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Home My WebLink About2478 IMPALA DR; ; CB032611; Permit~ t.Q,ll\ z. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-22-J003 Mobile Home Building Permit Permit No: CB032611 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2476 IMPALA DR CBAD MOHO Sub Type: Lot#: $0.00 Construction Type: Reference #: 0 0 Structure Type: Bathrooms: LA POSADA GUADALUPE ADDALT 0 NEW 0 RETROFIT PERM. FOUND. SYSTEMS@ 2 BLDGS. Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ON THE LEVEL GENERAL CONTRACTO ISSUED 09/22/2003 MOP 09/22/2003 09/22/2003 2982 ORA AVO TERRACE 4748 09/22/03 OOO.,.:.. Oi VISTA, CA 92084 02 619-727-7842 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~C_G_F~·~~146-00 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 Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Meter Size Add'I Reel. Water Con. Fee Total Fees: $146.00 $20.00 $63.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $63.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Payments To Date: Meter Fee SDCWA Fee CFO Payoff Fee PFF PFF (CFO Fund) License Tax License Tax (CFO Fund) Traffic Impact Fee Traffic Impact (CFO Fund) 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 $0.00 Balance Due: $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 $146.00 $146.00 Clearance: ------ NOTICE: Please take NOTICE t approval of your ixoject irdudes the 'I ~ti 'd fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exa::1.ions.' You have 00 days from the date this permit was issued to ixotest imposition of these fees/exactions. If you ixotest them, you must follow the ixotest procedures set forth in Government Code Section 66020(a), and file the ixotest and any other required information with the City Manager for ixocessing in cro:irdance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that ixocedure will bar any subsequent legal action to atta'.:k, review, set aside, void, or annul their im~tion. You are hereby FURTHER NOTIFIED that your right to ixotest 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 f x ion whi h vi I N I E 'mil r thi whi limi i h . FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. 03-2,.b {( CITY ~F CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST.VAL. _________ ~ ~ Plan Ck. Deposit--------- Validated By __ __,,......,f.r..,__~-~----- Date _ ______.~~U~~f""""""~~ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units of rdrofct 2. qo!"T~CT PERS9,N (If dlff:?nt from applicant) ':s/Un 15 A(eA'lg_ ~ Name Address 3. APPLICA O Agent for Contractor O Owner On Name .4. yf~OPr}TY OWNER,i 1 . -h C£<--::f11o /,c., t..:A10..,r, l!S. Name 6. CONTRACTOR • COMPANY NAME Address Address f City 0 Agent for Owner City City ..._"' _g of Bedrooms (. State/Zip State/Zip S.tate/Zip Telephone# Fax# Telephone # Telephone # (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 -e-xe~'...!p~tiLo_n!.. . .L.Jn~y:::..vi.L;o:::a~t:::'.'.io~n'..:o~f~S-ec_t_io_n_7_0_3..J1.:::. 5:....1....:yll..a-'n""y'-a...:O=:::..liLc..!a:lnt_fo..1.r:......:..!.p.!e~::.m_i_t L..:u::.·.!.e..Jct_s!::ti.h.::~:.!:e_:::p::.p-li_c_an::-t:-ltLo+..;a ::tc::.iv.s,iltip.,e_n_a_lt_y_o....:f=:n~o:_t.!.m-=o,...re_tLh..!a::.n.::~:..iv..:e-t:h--,n_d_r:-'-d~d:...io~ll:_a...Jrsi......l $0::5:..0.LO-J-) ·__,_'--?1--/::... L- Address City State/Zip el!!?~ # State License # __,?"'-'d\'-'-_/ '1"_._D~O __ _ License Class _ _,,e~-_'-1-.:..'+--'------City Business License# /2, /OflJL 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 following 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 i he work for which this permit is issued. I have and will maintain "".orkers' compens~tion, as r~quired by Section 3700 of the Labor Code, for the performance of the work for which this permit is ed. My worker's ~sat100 "f!f_ance :mer and pohcy number are: ~,..Q ..., lnsuranceCompany ~~ U-f'\~L PolicyNo.~-1--lJD():)/pCj3 ExpirationOate oiOo.,3 (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 19cure workers' compensation coverage la 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 es provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DA TE ::;-;;;;:==:;:::==:::;::::::;::=:;: __ ~-·-"--- 7. OWNER-:JlUILDEfU)ECLARAJIQJ<I I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 0 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 I 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 I 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 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 number I type of work): __________________________________________________________ ~ PROPERTY OWNER SIGNATURE ------------------------ !COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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-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? 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-------------------------- l9. 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 Citt 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 ANO 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 t commenced wilhin 1 BO days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time aft<>r the work is c e ed for a p . days (Section 106.4.4 Uniform Building Code). DATE 9 /z ~r C) 8:::-:::: PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/30/2004 Permit# CB032611 Inspector Assignment: PS --- Title: LA POSADA GUADALUPE Description: RETROFIT PERM. FOUND. SYSTEMS @ 2 BLDGS. Type: MOHO Sub Type: ADDAL T Job Address: Suite: Location: 2476 IMPALA DR Lot 0 APPLICANT ON THE LEVEL GENERAL CONTRACTO Owner: Remarks: RETROFIT SYSTEM INSPECTION Total Time: Phone: 7604151982 Inspector: ~ Requested By: JANIS Entered By: CHRISTINE Act Com~ 4£ t::::_/~ CD Description 77 Under Floor Bracing Associated PCRs/CVs lnsgection Histoty Date Description Act lnsp Comments 07/16/2004 11 Ftg/Foundation/Piers CA PS BY JOHN 04/15/2004 11 Ftg/Foundation/Piers co PS ATIACHMENT TO BEAMS NOT PER PLANS 04/14/2004 11 Ftg/Foundation/Piers co PS NO PLANS OR PERMIT ON SITE