HomeMy WebLinkAbout2562 DOGWOOD RD; ; CB070890; Permit04-03-2007
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No CB070890
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
2562 DOGWOOD RD CBAD
PLUM
2131701700 Lot#
Construction Type
VONHOFFMANN RES GAS TO BBQ
AND FIREPIT/ELEC TO BBQ
0
NEW
Applicant
VONHOFFMANN CYNTHIA A
2562 DOGWOOD RD
CARLSBAD CA 92009
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Owner
VONHOFFMANN CYNTHIA A
2562 DOGWOOD RD
CARLSBAD CA 92009
ISSUED
04/03/2007
KG
04/03/2007
04/03/2007
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
0
0
0
0
0
1
0 BUILDING PL, ,
-— INSTORAGF
ATTACHED
$2000
$000
$000
$000
$000
$000
$700
$000
$2000
$000
$000
$000
TOTAL PERMIT FEES $4700
Total Fees $47 00 Total Payments To Date $47 00 Balance Due $000
FINAL APPROVAL
Inspector 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 musl
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 previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
1-- ~: "PROJECT INFORMATION
3 CW
FOR OFFICE USE ONLY
PLAN CHECK ^07C^?O
EST VAL
Plan Ck Deposit
Validated. By
Date T—^—
C A(%Ls tnArl .CA
Address (include Bldg/Suite #) „ ^
_ - SI- O
Business Name (at this address)
Legal Description •/7--QO Lot No Subdivision Name/Number Unit No Phase No Total # of units
h o m &>Peyre OQ / u s £,
Assessor s Parcel #
ii'rtg
Existing Use
<?\t CL
Proposed Us
Description of Work
2. CONTACT PERSON (if different from applicant)
SO. FT /#of Stones # of Bedrooms of Bathrooms
Name Address City
;3:v AWLICANJJK Q^Contraclbrl, Q Agent for Contractor T^Ownerl; Q Agent for Owner
State/Zip Telephone Fax#
Name Address City State/Zip Telephone #
Nafne Address City State/Zip Telephone #
iBlilebNTRACfOR -COMPANY NAME :... : .. .ISF' ':3EE-. : "'^^ . ^•^L^^^-'^M^,,- . i. . :™£ • . wfiMlt
(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any strui ture, 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 Contractcr 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
State License #
Address
License Class
City State/Zip
City Business License #
Telephone #
Designer Name Address City State/Zip Telephone
State License #
lie" WORKERS" COMPENSATtON1 "* " ':":"":' -;;-"11'" : • ',',_ . •• . ' ••^•y-•• ...
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
n 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
l~l 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 [$100] 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 DATE
hereby affirm that I am exempt from the Contractor's License Law for the following reason
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
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 oi 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)
^Business and Professions Code The
;ontracts for sucFTp'rojects with contractor(s) licensed
o the Contractor's License Law)
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 CD YES C]NO
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 / 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 / address / phane number / type
of work)
PROPERTY OWNER SIGNATURE
COMPLltEBHI^ SECTION FOR /VpW-ffES/rt&VTMIBUILDlNG'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 Act? Q YES d NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? [~1 YES l~l NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? LT) 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
8v>CpNSTRUWipN:tENplNG AGENCY • .. . ^^ . «:f "si" ': «M"'""::S
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 1- ~" ' ' ........ ^Sffi:''; • ...'Jr..' • 'w: ? i. ..... r.. . ' '. ...... "..;!./;
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 CitV of Carlsbad to enter upon the Ebove 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 1 80 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 co/fi^nenced for a period of 180 days (SecJion 106 4 4 Uniform Building Code)
L._^\ V^ ---- -r^^- _ DATEAPPLICANT'S SIGNATURE
i I
4 /
PINK Finance
City of Carlsbad Bldg Inspection Request
For 06/06/2008
Permit* CB070890
Title VONHOFFMANN RES GAS TO BBQ
Description AND FIREPIT/ELEC TO BBQ
Inspector Assignment PD
2562 DOGWOOD RD
Lot
Type PLUM Sub Type
Job Address
Suite
Location
APPLICANT VONHOFFMANN CYNTHIA A
Owner VONHOFFMANN CYNTHIA A
Remarks Go into yard, permit on firepit in back
Phone 7607033020
Inspector
Total Time Requested By DAN
Entered By CHRISTINE
CD Description
29 Final Plumbing
Act Comments
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
12/12/2007 23 Gas/Test/Repairs AP PD
11/14/2007 23 Gas/Test/Repairs CO PD NO PRESSURE
11/06/2007 23 Gas/Test/Repairs CO PD ON CARD