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Home My WebLink About1323 SAVANNAH LN; ; CB163598; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-21-2016 Permit No: CB163598 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 1323 SAVANNAH LN CBAD PME 2157100700 LUBICH: REPLACE FAU OAK ISLAND HEATING AND AIR STE 103 1250 PACIFIC OAKS PL ESCONDIDO CA 92029 760 839-8383 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: LUBICH FAMILY TRUST 07-18-00 1323 SAVANNAH LN CARLSBAD CA 92011 ISSUED 09/21/2016 SLE 09/21/2016 09/21/2016 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: FINAL APPROVAL Date: /I) -LIi -I 6 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. lf 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 x in fwhih h rvi I Tl ii hi h flimi in h I \ THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD ~· \(•ii► Plan Check No.CC) I U ,,-~,l, 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov Date vl-91-It n lsWPPP www.carlsbadca.gov JOB ADDRESS 1323 SAVANNAH LANE SulTE•fSPACE./UNIT• IAPN --- CT/PROJECT# 'LOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GnvUP DESCRIPTION OF WORK: lnclllde Square Feet of Affected' Area(•) REMOVE AND REPLACE 1 FAU, LIKE FOR LIKE EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPlACE i I AIR CONDITIONING i I FIRE SPRINKLERS YES[), •<O vESO•oD YESO•oO APPLICANT NAME TOM WOOD PROPERTY OWNER NAME FRANK & TRISH LUBICH .~----•-. ADDRESS ADDRESS 1250 PACIFIC OAKS PL. #103 1323 SAVANNAH LANE CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 CARLSBAD CA 92011 PHONE I FAX PHONE IFAX 760 839-8383 760 839-8380 714-925-7477 EMAIL EMAIL INFO@OAKISLANDAC.COM DESIQN PROFESSIONAL CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103 CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 PHONE PHONE IFAX 760 839-8383 I FAX 760 839-8380 EMAIL EMAIL INFO@OAKISLANDAC.COM I STATE UC.# STA.TE LIC.# ICLASS l°llYBUS. LIC.1212710 745400 C-20 (5ec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such perrrut to file a signed statement that he 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 lliat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS COMPENSATION Worbrs' Compensation Declaration: I heleby affirm under penalty of perjury one of the following declarattons: 0 I have and will maintain a cert1ncate of consent to self-insure forlM'.>tkers' compensation as provided by Section 3700 of the Labor Code, for the performo¥K:e of the work for which this permit is issued. [Z] I have and will maintain workers' compensation, as recruited bv Section 3700 of the Labor Code, for the performance of the work for which this pennil is issued. My workers' compensation insurance carrier Wld policy number are: Insurance Co. EVEREST NATIONAL INSURANCE Policy No. 7600000635141 Expiration Date 01/0112017 ~section need not be completed iflhe pennit 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 m,11ner so as lo become subject lo the Workers' Compensation Laws of California. WARNING: Failure to secure workers' coq,ensatlon covwage Is unlawful d shall subject an llf'f1)1oyerto a1mlnal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages II provided for In Section 3706 of lhe code, Interest and attorney's fees. as CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucenss I.aw for the following reason: 0 l, 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 iwi owner of property who builds or improves lhereoo, 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 buikling or improvement is sold within one year of completion, the owner-OUilder wlll have lhe burden of proving that he did not buikl or improve for the purpose of sale). □ □ !, as owner of the property, am exclusively contracting with licensed contractors to conslruct the project (Sec. 7044, Business and Professions C.ode: The Contractor's Liceose Law does ool a~y to an ovmer of property who builds or improves lhereon, 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 persooaUy plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes Do 2. I (have/ have not) signed an application for a buikling permit for the prqiosed work. 3. I have contracted with the following person (finn) to provide the proposed construction (Include nane address/ phone I contractors' license number): 4. I plan to provide portions of the work, but l have hired the following person to coordinate, supervise and provide the major work f!Ociude name/ address/ phone/ contractors' license number): 5. I will provide some oflhe work, but I have contracted (hired) the followifVij persons to provide them Indicated (include name I address I phone/ type of work): as PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or fllture 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 ~ □ Yes □ No ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quaity management district? □ Yes □ No Is the facitily to be constructed v.;lhin 1,000 feet of the outer boundary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY IIAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm lhat !here is a construction lending agency for lhe performance of lhe worl< lh,s permit IS issued (Sec. 3097 (Q Ciwl Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read lheappllcation and Slate that the abolle infoimation is oonectand that the infonnatlon on the plans Is 8CC118ts. I agree to complylMth all Cifyoldlnances and State laws relallng ID bliklng oonstrudion. I hereby au~Oli2e represenlalive of the Ci~ of car.bad k> enler upon the above mentbned JXOl)elly t,r ITTspedjJn pu,µ,ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN t-NY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit 6 required br excavatil::Yls over 5'0' deep and demolioon or oonstruc:tion of structures over 3 stories in height EXPIRATION: Every permit issued by the Buik:ling Ofocial under the provisOOSpf this Code II expire by limitation and become nun and wk! if the b.Jikti'lg or 'MXk authorized by sudl permit is not commenced ~in 180 days from the dae of such permit or if the buHdITT!J or worl< aulhorized by permit i; spended or abancbned at any line alter the ..,~ i; oommenred t,r a i,,riJd of 180 days (Se:tion 100.4.4 Unlilrm li!i~ITT!J Code) . .A!S' APPLICANT'S SIGNATURE ~ DATE 1 1¾ Inspection List Permit#: CB163598 Type: PME Date Inspection Item 10/20/2016 43 AirCond/Furnace Set 10/20/2016 43 AirCond/Furnace Set 10/20/2016 49 Final Mechanical 10/20/2016 49 Final Mechanical Friday, October 21, 2016 Inspector Act JW JW RI AP RI AP LUBICH: REPLACE FAU Comments Page 1 of 1