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Home My WebLink About1941 DOVE LN; 207; CB141875; Permit07-30-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB141875 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1941 DOVE LN CBAD St: 207 PME 2131120700 Lot #: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: DOVE HOUSING- REPLACE WATER HEATER ISSUED 07/30/2014 LSM 07/30/2014 07/30/2014 Applicant: NORTH COUNTY PLUMBING Owner: DOVE FAMILY HOUSING ASSCS POBOX 1758 VISTA CA 92085 760 735-4900 1820 S ESCONDIDO BLVD #101 ESCONDIDO CA 92025 Plumbing Fees Electrical Fees Mechanical Fees other PME Fees $33.00 $0.00 $0.00 $62.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspector: FINAL APPROVAL/ Date: Clearance: NOTiCE: Please take NOTICE that approval of your project includes the "imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must foiiow 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 fi^unicipal Code Section 3.32.030. Faiiure 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previously been given a NOTICE simiiar to this, or as to which the statute of limitations has previously othenA/ise expired. 'IE FiLLOWING APPROVALS REQUIRED PRIOR TO PERMITISSUANCE: QPLANNIiVG nENGINEERING OBUILDING nFIRE nHEALTH •HAZIMAT/APCD ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carisbadca.gov PlanCheckNo. [^"j^ Est. Value Plan Ck. Deposit Date 7/30)'*^ SWPPP JOB ADDRESS 1/^ y-i , #—N ^ , IM^I CX^vCLjCUnc SUITE|/^SPAq^^WTaL^ APN - CT/PROJECT tt LOT# PHASE # tt OF UNITS tt BEDROOMS tt BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Areafs) 4D GoMon [xMtr HcaJtr EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YEs[~|#. No| 1 YES QND Q YEsj |NO| 1 PROPERTVOWNER^ CC^ ^Cfm GLffc ADDRESS „ , „ _ liaon-mc/lrDVCOr *c FAX PHONE y , _ ^, FAX EiVIAIL DESIGN PROFESSIONAL ADDRESS CITY STATE ZIP CITY. , ^ . . STATE _ „ ZIP ^ PHONE FAX EMAIL EMAIL STATE LIC. # CLAaS_ CITY BUS. LIC.# . . (Sec. 7031.5 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 (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicantfor a permitsubjects the applicant to a civil penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaration: / hereby affinn under penalty ofpeijury one ofthe following declarations: I have and will maintain a certificate of consent to self-Insure for v^orkers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this pemiit is issued. I have and will maintain wedtesrs'comj)ensatiOil.as reqiired by Section 3700 of the Labor Code, for the performaQ5^p<jthe_£9i:|(; forwhich this permit is issued. My worlcers' compensi number are: Insurance Co, PolicyNo. Expiration Date i^jjOTHnsuij^e^arriQand polioy This section need not be completed if the permit is for one hundred dollars ($100) or less. W C/IAJC^ I I Certificate of Exemption: I certify that in the perfomnance of the work for which this pemiit 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 civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensaticji, da^gesfsj^rovided for in Section 3706 ofthe Labor code, interest and attomey's fees. DATE CONTRACTOR SIGNATURE • AGENT / hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture 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 Ihe 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 contractors to constmct 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 I I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvemenl •Yes I INO 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed constmction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (inciude name / address / phone / type of wort): ^PROPERTY OWNER SIGNATURE •AGENT OATE 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 controi 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 •.'AA;iW'i'^'i'>'''' 'i: I hereby affirm that there is a construction lending agency for the performance of the work this pemiit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address .•iff'.:;''.-'' I certify that I have tead the application and state tfiat tiie above infomnation is conect and tiiat ttie infbmiation on tiie plans is accuiate. I agree to comply witii all City ordinances and State laws relating to building constiuction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentbned property Ibr inspection purposes. 1 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 ot staictures over 3 stories in height. EXPIRATION: Every pennit issued by the Building Ofliciai under the provisions of this Code shall expire by limitation and become null and void if the buikiing or vrork authorized by such permit is not commenced within 180 days from the date of such pemijteTiTli&l^uikling or v«rk authorized by such permit is suspended or abandoned at any time after the wtk is commenced for a period of 180 days (Section 106.4.4 UnUbnn BuikJing Code). jgS"APPLICANT'S SIGNATURI DATE -7 30-i^ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildinq(a)carlsbadca.aOV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE CITY STATE Carlsbad CA PHONE EiVIAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) CONTRACTOR (On Pg. 1) IVIAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: OCCUPANT (Listed above) OCCUPANT (Listed above) ASSOCIATED CB#-^ NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION JSSAPPLICANT'S SIGNATURE DATE Inspection List Permit*: CB141875 Type: PME Date 08/20/2014 08/20/2014 08/20/2014 08/20/2014 08/19/2014 08/19/2014 08/19/2014 08/18/2014 08/18/2014 08/18/2014 08/18/2014 Inspection Item 25 Water Heater/Vents 25 Water Heater/Vents 29 Final Plumbing 29 Final Plumbing 25 Water HeaterA/ents 25 Water HeaterA/ents 29 Final Plumbing 25 Water HeaterA/ents 25 Water Heater/Vents 29 Final Plumbing 29 Final Plumbing Inspector Act Rl PY PY MC MC MC AP Rl AP Rl CA Rl Rl CO Rl CO DOVE HOUSING- REPLACE WATER HEATER Comments 9-12 PLS (APT 207) 9-12 PLS (APT 207) UNIT 207 (8-12 PLS) PER CONTRACTOR UNIT 207. (8-12 PLS) UNIT 207 UNIT 207 Thursday, August 21, 2014 Page 1 of 1