen Pham
.A! APPLICANrss,oNATURE H uyen P am ::1:;;:'.;;~~;~:~~:i~~:~~~~1
~~--ou. DATE 1211712019 Date: 2019.12.17 14:11:22 -08'00'
PERMIT INSPECTION HISTORY REPORT (CBR2019-3593)
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: 23777
Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
03/04/2020 03/04/2020 BLDG-25 Water
HeaterNents
121090-2020
March 04, 2020
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
121091-2020
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Etectrical Final
Passed Peter Dreibelbis
COMMENTS
Passed Peter Dreibelbis
COMMENTS
DOVE FAMILY HOUSING ASSCS
1937 Dove Ln, 207
Carlsbad, CA 92009-4082
Relnspection Complete
Passed
No
Passed
No
No
No
No
No
Complete
Complete
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