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Home My WebLink About1941 DOVE LN; 108; CB154542; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 12-22-2015 Permit No: CB154542 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 1941 DOVE LN CBAD St: 1 08 PME 2131120700 Project Title: LA COSTA PALOMA: REPLACE WATER HEATER Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: Owner: CSR PLUMBING, INC DOVE FAMILY HOUSING ASSCS 8985 HAVETEUR WAY SAN DIEGO CA 92123-2316 619-699-9629 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1820 S ESCONDIDO BLVD #101 ESCONDIDO CA 92025 ISSUED 12/22/2015 JMA 12/22/2015 12/22/2015 $38.00 $0.00 $0.00 $60.00 $98.00 Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due: Inspector: f'tt· {p!#AM', FINAL AfPROVAL Date: o-:3 ot{lt, Clearance: $0.00 NOllCE: Please take NOTlCE that approval of your ~rqed includes tre "lrrpa:;ition'' ci fees, dedicatiors, reservatims, or cther exactims hereafter a:llectively referred to as "fees'exactiors." You have 00 days from the date this pemit 'NdS isaed to protest iJilXlSition of trese fees' exactions. If you protest ttan, you rrust fdiONtre protest procedures set forth in G:lverm1ant Code Section 6€Q20(a), and file tre protest and any cther required inforrrntion wth the Oty Mlnagerfor prooossing in aa:m:larre Wth Carlsbad l'v\Jnidpal Cede Section 3.32.030. Failure to tirrelyfdiONthat procedure Wll bar any sutsequent legal action to attack, review, set aside, void, or annul their irrpa:;ition. You are hereby FLRTHER NOll RED that your right to protest the sj:a]fied fees'exactiors ca:s NOT APPLY to water and SfM€r mlnedion fe:s and c:apa;ity changes, rrr planning, zoning, grading or cther sirrilar <lWication prooossing or servioe fe:s in m1nedion wth this ~ed. NCR IXJES IT APPLY to any fees'exactiors of IMlich vou have oreviouslv been aiven a NOTICE sirrilar to tlis or as to Wlich tre statute of lirritatims has oreviouslv otherWse exr:ired. -~THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING OENGINEERING 0BUILDING OF IRE OHEALTH OHAZMAT/APCD (_ Cicyof Building Permit Application Plan Check No. CBF5-4P+ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date 1 .oz..-./ '2..-z.-/t :{ jswPPP JOJEf~is SUITE#/SPACE#/UNIT# IAPN ).Jove--LA-/t'? ;o!f" --- CT/PROJECT # I LOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS ITENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF ~ORK: Include Square Feet of Affected Area(s) A E74L4_ C&-~ 0 6.1L t~/{{BC: /l&-rf"rP"e EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YEsO_ NoD YEs0No0 YESONoO APPLICANT NAME /fvy.??"v-/ /~M PROPERTY OWNER Primary Contact ~t?-> hY ADDRESS Iff+ vGT~ t.V.( CITY,, STAT,E 11u .. 5 CITY STATE ZIP :;:./p._....r ?7/~oo C/7- P6:NE f t{, CI' I tt-6" 9' f--J_ 7 I FAX PHONE FAX EMAIL ~ Ht?f.IA/'1 eJ c.:s/(!2 V/1)//V.6J/V'C, Co~J EMAIL , DESIGN PROFESSIONAL CONTRACTOR BUS. NAME C-5/f A: r/HP//'t/ G "--.__ ADDRESS-··----.,--·-..., ADDRESS ~iS Iff-tv p;z; tt/<'!. 1/v-y CITY ''•·""''-.....~TATE ZIP CITY s;:' I~ #/L:"tc;J SU?-ZIP Cf2!L-3_ PHONE r~··:--=--~-~~ PHONE, ~ FAX 6t 'j-{'1'! -f 6)-l_ EMAIL ....... ,>··~--~ EMAIL v'. HA~A p c<;;./f' rz,,~/..,/J'/'r./t/d--( . .. I STATE LIC. # STATE LIC.# CLASS •. ~c~~-L3# f 1 6 CJ ag--2 7> 55 (_")6 (Sec. 7031.5 Busmess and Professions Code. Any C1ty or County which requ1res a permit to construct, alter, 1mprove, demolish or repa1r any structure, pnor to 1ts Issuance, also requ1res 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 for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one ofthe following declarations: 0 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. ~and will maintain workers' compenc;ion: as req.uired bJI Section ]700 of the Labor Code, for the performance o! the work for whic_h t.'J)s jli~mit is issued. My workers' compensation insur nee carri r an~olicy number are Insurance Co. #O/. &,<f;ie/:? /~S · C:c.Jr-1. Policy No. C. :>n,...C: b 7 76/ I Expiration Date .>: "..! (( 6 This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 Certificate of 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 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 compensation, damages as in Section 3706 of the Labor code, interest and attorney's fees. JEf CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D 0 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 wtthin 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, as owner of the property, am exclusively contracting with licensed contractors to construct 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 pmjects 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 to provide the major labor and materials for construction of the proposed property improvement. DYes 0No 2. I (have I 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 I phone I contractors' 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 work Qnclude name I address I phone I contraG!ors' 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 I address I phone I type of work): JEf PROPERTY OWNER SIGNATURE 0AGENT DATE I 1 certify that! have read the application and state that the above information is correct and thatthe information on the plans is accurate. I agree to comply with all City ordinances and State law.; relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly fur 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 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the I Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the 'I or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform 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. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 . DELIVERY OPTIONS PICK UP: CONTACT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1} OCCUPANT (Listed above) OCCUPANT (Listed above) MAIL/ FAX TO OTHER:------------------ ~APPLICANT'S SIGNATURE • (Office Use Only) CA ASSOCIATEDCB#•------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE I NO CONSTRUCTION DATE I on Permit#: CB154542 Typ.e: PME Date ___ lnse_e_c;_tio~_l!~m _______ _ 03/01/2016 25 Water HeaterNents 03/01/2016 29 Final Plumbing Tuesday, March 01, 2016 Inspector Act MC AP MC Fl LA COST A PALOMA: REPLACE WATER HEATER Comments Page 1 of 1