HomeMy WebLinkAbout2286 BRYANT DR; ; CB120487; Permit03-19-2012
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Mobile Home Building Permit Permit No: CBl 20487
Building Inspection Request Line (760) 602-2725
Job Adciress:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2286 BRYANT DR CBAD
MOHO Sub Type:
2121014000 Lot#:
$0.00 Construction Type:
Reference #:
0 Structure Type:
0 Bathrooms:
HOLLAND RES- CONVERT FOUNDATIO
TO A PERMANENT FOUNDATION SYSTEM- STATE SPA #
ADDALT
0
NEW
0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/19/2012
RMA
03/19/2012
03/19/2012
PC #:
Applicant:
HOLLAND RAYMOND T&CAROL L
2286 BRYANT DR
CARLSBAD CA 92008
Owner:
HOLLAND RAYMOND T&CAROL L
2286 BRYANT DR
CARLSBAD CA 92008
Mobile Home Issuance Fee $20.00 Meter Fee $0.00
Earthquake Bracing Fee $63.00 SDCWA Fee $0.00
Coach Setup Fee $0.00 CFD Payoff Fee $0.00
Cabana/Ranada Fee $0.00 PFF (3105540) $0.00
Private Garage Fee $0.00 PFF (4305540) $0.00
Awning/Carport Fee $0.00 License Tax (3104193) $0.00
Porch Fee $0.00 License Tax (4304193) $0.00
Fence Over 6ft $0.00 Traffic Impact Fee (3105541) $0.00
Other Building Fee $0.00 Traffic Impact Fee (4305541) $0.00
Building Permit $0.00 Plumbing Fee $0.00
Plan Check $0.00 Electrical Fee $0.00
Park in Lieu Fee $0.00 Mechanical Fee $0.00
Bridge Fee $0.00 Housing Impact Fee $0.00
Pot. Water Con. Fee $0.00 Housing InLieu Fee $0.00
Meter Size Housing Credit Fee $0.00
Add'l Pot. Water Con. Fee $0.00 Master Drainage Fee $0.00
Reel. Water Con. Fee $0.00 Sewer Fee $0.00
Meter Size Additional Fees $0.00
Add'l Reel. Water Con. Fee $0.00 TOTAL PERMIT FEES $83.00
Total Fees: $83.00 Total Payments To Date: $83.00 BalanceDue: $0.00
Inspector: f^-^^^>^^
FINALAPPROVAL
Date: ^Vu/ Qearance:
NOTICE Rease take NOTICE that approval of your project includes the Imposition" of fees, dedcatlons, reservations, or other exactions hereafter collectively
referred to as lees/exactlons." 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 Govemment Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlstad Municipal Code Section 3.32.030. Failure to timely follow that procedure will t)ar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are heretjy FURTHER NOTIRED 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 tees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have rxeviouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenwise expired.
CARLSBAD
ITY OF
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.ca risbadca .gov
JOBADDRESS ^
PROJECT # ^ LOT* I PHASE # |# OF UNITS | # BEDRO CT/PROJECT #•
DESCRIPTION OF WORK: fncfuife Square Fset of Affectoif >lrea(s;
4^
FIRE SPRINKLERS
YES • NOO
CONTACT NAME (If Different Fom Ap0cant) APPLICANT NAME
ADDRESS ADDRESS
CITY STATE STATE ZIP
PHONE FAX PHONE FAX
Er^AIL EMAIL
PROgERnr OWNER NAME ^ ill/
Mf^cf/H^J r. rji/-aL I' /h/jLa.^uL^
ADDRESS/ ZI
CONTRACTOR BUS. NAME
ADDRESS J ADDRESS
CITY ^ — STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EI^AIL
ARCH/DESIGNER NAME & ADDRESS
Er^AIL
CLASS CITY BUS. LIC.#
(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 applicantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commenaing with Section 7000 of Division 3 ofthe Business and Professions Code) or tnat 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)).
ORK6RS' COMPENSATiON
Workers' Compensation Declaration: //lereAyaffi/m under penalty of petjuiy one ofthe follamng declarations:
n 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 perm it is issued.
O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued. My workers' compensation insurance earner and policy
number are: insurance Co. Poiicy No. Expiratton Date
This section need not be completed ifthe pennit is fbr one hundred dollars ($100) or less.
n Certificate of Exemption: I certify that in the perfonnance of the work for whtoh this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' (Compensation Laws of
California. WARNINQ: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employerto 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 attomey's fees.
CONTRACTOR SIGNATURE •AGENT DATE
OWNeR-BUltDEB DECLARATION
/ teeby affimi that I am exempt from Contractor's Ucense Law for the follomng 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 Professtons 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 dkl not buikl or improve for the purpose of sale).
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).
O I am exempt under Sectton Business and Professtons Code forthis reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement Cl Yes (3 No
2.1 (have / have not) signed an application for a building pemiit for the proposed work.
3.1 have contracted with the following person (fimi) to provide the proposed construction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the work, but I have hired the fbllowing person to coonlinate, supenrise and provkle the major work (include name / address / phone / contractors' license number):
5.1 will provide some of the woric, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
>g?'pR0PERTY OWNER SIGNATURE y^ •AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIOENTIAL BUILDING PERMITS ONLY
Is the appj^nt or future building occupant required to submit a business plan, acutely hazardous materials registration fomi or risk management and prevention program under Secttons 25505,25533 or 25534 of the
Presley-lfnner Hazardous Substance Account Act? • Yes • No
Is the applicant or future building occupant required to obtain a pemiit from the air poiiuton control district or air quality management district? • Yes • No
Is the facility to be constnjcted within 1,000 feet of the outer boundary of a school site? OYes ONo
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.
CONSTRUCTION LENDING AGENC
I hereby afflnm that there is a construction lending agency for the performance of the work this permit is Issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
A PPLICANT CERTIFICATION
I certify that I have read tlie applkatkin and state thatthe above infoimatkin is conect and that the Infomiatkin on the plans is accuiate. I agree to coinply with all CHy onllnances and State laws relating to building constniction.
I hereby authorize represenlative of the City of Carisbad to enter upon Ihe above mentbned property for inspedion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST Aa UABILfriES, JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT.
OSHA: An OSHA pennit is required for excavations over SO deep and demolition or constniction of stnjctures over 3 stories in height.
EXPIRATION: Every pennit issued by the Building Oflicial under lhe provisions of this Code shall expire by Smitation and become null and vod if the building or woi1< aulhorized by such pemiit is not commenced v«thin
180 days from the date of such pennit or if lhe building or woric authorized by such pennit Is suspended or abandoned at any time after the wortc is commenced for a period of 180 days (Sectbn 106.4.4 Unifonn Building Code).
VSTAPPLICANT'S SIGNATURE DATE
Inspection List
Permlt#: CB120487 Type: MOHO ADDALT
Date Inspection Jtem
04/10/2012 79 Final Mobile Home
04/09/2012 71 Setups
04/09/2012 71 Setups
Inspector Act
MC Fl
Rl
MC CO
HOLLAND RES- CONVERT FOUNDATIO
TO A PERMANENT FOUNDATION SYSTE
Comments
FINAL
AM PLEASE GATE CODE #8624
NO TITLE SEARCH FROM HCD
Wednesday, April 11, 2012 Page 1 of 1
^ CITY OF
CARLSBAD
Unscheduled
Building Inspection
Building Department
1635 Faraday Avenue
Carlsbad CA 92008
760-602-2700
DATE: |o -^i-Z-INSPECTOR:
PERMIT #: 1-10 46^7 CONTACT:
PHONE #:
JOBADDRESS:
DESCRIPTION:
CODE DESCRIPTION ACT
-Ei-
COMMENTS
BIdg Inspection Form Page 1 of 1 Rev. 06/09
STATE OF CAUFORNIA
BUSINESS, TRANSPORTATION AND HOUSING AGENCY
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
MANUFACTURED HOUSING PROGRAM
RECORDING REQUESTED pY: .
ADDRESS ^ X ^ » .
CITY. STATE. ZIP CODE
C4iri^S/^0\/^/^ ^^^^^
THE ORIGINAL OF THIS DOCUMENT
WAS RECORDED ON APR 25, 2012
DOCUMENTNUMBER 2012-0241885
Ernest J. Dronenburg, Jr., COUNTY RECORDER
SAN DIEGO COUNTY RECORDER'S OFFICE
TIME; 12:48 PM
ONLY THE EWFOttCEMEWT AGENCY MAY RECORD THIS DOCUMENT
NOTICE OF MANUFACTURED HOME, MOBILEHOME OR COMMERCIAL MODULAR -
INSTALLATION ON A FOUNDATION SYSTEM
RecoFctIng of this documem by the enforcemeirt agency Indicates compilance with California Health and Safety Code Section 18551(a). This document Is
evidence that the enforcement agency has inspected the Installation and issued a Certificate of Occupancy, form HCD 513C, for the unit descrit)ed herein, upon
the real property descritied wtth certainty below, as of the date of recording. When recorded, tNs document shall be Indexed 1:^ the county recorder to the
named owner ofthe real property and shall be deemed to give constructhw notice as to Its contents to al persons thereafter dealing with the real property.
ALL INFORMATION BELOW MUST BE ENTERED BY THE ENFORCEMENT AOENCY
PROPERTY INFORMATON .
REAL PROKRiY'OWNER NAME(S| .
MMUNG ADDRESS ^ ~l ~ ,
OTT - ' COUNTY IT STATE ZIP COOE
MAIUNG ADDRESS ^
cnv COUNTS f STATE ZIPCODE
6/?>/^Oiif^7 q^a L/02-^yon
BUUJIING PERMT NO. TELEPHONE NDMBER
n/ EVIDENCE0FUWtUENH0U>ER(qRELEASE,ORC0NSENTT0INSTALLATI0N
PROVDEDTATTACHEO- SEE REVERSE
SIGNATURE OF ENFORCEMI
INSTAUATION ADDRESS (rdilfnnll
STATE ZIP COOE
ENFORCEMENT AGENCY OFFICIAL DATE
OWNER iNFORHATON
UNIT OWNER (»aho piipeiyoMia, win "SAMD
PgAlERIHFORMATIW
DEALER NAME (T nol a de^ ale, Kite-NONEI
MALMS AOORESS DEALER UCENSE NUMBER
STATE DEALER BUSMESS ADDRESS
arv COUNTY
MANUFACTURED HOMEMOBIUHQME/COMMERCIAL MODUUiR UNIT DESCRIPTION
MANUFACTURER'S NAME
SERIAL NUMBEft(S3
q//^ 1^1^ //^ic^<.-
MANUFACTURE DATE
C'/fL '^/O.^l 'f^,
lENGTHXWOTH
PARCEL NUMBER
CA INSIGNIA(SVHUO LABEL NUMBER(S)
HCD REGISTRATION DECAL NUMBRt
REAL PROPERTY LEGAL DESCRiPnON ., , f /
MCO NUMBER {New MH only)
DISTRI8UTraN-OrigliialtDCoufiCyR«otx*rOn«CopytoHajOntCowtoAppl^ OK^^^-'^ ^ /^^y
HCD 433A (Rev. 10/2011) GENERAL GUIDE AND INSTRUCTIONS ON REVERSE
gTATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY EDMUND G. BROWN JR. Governor
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
Division of Codes and Standards
Title Search
Date Printed: 04/09/2012
ASING
Decal #:
Manufacturer:
Tradename:
Model:
LAF7994
09248 GOLDENWEST
CALYPSO
CA568C0
Manufactured Date: 08/01/1985
Registration Exp:
First Sold On: 09/04/1985
Use Code: SFD
Original Price Code: AKT
Rating Year:
Tax Type: LPT
Last ILT Amount:
Date ILT Fee Paid:
ILT Exemption: NONE
Serial Number
GW1CALCA0302A
GW1CALCA0302B
GW1CALCA0302C
HUD Label / Insigni; Length
CAL310294 56'
CAL310295 56"
CAL310296 34'
Record Conditions: Permanent Foundation - 18551
Width
12'
12'
10'
Last Reported Owner:
MAURICE DENEVERS
NELLIE M DENEVERS (Joint Tenants with Right of Survivorship)
2286 BRYANT
CARLSBAD, CA 92008-7104
Last Tifle Date: CANCELLED
Last Reg Card: CANCELLED
Sale/Transfer Info: Price $69,900.00 Transferred on 11/13/1989
Situs Address:
2286 BRYANT
CARLSBAD, CA 92008-7104
Situs County: SAN DIEGO
*** END OF TITLE SEARCH ***
MMnr •• F>e>l
JTATE OF CAUFORNIA
1797
Julv 24th. 1991
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