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Home My WebLink About1953 DOVE LN; 304; CB121373; Permit07-19-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB121373 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1953 DOVE LN CBAD PME 2131120700 A SoH Lot It: DOVE: REPLACE WATER HEATER Status: ISSUED Applied: 07/19/2012 Entered By: JMA Plan Approved: 07/19/2012 Issued: 07/19/2012 Inspect Area: Applicant: 111 IN 1 CONSTRUCTION, INC 11610 COMPASS POINT DR„ #88 SAN DIEGO CA 92126 858-243-8175 Owner: DOVE FAMILY HOUSING ASSCS 1820 S ESCONDIDO BLVD #101 ESCONDIDO CA 92025 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $30.00 $0.00 $0.00 $65.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspector: ^^FINAL APPROVAL =w<y Date: ?'f^^^ Clearance: NOTICE: Please take NOTICE that approval of your project Includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the dafe this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required Infonnation witti the City Manager for processing In accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that pnxedure will t)ar any sut)sequent legal action to attack, review, set aside, void, or annul their impositton. You are hereby FURTHER NOTIFIED ttiat your right to protest ttie 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 sereice fees in connection witti 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 previously ottienwise expired. THEFOLLOWINGAPPROVALS REQUIRED PRIORTO PERMITISSUANCE: DPUNNING nENGINEERING DBUILDING DFIRE DHEALTH •HAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit SWPP JOB ADDRESS SUITE#/SPACE#/UNIT# » BATHROOMS >, ITENANT BUSINESS CT/PROJECT # # OF UNITS # BEDROOMS CONSTR. TYPE OCC GROUP DESCRIPnON OF WORK: Include Square Feet of Affected Areafs) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESO # NO • AIR CONDITIONING YES • NO • FIRE SPRINKLERS YES • NOD APPUCANT NAME (Primary Contact) . APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY PHONE ^ STATE C-A ZIP CITY STATE ZIP FAX PHONE FAX VIMII- PROPERTY OWNER NAME ^ CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP STATE ZIP PHONE FAX PHONE FAX €55 ZA^ gns g58 'se>^ ^1^34 EMAIL EMAIL itATCllC* CLASS ARCH/DESIGNER NAME & ADDRESS lie:* CLASS B CITY BUS. LIC.# Civil penalty of not more than five hundred dollars {$500}). structure, prior to its issuance, also requires the commending with Section 7000 of Division 3 of the any appllcantfor a permit subjects the applicant to a WORKER S • C OM P i I Workers'Compensation Declaration: /here/jy affirm under penalty d perjury one dthe fdiowing dedaraUons: O I have and will maintain a certificate of consent to seif-insure for workers' compensation as provided by Section 3700 of the Lalior Code, for the perfonnance of the work for which this pennit is issued. Jff i have and will maintain woriters' compensation, as requiied by Section 3700 ot the Labor Code, for the performance of the work for which this pennit is issued. My workers' compensation insurance earner and policy number are: Insurance Co. S-j<^>V rr><YVp|gV>-Sar<\C^ t/YfxjiCm<^ t^MrytPolicv No. 1'5 - Qr^?-<t?l?^ Expiration Date 03 jO> /"ag >3 This section need not be completed if the permit is for one hundred dollars ($100) or less. O Certificate of Exemption; I certify that in the perfomance 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 woriters' compensation coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand doiiars (&iOO,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code. Interest and attorney's fees. >eif CONTRACTOR SIGNATURE GJ)(GENT DATE OWN E R • B U i L D E R D E Ct A B:y«t"i.l O B / hereby aflimi that I am exempt from Contractor's Ucense Law for the foiiowing 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 Ucense 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). O I, as owner of the property, am exclusively conlracting v»ith 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 prajects with contractor(s) licensed pursuant to the Contrxtor's License Law). n I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. • Yes • No 2.1 (have / have not) signed an appiicab'on for a building permit for the proposed work. 3. i have contrxted v»ith the folloviing person (firm) to provide the proposed construction (include name address / phone / contractors' license number); 4.1 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 / contractors' license number): 5.1 will provide some of the work, but I have contrxted (hire/) the following persons to provide the work indicated (include name / address / phone / type of work): >£5'PR0PERTY OWNER SIGNATURE •AGENT DATE THIS SECTION FOB B NON-Bp.SIDf NTIAI. B, iliLOIMaPERMITS ONLV Is the applicant or future building occupant required to submit a business plan, xutely hazanlous materials registration form or risk management and prevention program under Sxtions 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? OYes ONo , Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? • Yes ^ No Is the fxility to be constructed within 1,000 feet of the outer boundary of a school site? • Yes JoWo 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. ONSTRUCTION LENDI I hereby affimi ttiat ttiere is a construction lending agency for ttie perfonnance of ttie work ttiis permit Is issued (Sec. 3097 (1) Civil Code). Lender's Name Lender's Address M;,p Prli: I: C A::N T CEBT|:F'ICATION. I certif tiiat I have read the application and state ttiat the above infbmiation Is correct and that tiie liilbrmation on the pl^^ I hereby aulhorize repnesentatlve of Ihe Qty of Cailsbad to enter upon the abo\fe menttoned property for inspectton purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AND EXPENSES WHICll MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennit is required for excavations over 5'0' deep and demoliabn or constmctton of structures over 3 stories in heighL EXPIRATION: Every permit Issued by the BuikJing Ofliciai under the provlsto(1ap1l\|s Code shall expire by limitatton and become null and void it the building or work authorized by such pennit is not commenced wlthii 180 days from the date of such permit or ifthe buikiing or mff. authorizec^^^f* pJfmit is suspended or abandoned at any time alter the work is commenced for a period of 180 days (Secfon 106.4.4 Unifomi Building Code). ySTAPPLICANT'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 vmw.buildinal3!carisbadca.oov or Mail ttie completed forni to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CiTY ZiP CiTY STATE Carlsbad CA ZIP PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS • PICK UP: •• CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) • MAILTO: • CONTACT (Listed above) • OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) • IVIAIL / FAX TO OTHER: • ASSOCIATED CB# • NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List PermiW: CB121373 Type: PME DOVE: REPLACE WATER HEATER Date Inspection Item Inspector Act Comments 07/31/2012 25 Water HeaterA/ents - Rl 07/31/2012 25 Water HeaterA/ents PB AP 07/31/2012 29 Final Plumbing - Rl 07/31/2012 29 Final Plumbing PB AP 07/30/2012 25 Water HeaterA/ents PB CA Wednesday, August 01, 2012 Page 1 of 1