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Home My WebLink About1949 DOVE LN; 303; CB143488; Permit12-12-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI43488 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type; Parcel No: Reference #: PC #: Project Title: 1949 DOVE LN CBAD St: PME 2131120700 303 Lot #: REPLACE WATER HEATER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/12/2014 JMA 12/12/2014 12/12/2014 Applicant: CSR PLUMBING, INC Owner: DOVE FAMILY HOUSING ASSCS 8985 HAVETEUR WAY SAN DIEGO CA 92123-2316 619-699-9629 1820 S ESCONDIDO BLVD #101 ESCONDIDO CA 92025 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $35.00 $0.00 $0.00 $60.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspector: f^' FINAL APPROVAL Date: W'^g/li Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "fees/exactions." You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must follovi/ the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information virith the City Manager for processing in accordance vi/ith Carlsbad Municipal 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 previously been given a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired. y THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: dPLANNING CjENGINEERING (Zl BUILDING DFIRE DHEALTH iZjHAZMAT/APCD Ccity of 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 PlanCheckNo. ^3)L(^3qQ^ Est. Value Plan Ck. Deposit Date SWPPP /T^? /?0i^£ l2cO ? CT/PROJECT # TToTi I PHASE # |» OF UNITS |» BEDROOMS SUITEf/SPACE«/UNrr* » BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: IncflHte Squara FMt of A/f>ctatf Ana(t) 5^ ^ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESPV N0| I AIR CONDrriONING YES I |NO| I FlRESPRINKLERS YES I |NO| I APPLICANTNAME Primary Contact PROPERTYOWNER ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE EMAIL EMAIL I AC DESIGN PROFESSIONAL SONTRACTOR BUS. NAME X^rLuna/yt^C //tx:L ADDRESS ADDRESS ^?^5' HAu'^T^U/^ u^Y CITY STATE CITY STATE . ZIP °I2I 2 3 PHONE FAX PHONE FAX EMAIL EMAIL ATELIC.# ^21>^S OLASS >» OITT BUS. LIC* . (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construcL alter, Improve, demolish or repair any structure, prior to its issuance, also requires the applioantfor 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 7000of Division Sof 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 Worken' Compansitlon Dadintlon: / hereby affirm under penaHy ofpeijury one of the following declarations: I have and will maintiin a certificata of consant to aelMnaure for woriiers' compensation as provided by Section 3700 of the Labor Code, for the performance of the worit for wliich this pennH Is Issued. \ hava and will maintain workan' coinpansation, as required by Section 3700 of the Labor Code, for the perfonnanceof the work for which this pennit is issued. My workers' compensatton Insurance carrier and policy number are: Insurance Co. /^AX^A/-c- /A^S PollcyNo.. Expiratkin Date y •* / ^ This sectkin need not be completed if the pennit is for one hundred dollars ($100) or less. I I Certlflcata of Exemption: I certify Ihat In the perfonnance of the work for whk:h this pennit is issued, I shall not employ any person In any manner so as hi become subject to the Workers' Compensatkin Laws of Califomia. WARNING: Failure to secure workare' compansatlon coverage is unlawful, and shall subject an amployer to criminai penalties and civil fines up to ona hundred thouaand doliare (&100,000), in addition to the cost of compensation, damages aa provided for In Section 3706 of the Labor code, Interest and attorney's feea. CONTRACTOR SIGNATURE Z^/?'*^ OWNER-BUILDER DECLARATION QAGENT DATE //Xfi I heretiy affinn that I am exempt fnm Contractor's Ucense Law for the following reason: I I I, as owner of the property or my empkiyees with wages as their sole compensation, will do the work and the stnicture is not intended or oflered for sale (Sec. 7044, Business and Professkins Code: The Contractor's Lkxnse Law does not apply to an owner of property who buiMs or Improves thereon, and who does such work himself or through his own empkiyees, provkled that such Improvements are not Intended or oflered for sale. If, however, lhe buikling or Improvement Is sokl within one year of completkin, the owner-bulkier will have the bunlen of proving that he dkl not bulM or improve for the purpose of sale). I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Pmfesslons Code: The Contractors License Law does not apply to an owner of property who bulkls or improves thereon, and contracts for such projects with contractor(s) Iteensed pursuant to the Contractors Ucense Law). • I am exempt under Sectkin _ .Business and Professions Code for this reason: 1.1 personally plan to provkle the major labor and materials for constructton of the proposed praperty improvement QYes I INO 2.1 (have / have not) signed an applteatton for a buikling pernilt for the proposed wortc. 3.1 have contracted with the foltowing person (fimi) to provide Ihe proposed constmction (Include name address / phone / contractors' Iteense number): 4.1 plan to provkle porttons of the worit, but I have hired the foltowing person to cooniinate, supenrise and provide the major wortc (include name / address / phone / contractors' license number): 5.1 will provkle some of the woric, but I have contracted (hired) the following persons to provkle the wortc Indteated (Include name / address / phone / type of woric): ^1 PROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDINO PERMITS ONLr Is the applteant or future buikling occupant required to submit a business plan, acutely hazanlous materials registration form or risk management and prevention program under Secttons 25S05,25533 or 25534 of the Presley~Tanner Hazardous Substance Account Acr? Yes No Is Ihe applteant or future buikling occupant required to obtain a pennit from the air pollutton control district or air quality management district? Yes No Is the fitillty to be conslnjcted 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 POUUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby aftrm that there is a constniction lending agency fbr the performance of the worit this pennit is issued (Sec 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I cetWy Itiat I haw mad the application and slatB thatthe above infomiatkin Is oonect and tliat th^ I hetetiy aulhorize represenialive of Ihe City of Carlsbad to enter upon the above mentnned properiy fcr Inspection purposes. I ALSO AGF€E TO SAVE, INDEMNIFY AND l€EP HARMLESS THE CfTY 01^ CAR.SBAO AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES IWICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQtJENCE OF THE GRANTING OF THIS PERMfT. OSHA An OSHA pennit Is required fcr excavalkxis over S'O'deep and demolition or constiucttxi of slni^ EXPIRATION: Every permit Issued by the Building Official under Ihe provisions of Ihls Code shall expire by llmltatnn and become null and void If the building or work authorized by such pennit is not commenced wilhin 180 days floin Ihe dale of such pennit or If Ihe building or worit authorized by such permit Is suspe^ Buikling (^). >£rAPPL1CANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY If a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildinai8)cai1sbadca.c;0V or Mail the completed form to City of Cartsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office UM Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACrrOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg.1) MAIL/FAX TO OTHER: ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE • DATE Inspection List Permit*: CB143488 Type: PME REPLACE WATER HEATER Date Inspection Item Inspector Act Comments 02/24/2015 25 Water HeaterA/ents - Rl 02/24/2015 25 Water HeaterA/ents MC AP 02/24/2015 29 Final Plumbing - Rl 02/24/2015 29 Final Plumbing MC Fl Tuesday, February 24, 2015 Page 1 of 1