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Home My WebLink About1941 DOVE LN; 108; CB140026; Permit01-08-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB140026 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1941 DOVE LN CBADSt: 108 PME 2131120700 Lot#: LA COSTA PALOMA APTS- REPLACE WATER HEATER- SAME LOCATION Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 01/08/2014 RMA 01/08/2014 01/08/2014 Applicant: NORTH COUNTY PLUMBING Owner: DOVE FAMILY HOUSING ASSCS POBOX 1758 VISTA CA 92085 760 735-4900 1820 S ESCONDIDO BLVD #101 ESCONDIDO CA 92025 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $158.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: $0.00 Inspector: UUA^S FINAL Date L APPROVAL Clearance: NOTICE: Please take NOTICE that approval of your project includes the "InHposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "fees/exactions." You have 90 days from the date this pemnit 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 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 vou have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenwise expired. ''Hb • r T-' CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buildlng@carlsbadca.gov www.caristMidca.gov Plan Check No. Est. Value Plan Ok., Deposit .Deposit SWPPP soitw/SMce#/UNfr#' IAPN - r /ot> 1 -- a/PROJEa # LOT# PHASE# # OF UNn'S # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ. GROUP DESCRIPTION OF WORK: InduOa Square Fott of Atfacted Area(a) lAJO^er pfOXtty r^\0i4UiJ\JULj^y -^0 Crcxi ion EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AJR CONDmONiNG FIRE SPRINKLERS YEsQ* N0| 1 YES[^N0Q YES| |NO| | APPtlCANTNAME (Primary Oont>ot)^^^^^^ fOCQaVt APPUCANTNAME (Secondary Contact; ADDRESS CITY STATE ZIP Tabids ^00 nuoomo PHONE FAX EMAIL PROPSRTYDWNERNAME^ ^05113 fiZ^ 00^ ^pCLTfmjU\f' "^"^••'"""'ncmi fijuntu nomh\n(i.. hay: nS£> PHONE ^ , . ^ ^ EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE Lie* CL*SS CITY BUS. LICK ^ (Sec. 7031.5 Business and Professions Code: Any Oty 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 pemiit tofile a signed statement that he is Iicensed pursuant to 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 applicantfor a pemiit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Dedaratton: I hereby Mnn under penalty of perjury one of the fdlowing dedaiations: A I have and will maintain a certificate of consent to self-insure for vw)ri<ers' compensation as provided by Section 3700 of tne Latxx Code, fix the perfbmiance of the worts (or wtiich this pemiit is issued. KJ I have and will maintain worters' comoensation, as reauiflpd bv Section 3700 of the Labor Code, for the perfomwqce of the wort forwhiclLthe Dfimiit is issued. My workers' compensation insurance canigr and ; number are: Insurance Co l\Cy(XO0-^C\ \l\Si.CkOt]r(llJr Policy Nol ICLAJO OITIC^/ Thisseciion need not be completed if the perfllfis for one hundred dollars ($1(X)) rx less. Fl Certificate of &ernpBonM certify that in the peribmiance of the wortc fdr which this pemiit is issued, I shall not emptoy any petson in anymanner so as to become subject to the Wort<ers'Compensation Laws of California. WARING: Failure to secure wortiers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and cIvM fines up to one hundred thousand ddars (&100,000), In addition to the cost of compensaHon/damages as provided for in Section 3706 of the Labor code, interest and attomey's fees. >gS'CONTRACTOR SIGNATURE KJ ' TY\ . jf^^-^^ ' GAGENT DATE /.^•2.01'^ Expiration Date isation insurance canier and policy O W N E R - B U ILDER D E C L A R ATION / herefty affimi that I am exempt fnxn Contractoi's Ucense Law for the following reason: I [ I, asownerof the property or my employees with wages as their sole compensation, will do the wori( and the stnKture 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 theieon, and »»ho does such worts himself or through his own employees, provided that such impfovemenls are nol intended or offered for sate. If however, the building or improvement is sdd within one year of completton, the owner^buiWer 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 properly, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buiids or improves thereon, and contracts for such projects with contractor(s) licensed puisuant to the (Contractor's License Law). [ I i an exempt undei Section Business and Professions Code for this reason: 1.1 personally plan to provide themajorlaborand matenals for constnjctton of the proposed property improvement I lYes I INO 2.1 (have / have not) signed an applicatton for a building pemiit for the proposed wortc. 3.1 have contracted with the following person (fimi) to provide the proposed constnjctton (include name address / phone / contractors' license number): 4,1 plan to provide portions of the woric, but i have hired the following person to coordinate, supervise and provide the major woric (include name / address / phone / contractors' license number): 5.1 will provide some of the woric, but I have contracted (hired) the following persons to provide the wortc indicated findude name / address / phone / type of woric): ^PROPERTY OWNER SIGNATURE •AGENT DATE COMPtETE THiS SECTION FOR NON-RESIOENTIAL BUILDING PER#«ITS ONLY the appiicant or future building occupant required to submit a business Wai, acutely hazardous matenais registration fomi or risk management and prevention program under Secttons 25506,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? (^Yes ISNo , Is the applicant or future buiWing occupant reguired to obtain a pemiit from tl\air pollutton control district or air quality management district? • Yes D No Is the facility to be c;onstiucted within 1,000 teet of the outer boundary of a school site? • "Tes Sb 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 AGENCY 1 hereby affimi that there is a constmction lending agency for the performance of the wori< this permit Is issued (Sea 3097 (i) Civil Code). Lender's Name Lender's Address lcertify thatlhave lead the application and state that the above inforniation is conect and I hereby authorize representative of Ihe City of Cartsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, IIC€MNIFY mO KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST ALL UABILfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE A(3AINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfr. OSHA: An OSHA pemiit is required for excavations over SCf deep and demolition or constmction of stnjctures over 3 siories in heighL EXPIRATION: Every pemiit issued by the Building Offdal under the pnjvistons of this Code shaH expire by limitatton and become null and void if the building or vwric authorized by such pemiit is not commenced within 180 days fnxn the date of such pemiit a if the bulbing or vcricauJiorized by such pemiS is suspencted a abandoned al any lime after the vwric is oommenced lor a period of 180 days (Section 10^^^^ ^eS"APPLICANT'S SIGNATURE 6 no DATE Inspection List Permit*: CB140026 Type: PME LA COSTA PALOMA APTS-REPLACE WATER HEATER- SAME LOCATION Date Inspection Item Inspector Act Comments 01/09/2014 25 Water Heater/Vents - Rl CALL W/ETA PLS 01/09/2014 25 Water Heater/Vents MC AP 01/09/2014 29 Final Plumbing - Rl 01/09/2014 29 Final Plumbing MC Fl Monday, January 13, 2014 Page 1 of 1