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Home My WebLink About2717 VANCOUVER ST; ; CB132441; Permit10-08-2013 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: CB132441 Building Inspection Request Line (760) 602-2725 2717 VANCOUVER ST CBAD PME 1674410200 MEEHL RES-RUN GAS LINE IN Lot#: Status: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: TO KITCHEN FOR NEW GAS STOVE-SAME LOCATION AS PREVIOUS ELECTRIC STOVE Owner: ISSUED 10/08/2013 RMA 10/08/2013 10/08/2013 MEEHL JOHN&STAR 2003 REVOCABLE TRUST MEEHL JOHN&STAR 2003 REVOCABLE TRUST 2717 VANCOUVER ST CARLSBAD CA 92010 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2717 VANCOUVER ST CARLSBAD CA 92010 $158.00 $0.00 $0.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Inspector: FINAL A'A Date: ~i....:u--+-f-..>i<.+-.:....>:.+-""'" Clearance: $0.00 NOTICE: Please take NOTIC proval of your project includes the ·Jmposit n· of s, dedications, reservations, or other exactions hereafter collectively referred to as ·tees/exactions: You ave 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 whi I i ii r hi r whi h h f Ii i i n h r vi I h rwi ~ ~ --«~ '> ~ C I TY OF CARLSBAD JOB ADDRESS ~'L. CT/PROJECT# Building Permit Application 1635 Faraday Ave., carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760·602·8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov st PHASE# # OF UNITS # BEDROOMS # BATHROOMS Plan Check No. Est. Value Plan Ck. Deposit Date (o ( APN TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 0 {_ ,0 EXISTING USE PROPOSED USE GARAGE (SF) APPLICANT NAME (Primary Contact) ADDRESS CITY STATE ZIP PHONE FAX EMAIL ADDRESS L1 17V STATEGA ZIP t.O I t7 FAX STATE LIC. # PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NOD APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE PHONE FAX EMAIL CONTRACTOR BUS. NAME ADDRESS CITY STATE PHONE FAX EMAIL STATE LIC.# CLASS SWPP CONSTR. n'PE OCC. GROUP AIR CONDITIONING YES D NOD ZIP ZIP Cln' BUS. LIC.# FIRE SPRINKLERS YES D NOD (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 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No. _____________ _ Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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 lo the Workers' Compensalion Laws of California. 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 Section 3706 of the Labor code, Interest and attorney's fees. _KS CONTRACTOR SIGNATURE □AGENT DATE I hereby affirm 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 the structure is not intended or offered for sale (Sec. 7044, Business and Prolessions 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, as owner ol the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of prty who builds or improves !hereon, and contracts for such projecls with contractor(s) licensed pursuant to the Contractors License Law). Ii("' 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. □ Yes ~ 2. I (have/ have not) signed an application for a building permit for the proposed work. y t! ~ J 3. I;;;; contracted with the following person (firm) to provide the proposed construction (include name address I phone/ contractors' license number): 7" P be d (1-1 />14 ,.-, ;-1,!-ec:P 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license number): [ 5. I will provide some of the work, butt have contracted (hired) lollowing persons to provide the work indicated (include name / address I phone I type of work): 70 -OJ! dd-rt'>i. ...._ ;-..,.. ✓ □AGENT DATE Is the applicant or future building-occupa~Nequired to submit a business plan, acutely hazardous materials regislration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes D 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 boundary of a school site? 0 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. of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify that I have read the application and state that the above infonnation is correct and that the lnfonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to bulldlng construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection 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 permtt is required for excavations (Jler 5'0' deep and demolition or consbuction of structures (Jler 3 stories in height. EXPIRATION: Every pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void W the building or wor1< authorized by such penmit is not commenced within 180 days from the date of such permit or n the building orwor1< authorized by such penntt is suspended or abandoned at any time after the wor1< is commenced for a perioo of 180 days (Section 106.4.4 Unnorm Buildrig Code). ~ APPLICANT'S SIGNATURE -..c.___...,.., ~ DATE -~ -?CJ ( 3 lnspecti6h List Permit#: CB132441 Type: PME Date Inspection Item 10/16/2013 21 Underground/Under Floor 10/16/2013 23 Gas/Test/Repairs 10/16/2013 23 Gas/Test/Repairs 10/16/2013 29 Final Plumbing Thursday, October 17, 2013 Inspector Act PY PY RI RI AP AP MEEHL RES-RUN GAS LINE IN TO KITCHEN FOR NEW GAS STOVE-SAM Comments Page 1 of 1