HomeMy WebLinkAbout1521 MARTINGALE CT; ; CB071918; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-19-2007 Electrical Permit Permit No: CB071918
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1521 MARTINGALE CT CBAD
ELEC Status:
Parcel No: 2150722000 Lot#: 0 Applied:
Reference #:
Project Title: GREENWALD RES-EXTEND 15AMP
&20AMP CIRCUIT/ADD OUTLETS
Applicant:
GREENWALD JOHN&ZAIDA
1521 MARTINGALE CT
CARLSBAD CA 92011
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
0
0
0
0
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
GREENWALD JOHN&ZAIDA
1521 MARTINGALE CT
CARLSBAD CA 92011
ISSUED
07119/2007
LSM
0711912007
07/19/2007
$10.00
$0.00
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$0.00
$0.00
$20.00
Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due:
FINAL APPROVAL
Inspector: Date: -z,~ o1 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 pe!TTlil 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 infom1ation with the City Manager for
processing in accordance with Car1sbad 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 1T APPLY to any
I s/e a in fwhi h v r vi I Tl i ii r hi h ut Ill i i
-------··-----·
City of Carlsbad Plan Check No. <J.& 7 l q I~
1635 Faraday Ave., Garlsbad, CA 92008
· 760-602-2717 / 2718/ 2719
Fax: 760-602-8558
Building Permit Application
JOB ADDRESS
Est. Value
Plan Ck. Deposit
Date 7 ('l.[0"'7
SUITE#/SPACE#/UNJT# APN
/~?-/
/PROJECT# LOT# PHA E# # OF UNITS # BEDROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OC . GR U
DESCRIPTION OF WORK:
l"'iA C 1/Cv.LT l--
EXISTING USE PROPOSED USE
CONTACT NAME (If D/"9rent Fom App/leant)
ADDRESS
CITY STATE
PHONE FAX
EMAIL
PROPERTY OWNER NAME
ADDRESS
CITY STATE
PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS
I,( te rs
u 1 leJS
GARAGE (SF) PATIOS (SF) DECKS (SF)
ZIP
ZIP
STATE UC.#
APPLICANT NAME
ADDRESS
',;,. I
EMAIL
JI
CONTRACTOR BUS. NAME
ADDRESS
CITY
PHONE
EMAIL
STATE UC.#
FIREPLACE
YES □#_ NOD
STATE
FAX
CLASS
AIR CONDITIONING
YES □ NOD
ZIP
CITY BUS. UC.#
FIRE SPRINKLERS
YES D NO □
(Ste. 7031.5 Businm and Professions Cod,: Any City or Count): which requires a permit to construct. alter/ improve, demolish or rtP.air any stl'llcttlre1 _erior to ill iswan~. ah9 !!quires the appliant for such permit to file a signed statement that he is ricensed _J)_Ursuant to the provi1ions of the Contractor's Licem Law {Chapter 9, commending with Section 000 of Division 3 of the Businen and Proiessions Code} or that ht IS nempt dlmlrnm. and the basis for the aleged uemption. Any violation of
Section 7031.5 by any applicant for a permit subjtcu the applicant to a civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certlftcate 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 ti ave and wlll 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 workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. ______________ Expiration Date _________ _
This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certlftcate of Exemption: I certify that in the performance of the work for which this permit is issued, I sha!I not employ any person in any manner so as to become 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 one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages II provided for In Section 3706 of the Labor code, Interest and attorney's fees.
Ji5 CONTRACTOR SIGNATURE DATE
-* ' *
OWNER-BUILDER DECLARATION
I hereby afflf1TI that I am exempt from Contractor's License Law for the following reason:
),1 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 ProfessiOlls 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 so!d 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. 7044, Business ood 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. □ 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 I address/ phone I 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 I phone I type of work):
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? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
ls the facility to be constructed within 1,000 feel of the outer boundary of a school site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE JSSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the applicatlon and state that the abc1v'e Information ls oorrectand that the Information on the plans ts accurate. I agree to comply with all City ordlnanoos and State la\w relating to building oonstructton.
IJ1ereby aulhonze represenlawe of ~e Cify of Carlsbad to enter upon~•-menliooed property for ospedion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARt.LESS THE CnY Of CARLSBAD
AGAINST ALL LIABILITIES, JUDGMEITTS, COSTS AND EXPENSES '/MICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRAITTING OF THIS PERMrT.
OSHA: An OSHA permit is required for excavations over 5'0' deep and clerrdition or coostruction of strucb.Jres over 3 stories fl height.
EXPIRATION: Every permit issued by the Building Official ooder lhe provisions of this Code shall expire by Hmitation and become null and void if lhe building or work authorized by such permit is not commenced within
180 days from lhe dale of such permit " I !he buHdilg " -au~orized by such perml • suspended "aba1doned at "'Y lime after lhe-is conm,nced for a period of 180 days (Seclioo 106.4.4 Unloon BuHdilg Code).
,I:$' APPLICANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For: 07/20/2007
Permit# CB071918
Title: GREENWALD RES-EXTEND 15AMP
Description: &20AMP CIRCUIT/ADD OUTLETS
Type:ELEC Sub Type:
Job Address:
Suite:
Location:
1521 MARTINGALE CT
Lot: 0
APPLICANT GREENWALD JOHN&ZAIDA
Owner: GREENWALD JOHN&ZAIDA
Remarks: DID NOT SAY WHAT WAS NEEDED
Total Time:
CD Description Act Comments
Inspector Assignment:
Phone: 7604769941
Inspector: t,'{L-
Requested By: JOHN
Entered By: CHRISTINE
34 Rough Electric
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Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments