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Home My WebLink About1326 SAVANNAH LN; ; CB072880; PermitCity of Carlsbad ; 1635 Faraday Av Carlsbad, CA 92008 11-16-2007 Plumbing Permit Permit No: CB072880 Job Address: Permit Type Parcel No Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1326 SAVANNAH LN CBAD PLUM 2157103000 Lot#: 0 Construction Type: NEW MADISON RESIDENCE GAS FOR BBQ & FIRE PIT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/16/2007 MOP 11/16/2007 11/16/2007 LORCO MADISON MARC&ANN FAMILY TRUST 02-06-03 4488 SALISBURY DR CARLSBAD CA 92010 619-434-8945 Plumbing Issue Fee Frx1ure or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Total Fees: Inspect $27.00 0 0 0 0 0 1 0 1326 SAVANNAH LN CARLSBAD CA 92011 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Payments To Date: $27.00 Balance Due: 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 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 Car1sbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action lo 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 feeslexacti n fwhi h h I en iv N Tl E lmil r hi r whi h h t flimi ionsh I h rwi City of Carlsbad 1635 Faraday Ave .. Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS /:, l.?, Plan Check No. 0 Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# APN CT/PROJECT# LOT# # BATHROOMS TENANT BUSINESS NAME CONSTR, TYPE OC . GR UP i DESCRIPTION OF WORb:A-S 4 EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (" Dlrrerent Fom Appl/cant) ADDRESS CITY STATE ZIP PHONE FAX PROPERTY OWNER NAME CITY PHONE EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# .. PATIOS (SF) DECKS (SF) APPLICANT NAME ADDRESS CITY PHONE EMAIL ST NO □ STATE FAX AIR CONDITIONING YES D NOD ZIP FIRE SPRINKLERS YES O NOD /\ec. 7031.5 Busintu and Professions (Gde: Any City or County: which require1 a permit to con1truct, alh!r/ improYl!, demoli1h or 11!p_air any structurt, prior to its issaance, also requim the appliant 1w such permit to file a signed statement that ht is ricen1ed Jl11f"!Uant to the proviiions of the Contractor's license law {Chapter 9, commending with Section 000 of Drvision 3 of the Business and Proltsiion1 Code} or that he is txempl tberefi'om, and lhe ba111 for the aNegtd uemption. Any violation of lection 7031.S by any applicant fol' a permit subj«u the applicant to a O'lil penalty of not more than five hundred dolars {$500}). WORKIIRS" COMPENSATION Workers' Compensation Declaration: / 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 provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D 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 workers' compensation insurance carrier and policy ______________________ Policy No. _______________ Expiration Date __________ _ one hundred rs ($100) or less. comple!ed if the permit is mption: I certify that i rforman 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 G: Failure to secure compensation, da 'co nsation coverage is unlawful, and shall subject an employer to criminal penaftles and clvll fines up one hundred thousand dollars (&100,000), in vided for in Section 3706 of the Labor code, Interest and attorney's fees. I hereby affirm that I am exempt from Confractor'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 no! 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 comple!ion, the owner-builder will have the burden of proving !hat he did not build or improve for the purpose of sale). r:, I, as owner of the property, am exclusively con!racting 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 exemp1 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 □ Yes □ 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 cons1ruction (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 / phone I contractors· license number) 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (inr.lude name I address I phone/ type of work): Ji5 PROPERTY OWNER SIGNATURE DATE Is lhe applicant or future building occupant required to subm1! a business plan, aculely hazardous ma1erials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No 1F ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR lS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT, I certify that I have read the application and state that the above Information Is correct and that the infonnatlon on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. bhereby authorize representative of the City of Carlsb enter upon the above me!llioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARr-.t.ESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations 5'0' deep an ilion or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building ial under: revisions of this Code shall expire by mlilation and become null and void if the building or'M),1( authorized by such permit is not commenced within 180 days from the date of such permit or if the buildi authorized by such permit is suspended or aba'ldoned at anytrne aftef lhe wcdc. is commenced for a period of 80 days ( 106.4.4 Unifo!Tn Buikling Code). 8$ APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 11/21/2007 Permit# CB072880 Inspector Assignment: PD Title: MADISON RESIDENCE Description: ·GAS FOR BBQ & FIRE PIT Type:PLUM Sub Type: Job Address: Suite: Location: 1326 SAVANNAH LN Lot: 0 OWNER MADISON MARC&ANN FAMILY TRUST 02-06-03 Owner: MADISON MARC&ANN FAMILY TRUST 02-06-03 Remarks: AM PLEASE --- Phone: 76 00808 6t: Total Time: Requested By: LORKO Entered By: JANEAN CD Description Act Comments 23 Gas/Test/Repairs _ ~f~ ~rrJfh Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description 11/19/2007 23 Gas/TesVRepairs Act lnsp Comments AP PD