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Home My WebLink About2721 VANCOUVER ST; ; CB152205; Permit07-15-2015 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB 152205 Building Inspection Request Line (760) 602-2725 2721 VANCOUVER ST CBAD PME 1674320200 Lot#: REWOLDT RES -REPLACE EXISTING 100 AMP PANEL WITH 200 AMP PANEL 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/15/2015 SLE 07/15/2015 07/15/2015 Applicant: MACGRA Y ELECTRIC REWOLDT RONALD J&KAREN L FAMILY TRUST 03-03-03 2718 WATERBURY WAY CARLSBAD CA 92010 760 802-0140 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2721 VANCOUVER ST CARLSBAD CA 92010 $0.00 $160.00 $0.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: Date: Clearance: $0.00 NOTICE: Please take N at approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' ou have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If 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 ou have reviousl been iven a N TICE imilar to this or as to which the t tute f limitati ns has revi u I otherwi ex ir d. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING OOBUILDING □FIRE □HEALTH O HAZMAT/APCD C cicyof Building Permit Application Plan Check No. C(:) \ S 2. 2.05 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 7-IS-IS-lswPPP JOB ADDRESS I VM/',r;l)Vf_/ Gt: Co-rl6bllt: SUITEt/SPACEt/UNIT# l APN Q-1?---- CT/PROJECT # I LOT# I PHASE# I# OF UNITS # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of A"ected Area(s) pO-(\~ vl-f>qratte lCO~.ib fJOO o..mv II' <-l{)lctcl--ac?ttns po.11e{ EXISTING USE I PROPOSED USE GARAGE (SF) PATIOS (SF) l DECKS (SF) FIREPLACE l AIR CONDITIONING I FIRE SPRINKLERS YES[)t NcQ YES □No □ YES□No□ APPLICANT NAME PROPERTY OWNER \l,MZ-1) fl... P,.' 0 \tt+ Primary Contact ADDRESS ADDRESS V M Co U-Ve/ ~ d-19--1 CITY STATE ZIP CITY 5?1E qlP C'_wl~bttd d'D[O PHONE IFAX PHONE tAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME M.~Ch r/lJJ Gt r rm· c,, ~ v ADDRESS ADDRESS IA) Ct-k I~ ?-11 ~-e/Y) Wl'.lt-1 CITY STATE ZIP CITY ~~bad ST& ZIPq~/t) PHONE IFAX PHONE 1 leO i?o~ -o l lfO !FAX 1ld) • lPSi , lf'615 EMAIL EMAIL rn l-\ -1 ~ mt_, CDrYl I STATE LIC. # STATE LIC.# [p~q')-,'d.. r lftSS I CITY i;,c; BR~ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair ant 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, commending with Section 7000 of Division 3 of the Business and Professions Code} or !hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of SecUon 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). ""'¥'~""' ,,.,_. "'""'i!Wf """' ......., @'«" t -"'"' -, ""I'" ,~ £" ,,_.W -,.,,,,,., "F" ,,~ ., ~x, ,;cc, "'X°> "' 1' » °' "J' ~-~ >' =•u~,7~ ..,,,..~ """"""""'~~-,-,,%,=7"fu"'---r-; '"'~'c ~"1':'t':!1'.' 0 1.--~ =~"""'~--~== "W 2...'!..!L1L~~~~--S~~-~-~ !'-1_!_1,! ! .0 -~ _ __ "···~. ·-·· •.•. N= 'we. -s-'-~.L •. ~"'~=~-~--2.s=~----:.~~.;s~ Workers' Compensation Declaration: / hereby affiffn under penall'f of peljury one of the following declaraOons: B I have 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 pennij is issued. I have and will maintain wor1<ers' compensation, as reQuired by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Insurance Co. Policy No. ______________ Expiration Date _________ _ l section need not be completed tt the permit is for one hundred dollars ($1{)()) or less. 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 mia. 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 SecUon 3706 of the Labor code, Interest and attorney's fees. 2ScoNTRACTORSIGNATURE ~-rYl~o-,,;---~ DATE I hereby affiffn that I am exempt from Contractor's Ucense 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 lhe 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 Contracto(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 pursuant 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. O Yes O No 2. I (have I have not) signed an application for a building pennit for the proposed work. 3. I have contracted with the following person (finn) to provide the proposed construction (include name address I phone I contractors' license number}: 4. I plan to provide portions of the work, bul I have hired the following person to coordinate, supervise and provide lhe major work (include name/ address / 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 I address I phone I type of work): 25 PROPERTY OWNER SIGNATURE □AGENT DATE ·--· ,,... r:■ ... ,. , ..... 1::110■ 1.,■ .1111.,~r.n::ll<II ■ •""'II~~,.-•.,.,•-: ·-· ,,_ ,, ...... ....... .... , 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 Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer bounda,y of a school stte? 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. . ., ___ • 1 • =-~··· •... ,. . ... ,.. ..... ,-r.a I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address ·-... ,,. ':II , .... ........ ,1 I certify that I have read the application and state that the above infonnation Is correct and that the infonnation on tile plans Is accurate. I agree to comply titll all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Gar1sbad to enter upon the above mentioned property for inspection pufJX)Ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA perm~ is requi'ed for excavatioos over 5'0' deep and demolitbo or construction of struciures over 3 stories ii her,Jht. EXPIRATION: Every permij issued by the Buil:ling Offx:ial under the provisons of this Code shall expire by limttation and become nun and void ~ the buil:ling or v.ork authorized by such permit is not oommenced "Mthin 180days from the date of such permtt or if the buil:lng or\\Orkauthorized by such permtt is suspended or abandoned at any time after the v.ork is oommenoed for a period of 180days (Seeton 1~.4.4 Unoorm Building Code). _H5 APPLICANT'S SIGNATURE ~--li/~o,-DATE 1 / I Erl 15 STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY (Commercial PrOJCCI~ 0 r1 I y I Fax (760) 602-8560, Email buildinq@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION ,i!S APPLICANT'S SIGNATURE DATE Inspection List Pennit#: CB152205 Type: PME Date Inspection Item 07/23/2015 33 Service Change/Upgrade 07/23/2015 33 Service Change/Upgrade 07/23/2015 39 Final Electrical Monday, July 27, 2015 Inspector Act PY PY RI AP AP REWOLDT RES -REPLACE EXISTING 100 AMP PANEL WITH 200 AMP PANEL Comments Page 1 of 1