The URL can be used to link to this page

Home My WebLink About2777 VISTA DEL ORO; ; CB040791; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ~ 03-09'-2004 Plumbing Permit Permit No: CB040791 Job Address: Permit Type: Parcel No: Reference #: Building Inspection Requ est Line (760) 602-2725 2777 VISTA DEL ORO CBAD PLUM 2153506308 Lot#: 0 Construction Type: NEW Status: ISSUED Applied: 03/09/2004 Entered By: RMA Plan Approved: 03/09/2004 Issued: 03/09/2004 Project Title: ECKHOFF RES-REPLACE HOT WATER LINE FROM H2O HEATER TO MANIFOLD W/DRYWALL Inspect 'i7fi L 03/09/04 0002 01. CGP Applicant: ECKHOFF RYAN E&ANNE E 2777 VISTA DEL ORO CARLSBAD CA 92009 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOT AL PERMIT FEES Total Fees: $57 .00 Inspector : Owner: ECKHOFF RYAN E&ANNE E 0 0 0 1 0 0 0 2777 VISTA DEL ORO CARLSBAD CA 92009 Total Payments To Date: $0.00 Fl NAL APPROVAL Date: J.( _ I fr -ti-Cf $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $30.00 $0.00 $0.00 $0.00 $57.00 Balance Due: Clearance: $57.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "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 02 57-00 FOR OFFICE USE ONLY PERMIT APPLICATION t,11.'J.... Pe.}.-r~ PLAN CHECK No.CAotro 11 f CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ 1. PROJECT INf:ORMATION a 7-l:1 vk~Tr3: Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units ascription of Work # of Bathrooms 2. COf,IT~CT f.ERSON llf different from appllcantl City State/Zip Telephone# Fax# O _A_gent for Owner ~ C. c.A q2000i City State/Zip Telephone # PROPERTY OWNER Name Address City State/Zip Telephone# 6. COP4._TRACTOR • COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to co.nstruct, 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 that 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)). Name Address City State/Zip Telephone# State License # __________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # __________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 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 worker's compensation insurance carrier and policy number are: Insurance Company______________________ Policy No.,_____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS! O 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. SIGNATURE. _____________________________ _ 7. OWNER-BUILDER DE.CLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: ,)q' 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). O 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 1mprovement.~ES ONO 2. ~ have not) signed an application for a building permit for the proposed work. 3. ~ontracted with the following person (ftrm) to provide the proposed construction (include name / 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):. _________________________________________________ _ I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work):. ___________ ...,.~,,...-----,,~---,...-,,.-,..,,.c+-------------------~-~--------------- ROPERTY OWNER SIGNATURE ~ ~ DATE __,3=-</'-t:f'-"/'-Z=-=-OD--"----'l..( __ _ OMPLETE THIS SECTION FOR NOt:1}:t1;;;'llAL ~SONLY 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? 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? 0 YES O 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 LENQING 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 Citt 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 not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is comma d lor a period of 1 d ys lion 106.4.4 Uniform Building Code). / ! PPLICANT'S SIGNATURE .J...,,,f}.~~=--..Z::..G~~~7:::::::____________ DATE _ _,3.,,,,__....,'14-~_~_'-f..,;,_ _____ _ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 04/13/2004 Permit# CB040791 Inspector Assignment: Title: ECKHOFF RES-REPLACE HOT WATER Description : LINE FROM H2O HEATER TO MANIFOLD W/DRYWALL Type: PLUM Sub Type: Job Address: 2777 VISTA DEL ORO Suite: Lot 0 Location: APPLICANT ECKHOFF RYAN E&ANNE E Owner: ECKHOFF RYAN E&ANNE E Remarks: Total Time: CD Description Act Comment Phone: 8582430616 Inspector: ~ Requested By: N/A Entered By: ROBIN 24 Rough/Topout ..d p ~ .f~ /' P ,-0 e Le~, r-a_ ______ 'L . r r I Associated PCRs/CVs Inspection History Date Description Act lnsp Comments '- C "' " Account No. 001 361 04222 Amount of Refund $30. 00 CITY OF CARLSBAD REQUEST FOR REFUND Vendor No. Fee Paid For: Building J>ermit L GB04079! ~ Date Fee Paid : 3 /9 / 04 Fee Paid By: _R_Y_A_N __ E_C_K_H_O_F_F ______________ _ Facts Supporting Request: The fee charged for the drywall portion of this permit was charged in error. The $30. 00 is the entire amount charged for the drywall inspection. Name of Applicant: RYAN ECKHOFF Address: 2777 VISTA DEL ORO CARLSBAD CA 92009 (760) 930-9043 Street City State Zip Telephone Signature of Applicant: -----------------------Date Dept. Justification: Rec: D Approve D Disapprove Date Finance Investigation: Rec: D Approve D Disapprove Dept. Head Signature Date City Manager's Action: D Approve D Disapprove City Manager Signature Date '· * City of Carlsbad 1635 Faraday Avenue Applicant : ECKHOFF RYAN E&ANNE E Description CB040791 Receipt Number : R0041757 Transaction Date : 03/09/2004 Pay Type Method Description Payment Other Carlsbad CA 92008 Amount -30 .00 Amount -30 .00 Transaction Amount : -30 .00