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Home My WebLink About2721 VANCOUVER ST; ; CB152311; Permit07-22-2015 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB152311 Building Inspection Request Lin e (760) 602-2725 2721 VANCOUVER ST CBAD PME 1674320200 Lot#: 0 REWOLDT RES-REPLACE A/C AND DUCTWORK Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/22/2015 SLE 07/22/2015 07/22/2015 ASI HASTINGS STE 200 REWOLDT RONALD J&KAREN L FAMILY TRUST 03-03-03 4870 VIEWRIDGE AV SAN DIEGO CA 92123 619-590-9300 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2721 VANCOUVER ST CARLSBAD CA 92010 $0.00 $0.00 $160.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: Clearance: _____ _ $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition· of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You 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 f x ti n f whi h h v r v· usl iven N TICE similar to thi or as t which th I t le f limit lion h r vi I th rwi THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD ~-<.<~~' Building Permit Application Plan Check No.~ 15~1\ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ C I TY 0 F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date1-Z.Z,-IS lswPPP JOB ADDRESS SUITEt/SPACEt/UNIT# IAPN 2721 VANCOUVER ST --- CT/PROJECT# I LOT# I PMA;)E # I # OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME r ONSTR IYPt I ix;C. uROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) REPLACE AC AND DUCT WORK EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES[)t No□ YES □No□ YES□No□ APPLICANT NAME Patti Ryan PROPERTY OWNER NAME KAREN REWOLDT n ----• ~--•-- ADDRESS ADDRESS 4870 viewridege ave 2721 VANCOUVER ST CITY STATE ZIP CITY STATE ZIP san dieQo ca 92131 CARLSBAD CA 92010 PHONE I FAX PHONE I FAX 619-590-9337 760 519-1857 EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinQs ADDRESS ADDRESS 4870 viewridge ave CITY STATE ZIP CITY STATE ZIP san dieQo ca 92131 PHONE I FAX PHONE IFAX 619-590-9337 EMAIL EMAIL I STATE LIC. # STATE LIC.# I CLASS I CITY BUS. LIC.1200804 5131 15 c20 (Sec. 7031.5 Business and Professions Code: Any Coty 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 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 Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Wor1<ers' Compensation Declaration: I hereby a/form under penafty of perjury one of /he following declarations: 0 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 performance of the work for which this permit is issued. 0 I have and will maintain wor1<ers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for whoch this permit Is issued. My workers' compensation insurance earner and policy number are: Insurance Co. oak river Policy No. 3300065233-131 Expiration Date 9-15 This section need not be completed tt the permit is for one hundred dollars ($100) or less. 0 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 lo become subject to the Workers' Compensation Laws of California WARNING: Failure to secure wor1<ers' compensation coverage is unlawful, and shall subject an employer to criminal penaltles 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 attorney's fees. Ji5 CONTRACTOR SIGNATURE e "'7'~:1,.---[Z)AGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as lheir sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code The Contractors License Law does not apply lo an owner of property who builds or impmves thereon, and who does such work himseff or through his own employees, provided that such improvements are not intended or offered for sale. If, however, lhe building or improvement is sold within one year of complelion, lhe owner-builder will have the burden of proving that he did not build or improve for lhe purpose or sale). □ □ I, as owner of the property, am exclusively contracting with licensed contractors to construct lhe 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 pursuant to the Contractors 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 D o 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 I contractors' license number): 4. I plan to provide portions of the work, but I have hired lhe following person to coordinale, supervise and provide the major work (include name / address/ phone f contraclors' 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 / phone I type of work): Ji5 PROPERTY OWNER SIGNATURE DATE Is the applicant Of future building occupant requued to submit a business plan, acutely hazardoos materials registration form or nsk management and prevention program under Sections 25505, 25533 Of 25534 of the Presley-Tanner HpZardous Substance Account Act? □ Yes □ No Is tho applicant or future building occupant required to obtain a permit from the air pollulion control district or air quality management district? □ Yes □ No Is the fac1hty to be constructed within 1,000 feet of the ooter boonda,y 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. I hereby affirm that there is a construction lending agency for the performance of the wor1< this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the appllcation and state that the above lnfonnation is correct and that the lnfonnatlon on the plans is accurate. I agree to comply with all City ordinances and State laws relatlng to building construction. I hereby authorize representative of lhe City of Carlsbad to enter upon lhe above mentioned property for ilspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL 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 permit is requred for excavations (Nf!f 5'0' deep and demolition or construction of s11'\JCtures 011er 3 stories in height EXPIRATION: Every permit issued by lhe Building Oficial under lhe pfOllisions of this Code shall expte by Imitation and become nul and void ij the building or work authorized by such pemit is not oorrmenced within 180 days from lhe date of such permit or if lhe building or work~ such permit is suspended or abandoned at any tine after lhe work is oorrmenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~APPLICANT'S SIGNATURE E-DATE 7/z-z-/,..r- Inspection List Permit#: CB152311 Type: PME Date lnspection~m ____ _ 10/28/2015 43 AirCond/Furnace Set 10/28/2015 43 AirCond/Furnace Set 10/28/2015 49 Final Mechanical 10/28/2015 49 Final Mechanical 10/20/2015 43 AirCond/Furnace Set 10/20/2015 43 AirCond/Furnace Set 10/20/2015 49 Final Mechanical Wednesday, October 28, 2015 Inspector Act RI AEK AP RI AEK Fl RI AEK NR RI REWOLDT RES-REPLACE A/C AND DUCTWORK Comments CARD IN BAG BY AC PERMISSION TO ENTER LEFT SIDE OF BACKYARD Page 1 of 1