HomeMy WebLinkAbout1521 MARTINGALE CT; ; CB013430; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-02-2001 Electrical Permit Permit No:CB013430
Job Address:
Permit Type:
Parcel No:
Reference#:
Project Title:
Building Inspection Request Line (760) 602-2725
1521 MARTINGALE CT CBAD
ELEC
2150722000 Lot#:
GREENWALD -MISC ELECTRICAL
LIGHTS, SWITCHES & OUTLETS
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
11/02/2001
JM
11/02/2001
11/02/2001
Applicant: /
GREENWALD JOHN&ZAIDA GREENWALD JOHN&ZAIDA3648 11/02/01 0002 01.
1521 MARTINGALE CT
CARLSBAD CA 92009
Total Fees: $20.00
Electric Issue Fee
Single Phase per AMP
Three Phase per AMP
Three Phase 480 Per AMP
Remodel/Alteration per AMP
Remodel Fee
Temporary Service Fee
Test Meter Fee
Other Electrical Fees
Additional Fees
TOTAL PERMIT FEES
Inspector:
1521 MARTINGALE CT
CARLSBAD CA 92009
Total Payments To Date: $0.00
0
0
0
0
Balance Due:
$10.00
$0.00
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$0.00
$0.00
$20.00
FINAL APPROVAL
Date: .:J~sltJI Z... ' Clearance:
CGP
$20.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition~ of fees, dedications, rese1Vations, or other exactions hereafter collectively
referred to as "fees/exactions. ff 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 capactiy
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 vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired.
-----------··
02
.20. 00
I FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK No.Cf3d/313c.
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Validated Br:,.,,CL.:::....,'---,,....,.-f,.,---h,-+-
Date _______ ...L.-¥--,'-'~C-"<..e.-
1. PROJECT INFORMATION L ~ ;z.... t /4 /If<. 7 µ &-/J u:
Address (include Bldg/Suite I) Business Name lat this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
Description of Work 7/,0 L , ;,J Lt.~f//5 SQ.FT. I/ / <;w.r/C /
# of Bedrooms # of Bathrooms c <-t;ce I" -r"-
2. CONTACT PERSON (If dtfferent from appUcent)
Name
3. APPLICANT O Contractor
Name
4. PROPERTY OWNER
<:tp!IAI ;--~A-t.ll/r
Name
Address
D Agent for Contractor IT Owner
Address
Address
6. CONTRACTOR • COMPANY NAME
City
0 Agent for Owner
City
City
State/Zip
State/Zip
State/Zip
Telephone II Fax#
Telephone#
Telephone#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, altar, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit 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 that he 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 1$5001).
Name Address City State/Zip Telephone#
State License # _________ _ License Class _________ _ City Business License # _______ _
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I 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 worker's compensation insurance carrier and policy number are:
Insurance Company_____________________ Policy No .. ____________ _ Expiration Date _______ _
!THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)
D CERTIFICATE OF EXEMPTION: l 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 become subject to the Workers' CompenSation Laws of California.
WARNING: Failure to aecure workers' compenaation coverage ia unlaiwful, and shall subject en employer to criminal penalties •nd civil finH up to one hundred
thouaend dollara ($100,000}, in addition to the coat of compenaation, damegea ea provided for in Section 3706 of the labor code, Interest and attomey'a fna.
SIGNATURE______________________________ DATE _________ _
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
D 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 tor sale
(Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of propeny 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 tor the purpose of sale).
D 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 propeny who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
0 I am exempt under Section ______ Business and Professions Code for this reason:
0
2.
I personally plan to provide the major labor and materials for construction of the proposed property improvement. ~-YES ONO
I (have / have not) signed an application tor 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 number / 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
number/ 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 number / type
of work):. __ ~--------;'5-i~";:t.-~-f'::,-:,:;-'.',~{,;~~~-~-~-::_-:;__'::!__~-~-~-,z,:_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-:_----------------------
PROPERTY OWNER SIGNATURE:
COMPLETE THIS SECTION FOR
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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO
Is the applicant or future building occupant required to obtain a permit from the eir pollution control district or air quality management district? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
6. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(iJ 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 is correct and that the information on the plans is accurate. I agree to comply with all
Citv ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 over 3 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 (Se ion 106.4.4 Uniform Building Code).
DATE
WHITE: File YELLOW; Applicant PINK: Finance
I
City of Carlsbad Bldg Inspection Request
For: 03/15/2002
Permit# CB013430
Title: GREENWALD • MISC ELECTRICAL
Description: LIGHTS, SWITCHES & OUTLETS
Type:ELEC Sub Type:
Job Address:
Suite:
Location:
1521 MARTINGALE CT
Lot 0
APPLICANT GREENWALD JOHN&ZAIDA
Owner: GREENWALD JOHN&ZAIDA
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment: JC ---
Phone: 7604769941
Inspector: r C
Requested By: JOHN
Entered B : KAREN
31 Underground/Conduit-Wiring ffe-.......,~---::,~'-:-+l.l:;f---c;----?'--------
Associated PCRs
Inspection History
Date Description Act lnsp Comments
03/08/2002 34 Rough Electric CO JC UNDER GROUND CONDUIT NEEDS TO BE EXPOSED
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