HomeMy WebLinkAbout1949 Dove Ln; 101; CBR2017-0831; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 05/09/2017 Residential Permit Permit No: CBR2017-0831
www.carlsbadca.gov
Job Address:1949 Dove Ln,101
Permit Type:BLDG-Residential Work Class:P/M/E Status:Closed -Finaled
Parcel No:2131120700 Lot #:Applied:04/19/2017
Valuation:$0.00 Reference #:Issued:04/19/2017
Occupancy Group:Construction Type:Finaled:
#Dwelling Units:Bathrooms:Inspector:
Bedrooms:Orig. Plan Check #:
Plan Check #:
Project Title:
Description:CH WORKS: REPLACE WATER HEATER
Owner:Contractor:
DOVE FAMILY HOUSING ASSCS CSR PLUMBING INC
8985 Haveteur Way
San Diego,CA 92123-2316
888-243-5353
PLUMBING, ELECTRICAL AND MECHANICAL PERMIT $98.00
Total Fees:$98.00 Total Payments To Date:$98.00 Balance Due:$0.00
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.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:0 PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH Q HAZMAT/APCD
.Ilk Building Permit Application Plan Check No.(15&aI f?-6 if,31.....City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Ph: 760-602-2719 Fax: 760-602-8558Carl.sbad email: building@carlsbadca.gov Plan Ck. Deposit
www.carlsbadca.gov Date I.4 —I q -17_SWPPP
JOB ADDRESS SUITE#/SPACE#/UNIT#APN
1949 Dove Lane unit 101, Carlsbad, CA 92009 101 ---
CT/PROJECT #LOT #PHASE ##OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK:Include Square Feet of Affected Area(s)
replace 50 gallon water heater for 1949 unit 101
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES I=1#NOE YES ENO El YES0 Nop
APPLICANT NAME PROPERTY OWNER NAMEHuyen Pham CH WorksPrinary Contact
ADDRESS ADDRESS
6876 Cibola Road 1953 Dove Lane
CITY STATE ZIP CITY STATE ZIP
San Diego CA 92120 Carlsbad CA 92009
PHONE FAX PHONE FAX
619-699-9629 619-924-4996 760-476.9860 760.476-9638
EMAIL EMAIL
hphamOcsrplumbinginc.com manager.lacostapaloma§chworks.net
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME CSR Plumbing. Inc._
ADDRESS ADDRESS
6876 Cibola Road
CITY STATE ZIP CITY STATE ZIP
San Diego CA 92120
PHONE FAX PHONE FAX
619-699-9629 619-924-4996
EMAIL EMAIL
hphamRcsrplumbinginc.com
STATE LIC.#STATE LIC.#CLASS CITY BUS. LIC.#
982358 C36 BL0S1238369
(Sec.7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires theapplicant 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 theBusiness 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 ($5001).
WORKERS'COMPENSATION
Workers' Compensation Declaration:Ihereby affirm under penalty of perjury one of the following declarations:
Hi 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 permitis issued.
I have and will maintain workers' compensation,as required by 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 am: Insurance Co.NorGuard Policy No.CSWC697611 Expiration Date 412312017
This section need not be completed if the permit is for one hundred dollars ($100) 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 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 civil 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.
.ES CONTRACTOR SIGNATURE Huyen Pham ESEi:.77a..----------------0 AGENT DATE 4/19/2017
OWNER -BUILDER DECLAIPANI raM:i'zi.5 ,.iLINII -..„:.2r...iridt;`1.0...r.':'.':''WI
I hereby affirm that I am exempt from Contractor's License Law for the following mason:
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).0 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.ElYes DNo
2.I (have /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 / 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 / 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 / address / phone / type of work):
..acPROPERTY OWNER SIGNATURE EIAGENT DATE
COMP THIS SECTION FO MIPPC111 IL DING PERMITS ONLY
Is the 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?DYes 0 No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?0 Yes 0 No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 Yes 0 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lenders Name Lenders Address
APPLICANT CERTIFICATION
Icertify thatI 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 City ordinances and State laws relating to building 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 INANY WAY ACCRUE AGAINST SAID CRY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over50' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced 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 iscommenced fora period of 180 days (Section 106.4.4 Uniform Building Code).
Digitally signed by Huyen Pham
AKAPPLICANT'S SIGNATURE Huyen Pham email=hphamOcsrplumbinginccom,c=US DATE 4/19/2017Date: 2017.04.19 0902:12-0700.
-•,..
PERMIT INSPECTION .HISTORY. REPORT (CBR2017-0831)
Permit Type:BLDG-Residential Application Date:04/19/2017 Owner:DOVE FAMILY HOUSING ASSCS
Work Class:P/M/E Issue Date:04/19/2017 Subdivision:CARLSBAD TCT#99-03 LA COSTA
GREENS
Status:Closed -Finaled Expiration Date:11/06/2017 Address:1949 Dove Ln,101
Carlsbad, CA 92009-4085IVR Number:3225
Scheduled Actual
Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete
05/09/2017 05/09/2017 BLDG-25 Water 022730-2017 Passed Paul York Complete
HeaterNents
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Final 022731-2017 Passed Paul York Complete
Inspection
Checklist item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
May 09, 2017 Page 1 of 1