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Home My WebLink About1941 DOVE LN; 103; CB153112; Permit09-22-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB153112 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1941 DOVE LN CBAD St: PME 2131120700 103 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 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 $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 APPRO Date: VAL Clearance: NOTICE Rease take NOU(S thill appnoval of your praject indudes the 'InpDsition" of fees, dedications, reservations, or other exactions tiereafter collectively referred to as "fees'exactiona' You have 90 da\s from the date this perrrit was issued to pnDtest inrxisition of these fees'exactions. If yau protest them you nxBt fdlcw the protest procedures set forth in Goverrrnent Code Section 66020(a), and file the protest and any otfier requred information with the Qty Manager for pnooessing in accordance vwth Caristiad Mridpal (3ode Section 3.32.030. Failure to timely fdlowthal procedure will bar any sutBequent legal action to attack, review, s^ aside, void, a annul ttieir imposition. You are hereby FUF(T>HER t>l(3TlRED ttiat your right to protest the spedfied fees'exadions ctianges, nor planning, zoning, grading or other similar application processing or sen/ice fees in oonnection with ttis prqject. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been dven a tCfTK^E sirrilar to ttis. a as to which the statute of limitations has previouslv otherwise exared. rPOLLOWINO APPROVALS REQUIRED PRIOR TO PERMrr ISSUANCE: IZiPUNNING l_jENGINEERING CZ BUILDING iZiFIRE [I] HEALTH G HAZMATIAPCD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buiiding@cartsbadca.gov A L. www.carlsbadca.gov ^—~-. -I .s!l!TH^p!?M/uBlTr*^"^ TTTirT: '»OFUNltS I»BEDROOMS ' 1 - """"""'^ V City .of Carlsbad PlanCheckNo. Q^j 5 3 }f JL^ Est. Value Plan Ck. Deposit Date SWPPP JOB ADDRESS cT7pfi5jlcT» » BATHROOnffi TENANT BUSINESS NAM! l^A Cc^5M y^^^^4 CONSTR. tYI^S I Mi. SftflUli PHASE* DESCRIPTION OF WORK: /ndiid* Squeie Feet ofA/feettd Areafa) EXISTING USE PROPOSED USE GARAGE (SF) ^\ PATIOS (SF) DECKS (SF) FIREPLACE AIRCONDITIONING FIRESPRINKLERS YEsQ* No| 1 YES QNO • YES| |NO| | Primary Contact ^UVi^X^ ^^h^/^ PROPERTYOWNER ADDRESS ^ -^sx m^^^T^^i^^ ^Y ADDRESS CITY STATE ZIP 779-^91^ nx f FAX PHONE FAX EMAIL DESION PROFESSIONAL CONTRACTORBUS.NAM. /^^/Y^/^^ ADDRESS ADDRESS J, MAi^ Te^/C ^Y CITY STATE ZIP CITY STATE JP PHONE FAX PHONE y, A ^ ^ ^/9-6f^-9^X<^ EMAIL : 1 STATE UC. « STATE UC.# _ CLASS y crry BUS. u&» (Sec. 7031.5 Business and Professions Code: Any Ci^ or County ivtiicb requires a permit to construcL alter, improve, demoliaft or repair any structure, prior to its issuance, also rsquires Uie apDiicant for such permit to file a sisied statement tbat he is licensed purauant to the provisions of Uia Contractor's Ucense 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 for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit subjects tha applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COWPEMSATIOW Worltera' Compensation Declaration: / Iwiatiy aflhn undar penally of paqkiy oneofthe UMng dsdaratkma; IJlhave and wHI maintain a certiflcata of consant to selHnsure lor wortiers' compensation as pmvided by Section 37(X) of lhe Labor Code, Ibr Ihe peiformance of lhe worir for which this pennit is issued. LoTnav* and wHI maintain woikai*' compensation, as leouliad by Seclion 37(X) of Ihe Labbr (Me, for the perfonnanca of the worti Ibr which this pennit Is Issued. My wortiers' compensation Insirance caijiar jnd poiicy /^AA^A^^ /AI^S Policy No. Expiration Data "/ numbar are: insurancs Co.. asection need not ba cofliplelad If Ihe pemiit is for one hundred dolars ($100) or less. Csitlffcata of Exemption: i ceitify lhat In Ihe peifonnanoe of Ihe work for which this pennit Is Issued, I shall not employ a^ Califomia WARNINO: Fallurs to secura workaia' compensation covtragt it unlawful, and shall subjact an tmpioytr to criminal ptnaltlat and dvil flntt up to ont hundrtd thoutand dollan (t100,000), In additian to tht cott of comptntation, damaga at providtd for In StctiO|i 3704 of tht Labor codt, Inttrttt and atlomty't fttt. ^g* CONTRACTOR SMWATURE /^pC'C^ >!^^^^ nAGENT DATE '^/j- 2y If ^ owfweir-BuiLOEi»' OECLARATION*. ' hereby afflrm lhaf I am exempf liwn Conlracliys Licanse Law for Ifte IMowfng I I I, as owner of Ihe property or my emptoyees wilh wages as their sole compensation, will do Ihe worit and the stnx^ Ucense Law does not apply to an ownar of praperty who builds or improves theieon, and who does such worti himself or Ihrough h^ sale. If, hovwim, the bujiding or improvement is sou wiWn one year of compMh^ ^] I, as owner of Ihe property, am exciutivaly contracting with llcenaadcoiilractoii to oonatnci tha prDjacl(Se^^ property who buiids or Improves thereon, and conlractt for such piojactt wUh conliactor(s) licansad pursuant to the Conlraclor's Licanse Law). f~] I am exempt under Seclion Businessandftofessfons Code fof this reason: 1.1 personaly pian to provide the major labor and malertals for conslruclion dthe proposed property Improveme^ Qves QNO 2.1 (have/have not) signed an applicalion tor a building peimit for Ihe praposed worti. 3.1 haw contracted with Ihe blowing person (firm) to provide Ihe praposed construction (indtxle nama addrass / phone / contractors' licensa number): 4.1 plan to provide portions of the worti, bul I have hired the folowing person to coordinate, supervise and provide Ihe major wcrti (Indude name / address / phona / conlractors' licanse number): 5.1 WiH provide some of Ihe writ, but I have cbntractad (hired) the loiiowing persons to provide (he worti indicaled (inciude name / address / phone / type ol worti): ^^ETPROPERTY OWNER SIGNATURE •AGENT DATE { <s the applicant or futura building occupant required to submit a business plan, acutely hazardous materials registration form or risli management and prevention program under Sections 25505,25533 or 25534 of the I Presley-Tanner Hazardous Substance Account Act? Yes No I Is the applicant or future bullding occupant required to obtain a perniit from the air pollution control district or air quality management district? Yes No I Is the facility to be constnjcted 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 i EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. e; o t* %.r. tr UCT r am mntxtnai AQBHC Y I hereby affinn that there is a construction lending agency for the performance of the worli this permit is issued (Sec. 3097 (i) Civil Code). Lenders Name Lenders Address fAP^PtlCAMT CERTIPICATIOA*^ I certify that I have read lhe appllcatton and state that the abova Infonnation Is conectand that the Infomialion on the plans is accuiate. I agree to complywith ali Cl^ oidinances and State laws relating to building consbuction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property ix inspeclion purposes, i ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY Cf CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN C0NSE(3UENCE OF THE GRANTING OF THIS PERMIT, OSHA: An OSHA perniit is required lisr excavations over 5'0' deep and demdition or constmction of stmctures over 3 stories in heighl EXPIRATION: Every pemiit issued by the Building Oflicial under the provisions of this Code shall expire by limitation and become null and void if the building or woili authorized by such permit is not commenced within 180 days from the date of such peimlt or if Ihe buildira or vmrk authorized by such pennit is suspended or abandoned at any time after the VICTK is commenced for a period of 180 days (Section 106.4.4 Uniforin Building Oxie). vglTAPPUCANT'S SIGNATURE /\Lty^A ^^^^^ DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the foilowing ONLY if a Certificate of Occupancy wiii be requested at final inspection. C iS (J r ! F I C .'\ r E O O C C U P ,A ,M C Y | C O <n ,n 1- I ,1 I !' i" i e c t s i i y Fax (760) 602-8560, Email buildinq(S).cartsbadca.aov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califbmia 92008. C0#: (Office Ute Only) CONTACTNAME OCCUPANT NAIME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. 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 ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION >«f APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB153112 Type: PME LA COSTA PALOMA-REPLACE WATER HEATER Date Inspection Item Inspector Act Comrnents 10/01/2015 25 Water HeaterA/ents - Rl AM PLEASE 10/01/2015 25 Water HeaterA/ents PY AP 10/01/2015 29 Final Plumbing - Rl 10/01/2015 29 Final Plumbing PY AP Monday, October 05, 2015 Page 1 of 1