HomeMy WebLinkAbout2310 BRYANT DR; ; CB063138; Permit10-31-2006
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Mobile Home Building Permit Permit No
Building Inspection Request Line (760) 602-2725
CB063138
Job Address
Permit Type
Parcel No
Valuation
Occupancy Group
# Dwelling Units
Bedrooms
Project Title
2310 BRYANT DRCBAD
MOHO Sub Type
2121021500 Lot#
$0 00 Construction Type
Reference #
0 Structure Type
0 Bathrooms
PERM FOUNDATION (40-6F) TO
EXISTING MOHO
ADDALT
0
NEW
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
10/31/2006
JMA
10/31/2006
10/31/2006
Applicant
ON THE LEVEL GENERAL CONTRACTO
2982 ORA AVO TERRACE
VISTA, CA 92084
619-727-7842
Owner
HALLERJUNEL
2310 BRYANT DR
CARLSBAD CA 92008
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! 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
$0 00 Electrical Fee ' .
$0 00 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 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
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO Q(bC)(o 3
EST VAL
PlanCk Deposit
Validated By ^
Date lot 5l I O
Address (include Bldg/Suit£#}
Legal Descnption
Assessors Parcel # , -+- —
K£-fe-h f- r-imr
Description of Work
l^ ITac-f Business Name (at this address)
Lot No Subdivision Name/Number Unit No
1 , Existing Use _
SQ FT
/
# of Stones
Phase No
Proposed Use
# of Bedrooms
Total # of units
# of Bathrooms
Name Address City State/Zip Telephone #
' D Agent lor Cgsiractor „ ff Owner" A "J^ -^ftjj Agent ft^pwoer
Fax#
„ «/WO
Name
,1".*.' PROPERTY OWNER
Address City State/Zip Telephone #
D
Name Address City 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 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 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 notrnore than five hundred dollarsAvo -
Name
State License # \} t^l T" '
A'/K
Designer Name
State License #
Address ,-. ,
-•'tx License Class LJ-^ *T
Address
City
?~
City
State/Zip
City Business License # f ^
State/Zip
Telephone #
L/o^ysT
Telephone #
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
D 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 permit is issued
D 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 My
worker s compensation insurance carnejiand policy number are „
Insurance Company ^S*T^~T^- r L-'tVX "\ PohcyNo /" ^"/ -"O U'f (t> Jj' OfcJExpiration Date_
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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 Lawb 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 OOO^T^addition to the cost of compensation, damages are provided for in Section 3706 of the Labor Code interest and attorney's^feeg
SIGNATURE ^ _____ DATE
|^^^^^^^^|ic^atioN . . -". ••:„"; 11 _Y :_ A_ . ,„ .„ 1 ll'l"* t / ;X;,? ti™_^,
I hereby affirm that I am exempt from the Contractors License Law for the following reason
D I as owner of 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 contractors) licensed pursuant to the Contractors
License Law)
D 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 plat to provide portions of the work but I 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 the 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 O 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 D 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 ts a construction lending agency for the performance of the 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 theJrfjildmg 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^fSO days from the dale^Tsuch permit or if the building or work authorized by such permit is suspended or abandoned at any time after
the work is commenced for a period of/TO days (Section^WJtf-l^ Umforn>Building Code)
APPLICANT S SIGNATURE,DATE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 11/01/2006
PermiW CB063138
Title PERM. FOUNDATION (40-6F) TO
Description EXISTING MOHO
Inspector Assignment
Sub Type ADDALT
2310 BRYANT DR
Lot
Type MOHO
Job Address
Suite Lot 0
Location
APPLICANT ON THE LEVEL GENERAL CONTRACTO
Owner HALLERJUNEL
Remarks MOB HOME
Phone 7604151923
Inspector
Total Time
CD Description
11 Ftg/Foundation/Piers
Act Comment
Requested By SCOTT
Entered By JANEAN
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
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PERMIT NO.
SITE PLAN
NAME r\OM.<^JPHONE (1>) /S- l!
SITUS ADDRESS
ASSESSOR'S PARCEL NO
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OCT31200B
City of CARLSBAD
BUILDING DEPT
POLICYHOLDER COPY SD
COMPENSATION
INSURANCE
PO BOX 420807, SAN FRANC1SCO,CA 94142-0807
FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE 01-01-2006 GROUP OOO229
POLICY NUMBER OOO7693-2OOB
CERTIFICATE ID 38
CERTIFICATE EXPIRES 01-01-2007
O1-01-20OS/O1-O1-2OO7
CONTRACTORS STATE LICENSE BOARD
WORKERS COMPENSATION UNIT
P 0 BOX 2600O
SACRAMENTO CA 95826
SD LICENSE NUMBER LICENSE #521400
INCEPTION DATE O1-O1-200G
DO SD
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 below for the policy 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 10 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 coolcact or other documentwith 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
AUTHORIZED REPRESENTATIVE
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS
PRESIDENT
$1,000,000 PER OCCURRENCE
EMPLOYER
ON THE LEVEL
2982 ORA AVO TER
VISTA CA 92084
SD
M0409
(REV 2-05)
PRINTED 12-17-2O05