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Home My WebLink About1941 DOVE LN; 208; CB143045; Permit11-06-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB143045 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PG #: Project Title: 1941 DOVE LN CBAD St: 208 PME 2131120700 Lot#: LA COSTA PALOMA: REPLACE WTR HEATER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/06/2014 JMA 11/06/2014 11/06/2014 Applicant: CSR PLUMBING, INC Owner: DOVE FAMILY HOUSING ASSCS 8985 HAVETEUR WAY SAN DIEGO CA 92123-2316 619-699-9629 1820 S ESCONDIDO BLVD #101 ESCONDIDO CA 92025 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $35.00 $0.00 $0.00 $60.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Irispector: FINAL APPROVAL Date: C>^^//5 Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen'ed 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 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: QPLANNING nENGINEERING [JBUILDING DFIRE nHEALTH •HAZMAT/APCD Ccityof Carlsbad Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: bullding@carlsbadca.gov www.carlsbadca.gov PlanCheckNo. Q^[L{^ '3C^S' Est. Value Plan Ck.peposit SWPPP JOB ADDRESS SUITE«/SPACE*/UNIT# APN - CT/PR0JECT# LOTS PHASE* # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s) ^0 l?'-Vao;v U;/KG'C H(!ftTGvl x-^Vf LLA YTO/^' EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES I |# N0| I AIR CONDITIONING YES I INO I I FlRESPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact PROPERTYOWNER ADDRESS ADDRESS CITY STATE CITY STATE PHONE FAX PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTPR BUS. NAME (-^'(l V(.UM6Xl\l\n ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE EMAIL EMAIL 3 rni t Li^j.n CITY BUS. LiC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct aiter, improve, demolish or repair any structure, prior to its issuance, also requires the applioantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applioantfor a permit subjects the appiicantto a civil penalty of not more than five hundred doiiars {$500}). PEMSAT ION Workers' Compensation Declaration: / hereby afTm under penalty d perjury one ofthe following declaratbns: • I have and will 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. &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 canier and policy number are: Insurance Co.. Policy No.. _ Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the perfomiance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject lo the Workers' Compensation Laws of Califomia. 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 compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees. CONTRACTOR SIGNATURE /'t-'i QAGENT DATE ///(,/2(?''7 E lh( • • IWNER BUILOER DECLARA T iJ> N / hereby affimi that I am exempt from Contractor's Ucense Law for the following reason: I, as owner of the property or my employees with wages as their sole compensation, will do the wori( and the stnjcture 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 bunien 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 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 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 improvement. QVes I iNo 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firni) to provide the proposed constmction (include name address / phone / contractors' license number): 4. i plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise 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 (include name / address / phone / type of work): PROPERTY OWNER SIGNATURE QAGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazanlous 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 control district or air quality management district? Yes No Is the fxility to be constmcted 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. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certly that I have read Die appiteation and state that ttie above Information is conect and that the inlbmiation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative ofthe City of Cailsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Aa LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or constnjctbn of stmctures over 3 stories in height. EXPIRATION: Every pennit esued by the Building Oflicial under the provisions of this Code shall expire by limitation and become null and void if the building or vwrk authorized by such pennit is not commenced within 180 days from Ihe date of such pemiit or if the buikling or mk authorized by such pemiit is suspended or abandoned at any time after the mk is commenced fbr a period of 180 days (Sectbn 106.4.4 Unifbmi Building Code). APPLICANT'S SIGNATURE DATE 1^ 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(5)cai1sbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Oniy) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB143045 Type: PME LA COSTA PALOMA: REPLACE WTR HEATER Date Inspection Item Inspector Act Comments 02/24/2015 25 Water Heater/Vents MC AP 02/24/2015 29 Final Plumbing MC Fl 11/11/2014 25 Water HeaterA/ents MC CO NO ACCESS Tuesday, February 24, 2015 Page 1 of 1