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HomeMy WebLinkAbout2298 BRYANT DR; ; CB090526; Permit03-31-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mobile Home Building Permit Permit No: CB090526 Building Inspection Request Line (760) 602-2725 Job Address. Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Applicant: MASY STONE 2298 BRYANT DR CBAD MOHO Sub Type: INSTALL 2121014400 Lot#: 0 $0.00 Construction Type: NEW Reference #: 0 Structure Type: 2 Bathrooms: 2 STONE RES-REPLACE MOHO W/NEW MANUFACTURED HOME (CRICKET TO EXISTING GARAGE) Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/31/2009 RMA 03/31/2009 03/31/2009 PC#: 2298 BRYANT DR 92008 760 802-4291 •7" ATj'fy: 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 $0.00 SDCWA Fee $100.00 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 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 $0.00 $000 $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 $120.00 Total Fees:$120.00 Total Payments To Date:$120.00 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. City of Carlsbad 1635 Fjaraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/2719 Fax: 760-602-8558 Building Permit Application Plan Check No. Est. Value Plan Ck. Deposit JOB ADDRESS CT/PROJECT ## OF UNITS # BEDROOMS SUITE#/SPAC£#/UNIT# # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area's)7) /fcjtA-y -^JCfS-fuuo ^ttfe^c^^ <^&-^a.Ct2 — , & ~"~LLli•• UMMMW^ AIR/CONDITIONING IFIRE SPRINKLERSEXISTING USE PROPOSED USE PATIOS (SF)DECKS (SF)FIREPLACE YES | |# CONTACT NAME (If Different Font Applicant)APPLICANT NAME ADDRESS ADDRESS 57 • 6 • CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ARCH/DESIGNER NAME & ADDRESS CITY BUS. LIC.# II II (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 requiresapplicant 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 DivisionBusiness 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 appliiVil penalty of not more than five hundred dollars {$5000. res the ion 3 of thee applicant to a Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I 11 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. I 11 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 workers' compensation insurance carrier and policy number are: Insurance Co Policy No. Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. "firjCertificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Ofomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100.000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. JS$ CONTRACTOR SIGNATURE DATE / hererjy affirm that I am exempt from Conlracfor's License Law for the following reason: | | |, as owner of the property or my employees with wages as their sote 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). 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 tc an owner of property who builds or Improves thereon, and contracts for such projecte with contractors) licensed pursuant to the Contractor's License Law). D 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. I [Yes I INO 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) 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 major 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 fne work indicated /include name I address /phone I type of work): >£$"PROPERTY OWNER SIGNATURE DATE Is the applicant or fc'jure 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? | |Yes IXJNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? I lYes P^ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I lYes CY MAY NOT I EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. •• .*•?«! «:*t-c.Y 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 tJ \ A— Lender's Address jj \A Msfclf: ti €"A; NT: C E R TJ/FTC AT I Q H I hereby authorize representative 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 OSHA: An OSHA permit is required for excavations over 50 deep and demolition or construction of structures over 3 stories in height EXPI RATION: 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 davs from the o^ of such rjemiit or if tte building or work autrraized by such perrrt ^APPLICANT'S SIGNATURE l/t*/^ A "^DATE 5> City of Carlsbad Bldg Inspection Request For: 04/07/2010 Permit* CB090526 Title: ADELMAN RES-REPLACE MOHO W/NEW Description: MANUFACTURED HOME (CRICKET TO EXISTING Inspector Assignment: MC 2298 BRYANT DR Lot: GARAGE) Type: MOHO Job Address. Suite: Location: APPLICANT MASY STONE Owner: ADELMAN PHYLLIS J Remarks: A M PLEASE Sub Type: INSTALL Phone: 7605353550 Inspector: Total Time:Requested By: TIM STEEVES Entered By: CHRISTINE CD Description 79 Final Mobile Home Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date 03/10/2010 02/11/2010 02/05/2010 02/04/2010 01/26/2010 01/26/2010 01/14/2010 01/13/2010 01/07/2010 01/07/2010 12/23/2009 12/23/2009 12/18/2009 12/17/2009 11/13/2009 11/13/2009 11/04/2009 11/04/2009 Description 23 22 71 22 66 66 61 61 11 92 11 92 71 71 11 12 55 71 Gas/Test/Repairs Sewer/Water Service Set Ups Sewer/Water Service Grout Grout Footing Footing Ftg/Foundation/Piers Compliance Investigation Ftg/Foundation/Piers Compliance Investigation Set Ups Set Ups Ftg/Foundation/Piers Steel/Bond Beam Fence/Pre-Plaster Set Ups Act AP AP AP AP CO AP AP CA we PA we PA PA CO PA PA we CO Insp MC MC TP MC MC MC MC MC MC MC MC MC MC MC TP TP MC MC Comments METER RELOCATION, METER TO BLDG. ENTRANCE ONLY BLDG SUPPLY ALTERNATE ATTCHMENT DTL TO FND DTL 2 SHEET 2 WASTE TO P.O.C. ONLY GATE CODE #8624 1ST STOP 2ND STOP PERIMETER FTG AND STEEL FOR CMU FOUNDATION WALL PER CONTRACTOR, RAIN MEET WITH CONTRACTOR UNDER FLOOR PIERS AND MARRIAGE LINE BOLTING ONLY GAS TEST * RINGOUT ONLY SEE NOTICE HOMO FND FTG FOR WEST SIDE 1107 C7, GATE CODE #8624 SEE NOTICE ATTACHED City of Carlsbad Bldg Inspection Request For: 12/17/2009 Permit* CB090526 Title: STONE RES-REPLACE MOHO W/NEW Inspector Assignment: MC Description: MANUFACTURED HOME (CRICKET TO EXISTING GARAGE) Type: MOHO Sub Type: INSTALL Job Address: 2298 BRYANT DR Suite: Lot: 0 Location: APPLICANT MASY STONE Owner: M STONE ENTERPPRISES X X V 11 L L C Remarks: please inpsect this job first Phone: 7608024291 Inspector: Total Time: CD Description 71 Set Ups Act Comments Comments/Notices/Holds Requested By: MIKE Entered By: CHRISTINE Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 11/13/2009 11 Ftg/Foundation/Piers PA TP HOMO FND FTG FOR WEST SIDE 11/13/2009 12 Steel/Bond Beam PA TP 11/04/2009 55 Fence/Pre-Plaster WC MC 1107 C7, GATE CODE #8624 11/04/2009 71 SetUps CO MC SEE NOTICE ATTACHED O HI (-. 3 i u|C^l «il to < § ^ ^•< 2111 1 O ! • ^o , Z ^z r^LU \ OS . II v< o u. z — 05 UJ U 1 $ ft Jv^ ? ioen 0 $ J**H. 2 Z1 5 2fc d 1- O CCt 3 < O LU .^ Ci I A .'AD 1- 4 0 -** \\\ 1 -J *-* — _ 4 _;v^ (? < 'j •c. '-"I Ui — ^ "7 3 •i \ IN\ j •**. — 0u ._ '"I •. L V. 0 ^_ 3 -< t^\ —^ '-4 1. i. 0 N> rxl L S. ^ •ll 3vj o 4jj-^ D A •J ^r .*'- \u i . *%f , 1 ^A\ _ ~"jr*.X<J \ d x\ Ci 1 U lij •-•- J •w— ', \i ciV— • COLU>-UJzoIQ. LU Q ^, LU - LU i^- O 1 pJ0 ,5 CO r S3 ^ 1 8CD __- 8 __ O o JToLL0.V. QCnO CO Q _J Q. \" d - 6i_- 5c Q-O s/1 LL < — "^ CC O LU ^ I O fc ^ 3 .. DC ^_ O ocUJo t HZ111S CODE ENFORCEIoc g OUJQ_ 05 Z 0 m LL CONSTRUCTION TESTING & ENGINEERING. INC. mi MONIIEL ROAD, SUITE its I Esconoioo. c* 11021 i ito.ro ws i FAX uo.ru.itot January 4, 2010 CTE Job No. 10-10224G Woodland Homes USA Attention: Mr. Stuart Rodman 260 W. Crest Street, Suite D Escondido, California 92025 Telephone: (760) 743-3325 Via Email: rachelrodman@sbcglobal.net Subject: First Revision Regarding Foundation Plan Detail Bryants Road and Camino Hills Park Carlsbad, California Mr. Rodman: Construction Testing & Engineering, Inc. (CTE) has reviewed a foundation plan detail for comparison to a material that has been chosen for installation on the subject project in Carlsbad, California. We understand that the original design engineer of the foundation plans is out of the country and unavailable to provide this review himself. We reviewed detail 11 of sheet 2 of 4 sheets of the plans titled "Manufactured Home Foundation, for: Hallmark Southwest, Inc." prepared by Wood Engineering, Inc., dated 5-5-08, no revisions. Detail 11, "Alternate Gravel Footing," indicates that an "Approved Pier" may be underlain by a layer of gravel, coarse sand, or crushed stone base. It indicates: Gravel shall be washed and well graded. The maximum size stone shall not exceed V*". Gravel shall be free from organic, clayey or silty soils. You have asked whether "Class 2 Base" may be used in this application. In our professional opinion, if the material meets the specifications for Caltrans Class 2 Aggregate Base, including the "3/4" Maximum" Aggregate Grading Requirements from this specification, then this material may be substituted for "Gravel" in this application. SAN DIESO I ESCONPIDD I RIVERSIDE I VENTURA I MERCED I IRACY I SACRAMENTO I PAIM SPRINGS I PHOENIX GEOTECHHICAL | ENVIRONMENTAL | CONSTRUCTION INSPECTION AND TESTING I CIVIL ENGINEERING I SURVEYING First Revision Regarding Foundation Plan Detail Bryants Road and Caraino Hills Park, Carlsbad, California January 4, 2009 Page 2 CTEJobNo. 10-10224G Note that in the Caltrans AMENDMENTS ISSUE DATE: 10-08-09, Class 2 Aggregate Base may contain up to 100 percent of any combination of processed: 5.1. Asphalt concrete 5.2. Portland cement concrete 5.3. Lean concrete base 5.4. Cement treated base CTE has not performed a foundation analysis, a geotechnical investigation, nor geotechnical inspection during construction for this project and cannot comment on the adequacy of the as- built foundation system. If we can be of further service please do not hesitate to contact us. Respectfully submitted, CONSTRUCTION TESTING & ENGINEERING, INC. MarkB. Catlin,GE#2179 Senior Geotechnical Engineer Distribution: (2) Addressee \\Esc_server\prqjects\I 0-!0224G\Woodland Homes Class 2 Base 3 doc weiunmMa i en ria Department of'Food and Agriculture. .—._ NO TRUCK PARKING ALLOWED .— ACROSS STREET - TRUCKS WILL BE TICKETED Recycled Construction Aggregates - Decorative Aggregates License No. 466177 A, C-12, HIC ESCONDIDO SAND & GRAVEL, LLC. 500 N. TULIP ST. ESCONDIDO, CA 92025 760-432-4690 FAX 760-432-4693 PLANT I I 500 N. TULIP ST. 1—' ESCONDIDO, CA 321OOCEANSIDE BLVD. OCEANSIDE, CA DATE SOLD TO JOB ADD. POINT OF ORIGIN INITIAL LOADS LOAD NO. GROSS TONS TARE TONS NET TONS Prev. Ton Total Ton P.O./JOB # Seller maker, no warranty of any kind express or impheO. regarding Pie material and all warranties inducing any implied waitaniy of merchantab*1yor of Mness for a particular purpose, are hereby excluded.The Material is stKf by the cubic yard, cubic meter or ton or >ja<J Customer a •*"i-jwtedges that the amount of Matef.il ."5ro>re>1 has been deiC'Tr..redby the customer and Customer assumes full rcsnonsirjilir> antf shall hold Petlf i tamtaM rega'diry the adequacy ot the anwont erf Material w<ten><J DUMP PICK UP FLAT BED BOB TAIL 10 WHLR BOOSTER SEMI END T&T FABRIC REBAR MESH OTHER (Specify) MAT'L.PICK UP FLAT BED BOB TAIL 10 WHLR BOOSTER SEMI END CLASS II BASE TRUCK HAULER CO. NUMBER LICENSE NUMBER TRAILER HAULER CO. NUMBER LICENSE NUMBER BY DEPUTY ESCONDIDO SAND & GRAVEL WEIGHMASTER We make deliveries inside the curb line and on the lot at customer's risk only andaccept no responsibility whatsoever for damages resulting from such deliveries. Allclaims for shortage must be made in writing within 5 days from date of delivery.Title passes to the buyer upon delivery of the goods to the carrier. We are not responsible lor damage to vehicle while being loaded or unloaded in our yard. The client hereby agrees that he will pay reasonable attorney's fees, asdetermined by the court, in the event legal action is commenced to collect any amounts due. T&T Bottom DRIVER ON Kl OFF D GROSS AND TARE ! 13 DRIVER SIGNATURE ARRIVED JOB DELAY TIME LEFT JOB TICKET NO. BY (SIGN NAME IN FULL)127213 DRIVER COPY I HIS IS IO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. -s NO TRUCK PARKING ALLOWED ACROSS STREET - TRUCKS WILL BE TICKETED Recycled Construction Aggregates - Decorative Aggregates License No. 466177 A, C-12, HIC ESCONDIDO SAND & GRAVEL, LLC. 500 N. TULIP ST. ESCONDIDO, CA 92025 760-432-4690 FAX 760-432-4693 PLANT 1 — 1 500 N. TULIP ST. J1 — ' ESCONDIDO, CA 71 3210 OCEANSIDE BLVD. "— -1 OCEANSIDE, CA DATE // -/(* -D / SOLD TO j JOB ADD. / / POINT OF ORIGIN INITIAL LOADS LOAD NO. / GROSS TONS TARE TONS NET TONS Prev. Ton Total Ton IL V P.O./JOB # SeBef makes no warranty of any kind, sxpie&s ot implied, regarding the matenal and aP warranties mcrud!t<g any implied warranty of merchantabilityoi of fitness lor a particular purpose are hereby excluded.the Matenal is to»d by the cubic yard, cubic melef or ton of 'oaJ Customer s-knowi lodges that the amount of Malenai 3fdere-l has bee" determjiedDy the customer and Customer assiimcs full resrx>ns'hilrt^ and shall hold ?oilei han^iesfi regaiding me adequacy of !tie ininunt f»t MalC'ioi '••roered 3 4 __- .;.• ! P- _.^ » fT x ^* ^ ^ --, • DUMP PICK UP FLAT BED FABRIC [H BOB TAIL 10 WHLR BOOSTER !ND T&T REBAR D MESH Q OTHER (Specify) MAT'L. CLASS PICK UP FLAT BED BOB TAIL 10 WHLR BOOSTER SIS' II BASE T&T Bottom TRUCK HAULER CO NUMBER LICENSE NUMBER TRAILER HAULER CO. NUMBER LICENSE NUMBER BY ESCONDIDO SAND & GRAVEL WEIGHMASTEH DRIVER ON Kl OFF GROSS AND TARE DRIVER SIGNATURE We make deliveries inside the curb line and on the lot at customer's risk only and accept no responsibility whatsoever for damages resulting from such deliveries. All claims for shortage must be made in writing within 5 days from date of delivery.Title passes to the buyer upon delivery of the goods to the carrier. We are not responsible for damage to vehicle while being loaded or unloaded in our yard. The client hereby agrees that he will pay reasonable attorney's fees, as determined by the court, in the event legal action is commenced to collect any amounts due. ARRIVED JOB DELAY TIME LEFT JOB TICKET NO. (SIGN NAME IN FULL)127189 DRIVER COPY wciunmMO i en wen i II-II*M i c THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who Is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. NO TRUCK PARKING ALLOWED ,.— ACROSS STREET - TRUCKS WILL BE TICKETED Recycled Construction Aggregates - Decorative Aggregates License No. 466177 A, C-12, HIC ESCONDIDO SAND & GRAVEL, LLC. 500 N. TULIP ST. ESCONDIDO, CA 92025 760-432-4690 FAX 760-432-4693 PLANT I—I 500 N. TULIP ST. '—' ESCONDIDO, CA 3210 OCEANSIDE BLVD. OCEANSIDE, CA DATE Liz. SOLD TO JOB ADD. POINT OF ORIGIN INITIAL LOADS P.O./JOB # LOAD NO. Setter makes no warranty at any kind, expie&s or implied, regarding rhe material and all warranties including any mplied warranty of martfi a inabilityor of fitness for a particular purpose, are hereby excluded.The Material is &*>id by the cubic yard, cubic meler or ton or fjao Customer a 'fc'iovbledges that (he amount of Material ^nterert has beet- determinedby the customer and Custo'r'et assumes tuHI responsibility an-j shall hukj Seitpi harmless regaining the adpquacyjjl the 3fnn.jni oi M GROSS TONS DUMP PICK UP FLAT BED BOB TAIL 10 WHLR BOOSTER SEMI END T&T TARE TONS FABRIC REBAR MESH NET TONS OTHER(Specify) TRUCK HAULER CO. NUMBER LICENSE NUMBER TRAILER HAULER CO. NUMBER LICENSE NUMBER BY ESCONDIDO SAND & GRAVEL WEIGHMASTER DRIVER ON GB OFF Q GROSS AND TARE DRIVER SIGNATURE We make deliveries inside the curb line and on the lot at customer's risk only and accept no responsibility whatsoever for damages resulting from such deliveries. All claims for shortage must be made in writing within 5 days from date of delivery. Title passes to the buyer upon delivery of the goods to the carrier. We are not responsible (or damage to vehicle while being loaded or unloaded in our yard. ARRIVED JOB LEFT JOB The client hereby agrees that he will pay reasonable attorney's fees, as determined by the court, in the event legal action Is commenced to collect any amounts due. DELAY TIME TICKET NO. BY (SIGN NAME IN FULL)127200 JOB COPY MOODY'S EL CORAZON RECLAMATION PO BOX 969 BONSALL,CA 92003 (760) 433-3316 • FAX (760) 433-6691 / P.O. / CASH CHECK., '' {/ JOB* CHARGE COMMERCIAL DATE 2 '* «J £•& RESIDENCE TIME NAME CITY OF ORIGIN JOB LOCATION SIGNATURE All bills due upon presentation unless otherwise arranged in advance. Open accounts subject to 1 1/2% month, charge after 30 days unpaid balance. MOODY'S is not responsible for damage to vehicle while being loaded or unloaded in yard. 104275 JOB COPY RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: NAME \ STREET ADDRESS CITY, STATE and ZIP fV>. Co*. DOC# 2010-0171819 APR 07, 2010 9:49 AM OFFICIAL RECORDS SAN DIEGO COUNTY RECORDER'S OFFICE DAVID L BUTLER, COUNTY RECORDER FEES: 20.00 PAGES: SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL MODULAR INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the enforcement agency indicated is in accordance with California Health and Safely Code Section 18551 (a). This document is evidence that the enforcement agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. , fl* Jbh.(? REAL PRPROPERTY OWNER MAILING ADDRESS ENFORCEMENT Af 35" ISSUING PERMIT and CERTIFICATE OF OCCUPANCY MAILING ADDRESS c CITY COUNTY STATE ZIP CITY COUNTY STATE INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO.TELEPHONE NUMBER CITY COUNTY STATE ZIP SIGNATURE OF ENFORCEMENT AGENOY OFFICIAL fOOc UNIT OWNER (If also property owner, write "SAME") 07 DATE NAME (If not a dealer sale, write 'NONE1) MAILING ADDRESS DEALER LICENSE NO. ZIP CITY COUNTY UNIT DESCRIPTION STATE ZIP DATE OF MANUFACTURE MODEL NAME/NUMBER SERIAL NUMBER(S)LtNGTrfX WIDTH J767 7/? INSIGNIArtJ^BEL NUMBER(S) 9 ASSESSOR'S PARCEL NUMBER REAL PROPERTY LEGAL DESCRIPTION ft* HCD REGISTRATION DECAL NUMBER MCO NUMBER HCD FORM 433(A) Rev 3/2006 WHITE—County Recorder CANARY—HCD PINK—Applicant GOLDENROD—Building Oept. 8360 EXHIBIT 'A1 LOT 6S OF CARLSBAD TRACT NO. 63-25, IN THE OTY OF CARLSBAD, COUNTY OF SAN DIEGO, STATE OF CALIFORNIA, ACCORDING TO HAP THEREOF NO. 11278, FIUED IN THE OFFICE OF THE COUNTY RECORDER OF SAM OIEGO COUNTY, JULY 9,1985 A.P4U. 212-101-44 DGC# 2009-0504061 RECORDING REQUESTED BY. M. STONE ENTERPRISES AND WHEN RECORDED MAIL TO: Phyllis Johnson Adelman 473 Carefree Way Friday Harbor, WA SBZ50 A.P.N.: 212001-44-00 SEP 09, 2009 12:07 PM OFFICIAL RECORDS SAN DIEGO COUNTY RECORDER'S OF'FICE DAVID L. BUTLER COUNTY RECORDER FEES: 17.0D DC; OC PAGES: 8359 SPACE ABOVE THIS LINE IS FOR RECORDER'S USE GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX IS $0 (As part of an IRC Section 1031 Tax Deferred Exchange) CITY TRANSFER TAX IS $.00 [ x ] computed on full value of property conveyed, or [ ] computed on full ftelue less value of liens or encumbrances remaining at time of sale. [ ] unincorporated area [ x ] City of Carlsbad AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged. M. Stone Enterprises, XXVII, LLC, a Washington Limited Liability Company hereby GRANT(S) to Phyllis Johnson Adelman, a married woman as her sole and separate property the following described real property in the County of San Diego, State of California: "A"-A=FSA6HEB AKA; 2298 Bryant Drive, Carlsbad, CA 92008 Dated: September 8, 2009 STATE OF<3ALH"OKNIA COUNTY OF On ss. 8 before me Notary Public, personally appeared W. SSa>vif! M. Stone Enterprises, XXVII, LLC, a Washington Liability Cor JL.t.<L. who proved to me on the basis of satisfactory evidence to be the person^s) whose namefe) is/aw-subscribed to the within instrument and acknowledged to me that kev'she4bey executed the same in Nfe/her/feetr authorized capacity^ee-) and that by WefherAhw signature^ on the instrument the person^, or the entity upon behalf of which the person^-, acted, executed the instrument. WITNESS my hand and official ne, Managing Member ^ Notary Public State of Washington •; PEGGY LKENSCIK! MY COMMISSION EXPIRES \ JUNE 18.2011 / •Signafttrfe of Notary Commission Expiration Date:(This area for official notarial seal) MAlf TO: SAME AS ABOVE 8360 EXHIBIT 'A' LOT CS Of CARLSBAD TRACT NO. 93-tS, Vt THE CttY Of CARLSBAD, COUNTY OF SUM DIEGO, STATE OF CALIFORNIA, ACCORDING TO MAP THEREOF MO. 11278, FILED IN THE OFFICE OF THE COUNTY RECORDER OF SAN DIEGO COUMTY, JULY 9, A.PJ*. 212-101-M STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Division of Co«fo» and Standard* Registration and Titling Program P.O.BoxlUJ Sacramento, CA 95812-2111 1-800-952-8356, (916) 323-9224 From TDD Phon«; 1-800-735-2929WWW.HCO.CA.GOV December 7,2009 PHYLLIS JOHNSON ADELMAN 2298 BRYANT DR CARLSBAD, CA 92008 ARNOLD SCHWARZENEGGER. Qavernar Decal or ID Number: DTN Number: Amount Paid: Escrow Number: 8777595 6087209 $119.00 The department has received your request and/or application for the unit listed above. To complete the attached application, please return this letter, any attached documents, and the items listed below. Other: unM gu p) ' Utt<j aclcA a» Should you need any additional forms, you may contact us at 1 -800-952-8356 or forms may be downloaded from cmr website at WWW.HCD.CA.GOV. Please return all of the enclosed items along with the requested documents and/or fees to the address listed above. Sincerely, ANGILA SINGH, Program Technician II Registration and Titling Program o 5 •*' HCD-RTOEFOl (RtV, 07/02) 6087209 \, V- BEST COPY STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION Of CODES AND STANDARDS MANUFACTURED MOUSING PROGRAM 8777595 MANUFACTURER CERTIFICATE OF ORIGIN LJ CHECK IF THIS IS A DUPLICATE MCO-ENTER ORIGINAL MCO NO MANUFACTURED HOME OR MULTI-UNIT MANUFACTURED HOUS|NG yp, _ NUMBER OF XLJ SFD (SINGLE FAMILY DWELLING) U MUMH (MULTI-UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS ^ COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: " " ' HAIiHARK-SOUTHWEST CORPOARTI01T MANUFACTURER ADDRESS; '" "~ P.O. BOX 1710, LCMA LISDA, CALIFORNIA (Strwt) (City) (SUM) (Zip) MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: WINCHESTER IV 3^-1759 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR TRANSFEREE DESIGNATION: WOODLAMD HCMES USA DL118M79 MANUFACTURER LICENSE NUMBER: 9000^ SUGGESTED RETAIL PR CE: $178,750.00 DATE OF MANUFACTURE 10-29-09 DATE OF TRANSFER: 10-29-09 DEALER OR TRANSFEREE ADDRESS: 260 WEST CREST STE D, ESCOHDIDO, CA 92025fSBwrt) ' ' (Cliv) (State) (Zip) INVENTORY CREDITOR NAME: INVENTORY CREDITOR ADDRESS: (Street) (City) (State) (Zip) SECTION [1-6] 1 2 3 MANUFACTURER SERIAL NUMBER HCQ INSIGNIA OR HUD LABEL NUMBER CA-BK-01-31t-1759~09-1072*lA RAD-1^81576 i1 CA—HK-Ol— 3^—17 59"~09~ 1072^B RAD— 1^-81577 ' CA-HKHi>l-3it"l759-09-10724c RAD-1^81578 '^' LENGTH WIDTH WEIOHT (INCHES) (INCHES) (POUNDS) 50 118 2h,000 f20 1U2 2U.OOO rao 1^2 30,000 TRANSPORTER NAME; RBK TRANSPORT TRANSPORTER ADDRESS: SAHTA MARIA, CA DESTINATION FOR UNIT DESCRIBED ABOVE: 2298 BRYABT TJHIVE, CARLSBAD, CA 92008[NAME) tS*MH (CIM ... (Slrt) (2lpl_ iMfWrimte Exeeutaden 8IQNATURE r pommy of PWMV und«ra» Inn B> in* S)«t* Of ClWomta ttwl ttw ««««* r*ct> amtnn *M <or»fl. OCTOBER 29. 2000 LQMA LIHDA SAN BEHHAKDTim. CAT.TTOTOTTA '— ' (MW CCIM (County)/^\\\c~^ <^>K.O C*v£iOJy>C^^^L_ (Stele) HCD «3 0•- (7«T) DEV STATE DP CALIFORNIA DEPARTMENT Or HOUSING AND COMMUNITY DEVELOPMENT DIVISION OP CODES AND STANDARDS OCCUPATIONAL UCENSING PROGRAM DEALER REPORT OF SALE OR LEASE FORA NEW MANUFACTURED HOME OR NEW MULTI-UNIT MANUFACTURED HOUSING USE DECALNIIMBERVV DEALER LICENSE NUMBER DATE OF TRANSFER TO DEALER lo -J3- £>? USEpODE (Chock On« Bex) g SFD D MUMH ORIGINAL SALE/LEASE PRICE DATE OF SALE/LEASE NAME OF. MANUFACTURER (MFRJ, -f-^T Of MFR'S LICENSE NUMBER MFR'S TRADE NAM iV MFR'S MODEL NAME AND/OR MODEL NUMBER DATE OF MANUFACTURE INSTALLATION TYPE (Check One Box) D Installation Pending [HSC 1B03S.26] QS'FoundHtiDn [HSC 18551 (a)] Q Chattel [HSC 18SS1(b>] LI Conversion [HSC 16555] D Support System [HSC 18613] SECTION(S) I 7590-9 RftQ 1*1% 15-7 ItS ) '-i G ADDITIONAL SECTJON(S) - Check box If there ars more than three sections. See form Instructions. NAME(S)OF REGISTERED OWNER(S) Print TmeNamefs) AL I.AST IDDLE If applicable, check one of the following: a JTRS D TENCOMOR a TENCOMAND n COMPRO n CCJIMPRO RS CURRENT WAILING ADDRESS FUTURE MAILING ADDRESS, IF APPLICABLE STREET 5rk;.. CITY COUNTY STATE ZIP rBNl, i1 • •' • ,, 'i1',- jii <• ^.T ;. STREET CITY C.S 3 STATE LOCATION (SITUS) ADDRESS OF THE UNIT STREET CUV/) f bf .TOE'ii,' , , ,,. .-. ZIP NAME(S) OF LEGAL QWNER(S) ,KREO. 'I, ,. Print Tru*Nsir»(8) If applicable, cheek one of the following: D JTRS Q TENCOMOR Q TENCOMAND D COMPRO D COMPRO RS MAILING ADDRESS STREET,STATE ZIP NAME{$) OF JUNIOR LfENNOLOER(S) Print Tru« K TCTTrtl,,.,1'! If applicable, check oneof the following: Q JTRS D TENCOMOR D TENCOMAND D COMPRO D COMPRO RS MAILING ADDRESS STREET "CW D ADDmONAL JUNIOR LIENHOLDER(S) - H additional Junior Li«nhold*r* are being recorded, than ehaek box, S»c instructions. CERTIFICATION Th« owncr<9) and dealer signing below state to the best of their knowledge and belief that all statements made In this Report ar» «ru» and correct. SlCNATUREIS) OFWtL NEW RficSlSTCftED43W»tER(3)*w'?mt DEALER'S NAME:£> £><j \ Gi SIGNATUREQF AUTHORIZED AGENT: DEALER'S ADDRESS: SALESPERSON'S NAME.SALESPERSONS LICENSE NUMBER; Copy 1 - Department. Copy 2 - Purchaser. Copy 3 - Tax Assessor, Copy 4 - Dealer Book_ TJCif480,1 (Rev. 05/07) No. Proposed New 31'XGO' Hallmark Home Model # 34-1759 EXISTING 21" X 36' DRIVE WAY 21'X30' GARAGE Mf»-fctt.l..\i SCALE 1" = 10' S3f{-6/ camino Hills 2298 bryant dr. s.p.#1:3-3-09 ofosze, \T \ UjOOl/OOl A1 XA2 = 7286.4 r-t B1 X B2= 388.08 -I- BY 2 = 194.04 C1 X C2= 377.123 -I- BY 2 = 188.561 01 X 02= 4370.668 -/- BY 2 = 685.334 El X £2= 808.5 -/- BY 2 = 404.25 OF B THRU £ = F( 1472.185 ) SUBTRACT F FROM A'S TOTAL = G (5814.215) FOR TOTAL SQ FT OF LOT! COw 71 T CAUINO HILLS 2298 BRYANT OR DAN AVILA 3-3-09 ,..io-' ,•-11'' p. I--E-f '-3- P.I.. 1-273*-6" . 3/3/20 * # 4 FOR: MODE Revis LOTS HOW HOW HOM HOM GARA CARPC AWNIN AWNIN AWNIN SHE DEC 9 AVILA SON'S . 2:54 PM MANUFACTURED HOME SERVICE INC. LOT COVERAGE CALCULATIONS cam/no hills SPACE # 2298 (PARK NAME) !L#: | 34-1759 | DATE 3/3/2009 ion# 0 FINAL OYES T0^-s SEE ATTACHED 3. FT. = 0x0 (A) | TOTAL: 5814.215 |CALC SHEET E = A 35 x 62 2170 ^\ / E = B 0 x 0 0 ^V E = c o x o 0 E = D 0 x 0 0 (B) | TOTAL: 2170 5E = 22 x 32 704 RT= o x o 0 (C) | TOTAL: 704 3-1=0x0 0 3-2 = oxo 0 3-3 = oxo 0 (D) | TOTAL: 0 )= 0 X 0 0 (E) | TOTAL: 0 1= 0 X 0 ' 0 (F) | TOTAL: 0 GRAND TOTAL OF ALL STRUCTURES: 2874 SQ.FT. DIVIDED BY TOTAL (A) = 49.431% OF LOT COVERAGE OFFICl /FAX: (760) 735-8831 929 S. SPRUCE ST. ESCONDIDO, CA. 92025 CELL: (425) 753-6387 ] ft «£!Bai$U gi 11^ ? p?* ^Sji-Vn.^ VW^SJJSWvSs !*! "*8 Ssssssss'lji I «{« 1 i! pSv^ TSD 3^n|^"!*QSS<kii>&*aS3!5tii;«.il!§5 ^r1*^? S ^ »vs» K ^'^sp?! ,ia tals!' I p! ^1 * a.^B5 • fcp B" M/N. M0T SUBJECTEDTO 1*K0S T OK E &RAVEL BEL0HFROST LINE '* IrPi * *Hill I H L MANUFACTURED HOME FOUNDATION SYSTEM MODEL NO: HSW-F3 MANUFACTURED HOME FOUNDATION >=C7*; HALLMARK SCXJTHWEST, INC. 2S525 REPLANDS BL VP. PHONC: flOfJ 116-2561 LOMA L/NPA. ZA. 13334 FAX, «&,; T16-2S61 ^ SmeameaHMiinant*»4Cntivr CcrrmtrWiimtMmHBaiarvDMIrr 10CMO FOOTHILL BOULEVARD RANCHO CUCAMONGA. CA 91 790 C9CW 989-2087 - FAX (907) 9894106 MANUFACTURED HOME FOUNDATION SYSTEM MODEL NO: HSW-F3 MANUFACTURED HOME FOUNDATION F0R, HALLMARK 5&UTHWE5T. INC. 3SKIS KEPLANOS BL •&. LOMA LINDA. CA. 13354 PHONC: f*OV ?M, f^y^f 7V.-3561 WOOD Engineering, Ine. 1CXHO FOOTHIU BOULEVARDRANCHO CaXiMV10N<SA. CA 91730 C9O9) 969-2087 • FAX (909) 989-8106 S*»« SP§^3^ 5 J:J! ! I! \i OWE-5-0&k. MANUFACTURED HOME FOUNDATION SYSTEM MODEL NO: HSW-F3 MANUFACTURED HOME FOUNDATION new/ HALLMARK S(3UTHI>VE$T, INC. 25S25 KSPLANPS BL V0. PHONE, f1o«> 7*6-2561 LOMA LINDA. CA. 12954 FAX: fl&V VI6-25A7 ^WOOD EngbMotag, Inc. SmsMemnmans nom&Hrsy curmiav*/iMaim»/ami»f Putin IDtMO FOOTHILL BOULEVARDRANCHO CUCAMONQA. CA9173O (909)989-2067 • FAX C9093 9B9-S1O6