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Home My WebLink About2278 LISA ST; ; CB072379; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-14-2007 Mobile Home Building Permit Permit No: CB072379 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type Parcel No Valuation: 2278 LISA ST CBAD MOHO 2073700200 $0.00 Sub Type: Lot#: Construction Type: Reference #: ADDALT 0 NEW Status: Applied: Entered By: Plan Approved: Occupancy Group: # Dwelling Units: 0 Structure Type: Issued: Bedrooms: 0 Bathrooms: 0 Inspect Area: Project Title: INGRAM RES-INSTAL PERM FOUND FOR EXISTING MOHO Applicant: BELLINO CONSTRUCTION 1161 VIA TERESA 92069 760 747-2552 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 Bndge Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel Water Con. Fee Meter Size Add'I Reel. Water Con. Fee $20.00 $63.00 $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 $0.00 $0.00 Owner: ING RAM JOHN LEST OF C/O PUBLIC GUARDIAN 5201 RUFFIN RD #A SAN DIEGO CA 92123 Meter Fee SDCWAFee CFD Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) Plumbing Fee Electrical Fee Mechanical Fee Housing Impact Fee Housing lnlieu Fee Housing Credit Fee Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES PENDING 09/14/2007 LSM Total Fees: $83.00 Total Payments To Date: $83.00 Balance Due: Inspector: 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 $0.00 $0.00 $0.00 $0.00 $83.00 $0.00 NOTICE Please take at approval of your project indudes the "Imposition" ct fees, dedications, resetValions, or other exactions hereafter cxJlectively referred to as "fees/exactions." You have 00 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest prooedures set forth in Government Code Section 66020(a), and file the protest and any other required information v.,th the City Maneger fcr processirg in accordance "'th Carlsbad Municipal Code Section 3.32.030. Failure to tim,y fcila.vthat prooedure v.>11 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 lo water and seYJer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection 'Mth this project. NOR DOES IT APPLY to any f /exaction of 'Mli o ha r viousl teen iven a NOTI E similar to thi ac; t 'Mli he st t limit i h I h City of Carlsbad ~ Plan Check No. {!,t,o? ~ ~ 7'1 ~-~ --· 1635 Faraday Ave .. Carlsbad, CA 92008 I Est. Value 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Plan Ck. Deposit . Building Permit Application Date q I •~/07 JOB ADDRESS -::i::i. 1r LI SA SUITE# /SPACE# /UNIT# IAPN ST. 2°7 -J7o -oz. -00 CT/PRQjECT # ILOT# =1'""'' 1 • OF UNITS I #BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: C-ovrl'D,A--n p;[ 5 VS 7"b---vn r,7,e_ 7'33A mA.ru M-uv/Zc"'() !{a~. P-e.rMA-tJ ~ EXISTING USE 1PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES □# __ NOD YES O NOD YES O NOD CONTACT NAME (ff Dl"erent Fom AJlp/lcant) APPLICANT NAME f3cl.-J.--f ,,.JO 6:ltvS71<UC!.no,.:, ---ADDRESS ADDRESS //hi vrA f?;-'72-<.-~>4,. --------CITY STATE ZIP CITY STATE ZIP _ ~ l'l1AiZ-=s C-A 9ZL>rc'l__ PHONE 1FAX PHO?! z.j FAX f "7ba2 7'/7 -Z~:S = ~76o) 'VJL/ -Zi z_<J EMAIL EMiJi PROPERTY UWNER NAME .:ro µ,J 1"6!Uln1 CONTRACTOR BUS. NAME 1'\ L· 65-r>'r1"€ ADDRESS ------ADDRESS ;:z::i. 7 l? USA 'ST, s,... ,,. -C1TY - STATE~ q~ ZIP CITY STATE ZIP CA /ct,,S g AD •.008 --PHONE lFAX PHONE I FAX ----EMAIL EMAIL ARCH/DESIGNER NAME & A6i5RESS l STATE LIC. # STATE LIC.# '738°055 l'~41 l"TY;;';'if79b (Sec. 1031.5 Bmmm and Profernons Code: Any City or County wh1Ch rtqmres a perrmt to construct. alter improve, demolish or rtP.aIr any structure pnor to its issuance. also requires the applicant for such ptnn1t to file a signed statement that he rs rtcensed J)1111Uant to the proviiions .of the Contractor'! Ucenie Law {Chapler 9, commending with Section 7000 of Divi1ion 3 of the Businns and Profeuions Code} or that he ~ exempt thtrel'rom, and the basis for the alleged uemption. Any viola1ion 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}). WOhKIIIU' COMPENSATION Worll:ers' Compensation Declaration: I hereby affirm under penaMy of perjury one of the following declarations: D 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 pelforrnaoce of the work for which this permit is issued. tJI I have and will maintain worll:ers' compensation, as required by Section 3700 of the labor Code, for the pelformance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. __ _5~ FVJJ D Policy No. 000 Z. 33 / --;:.LI 0(,. Expiration Oate O 'Z--o J -. '2ot28 This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING: Failure to secu worll:ers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and cMI fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damag ovided for in Section 3706 of the labor code, Interest and attorney's fees, _I$ CONTRACTOR SIGNATURE ~~ L 1 _ 1 ,ce 'e ~ I hereby affirm that I am exempf from Con fr actor's License Law for the following reason: □ I, as owner of the property or my employees with wages as their sole compensa1ion, will do the work and !he structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Col"l!ractor'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 lo construe! 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) liCfinsed pursuant to !he 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 and materials for construction of the proposed properly improvement □ Yes □ No 2. I (have I have not) signed aA applicalion for a building permit for the proposed work 3. I have con!rac!ed with the following person (firm) to provide the proposed construction (include name address / phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person lo coordinate, supervise and provide the major work (include name I address I 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 I address I phone I type of work) _g PROPERTY OWNER SIGNATURE DATE Is \he 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? □ Yes O No Is the applicant or future building occtIpan! required to obtain a permit from !he air pollution control district or air quality management district? □ Yes □ No Is the facility lo be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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. J oertlfylhat I have read the application and state that the abo',.-,;! infom,atlon is correct and that the lnfom,atlon on the plans is accurate. r agree to comply with all City ordinances and St.ate laws relating to building construction. ,hereby aulholiZe representative of ~e Cify of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE GrTY 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 pem,it is required for excavations over 5'0' deep and demolition or construction of sll'uctures over 3 stories in height EXPIRATION: Eveiy permit issued by the Building Official under the provisions of this Code shall expire by limitation and become nun and void if the building oroork authorized by such permit is not commenced wilhih 180 days from the date of such permit or if the build. or'NOrk authorized by such permit is suspended or abandoned at anytime after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). 8$ APPLICANT'S SIGNATURE DATE f-/t./-""7 ~ w City of Carlsbad Bldg Inspection Request For 09/21/2007 Permit# CB072379 Title INGRAM RES-INSTAL PERM FOUND Description: FOR EXISTING MOHO Type:MOHO Sub Type: ADDAL T Job Address: 2278 LISA ST Suite: Lot: 0 Inspector Assignment: Phone: 7608077 463 Location: Inspector: OWNER INGRAM JOHN LEST OF Owner: INGRAM JOHN L EST OF Remarks: GATE CODE #1942 -ACCESS@ GARAGE Total Time: ---- Requested By: MIKE Entered By: CHRISTINE CD Description 77 Under Floor Bracing kromm,p Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Descrlption Act lnsp Comments