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HomeMy WebLinkAbout1925 DOVE LN; 107; CB150335; Permit02-02-2015 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI 50335 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1925 DOVE LN CBAD St: 107 PME 2131120700 Lot#: LA COSTA PALOMA=REPLACE WTR HT Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/02/2015 LSM 02/02/2015 02/02/2015 Applicant: CSR PLUMBING, INC Owner: DOVE FAMILY HOUSING ASSCS 8985 HAVETEUR WAY SAN DIEGO CA 92123-2316 619-699-9629 1820 S ESCONDIDO BLVD #101 ESCONDIDO CA 92025 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $35.00 $0.00 $0.00 $60.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 nspector: ^H- FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "fees/exactions." You have 90 days from the date 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 information with the City Manager for processing in accordance with Carisbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attacl<, 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv othen/vise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: QPLANNING •ENGINEERING •BUILDING •FIRE • HEALTH nHAZMAT/APCD Ccityof Carlsbad Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. ^^60^*^^ Est. Value Pian Ck. Deposit SWPPP JOB ADDRESS DflVb' SUITEt/SPACEt/UNIT* APN • - CT/PROJECT # LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ. GROUP \ DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Areafs; -1 ^0 GMtfl'V mu^ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES I |# N0| I AIR CONDITIONING YES QNO I I FlRESPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact PROPmy OWNER ^ . ,1 1^ 7 ~7 ADDRESS ADDRESS I _/ O I CITY . . STATE ZIP CITY STATE ME FAX ZIP q SLOP'S PHONE FAX PHONE EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRES: CITY STATE ZIP 1 PHONE STATE PHONE FAX ZIP EMAIL EMAIL CITY BUS. LIC.# i (Sec. 7031.5 Business and Professions Code: Any City or County 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 pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applioantfor a permit subjects the appiicantto a civil penalty of not more than five hundred dollars ($500)). wm Worlters' Compensation Declaration: / hereby affirm under penalty of perjury one ofthe following declarations: • I Iiave and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this pemiit is issued. 13 I li>ve and will maintain worlters' compenMtlon, as required by Section 3700 of the Labor Code, for the perfomiance of the work for which this permit is issued. My workers' compensation insurance earner and policy number are: Insurance Co. H/^I\L k PollcyNo. ^0^^^8'~J~ 1^ Expiration Date W vOf/ ^ Thjs section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the perfonnance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. WARNING: Failure to secure worlters' compensation coverage Is unlawful, and shall subject an employerto 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. CONTRACTOR SIGNATURE /^.-w^t,-''^^ /^-'^"t- QAGENT DATE '^12-1 ©WMiR-BUILOER OECL All jMrtoN / hereby affirm that I am exempt from Contractor's License Law for the following reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the worit and the structure is not intended or oflered for sale (Sec. 7044, Business and Professions Code: The Contractors 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 I I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec, 7044, Business and Professions Code: The Contractors 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 I 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 QYes I iNo 2.1 (have / have not) signed an application for a building pennit for the proposed work. 3.1 have contracted with the following person (finn) to provide the proposed constnjction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the wortt, but I have hired the foliowing person to coordinate, supervise and provide the major worit (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the worit indicated (include name / address / phone / type of wortt): ^PROPERTY OWNER SIGNATURE QAGENT DATE or ifiijii I T MIS $ ECTI ON FOR NON-RESIOENTIALB U 11 D I N C PERMITSONtY Is the applicant or future building occupant required to submit a business plan, acutely hazanious materials registration form or risk management and prevention pnjgram 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 pennit from the air pollution control distnct or air quaiity management district? Yes No is the facility to be constnjcted 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 L E N D I N 6 AGINCY I hereby affimi that there is a constmction lending agency for the perfomiance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address A PPjLtCAHt C E & T I F f C A TI O N I certif that i have lead ttie application and state ttiat the above infonnation Is conect and ttiat tiie infonnation on ttie plans is accutate. I agree to comply witti all City ordinances and State laws relating to buiiding constniction. I hereby aulhorize lepresenlative of the City of Carisbad to enter upon the above mentioned property for InspecSon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Aa 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 pemiit is required for excavations over 5'0' deep and demolitbn or constmction of stmctures over 3 stories in height. EXPIRATION: Every permit issued by the Building Oflicial under the provisions of this Code shall expire by limitatton and become null and void if the building or worit authorized by such pemnit is not commenced wilhin 180 days from ttie date of such pemiit or if the building or wortt authorized by such pennit is suspended or abandoned at any time after the vwrit is commenced for a period of 180 days (Sectton 106.4.4 Unifonn Buikiing Coiie). APPLICANT'S SIGNATURE 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 buildina(S)carlsbadca.aov or Mail the completed fomi to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPnONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB150335 Type: PME LA COSTA PALOMA=REPLACE WTR HT Date Inspection Item Inspector Act Comments 02/24/2015 25 Water Heater/Vents - Rl 02/24/2015 25 Water HeaterA/ents MC AP 02/24/2015 29 Final Plumbing - Rl 02/24/2015 29 Final Plumbing MC Fl Tuesday, February 24, 2015 Page 1 of 1