HomeMy WebLinkAbout1949 Dove Ln; 213; CBR2019-1632; Permit(City of
Carlsbad
Residential Permit
Print Date: 07/18/2019 Permit No: CBR2019-1632
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
WATER HEATER PERMIT
Total Fees: $98.00
1949 Dove Ln, 213
BLDG-Residential
2131120700
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
CH WORKS: REPLACED 40 GAL WATER HEATER FOR UNIT #213
Owner:
DOVE FAMILY HOUSING ASSCS
Total Payments To Date:
P/M/E
$98.00
Status:
Applied;
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Contractor:
CSR PLUMBING INC
7525 Mission Gorge Rd
SAN DIEGO, CA 92120
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
06/25/2019
06/25/2019
7/18/2019 4:22:23PM
$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: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMA T/APCD
Ccityof
Building Permit Application Plan Check No. C\3RJ6\Cf -\ei,.3.2.-
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 (Q -25 -1q lswPPP
JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 1949 Dove Lane unit 213, Carlsbad, CA 92009 unit# 213 ---
CT/PROJECT# I LOT# I PHASE# l#OFUNITS I* BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(&)
Replaced 40 gallon water heater for unit 213 at 1949 Dove Lane
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITION/NG I FIRE SPRINKLERS
YES(]# No[] vesONoO vesONoO
APPLICANT NAME Huyen Pham PROPERTY OWNER NAME CH Works pm,--· "-n•--
ADDRESS ADDRESS
7525 Mission Gorge Road, Suite A 1953 Dove Lane
CITY STATE ZIP CITY STATE ZIP
San Diego CA 92120 Carlsbad CA 92009
PHONE PHONE
888-243-5353 I FAX 619-924-4996 760-476-9860 I 'AX 760-476-9638
EMAIL EMAIL
info@csrplumbinginc.com manager.lacostapaloma@chworks.net
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME CSR Plumbing, Inc.
ADDRESS ADDRESS 7525 Mission Gorge Road, Suite A
CITY STATE ZIP CITY STATE ZIP
San Diego CA 92120
PHONE PHONE
I 'AX 888-243-5353 I 'AX 619-924-4996
EMAIL EMAIL info(@,csrplumbinginc.com I STATE UC.# STATE LIC.# ICLASSC36 I CITY BUSBLOS 1238369 982358
(Sec, 7031.5 Business and Professions Code: Any Crty 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 permit to file a s12ned statement that he Is licensed pursuant to the provisions of the Contractor's License LawJChapter9, comme_nding with Section 7000 of Division 3 of the B_usiness and Professions Code) or fhat he Is exempt therefrom, and the basis for the alleged exemption. Any vIolatIon of Section 031.5 by any applicant for a permit subJects the applicant to a
cIvII penalty of not more than five hundred dollars {$500}).
WORKER$' COMPENSATION
Worken' 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. 0 I have and wlll 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 National Insurance Company Policy No SWC1233789 Expiration Date 412312020
J!!,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 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.
~ coNTRACTORSIGNATURE Huyen Pham 1::,.;;;•;E•·:... ......... ____ """ [Z]AGENT DATE 6/19/2019
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 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 contr.r:tors 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 Professions 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 applicatk>n 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/ phone/ contractors' license number):
4. I plan to provide portions of the wor!(, 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 I type of work):
~ PROPERTY OWNER SIGNATURE □AGENT DATE
I I
COMPLETE THIS SECTION FOR NON•RESIOENTIAL 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? D 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 AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION tENOING AGENC:'i'
I hereby affirm that there 1s a construction lend mg agency for the performance of the work this permit 1s issued (Sec 3097 (1) Ctvtl Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATIQN
I certify that I have read the application and state that the aOOYe information Is ooll'ed and that the infotmation on the plans is accurate. I agree to oomply'Mth all City ordinances and Sta1e laws relating to building oonstruction.
I hereby ailhorize "'Presenlalive of lhe Cly of Garllbad lo enler upon lhe-. mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM.ESS THE CITY OF CARLSBAD
AGAINST ALL LL-\BILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: N1 OSHA permit is required for excavations MI 5'0' deep and deroolition or construction of structures over 3 stories in height
EXPIRATION: Every permit issued by the Buikling Official under the prCMSions of this Code shall expire by limitation ood become null and void if the buikling or 1M>l'k authorized by such permit is not commenced Vfflhin
180 days from the date of such perm!: or if the buikling or'INOO( authorized by such pennit is suspeoded or abandoned at any time after the \WIK is coounenced for a period rl 180 days (Section 106.4.4 Uniform Buiklilg Cooe).
H Ph o,.,.,.,.,_byH..,..Poam ..,, uyen am Ol<cn=Huy,aPh,m,o=<:SRP._,ffitM<'!;lln<,O..
,.Cl APPLICANT'S SIGNATURE ~~'~\'.'::f.'~:',7'!'~;,,oom,-u, DATE 6/19/2019
•
PERMIT INSPECTION HISTORY REPORT (CBR2019-1632)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 06/25/2019
Issue Date: 06/25/2019
Expiration Date: 01/14/2020
IVR Number: 19980
Inspection No. Inspection Status
07/18(2019 07/18/2019 BLDG-25 Water
HeaterNents
097941-2019 Passed
July 18, 2019
BLDG-Flnal
Inspection
Checklist Item
BLDG-Building Deficiency
Checklist ltom
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLOG-Structural Final
BLDG-Electrical Final
COMMENTS
Passed
COMMENTS
Owner: DOVE FAMILY HOUSING ASSCS
Subdivision: CARLSBAD TCT#99-03 LA COSTA
GREENS
Address: 1949 Dove Ln, 213
Carlsbad, CA 92009-4085
Primary Inspector Relnspectlon Complete
System Administrator Complete
Passed
No
System Administrator Complete
Passod
No
No
No
No
No
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