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Home My WebLink About1319 SAVANNAH LN; ; CBR2018-1790; Permit( City of Carlsbad Print Date: 08/21/2018 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1319 Savannah Ln BLDG-Residential 2157100600 $1,849.20 Residential Permit Work Class: Patio Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: Ml KUTA: 120 SF ATTACHED PATIO COVER Owner: Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Contractor: Permit No: CBR2018-1790 Closed -Finaled 07/23/2018 08/07/2018 8/21/2018 m48,08AM COOWNER MIKUTA STANLEY T AND RAOME M SKYLINE SUNROOMS, INC. BUILDING PERMIT FEE ($501-$2000) BUILDING PLAN CHECK FEE (BLDG) 5B1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $122.20 6425 Alexandri Cir CARLSBAD, CA 92011 760-846-1309 Total Payments To Date: $122.20 1955 Cardell Ct EL CAJON, CA 92020 619-334-4546 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $71.00 $49.70 $1.00 so.so ('cicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Che cl< C/3fs. fk1Z -[{10 Est. Value PC Deposit J. Date 7?-3/;f Job Address /?; / q ,fq (llALQ a.A ln CT/Project#:, _________ Lot #:_._(..,.O'---Fire Sprinklers: yes {!3) Air Conditioning: yes,@ BRIEF DESCRIPTION OF WORK: ..... A'---'-''""lv .... Jlul..U<l .... n ... -i ... L""tJ.1.,'-"'----'lf'--'a...:::=..l±i'--'-". c'--CIN'VV;:;,.;:._:...,_ _________ _ ,(9/Addition/New: _____ New SF, ___ Deck SF, ___ Patio SF, {2,£) Garage SF Is this to create an Accessory Dwelling Unit? Yes I@ New Fireplace? Yes/@) if yes how many? __ D Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _ □ Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No, Battery Yes/ No D Reroof: __________________________________ _ D Plumbing/Mechanical/Electrical Only: ________________________ _ D Other: ___________________________________ _ APPLICANT (PRIMARY) Name: s ~ c&.h ~ Address: --y.·~715 &ift¼f, City: ?j) Sta=:Ctl Zip@-//S: Phone: -L0eu CU,p I -.-5w &:> Email: ?7-rnv-fi£>yv111ds,ilm~ P:~;:~TYiOWNiER~ /hi~ Address~ I P.Jl.ll;JO;i City: Cful __ State:lA Zip: ___ _ Phone: ---J(f D . q ?Jo , OttV Email: __________________ _ Name: Q Jll,i.f,,11.£L__~ {17»'1,5 " Name: __,~y..,=--fl::-'-"'1 .,.£,..-=-------------- DESIGN ,Jl.OFESSlO!'1Al tfj; . . ,.....fONTRACTOR BUSINESS Address: {1f;f f.A..rY4 Qt. -=t:P'/0/ Address: _______________ _ City: el c4:i·O() State: O Zip:0c9-uo:P City: ______ State: __ .Zip: _____ _ Phone: ( tiM )z}Zi/-LJQ"j,J, Phone: ____________ _ Email=----------~~----- Architect State License: &, 8-::/: 1.,,-1,,tp Email=---~~~~------~-~--~ State License:[J?JZ'l,1)p Bus. License: BLo.S (2J5/ 3 / -___.. (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she 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/she 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 penalty of not more than five hundred dollars ($500}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-1 Page 1 of 2 Rev, 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the following declarations: □ I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. '"1:7.Stave and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for t~~twmanc?f the work Ar which this permit is issued. 7iv workers' com ensation insurance carrier and policy number are: Insurance Company Jteme: _ _.{<.,,_,_~_.-1f? _ _.,q-+Lv:JM,~~,_,f:'. ___________ _ Policy No. CC Expiration Date: ---\-1 ..._\ ,,_/_._! 4j_,_l_.l'l._.,_ __ _ □ 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 be come 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 $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, ;nterest and attorney's fees. _J/41/1;"~ A.-,.,~, ~ _," CONTRACTOR SIGNATURE: ~;c-/J.=ll4'4£.-.l.4!!..r.i...£!.ILU.'-ti....J..f,.V'-4-~==V"V!,L_ _______ □AGENT DATE: 1(2,? It K ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from 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 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) . .,,. \ci 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. 0 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 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/ address/ phone/ 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 type of work): OWNER SIGNATURE: '5'°~ ---r:: ~ □AGENT DATE: (!) ff, (f 7, a_ a/ 8' CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction tending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name: _____________________ _ lender's Address: _____________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: ls 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 Act? 0 Yes O No ls 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'? □ Yes D No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR 15 MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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 with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City 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 5'0' deep and demolition or construction of structures over3 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 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT SIGNATURE: -)--',,<Wl,a ...... AMO<U....Ca.=;~q.,c.=L.L::lo<.... _____ DATE: --ti 2-2;/1 &:' 1635 Faraday Ave Carlsbad, CA 92008 B-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of2 Email: Building@carlsbadca.gov Rev. 06/18 ' ' ~ ,'\ ' , PERMIT INSPECTION HISTORY REPORT (CBR2018-1790) Permit Type: Work Class: Status: Scheduled Date BLDG-Residential Patio Closed -Finaled Actual Start Date Inspection Type Application Date: 07/23/2018 Owner: Issue Date: 08/07/2018 Subdivision: Expiration Date: 02/18/2019 Address: IVR Number: 12715 Inspection No. Inspection Status Primary Inspector 08/2112018 08/21/2018 BLDG-14 Frame/Steel/Bolting/ Welding (Decks) 067545-2018 Passed Andy Krogh August 21, 2018 BLDG-Final Inspection 067546-2018 Checklist Item BLDG-Structural Final Passed Andy Krogh COMMENTS COOWNER MIKUTA STANLEY T AND RAOME M CARLSBAD TCT#90-34 AREA 27 1319 Savannah Ln Carlsbad, CA 92011-4855 Re inspection Complete Complete Complete Passed Yes Page 1 of 1