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Home My WebLink About1941 DOVE LN; 305; CB153110; Permit09-22-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB153110 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1941 DOVE LN CBAD St: PME 2131120700 305 Lot #: LA COSTA PALOMA-REPLACE WATER HEATER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/22/2015 RMA 09/22/2015 09/22/2015 Applicant: CSR PLUMBING, INC 8985 HAVETEUR WAY SAN DIEGO CA 92123-2316 619-699-9629 Owner: DOVE FAMILY HOUSING ASSCS 1820 S ESCONDIDO BLVD #101 ESCONDIDO CA 92025 Plumbing Fees Electrical Fees Mechanical Fees Ottier PME Fees $38.00 $0.00 $0.00 $60.00 TOTAL PERMIT FEES $98.00 Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due: $0.00 Inspector; FINAL APyPROVAL Date; Clearance; IvICJTlCE Rease take tJCfTlfflE that appraval of your prqect indudes the 'Inrxsition" of fees, dedications, reservations, a other exactions hereafter collectively refened to as "fees/exactionf" You have 90 days frorn ttie date tMs pernit was issued to protest inrposition of these fees/exactions. If you protest them, yaj must foiiow the protest procedures set forth in Government (3ode Section 66020(a), and file the protest and any other requred information with ttie Qty IVIanager for praoessing in acocndanoe with Carlstad fVLridpal Code Section 3.32.030. Failure to timely fdlawthat prooedure vwll bar any subsequent legal action to attack, review, aside, void, a annul their inposition. You are hereby FLRTHER NOTIRED that your right to protest the spedfied fees'exactions DOES NOTAPPLY to water and sev«r oonnection fees and capacity ctianges, nor planning, zoning, grading or other sinilar application pnxessing a service fees in connection with this prqject. NOR DOES IT APPLY to any fees/exactions of wMch vou have Dreviouslv been dven a NOTICE simiar to this, or as to which the statute of limtations has previouslv otherwise expired. .4 Building Permit Application V Citv 01 1635 Faraday Ave., Carlsbad, CA 92008 ^^^1 -lf l Ph: 760-602-2719 Fax:760-602-8558 ( rlT'lSlJrld email: buildingigcarlsbadca.gov >^ \^I^X»Ji^^Vi. wvw.cari8b«dca.gov PlanCheckNo/^/5:7//7) Building Permit Application V Citv 01 1635 Faraday Ave., Carlsbad, CA 92008 ^^^1 -lf l Ph: 760-602-2719 Fax:760-602-8558 ( rlT'lSlJrld email: buildingigcarlsbadca.gov >^ \^I^X»Ji^^Vi. wvw.cari8b«dca.gov Est. Value Building Permit Application V Citv 01 1635 Faraday Ave., Carlsbad, CA 92008 ^^^1 -lf l Ph: 760-602-2719 Fax:760-602-8558 ( rlT'lSlJrld email: buildingigcarlsbadca.gov >^ \^I^X»Ji^^Vi. wvw.cari8b«dca.gov Plan Ck. 9epos||t Building Permit Application V Citv 01 1635 Faraday Ave., Carlsbad, CA 92008 ^^^1 -lf l Ph: 760-602-2719 Fax:760-602-8558 ( rlT'lSlJrld email: buildingigcarlsbadca.gov >^ \^I^X»Ji^^Vi. wvw.cari8b«dca.gov -Date WiU /rC^ SWPPP 1 /Jfc/^r cM^s0A£p <^z&oi SUITHi/SP*Cfi/UNIT#V IAPN' '^os 1 • - -jCT/pft6jecT» ' : LOT» PHASE» »OF UNITS «BEDROOMS DESCRIPTION OF WORK: fncfud* SoMi* Feet of A/fectetf ArtM) » BATHROOMS TENANT BUSINfSS NAMI CONSTR. TYPE CCC. GRdtlp - EXISTINQ USE PROPOSEO USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIRCONDITIONING FIRESPRINKLERS YEsQ* Noj 1 YES QNO • YES| |NO| | Prlmery Contect //U V(^^ ^^fA/M PROPERTVOWNER ADDRESS ^ yt . , ADDRESS "^/l;i^ 4P//^£o ^ hf23 CITY STATE ZIP 779-^^91-nx 9 FAX PHONE FAX EMAIL DESIQN PROFESSIONAL CONTRACrORBUS.NAMI /^^Li^tl^/^^ Q AODRESS ADDRESS , CITY STATE ZIP CITY , STATE ^IP PHONE FAX PHONE ^ A ^ . EMAIL STATE UC. # STATE UC.# _ OASS Jl cmr BUS. UCS ^ _ (Sec. 7031.S Business and Professions Code: Any City or County which requires a permitto construct alter, improve, demolisti or repair any structure, prior to its Issuance, aiso requires the appiicant for such permit to file a sleied statement that he Is licensed pursuant to the provisions of the Contractor's Ucense Law (Chaoter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or tnat he Is exemot therefrom, and the basis for the alleged exemption. Any vioiation of Section 7031.5 by any applicant for a permit subjects the applteant to a civil penaltyof not more than five hundred dollars ($500)). VWOfTKERS- COIVIPEIMSAriOIVr Worken' Cofflpensation Oeelintlon; / Itmtir efHim underpermUj/olpenone olthe folowing dederaVatf Olhave and will mslntain s certificate of consent to seif.insure tor worliers' compensation as provided by Section 3700 of the Labor Code, Ibr the perfbnnance of the wiili Ibr wiiich this pemilt is issued. LcjTnave snd wHI maintain workers' compensation, as lequired by Seclion 3700 of the Labor Code, fbr the pertonnance of the work for whfch this pemilt Is Issuad. My woikeis' compensatton insirance cmier and ^AA/'A^^ /A<S Policy No. Expiratton Date "/ ^ Ar ft Pbltey number are: insurance Co.. Ttijs sectkin need not be compleled H the pemiit Is tor one hundred doiiars ($100) or less. I I Cettlflcste of Exemption: I certify lhat in the performance of Ihe work for which Ihis pemHt Is issued, I shall not emptoy any person In a^ California. WARNINO: Fallura to sscura workera' compensation covaraga la unlawful, and shaH subject an employer to ciiminai penalties and dvil Unas up to one hundred thousand dollare (&100,000), In addition to the cost of compensation, danagw as provided for In SectiO|i 3706 of the Labor code, interest and attorney's fees. CONTRACTOR 8K3HATURE /^Jyt^U^^ >!^^^^^^ nAGENT DATE ^/j- 2^ j / ^ out IVE rr-BUItOEtr DECLARATIO l\*i Ihereby aflinn the! t am exempt frnm Contrectors Ucense Lew Ibr tfie IMMij; reason: I "I I, as ownar of Ihe property or my emptoyees with wages as thek sole compensatton, wiN do Ihe work and Ihe stnict Ucense Law does not apply lo an owner of property who buikis or knpnves theieon, and who does such wcrk himself or through his own emptoyees, provkled that sudi Impfovements are not inlended or offered for sale. If, however, the buiidins ff jmpnneiiient is sou wilhin one year of ovnpieto I ] I, as owner of the property, am exdusively contracling wilh Ik^ised contractors to conslnet the prajed (Se^ property who buikis or Impraves thereon, and contracts for such projects wi4i contractar(s) Hcensed pursuant to the Contractor's Licensa Law). Q I am exempt under Sectton Buskiess and Professtons (kxle tor this reason: 1.1 personaiiy plan to provkJe the rn^labff and materials lor constnx:t>xi olthe proposed propeity Impravement [~|Yes PTNO 2.1 (have/have not) signed an appitoatton for a buiiding pemiit tor the praposed work. 3.1 have conlracted with the foltowing person (fkm) to provkle the praposed constmctton (inckxle name address / phone / contractors' license number): 4.1 plan to pravkie porttons of the work, but I have hired the foltowkig person to coonjlnate, supervise and pravkie the mator work (kidude name / address / phone / contractors' ltoense number): 5.1 WiH pravtoe some of the work, but I have contracted (hired) the loltowkig persons to pravkie the work Indtoated (knlude name / address / phone / type of work): /STPROPERTY OWNER SIGNATURE •AGENT DATE 3 Is the applicani or fuiure building occupani required to submit a business plan, acutely hazanjous materials registration form or risk management and prevenlion program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance AccounI Ad? Yes No Is Ihe applicant or futuie building occupant required to obtain a pemiit from the air pollution conlrol distnd or air quality management districr? Yes No Is Ihe facility to be constnicted 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 :eOI»STRU C T l O W L E N D 1 Mfi AG E »C ; I hereby affirm that ttiere is 8 oonstruction lending agency for ttie performance of the work this pemiit is issued (Sec. 3097 (i) Civil Code). ' Lender's Name Lender's Address a APP LICANT CERTI F IC A Tl O I certify that I have lead the appltoatton and state that the above Infomiation Is conectand that the Infonnatton on the plans is accuiate. I agiee to comply with all Cl^ ordinances and State laws relating to buikling consbuctton. I heieby auihorize lepresentative of Ihe City of Caiisbad to enter upon lhe above mentoned property tx inspedton purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAf^LESS THE CITY OF CARLSBAD AGAINST ALL UABILfriES, 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 requined Ibr excavations over 5'0' deep and demolition or cons6uction of strudures over 3 stories in heighl EXPIRATION: Every pemiit issued by the Building Official under the provisions of this fMe shall expire by limitation and beoome null and void if the building or woik authoiized by such pemiit is not commenced within 180 days from the date of such peimit or if the buikliijo or work authorized by such permit is suspended or abandoned al any time after the viork is commenced for a penod of 180 days (Sedion 106.4.4 Unifomi Building Code). APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CER r J F ICATE OF OCC 'J P .\ ?l C Y | C o ,n ,13 e rcial i' . 3 ( c c t s O .i ! y | Fax (760) 602-8560, Email buildinQ(S>carlsbadca.qov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carlsbad, Califbmia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZiP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANTS BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^ef APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB153110 Type: PME LA COSTA PALOMA-REPLACE WATER HEATER Date Irispection Item Inspector Act Cornments 10/01/2015 25 Water HeaterA/ents - Rl AM PLEASE 10/01/2015 25 Water HeaterA/ents PY AP 10/01/2015 25 Water HeaterA/ents PY AP 10/01/2015 29 Final Plumbing - Rl 10/01/2015 29 Final Plumbing PY AP 10/01/2015 29 Final Plumbing PY AP Monday, October 05, 2015 Page 1 of 1