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Home My WebLink About1941 DOVE LN; 214; CB140027; Permit01-08-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI40027 Building Inspection Request Line (760) 602-2725 Job Address; Permit Type: Parcel No; Reference #; PC #; Project Title; 1941 DOVE LN CBAD St; 214 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: ^W^g^ APPRO\ 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 follovi/ 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 vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenvise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: •PLANNING •ENGINEERING ^*tS|>BUILDING DFIRE DljafrLTH • HAZMAT/APCD ^ CITY OF CARLSBAD Building Perinit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph; 760-602-2719 Fax; 760-602-8558 email; building@carlsbadca.gov www.carisbadca.gov Plan Check No. Est. Value I Plan Ck..Deaoslt SWPPP JOBADORESS surrEf/SPACEt/UNrr* CONSTR. TVPE 1 occ. GROUP CT/PROJECT # PHASE # # OF UNrrs # BEDROOMS DESCRIPnONOFWORK: IncluOe Squsn Ftet ot Mfacted Ana(s) # BATHROOMS TENANT BUSINESS NAME EXISTII«Q USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AiR CONDITIONING YES I |NO| I FIRE SPRINKLERS YES I |NO| I APPLICANT NAIWE (Primary Contact) APPUCANTNAME (Secondary Contact; ADDRES' 1: 1^..^ STATE,, ZIP ADDRESS CITY STATE ZIP PHONE FAX EMAIL EMAIL '^i^l La cos-ttK Ttumn a fnm.av PROPERTY OWNER NAME ADDRESS CONTRACTOR BUS. NAMI CIT ADDRESS cm fay nst) ZIP OilC££ EMAIL EMAIL 'rwict. cO norm cwmuf p\\m\im /lo/h STATE LIC.# ^ ^ ^ CLASS VJ ' CmC BUS. LIC.# ^ ARCH/DESIGNER NAME & ADDRESS # ^ ^ ^ CLASS VJ ' crrv BUS. LIC.# ^ (Sec. 7031.5 Business and Professions Code: Any Qty or County wliicii requires a permit to construct, alter, improve, demolisti or repair any structure, prior to its issuance, also requires the applicant for sucii permit to file a signed statement that lie is licensed pursuant to the provisions of the Contractior's License Lawichapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or mat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civii penalty of not more than five hundred dollars ($500)). WORKERS- COMPENSATION Workers' Compensation Dedaratton: / hereby Affirm under penalty of perjury one ci the foHowing dedarations: ,LJ I have and will maintain a cettificate of consait to self-insure Ibr workers' compensation as provkled by Section 3700 of the Latxx Code, ibr the performance of the woii< fbr which this pennit is issued. I have and will maintain workws' compensation, as required by Sectkin 3700of the Labor Ckxie, fbr the perfbmiance of the work for \Hhich this pernilt is Issued. Uy wbriteis' cbmpensallpn insuraQce canier and poik:y _ Expiratton Date number are: Insurance Cb.. This sectton need net be completed if the pehnit is ibr one hundred dollars ($100) or k I I Certificats of Exemption: I certify tliat in the perfbrmance bf the worit fbr whtoh this pennit is issued, I shall not emptoy any person in any manner so as to become sutiject to the Woitets' Compensatton Laws of Califomia. WARNING: Failure to secure woriters' compensation coverage is unlawful, and shall sul)ject an employer to criminal penalties and civil fines up to one hundred thousand doltars (&100,000), in addition to the cost of compensatlopr<|amages as provided for in Section 3706 of the Labor code, interest and attomey's fees. >eS'CONTRACTOR SIGNATURE jfY] AyV ^ QAGENT DATE j-^'ZOl^ I^WNE R-B UlLDER DECLARATION thereby affimi that I am exempt from Contractors License Law for the fbAom'ng reason; I I I, as owner of the property or my emptoyees with wages as their sole compensatton, will do the work and the stmcture is not intended or oflered for sale (Sec. 7044, Business and Professtons Code: The Contractor's Ltoense Law does not apply to an owner of pioperty who buikls or improves thereon, and who does such wbrk himself br through his own emplbyees, piovided that such Improvements are not intended or oflered fbr sale. If, however, the buikiing or improvement is sokl within one year of completton, the owner-buikler will have the burden of proving that he dkl not buikl or impiove for the puipose of sale). I I l.asbwnerof the prbperty, am exdusively centracting with licensed cbntractors to constnict the project (Sec. 7044, Business and Professtons Ctode; The Contractor's License Law does not apply to an owner of prbperty who buikls br improves thereon, and contracts fbr such projects with contiactbits) licensed puisuant to the Ointracter's License Law). I I I am exempt under Sectinn Business and Prolessions Code for this reason: 1.1 personally plan to provkle the major labor and materials for constnjctton of the proposed property improvemenL I IVes I INO 2.1 (have / have not) signed an appltoatton for a buikiing pemiit for the proposed woik. 3.1 have contracted with the following person (fimi) to provkle the proposed constmctton (Indude name address / phone / contractbis' license number): 4.1 plan to provkle porttons of the woik, but I have hired the following peison to cooidinate, supervise and provkle the major worit (Inchide name / addiess / phone / contractors' Itoense numbei): 5.1 will provkle some of the work, but I have contracted (hired) the fbllowing persons to provkle the work indicated (include name / addiess / phone / type of wodt): PROPERTY OWNER SIGNATURE QAGENT DATE 4^0 M PL ETE THIS SECTiON FOR NON-RESIDENTIAL BUILOING PERMITS ONLY Is the applicant or future buikiing occupant required to submit a business acutely hazardous matenals legistraton Ibmi or risk management and pievention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? OYes QlNo i Is the appiicant or future building occupant required to obtain a pemiit from tlWkalr pollutton control district or air quality management distrtot? • Yes E3 No Is the facility to be constnicted within 1,000 feet of the outer boundary of a school site? OYes aNo \ IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLteS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTRa DISTRICT. CONSTRUCTION LENDING AGENCY I hereby aflirm that there is a construction lending agency for the perfbimaice of the wodt this permit is issued (Sec. 3097 (i) Civil Code). Lendei's Name Lender's Address j*;p PLICA NT CERTIFICATION Iceriiiythatlhave read the apphatkm and state that the sbominfomiatkin is conect and that the inlbmiationm I heieby authorize represenlative of the Oty of Carisbad to enter upon Ihe above mentioned property for inspectton purposes. I ALSO AGf?EE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CffY OF CARLSBAD A(3AINST ALL UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. OSH A: An OSHA pernilt Is required for excavalions over S'C deep and demolitton or conshuctbn of stnidunes over 3 stories in heighL EXPIRATION: Eveiy pemiit Issued by the Building Official under the provistons ofthis Code shall expire by llmltatkxi and become null and void If the building or worit aulhorized by such pemiit Is not commenced wilhin 180 days Irom the date of such peimit orlf^ buikjing or worit aulhorized by such pennit is suspentied or abandoned at any time aller Bie writ Is oommenced for a period of 180 days (Sedton 106.4.4 Unllbnn Buikiing Code). vefAPPLICANT'SSIGNATURE 1 y . I Yl 'V /• ^ DATE j.^-2Q14 Inspection List Permits: CB140027 Type: PME LA COSTA PALOMA APTS-REPLACE WATER HEATER- SAME LOCATION Date Inspection Item Inspector Act Comments 01/09/2014 25 Water HeaterA/ents MC AP 01/09/2014 29 Final Plumbing - Rl 01/09/2014 29 Final Plumbing - Rl 01/09/2014 29 Final Plumbing MC Fl Monday, January 13, 2014 Page 1 of 1