HomeMy WebLinkAbout1945 DOVE LN; 200; CB160790; PermitCity of Carlsbad
11535 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
02-29-2016 Permit No: CB 160790
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1945 DOVE LN CBAD St: 200
PME Status:
Parcel No: 2131120700 Lot#: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
LA COSTA PALOMA APTS-REPLACE
WATER HEATER
NORTH COUNTY PLUMBING
P 0 BOX 1758
VISTA CA 92085
760 735-4900
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
DOVE FAMILY HOUSING ASSCS
1820 S ESCONDIDO BLVD #101
ESCONDIDO CA 92025
ISSUED
02/29/2016
RMA
02/29/2016
02/29/2016
$38.00
$0.00
$0.00
$60.00
$98.00
Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due:
Inspector: {VI· ~·! Clearance:
$0.00
NOTlCE Please take NCJTlCE that appoval of your project includes tre "lfl'"IJOOtion" d fees, dedications, reservatialS, or cther exactions t-ereafter oollectively
referred to as ''fees' exactions." You have 00 days from the date this perrrit ~issued to prctest irrp:15ition d trese fees/exactions. If you prctest 1:herr\ you rrust
fdiONthe protest procedures set forth in <?ovemrent Ccx:fe Section 60020(a), ard file tre protest and any other required inforrration wth the Oty M3nager for
processing in aaxroancewth Carlsbad Mlnidpal Ccx:fe Section 3.32.030. FailuretotirrelyfdiONthat procaiJrewll OOr anysutsequent IE~ action to attack,
revievv, set aside, void, or annul their irrp:15ition.
You are hereby FlRfHER NCJTlRED that ya;r right to protest the specified fees/exactions !XES Nar /lPPL Y to 'Mll:er ard seNer a:med:ion fees and capocity
changes, nor planning, zoning, grading or cther sinilar application processing cr servire fees in cmnection wth this project. 1\rn !XES IT APPl.. Y to any
fees/exactions of W"lich vou have rreviouslv been given a N011CE sinilar to tlis. cr as to Wich the statute of linitations has previously otherwise exoired.
IT•!E r:oLLOWING APPROVALs REQUIRED PRIOR To PERMIT IssuANCE: 0PLANNING 0ENGINEERING ~UILDING OFIRE O):J,EALTH OHAZMAT/APCD
Building Permit Application Plan Check No. {:AJ6C>7c?n
'1635 Faraday Ave., Carlsbad, CA 92008 Est. Value .....-
CITY OF Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building@carlsbadca.gov Plan Ck. 9:,eposyt
l #~}-www.carlsbadca.gov h5ate /71 ~~-1 / /{_~ [~wPPP
-~---· _,
JOB ADDRESS
ICJ45; Oov e Leu\ e. SUITEI!/SPACE#/UNIT# rPN i:t: .. U..XJ ---... CT/PROJECT # I LOT# I PHASE# r OF UNITS
1
# BEDROOMS #BATHROOMS rz;USINESS NA~: /l;h h'tJ:NS:Xf?fC. GROUP Ctfl 1/#-, c. . · · S'
DESCRIPTION OF WORK: Include Square Feet of Affected Ar•~a(s) (I
t<:e..move.. &.-l R.:e...\'J\o.A.Jt L()Ct.:tex \:'t:ct..:tt(
EXISTING USE I PROPOSED USE l GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE riR CONDITIONING
1
FIRE SPRINKLERS
YESO NoD YES 0No D YESO NoD
APPLICANT NAME ~ • ~-..,
Primary Contact .\ \Y\Y\C\. m c Ct 0.. \/t PROPERTY OWNER Cbn _ d:.r)l) PvTJ)jt rtc-t-
ADDRESS p ADDRESS rcrs~ ' {;;} .o fc=>D')(. \IS?) [)OVt LCLYLC!_
CITY · · VI :s-ta. s(;¥4 Cf·2eos CITY Lec.·vLSbo..d STATE OA ZIP Cf20o9
PHONE !FAX PHONE I FAX I (.CO., ~CZ::> L-fer oa ll.ou CJLfO lq-€.J=J-.. 1 (flo-41(,..,-CJZ;wu 'luo -41 UJ ._ q lJ761J
cr-IL i) EMAIL ~CWIVl cLtJ 1'\0{l·hCC:::U'Y\t\.A pl <.JrY\lo·1~·CLf ~
DESIGN PROFESSIONAL ·~ CONTRACTOR BUS. NAME noAY! {QL;{tt-u Plom·clr"Y·t
ADDRESS ADDRESS p f::D)C 1\SB
(.j Q .. o
CITY STATE ZIP CITY Vl~TC\ STAT~ ZIP C,2L)t:)~ 0
PHONE I FAX PHONE . !FAX I LCD '\6 'S. LJ.C1Q() lwD Cf4t> I<:.J L,~-
EMAIL c:r )Vli'-\. eav1na cDvlof\-Vl cw· . ~lumb 1101. Cbh'l I STATE LIC. # STATELIC.# rc~.o0 CITY BUS. LIC.# IJ LC~I\<;4~
(Sec. 7031.5 Busmess and Professions Code: Any C1ty or County wh1ch requ1res a permit to construct, alter, Improve, demolish or repa1r any structure, pnor to 1ts •ssuance. also requires the applicant for such permit to file a signed statement that he i~• 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 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 Declaration: I hereby affirm under penalty of peljury one of the following declaraffons: .CJ 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.
~have and will maintain w~ers' compensation, as ~Qujred by Section 3700 o~7ta'JPI) Code. for the performance of the work for which this permit is issued. My worKers· compensation insurance carrier and policy
numberare:lnsuranceeo.fiO((}UafO IVL[)()(Q.Jl~\..0. PolicyNo.nCu.JC"lC:l~ Ex~irationDate '2/tl/2d+
This section need not be completed if the permit is for one hundred dollars ($1 00) 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 subjec;t 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 civil fines up to onE, hundred thousand dollars (&100,000), in
addition to the cost of as provided for in Section 3706 of the Labor code, interest and attorney's fees.
J!S CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D 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 bu"d or improve for lhe purpose of sale).
D
0
1. as owner of the property, am exclusively contracting wtth licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's u~ense 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. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes 0No
2. I (have I 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 construction (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 I 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 I address I phone I type of work):
f¥S PROPERTY OWNER SIGNATURE DATE
I certify that I have read the application and state that the above infonna1ion is correct and thatthe infonnalion on the plans is accurate. I agree to comply with all Ci1;y ordinances and State laws relating to buDding construction.
I hereby authorize representative of the 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 ALL 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 penntt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height
EXPIRATION: Every penn it issued by the Building Official under the provisions of this Code shall expire by lim nation and become null and void if the Mding or 'Mlrk authorized by such pennit is not commenced v.ithin
180 days from the date of such building or 'Mlrk authorizE:d by such penn it is suspended or abandoned at any time after the 'Mlrk is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code).
DATE '2._ j
STOP: THIS SE.CTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE:.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CEr~TIFICATE Of OCCUPANCY [Commercial Projects on lyl
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed fonmto City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
I CO~: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE t FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICKUP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. :l)
ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1) NO CHANGE IN USE I NO CONSTRUCTION
MAIL I FAX TO OTHER: CHANGE OF USE I NO CONSTRUCTION
_K5 APPLICANT'S SIGNATURE DATE
n List
Permit#: CB160790 Type: PME
Date _ _J_~ec.!ion l~m_~-------
03/01/2016 25 Water HeaterNents
03/01/2016 25 Water HeaterNents
03/01/2016 29 Final Plumbing
03/01/2016 29 Final Plumbing
Tuesday, March 01, 2016
Inspector
MC
MC
Act
Rl
AP
Rl
Fl
LA COSTA PALOMA APTS-REPLACE
WATER HEATER
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