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.