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HomeMy WebLinkAbout1945 DOVE LN; 213; CB143490; Permit12-12-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB143490 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1945 DOVE LN CBAD St: PME 2131120700 213 Lot#: REPLACE WATER HEATER status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/12/2014 JMA 12/12/2014 12/12/2014 Applicant: CSR PLUMBING, INC 8985 HAVETEUR WAY SAN DIEGO CA 92123-2316 619-699-9629 Owner. DOVE FAMILY HOUSING ASSCS 1820 S ESCONDIDO BLVD #101 ESCONDIDO CA 92025 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $35.00 $0.00 $0.00 $60.00 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 tiiat 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 permit v^^as 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 Pfeviouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise expired. i THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: nPLANNING •ENGINEERING nBUILDING OFIRE nHEALTH nHAZMAT/APCD C City of Carlsbad Buildmg Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov PlanCheckNo. CSl^' Est. Value Plan Ck. Deposit Date [I' SWPPP JOB ADDRESS^ 9XOO f SUITE#/SPACE#/UNIT# 1)3 CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nclude Square Fest of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES I |# N0| I AIRCONDITIONING YES QNO I I FlRESPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact PROPERTYOWNER ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE EMAIL ^1 I AE DESIGN PROFESSIONAL :ONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP CITV ZIP PHONE FAX PHONE EMAIL ,1Q \JiKj.n ^ _ ULAbS >. CITY BUS. LIC.# , ^ X i. (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applioantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law {Chapter 9, commending with 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). W ORKEI7S' COMPENSATION Worliers' Compensation Declaration: / h&eby affirm under penalty of perjury one ofthe following declarations: 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 perfonnance of the mrk tor which this pennit is issued. I iiave and wlll maintain wori<ers' compensation, as reguired bv Section 3700 of the Labor Code, for the perforniance^if the work fcr v/hich tbis permit is isyj^. My workers' compensation insurance carrier and policy number are: Insurance Co, Policy No. _ Expiration Date _ ition insurance Ci This section need not be completed if the permit is for one hundred dollars ($100) or less, I I Certificate of Exemption: I certify that in the performance of the woik tor which this pennit is issued, I shall not employ any person in any manner so as to become subject tc the Workers' Compensation Laws of Califomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand doiiars (&100,000), in addition to the cost of compensatian, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees. CONTRACTOR SIGNATURE X/'X'^-^ "QAGENT DATE 1^ I hereby affimi that I am exempt from Contractor's License Lawfor the following reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stnicture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors 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 I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec, 7044, Business and Professions Code: The Contractors 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 Contractors License Law), I I I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement, Qves I iNo 2,1 (have / have not) signed an application for a building pemiit for the proposed work, 3,1 have contracted with the following person (firni) to provide the proposed constmction (include name address / phone / contractors' license number): 4,1 plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number): 5.1 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): ^efpROPERTY OWNER SIGNATURE QAGENT DATE "^c © fmm. 6 ¥ t * M11 ri c flow FOR NON-RESIOE « T t^t tffit»t N G p enm rrs^ o w^fcir.^ 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 Sectkins 25505,25533 or 25534 of the Presley-Tanner Hazanious 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 fxility to be constmcted 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. CONSTRU c.Ti OM tm N.»| N 6 A-mMWt. I hereby affirm that there is a construction lending agency for the performance of the wotk this permit is issued (Sec. 3097 (1) Civil Code). Lender's Name Lender's Address C *'W T C C R T 1 r I C A Ti: I cettHy that i have read the application and state thatthe above infonnation is conect and that the infonnation on the pians is accurate. 1 agree to comply witli ail Ci^ ordinances and State laws leiating to building construction. I hereby aulhorize representative ofthe City of Carlsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU 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 is required for excavations over 5'0' deep and demolitbn or constmction of stmctures over 3 stories in height. EXPIRATION: Every pemnit issued by the Building Oflicial under the provisions of this Code shall expiie by limitaton and become null and void if the building or wDrt< auihorized by such pennit is not commenced within 180 days from the date of such pennit or if the building or v\ori< authorized by such pennit is suspended or abandoned at any time alter the wDri< is commenced for a period of 180 days (Section 106.4.4 Unifomi Building Code). >erAPPLICANT'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 buildinaiSjcarlsbadca.aov or Mail the completed fomi to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB143490 Type: PME REPLACE WATER HEATER Date Inspection Item Inspector Act Comments 02/24/2015 25 Water Heater/Vents - Rl 02/24/2015 25 Water HeaterA/ents IVIC AP 02/24/2015 29 Final Plumbing - Rl 02/24/2015 29 Final Plumbing MC Fl Tuesday, February 24, 2015 Page 1 of 1