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Home My WebLink About1319 SAVANNAH LN; ; CB150650; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-02-2015 Permit No: CB150650 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 1319 SAVANNAH LN CBAD PME 2157100600 Lot#: Status: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: MIKUTA RES= REPLACE WTR HTR Applicant: CALIFORNIA DEL TA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ. 85206 480-898-0007 /866-6925273 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: MIKUTA STANLEY T&RAOME M 1319 SAVANNAH LN CARLSBAD CA 92011 ISSUED 03/02/2015 LSM 03/02/2015 03/02/2015 $35.00 $0.00 $0.00 $60.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: FINAL Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" f 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 f es/exaction f which o h ve revi s been iv n a N Tl E imilar t thi or as t whi the tut of limitations h :r cr-' - . 0 . -::r: THE FOLLOWING APP~OVALS ~EQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING OFIRE □HEALTH 0 HAZMATIAPCD {"'city of Building Permit Application Plan Check No. C.€>~so~so 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date :;1>1 ,s ISWPPP JOB ADDRESS SUITEf/SPACE#/UNIT# IAPN 1319 SAVANNAH LN --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. 1YPE I CCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s) Replace 50 Gallon gas water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES[}I No[] YESDN□D vesONoD APPLICANT NAME Aaron Franz PROPERTY OWNER NAME STANLEY MIKUTA '"" Cont,ct ADDRESS ADDRESS 6056 E Baseline Rd Mesa Az 85206 1319 SAVANNAH LN CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Carlsbad CA 92011 PHONE IFAX PHONE IFAX 866-692-5273 Ext 208:; 866-692-5275 760-930-0880 EMAIL EMAIL Capermits@deltamechanical.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 6056 E Baseline Rd #155 CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 PHONE I FAX PHONE IFAX 866-692-5273 866-692-5275 EMAIL EMAIL Capermits@deltamechanical.com I STATE LIC. # STATE LIC.# ICLASSC36 I CITY BUS. LIC.# 811114 121481 (Sec, 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct. alter, improve, demolish or repair any structure, p_rior to its issuance, also requires the applicant for such per_mit to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License LawJChapter 9, commend1ngw1th Section 7000 of D1v1s1on 3 of the Business and Professions Code] or that he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a c1v1I penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION 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 pro~ided by Section 3700 of the Labor Code, for the pe_rtormance of the work for which this permit is issued, ~ I ha,e aod will malotalo won<p~• ft'm~11~ "Lt"' b~,• 3700 ol lhe Labo, Code, lo, lhe .'"eo,maoce of lhe wo~ lo, whkoh lhis pe1m,t ,s iss"'d My wo~era' compeoc"/?"7"''5 policy \ I oom. ber are: Insurance Co. V'J ~ 4' Policy No. _____________ Expiration Dale { ~sect10n need not be completed if the permit is for one hundred dollars ($100) or less LJ 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 workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,00D), in addition to the cost of compensation, dam as provided for in Secti 3706 of the Labor code, interest and attorney's fees. Jl5 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the 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 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-OOilder 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 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), 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. Oves 0No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (lirm) to provide the proposed construction {include name address/ phone/ 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/ phone I contractors' license number): 5. I will provide some of the work, but! have contracted {hired) the following persons to provide the work indicated (include name I address/ phone I type of work) 65 PROPERTY OWNER SIGNATURE ~GENT DATE Inspection List Permit#: CB150650 Type: PME Date Inspection Item 04/15/2015 25 Water HeaterNents 04/15/2015 29 Final Plumbing 04/13/2015 25 Water HeaterNents 04/13/2015 25 Water HeaterNents 04/13/2015 29 Final Plumbing 04/13/2015 29 Final Plumbing Monday, April 13, 2015 Inspector SP SP Act RI RI RI AP RI Fl MIKUTA RES= REPLACE WTR HTR Comments Page 1 of 1