HomeMy WebLinkAbout1945 DOVE LN; 108; CB141808; Permit07-28-2014
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Plumbing/Mechanical/Electrical (PIVIE) Permit
Permit No:CB141808
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
1945 DOVE LN CBAD St:
PME
2131120700
108
Lot #:
LA PALOMA APTS-REPLACE WATER
HEATER IN UNIT 108
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/28/2014
RMA
07/28/2014
07/28/2014
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
Mectianical Fees
Other PME Fees
$33.00
$0.00
$0.00
$62.00
TOTAL PERMIT FEES $95.00
Total Fees: $95.00 Total Payments To Date; $95.00 Balance Due: $0.00
Inspector:
FINAL APPROVAL
Date: ''^/^'^/'^ 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 penmit 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 IVIunicipal 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 vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: • PLANNING • ENGINEERING • BUILDING DFIRE • HEALTH • HAZMAT/APCD
PlanCheckNo. (/)fp / ^ //^/^/
CITY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Est. Value
Plan Ck. Deposi'
SWPPP
JOB ADDRESS 1^^^ CtVC UOJUL SUITE«/SPACE*/UNITi
CT/PROJECr # PHASE* I # OF UNITS I # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE I OCC. GROUP
DESCRIPTION OF WORK: /ncliide Square Ftet of AffsctedAreafs;
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESFT*. NOj I
AIR CONDITIONING
YES I |NO| I
FIRE SPRINKLERS
YESPlNOj I
APPUCAI^ NAIME
Prtnarv Contact
PROPERTY OWNER NAME
ADDRESS
, , _ STATE ^, „ ZIP
ADDRESS
CITY STATE
PHONE - , . . ^ PHONE FAX
EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS ADDRESS f .0 \n^t) CITY STATE ZIP CITY STATI ZIP
PHONE FAX
EMAIL EMAIL
STATE LIC. # STATE UC.# ^ ^ - ^ CITYBUS. UC.#
I^^S^ I GbLP I ai ^ D UC, /
iprove, demolish or repair any structure, prior to its issaance, also r«Jliires mel I (Sec. 7031.5 Business and Professions Code: Any Oty or County wiiich requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issaance, also rrajuires _ applicantfor such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commendingwlth Section 7000 of Division 3 ofthe 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 p civil penalty of not more than five hundred dollars {$500)). I permit subjects the applicant to a
WORKERS' COMPENSATION
Woriters' Compensation Declaration: / /)8reby affinn urnfer pena/ly of peijury one of the following dedaraSons:
LJ. I have and will maintain a certificate of consent to self-insure fbr workeis' compensation as provided by Section 3700 of the Labor Code, fbr the perfbmiaice of the work ibr wtiKh this pemiK is issued.
pbM'have and will maintain workers' comMnsation, as reQuirediby Sednn 3700 of the Labor Code, for the perlbmiance^ttie vetlc forwhich this permit is issued. My workers' compensatnn insurance carrier and policy
number are: Insurance Co.WDi C^\Jf{}JC CA Policy No. CJ \ "\\, Q,^ Expiratkjn Date 0(V "\ \ L, >d. .
This sectton need not be completed if the pennit is for one hundred dollar ($100) or less.
I I Certiflcate of Exemption: I certify that in the perfomiance of the work for whk^ this pennit is issued, I shall not employ any peison in any manner so as to become subject to the Workers' Compensatkin Laws of
Califomia. VVARNING: Failure to securewkers' compensaticn coverage is unlawful, and shall subject an employer to criminal penalties and civil flnes up to one hundred tiiousand dollars (KIOOiOOO), in
addition to the cost of compensatian, rfwii^%B as prowded for in Section 3708 ofthe Labor code, interest and attomey's fees.
^CONTRACTOR SIGNATURE ^r~J j /\ •AGENT DATE / /
N E R -B U 11 D ER DECLARATI ON
/ hereby affinn that I am exempt from Contiartx's License Law fbr the following reason:
I I I, as owner of the property or my emptoyees with v»ages as their sole compensatton, will do the work and the stmcture is not intended or offered for sale (Sec. 7044, Business and Professtons Code: The Contractor's
Ltoense Law does not apply to an owner of property who buikls or improves thereon, and who does such work himself or through his own emptoyees, provided that such improvements are not intended or offered for
sale. If, however, the buikiing or improvement is soto within one year of completion, the owner-buikler will have the burden of proving that he dkl not buikl or improve for the puipose of sale).
I I I, as owner of the property, am exclusively contracting with licensed contractors to constnjct the project (Sec. 7044, Business and Professtons Code: The Contractor's Ucense Law does not appiy to an owner of
property who buikls or improves thereon, and contracts for such proiects with contractor<s) Itoensed pursuant to the Contractor's Ltoense Law).
[~| I am exempt under Section Business and Professions Code fbr this reason:
1.1 personally plan to provkle the major labor and materials for constnjctton of the proposed property improvement I lYes I ho
2.1 (have / have not) signed an applkatton for a buikiing pemtit for the proposed work.
3.1 have contracted with the foltowing person (fimi) to provtoe the proposed constnjctton (include name address / phone / contractors' ficense number):
4.1 plan to provide porttons of the work, but 1 have hired the fbllowing person to coordinate, supervise and provkte the makir worit (include name / addiess / phone / contractors' itoense number):
5.1 will provkle some of the work, but I have contracted (hired) the foltowing persons to provkle the work indicated (include name / address / phone / type of worit):
ygS'pROPERTY OWNER SIGNATURE •AGENT DATE
COMPLETE THIS SECTION FOR N O N - R E S I D E N T i A L BUILDING PERMITS ONLY
is the appltoant or future buikiing occupant requiied fo submit a business plan, acutely hazanlous materials registralion fomi or risk management and prevention program under Secttons 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? OYes CJNo
Is the applicant or future buitoing occupant required to obtain a pennit from the air pollutton conlrol district or air quality management district? • Yes O No
Is the facility fo be constnicted within 1,000 feet of the outer boundary of a school site? OYes OHo
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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
AiP P LIC ANT CERTIFICATION
lcertify ttiatihave read the applkatkm and stats that the above informatfon is oonect and ltiatte
I heieby authorize representative of the City of Cartsbad to enter upon the atxwe mentioned property for inspedion puiposes. I ALSO AGREE TO SAVE, IMDEMNIFY AND KEEP HARMLESSTHE CITY OF CARLSBAD
AGAINST AU UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCI^E AGAINST SAID CITY IN C0NSE(3UENCE OF THE GfWITiNG OF THiS PERMIT.
OSHA: An OSHA pennit is required for excavattons over SO' deep and demolitton or constnjctkm of stmctures over 3 stories in height
EXPIRATION: Every permit issued ti/9ie'6u|lding Ofliciai under the provistons of this Code shall expire by limitatton and become null and void if the buildrig or worit aulhorized by such pennit is not oommenoed wilhin
180 days fiom the date of such pernm w if the^ikling or worit aut^
^eS"APPLICANT'S SIGNATURE' DATE
A\ PLUMBING, Development Services
<7/Jmy ELECTRICAL, Building Division
^V ciTY OF MECHANICAL '''''TeXTyJs
^ Ani CDAr) WORKSHEET www.carisbadca.gov
V^#Vf\L.OD/\L^ B-18 Building@carlsbadca.gov
Project Address: \qz4.<^ DO/C LDJM.^l£Xi) Permit No.:
Information provided below refers to worit being done on the above mentioned permit only.
This form must be completed and returned to the Building Division before the permit can be issued.
Building Dept. Fax: (760) 602-8558
Number of new or relocated fixtures, traps, or floor drains . New building sewer line? . . Ves No
Number of new roof drains? .
Install/alter water line? . .
Number of new water heaters? . _J_
Number of new, relocated or replaced gas outlets? .
Number of new hose bibs? .
Residenticd Permits:
New/expanded seivice: Number of new amps:
Minor Remodel on^ Ves No
Commercial/Industrial:
Tenant Improvement: Number of existing amps itwoA/ecf/n tha project:
Number of new amps involved in thh project:
New Construction: Amps per F>anel:
Single Phase Number of new amperes_
Three Phase. . Number of new amperes_
Three Phase 480 . Number of new amperes_
Number of new furnaces, A/C, or heat pumps?
New or relocated duct worb? Ves No
Number of new fireplaces?
Number of new exhaust fans? ..
Relocate/install went?.. . . .. .
Number of new exhaust hoods?
Number of new boilers or compressors? Number of HP
B--18 Page 1 of 1 Rev. 03/09
Inspection List
Permit*: CB141808 Type: PME LA PALOMA APTS-REPLACE WATER
HEATER IN UNIT 108
Date Inspection Item Inspector Act Comments
07/31/2014 25 Water HeaterA/ents - Rl 9-11 PLS
07/31/2014 25 Water HeaterA/ents MC AP
07/31/2014 29 Final Plumbing - Rl 9-11 PLS
07/31/2014 29 Final Plumbing MC Fl
Friday, August 01, 2014 Page 1 of 1