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Home My WebLink About2101 COSTA DEL MAR RD; ; CB050640; Permit03-09-200 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mobile Home Building Permit Permit No CB050640 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Occupancy Group # Dwelling Units Bedrooms Project Title 2101 COSTA DEL MAR RD CBAD MONO Sub Type 2161230700 Lot# $0 00 Construction Type Reference # 0 Structure Type 0 Bathrooms LA COSTA RESORT RELOCATE ACURA TENNIS TRAILER ADDALT 0 NEW Status ISSUED Applied 03/01/2005 KG 03/09/2005 Entered By Plan Approved Issued Inspect Area 03/09/2005 Applicant K S L LA COSTA RESORT CORP 50-905 AVENIDA BERMUDA LAQUINTACA 92253 Owner K S L LA COSTA RESORT CORP 50-905 AVENIDA BERMUDA LA QUINTA CA 92253 Mobile Home Issuance Fee Earthquake Bracing Fee Coach Setup Fee Cabana/Ranada Fee Private Garage Fee Awning/Carport Fee Porch Fee Fence Over 6ft Other Building Fee Building Permit Plan Check Park in Lieu Fee Bridge Fee Pot Water Con Fee Meter Size Add'l Pot Water Con Fee Reel Water Con Fee Meter Size Add'l Reel Water Con Fee $20 00 Meter Fee $0 00 SDCWA Fee $10000 CFD Payoff Fee $0 00 PFF $0 00 PFF (CFD Fund) $0 00 License Tax $0 00 License Tax (CFD Fund) $0 00 Traffic Impact Fee $0 00 Traffic Impact (CFD Fund) $0 00 Plumbing Fee $0 00 Electrical Fee $0 00 Mechanical Fee $0 00 Housing Impact Fee $0 00 Housing InLieu Fee Housing Credit Fee $0 00 Master Drainage Fee $0 00 Sewer Fee Additional Fees $0 00 TOTAL PERMIT FEES $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $12000 Total Fees $120 00 Total Payments To Date $0 00 Balance Due $12000 3384 03/09/05 0002 01 02 CGP 120-00 Inspect PPROVAL 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 previously been aiven 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 FOR OFFICE USE ONLY PLAN CHECK No£ft05^6 </ £> EST VAL Plan Ck Deposit Validated By Date J2- / ~ Address (mclug>Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use Proposed Use Description of Work^yt 2 CONTACflPERSONLIifiiiifferent froTn:applicant) SO FT #of Stories ~-iff # of Bedrooms # of Bathrooms Name..„._...HO Contractor Address ] A!g'ent,fqr-O)ntractpr City for Owner State/Zip Telephone ,Fax # Name Address City State/Zip Telephone , Name Address City State/Zip Telephone # :jjii:r'CONTRACTOR'- C^I^NY NAME lif'''''''3-L "~Sj" '""iSlE? ''~™ZI:- • ' ' O;~vi":;'™PSFT. ''':''"^,..~ " '.":. "".',"" "" . (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 [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel 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 ($5001) Name State License # Address License Class City State/Zip City Business License # Telephone # Designer Name Address City State/Zip Telephone State License # &•• ^WORKERS' COMPENSAfiONihif.fs. ,. ••:••••«•« =:•• ^::- ^ 'HEn'"' . .,: : , ' • "."T^™? f'!f"'! Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~l 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 n 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) fa^JQ, 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) m addition to/4hecost of compensation damages as provided for in Section 3706 of the Labor codejjjlereSt and attorney s fees 7 OWNEF^BUILplERiDECLARATION ~lr^-'"':."" l^r. -jiif. ~J ~" . • "ft 'K I hereby affirm-that I am exempt from the Contractor's License Law for the following reason B| 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) l~l 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) l~l 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 fJD YES l~lNO 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 / phone number / type , of work) PROPERTY OWNER SIGNATURE COMPLETE thiSlSECTilQN '"•' DATE 'ERMITSiONLY 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? O YES l~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' l~l YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' l~l YES fj 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 for which this permit is issued (Sec 30970) Civil Code) LENDER'S NAME _ LENDER S ADDRESS 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 City 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 commenced for a MiMd of 18JJxJaysiSection 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE JEfc~—-& l<L/*lll£~^i DATE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 09/29/2005 Permittf CB050640 Title LA COSTA RESORT RELOCATE Description ACURA TENNIS TRAILER Inspector Assignment PD Type MONO Sub Type ADDALT Job Address 2001 COSTA DEL MAR RD Suite Lot 0 Location APPLICANT K S L LA COSTA RESORT CORP Owner Remarks OK TO EXPIRE THIS PERMIT'"'"'"'7'"'"'"?'" Phone Inspecto Total Time Requested By CHRISTINE Entered By CHRISTINE CD Description 79 Final Mobile Home AcL, Comment L Associated PCRs/CVs Inspection History Date Description Act Insp Comments 06/01/2005 79 Final Mobile Home CO PD HANDRAILS, STAIRS 03/30/2005 21 Underground/Under Floor AP PD SEWER 03/30/2005 31 Underground/Conduit-Wiring AP PD CONDUIT