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Home My WebLink About2275 LISA ST; ; CBM2017-0059; PermitPrint Date: 08/25/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2275 Lisa St BLDG-Manufactured Home 2073700500 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Manufactured Home Permit www.carlsbadca.gov Work Class: Installation Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: CHEN: INSTALL PERMENANT FOUNDATION MANUAL BUILDING PERMIT FEE Total Fees: $196.00 Owner: TRUSTCHEN FAMILY SURVIVORS 1995 TRUST 2275 Lisa St CARSLBAO, CA 92008 Total Payments To Date: $196.00 Status: Applied: Issued: Finaled: Inspector: Contractor: ON THE LEVEL 2982 Ora Ava Ter Vista, CA 92084-6548 760-727-7842 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: CBM2017-0059 Closed -Finaled 08/22/2017 08/22/2017 $196.00 $0.00 -"' t ...• / THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE {'city of Carlsbad CT/PROJECT# LOT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEf/SPACEf/UNITI Plan Check No. Est. Value Plan Ck. Deposit Date PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) A-H-t<bfrafi t-ftf"V\l\tUlW. t-~ EXISTING USE PROPOSED USE GARAGE {SF) ful-r APPLICANT NAME l Primary Contact y(1n( PROPE AD9.,R~§_~ 'J-L-f61--On\ Avo 1t liq DESIGN PROFESSIONA CONTRACTOR BUS. NAME Or1 ~Lei~ ADDRESS ADDRESS Q. f:\ Jl.. ~ -t,; ,,r ,;: r'il1---vYZl r\JI i, 1 <::-T , CITY STATE ZIP STATE PHONE FAX FAX EMAIL STATE UC.# SWPPP -D~ OCC. GROUP CITY BUS. UC.# ·11--10 (Sec: 7031.5 Business and Professions Code: Any City or County which requires a permit to.construct, alter, improve, demolish or repair an~ structure, p_rior to its issuance, also requires the app\Icant for such per_mIt to file a signed s~tement that he Is licensed pursu;mt to the provIsIons oft~e Contractor•~ License Law {Chapter 9, comme_ndingwith SectI~n 70_00 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 permItsubJects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ I have and will maintain a certificate of consent to self-Insure for 'M'.lrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wo. rk for wt1ich this permit is issued. ttt I ha,o and will maintain wor1<•1 '1~''1""~ as .'."'iilOd bv Seeton 3700 of~, Laboe Code, for~, perlocma'JF1 of the ~cl< foe which this pem,it is issoed. My worl<eIB' com pen'(" n i ZO came~ policy number are: Insurance Co._.c~==.c-fC..=_n,u._,,..._l,_~~~----------Policy No. ~D"3 ~~ -2..D /9-Expiration Date I / ~ 1]!§,setlion need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for w'hich this pennit is issued, I shall not employ any person in any manner so as to become subject to the Worlie rs' Compensation Laws of California. WARNING: Failure to sec orkers' 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 dam a provided for In Section bor co(!~1JIJ\e_rest and.attonIey s lees. , ~ CONTRACTOR SIGNATURE □ □ 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). 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). I am exempt under Section ~----Business and Professions Code for this reason: 1. I personally plan to provide the major labor ar.d materials for construction of the proposed property improvement. OYes 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 address I phone/ contractors' license number)· 4. \ plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the maj(lr work (inciude name I address/ phone I 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/ type of work): a$ PROPERTY OWNER SIGNATURE □AGENT DATE 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-TaDner Hazardous Substance Account Act? □ 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? 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. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read theappllcation and state that the above information lsoorrectand that the Information on the plans isaccuratB.1 agreetooomplywlth all City ordinances and State laws relating to bulldingoonstruction. I hereby authorize representative of the City of Cansbad to enter upon the above menb'oned 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 OFTHE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for exc.avations over 5'0' deep and demolition or conSlruction of sbuctures over 3 stories in height EXPIRATION: Every permit issued by the Building Official under the provisk>ns of this Code shall expire by imitation and become null and void W the building or work authorized by such permit is notoommenced within 180 days from the date of such permit or· building or work autmrized by such permit is suspended or abandoned at any time after the work is commenced a period of 180 days (Section 106.4.4 Uniform Building Code). AS APPLICANT'S SIGNATURE DATE '7 I:::;-- STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed lonn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 920D8. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS 0 PICK UP: □ CONTACT (listed above) □ OCCUPANT (listed above) □ CONTRACTOR (On Pg. 1) □ MAIL TO: □ CONTACT(Listedabove) o OCCUPANT (listed above) □ CONTRACTOR (On Pg. 1) D MAIL/ FAX TO OTHER: ________________ _ ,IS APPLICANT'S SIGNATURE □ ASSOCIATED CB#'------------- □ NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP *, ::;:-* : ->s --*--- PERMIT INSPECTION HISTORY REPORT (CBM2017'"°059) Permit,. Type: BLDG-Manufactured Home Application Date: 08/22/2017 Owner: TRUST CHEN FAMILY SURVIVORS 1995 TRUST Work Class: Installation Issue Date: 08/22/2017 Subdivision: CARLSBAD TCT#81-37 Status: Closed -Finaled Expiration Date: Address: 2275 Lisa St Carlsbad, CA 92008-3844 IVR Number: 5851 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 08/25/2017 08/25/2017 BLDG-11 032751-2017 Passed Andy Krogh Complete Foundation/Ftg/Pler s (Rebar) Checklist Item COMMENTS Passed BLDG-Building Deficiency 6pc piers Yes BLDG-Final 032924-2017 Passed Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLDG-Structural Final Yes August 25, 2017 Page 1 of 1 • STATE OF CALIFORNIA • BUSINESS, TRANSPORTATION AND HOUSING AGENCY • DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING PROGRAM BECOBQING REQUESTED BY· WHEN RECORPEP MAIL TO· NAME City of Carlsbad Building ADDRESS THIS SPACE FOR RECORDER USE ONLY 1635 Faraday Avenue CITY, STATE, ZIP CODE Carlsbad ONLY THE ENFORCEMENT AGENCY MAY RECORD THIS DOCUMENT NOTICE OF MANUFACTURED HOME, MOBILEHOME OR COMMERCIAL MODULAR - INSTALLATION ON A FOUNDATION SYSTEM Recording of this document by the enforcement agency indicates compliance with C8lifomia Health and Safety Code Section 18551(a). The& document is evidence that the enforcement agency has inspected the in&tallation and issued a Certificate of Occupancy, form HCD 513C, for the unit described herein, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. ALL INFORMATION BELOW MUST BE ENTERED BY THE ENFORCEMENT AGENCY PBOPERIY INFORMATION Chen FalTily Survivors 1995 Trust (06-06-95) REAL PROPERTY OVINER NIME{S) 2275 Lisa Street MAILING ADDRESS Carlsbad CITY lNSTM..LATl~MlORESS(tf..._.) San Diego CA cru,rv STA.TE 92008 ZIP COOE ENFORCEMENT AGENGY INFORMATION City of Carlsbad Building ENFORCEMENT AGENCY 15Sl.H3 PERMT Ind CERTIRCATE OF OCCUPANCY 1635 Faraday Avenue WJUNG ADDRESS Carlsbad San Diego OlY CCU<1Y LJ CA STATE BUILDING PERIIT NO. TlliPHOtE IUIIER 92008 ZIPCOOE O✓ EVl>ENCE OF UNIT LENHOLDER(S) RElEASE, OR CONSENT TO INSTALLATION CITY OWNER INFQRMAJIQN Same WJLING ADDRESS CITY COIMlY STATE COUNTY STATE a.CCDE ZIP CODE PROYIDEDIATTACHED-SEE REVERSE SIGNATURE OF ENFORCEIIENT AGENCY OFFICIAL PEAi ER INFORMATION None -retrofit DEALER NAME (lfrd•deallll"-,._ 'NONE1 DEN.ER LICENSE NI.MIER DEAi.ER BUSINESS ADDRESS OlY MANUFACJ\/RED HQMEIMOBILEHOMEJCOMMERCIAL MODULAR UNIT DESCRIPTION Skyline Homes, Inc Oakmanor MNIJFAC~ER'St-Wf 06710301NB,06710301NA SERIAL N.Jt.eER(S) 62x LENGTH X WDTH 207-370-05-00 ASSESSOR'S PAR.CB. NJIIIER BEAL PROPEBJY LEGAi DESCRIPTION LOT 5 TR 10558 ULl513017, ULl513018 CA INSIGNA(S11U) I.ABEL N.MlfRCS) LBC1323 HCD REGISTRATION DECAL NJMBER HCD 433A (Rev. 10/2011) DISTRIBUTION -Original to Courly Recorder; One Copy to HCO; One Copy to Applcant; One Copy to Enforcement Agency GENERAL GUIDE AND INSTRUCTIONS ON REVERSE DATE STATE ZIPCOOE 10/10/2000 liMNUFA.Cl\.ftE DATE 8665946 9/2512017 2017 Certify Copies7 Book/ Page: Document Number: Record Date: Book Type: Book/ Page: Document#: Secondary #: I 2017-0390996 Search Results 8/25/2017 OR -Official Records I 2017-0390996 Number of Pages:1 Doc Type: 244 -MOBILEHOME INSTALLATION ON FOUNDATION SYSTEM Grantor: Reel#: Image#: CHEN FAMILY SURVIVORS 199S TRUST CITY OF CARLSBAD 25032 10355 https :/ /arcc-acclai m .sdcounty.ca.gov /Detai Is/ San Diego County Public Records ---------------·----·--- 1/1