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Home My WebLink About1941 Dove Ln; 203; CBR2018-1364; Permit(city of Carlsbad Residential Permit Print Date: 06/18/2018 Permit No: CBR2018-1364 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 1941 Dove Ln, 203 BLDG-Residential 2131120700 $0.00 Work Class: Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: DOVE: REPLACE 40 GAL WATER HEATER FOR UNIT 203 Owner: DOVE FAMILY HOUSING ASSCS WATER HEATER -PLUMBING, ELECTRICAL, MECHANICAL Tota\ Fees: $98.00 Total Payments To Date: P/M/E $98.00 Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Contractor: CSR PLUMBING INC 8985 Haveteur Way San Diego, CA 92123-2316 888-243-5353 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Closed -Finaled 06/06/2018 06/06/2018 6/18/2018 11:27:44AM $98.00 $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILDING DFIRE 0HEALTH D HAZMA T/APCD ("city of Building Permit Application Plan Check No.( 'r ,,-, ~\ I 0. -L ZI,, t/ 1635 Faraday Ave., Carlsbad, CA 92008 -. ' Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. D~posi~ email: building@carlsbadca.gov www.carlsbadca.gov Date ( ,1 I I,, I IV-lswPPP JOB ADDRESS SUITE#/SPACE#/UNIT# APN . 1941 Dove Lane unit 203, Carlsbad, CA 92009 unit# 203 --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replaced 40 gallon water heater for unit 203 at 1941 Dove Lane ' i EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS {SF) FIREPLACE IAIR CONDITIONING l FIRE SPRINKLERS v,so NoD vEs0No0 YEsONoO APPLICANT NAME Huyen Pham PROPERTY OWNER NAME CH Works Prtnarv COnta<+ ADDRESS ADDRESS 6876 Cibola Road 1953 Dove Lane CITY STATE ZIP CITY STATE ZIP San Dieao CA 92120 Carlsbad CA 92009 PHONE I FAX PHONE I FAX 619-699-9629 619-924-4996 760-476-9860 760-476-9638 EMAIL hpham@csrplumbingihc.com EMAIL manager.lacostapaloma@chworks.net DESIGN PROFESSIONAL CONTRACTOR BUS. NAME CSR PlumbinQ. Inc. ------· ~·-----ADDRESS ADDRESS 8985 Haveteur Way -----~ CITY STATE ZIP CITY STATE ZIP San Dieao CA 92123 ----~ -I FAX IFAX PHONE PHONE 619-699-9629 619-924-4996 -------·· -EMAIL -EMAIL hpham(@,csrplumbinginc.com --I STATE LIC. # STATE UC.# ICLASSC36 I CHY BUSBLOS12383~9 982358 (Sec, 7031.5 Business and P_rofess1ons Code: Any City or Coun_ty which requires a permit to_construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_m1t to file a s1~ned statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, commending with Sectron 7000 of D1v1s1on 3 of the B_usiness and Professions Code} or that he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a c1v1I penalty of not more than five hundred dollars {$500)). WORKER$' COMPl!NSATl(UI Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of fhe following declarations· D l 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 [Z] I have and wlll 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 carrier and policy number are Insurance Co ----~~urity National Ins _____ Policy No. SWC1149958 Expiration Date 4/2312019 This section need not be completed if the permit is for one hundred dollars ($100) 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 provided for in Section 3706 of the Labor code, interest and attorney's fees. ,i!S CONTRACTOR SIGNATURE Huyen Pham c;;;.~;.o,,;,;s;:;;-···· .. -....... [Z]AGENT DATE 6/6/2018 C>Wllll,R•BUIL.01,R 01,CLAl!IATIOII I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D D 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 within 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 projects 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. 0Yes 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 (include name I address I phone I contractors' 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): ,i!S PROPERTY OWNER SIGNATURE 0AGENT DATE .. ------·-----·-------- 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? 0 Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes O 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 certify that I have read the application and state that the above information isdorrectand that the information on the plans is accurate. I agree tooomplywith all City ordinances and Stare laws relating to buildlngcoostruction. I here,y authorize represernative of the Cly of Carlsbad to enter upon the above mentioned properly for inspecton 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 pennit i.s required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Eve,y pennit issued by the Building Official under the provisions of this Code shall expire by linitation and become null and void if the building or'INOO( authorized by sudl permit is not commenced within 180 days from the date of sudl permit Of if the buildi,g or work authorized by such permit is suspended or abandoned at any time after the work is commeoced foc a period of 180 days (Section 106.4.4 Uniform Building Code). h Dig~ally,ignedbyHuyenPham A! APPLICANT'S SIGNATURE H U yen p a m ~~~~l~~:~::;~;~:~b~~:i:u:;,~:~~I~~" OU, DATE 6/6/2018 Pate,2018.06.0612;18;1 J -07W Permit Type: Work Class: Status· Scheduled Date BLDG-Residential P/MIE Closed -Finaled Actual Start Date Inspection Type Application Date: 0610612018 Owner: Issue Date: 0610612018 Subdivision: Expiration Date: 1211712018 Address: IVR Number: 11808 Inspection No. Inspection Status Primary Inspector 06(1812018 06(18/2018 BLDG-26 Water HeaterNents 061241-2018 Passed Paul Burnette June 18, 2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 061242-2018 Checklist 1ten1 BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLOG-Electrical Final COMMENTS Passed Paul Burnette COMMENTS DOVE FAMILY HOUSING ASSCS CARLSBAD TCT#99-03 LA COSTA GREENS 1941 Dove Ln, 203 Carlsbad, CA 92009-4083 Re inspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1