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HomeMy WebLinkAbout2298 BRYANT DR; ; CB102315; Permit12-03-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mobile Home Building Permit Permit No: CB102315 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2298 BRYANT DR CBAD MOHO Sub Type: 2121014400 Lot#: $0.00 Construction Type: Reference #: 0 Structure Type: 0 Bathrooms: C ADELMAN RES- INSTALL PERMANENT FOUNDATION ON EXISTING MOBILE HOME ADDALT Status: ISSUED 0 Applied: 12/03/2010 NEW Entered By: LSM Plan Approved: 12/03/2010 Issued: 12/03/2010 0 Inspect Area: PC #: Applicant: EPS SURE SAFE 1291 PACIFIC OAKS PL #101 ESCONDIDO 92029 800-322-1999 Owner: ADELMAN PHYLLIS J 473 CAREFREE WAY FRIDAY HARBOR WA 98250 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 $0.00 CFD Payoff Fee $0.00 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 $0.00 Electrical Fee $0.00 Ivleqhanical 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 $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 $83.00 Total Fees:$83.00 Total Payments To Date:$83.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions," You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030, Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. ,/fis.• Building Permit Appli y&f-yr' 1635 Faraday Ave., Carlsbad, CA ^? C 1 T Y OF 760-602-2717 / 2718 / 27 f*AR! ^RAD Fax:760-602-8558V-./'\l\L*JD/AL/ www.carlsbadca.gov JOB ADDRESS CT/PROJECT* LOT* PHASE* # OF UNITS * BEDROOMS t. Plan Checcation 92008 Est. Value 19 Plan Ck. D Date j2_i SUITE#/SPACE#/UNIT# APN /IC» # BATHROOMS TENANT BUSINESS NAME Z- DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) . kNo. c£> toa-3^ eposlt s|rO swpp 12L - |O 1 - <-H - CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME W Different Font Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAM^^^, p^^j ^U^lJ ADDRESS I / CITY STATE ZIP C$@3£tbft§ oj& *?L0o^ ">6»# • 3 g$ -3?^ EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC.# F^f^PT fc> , ftvfttT \U-* PATIOS (SF) DECKS (SF) FIREPLACE YES O # APPLICANT NAME AIR CONDITIONING FIRE SPRINKLERS NOyf YES Q NOQf^ Y€S D NO Of r ' ' ADDRESS CITY STATE ZIP PHONE EMAIL CONTRACTOR BUS. NAME^ .,€^rS T FAX vfl<6 SAJ^ CaMfTtWCTw^ ADDRESS » -aM*tf^ 1 CITY STATE ZIP tSSco^OnQG C<Q ^'2o^\ • PHONE IQClQ EMAIL STATE LIC.# _ FAX CMSS ]•_ 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 theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: O 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. J2T I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of Jhajvorkjor .whichJhjs permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ^^T^\Xi f~(J™fj . Policy No. ' » v»0 f Expiration Date /O" '"II This section need not be completed if the permit is for one hundred dollars ($100) or less. O 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 =.HHi(ion to the cost of compensation, damages.as-pfovWed for in Section 3706 of the Labor code, interest and attorney's fees. -X* • I -**-"» ^CONTRACTOR SIGNATURE OAGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: O 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). n 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 contractors) licensed pursuant to the Contractor's License Law). O I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes O No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (film) 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 following person to coordinate, supervise and provide the maj or work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address /phone/type of work): PROPERTY OWNER SIGNATURE DJAGENT DATE 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? DYes QNo 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? DYes O No EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm 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 I certify that I have read the application and I hereby authorize representative of the City AGAINST ALL LIABILITIES, JUDGMENTS OSHA: An OSHA permit is required for exc EXPIRATION: 180 days from the date of such permit dHf APPLICANT'S SIGNATURE 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 Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD 3 AND EXPENSES s over 5'0" deep and Every permit issued by the! Sliding Official under the pn e building or work authoriz HICH MAY IN ANYWAY ACCRUE AGAINST SAID OTY IN CONSEQUENCE OF THE GRANTINGOF THIS PERMIT, nolon or construction of structures over 3 stories h height. ; 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 / such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). DATE City of CAP BUllJiNG CITY OF UNSCHEDULED BUILDING B-44 Development Services Building Division 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 DATE:INSPECTOR: PERMITS: JOB ADDRESS: DESCRIPTION: CONTACT: .PHONE #: — CODE DESCRIPTION ACT COMMENTS Bldg Inspection Form Page 1 of 1 Rev. 06/09 Check a License - Contractors State License Board Page 1 of 1 of Consumer **v', >^ Contractors License Board Contractor's License Detail - License # 866743 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. •* CSLB complaint disclosure is restricted by law (B&P7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. -s> per B&P. 7071,17 , only construction related civil judgments reported to the CSLB are disclosed. ••» Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. ; ••» Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number Business Information 866743 Extract Date: 12/3/2010 J-S9&L. Issue Date Expire Date License Status Additional^tatus^ Classifications: EPS SURE SAFE CONSTRUCTION 1291 PACIFIC OAKS PLACE_#101 ESCONDIDO, CA 92029 _Business Phone Numbej^7^pJ[741M540_ _Corporatipn 10/29/2005_J~_II To/31/2011~ This license is current and active. All information below should be reviewed. CLASS DESCRIPTION B__ _ .SENEBAL BUILDING CONTBACIQE_____ __ ________ C47 MMUEACTU.RED HOUSiNQ. ___ CONTRACTOR'S BOND This license filed Contractor's Bond number W150047049 in the amount of $12,500 with the bonding company QLnEEPU£LlC^SURIIYCQMPANY, Effective Date: 02/01/2010 Bonding:BOND OF QUALIFYING INDIVIDUAL 1. The Responsible Managing Officer (RMO) ANGELO ARTHUR certified that he/she owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 10/29/2005 BQ.rs_Bondjng_Jtil§io.ry. Workers' Compensation: This license has workers compensation insurance with the .SJATE£flMPENSAIJQNJNSUm.NCE.FUND Policy Number:1907607 Effective Date: 10/28/2008 Expire Date: 10/01/2011 Workers' Compensation History Personnel listed on this license (current or disassociated) are listed on other licenses. Conditions of Use | Privacy Policy Copyright© 2010 State of California https://www2.cslb.ca.gov/OnlmeServices/CheckLicenseII/LicenseDetail.aspx?LicNum=::8... 12/03/2010 Inspection List Permit*: CB102315 Type: MOHO ADDALT ADELMAN RES-INSTALL PERMANENT FOUNDATION ON EXISTING MOBILE HOM Date Inspection ltern_ Inspector Act Comments 12/09/201077 Under Floor Bracing MC AP PER SPA 541F 12/09/201079 Final Mobile Home MC Fl Friday, January 14, 2011 Page 1 of 1 SeSSto fo^ pff° NP>£" f-f r0^ :3iC)cnjrcoscos •S^i-^s^ii^ffl^i^l^SRillSl °!|3J|o||i I™ ^q §.|«j§ Ig ilpiiiiii .*•" ii ml si 935* WIDTH (W) 24MI' 0 . WIDTH (W)16'-0" , I I I -— /jTV— s°= © ^ Mg£ POess 5a nl on m rnpwg 1!II Bv i SSPl , *- co*i mi2^ 2SmC ill •n-^S S-i-f— lU-HrnrfZcSi! I iiii ' M-^ ^.^rtnD^^232 omzmo'isi£rn -nDCJ^-id — cD 5- 19s s§prolii ^ S^e S^5a. t S5S. siS? 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