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Home My WebLink About1684 FISHERMAN DR; ; CB053330; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 og:.27-:toos Mobile Home Building Permit Permit No: CB053330 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1684 FISHERMAN DR CBAD MOHO Sub Type: INSTALL 0 NEW Status: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Tille: Applicant: 2150810100 $0.00 0 0 LASUVERA SALES TRAILER CRAFTSMAN CARLSBAD I L L C 1195 LINDA VISTA DR #G SAN MARCOS CA 92078 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 Lot#: Applied: Construction Type: Entered By: Reference #: Plan Approved: Structure Type: Issued: Bathrooms: 0 Inspect Area: Owner: $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 $0.00 CRAFTSMAN CARLSBAD I L L C 1195 LINDA VISTA DR #G SAN MARCOS CA 92078 Meter Fee SDCWAFee CFO 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 09/22/2005 MOP 09/27/2005 09/27/2005 Total Fees: $120.00 Total Payments To Date: $120.00 Balance Due: FINAL APPROVAL Date: 1-J. {.-Ob 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 $120.00 $0.00 NOTICE: Please take NOTICE that approval al your project inciudes tha "lrrposition" al fees, dedicatm, reservations, or alhar exactions hareafter collectiwy referred to as iees/exactions." You have 00 days from the date this perrrit was issued to protest irrposition al tMSO fees/exactions. If you protest them, you rrust follow tha protest procedures set forth in Govemrrent Code Section 66020(a), ard file tha protest ard any othar required inforrration ..;th tha City Manager for prooessing in accoldanoe ..;th Cartsbad MunicipaJ Code Section 3.32.030. Failure to tirrey follow that procedure ..;11 bar any subsequent legal action to attack, review, set asde, void, or annul thair irJl)<)Stion. You are hareby FURTI,ER NOTIFIED that your nght to protest the specified fees/exactKJrS DOES NOT APPi. Y to water ard sewer oonnection fees and capacity changes, nor planrnng, zoong, grading or alhar sn11ar appication prooessing or setvice fees in oonnection ..;th this project. NOR DOES IT APPLY to any . . . . PERMIT APPLICATION ~ITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 "-/. 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. 6-S.. '55 ~Q EST.VAL. __________ _ Plan Ck. Deposit ---------- Validated By ___ -+-----1~----,- Date ______ ...... .,.._-===-----1--a-~ I\ Lc,z: 1 -ttfU Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Assessor's Parcel # Existing Use Name 3. APPLICANT Address 0 Contractor ~gent for Contractor O Owner Name Address 4. PROPERTY OWNER Proposed Use #of Stories # of Bedrooms City 0 Agent for Owner City Total # of units # of Bathrooms Name Address City State/Zip Telephone # 5. 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 exemption. Any violation 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]). Name Address City State/Zip Telephone# State License # ----------License Class----------City Business License # -------- 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: 0 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. 0 I 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 compensation insurance carrier and policy number are: Insurance Company ____________________ _ Policy No. ____________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) 0 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 secure workers' 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, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE _____________________________ _ 7_. OWNER-BUILDER DECLARATION 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.off 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/contractorslicensenumbe~:------------------------------------------------- 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 / type of work): _____________ ""7 ____ ...,..~-:,,--;-r7-----------"'<"+--------:::::c-c.---.-------------- PROPERTY OWNER SIGNATURE --r-,~·--?~ .... ,...,._'°'"''------------"- COMPLETE THIS SECTION FOR NON- 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? O 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. co_r.STRUCTION LENDING ~GEN CY 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 Offici nder 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 · · 1 ays from the date of such permit or if the building or w rk authorized by such permil is suspended or abandoned .,XAPPLICANT'S SIGNATURE DATE _--z:..~ / d})cr-"°" rany time after the work is commen e of 180 days (Sec. 106.4.4 Uniform Building Code). ~ / YELLOW: Applicant PINK: Finance 7 . &l City of Carlsbad Bldg Inspection Request . . Permit# CB053330 Title: LA SUVERA Description: SALES TRAILER For: 01/25/2006 Type: MOHO Sub Type: INSTALL Job Address: Suite: Location: 1684 FISHERMAN DR Lot 0 APPLICANT CRAFTSMAN CARLSBAD I L L C Owner: CRAFTSMAN CARLSBAD I L L C Remarks: CAN YOU FINAL PERMIT? Total Time: CD Description Act Comment Inspector Assignment: PS --- Phone: Inspector: /~N _..e.::. __ Requested By: CHRISTINE Entered By: CHRISTINE 79 Final Mobile Home A/2------ Comments/Notices/Hold Associated PCRs/CVs Original PC# Date Description 09/28/2005 71 Set Ups Inspection History Act lnsp Comments PA PS OK TO USE --rl..e--,.,e £)~~cs if c,~.---Ns,.huc:1'-~ »a /-A-OR--J vA -