HomeMy WebLinkAbout1941 Dove Ln; 210; CBR2019-0495; Permit(city of
Carlsbad
Residential Permit
Print Date: 03/07/2019 Permit No: CBR2019-0495
Job Address:
Permit Type:
Parcel No;
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
WATER HEATER PERMIT
Total Fees: $98.00
1941 Dove Ln, 210
BLDG-Residential
2131120700
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig, Plan Check#:
Plan Check#:
P/M/E
WORKS: REPLACED 50 GAL WATER HGEATER FOR UNIT 210 AT 1941 DOVE LANE
Owner:
DOVE FAMILY HOUSING ASSCS
Total Payments To Date: $98.DO
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
03/05/2019
03/05/2019
TFraz
3/7/2019 8:45:05AM
$98.00
$0.00
1635 Faraday Avenue, Carlsbad, CA 920D8-7314 I 760-6D2-270D I 76D-602-8560 f I www.carlsbadca.gov
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPC[
Ccityof Building Permit Application Plan Check No. C,f1i~70\q-(J1'{!'.J
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 ~-'5-\e\ lswPPP
JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 1941 Dove Lane unit 210, Carlsbad, CA 92009 unit# 210 ---
CT/PROJECT# I LOT# rHASE# 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 50 gallon water heater for unit 210 at 1941 Dove Lane
EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING I I FIRE SPRINKLERS
YES[],, No[] YES □No □ YES□No[:
APPLICANT NAME Huyen Pham PROPERTY OWNER NAME CH Works Prhl -ontact
ADDRESS ADDRESS 6876 Cibola Road 1953 Dove Lane
CITY STATE ZIP CITY STATE ZIP San DieQo CA 92120 Carlsbad CA 92009 PHONE PHONE
619-699-9629 I FAX 619-924-4996 760-476-9860 I FAX 760-476-9638
EMAIL EMAIL
hpham@csrplumbinginc.com manager.lacostapaloma@chworks.net
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME CSR PlumbinQ, Inc.
ADDRESS ADDRESS
7525 Mission Gorge Road #A
CITY STATE ZIP CITY STATE ZIP San DieQo CA 92120
PHONE PHONE I FAX 619-699-9629 IFAX 619-924-4996
EMAIL EMAIL
hpham(@,csrplumbinginc.com , I STATE LIC. # STATE LIC.# ICLASSC36 I CITY BUSBLOS 1238369 982358
(Sec. 7031.5 Business and P_rofessIons Code: Any City or Coun_ty which requires a permit to_c_onstruct, alter, improve, demolish or repair any structure, p_nor to its issuance, also requires 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, comme_nding with Section 7000 of D1v1s1on 3 of the Business and Professions Code} or [hat 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
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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,
[Z] 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 carrier and policy
number are: Insurance Co. Security National Ins Policy No SWC1149958 Expiration Date 4123/2019
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 clvll 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. _, H Ph '""""·-·-·-~ CONTRACTORSIGNATURE uyen am ;;-;;.'i;;;::;r.:=:~'~• [ZIAGENT DATE 2/26/2019
OWNER-BUILDER DECLARATION
I hereby aff1rm 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 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 lo 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 Oo
2. I {have/ 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 construcbon (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/ 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/ address/ phone/ type of work):
a$ PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION POR NON-RE$1DENTIAL BUILDING PERMITS ONLY
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? □ 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 facility to be constructed 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 rerttfy that I have read the application and state that the aboYe information Is correct and that the information on the plans is accurate. I agree to comply with all Clfyordlnances and S1ate laws relating to building construction.
I hereby au~olize '"1)"'5enlative of ~e City of Carlsbad ID enter upon ~e-., mentioned propeny for inspecion purposes. I ALSO AGREE TO SAVE. INDE~IFY AND KEEP HARMLESS THE CrTY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations MI 5'0' deep and demolition or construction of structures over 3 stories in heght
EXPIRATION: Every permit issued by the &lilding Official under the provisions of this Ccxle shall expire by limitation and become nul and vad if the building or work authorized by such pe,mit is not commenced \Whin
180 days from~• dale of such pennlt or•~• buiding or\\OOI au~olized by such pennl is suspended or -doned at any time after~• IIOOI is cooimenced for a period of 180 days (Section 106.4.4 Unifam Bui~ing Code).
h D1gitallyslgnod by Hu~n Pham ..,,, APPLICANT'S SIGNATURE H uyen p am Dtl:rn=Hu~nPhom.o=CSRPlumblng.lnc.ou, ,c:, ;:~::::~::::;;;m~•i;;:,oom,cOS DATE 2/26/2019
PERMIT INSPECTION HISTORY REPORT (CBR2019-0495)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed • Finaled
Actual
Start Date Inspection Type
Application Date: 03/05/2019
Issue Dato: 03/05/2019
Expiration Date: 09/03/2019
IVR Number: 17453
Inspection No. Inspection Status
03/07/2019 03/07/2019 BLOG-25 Water
HeaterNents
085509-2019 Passed
March 07, 2019
BLDG-Final
Inspection
Checklist Item
BLOG-Building Deficiency
085508-2019
Checklist Item
BLDG-Plumbing Final
COMMENTS
Passed
COMMENTS
Owner: DOVE FAMILY HOUSING ASSCS
Subdivision: CARLSBAD TCT#99-03 LA COSTA
GREENS
Address: 1941 Dove Ln, 210
Carlsbad, CA 92009-4083
Primary Inspector Reinspection Complete
Tim Frazee Complete
Passed
Yes
Tim Frazee Complete
Passed
Yes
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