HomeMy WebLinkAbout2297 SAWYER LN; ; CB081466; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-30-2008 Mobile Home Building Permit· Permit No: CB081466
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2297 SAWYER LN CBAD
MOHO Sub Type:
Lot#: 2121014900
$0.00 Construction Type:
Reference#:
O Structure Type:
0 Bathrooms:
SMITH RES-INSTALL PERMANENT
FOUNDATION SYSTEM (STATE# 112-1F)
ADDALT
0
NEW
0
Status:
A.pplied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Applicant: Owner:
NORTH COUNTY MOBILE HOME CONTRACTORS
1078 OAK DR
VISTA CA 92084
760 758-0016
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
$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
SMITH KATHLEEN V
2297 SAWYER LN
CARLSBAD CA 92008
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
ISSUED
07/30/2008
RMA
07/30/2008
07/30/2008
PC#:
Total Fees: $8 $83.00 Balance Due:
Inspector:
FINAL
Date7-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 NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, c< other exactions hereafter collectivey
referred to as 1ees/exections." You have 00 days from the date this pem1it was issued to protest imposition of these fees/exections. If you protest them, you must
fcJla.v the protest prooodures set forth in Government Code Section 66020(a), and file the protest and any other requireo infofmation wth the City Manager for
prooessing in accordance wth Cartsbad M.Jnici!l" Code Section 3.32.030. FJ>lure to timely fcJla.v that procedure wll ll<1r any sut,,equent legal ection to atta:1<,
review, set aside, vcid, or annul their im~itioo.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exections DCES NOT APPLY to water and .....,r connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection wth this project. NOR DCES IT APPLY to any
f h Ii i i h I
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.carlsbadca.gov
Building Permit Application
JOB ADDRESS
.22.
/P JET#
EXISTING USE PROPOSED USE
UITE#/SPACE#/UNIT#
CONTACT NAME (If .,,,,,.,.,.t Fo,n Apf)llunt) APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY
PHONE FAX PHONE
EMAIL EMAIL
PROPERTY OWNER NAME
ADDRESS
Plan Check No.
Est. Value
Date
STATE
FAX
(. SD .5 /?1? /fl C
CITY
519.v /'n
FAX FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATEUC.#73(./ 6 " O
WORl<ERS' COMPENSATION
-• Compt11Ullon Dec:I...Uo"' I hereby all/rm _, penally al perft,y one al.,, followmg-
ZIP
CITY BUS. UC.#
I :;i. 2. "2. " 1./ Jl
□ I have and win maintain I ttftltlcate of consent to 1etf.fnture for workers' compensation as provided by Section 3700 of the Labor Code, for the performance c:A l1'le work for which this pennll ls issued.
□ I have and wtll mllntaln workn' compenlllfon, as required by Section 3700 of the Labor Code, for the parlormance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy
numbern; Insurance Co. ___________________ Policy No. _____________ Expiration Date ________ _
This section need not be completed If the permit is for one hundred dollars {$100) or less.
SI Ctrtlflcltt of Exemption: I certify that in the performance of work for which this permit is Issued, I shall not employ any person in any mamer so as lo become subfecl to the Workers' Compensation laws of
California. WARNING: Failure to secure worklrl' co unlawful, and shlll subjtd: an employer to criminal penaltln and clvtl ftnu up to one hundred thous,nd dollars (&100,000), In
addition to the colt of compensation, damages 11 3706 of the Labor codt, Interest and attorney's fen.
,E CONTRACTOR SIGNATURE
I her9by affirm that I am exempt from Contractor's Ucense Lsw for the fol/owing reason:
□ 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 1:11 owner of property who builds or Improves thereon, and who does such work hlmself or through his own employees, provided that such Improvements n not Intended or offered for
sale. If, however, the building or Improvement is sold within one year of completion, the owner-builder wm 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 llcensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply lo 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 and materials for construction of the proposed property improvement □ Yes □ No
2. I (have I have not) signed an application for a bulldlng permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (Include name address I phone 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 I contractors' license number):
5. twill provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name I address/ phone/ type of work):
,1$ PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is U'le applicant or future building occupant required to submit a business plan, a::utely hazardous materials registration form or risk management and prevention program under Seetions 25605, 25533 or 2553-4 of the
Presley-Tanner Haz.wdous Substance Account Act? I] Yes □ No
Is the applicant or future building occupant required lo obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the fa::illty to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A ANAL 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
I hereby affirm that there Is a construction lending agency for the pertormance of the wor1< th~ permit" issued (Sec 3097 (1) Clvll Code).
Lenders Name Lenders Address
APPLICANT CERTIFICATION
I cetUfy that I hlM read the application and state tflatthe aboYe lntiNTnatlon Is coned and that the lnfonnatlon on the plans Is accumte. I agMeto comply with all City ordinances and State laws 191111ngm bulldlng construction.
I hemby aulhorize iepresenlaliYe of lhe City of Carlsbad ID enlerupon lhe ab<M!-propertyfornspedlon pu,poses. I ALSO AGREE TO SAVE, IND-IFY AND KEEP HAAM.ESS THE CITY OF CARLSBAD
AGAINST ALL LIABLITTES, JUOGMENTS, COSTS ANO EXPENSES l"llilCH W.Y IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA permit Is '"'I-ft! for exar,allons """SU' deep Nian orcorism-. of slrucms CHOI 3-il height
EXPIRATION: Ew,y pamlt Issued by Ille Bli~ing Official Code sllal e,q,ie by imlllllion Md boccme nul Md void ff Ille buld,g or WOik authorized by SI.di pemit Is not cc, 111 a <Od ..it,.,
180 days from Ille dale of SI.di pemit or W Ille bt.idr,g paml • suspended or l!Oll1doned at any line all!ir Ille wor1< is cc, 11," <Od for a pellod of 180 days (Seclm 106.4.4 lkmm aiNdr,g Code).
,.t! APPLICANT'S SIGNATURE DATE O -0 g
City of Carlsbad Bldg Inspection Request
For: 07/31/2008
Permit# CB0B1466
Title: SMITH RES-INSTALL PERMANENT
Description: FOUNDATION SYSTEM (STATE# 112-1F)
Type:MOHO Sub Type: ADDAL T
Job Address: 2297 SAWYER LN
Suite: Lot: 0
Location:
Inspector Assignment:
Phone: 7604972192
Inspector:~
APPLICANT NORTH COUNTY MOBILE HOME CONTRACTORS
Owner: SMITH KATHLEEN V
Remarks: permit behind garage at crawl space
Total Time: Requested By: CARLOS MADINA
Entered By: CHRISTINE
11 Fig/Foundation/Piers L,~.--=---o--------------------
CD Description ---~Ac -Comments
\4--f' {NKfv ---
--------
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
RECORDING REQUESTED BY:
C .a ·t. o< · I'-'\•\:. D, ...., r:J
AND WHEN RECORDED MAIL TO:
NAME le
STREET
ADDRESS
CITY,
STATE
and ZIP
5 ,,,.,, , Th
. 2 '17 S~h:vy,,t,,e_ ~4AJ~
Cr:, If ( ~ ~~ d c. ....
92.00 ~
.......
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL MODULAR
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the enforcement agency indicated is in accordance with California Health and Safely Code Section
18551 (a). This document is evidence that the enforcement agency has issued a certificate of occupancy for installation of the unit described hereon,
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.
<_ .,. ·'• '' (' .....)h,{, f\....
REAL PROPERTY OWNER
-,2.f 1 -. '
MAILING ADDRESS
I I ( ' J
CITY
i
COUNTY
D
INSTALLATION MAILING ADDRESS, IF DIFFERENT
CITY COUNTY
UNIT OWNER (If also property owner, write "SAME")
MAILING ADDRESS
CITY COUNTY
UNIT DESCRIPTION
I , ,,, -~ MANUFACTURER'S NAME
'-v{:, ,. J-L/0
SERIAL NUMBER(S)
.,1.. I ""2.. · / 0 \ -\ Ci
ASSESSOR'S PARCEL NUMBER
REAL PROPERTY LEGAL DESCRIPTION
I
r
STATE
STATE
STATE
ZIP
ZIP
ZIP
I I J
DATE OF MANUFACTURE
v 2 ✓ 3 1I
LENGTH X WIDTH
,,
I, I '/ ( • L I
ENFORCEMENT AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY I 13 .s-r ~ I</ l•l'I V , Ve
MAILING ADORES! < r' 1 ' ~A J ..., 0 C... G....-y;:_c.
CITY COUrc STATE
ENCY OFFICIAL DATE
DEALER NAME (If not a dealer sale, write •NONE")
DEALER LICENSE NO.
MODEL NAME/NUMBER
INSIGNINLABEL NUMBER(S)
HCD REGISTRATION DECAL NUMBER MCONUMBER
HCD FORM 433(A) Rev 3/2006
WHITE-County Recorder CANARY-HCD PINK-Applicant GOLDENROD-Building Dept.
.)
ZIP
MANUFACTURED HOME {MOBILEHOME} OR COMMERCIAL MODULAR
INSTALLATION ON A FOUNDATION SYSTEM
HCD FORM 433(A) Rev 3/2006
The original and three (3) copies of this form are to be completed with all available information at the time a building permit is issued for the
installation of a manufactured home (mobilehome) or a commercial modular on a foundation system pursuant to Section 18551 (a) of the
Health and Safety Code. In addition, the enforcement agency may obtain a title search printout from the Department of Housing and
Community Development's (HCD) Registration and Titling Program. The information on the title search should be compared to the
information shown on the surrendered HCD Certificate of Title or OMV pink slip(s) and registration card(s). This will ensure that the most
recent ownership and registration documents have been submitted to the enforcement agency and that the registered owner owns the
manufactured home, mobilehome, or commercial modular free of any liens or encumbrances. Where the title search indicates a recorded
legal owner or junior lienholder, or both, evidence should be provided to the enforcement agency that the legal owner or junior lienholder, or
botgh, have been paid in full or that the legal owner or junior lienholder consent to the attachment of the unit upon the satisfaction of their
liens by the registered owner. For information on establishing a requestor account for obtaining title search printouts on-line, please call (916)
323-9229 or via the internet: http://www.hcd.ca.gov/codes/rt/ .
After the installation has been approved, and on the same day the certificate of occupancy has been issued, the enforcement agency shall
record this form (completed in full) with the county recorder's office.
Upon recordation, the enforcement agency shall transmit a recorded copy of this form, a copy of the certificate of occupancy, fees collected in
the amount of $11 per transportable section, and (if unit currently titled as personal property) all applicable titles, certificates, license plates or
decals to:
Department of Housing and Community Development
Division of Codes and Standards
Manufactured Housing Section
Post Office Box 31
Sacramento, CA 95812-0031
Call (916) 445-3338 for general information or questions.