HomeMy WebLinkAbout2645 VANCOUVER ST; ; CB163850; PermitPrint Date: 04/11/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
II Dwelling Units:
Bedrooms:
Project Title:
2645 Vancouver St
BLDG-Residential
1674420700
$0.00
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www.carlsbadca.gov
Work Class: P/M/E
Lot II:
Reference II:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: PME -VEREUYN: REPLACE WATER HEATER
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $98.00 Total Payments To Date: $98.00
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
ALL STAR WATER HEATERS
30300 Puerto Vallarta Way
Menifee, CA 92584-9256
800-727-0977
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Permit No: CB163850
Closed -Finaled
10/12/2016
11/28/2016
$0.00
$98.00
«~> Building Permit Application Plan Check No. r B/h .. ~g«;"l)
~ CITY 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
O F 760-602-2717 / 2718 / 2719
CARLSBAI D Fax 760-602-8558 Plan Ck. Deposit
www.carlsbadca.gov Date lswPPP
JOBADORESS .2~ ~ Vancouver St. "' ./VMIO 1~ ---
f;;r/ # ILV''
OF WVIIK: lm:IUW Sq11-Fi
I~~# l '~lfu<Uf<~ ,..,,.ffin~M!i
~AnN(s)
I ,c...,.., au~""""•· I wr,r,,1 R. """ I """' u~YVr
Replace existing water heater. Same size and location.
EXISTING USE I Pf!OPOSED USE I GARAGE (Sf) PATIOS (SFJ l°ECKS (SF) FIREPt.ACE IAiR CON0rTIONlr,n,; 'FIRE SPRINKLERS
YES[). NO[] YES ONoO vesONoO
CONTACT NAME (If Dlffennt FM Appllcanti APl>UC4NT NAME Sierra Sprague
ADDRESS ADDRESS
30300 Puerto Vallarta
CITY STATE ZIP C1TY STATE ZIP
Menifee CA 92584
PHONE IFAX PHONE IFAX 951-301-0067
EMAIL EMAIL
PflOPEJt1Y OWNER NAME Kevin Vereuyn CONTRACTOR BOS. NAM£ AU Star Water Heaters
ADDRESS ADDRESS
lame ai;; inh 30300 Puerto Vallarta
CITY ST,.,TE ZJP CITY STATE ZIP r. .. . r.A 92010 Menifee CA 92584
PHONE IFAX PHONE rAX 760-429-5458 951-301-0067
EMAIL EMAIL
A"'-'VuESIGNER NI.ME & AOORESS I STATELIC. # ST"TE UC.# lwssc 36 IQ~~~, q.1!3 812894
(Sec. 7031.5 Business and Professions Code: ,ny City or COu11\)' which requires a permit to construct, alter, Improve, demolish or re air an structure, rlor to its Issuance. also requires the applicant for such permit to file a sign ea s te ont I/lat he Is licensed pursuant to tile provisions of the Contractor's License Law rcRapter ;, commen8ing wlt/l Section 7000 of Division 3 of the Business and Professions Code] or !hat he 1J?t the<eftom. and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a cMI penalty of not more than frve hundred f:!>500)).
Workenl' Compenslllon Dtclaratton: / hereby a D I have and will malnllln I certificate of COIi 0 I have and will maintain workers' co,;,peru,
number are: 1nswanoe Co
~ section need nol be completed W the per U Certificate of Exemption: I certify lhat •
California. WARNING: Failure lo secure
addition to the cost of compansalion, da
~ CONTRACTOR SIGNATURE
•
I hereby affirm I/let I am exempt from Cootractots
under penalty o/ pe,jlJf}' one o/ the following deelarations:
to ■elf-insure for-..orkers' compensation as provided by Section 3700 of lhe Labor Code, !or lhe perfonnance of lhe work for YA1ich lhis permit is Issued.
n, as reQuired l)y Sec!ioo 3700 of the Labor Code, for the performance of lhe -..ork for which this permit Is Issued. My wori<81s' compensation Insurance carrier and policy
ACE Polley No. RWCC48818705 Elq)Wallon Date 0810112Q11
one hundred dollars ($100) or less.
i!erlOOlllince of the work foc which this perm~ is issued. I shall not employ any person in any manner so as to become subject to the Wori<ers' Compensation Laws of
• compensation coverage Is unlawful, and shall subject an employer to criminal penahlas and clvll fines up lo one hundred thousand dollars (&100,000), In
Yldtd for In Section 3706 of t~e Labor code, interest and attorney's fees. / . /
DATE /t:/.1,?/l(p
D I, as owner of Iha property or my employees wages as !heir sole compensation, will do the work and the struclure Is not intended or offered lot' sale (Sec. 7044, Business and Professions Code: The Contracto(s
Ucense Law does not apply to an owner of who builds or Improves !hereon, and who does such work himself or lhrough his own employees, provided that such hnprovements are nol lnlended or offered for
□
□
sale. If, however, the building or lfflll(ovemenl • sold wilhin one year of complellon, the owner-builder will have lhe oorden of proving thal he did not build or Improve for the purpose of sale].
I, as owner of lhe property, am exclusively ' with licensed contracuirs lo construct the project (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an owner of
property who builds or Improves thereon, and for such projects with contractor(s] licensed pur,;uant to the Contracto(s License Law).
I am e,rempt under Section ____ "'!"''
1. I personally plan to provide the major and materials for construction of lhe proposed property Improvement 0Yes O o
2. I (have/ ha·re not) Signed an appficatlOtJ for a building permil for tne proposed work.
3. I have conltacted with the following ~ (firm) to provide the proposed construction (include name address I phone I contractor,;' license number]:
4. I pl.ri to provide portions of the W0/1t, 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 provid<l some of Ille wofl(, but I ha contracted (hired) Ille following persons to provide the \\Ork indicated Qnclude name I address I phone I lype of work]:
~ PROPERTY OWNER SIGNATURE □AGENT DATE
Is 1he applicant or future building occupant req\Jired
Presley-Tanner Haza-dous Substance Acx:oom /Jdl
Is the applicant oc futura building occupant required
Is the facility to be construc:1ed within 1,000 feet of
IF ANY OF THE ANSWERS ARE YES, A FINAL C
EMERGENCY SERVICES AND THE AIR POI.LO
• • • •
submit a buslness,R!i!!J, acutely hazardous materials registration form or risk nmagement and prevention program under Sections 25505, 25533 oc 25534 of the □Yes LJNo
obtain a permit from the air pollu1ion control..!!§.b'ict or a~allty management district? Dves D No
ou1er boundaiy of a school site? LJYes LJNo
FICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
COliTROI. DISTRICT.
I catffythatl hM read the appicatlon and ltlltsthill: abcMI lrlonnatlon Is comdand that the lnfonnatlon on the plans Is aa:urale. I agree 1D comply'Mth all City ordinances and State,_ nliatlng10 bulking oonstruction.
I hereby authorize representatiY8ofthe Cityof to enter upon the abovementialed propertyforinspecoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGb.lNST All UABIUTIE8, JUDGMENTS, COSTS EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID OTYIN COOSEQUENCE OF THE GRANTING a= THIS PERMIT.
OSHA: An OSHA perm~ is reqlired la' excavaliol\$ 5'0' deep aro demoition or oonsltu:oon of strudures CHef 3 staies in height.
EXPIRATION: Ewiy ~t 5SlJed by the Building Ollpal under the pt)'lisiolls of this Code shall Ql(pl8 by lirritaooo and become nul and \00 if the buikling (X' WOO( authorized by such permit is not commenoed 'MIilin
1~days from thedateof slrll permit a ff the bu ;igfll'_Wlllkautl'orized byruch permit is suspended or abandoned at any tirreafterthe'Mlf1< is commenced., a~ of 180days(Sectm 100.4.4 Unitxm 81Jikling Code).
~APPUCANrSSJGNATURE • DATE /d//>-/lt,
Permit Type
Work Class
Status
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 10/12/2016 Owner:
Issue Date: 11/28/2016 Subdivision:
Expiration Date: 10/10/2017 Address.
IVR Number: 717641
Inspection No. Inspection Status Primary Inspector
04/11/2017 04/11/2017 BLDG-26 Water
HeaterNents
019667-2017 Passed Paul York
April 11 , 2017
BLDG-Fina I
Inspection
Checklist Item
BLDG-Building Deficiency
019666-2017
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Passed Paul York
COMMENTS
2645 Vancouver St
Carlsbad, CA 92008
Reinspection
Passed
No
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Incomplete
Complete
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