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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 Rl MC MC AP Rl Fl 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