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Home My WebLink About1302 SAVANNAH LN; ; CB120225; Permit.. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 02-07-2012 Permit No: CB120225 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 1302 SAVANNAH LN CBAD PME 2157100100 Lot#: MUILENBURG RES REPLACE WTR HTR 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/07/2012 KG CALIFORNIA DEL TA MECHANICAL MUILENBURG FAMILY LIVING 2002 TRUST 08-12-02 SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1302 SAVANNAH LN CARLSBAD CA 92011 $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: FINAL APPROVAL Date: Clearance: $0.00 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 imposttion of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Gover'1ment Code Section 66020(a), and tile 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 ff APPLY to any infih hih h City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 1302 Savannah Ln. CT/PROJECT# [Of# i>ESCRiPTION ·oF-WORK: Include Square Feet of Affected Area(s) Plan Check Ni(: Est. Value Plan Ck. Deposit Date ;}..~7-/ SUITE#/SPACE#/UNIT# APN TENANT BUSINESS NAME CONSTR. TYPE OCC, GROUP Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) 1~IREPLACE IAIR CONDITIONING I FIRE SPRINKLERS v,so NO□ v,s □No □ YES □No□ CONTACT NAME (!f Different Fom Applicant) California Delta Mechanical APPLICANT NAME Galina Pavlova ADDRESS ADDRESS 6056 E. Baseline road suite# 155 6056 E. Baseline road suite# 155 --------------------CITY STATE ZIP CITY STATE ZIP Mesa AZ. 85206 Mesa AZ. 85206 PHONE I FAX PHONE I FAX 480-898-0007 1-480-218-5645 858-361-6495 1-858-240-6677 EMAIL EMAIL california@deltamechanical.com galinap@deltamechanical.com PROPERTY OWNER NAME Tod Muilenburg CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 1302 Savannah Ln 6056 E Baseline rd# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92011 Mesa AZ. 85206 PHONE I FAX PHONE I FAX 760-525-2011 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE LIC.# I CLASS I CITY sus. uc.1214281 811114 c36 (Sec: 7031.5 Business and P_rofess1ons Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the app!1cant for such per_mit to flle 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 B_usiness 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 c1v1I penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: [ZI 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 0 I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for whlCh this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Policy No. 1697823 Expiration Dale 0710112012 ~section need not be completed if the permit is for one hundred dollars ($100) or less. llJ 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 lo 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 addition to the cost of compensation, damages as provided for In Section 3706 of th Lab c de, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for fhe following 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 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 himse~ 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 Contractors 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 Contracto(s License Law). 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. 0Yes Oo 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 I contractors' license number): 4. 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 I phone I contractors' license number) 5. I will provide some of the work, but I have contracted (hired) the following persons lo provide the work indicated (include name I address I phone I type of work): 2$ PROPERTY OWNER SIGNATURE DATE s the applicant or future building occupant required to submit a business.,.2lmJ_, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Jresley-Tanner Hazardous Substance Account Ac(! D Yes LJNo s the applicant or future building occ~pant required to obtain a permit from the air pollution control district or a~ality management district? Des D No s the facility to be constructed within 1,000 feet of the outer boundary of a school site? Oves LJNo F ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR 1S MEETING THE REQUIREMENTS OF THE OFFICE OF :MERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. certify th at 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. hereby authorize representative of the City of Carlsbad to eoterupon the abo.le mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD I GA INST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, JSHA: An OSHA permt is required for exc:avations (Jler 5'0' deep aid demolition or consbuclion of structures r:Ner 3 stories in height. :XPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation aid become null and void if the building or work autholized by such pe-mit is not commenced ~in 80 days from the date of such perrrit or if the building or work a.JthOO.Zed by such permt is suspended or a:>aldoned at any time after the work is commenced for a period of 1/° days (Section 106.4.4 Uniform Building Code). k! APPLICANT'S SIGNATURE DATE (:I I/,{,