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Home My WebLink About2713 VANCOUVER ST; ; CB130562; Permit03-11-2013 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: CB 130562 Building Inspection Request Line (760) 602-2725 2713 VANCOUVER ST CBAD PME 1674410300 Lot#: BERTUCCI RES -GAS LINE TO OVEN 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: AND COOKTOP GAS STOVE IN EXISTING KITCHEN OF SFR. REPLACING EXISTING APPLIANCE (STOVE). Owner: ISSUED 03/11/2013 SKS 03/11/2013 03/11 /2013 PERMIT US-CINDI SCHEURN BERTUCCI ANTHONY J TRUST 04-19-05 PO BOX 2363 EL CAJON CA 92021 619-203-1773 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2713 VANCOUVER ST CARLSBAD CA 92010 $154.00 $0.00 $0.00 $0.00 $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: Inspector: FINAL APPROVAL Date: t/, /,-I J 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 ·tees/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 332.030. 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 THE FOL~OWINGllPPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □ BUILDING D ARE □ HEALTH D HAZMAT/APCD «~> ~ CITY OF CARLSBAD JOB ADDRESS o?1 I Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov www.carlsbadca.gov ~ SUITE#/SPACE#/UNIT# Plan Check No. ~ Est. Value Plan Ck. Deposit Date j3 SWPP. CT/PROJECT# TENANT BUSINESS NAME CONSTR. TYPE O , GROUP OESµ;:;;O~q~ted~ ~ (1_ ~~ ;~r ~ ~5>~~6~~c___f2-}~) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NO □ AIR CONDITIONING YES □ NOD FIRE SPRINKLERS YES □ NO □ APPLICANT NAME (Secondary Contact) ADDRESS ZIP / 0~ CITY STATE ZIP PHONE FAX MAIL STATE r] ZIP 7' -Jd<DI V ARCH/DESIGNER NAME & ADDRESS STATE LIC. # C CITY BUS. LIC.# (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 ICha'fter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 703 .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 declarations: D I ~ve and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. Mhave and will maintain w,!l.d!.ersa;rensatio::f required by Section 3700 of the Labor Code, for the performa:!:e work for ~~~it is i~ued. My worl<ers' compensation insura~carrier number are: Insurance Co. to ~ r n, S lLJ'a n (! e Policy No. 1/ O{). 3~ Ou Expiration Date --f.. This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify lhat in the performance of the worl< for which this permit is issued, I shall not employ any person in any manner so as to become subjeci to the Worl<ers' Compensation Laws of policy Cal~ornia. WARNING: Failure to secure workers' compensation c rage 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 i e ion 3706 of the Labor code, interest and attorney's f Jt5 CONTRACTOR SIGNATURE DATE 3-//-/3 I hereby affirm that I am exempt from ContraclOl''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 worl< 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 worl< himse~ 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with conlractor(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. □ Yes □ No 2. I (have/ have not) signed an application for a building permil for the proposed work. 3. I have contracted wilh 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 worl<, but I have hired the following person to coordinate, supervise and provide the major worl< (include name I address I phcne 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 / address /phone/ type of worl<): Jt5 PROPERTY OWNER SIGNATURE □AGENT DATE .. 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 boundary 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 work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the application and state that the ab<Ne infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relaUng to building construction. I hereby authorize represenlative of the City of Carlsbad to enter upon the above mentioned property br inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS Tl-IE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST &\ID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: Ni OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories 11 height. EXPIRATION: Every permit issued by the Building Official under the provisi:lns of this Code shall expire by Imitation and becorre null and void ~ the building or w:irk authorized by such permit is not romrrenced within 180 days from the date of such permit or if the buildilg or w:irk au~. by such permit is suspendec or abaflOOlled at any lime after the w:Jrk is comrrenced for a period of 180 days (Sectoo 100.4 .4 Uniform Building Code). RS APPLICANT'S SIGNATURE 'C/'2~ 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 O C CUPANCY f C ommcrc1<1I Pro1ccts On I y I Fax (760) 602-8560, Email www.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. l CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME AODRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS □ PICKUP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB# □ MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION □ MAIL/ FAX TO OTHER: o CHANGE OF USE/ NO CONSTRUCTION ----- ,i!5 APPLICANT'S SIGNATURE DATE . . " Inspection List Permit#: CB130562 Type: PME BERTUCCI RES -GAS LINE TO OVEN AND COOKTOP GAS STOVE IN EXISTING Date Inspection Item Inspector Act Comments 03/29/2013 23 Gas/Test/Repairs RI 03/29/2013 23 Gas/Test/Repairs PB AP 03/29/2013 23 Gas/Test/Repairs PB AP 03/26/2013 23 Gas/Test/Repairs RI 03/26/2013 23 Gas/Test/Repairs MC AP TEST ONLY 03/22/2013 23 Gas/Test/Repairs RI 03/22/2013 23 Gas/Test/Repairs MC co NO TEST Monday, April 01 , 2013 Page 1 of 1