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Home My WebLink About2287 BRYANT DR; ; CB013733; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 12-04-2001 Mobile Home Building Permit Permit No: CBO13733 Job Address: Permit Type: MOHO Sub Type: ADDALT Status: ISSUED Parcel No: 21 21 01 5700 Lot #: 0 Applied: 12/04/2001 Valuation: $0.00 Construction Type: NEW Entered By: RMA Occupancy Group: Reference #: Plan Approved: 12/04/2001 # Dwelling Units: 0 Structure Type: Issued: 12/04/2001 Bedrooms: 0 Bathrooms: 0 Inspect Area: 2287 BRYANT DR CBAD Project Title: MARTIN RES-EARTHQUAKE BRACING Applicant: Owner: n95 12/04/01 0002 #l 02 ON THE LEVEL GENERAL CONTRACT0 MARTIN FAMILY TRUST 12-27-91 CGP 83-00 2982 ORA AVO TERRACE VISTA, CA 92084 61 9-727-7842 2287 BRYANT DR CARLSBAD CA 92008 Total Fees: $83.00 Total Payments To Date: $0.00 Balance Due: $83.00 .- Mobile Home Issuance Fee $20.00 Add'l Recl. Water Con. Fee $0.00 Earthquake Bracing Fee Coach Setup Fee CabandRanada 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 Recl. Water Con. Fee Meter Size $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 Meter Fee SDCWA Fee CFD Payoff Fee PFF PFF (CFD Fund) License Tax License Tax (CFD Fund) Traffic Impact Fee Traffic Impact (CFD Fund) Plumbing Fee Electrical Fee Mechanical Fee Housing Impact Fee Housing InLieu Fee Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES $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 FINAL APPROVAL I Inspector: & Date: ~-2t-0~ Clearance: NOTICE: Please take NOTICE that approval &our project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as Yeedexactions." 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 feedexactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing of service fees in connection with this project NOR DOES IT APPLY to any feedexactions of which you have Dreviously been aiven a NOTICE similar to this, or as to which the statute of limitations has Dreviouslv otherwise emired. PERMIT CITY OF APPLICATION CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. I / 3 733 EST. VAL. Plan Ck. Deposit Validated By Date bS't5 Name Address city Statelzip Telephone # Fax # (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 basts for the alleged of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). city Statelzip Telephone # c- ++- City Business License # Name Address State License I 54 ~400 License Class Designer Name Address City StatelZip Telephone State License # 'e Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is the work for which this permit is issued. rrier and policy number are: Policy No. - 0 I oQ0%'B Expiration Date I- I - u'z, (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 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 add- t-e cost of compensation, damages as provided for in Section 3706 of the Laborlcode, interest and attorney's fees. DATE 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 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): Business and Professions Code for this reason: UNO 4. number I contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE 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 / phone 1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type Is the applicant program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 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. form or risk management and YES 0 NO STR ING AGEN 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 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, 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 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 APPLICANT'S SIGNATURE DATE /2/3 10 City of Carlsbad Bldg Inspection Request For: 1 2/05/200 1 Permit# CB013733 Inspector Assignment: Title: MARTIN RES-EARTHQUAKE BRACING Description: Type: MOHO Sub Type: ADDALT Job Address: 2287 BRYANT DR Suite: Lot 0 Location: APPLICANT ON THE LEVEL GENERAL CONTRACT0 Owner: Remarks: PLANS @ CRAWL SPACE @ FRNT PORCH Total Time: Phone: 7607277842 Inspector: A Requested By: JANICE Entered By: CHRISTINE CD Description Act Comments 77 Under Floor Bracing E f-zgd =yff"..* Associated PCRs InsDection History Date Description Act lnsp Comments P.0. BOX CERTIFICATE 807, SAN FRANCtSC0,CA 94 10 1-0807 Of WORKERS' COMPENSATION INSURANCE POLICY WER 229-01 UNIT 0007193 ISSUE DATE: 0?-61-0$ CERTIFICAI'E EWW& 0 6 CONTRACTORS STATE LICENSE BOAR0 JOB: 1321400 %OX 25000 0.0.: SAN DIEGO SACRAMENTO CA 95826 ATTN: WORKERS' COMP. UNIT INCEPTION OAT€: 01-01-0 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named beiow for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days' advance wrrtten notice to the employer. We wit1 also give you 30 days' advance notice should this policy be cancelled prior to This certificate of insurance is not an rnsursnce policy and does not amend. extend or dtar the cowrage afforded by the policies listed herein. Notwithstanding any requirement, term. or condiUon 01 my contract or other document with respect to which this certificate of insurance may be issued or may pertain policies described. herein 1s subject to all the terms. exclusions and conditions mrmaf expiratiw EMPLOYER'S LXASILITY LIMIT tNCUJbI DEFENSE m$'f'S: $t,M)o,m. STANDARD EXCLUSION: INOZVIWAL EMPLOYtRS AND #Is&4ND AlJo FOR iatrNEFITS AS EMPLOYEES LIAWrlER THIS PPfLfCY. FORMS A PART OF THIS POLICY. -E)(CKIRSEM€NT 1208s EWXfLLID CSRTIFICATE HOLEERS' WOTICE EFPECTX - LEGiM WUlE EMPLOYER CONTRACTOR -&N. JB" L AM AELWDSEN, JAMS PRINTED: 12- 16-00 PO409 ON THE rivEr GENERAL CONTRACTOBWIVIANUCACTURED HOUSING B & (2-47 #521400 c COMMENTS: J I 2982 ORA AVO TERRACE, VISTA, CA 92084 (760)727-7842 (800)909-1110 FAX (760)727-6879 C430r 3731