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HomeMy WebLinkAbout1945 DOVE LN; 300; CB140029; Permit01-08-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB140029 Building Inspection Request Line (760) 602-2725 Job AdcJress: Permit Type: Parcel No: Reference #: PC #: Project Title: 1945 DOVE LN CBAD St: 300 PME 2131120700 Lot#: LA COSTA PALOMA APTS- REPLACE WATER HEATER- SAME LOCATION Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 01/08/2014 RMA 01/08/2014 01/08/2014 Applicant: NORTH COUNTY PLUMBING Owner: DOVE FAMILY HOUSING ASSCS P O BOX 1758 VISTA CA 92085 760 735-4900 1820 S ESCONDIDO BLVD #101 ESCONDIDO CA 92025 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $158.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: $0.00 inspector: t^' CXMA^^ FINAL A Date: PPRO OVAL Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen'ed to as "fees/exactions." You have 90 days from the date this pemiit was issued to protest imposition of these fees/exactions. If you protest them, you must foiiow 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 acconJance 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 tees/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 vou have oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenwise expired. CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov / www.carlstiadca.gov [> Plan Check No. Est. Value Plan Ck.i bate / Ws-SWPPP surrEi/SP*CE#/UNrr»^ - CT/PROJECT » LOT# PHASE* # OF UNns # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ. GROUP DESCRIPTION OF WORK: /ncfude Square Peet of Affiscted AnaHs) boater heater reployuUYUucf ; -^o 6GuU0n EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR (XINOmONING FIRE SPRINKLERS YESQ# NCTI YESf—jNOl 1 YES[~]NO|~~1 APPUCANTNAME (Primary --c.^^^^ M^aaKlt. APPUCANTNAME (Secondary Contact) ADDRESS CITY STATE ZIP %Dn?^s^w mo \^ PHONE FAX EMAIL PROPERTYOWNERNAME^^^ CC^IU PCUCmQ '™™'^"""'™"norm CaxAtj. PlomhYia-. "Taxi Sbad ''''fcB ^?2ccR °"vi;<;-t^ ™EA " ^f20b5 PHONE - , , _ ^.^^ EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE UC.# ^ ^. CLASS " CITY BUS. LIC.# " (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permitto construcL alter, improve, demolish or repair any structure, prior 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. 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 70315 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration; / hereTyy afiinn under penalty ol perjury one oi the follomng dedarations: J 11 have and will maintain a certificate of consent to seif-insure for woriiers' compensation as providea by Section 3700 of the Labor Code, tor the perfonnance of the worts ibr which this pemiit is Issued. IXI I have and will maintain woriiers' comoensation, as requiied by Section 3700 of the Labor Code, for the perfonnance of the worii for whitfi this oemiit e issued. My woriters' compensation Insurance carrier and policy 5 pemil is for one hundred dollars ($100) or less. vJ number are: Insurance Co. J Expiration Date This section need not be completed if the peihil is for one hundred dollars ($100) c I I Certificate of Exemption: 1 certify that in the peribmiance of the worti for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Woriiers' Compensation Laws of California WARNING: Failure to secure woriters' compensation coverage is unlawful, and shall subject an en^jloyer to criminal penalties and civil fines up to one hundred thousand dollars (S100,000), In addition to the cost of compensation/QJi^^ages as f(p'^l}e<i fc In Section 3706 of the Labor code, interest and attom^s fees. DATE 1 .^.10\^ CONTRACTOR SIGNATURE \(J\ OWNER-BUILDER DECLARATION • AGENT / hereto affirm that I am exam/pf from Contracts License Law for the follomng reason: I I I. asownerofthepnopertyormy employees with wages as Iheir sole compensation, will do the worii and the stmcture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlractor's Ucense Law does not apply to an owner of property who builds or irnptoves thereon, and who does such worii hirnse^ his own employees, provided that such improvements are not Intended or oflered fdr sale. If, however, the building or improvement is sold v«thin one year of completion, the owner-buHder will have the burden of proving that he did not buHd or improve Ibr the purpose of sale). I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions (Me. The (Contractor's License Law does not apply to an owner of property who builds or impraves thereon, and oontracts for such projects with contractorts) licensed pursuant to the Contractor's License Law). I I I am exempt under Section Business and Professions Ckxie for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property impfwemenL •Yes 2.1 (have / have not) signed an application for a building pemiit for the proposed worii, 3,1 have contracted with the following person (fimi) to provide the proposed constnjction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the wait, but I have hired the following person to coordinate, supervise and provide the major worii (include name / address / phone / contractors' license number): 5.1 will provide some of the worii, bul I have contracted (hired) the following persons to provide the worti indicated (include name / address / phone / type of vwrii): PROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION F O R N O N - R E S ID E N T I A L BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business acutely hazsdous materials registraticn fomi or risk management and prevention program under Sections 25506,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? OYes IC^ No \ Is the applicant or future building occupant required to obtain a permit from m air pollution conlrol disirict or air^quality management district? • Yes B No Isthefacditytobeconstractedwithin 1,OOOteetoftheoulBrboundaryofaschoolsi(e? DYes iDNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIRCATE OF OCCUPANCY II AY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS HEETING THE REQUIREIIENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENOING AGENCY I hereby affinn that there is a construcfion lending agency for the performance of the worii this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have lead the appRcation and State that the above Infigonation is conect and th» I hereby authorize representative of the City of Cartsbad to enter upon Ihe abme mentioned property br sispection purposes. I ALSO AGREE TO SAVE, IHOEMNIFY NID KEEP HARMLESS THE cm' OF CARLSBAD AGAINST AU UABILfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CiTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfr. OSHA fin OSHA pennit is required for excavalians over SC deep and demoStion or constmction of stnjctures over 3 stories n height. EXRRATION: Evisry pennit issued by the Bwbing (3fScial under Ihe provisions of this 180 days frorn the date of such pennit or if the building or worii aulhorized by such pennit is suspended or abare >erAPPLICANT'S SIGNATURE -10^ » F^'^— OATE Inspection List Permit*: CB140029 Type: PME LA COSTA PALOMA APTS-REPLACE WATER HEATER- SAME LOCATION Date Inspection Item Inspector Act Comments 01/09/2014 25 Water HeaterA/ents - Rl 01/09/2014 25 Water HeaterA/ents MC AP 01/09/2014 29 Final Plumbing - Rl 01/09/2014 29 Final Plumbing MC Fl Monday, January 13, 2014 Page 1 of 1