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Home My WebLink About2275 LISA ST; ; CB003769; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10/20/2000 Mobile Home Building Permit Permit No: CB003769 Building Inspection Request Line (760) 602-2725 Job Address: 2275 LISA ST CBAD Permit Type: MOHO Sub Type: INSTALL Status: ISSUED Parcel No: 2073700500 Lot#: 0 Applied: 10/10/2000 Valuation: $0.00 Construction Type: NEW Entered By: RMA Occupancy Group: Reference #: Plan Approved: 10/20/2000 # Dwelling Units: 0 Structure Type: Issued: 10/20/2000 Bedrooms: 0 Bathrooms: 0 Inspect Area: Project Title: CHEN RES-REPLACE MOBILE HOME Applicant: INLAND BUILDERS 2523 BELMONT WY HEMET CA92545 909 652-29 Total Fees: $120.00 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 Pol. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Inspector: C)o- Owner: -, ___ _ CHEN FAMILY TRUST 06-06-95'~ c'., 10. 2275 LISAST CARLSBAD CA 92008 Total Payments To Date: $0.00 Balance Due: $120.00 $20.00 $0.00 $100.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Meter Size Add'I Reel. Water Con. Fee CFD Payoff Fee PFF PFF (CFD Fund) License Tax License Tax (CFD Fund) Traffic Impact Fee Traffic Impact (CFD Fund) Plumbing Fee Electrical Fee Mechanical Fee Housing Impact Fee Housing lnlieu Fee Master Drainage Fee: Sewer Fee: TOTAL PERMIT FEES FINAL APPROVAL Date: ~ Q -2,, b -o Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ?? $120.00 NOTICE: Please take N :,,-.ice 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 Ca~sbad 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 capactiy 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 oreviousl\l been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. PERMIT APPLICATION FOR OFFICE USE ONLY ! PLAN CHECK NO~O(JJ7t9{ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ____ ,._ ___ _ ValidatedjBY J . 1 /4lJ-, Date lb f to [{)(J 1, PROJECT l~RMATION 2. 2. l'J L!SA. Address (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 # Proposed Use Description of Work # of Bedrooms # of Bathrooms ff\o\a~,e_ \-\OW\e.. :C-~ b-\-oJ.~ ~ i-1 o~:•t" 2. CONTACT PERSON (If different from applicant) 3 C. Name Address City State/Zip Telephone# Fax# 3. APPLICANT _Q-contractor w.f"'"' TcY'e& 0 Agent for Contractor O Owner O Agent for Owner :2. :5 2.:S 5 r \ i\\011\":\-: t1J°1 bJfMM' ¼-: Name 4. PROPERTY OWNER ~4w d f.\.:\e n Name' Address City State/Zip Telephone # 6. CONTRACTOR· COMPANY NAME (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 Code] or that he is exempt therefrom, and the basis for the alleged Any violation of Section 7031.5 by any applicant for a i:>ermit subjects the applicant to a civil penalty of not more than five hundred d liars ($500)). ;i. q J-JQ4 Name State License # _'J ......... Y ......... 5...,__,~.....__g,._q_._ __ License Class ---'~'-'-------::"!:"':!i <JlUu ,,.JI, -J,_' /J.0 -City Business License# _O~Owi_L,W!;!IUl~"-"..,1,,1,·•-•·~-'11,. ~ "{7Yl 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 follQwing declarations: 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. X-1 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 compe:sation ins~oce carrier and policy number are: Insurance Company 6:ta.:\-e ~w M Policy No. ~oqq 8'.' Expiration Date l-{--0' (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 ecure work s' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ,000), in ad i st of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE IO-ltJ-C!d 7. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not int.ended 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). O 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 I 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 I address I 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 I type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENnAL 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 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 7 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 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 not commenced within 1 0 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 comm c for a perio of 180 days (Section 106.4.4 Uniform Building Code). DATE 10•-/{) -0-0 YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/25/2000 Permit# CB003769 Title: CHEN RES-REPLACE MOBILE HOME Description: Type:MOHO Sub Type: INSTALL Job Address: 2275 LISA ST Suite: Lot 0 Location: APPLICANT INLAND BUILDERS Owner: HUGHES AR FAMILY TRUST 11-09-93 Remarks: AM PLEASE Total Time: CD Description Act Comments Inspector Assignment: Phone: 9097302738 Inspector: W- Requested By: GLEN Entered By: ROBIN 71 Set Ups ~_____,_.(;;___,,_•.,--=n ...... A-.......c\._____ ____ _ Associated PCRs Inspection History Date Description Act lnsp Comments PLANNINC/ENCINEERINC APPROVALS PERMIT NUMBER .,,.,,CB,._____J_]_W_:J ___ DATE / {) /; z/vv ./J I ADDRESS --'-a_,,_· ........ 2""-----'-1~J'-------· -~-· .z_k \_....:::lfc.J....-______ _ RESIDENTIAL ' RESIDENTIAL ADDITION MINOR ( < $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLACE FAIRE COMPLETE OFFICE BUILDINC OTHER_{VL __ o_tto __ -_fa ___ d_a__u_~___a· "-'--. --- ' PLANNER ____ ....,...::..---,.:... __ _ DA'FE ------- ENCINEER / --'-'-----DATE ooCS/Mlstorms/Plannlng Engineering APProvalS ¾l 0 □□ ~□□ ¥□□ PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. CB 00 ?276() Planner Paul Godwin Address ;);2]5 I i,so S + Phone(760) 602-4625 APN: :)O]· 3 70 ·· 05 Type of Project & Use: Mo~,k !-lolhc Net Project Density: DU/AC Zoning: R rn KP General Plan: RLt'fl Facilities Management Zone: _ _._ __ CFO lin/n11tl # ___ Date of participation: Remaining net dev acres: Circle One ------- {For non-residential development: Type of land used created by this permit: ____________________ ) Legend: [8J Item Complete D Item Incomplete • Needs your action Environmental Review Required: YES NO X TYPE ---- DATE OF COMPLETION: ______ _ Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: Discretionary Action Required: YES __ NO i_ TYPE ___ _ APPROVAL/RESO. NO. _____ DATE ___ _ PROJECT NO. _______ _ OTHER RELATED CASES: __________________ _ Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: ______________________ _ Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YEs_X_ NO CA Coastal Commission Authority? YES NO If California Coastal Commission Authority: Contact them at • 3111 Camino Del Rio North, Suite 200, San Diego CA 92108-1725; (619) 521-8036 Determine status {Coastal Permit Required or Exempt): E:,c.c IY!il + Coastal Permit Determination Form already completed? YES NO If NO, complete Coastal Permit Determination Form now. Coastal Permit Determination Log #: Follow-Up Actions: 1) Stamp Building Plans as HExemptn or ucoastal Permit RequiredH {at minimum Floor Plans). 2) Complete Coastal Permit Determination Log as needed. H:\ADMIN\COUNTER\BldgP\nchkRevChklst ~□□ '¢□ □ '¢□ □ □□□ lnclusionary Housing Fee required: YES __ NO 2{_ (Effective date of lnclusionary Housing Ordinance -May 21, 1993.) Data Entry Completed? YES NO (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Scree~using Fees, Construct Housing Y/N, Enter Fee, UPDATE!) Site Plan: 1. Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, ex1st1ng street improvements, right-of-way width, dimensional setbacks and existing topographical lines. 2. Provide legal description of property and assessor's parcel number. Zoning: 1 . Setbacks: Front: Required ______ _ Shown -------Interior Side: Required ______ _ Shown -------Street Side: Required -------Shown -------Rear: Required ______ _ Shown ------- 0 0 0 2. Accessory structure setbacks: Front: Required -------Shown -------Interior Side: Required -------Shown -------Street Side: Required -------Shown -------Rear: Required -------Shown -------Structure separation: Required ______ _ Shown ------- D O D 3. Lot Coverage: Required -------Shown ------- 0 0 0 4. Height: Required ______ _ Shown ------- 0 0 0 5. Parking: Spaces Required __ ;)~---Shown ------- Guest Spaces Required ______ _ Shown ------- 0 0 0 Additional Comments _______________________ _ oK To 1ssuE AND ENTERED APPRov AL 1NTO coMPUTER Qa,g.QR-i, DATE \o I 11 / uo H:\ADMIN\CDUNTER\BldgPlnchkRevChklst ' PLOT P L··A N NAME ))4u~A. Cb,e.v, PHONE __________ _ SITUS ADDRESS '2 C 15' Lr z, Ii ~,- TRACT/PARCEL MAP ___________ LOT ______ _ ASSESSOR'S PARCEL NO. ( Provida Nortn Arrow ) s I D E p R 0 p E R T y L I N E ·, c- 12.' REAR PROPERTY LINE gq' le' llfw,. --- L'r ~ A. STREET s I D E p R 0 p E R T y L I N E IF YOUR LOT IS NOT RECTANGLE, PLEASE DRAW CORRECT DIMENSIONS AND SHAPE.