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Home My WebLink About1326 SAVANNAH LN; ; CB983865; Permit11/10/98 14:34 Page 1 of 1 B U I L D I N G P E R M I T Job Address: 1326 SAVANNAH LN Suite : Permit Type: PLUMBING Parcel No: 215-710-30-00 Lot#: Valuation: O Occupancy Group: Reference#: Description: GAS LINE TO BBQ,ELEC TO FOUNT. Permit No: CB983865 ProJect No: A9805043 ·Development No: 3279 11/10/98 0001 01 02 C-PRMT 47-00 Construction Type: NEW Status: ISSUED Applied: 11/10/98 Apr/Issue: 11/10/98 Entered By: BT Appl/Ownr : DE MARIA LANDSCAPE 355 N HWY 101 SOLANA BEACH CA 481-5500 Fees Required Fees: Adjustments: Total Fees: Fee description Enter "Y" for Plu Gas Piping Other *** Collected & Credits .00 .00 47.00 *** Ext fee Data 20.00 Y 7.00 20.00 ELEC FEE r~m~1T CCORDANCE W11H U.B.C. DATE £ /t,, Qf SIGNATURE ~ = I I ()VAL 1 , • ...:p ______ Df., 1 • • I ' 1;LEARANCE ---· --- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Pal mas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ONLY 'L/ PLAN CHECK NO. q1, 2:2-'W':) EST. VAL. ------tc:r-r/_ Plan Ck. Deposit .,..+,,,,,__ __ _._~_ Validated Bv•.-+-1~1..:-+----- Date __ .....;~!,-1.-"'-~,-l..;>------ 1. PROJECTINFORMATION /\ltlfi !l:l I o/242 . 4NfiaJ · UALR <' Address hnctude Bldg/Suite I) 8U11neu Name lat this addrnal legal Oescnpt1on Lot No. Subdiviston Name/Numblr Unit No. Phtse No. Total I of units I of Bathrooms 2. cp;~P£RS~::--:r:•hffl,.;..i05 fj~f{vtoT-~A-~-·e4-···-r20?r ~/1 t(fJ!,W;o Name Lf-ll--Addreu '1 City State/Zip Telephone I Fax I 3. APPLICANT Xcontractor O Agent for Contrlcior □ Owner '" "□ Agtim" i« Owner Name Addru1 Citv State/Zip Telephone• 4. PROPERTY QWNL Mtt<K "'· ~ S1rM1W}'''··~MtJ Qf Name Addrus City Stete/Z6p Telephone I 6. CONTRACTOR • COMPANY NAME -------... __.... __ . ...,,.....,-_,...._....,.......... ---..----................ ~--. •--...:---·-··· . (Sec. 7031.5 Business and Professions Code: Any Ctty or County which reQUi,.. a permit to construct, alter, Improve, demolia:h or qpair ■nv ltructUre, prior to Its issuance, also requires the applicant for such permit to file a signed ltatement that he is lk:etlNcl pursuant to thl proytsions of the Contractor's Ucense Law (Chepter 9, commending with. Section 7000 of Division 3 of thtl Business and Proteuions Codi) or that he ti eumpt thertlfrom, and the basis for thtl alleged Anv violation of Secti n 7031 .5 by any eppticent for a 1Nttmtt IUb;ects the • iC1nt to • ctvH not more thin ive undred d la I t50 ). CJJ. ol Addrns State/Zip State License I _________ _ I. WORKERS' COMPENSATION rs' Compensation Declar1t1on: I htlreby affirm under penalty of perjury Ont of the foflowing declarations: have end will maimein a certificate of consem to 11lf-insure tor workers' comPlftl,l1ion •• provided by SIICtion 3700 of the Labor Code, for the performance work for which this permit is i11ued. have and will maintain ~k~rs· com~tion, as ,~quired by Section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. Myworker'&co nsation1nsurencecamerandpol1 ynumbtrere: . frq7u(.zr=v . . IL'/-~ Insurance Company i Pohcy No._~~~~~~l~~-7 __ -;r_ / __ ~ ExpIr■hon Oate._'[__._ ___ ...... 1.J_._. __ _ !THIS SECTION NEED NOT IE COMPLETED IF THE PERMIT IS FOR O E HUNDRED DOI.LARS IUOOI OR LESSJ 0 CERTIFICATE OF EXEMPTION: I certify thlt in the performance of the work for which this permit is iaued, I ahell not employ eny person in eny manner ao at to become subject to the Workers' CompensattOn Laws of Carlfornia. WARNING: Fellu~,J,'9,Jf!,!¥1,fwm" era' compenutlon CO.,.,.. II unlewful, end lhall aubject an employer to crtmlnel penalties and ctwll llnn up to ene hundNd SIGNATURE_-li"-1 . . . . _D~TE--1~~~$ .· ,., ..... thou■■nd dollert c1 addition to the CDlt ol cornpenutton, u,,.._ a pranled lor In Secdon 3708 of the~ o/ lnhrNt and lltlOmey'■ feu. 7 · OWNER•BUII,: t ~:Nthe Contrector'a License Law tor the following re■■on: -, , .... , , , • .. . ,_ . 0 I, ■s owner oft e peny or my empioVNs with wagu as their ■ole comP8ftlltion, wHI do the wark and the ltNC1 .. • is not intended or offered lor Nie (Sec. 7044, Bua,nus end Profeulons Code: The Contractor's Licensa Law don no1 appty to ■n owner of PfOP9ftV who buildl or improva thlreon. ■ncl who daea such work hlmHlf or through hia own emplo.,..., provided that 1uch improvements are not lntandld or ottered tor ..... tt. howwer, tha buildtng or IH.,wo,e.uent M sold within one y■ar of compl■tion, the owne,-bullder win have tha burden of proving that he dtd not build or lmPfOYe lor the purpoae of ut■). 0 l, 11 owner of the propeny, am exclusively comracting with hcenud contractort: to construct the s,ro,ect fS.C. 7044, luaines■ ■nd Proteuionl Code: Tha Contractor's license law don not apply to an owner of property who builds or improves thareon, and contracta for auch pn,ject1 whh contr■ctorta> lk:enNd pursuent to the Contractor's Licens■ Law). 0 l am •-•mot under Section ______ Business end Protenlons Code for this reuon: 1. I personally plan to provide the major labor ■net mat■rials for construetton of the propoaed propeny lmprovemaut. D YES ONO 2. I !have/ have not) aigned an application tor a building permit tor the proPGHd work. 3. I have contracted with the following person lfirml to provide the proposed constructton llndude name I eddreu / phone number/ contractors lie.nae number): 4. I plan to provide ponions of the work, but I h■ve hired the following person to coordinate. supe,ryiu end provide tha major work tinelude name / eddreu / phone number/ contractor■ license number): _____________________________________________ _ 5. I will provide some of the work, but I have contracted lhiredl tha following peraona to provide the work indic■ted Clndude neme / address / Phone number / type of work): _______________________________________________________ _ PROPERTY OWNER SIGNATURE------------------------DATE _________ _ COMPLETE THIS SECTION FOR NOIUIDllDBITIAI IUILDINQ PERMITS ONL\i·-._-·-~• '_,.........,.,._ ·-·:..-:--. .,,'7.,-·':9""··~ .. 1..~•,-.,-c-,, :-: •. ts the applicant or future building oecupa,t re>QUited to submJt • bu9mns plan, •cutetv huardous m■terials .as,iiilielicN1 form or riak management ■nd prev■mion program under Sections 25505, 25533 or 25534 of the Prnlev-Tanner Huardoul Substance Account Act? D YES D NO Is the applicant or future building occupem rllQUired to ob11in • permit from the eir pollutlon control district o, air quality menegament dtstrict7 O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of ■ school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT IE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT • .a. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency tor the performance of the work tor which this permit Is issued ISec. 30971i) 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 q; correct Ind that the Information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I he,eby authorize reprntntatives of the Cltt of Carflbed to enter upon the ebove mentioned prope"y for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CrTY 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 end demolition or construction of 1tructures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code 1hall expi,e by limitation end become null and void if the building or worlf authorized by such permit is co menced within 385 davs from the date of such permit or If the building or work authorized by a ch permit ,s suspended or abandoned at any time after the menced tor a period of 180 deys ISIICtion 108.4.4 Uniform Building Coda). APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB983865 DESCRIPTION: GAS LINE TO TYPE: PLUM JOB ADDRESS: CITY OF CARLSBAD INSPECTION REQUEST FOR 11/17/98 BBQ,ELEC TO FOUNT. STE: 1326 SAVANNAH LN MARIA LANDSCAPE PHONE: 481-5500 INSPECTOR AREA PLANCK# CB983865 OCC GRP CONSTR. TYPE NEW LOT: APPLICANT: DE CONTRACTOR: OWNER: PHONE: ~ // p::::~CTOa6,::__,~~_..::.~..:.._--=.---'--_:=:;_-REMARKS: C/ERIC SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- LVL DESCRIPTION PERMIT# TYPE CB950590 RETAIN STATUS EXPIRED ACT COMMENTS CD 21 23 31 PL Underground/Under Floor PL Gas/Test/Repairs EL Underground/Conduit-Wiring !----------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS