HomeMy WebLinkAbout1949 Dove Ln; 201; CBR2018-3318; PermitCcityof
Carlsbad
Residential Permit
Print Date: 03/07/2019 Permit No: CBR2018-3318
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1949 Dove Ln, 201
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
11/30/2018
11/30/2018
TFraz
Plan Check#:
Finat
Inspection: 3/7/2019 8:46:28AM
Project Title:
Description: LA COSTA PALOMA: REPLACE WATER HEATER
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. 1f 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 I I www.carlsbadca.gov
$98.00
THE FOLLOWING APPROVALS REQUIREO PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD
Ccityor Building Permit Application Plan Check No(' "1..0 ""--• GI, ~ -:i,"' I A
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 II l1tJ1<i' ISWPPP
JOB ADDRESS SUITEf/SPAC£#/UNIT# IAPN . 1949 Dove Lane unit 201, Carlsbad, CA 92009 unit# 201 ---
CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Replaced 40 gallon gas water heater for unit 201 at 1949 Dove Lane
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 'AIR CONDITIONING I FIRE SPRINKLERS
YESO No[] YES □No □ YES □No□
APPLICANT NAME Huyen Pham PROPERTY OWNER NAME CH Works p ...... -.. "-n ........
ADDRESS ADDRESS
6876 Cibola Road 1953 Dove Lane
CITY STATE ZIP CITY STATE ZIP
San Dieao CA 92120 Carlsbad CA 92009
PHONE PHONE
619-699-9629 IFAX 619-924-4996 760-476-9860 IFAX 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 I FAX 619-699-9629 !FAX 619-924-4996
EMAIL EMAIL
hpham@.csrplumbinginc.com I STATE UC.# STATE LIC.# ICLASSC36 I CITY '"s'Los 1238369 982358
(Sec. 7031.5 Business and P,rofessIons 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 permit to file a signed statement that he is licensed pursuant to the provIsIons of the Contractor's License Law {Chapter 9, comme_nding with Section 7000 of Division 3 of the Business and Professions Code) or fuat he is 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 civ1\ penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and wlll 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.
[Z1 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 National~ -----Policy No. SWC1149958 Expiration Date 4/23/2019
J,!!l§.section need not be comp~ted 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 attomey'a fees.
8! CONTRACTOR SIGNATURE Huyen Pham :!:i,:;;:,iE,;~:::',-~---•"~----·"" (Z]AGENT DATE 11/30/2018
OWNl!R-BUILDEI! DECLAl!ATION
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 himsett 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 pursl!ant 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. 0Yes 0No
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 /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 I 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 / pOOne I type of work):
8! PROPERTY OWNER SIGNATURE □AGENT OATE
I
!
COMPLl;TE 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
Pres\ey-T anner Hazardous Substance Account Act? □ Yes D 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? D 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 LENDING AGEN(Y
I hereby affim1 that there 1s a construction lending agency for the performance of the work this pem,1t 1s issued (Sec 3097 (1) Civil Code)
Lender's Name Lender's Address
APPLICANT Cl!RTIFl(ATION
I oertifythat I have read the application and state that the abcNe infonnatlon is amect and that the Information on the plans is aa:urate. I agree to oomplywlth all City ordinances and State 18M relating to building oonstrudlon.
I hereby au~Olize representative of ~e Cily of Gar1sbad to -upon the aba,ie mentioned preperty for inspecloo purposes. I ALSC AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN />NY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFTHE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennit i.5 required for excavations aver 5'0' deep and demolioon or consbuction of structures over 3 stories in heijht
EXPIRA T10N: Every pennit issUed by the Building Official under the provisions of this Code shall expire by limitation c11d become null c11d void W the building or 'MllK authorized by such pemit is not commenced within
180 days from ~• datB of such pennrt or rr the bui~r,g or WOik authorized by such pennrt • suspended or abandoned at any lime al\er ~• WOik • oommenced for a period of 180 days (Section 106.4.4 lklifoon Buikilg Code)
H Ph "'9't>l~<ig-byMW)'<•P"'m
A!APPLICANT"SSIGNATURE uyen am :::;r;;::-_,:,;:-:.:;:,:_:~"~,, DATE 11/30/2018 oat,· 1010 n 100~43,n """"
PERMIT INSPECTION HISTORY REPORT (CBR2018-3318)
Permit Type: BLDG-Residential Application Date: 11/30/2018 Owner: DOVE FAMILY HOUSING ASSCS
Work Class: P/M/E Issue Date: 11/30/2018 Subdivision: CARLSBAD TCT#99-03 LA COSTA
GREENS
Status: Closed -Finaled Expiration Date: 09/03/2019 Address: 1949 Dove Ln, 201
Carlsbad, CA 92009-4085
IVR Number: 15745
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
12/20/2018 12/2012018 BLDG-25 Water 079303-2018 Cancelled Tim Frazee Reinspection Complete
HeaterNents
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Final 079304-2018 Cancelled Tim Frazee Reinspectlon Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final No
BLOG-Electrical Final No
03/07/2019 03/07/2019 BLOG-25 Water 085505-2019 Passed Tim Frazee Complete
HeaterNents
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Final 085504-2019 Passed Tim Frazee Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Plumbing Final Yes
March 07, 2019 Page 1 of 1