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Home My WebLink About1310 SAVANNAH LN; ; CB962322; PermitPERMIT APPLICATION ,A ~ PLAN CHECK NO. City of tarlsbod Buildi111 Deportant 2075 Lal P■l-Dr •• carlsbod, CA 92009 (619) 438·1161 i. PERM..t I hPE From List 1 (see back) give code of Pennit-Type: ___________ _ ------.. ------------------------. -. ------.. -------------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: ___________________ _ Net Loss/Gain of Dwelling Units 2. PROJF.Cr INFORMATION FOR OFFICE USE ONLY Address BuUdmg or Suue No. Nearest Cros.< Street / ~/ 0 SAt.lAAIAl ... /1 (.A/ llGAL 0£stRIPtiON Loe No. Subci1V1s1on Name/Number Omt No. Phase No. CHECK BEWW IF S0BMI 11 ED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope ASS:ESSPR:S PARCEi EXTSTING USE DESCRIPTION OF WORK rc-o fl. .f) a A G,A-~ {. //fl I! ' i::,,:,"' SQ. IT. # OF ~'TORIES PROPOSED USE 3. WN JA.:I PfltSON (it amyent from apphcantj_ NAME (last name first) #-MAI /&I/ ,.r/~Jik ADDRESS /6/~ # OF BEDROOMS # OF BATIIROOMS CITY --f. STATE ZIP CODE q ~g,t, e first) .Mt f)AA.1 Uy lt.fl«F/l. ADDRESS /~ t ~ CITY ¥1 cf,, ~ STATE (' A-. ZIP CODE ?,k;JI-'{ S. PRuPEki u N {' ., "',ff,t,/ o ~ F Ii. AA/I(. u.,, ,Hl. A1 r .;1.-v 1.1 ..s Av£ DAY TELEPHONE G s"b -~? /f"' NAME (last name first) n-,c.. , ADDRESS I 510 ~,-,V 4-l't/ A/ AH l .-V. CITY ,£;g($kl-D STATE Uc ZIPCODE C/)..dCJ67 DAYTELEPHONE <{~9-$7'7.li" 6. ~Llast name first) Mi{-ib~~ffn 4 t~Sf(&-,mRESS JI/.). t,u-4,u,,t~-e,,K) s CITY 1/1$,T,4 ff STATE r'Jf:'"~IPCODE Cj,l-'1e'</ DAYTELEPHONE ~?;,:;,-s'?l'_.- STATE !JC.# IJCENSE CLASS I -J X CITY BUSINESS !JC. # ast name 1rsc CITY STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WOkkRRS' WMPENSAllUN Workers• Compensation Oeclarauon: I hereby affmn that I have a cert1hcate of consent to seif-msure issued by the Director ol lndusmal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Depanment (Section 3800, Lab. C). INSURANCE COMPANY POIJCY NO. EXPIRATION DATE □ □ □ Ceruftcate of £xempuon: I certify th t m the performance of the work for which chis penmt 1s issued, I shall not employ any person m any manner so as to bee me subject to the War rs' Compensation Laws of California. I hereby afnrm that I am exempt from ihe Confradofs Ucense Law for the ioiiowmg 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-builder 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: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing 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.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). SIGNATI/RE DATI! COMPLEI E I HIS SEC I ION FOR NON•RESIDEN I IAL B0ILbiNG PERMI IS 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 25S0S, 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 IF ANY OF TIIEANSWERS ARE YES, AFINALCER11FICATEOFOOCUPANCY MAYNOI" BE ISSUED AFl'ERJULY 1, 1989 UNLESS TIIEAPPIJCANT HAS MET OR IS MEimNG TIIE RF..QlllREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POll.lmON CONTII.OL DISllUCT. 9. WNSIRUCIION LENDING AGENCY I hereby afhrm that there IS a construction lendmg agency for the pe?formance of the work for which ffi15 pemut 1s LSSued. (Sec 3U97(t) CivU Code). LENDER'S NAME LENDER'S ADDRESS IO. XPPIJCAN I CERJIFICAIION I centfy that I have read the apphcauon and state that the above mfonnatlon 1s correct. I agree to comply wllh all Gey ordmances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS TIIE ClTY OF CAI\ISIIAD AGAINST AIL IJABILITIES, JI/DGMENTS, CDSfS AND EXPENSES WIUCH MAY IN ANY WAY MDU/E AGAINST SAID ClTY IN CONSF.QUENCE OF TIIE GRANTING OF 11US PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep a.nd demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of th' 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 f the d~te of such permit or if the building or work authorized by such pennit is suspended or aha ned at any time af r the is commenc or a period of 180 days (Section 303(d) Uniform Building Cod~). APPIJCANl"S SIGNATURE ',ti C DATE: I) -{-'1'4 I,. .-0/, • " <J . PER_?!:IT# CB962322 DESCRIPTION: GAS LINE PATIO OR TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 12/10/96 FOR BBQ-NOT UNDER ANY STRUCTURE JOB ADDRESS: 1310 SAVANNAH LN APPLICANT: AKS LANDSCAPE & DESIGN CONTRACTOR: OWNER: REMARKS: MW/RUSS/630-3715 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS INSPECTOR AREA PLANCK# CB962322 OCC GRP CONSTR. TYPE NEW LOT: _23 __ PL _Ga_s_f_T_e_s_tf_R_e_p_a_i_r_s ______ t_-~tJ~o~,( __ f~O_)fn-_____ _ ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS