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Home My WebLink About2709 VANCOUVER ST; ; CB023548; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11 -25-2002 Electrical Permit Permit No: CB023548 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2709 VANCOUVER ST CBAD ELEC 1674410400 UNDELAND RES MINOR ELEC Status: Lot #: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: CAP OFF 220 FROM SPA ADD NEW CIRCUIT Applicant: JOSEPH A MEEHLS SONS CO 2717 VANCOUVER ST CARLSBAD CA 92008 729-3056 Owner: UNDELAND DAVID K&BRENDA H 10001 KENDA DR RIVERVIEW FL 33569 ISSUED 11/25/2002 SB 11/25/2002 11/25/2002 Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOT AL PERMIT FEES Inspector:~ 0 0 0 0 EXPI PERMIT HAS EXPIRED SECTION 106.4.4 DATE 1t)2S 0:z FINAL AP irR?VAL Date: ~ ~.,....vi.( ''1 / $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $20.00 RMIT0201 :rGP RDANCE wmf U.B.C. r: Clearance: 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 fees/exactions of which vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired. 02 20.00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO.C OE>'Z... 5~-t(@. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit-=,--------- Validated By_?-=....:.{3=-------- Date {{ -2S -•"1- 1 . PRQjECT INFORMATION (.,. ---z o q 0 A J...:) C1.0 u v ~ Vt.- ~ddress (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # d '7..GC! (. c(' Description of Work Existing Use V\O u....,, SO. FT. 2. CONTACT PERSON (If different from applicant) Name Address 3. APPLICANT ~raotor :=roe\~ lf--t f -tlt\( 0 Agent for Contractor 0 Owner Address -fame Address City 0 Agent for Owner City State/Zip State/Zip Telephone# Fax# Telephone# ()( 6. CONTRACTOR • COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, elter, 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 that he is exempt t herefrom, 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). Name Address License Class __ 3..._.J-_____ _ City State/Zip Telephone # City Business License # / 2-/ / [6 7 State License # 4 / ~ 4-3 Cf Designer Name Address City State/Zip Telephone State License # _________ _ ,J 6. vi\ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: WORKERS' COMPENSATION O 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. O 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 worker's compensation insurance carrier and policy number are: Insurance Company ______________________ Policy No._____________ Expiration Date _______ _ (THIS Jj:CTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) ~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: Failur _ ecure workers' compensation coverage Is unlawful, and shall subject an emplover to criminal penalties and civil fines up to one hundred _ J"ousand dollars $100,0 0), e cost of co~nsatio11;,damages as provided for in Section 3706 of the Labor code, interest and attornev's fees. O('SIGNATURE.__,,,..-,=~-===-+--=-=--r'---'----~-------=-....c.:::::.... _____ --,-__ DATE _________ _ 7. OWNE -BUILDtR D LARA Tl N I hereby attir 0 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). 0 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 contractor(s) licensed pursuant to the Contractor's License Law). 0 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 ONO 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 I address / phone number / 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 / address / phone number/ 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 / phone number / type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES D 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS. ________________________ _ 9. APPLICANT CERTIFICATION 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 authorize representatives of the Cit\' 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 permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is nol ced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned j at any time after the work is c menced r eriod of 180 days (Section 106. Unit Building Code). APPLICANT'S SIGNATUR ::::..::::,,._,.,£,...<._..j~~...c::;~=\====---__:~:::::::::S::::::::::,~:_-_,______ DATE _____________ _ PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/04/2002 Permit# CB023548 Title: UNDELAND RES MINOR ELEC Description: CAP OFF 220 FROM SPA ADD NEW CIRCUIT Type: ELEC Sub Type: Job Address: Suite: Location: 2709 VANCOUVER ST Lot 0 APPLICANT JOSEPH A MEEHLS SONS CO Owner: UNDELAND DAVID K&BRENDA H Remarks: Total Time: Inspector Assignment: Phone: 7607293056 __.I\ I\ Inspector: \ \V '----=-.,,,...__ __ Requested By: JOHN MEEHL Entered By: BINSPECT CD Description 39 Final Electrical B i,i _c_o_m_m_e_n_t ________________ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments