HomeMy WebLinkAbout2717 VANCOUVER ST; ; CB140425; Permit02-24-2 014
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: CB140425
Building Inspection Request Line (760) 602-2725
2717 VANCOUVER ST CBAD
PME
1674410200 Lot #: 0
MEEHL RES-MINOR ELECTRIC AS
PART OF KITCHEN REMODEL: LIGHTS, PLUGS
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
02/24/2014
JMA
02/24/201 4
02/24/201 4
PY
MEEHL JOHN&STAR 2003 REVOCABLE TRUST MEEHLJOHN&STAR2003REVOCABLETRUST
2717 VANCOUVER ST
CARLSBAD CA 92010
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2717 VANCOUVER ST
CARLSBAD CA 92010
$0.00
$158.00
$0.00
$0.00
$158.00
Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due:
Inspector: Clearance: _____ _
$0.00
NOTICE: Please take NOTI 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
x i n f i h r vi I Tl E i ii r w • h h f Ii i n h vi I
!THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH □HAZMATIAPCD I
~-. Building Permit Application Plan Check No. r'P1 \ '-J Q L(Z~ <<.~: ~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ C ITY O F Ph: 760-602-2719 Fax: 760-602-8558
CARLSBAD email: building@carlsbadca.gov Plan Ck. Deposit
www.carlsbadca.gov Date J..7i.i///C~· lswPPP
JOB ADDRESS SUITEf/SPACEf/UNIU IAPN ':rt ---"2... , I ·'J ( JA o<"EJt-L I/ (?11[,,,.
CT/PROJECT# -,LOT# I PHASE# I# OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME l CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Acid c.~J4+~ I ??0' fo k,-;i lf?JV rietrzodec
EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SFI PATIOS (SFI I OECKS (SF)
YESO l AIR CONDITIONING I FIRE SPRINKLERS
Nc0 YES 0No □ YES□No□
APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE tAX
EMAIL EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS. NAME
ADDRESS ADDRESS 2.. 7 /7 UA,vt1,,-,u..!)l't,, 'li r?A Q 1 n , C>
CITY ,J!l ZIP CITY STATE ZIP
CiA."1. { !?hJArr1 Ct Z&tO
PHONE _
'?(dJ/71--tJ ... 30 :x~ FAX PHONE I FAX
EM.A~IL 1
f-t e ~ /,,, I rcil ,:J( µ, A ,· { , Co i"i
EMAIL
'-J, ,n
ARCH/OE~1l & ADDRESS ...... I STATE UC.# STATE UC.# I CLASS I CITY BUS. UC.#
(Sec. 7031.513usiness 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 ($500)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following dec/araUons:
D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of lhe Labor Code, for the performance of the work for which this permit is issued. 0 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 _________ _
~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees.
_2$ CONTRACTOR SIGNATURE □AGENT DATE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D 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 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 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).
l.!:'.'.'.'.I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or improves lhereon, 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. 0 Yes
2. I (have I have not) signed an applicalion for a building permit for lhe proposed work.
3. I have contracted with lhe following person (firm) to provide the proposed construction (include name address /phone/ contractors' license number):
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 I phone / 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/ address I phone/ type of work):
_2$ PROPERTY OWNER SIGNATURE DATE z_
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 Acri 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 boundary of a school s~e? Yes No
IF ANY OFTHE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET DR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
of the work this penmit is issued (Sec. 3097 (i) Civil Code).
Lender's Address
I certify that I have read the application and state that the above Information Is correct and that the Information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby aultlofm! representative of the City of Gar1sbad to enter upon the aoove mentioned property tr 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 ANYWAY ACCRUE AGAINST SAID CITY IN Ca--JSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA penmn is requred for excavations over 5'0' deep and demolnon or construction of structures over 3 stories i1 height.
EXPIRATION: Every penmit issued by the Building Offcial under the provisions of this Code shall expire by limnation and berome nun and voo if the building or \\Ork authorized by such permit is not commenced l'.1thin
180 days from the date of such permn or if the buildilg or l'.Ork authorized by such penmn is suspended or abandooed at any time after the l'.Ork is oommenced for a period of 180 days (Section 100.4.4 Uniform Building Code).
JiS APPLICANT'S SIGNATURE ~ DATE
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 fCommcrc1al ProJccts 0 n I y I
Fax (760) 602-8560, Email building@car1sbadca.gov or Mail the completed fonm to City of Cartsbad, Building Division 1635 Faraday Avenue, Cartsbad, 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
PICK UP: 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
~ APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB140425 Type: PME
Date Inspection Item
02/1 1/2015 19 Final Structural
02/11/2015 39 Final Electrical
02/11/2015 39 Final Electrical
08/19/2014 23 Gas/TesURepairs
08/19/2014 39 Final Electrical
02/25/2014 34 Rough Electric
Thursday, February 12, 2015
Inspector
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MEEHL RES-MINOR ELECTRIC AS
PART OF KITCHEN REMODEL: LIGHTS, P
Act Comments
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