HomeMy WebLinkAbout1949 Dove Ln; 300; CBR2019-0140; Permit(city of
Carlsbad
Residential Permit
Print Date: 03/07/2019 Permit No: CBR2019-0140
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1949 Dove ln, 300
BLDG-Residential
2131120700
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
01/18/2019
01/18/2019
TFraz
Plan Check#:
Final
Inspection: 3/7/2019 8:4S:S3AM
Project Title:
Description: REPLACE 40 GAL WATER HEATER FOR UNIT 300
Owner:
DOVE FAMILY HOUSING ASSCS
WATER HEATER PERMIT
Total Fees: $98.00 Total Payments To Date: $98.00
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.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$98.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH □ HAZMA T/APCD I
Ccityof
Building Permit Application Plan Check No. 05~20 I~ -O I fO
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 1-1~-Jq lswPPP
JOB ADDRESS SUITH/SPACE#/UNIT1' IAPN 1949 Dove Lane, Carlsbad, CA 92009 unit# 300 ---
CT/PROJECT# ILOT# I PHASE# l#OFUN\TS !#BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I cONSTR. TYPE I acc. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Replaced 40 gallon water heater for unit 300 at 1949 Dove Lane
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING I FIRE SPRINKLERS
YES[), NO□ YES □No □ YES□No□
APPLICANT NAME Huyen Pham PROPERTY OWNER NAME CH Works Prtn--· Cnn•-.....
ADDRESS ADDRESS
6876 Cibola Road 1953 Dove Lane
CITY STATE ZIP CITY STATE ZIP
San Dieao CA 92120 Carlsbad CA 92009
PHONE PHONE I FAX IFAX
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
PHONE PHONE l'AX 619-699-9629 I FAX 619-924-4996
EMAIL EMAIL hpham@,csrplumbinginc.com I STATE UC.# STATE LIC.# ICLASSC36 I CITY BUSBLOS 1238369 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, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the prov1s1ons of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on 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
Woiten' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Sectkln 3700 of the Labor Code, for the performance of the work for which this permit is issued. lZJ I have and will maintain worken1' 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 National Ins Policy No. SWC1149958 Expiration Date 4/2312019
1]!i§.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 crimlnal penalties and civil fines up to one hundred thousand dollani (&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.
,.,,, H Ph -"-•"--" ,JD C0NTRACT0RSIGNATURE uyen am :~:,";;::-_":;;:~:~=~,--"""'"'~"' .. '""'"' (Z]AGENT DATE 1/18/2019
OWNER-BUILDER DECLARATION
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 so~ 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),
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. OYes Oo
2. I (have I 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 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/ 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 I address I phone/ type of work):
6$ PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is 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? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above information Is correct and that the lnfonnation on the plans Is accurate. I agree to oomply with all City ordinances and State laYoS relating to bulkHng construction.
I hereby authorize represenlative of the Cly of C'"1sbad to enter upoo the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDE~IFY AND KEEP HARM.ESS 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: Ari OSHA pennl is required for excEMltions (JoJef 5'0' deep and demolition or construCOOn of strucbJres CNef 3 stories in heght
EXPIRATION: Every permit issued by lhe Buikiing Official under the pl'CMSi:lns of this Code shall expire by limitation and become null and void if the building or work authorized by such perm!: is not commenced withl'l
180 days from fhe dale of such pennlt or , the bui~i1g or -aulhorized by such pennlt is suspended or abandoned at 111y time after fhe -is commenced for a period of 180 days (section 106.4.4 Uniform Building Code).
h D19itally ,i9ned by Huy,,n Pham
.,,, APPLICANT'S s~NATURE H uye n p am """""""' eo,m.~cs• "'"m"'"'· '"' "· ,.c:, N :i-:1~~~:.~~ia~t~";:in:~~°"'·c=US DATE 1/18/2019
PERMIT INSPECTION HISTORY REPORT (CBR2019-0140)
Permit Type: BLDG-Residential Application Date: 01/18/2019 Owner:
Work Class: P/M/E Issue Date: 01/18/2019 Subdivision:
Status: Closed -Finaled Expiration Date: 09/03/2019 Address:
IVR Number: 16563
Scheduled
Date
Actual
Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
03/07/2019 03/07/2019
March 07, 2019
BLDG-25 Water
HeaterNents
085507-2019
BLDG-Final
Inspection
Checklist Item
BLOG-Building Deficiency
085506-2019
Checklist Item
BLDG-Plumbing Final
Passed Tim Frazee
COMMENTS
Passed Tim Frazee
COMMENTS
DOVE FAMILY HOUSING ASSCS
CARLSBAD TCT#99-03 LA COSTA ·
GREENS
1949 Dove Ln, 300
Carlsbad, CA 92009-4085
Relnspectlon Complete
Complete
Passed
Yes
Complete
Passed
Yes
Page 1 of 1