HomeMy WebLinkAbout1945 Dove Ln; 105; CBR2019-0749; Permit(city of
Carlsbad
Residential Permit
Print Date: 07/18/2019 Permit No: CBR2019-0749
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
WATER HEATER PERMIT
Total Fees: $98.00
1945 Dove Ln, 105
BLDG-Residential
2131120700
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
CH WORKS: REPLACED 50 GAOL WATER HEATER; UNIT 105
Owner:
DOVE FAMILY HOUSING ASSCS
Total Payments To Date:
P/M/E
$98.00
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Contractor:
CSR PLUMBING INC
7525 Mission Gorge Rd
SAN DIEGO, CA 92120
888-243-S353
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.
Closed -Finaled
04/02/2019
04/02/2019
7/18/2019 4:20:29PM
$98.00
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 I I www.carlsbadca.gov
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
Ccityof
Building Permit Application Plan Check No. (AJRJC)\q-6~1
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 "'--z._-\'1 ISWPPP
JOB ADDRESS SUITH/SPACE#/UNIT# IAPN 1945 Dove Lane unit 105, Carlsbad, CA 92009 105 ---
CT/PROJECT# I LOT# I PHASE# l#OFUNITS l#BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONS TR. 1YPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Replaced 50 gallon water heater for unit 105 at 1945 Dove Lane
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YESO No[] YES □No □ YES□No□
APPLICANT NAME Huyen Pham PROPERTY OWNER NAME CH Works PrlYlarv Contact
ADDRESS ADDRESS
7525 Mission Gorge Road, Suite A 1953 Dove Lane
CITY STATE ZIP CITY STATE ZIP
San Dieqo CA 92120 Carlsbad CA 92009
PHONE I FAX PHONE IFAX 888-243-5353 619-924-4996 760-476-9860 760-476-9638
EMAIL EMAIL
info@csrplumbinginc.com manager.lacostapaloma@chworks.net
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME CSR Plumbinq, Inc. ---·--ADDRESS ADDRESS 7525 Mission Gorge Road, Suite A
CITY STATE ZIP CITY STATE ZIP
San Dieqo CA 92120
PHONE I 'AX PHONE i::_ 888-243-5353 619-924-4996
EMAIL EMAIL
info@csrplumbinginc.com -·-I STATE UC.# STATE UC.# ICLASSC36 I CITY BUSBLLOS1238369 982358
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to.construct, alter, improve, demolish or repair any structure, p_rior to its issuance, also requires the applicant for such per_mit to file a signed statement tnat he 1s licensed pursuant to the prov1s1ons of the Contractor's License LawjChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or fuat he 1s 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
civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and wlll 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.
lZJ I have and wlll maintain workers' compensation, as required bv Section 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 412312019
~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 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 civll fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees.
85 coNTRAcToR s1GNATURE Huyen Pham E~'.::::::~:~·····-_._, __ ,.,_
I hereby affirm that I am exempt 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 tor
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. 0Yes 0No
2. I (have/ have not) signed an application for a building permit for the proposed work
3. I have contracted with the tallowing person (firm) to provide the proposed construction {include name address I phone/ contractors' license number):
4. I plan to provide poriions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone / 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 / address I phone I type of work):
85 PROPERTY OWNER SIGNATURE □AGENT DATE
I I
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is ttie 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 D No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management disb'ict? □ Yes □ No
Is the focility 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 affirm that there 1s a construction lendmg agency for the pertormance of the work this permit 1s issued (Sec 3097 (1) C1v1I Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information ts correct and that the information on the plans Is accurate. I agree to comply with au City ordinanoos and State laws relating to building construction.
I hereby OJthorize represenlative of ~e City of Cirlml ID enter upon lhe above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEfA'llFY AND KEEP HARMLESS THE CrTY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennlt is required fCf excavations over 5'0' deep and demolition or construCOOn of strucilJres over 3 stories in heiJhl
EXPIRATION: Every pennit issued by the Building Official under the provisions of this Code shall expi"e by limitation and become nul and void if the building Cf work authorized by such perrrit is not C011T11e11ced v.fthin
180 days from the date of such permit or if the bulling or work authorized by such permit is suspended Cf aba'ldoned at any time after the work is commenced ta-a period of 180 days (Section 106.4.4 Uniform Building Code).
A5°APPLICANrss1GNATURE Huyen Pham "'9,t~ly ,lg,>Od by Huy,n Pham
ON rn■Hui-PMm, o•CSR Plumb1n9,1nc .. ou
-ll•hph,,m@(Yplum~ogk>c.com, c=US
1Jate.10l9Al4.011lAl:09-07'W DATE 04/01/2019
PERMIT INSPECTION HISTORY REPORT (CBR2019-0749)
Pormit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 04/02/2019
Issue Date: 04/02/2019
Expiration Date: 09/30/2019
IVR Number: 18023
Inspection No. Inspection Status
07118/2019 07/18/2019 BLDG-25 Water
HeaterNents
097943-2019 Passed
July 18, 2019
BLOG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
097944-2019
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLOG-Structural Final
BLDG-Electrical Final
COMMENTS
Passed
COMMENTS
Owner: DOVE FAMILY HOUSING ASSCS
Subdivision: CARLSBAD TCT#99-03 LA COSTA
GREENS
Address: 1945 Dove Ln, 105
Carlsbad, CA 92009-4084
Primary Inspector Re inspection Complete
System Administrator Complete
Passed
No
System Administrator Complete
Passed
No
No
No
No
No
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