HomeMy WebLinkAbout1945 Dove Ln; 212; CBR2018-2073; Permit(city of
Carlsbad
Residential Permit
Print Date: 10/26/2018 Permit No: CBR2018-2073
Job Address: 1945 Dove Ln, 212
Permit Type: BLDG-Residential
Parcel No: 2131120700
Valuation: $0.00
Occupancy Group:
# Dwelling Units:
Bedrooms:
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Status:
Applied:
Issued:
Permit
Finaled:
Closed -Finaled
08/20/2018
08/20/2018
Inspector: MColl
Final
Plan Check#: Inspection: 10/26/2018 1:17:08PM
Project Title:
Description: DOVE FAMILY HOUSING:
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.00
REPLACE 40 GAL WATER HEATER
Owner:
DOVE FAMILY HOUSING ASSCS
Total Payments To Date: $170.00
Contractor:
CSR PLUMBING INC
8985 Haveteur Way
San Diego, CA 92123-2316
888-243-5353
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit 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 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 previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$170.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING D ENGINEERING •BUILDING •FIRE •HEALTH OHAZMAT/APCD
C'cityof Building Permit Application Plan Check No. rB I? ,.J(\I 3'-J()l~
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
.
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit . email: building@carlsbadca.gov
www.carlsbadca.gov Date 'i</::J(J/IX lswPPP
JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 1945 Dove Lane unit 212 , Carlsbad, CA 92009 unit# 212 ---
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Replaced 40 gallon water heater for unit 212 at 1945 Dove Lane
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING I FIRE SPRINKLERS v,so, Nc0 v,s •No • YES•No•
APPLICANT NAME Huyen Pham PROPERTY OWNER NAME CH Works Prtnarv Contact
ADDRESS ADDRESS
6876 Cibola Road 1953 Dove Lane
CITY STATE ZIP CITY STATE ZIP
San DieQo CA 92120 Carlsbad CA 92009
PHONE I FAX PHONE IFAX 619-699-9629 619-924-4996 760-476-9860 760-476-9638
EMAIL EMAIL
hpham@csrplumbinginc.com manager.lacostapaloma@chworks.net
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME CSR PlumbinQ,lnc. ---------------------
ADDRESS ADDRESS 8985 Haveteur Way ------·~ ------CITY STATE ZIP CITY STATE ZIP
San DieQo CA 92123 -------
PHONE I FAX PHONE l'AX 619-699-9629 619-924-4996 ------~
EMAIL EMAIL
... hpham@csrplumbinginc.com -I STATE LIC. # STATE LIC.# ICLASSC36 I CllY BUSBLOS1238369 982358
(Sec, 7031.5 Business and P_rofess1ons Code: Any City or Coun_ty which requires a permit to.construct, alter, improve, demolish or repair any structure, pnor 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 LawJChapter"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 031.5 by any applicant for a permit subJects the applicant to a
cIvII penalty of not more than five hundred dollars {$500)).
WORKERS' COMPIINSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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.
---
[Z] I have and will maintain workers' compensation, as required bv Sec~on 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co, Security National Ins Policy No. SWC1149958 Expiration Date 4/2312019
~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ 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 subject lo the Workers' Compensation Laws of
California, WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penaltin and civil fines up to one hundred thousand dollars (&100,000), ln
addition to the cost of compensation, damages as provided for in Section 3706 oftfle Labor code, interest and attorney's fees.
RS CONTRACTOR SIGNATURE Huyen Pham :,':'E'::,,:,:;:::, .. ,...-··-· (ZlAGENT DATE 8/16/2018
OWNl!ff-BUILDliff DECLARATION
I hereby affirm fhat I am exempf from Contractor's License Law for the following reason: •
•
•
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 build or improve for the purpose of sale)
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes ONo
2. I (have/ have not) signed an applfCalion for a building permit for the proposed work,
3. I have contracted with the following person (ftrm) to provide the proposed construction (include name address/ phone/ 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/ phone I contractors' license number)
5. I 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 / type of work):
RS PROPERTY OWNER SIGNATURE •AGENT DATE
'
COMPLlfTI! THIS SECTION FOR NON•OEUOENTIAL BUILDING PlfRMITS ONLY
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 Sections 25505, 25533 or 25534 of the
Presley-Tanner 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 management district? • Yes • No
Is the facility to be constructed 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.
I hereby affinn that there 1s a construction lending agency for the performance of the work this penn1t 1s issued (Sec 3097 {1) C1v1I Code)
Lender's Name Lender's Address
A PPL I CA N.1' C lRT.IF I CATTON
I certify that I have read the application and state that the above Information is correct and that the information on the plans is accurate. I agree to comply with all Clfy ordinances and State laws relating to building construction.
I hereby au~olize reyresenlabve of ~e Cify of Garlsbad to enter upon 1!1e above mentioned propeny for inspeclon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARi.LESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Am WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT.
OSHA: An OSHA permit is required for excavations over 5'0' deep and derndioon or construction of strucll.lres over 3 stories in height
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by li"nilation and become null and void if the building or work authorized by such permit is notc:orrrnenc:ed within
180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is corrrnenced for a peoo:I of 180 clays (section 106.4.4 Uniform Building Cooe).
H Ph ""'"''''"'"'""'""''""''"' ,.,,, uyen am DH•caaH,,...,Ph,m,o,CS,Pl,"'bong,,oc,ou,
,,c.) APPLICANT'S SIGNATURE ;:•1;:~~;:•,~1,","'!"~i~""'·'=U> DATE 8/16/2018
•· /,' \; , . : PERMIT INSPECTION HISTORY REPORT (CBR2018-2073)
Permit Type:
WDrk Class:
Status·
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 08/20/2018
Issue Date: 08/20/2018
Expiration Date: 04/24/2019
IVR Number: 13289
Inspection No. Inspection Status
10/26/2018 10/26/2018 BLDG-25 Water
HeaterNents
074263-2018 Passed
October 26, 2018
BLOG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
074254-2018
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
COMMENTS
Pasaed
COMMENTS
Owner:
Subdivision:
Address:
Primary Inspector
Michael Collins
Michael Collins
DOVE FAMILY HOUSING ASSCS
CARLSBAD TCT#99-03 LA COSTA
GREENS
1945 Dove Ln, 212
Carlsbad, CA 92009-4084
Reinspection
Passed
Yes
Passed
Yes
Yes
Complete
Complete
Complete
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