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HomeMy WebLinkAbout1524 MARTINGALE CT; ; CB003823; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10/16/2000 Electrical Permit Permit No:CB003823 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: 1524 MARTINGALE CT CBAD ELEC 2150722300 Lot #: 0 GAS & ELEC TO RJTURE BBQ Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/16/2000 JM 10/16/2000 10/16/2000 KIMO'S LANDSCAPING CATELLUS RESIDENTIAL GROUP INC 511 FIRST ENCINITAS, CA 92024 619-436-0359 Total Fees: $47.00 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 TOTAL PERMIT FEES Inspector: /c__ I Total Payments To Date: 0 0 0 0 $0.00 Balance Due: Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $27.00 $47.00 $47.00 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. If you protest them, you must follow the protest procedures set forth ln 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 ou have reviousl been iven a NOTICE similar to this, or as to which the statute of limitations has reviousl otherwise ex ired. ----~.,~-·- ··:; •._!\) PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECTINFORMA1]'3N 6 ----···--·--·-------- FOR OFFICE USE ONL.X -, PLAN CHECK NO. [;l5 '3ct2-...:> EST. VAL. _________ _ Plan Ck. Depo~-~~------- Validated BY•..s...uCL-"'--,--,,..Jl+,,-/--;,,~- Date, _______ --IJ~..\-lli!J..-.lll.L- I 52'-t, /VIA/2:[t N Al.€. Add~efs (include Bldg/Suite #I / _ ./u, Business Name (at this address) ,&ts, Gkczt:t£; v.,,.. I-u.. ~ legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If dtfferent from appUcantJ Name 3~ APPLICAN~ Contractor o' I Name 4. PROPERTY OWNER hl/.lt@t=e,e Name 6. CONTRACTOR , COMPANY NAME City 0 Agent for Owner (',..eLS6tl D City State/Zip State/Zip Telephone# Fax# of-7/0Z.. (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 ption. Any violation of Section 7(?.31.5 by any applicant for a permit subjects the a plicant to a civil penalty of not more than five hundred doy,,rs 1$5001). ,a 1 4 ;.:i • ~Ls; /.li) La:J ~-tOl-1/01.. Name Address City State/Zip Telephone # State license # 4/1'72.t;:) license Class C-2 2 City Business License # /2tJ-3'-J / 3, ~e,; 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: 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 tor which this permit is issued. Jil I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the wqrk for which this permit is issued. My worker's compensation insuran~arrier and policy number are: Insurance Company ::r2~ ~12A,-.J C!t::, Policy No/]OOOG)( roy -~I Expiration Date 5-J -loo/ !THIS 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. thousand era' compensation coverage Is unlawful, and shaU subject an employer to criminal penalties and civil fines up to one hundred addition to the cost of compensation, damages as provided for in Section 3706 of tl),Jrabor ,Cjde, interest and attorney's fees. DATE /O-/v -ao D 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 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). 0 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 property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D 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. D YES ONO 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 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):. __________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON./IESJDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business ptan, 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 O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district 1 0 YES O NO ls 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. 8, 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(il Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS, ________________________ _ 9. APPLICANT CERTIFICATION I certify that l 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 ICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required EXPIRATION: Every permit issue authorized by such permi at any time after the w r ns over 5•0• deep and demolition or construction of structures over 3 stories in height. nder the provisions of this Code shall expire by limitation and become null and void if the building or work in ys from the date of such permit or lf the building or work authorized by such permit is suspended or abandoned rod of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATUC:_:::;;;;--"'/~✓'-'-"<::"---:--=-------------------------WHITE: File YELLOW: Applicant PINK: Finance DATE Ill'-10-11,-c>o City of Carlsbad Bldg Inspection Request For: 10/17/2000 Permit# CB003823 Title: GAS & ELEC TO FUTURE BBQ Description: Type:ELEC Sub Type: Job Address: Suite: Location: 1524 MARTINGALE CT Lot 0 APPLICANT KIMO'S LANDSCAPING Owner: CATELLUS RESIDENTIAL GROUP INC Remarks: Total Time: CD Description Act Comments Inspector Assignment: ~ Phone: 7608017278 Inspector:~ Requested By: SHANNON Entered By: CHRISTINE 21 Underground/Under Floor Ae_ ____________________ _ 31 Undergrou d/Conduit-Wiring ,& ____________________ _ 22J_(2,M 1 ._8:f Associated PCRs Inspection History Date Description Act lnsp Comments --------·----·-··