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Home My WebLink About1306 SAVANNAH LN; ; CB062256; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB062256 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1306 SAVANNAH LN CBAD MECH 2157103500 Lot#: $0.00 STEVENSON RES REPLACE EXISTING NC UNIT 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/07/2006 KG 08/07/2006 08/07/2006 TELFORD JONES STE 13A STEVENSON PAUL M&L YNETTE M TRUST 04-26-06 5920 IRIS AVE MORENO VALLEY 92551 951-486-0337 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES 1 0 0 0 0 0 1306 SAVANNAH LN CARLSBAD CA 92011 Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: Inspector: flA ~ FINAL APPROVAL 0 0"' Date: Clearance: $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 $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 pem1it 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 I Tl i ·1 r hi whi h h f Ii I ........ FOR OFFICE USE .9>~fi ~ 22, <7 PLAN CHECK Nc:f-i=?U:........c_lW;___ ___ .,, \..P_ ' PERMIT APPLICATION EST. VAL. __________ _ Plan Ck. Deposit ----c..,----- CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1. f>ROJECTINFORMATION t:?O'e 5a ya_ o oo h LA Address (indude Bldg/Suite#) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. .LJ....(S tt Proposed Use # of Bedrooms Name Address City State/Zip Telephone# 7 □ Owner · □ Agent for Owner (A-:,fj,.. 61..'tl..4'&'3 -;, ,;J7·t "1 ' Name Address City State/Zip Telephone# ½PROPERTY OWNER ~ S\:?JY'.\-&,y\. 13ov Name Address City State/Zip Telephone# 5. CONTRACTOR • COMPANY NAME Total# of units # of Bathrooms 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 basis for the alleged exemption. Any violation of Section 7031.5 by any appliif!nt for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). q ~ fO(c\ ~e I e. ~ 0 o ~-.. ;:)' Name a /I '2 1 ., Address C. City State License# ll ~ '-1 _,...,,, License Class_.., __________ _ State/Zip City Business License # Designer Name Address City State/Zip Telephone# State License# ________ _ 8. WORKER'S COMPENSATION Workers' Compensation Dedaration: I hereby affirm under penalty of perjury one of the following declarations: □ 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 l hich this permit is issued. I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. My er's compensation insuran<:9, carrier ar).!!_policy_J)IJmbe~are: -!1./ Insurance Company~ J:.-0:!M>Jf\S ~ Policy Ncb'.4,(p bO\Y Zl[q Expiration Date._el'.~~Z~------- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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 Laws of California. WARNING: Failure to secure worke ' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($100,000), i a Ilion to !he c t f co e Ion, damages are provided for In Section 3706 of the Labor Code, interest and att~ty's fetf)il SIGNATURE.::.JLI.:~~~:...k~~:......_:.::._ __________________ DATE O _ 7 _ >' 7. OWNER-BUILDER DECLARATION -~:;--~=-,---===~-~ I hereby affirm that I am exempt from the Contractor's 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 exdusively 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). 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 (indude name/ address / phone number 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 (indude name I address I phone number I /ontractors license number): ---------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (indude name I address/ phone number I type of work): PROPERTY OWNER SIGNATURE ___________________________ DATE __________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMl1 APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTION l'OR NON-RESIDENT1AL BUILDING PERMITS ONLY 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 Ad? D YES D 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 ISSUEO UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL OISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is 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 ___________________ _ 9. APPLICANT CERTIFICATION 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 Cartsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INOEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILlllES, 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 the building Official der 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 t d e of such 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 180 days (Sectio 1 .4.4 Uniform Building Code). APPLICANT'S s1GNATURE~ __ ___;_ __ 1 _-=;__;__;;_ _______________ DATE _ _,fs"'--1-(_.1'-+/-'n ......... k'---------- WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/05/2006 Permit# CB062256 Title: STEVENSON RES REPLACE EXISTING Description: A/C UNIT Type: MECH Sub Type: Job Address: Suite: Location: 1306 SAVANNAH LN Lot APPLICANT TELFORD JONES 0 Inspector Assignment: MC --- Phone: 7607177104 Inspector: -~M~_l __ Owner: STEVENSON PAUL M&L YNETTE M TRUST 04-26-06 Remarks: Total Time: Act Comment Requested By: PAUL Entered By: JANEAN .B__ _____________ _ Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description 10/02/2006 44 Rough/Ducts/Dampers 09/21/2006 43 AirCond/Furnace Set Act lnsp Comments CO MC NOTICE AT JOB@ 2:45 P.M. CA MC PER CONTRACTOR