HomeMy WebLinkAbout1949 Dove Ln; 203; CBR2018-0210; Permit(city of
Carlsbad
Residential Permit
Print Date: 06/19/2018 Permit No: CBR2018-0210
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
1949 Dove Ln, 203
BLDG-Residential
2131120700
$0.00
Work Class:
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
DOVE: REPLACE 40 GALLON WATER HEATER
Owner:
DOVE FAMILY HOUSING ASSCS
WATER HEATER-PLUMBING, ELECTRICAL, MECHANICAL
Total Fees: $98.00 Total Payments To Date:
P/M/E
$98.00
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
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.
Closed -Finaled
01/25/2018
01/25/2018
6/19/2018 11:54:llAM
$98.00
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILDING OFIRE 0HEALTH D HAZMATIAPCD
(city of
Building Permit Application Plan Check No.(1,5~ .;lm,y;..-{Q/.1\
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Peposit email: building@carlsbadca.gov
www.carlsbadca.gov Date) I ~,<//'T lswPPP
JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 1949 Dove Lane unit 203, Carlsbad, CA 92009 unit# 203 ---
CT/PROJECT# 1 LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME l CONSTR. TYPE I OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
replaced 40 gallon gas water heater for unit 203 at 1949 Dove Lane i
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING l FIRE SPRINKLERS
YES[), NOD YES0No0 vesONoO
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 Dieao CA 92120 Carlsbad CA 92009
PHONE I FAX PHONE I FAX 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 Plumbina. Inc. ------
ADDRESS ADDRESS 8985 Haveteur Way
.. ------
CITY STATE ZIP CITY STATE ZIP
San Dieao CA 92123 --
[F:_
_r::---PHONE PHONE
619-699-9629 619-924-4996
--------------
EMAIL EMAIL
----hpham@.csrplumbinrinc.com . -
TSTATE Lie.#
-----STATE LIC.# 982358 ICLASSC36 CITYBUSBLOS1238369
(Sec .. 7031.5 Business and Professions Code: Any City or Coun.ty which requires a permit to.construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_m1t to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, comme_nd1ng with Section 7000 of D1v1s1on 3 of the Business and Professions Code) or [hat he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 1031.5 by any applicant for a permit subJects the applicant to a
c1v1I penalty of not more than five hundred dollars {$500)).
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 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 are Insurance Co Security Natio~_~l~~--Policy No. SWC1149958 Expiration Date 4123/2016
This section need not be completed if the permit is for one hundred dollars ($100) or less D 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 attomey's fees.
~CONTRACTORSIGNATURE Huyen Pham :;;;;.;,:"·,,.:::;;;······'••-·'""' [2]AGENT DATE 1/23/2018
I hereby affirm thaf I am exempt from Contractor's License Law for the following reason
D
D
D
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 Contracto(s License Law}.
I am exempt under Section ____ Business and Professltlns 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 I have not) signed an applica)ion 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 I 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 I phone f 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 f address I phone /type of work):
~ PROPERTY OWNER SIGNATURE 0AGENT DATE
Is the applicant or future building occupant required lo 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? Cl Yes t:l No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Cl Yes t:l No
Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? Cl Yes Cl 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 certlfythatl have read the application and state that the above infonnation Is correct and that the infonnation on the plans isacx:urate. I agree to comply with all City ordinances and State la,,,s 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 IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction ofstrucll.lres over 3 stories in he,;jhl
EXPIRATION: Evef)' permit issued by the Building Official under the provisions of this Code shall expire by lllnitation and become null and void if the building or woct. authorized by such permit is not commenced within
180 days from the date of such pe,mit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a peood of 180 days (Section 106.4.4 Uniform Building Code).
h D,g,tally sogn•d by Huyen Pham A5 H u yen p a m DN: cn-Huyen Pham, o=CSR PIU'llblng, Inc' au
APPLICANT'S SIGNATURE :1:.1;~~;-~7fJ;':\u3:~·ni~~~com, c=US DATE 1 /23/2018
PERMIT INSPECTION HISTORY REPPRT (CBR2018-0210) .
Permit Type: BLDG-Residential Application Date: 01/25/2018 Owner: DOVE FAMILY HOUSING ASSCS
Work Class: P/M/E Issue Date: 01/25/2018 Subdivision: CARLSBAD TCT#99-03 LA COSTA
GREENS
Status: Closed -Finaled Expiration Date: 12/17/2018 Address: 1949 Dove Ln, 203
Carlsbad, CA 92009-4085
IVR Number: 9129
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
06/19/2018 06/1912018 BLDG-26 Water 061344-2018 Passed Andy Krogh Complete
HeaterNents
BLDG-Final 061345-2018 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Plumbing Final Yes
June 19, 2018 Page 1 of1