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HomeMy WebLinkAbout1521 MARTINGALE CT; ; CB062488; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-08-2006 Miscellaneous Permit Permit No: CB062488 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 1521 MARTINGALE CT CBAD MISC 2150722000 $3,220.00 Subtype: OTHER Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: Issued: Project Title: GREENWALD RESIDENCE Inspect Area: 12 FT 6INCH FIREPLACE & ELEC FOR COOKING ISLAND Applicant: Owner: GREENWALD JOHN&ZAIDA GREENWALD JOHN&ZAIDA 1521 MARTINGALE CT CARLSBAD CA 92011 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $110.00 Inspector: FIREPLACE ELECTRIC 1521 MARTINGALE CT CARLSBAD CA 92011 Total Payments To Date: $110.00 FINAL Date: Balance Due: Clearance: ISSUED 08/29/2006 MOP 08/29/2006 08/29/2006 JM $90.00 $20.00 $0.00 $110.00 $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. \I you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and !ile 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 seJVice fees in connection with this project. NOR DOES IT APPLY to any f es/exaction ol which ou have r vi usl be n ·ven a N Tl E irnilar his as whi h th t tut o limitations as revi sl oh ise x ir d. -----------··--·-··-·-· \ FOR OFFICE USE ONLY PLAN CHECK NO.{fo: '°ltf ~8 PERMIT ~PPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit _______ _ Validated By, __________ _ Date, _____________ _ Address (include Bldg/Suite #) • Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total ti of units Assessor's Parcel # Existing Use Proposed Use (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 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 ($5001). Name Address City State/Zip Telephone# State License# _________ _ License Class ________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License II ~ffflel~m·miiii-iiii• iii,i1liiill!Mia'llt111!1illilllllll!l!11lllillll· II■· ililiilli-eli~-l~lil~a~liliiifi<i<i!lillil Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 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 pollcy number are: Insurance Company____________________ Polley No. Expiration Date, _______ _ CTHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) 0 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 become subject to the Workers' Compensation Laws of California. WARNING: Failure to aecure work.era' compensation coverage Is unlawful, and shall subject an employer to crlmklal penaltln and clvll flnu up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damagu as provided for In Section 3708 of the Labor code, Interest and attorney's fees. SIGNATURE DATE hei'eby affirm that I am exempt from the 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). ~ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 1044, $usiness and Professions Code: The Contractor's Lic&n8e 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). 0 I am exempt under Section ______ Business and Profenlons Code for this reason: 1. I personally plan to provide the major labor end materials for construction of the proposed property Improvement. 0 YES ONO 2. I (have / have not) signed an application for a bullding permit for the proposed work. 3. I have contracted _with the following person lflrml 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 I address I phone number/ contractors license number): ____________________________________________ _ 6. 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) •• •_----------,,-~--~------~~------------------------------- \\ ROPERTY OWNER ... ··.•.G. NATU.·RE ~. . 0~ DATE ~ £ it-' !lmfSBffllll?QffllB,~~liiliillllillliilllll!"!"T. 1 .. rm .. 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 26606, 26533 or 26534 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 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 site7 0 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. lllmffitiil!ll'll.'IN!lil:ifjj--C't,~,,~lll!i:il;';:;1ii.r~'i~l!!~~F·,f!r-:'''~~i''··"' . , : ,,,, ·, ( '.,.; ;;;,::,' ·,,as, '.i:fAimilil &I I "iiol/illlll'lit.'~i::., ;~.\.;~ ·, ;,,, :,;jr'.ij"\:' :• ·:•· I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS, ________________________ _ --'.IS-1':.'e\',i~:\lti,.........__ __ _ 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 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 Oftlcial 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'S SIGNATURE __________________________ DATE ____________ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/07/2006 Permit# CB062488 Inspector Assignment: JM --- Title: GREENWALD RESIDENCE Description: 12 FT &INCH FIREPLACE & ELEC FOR COOKING ISLAND Type: MISC Sub Type: OTHER Job Address: 1521 MARTINGALE CT Suite: Lot 0 Location: APPLICANT GREENWALD JOHN&ZAIDA Owner: GREENWALD JOHN&ZAIDA Remarks: Total Time: Phone: 7604769941 Inspector: ----- Requested By: JOHN GREENWALD Entered By: CHRISTINE CD 39 68 Description (£ Comment Final Electrical ______________________ _ Fireplace/Tie Straps -/---- ----~------t=~----------___ -_ -·-=~------· ---=-- Comments/Notices/Holds Associated PCRs/CVs Original PC# lns11ection Histo[Y Date Description Act lnsp Comments 09/12/2006 66 Grout AP JM OK TO GROUT F.P. 09/12/2006 68 Fireplace/Tie Straps we JM 09/11/2006 31 Underground/Conduit-Wiring co JM ADD STEEL FOR (2) SIDED OPENING 09/11/2006 68 Fireplaceffie Straps co JM 09/05/2006 12 Steel/Bond Beam WC JM 09/05/2006 23 Gas/Test/Repairs AP JM 09/05/2006 24 Rough/Topout WC JM 09/05/2006 31 Underground/Conduit-Wiring PA JM CONDUIT ONLY 09/05/2006 34 Rough Electric WC JM 09/05/2006 61 Fooling AP JM OK TO POUR F.P.