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Home My WebLink About1319 SAVANNAH LN; ; CB991841; Permit, v 11,L¼ 05/13/1999 City of Carlsbad Miscellaneous Permit Permit No:CB991841 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 1319 SAVANNAH LN CBAD MISC Subtype: 2157100600 Lot#: $0.00 OTHER 0 ADD FRENCH DOOR-RT SIDE W/ELEC Owner: Status: ISSUED Applied: 05/13/1999 Entered By: RMA Plan Approved: 05/13/1999 Issued: 05/13/1999 lnspect.AS1682 05/13/99 0001 01 02 C-PRMT so.oo VANEK CONSTRUCTION MIKUTA STANLEY T&RAOME M 1319 SAVANNAH LN 49 PRIMROSE ALISO VIEJO CA 92656 949 831-0754 Total Fees: $50.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: CARLSBAD CA 92009 Total Payments To Date: FINAL APPROVAL Date: 5"-;,s,9e; Clearance: $50.00 0.00 $50.00 $50.00 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 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 Ca~sbad 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 capacliy 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 vou have oreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. ~q / g lf { CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit --'~~----- 1. PRo.iECTINFORMATION ··:· ... _ ~r- \~\C\ Sf\V~t-'Nfy} \.-~NF Address (include Bldg/Suite #) Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel II • , ~W Q...~,--e.(' 101\.. Cc,~~ VI-I \ "\ Proposed Use Description of Work II of Bedrooms , of Bathrooms 2. CONTACT PERSON (If different from applicant) Name Address City State/Zip Telephone , Fax , 3. APPLICANT B Contractor 0 Agent for Contractor · •□· Owner O' ~ for Owner - fs fl,t-lt> ~\...L \/AN E tc=.. P,. L:t. S O \J :t.E=';:J" 0 Name Address City State/Zip Telephone# 4. PROPERTY OWNER ~ Tf'I N 1 ~'nO~ 'c Name Address City State/Zip 5. CONTRACTOR -COMPANY NAME· Telephone, 7t.o-<t'30-~eeo ~"-'\ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, aher, 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 penahy of not more than five hundred dollars ($500)). \JANE'<'---C..ONS:t. '-'\~ f~:t.Mf-0~€" "''-\So \l\~,J"O uA. '\'L',oS(o 'tl('f-~3(-C1S4 City ' State/Zip Telephone , Name Address State License # _J.L..:\-~_.__G\ .... 1...0=--=---License Class __ _.6-.. _____ _ City Business License # I '2. 0 \o 'f 3 ~ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. Iii 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 carrier and policy number are: I \IN \T Insurance Company s,~ \ e F-v N ti :c-N <; Policy No. '-~ 9 -er Cf\ 0() \CO\ 'i 1.'\ Expiration Date \ -I -C () (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLI.ARS ($100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in eny menner so as to become subject to the Workers' Compensation Laws of California. WARNING: Feilure to aecure workers' compensation coverage ia unlewful. and shall subject en employer to crlmk\111 peneltlea and civil fines up to -hundred thousand dollars ($ 0,0001 in addition to the coat of compensation, damages u provided for In Section 3706 of the Labor code, interest and attomay'a fHa. SIGNATURE ~ ~ DATE o-\3-Cf Cf 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 aale (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 ere not intended or offered for sale. If, however, the building or improvement ia 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 aale>. 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 7044, Business and Professions Code: The Contractor's License Law does not apply to en owner of property who builds or improvtl!s thereon, end contracts for such projects with contractor(al lie-ad pursuant to the Contractor's License Lew). 0 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. 0 YES ONO 2. I (have / have notl signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firml to provide the proposed construction (include neme / address / phone number / 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 neme / addreH / phone number / contractors 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 _________ _ COMPLETE THIS SECTION FOR NON-RESIDENT1AL BUILDING PERMITS ONLY 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 Act7 0 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. 8 . CONSTRUCTION LENDING AGENC'( . ~., ... ,,, •• ~.-.·· ~ ,-.. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il 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 w ith ell City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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. JUDGMENTS, 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 over s•o• deep and demolition or construction of structures over 3 stories in height. EXPIRATION: 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 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time efter the rk is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~Ovf.,,( v~ DATE _ _._S-.___~...:....I 3...____-__,q'--czl----- WHITE: File YELLOW: Applicant PINK: Finance • UNSCHEDULED BUILDING INSPECTION DATE s-;;...1 ~ 19 INSPECTOR Sp PERMIT# C8 11 t rs</ I PLAN CHECK# ___ _ JOB ADDRESS -~'-3~1_9_~5-A-_tl_A.~/\l_'/<I_II_H~_i..._N _______ _ DESCRIPTION __________________ _ CODE DESCRIPTION lq r1,-,1A,L sTf-UL,l)t-A (.... ACT AP COMMENTS City of Carlsbad Inspection Request For: 5/17/99 Permit# CB991841 Title: ADD FRENCH DOOR-RT SIDE W/ELEC Description: Type:MISC Sub Type: OTHER Job Address: Suite: Location: 1319 SAVANNAH LN Lot O.PPLICANT : VANEK CONSTRUCTION 0 Owner: MIKUTA STANLEY T&RAOME M Remarks: AM 10 OR 11AM Total Time: CD Description Act Comments Inspector Assignment: 5(? Phone: 9498310754 Inspector: S (f' Requested By: RANDY Entered By: ROBIN 14 Frame/Steel/Bolting/Welding 34 ~cJC-# ~ ~---- Inspection History Date Description Act lnsp Comments