HomeMy WebLinkAbout2281 BRYANT DR; ; CB071142; Permit04-23-2007
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Mobile Home Building Permit Permit No CB071142
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Occupancy Group
# Dwelling Units
Bedrooms
Project Title
2281 BRYANT DR CBAD
MOHO Sub Type
2121016000 Lot#
$0 00 Construction Type
Reference #
0 Structure Type
0 Bathrooms
CASGNIREL RETROFIT TO SPA40-6F
FOUNDATION
ADDALT
0
NEW
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
04/23/2007
JMA
04/23/2007
04/23/2007
Applicant
ON THE LEVEL GENERAL CONTRACTO
2982 ORA AVO TERRACE
VISTA, CA 92084
619-727-7842 f
Owner
CASHMORE JUDITH A
PO BOX 231114
ENCINITAS CA 92023
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'l Pot Water Con Fee
Reel Water Con Fee
Meter Size
Add'l Reel Water Con Fee
$20 00 Meter Fee
$63 00 SDCWA Fee
$000 CFD Payoff Fee
$000 PFF (3105540)
$0 00 PFF (4305540)
$0 00 License Tax (3104193)
$0 00 License Tax (4304193)
$0 00 Traffic Impact Fee (3105541)
$0 00 Traffic Impact Fee (4305541)
, -$0 00 Plumbing Fee
$000 Electrical Fee,^
'$000 Mechanical Fee ' *•
$0 00 Housing Impact Fee
$0 00 Housing InLieu Fee
Housing Credit Fee
$0 00 Master Drainage Fee
$0 00 Sewer Fee
Additional Fees
$0 00 TOTAL PERMIT FEES
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$8300
Total Fees $83 00 Total Payments To Date $83 00 Balance Due $000
Inspector
FINAL APPROVAL
Date 4-Clearance
NOTICE Please take NOTICE thai approval of your project includes the' Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions" 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 prqect NOR DOES IT APPLY to any
fees/exactions of which you have previously been qiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NoO3 O"l I I *f Z-
EST VAL . __„
Plan Ck Deposit
Validated By \J
Date
Business Name (at (r?is address)
HillsLegal Description Lot No ubdivision Name/Number Unit No Phase No Total # of units
Assessors Parcel #Existing Use Proposed Use
Descnplion of Work SQ FT # of Stones # of Bedrooms # of Bathrooms
£3-9-7
Address State/Zip 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 Contractors 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 thgaJivehundred dollars [$500])uv^\ ^qfr2. m Avfr W y^-fec
Name
State License # ^ ^ '
, _ Address
LT/"V)1 ^^ License Class d- 4>City State/Zip
City Business License # 1 2
Telephones/
Designer Name
State License #
Address City State/Zip Telephone #
3-1
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
D 1 have and will maintain 3 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
61 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 MyNWorker s compensation insjura/ite carnerand policy number are — ^ _ „ "3
Insurance Company <S>\Q--~\{L. T H^*"\ PohcvNo r *• [^C-)CJ'7'(0 ['y''^' Expiration Date_
(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 Fatfcwe^to secure workers) comWnsatton coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand
dollars($100,000lin4mition tothe cospSf%SnyJen/Sation, damages areprovided for in Section 3706 of the Labor Code, interest and alter nefV fees j
SIGNATURP^/X^^r? f SlAJjL^JL**^' *• DATE
I hereby affirm that I a/n exempt from the Contractors License Law for the following reason
D I aff-ewiWof the property or my employees with wages as their sole compensation will d 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)
D 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 Contractors
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 D YES D NO
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 / phone number / contractors license number)
4 I plan to provide portions of the work but 1 have hired the following person to coordinate supervise and provide the major work (include name / address / phone number /
/ontractors 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 number/type of work)
PROPERTY OWNER SIGNATURE DATE
WHITE File YELLOW Applicant PINK Finance
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad CA 92008
Page 2 of 2
Is Ihe applicant or future building occupant required to submit a business plan acutely hazardous materials registration for or risk management and prevention program under
Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? D 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? D YES D NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? D YES n 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
I hereby affirm that there is a construction lending agency for the performance of Ihe work for which this permit is issued {Sec 3097(1) Civil Code)
LENDER S NAME LENDER S ADDRESS
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 City 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, JUDGEMENTS, 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 of 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 not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after
the work is commenced for ajjenod of 180 days (Section W6 4 4 Uniform Building Code)
APPLICANT SSIGNATU DATE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 04/25/2007
Permit# CB071142
Title CASGNIREL RETROFIT TO SPA40-6F
Description FOUNDATION
Inspector Assignment
2281 BRYANT DR
Lot
Type MOHO
Job Address
Suite
Location
OWNER CASHMORE JUDITH A
Owner CASHMORE JUDITH A
Remarks gate code is #1357
Total Time
Subtype ADDALT
CD Description
77 Under Floor Bracing
Act _ Comments
Phone 7604151982
Inspector
Requested By JANIS
Entered By CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
POLICYHOLDER COPY SD
COMPENSATION
INSURANCE
PO BOX 420807, SAN FRANCISCO,CA 94142-0807
FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE 01-01-2007 GROUP 000229
POLICY NUMBER 0007693-2007
CERTIFICATE ID 58
CERTIFICATE EXPIRES 01-01-2008
O1-01-2OO7/01-01-2O08
CONTRACTORS STATE LICENSE BOARD
WORKERS COMPENSATION UNIT
PO BOX 26000
SACRAMENTO CA 9S826-0026
SD LIC PERMITS 521400
INCEPTION DATE O1-01-2007
DO-SD
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the
California 'nsursrce Commissions1" 'o the employer named DSICW for the poiicy period indicated
This policy is not subject to cancellation by the Fund except upon -\Q days advance written notice to the employer
We will also give you -JQ days advance notice should this policy be cancelled prior to its normal expiration
This certificate of insurance is not an insurance policy and does not amend extend or alter the coverage afforded
by the policy listed herein Notwithstanding any requirement term or condition of any contract or other document
with respect to which this certificate of insurance may be issued or to which it may pertain the insurance
afforded by the policy described herein is subject to all the terms, exclusions, and conditions of such policy
AAxvv-vcta-. (/K(sbe^t—y
\AUTHORIZED REPRESENTATIVE^ PRESIDENT
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000.000 PER OCCURRENCE
EMPLOYER
ON THE LEVEL GENERAL CONTRACTORS INC
2982 ORA AVO TER
VISTA CA 92084
SD
M0409
PERMIT NO.
NAME'S!
SITE PLAN
PHONE ( )*//S
SITUS ADDRESS 1feri>/e> , Uo-t-
ASSESSOR'S PARCEL NO 2/7-- QQ
- 6"
APPROVED
BY
APR 2 3 2007
CityofCARLSBA
BU/LOING DEPT
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