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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 > n: o o I O4o t 5 fa D [ ~j~| 1^]M-_ "Jr o o [ n D ^ D,n n b a D- H 3*—l XI 33 O5 Erii 1 33 ^m£ 3>^5 3 >^§j mn" Q n n ]n n D Q t tr L L (. r T " <»2 r(/ C "•*C >"[/rr>0 >arr* C2 ynpp =tto« •- n i o U) m i/i II tl z . O O) til O- * >• o s:M t- l/l Oc oc