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Home My WebLink About1945 DOVE LN; 201; CB153109; Permit09-22-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB153109 Building Inspection Request Line (760) 602-2725 Job Address: Pernnit Type: Parcel No; Reference #: PC #: Project Title: 1945 DOVE LN CBAD St: 201 PME 2131120700 Lot #; LA COSTA PALOMA-REPLACE WATER HEATER Status: Applied; Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/22/2015 RMA 09/22/2015 09/22/2015 Applicant: CSR PLUMBING, INC 8985 HAVETEUR WAY SAN DIEGO CA 92123-2316 619-699-9629 Ow/ner; DOVE FAMILY HOUSING ASSCS 1820 S ESCONDIDO BLVD #101 ESCONDIDO CA 92025 Plumbing Fees Electrical Fees Mechanical Fees other PME Fees $38.00 $0.00 $0.00 $60.00 TOTAL PERMIT FEES $98.00 Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due: $0.00 P^OVXL Inspector: FINAL APP Date: Clearance: •t NOTICE: Hease take NOTlfc that&piTAal of your prqect indudes the "Irrposition" of fees, dedications, reservations, or cither exactions hereafter collectively referred to as "fees'exactions." YcxAeve 90 da^ from ttie date this perrrit was issued to protest irrposition of these fees/exactions. if yoa pretest them, you rrust fdlcw the protest prDcedLnes set forth in Qowemment Code Section 66020(3), and file the protest and any other requirBd information wth the Qty IVbnager for processing in accordance vwth Carlstad MLridpal Code Section 3.32.030. Failure to timely fdlcwthat procedure vwll bar any sutjsequent legal action to attacK review, aside, vdd, a amul ttieir irrposition. You are hereby FURmER NOTlRaD that yor ric^ to prdest the spedfied fees/exadions DOES NOT changes, nor planning, zcning, gradng or ether sinilar applicaUcn processing or servioe fees in oonnection with this prpjed. NORDOESITAFRYtoany fees/exadions of wtiich vou have previouslv been dven a tOTICE sirrilar to this, cr as to \Ahch the statute of linitations has preMOuslv otherwise exared. L FOLLOWINQ APPROVALS REQUIRED PRIOR TO PERMrr ISSUANCE: [_JPLANNING l_iENGINEERINO ] BUILDING GFIRE ClHEALTH IZl HAZMAT/APCD C Citypf Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph; 760-602-2719 Fax; 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No Est. Value ^ Plan Ck. Deposit SWPPP I JOBADDRESS SUITEt/SPACH/UNIT* » BATHROOMS TENANT BUSINBS rMMI [CC CONSTR. TYPE CT/PR0JECT» PHASE# « OF UNITS » BEDROOMS OCC. GROUP DESCmpnON OF WORN: Ineftid* SQiwra FMt of A/Tietad Artafsj EXISTINQ USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIRCONDITIONING FIRESPRINKLERS YESQ* Nd 1 YES|~~|NOr~i YESj—jNOr") Prlmtty Contact H^ YS^X^ ^^H^^-f PROPERTYOWNER AODRESS ^ - . -AODRESS CITY STATE ZIP FAX PHONE FAX EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAMI /^'i'i' ADDRESS '' ADDRESS , CITY STATE ZIP CITY , STATE ^IP PHONE F/y< PHONE EMAIL STATE uc # STATE UC.» cwss j0 cnv BUS. Lia» ^ _ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct alter, iniprove, demolish or repair any structure, prior to Its Issuance, also requires the applicant for such parmit to file a siened statement tnat he is licensed pursuant to the provisions of the Contractor's Ucense Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or tnat 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 appiicant to a civil penalty of not more than five hundred doiiars (ISOO)). WORKBR'S' C O MP e MS A Tl O IVr Wwtan' Cofflpensation DtclanUon: I hereliy aUIrm underpenelly of pailijiy one of tfie lUMng dsdaretoiw.' LJlhave and wlH maintain a certlflcate of consent to salMnsurt for workers' compensaUon as provided by Section 3700 of ttw Labor Code, fbr ths peifonnance of the work for whk^i this pemilt Is issued. I^Thava and wHI maintain workere' compansation, as required by Sectkin 3700 of the Labor Code, fbr the perkxnianca of the work Ibr whkih this pemiit is issued. My workers' compensatkm insirance canier and polk:y number are: Insuranoe Cn. AA^A^^ /A^S Poltey No. Explratai Dala '•i/i. •oy ^ Qliisectkin need not be completad y Ihe penTiH is kv one hundred dollars ($100) or less. 1^ Caitlfleata of Exemption: I certify that In Ihe perkimiance of the work for whteh this pemiit Is Issued, I shall not empk^ Califomia. WARNINO: Failure lo secure workere' compensation eoveraga Is unlawful, and shall subjact an employer to criminal penatties and civil Ann up to one hundrad thousand doliare (ft100,000), in addition to the cost of conipenaaiion, damag w as provided for in SMtioi 3706 of the Labor code, Interest and attorney's fees. Mi CONTRACTOR 8I0WATURE >^^^^^ •AGENT DATE ^ I f ^ OWiy»Elir-BUItOEn» OECLAI7ATIOM«> / Aere6y a/Rrm IfMf I am exempf tam Confracfor's Ucense Law for Ifie folOHing reason: I I I, as owner of the property or my employees with wages as their sols compensatkin, will do the work and Ihe stn^ Business and Professtons Code: The ContracfoTs Ucense Law does not apply to an owner of property who builds or impraves Ihereon, and who does such work hiinself or Ih^ sale. If, however, the buiMini) or Impravement Is sold wilhin one year of comptotton, the owner-b^ I I I, as owner of the praperty, am exckisively conlracting with Itoensed contractois to constract the praject (Sec 7044, Business antf^llWans Code: The Contractors Ucense Law does not apply to an owner of property who buitos or Improves thereon, and contracts tor such pra)scts wilti contractor(s) ficensed pursuani to the Contractor's Ucense Law). I I I am exempt under Sectton Business and Proiesstons Code for this reason: 1.1 personally pian to provtoe the major labw and matoiials for constructton of the praposed property impiovement r~lYes QNO 2.1 (have / have not) si|)nsd an applicatton for a building pennit lor (he praposed work. 3.1 have contracted with (he foltowkig peison (flmi) to provkle the proposed conslnx:tton (Include name addiess / phone / contractois' Iteense number): 4.1 pian to pravide porttons of the wori(, but I have hired the foltowing person to coordinate, supenrise and pravkie the mator work (Inckxle name / address / phone / contractors' Iteense number): 5.1 WIN pravtoe some ol the work, but I have contracted (hired) the loitowing persons to pravtoe the woik indtoated (Inciude name / address / phone / lype of woik): PROPERTY OWNER SIGNATURE •AGENT OATE G Is the applicant or future building occupant requirod to submit a business plan, acutely hazardous materials regislration form or risk management arid prevention program under Sections 25505, 25533 or 25534 of the -Presley-Tariner 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 mariagement district? Yes No Is the facility to be coristnjcted within 1,000 feet of the outer boundary ol a school site? Ves 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 coN>si;irucrroMr tEMDiMtsi AGEI^CV 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 Lenders Address A P P L f C A M 1> e E IT TI P I C A TI O Nir I certify that 1 have read the appltoatton and slate thatthe above Infomiation Is conectand thatthe Infomiation on the pians is accuiate. I agiee to complywith all CItyoidlnances and State laws relating to building consbuctton. I hereby authorize representative of the City of Caitsbad to enter upon lhe alxive meniioned property (br inspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Aa 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 pemiit is requred for excavations over 5'0' deep and demolition or constiuction of structures over 3 stories in heighl EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitalion and become null and void if the building or wxt( authorized by such permit is not commenced within 180 days from Ihe dale of such pemnit or if the txjiklim or v«oi1< aulhorized by such permit is suspended or abandoned at any time after the vwik is commenced for a period of 180 days (Sectbn 106.4.4 Unifonnn Building Code). ^APPUCANT'S SIGNATURE >^?^'V.^ DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Compiete the following ONLY If a Certificate of Occupancy wiii be requested at final inspection. C !? r 1 F 3 C .-V r E OF O C C U P A U C Y ( C o m '•• < c. i ,1 I i' r j e I > i I / I Fax (760) 602-8560, Email buildina(S!Cartsbadca.QOV or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAIVIE OCCUPANT NAME ADDRESS BUILDING AODRESS CITY STATE CITY STATE ZIP Carlsbad CA PHONE OCCUPANT'S BUS. LIC. No. DELIVERY OPnONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) iVIAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION >«f APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB153109 Type: PME LA COSTA PALOMA-REPLACE WATER HEATER Date Inspection Item Inspector Act Comments 10/01/2015 25 Water HeaterA/ents - Rl AM PLEASE 10/01/2015 25 Water HeaterA/ents PY AP 10/01/2015 29 Final Plumbing - Rl AM PLEASE 10/01/2015 29 Final Plumbing PY AP IVionday, October 05, 2015 Page 1 of 1