HomeMy WebLinkAbout1941 DOVE LN; ; CB131186; Permit05-13-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No:CB131186
Building Inspection Request Line (760) 602-2725
Job Address 1941 DOVE LN CBAD
Permit Type PME Status ISSUED
Parcel No 2131120700 Lot# 0 Applied 05/13/2013
Entered By SKS
Reference # Plan Approved 05/13/2013
PC# Issued 05/13/2013
Inspect Area
Project Title DOVE FAMILY HOUSING ASSCS -
REPLACE WATER HEATER IN UTILITY ROOM, SAME SIZE AND LOCATION
Applicant
NORTH COUNTY PLUMBING
Owner
DOVE FAMILY HOUSING ASSCS
P O BOX 1758
VISTA CA 92085
760 735-4900
1820 S ESCONDIDO BLVD #101
ESCONDIDO CA 92025
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$31 00
$0 00
$0 00
$64 00
TOTAL PERMIT FEES $95 00
Total Fees $95 00 Total Payments To Date $95 00 Balance Due: $0.00
Inspector
FINAL APPF
Date
OVAL
13_ Clearance
NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, leservations, or other exactions hereafter collectively
referred to as "fees/exactions" You have 90 days from the date this pennit 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 previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PER(«ITISSUANCE: • PLANNING nENGINEERING • BUILDING DFIRE • HEALTH • HAZMAT/APCD
CITY or
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 ^^^a^^
Plan Check No
Est. Value
Plan Ck. Deposit
Date
i. Deposit
SWPPP
JOB ADDRESS 1941 DOVE LANE
SUITE#/SPACE#/UNIT#
#206
CT/PROJECT # # BATHROOMS TENANT BUSINESS NAME
LA COSTA PALOMA APMTS.
DESCRIPTION OF WORK: (nc/ude Sqiuare Feet of Affected Areafs)
REMOVE AND REPLACE WATER HEATER
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES[~|# NI0| I
AIR CONDITIONING
YES I |NO| I
FIRE SPRINKLERS
YES I |NO| I
APPLiCANT NAME (Primary Contact) AL HAMLIN/NORTH COUNTY PLH APPLICANT NAME (Secondary Contact)
ADDRESS
BOX 1758
ADDRESS
CITY
VISTA
STATE
CA 92085
CITY STATE
PHONE
760-735-4900 760-940-1487
PHONE
SERVICE@N0RTHC0UNTYPLUIV1BING.C0IV1
PROPERTY OWNER NAME CONTRACTOR BUS. NAME NORTH COUNTY PLUMBING
ADDRESS ADDRESS
BOX 1758
CITY STATE ZIP CITY
VISTA
STATE
CA 92085
PHONE FAX PHONE
760-735-4900 760-940-1487
SERVICE@N0RTHC0UNTYPLUMBING.COM
ARCH/DESIGNER NAME & ADDRESS
659157 C36
CITY BUS LIC#
1222491
(Sec 70315 Business and Professions 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 signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Cnapter a, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption Any violation ol Section 70315 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500))
Wor1(ers' Compensation Declaration ; hereby affinn under penalty of perjury one of the following dedaiations
I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of Ihe Labor Code, for the perfomiance of the work for which this permit is issued
1 have and will maintain worlters' 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
numberare InsuranceCo. NORGUARD INSURANCE AGENCY , Policy No . NCWC319751 Expiration Date _ 7/15/2013
This section need not be completed if the permit is for one hundred dollars ($100) or less
I I Certificate ot 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
Califomia WARNING. Failure to sepufftjuprkers' compensation coverage is unlawful, and shall subject an employerto cnminai penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damag^ as provided for in Section 3706 of the Labor codle(mterest and attomey's fees
^^S" CONTRACTOR SIGNATURE y i^y) r\/V -^'V—-'^''' ' VTAGENT DATE 3> • ' •3> -
/ hereby alfirm ttiat I am exempt from Contractor's License Law tor the lollowing reason
I I 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 I I, as owner of the property, am exclusively contracting with licensed contraclors to construct Ihe project (Sec 7044, Business and Piofessions Code The Contractor's License Law does not apply to an ovmer 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 lo provide the major labor and matenals for construction of the proposed property improvement QYes j |NO
2 I (have / 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 / phone / contactors' 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 vrork (include name / address / 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 / address / phone / type of work)
^PROPERTY OWNER SIGNATURE []|AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazaidous matenals registration form or nsk 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 theair pollution control district or air quality management distncP 3 Yes • No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' • Yes OHo
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 hereby affirm that there is a constructon lending agency for the performance of the wor1( this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
I certify that 1 iiave read theapplication and state tliatthe above infomiabon IS conectand thatthe infomiabon on the plans IS accurate iagieetocompiywithallCityordinancesand State laws relating to building construcbon
I hereby authorize representative of the City of Carlsbad lo enter upon the above mentoned propeity fbr 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 permit is required for excavations over S'O' deep and demolition or constmction of structures over 3 stones in height
EXPIRATION Eveiy pennil issued by the Building Ofliaal under Ihe provisons of this Code shall expire by limitation and become null and VOKJ if the building or work authorized by such permit is nol commenced within
180 days from Ihe date of such permit onfjhebuilding or woik authonzed by such pemiit is suspended or abandoned at any time after the v/oik is commenced tor a penod of 180 days (Section 106 4 4 Uniform Building Code)
^.gS*APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB131186 Type: PME
Date Inspection Item
05/14/2013 25 Water Heater/Vents
05/14/2013 25 Water HeaterA/ents
05/14/2013 29 Final Plumbing
05/14/2013 29 Final Plumbing
Inspector Act
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MC
MC
AP
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DOVE FAMILY HOUSING ASSCS -
REPLACE WATER HEATER IN UTILITY RO
Comments
SEE MAIN OFFICE FOR UNIT NBR AND
ACCESS
UNIT 206
Wednesday, May 15, 2013 Page 1 of 1