HomeMy WebLinkAbout1949 DOVE LN; 207; CB141807; Permit07-28-2014
City of Carlsbad
1635 Faraday Av Carisbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Pernnit No:CB141807
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title;
1949 DOVE LN CBAD St:
PME
2131120700
207
Lot#:
LA PALOMA APTS- REPLACE WATER
HEATER IN UNIT 207
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/28/2014
RMA
07/28/2014
07/28/2014
Applicant:
NORTH COUNTY PLUMBING
Owner:
DOVE FAMILY HOUSING ASSCS
P O BOX 1758
VISTA CA 92085
760 735-4900
1820 S ESCONDIDO BLVD #101
ESCONDIDO CA 92025
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$33.00
$0.00
$0.00
$62.00
TOTAL PERMIT FEES $95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00
Inspector: {/^(^^
FINAL APPROVAL
Date: Qg/o^/H Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." 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 Govemment Code Section 66020(a), and file the protest and any other required Information with the City Manager for
processing in accordance with Carlsbad IVIunicipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attacl<,
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 vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMITISSUANCE: • PLANNING • ENGINEERING NBUILDING DFIRE • HEALTH • HAZMAT/APCD
Cei^ 1777
CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760^02-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check
Est. Value
A Plan Ck. Deposi^
SWPPP
JOB ADDRESS ^ SUITEt/SPACEf/UNIT* jAPN '
Cr/PROJECTB LOT# PHASE* # OF uNrrs # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TVPE OCC. GROUP
DESCRIPTION OF WORK: fncAids Square Feat ofAffacted Ana(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDmONING FIRE SPRINKLERS
YES|~T# NOj 1 YESQNO^ YESj | N0| j
PROPERTVOW^ERNAME^^ CC^a POJl CmO. 0.(>rS
i-itovo- rYTTuro^c Ori / -e c ADDRESS ^^^^ ^^^^ UOJA-JO
CiTY , , , STATE ZIR..^ _ _
PHONE FAX PHONE FAX
EMAIL
DESISN PROFESSIONAL CONTRACTOR BUS. NAME JA,.^^^ P,^ - , A.
ADDRESS ADDRESS n n ...^ 0
CITY STATE ZIP CITY , STATE ^ ^IP^/v,^^,,
PHONE FAX PHONE nL*H^ \^U~=\-
EMAIL EMAIL
STATE UC. # STATE UC.# . CLASS crn'Bys.uc* _
applicant for such permit to file a signed statement that he is 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
Workers' Compensation Declaration: / hereby affinn under penalty (^peijury one of the follomng decimations:
-Fj I have and will maintain a csrUflcate of consent to sslf-insure fbr workers' compensation as provided by Section 37(X) of the Latxir Code, for the perfomiance of the work fbr whk;h this pemiit is issued.
uS^ I have and will mdntain woricers' compensation, as requiredby Sectbn 3700 of the Labor Coie, fbr the performance of the^wyrk for which this pemiit is Issued. My workers' compensatkin insuram^ carrleund pdcy
number are: Insurance Co. Policy Nto.. Expiratkm Date, cry X\\-<. •
Bsection need not be completed if the pemiit is for one hundred dollars ($100) or less.
Certificate of Exemption: I certify that in the perfbmiance of the work fbr whk:h this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensatton Laws of
(Dallfomia. WARNING: Faiiure to ^eormorlters' compensation coverage is unlawful, and shall subject an employer to criminai penaities and civii fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensatiffijiaaiS^ aujrovided for in Section 3706 of the Labor code, interest and attomey's fees.
=« ^ OAGENT DATE / 10|4 JS$ CONTRACTOR SIGNATUREI
OWNE R-BUILDER DECLARATION
/ hereby affirm (ftat / am exempf from Contractoi's Ucense Law for the fbllowing reason:
I I I, as owner of the property or my emptoyees with wages as their sole compensatton, will do the work and the stnxJute is not intended or offered fbr sale (Sec. 7044, Business and Ptxifessions Code: The Contractor's
License Law does not apply to an owner of property who buikls or improves thereon, and who does such work himself or through his own emptoyees, provkted that such Improvements are not intended or oleied for
sale. If, however, the building or Improvement Is sokl within one year of completton, the owner-buikler will have the burden of proving that he dkl not buikl or improve fbr the purpose of sale).
I I I, as owner of the property, am exclusively contracting with Itoensed contractots to constnict the project (Sec. 7044, Business and FVofesstons Code: The (Contractor's License Law does not apply to an owner of
property who buikls or improves thereon, and contracts for such projects with conttactor(s) Itoensed pursuant to the Ckmtractor's Ltoense Law).
I I I am exempt under Sectton Business and Professions Code for this reason:
1.1 personally plan to provkle the major labor and materials fer constnjction of the proposed property improvement. r~iYes I ho
2.1 (have / have not) signed an appltoatton fbr a buikiing permit fbr the propesed werk.
3.1 have centracted with the fbltowing persbn (fimi) to provtoe the proposed constmctton (Include name address / phone / contractors' Iteense number):
4.1 plan to provkle porttons of the work, but I have hired the fbllowing person to coordinate, supen/ise and provide the major worit (inckide name / address / phone / contractors' Itoense number):
5.1 will provkle some of the worit, but I have contracted (hired) the fbltowing persens to provkle the worit Indicated (Include name / address / phone / type of worit):
>eS'pR0PERTY OWNER SIGNATURE •AGENT OATE
CO MPtETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the appltoant or future buikiing occupant required to submit a business plm„ acutely hazaidous materials registration tomi or risk management and prevention program under Secttons 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? OYes yC^lo ^•
Is the applicant or future buiMing occupant required to obtain a pemiit from theair pollutton control district or air^qurdity management district? • Yes /(NO
Is the facility to be constnicted within 1,000 feet of the outer boundary of a school site? OYes JBlNo
UNLESS IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
ESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
CONSTRUCTION LENDING AGENCY
I hereby aflirm 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 Lender's Address
APPLICAN T CERTIFICATION
iceitl^thatihate read the applicatkm axl state that the aboieliifbimatkin Is oonect arxl that tt^
1 hereby au»iorize representative of the City of Carisbad 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 UABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CnY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT.
OSHA: An OSHA pemiit is required fbr excavatfans over Sff deep and demolitton or constmctton of stnidunes over 3 stories in height.
EXPIRATION: Every penmit issued by the Building Official under the provisions of Ihis Code shall expire by Umltatkm and become null and void if the building or worit authorized by such pemiit is not commenced wilhin
180 days fiom the date of such peimit ciPiMe buikiing or worit aulhorized by such pernio Is suspended or abandoned at any time after the vwrit is commenced for a period of 180 days (Section 106.4.4 Unifonn Buikiing Code).
UgS'APPLiCANT'S SIGNATURE (iQ^ DATE
Inspection List
Permit*: CB141807 Type: PME LA PALOMA APTS-REPLACE WATER
HEATER IN UNIT 207
Date Inspection Item Inspector Act Comments
07/31/2014 25 Water HeaterA/ents - Rl 9-11 PLS
07/31/2014 25 Water Heater/Vents MC AP
07/31/2014 29 Final Plumbing - Rl 9-11 PLS
07/31/2014 29 Final Plumbing MC Fl
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