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Home My WebLink About1569 MARTINGALE CT; ; CB152475; Permit08-04-2015 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: ASI HASTINGS STE 200 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB152475 Building Inspection Request Line (760) 602-2725 1569 MARTINGALE CT CBAD PME 2150712300 Lot#: 0 MCGONIGAL RES -REPLACE NC &COIL Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: MCGONIGAL FAMILY TRUST 03-18-99 ISSUED 08/04/2015 SLE 08/04/2015 08/04/2015 4870 VIEWRIDGE AV SAN DIEGO CA 92123 619-590-9300 1569 MARTINGALE CT CARLSBAD CA 92011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: Inspector: $160.00 Total Payments To Date: FINAL Date: $0.00 $0.00 $160.00 $0.00 $160.00 $160.00 Balance Due: 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 'feesfexactions." You have 90 days from the date this pennit 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 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 fees/ x i n f which ou hav r viousl been iv n N THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMA T/APCD ~-Building Permit Application PlanCheckNo.Cfo \5 2.47S° -~ -~ ·~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date 'n-4-IC" lswPPP JOB ADDRESS 1569 MARTINGALE CTY SUITE#/SPACE#/UNIT# IAPN --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME 1CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) REPLACE AC AND COIL EXISTING USE -1 PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING I I FIRE SPRINKLERS YESO No[] YES0No0 YESONoD APPLICANT NAME Patti Ryan PROPERTY OWNER NAME MICHAEL MCGONIGAL Prtn -n ADDRESS ADDRESS 4870 viewridege ave 1569 MARTINGALE CTY CITY STATE ZIP CITY STATE ZIP san dieao ca 92131 CARLSBAD CA 92011 PHONE IFAX PHONE I 'AX 619-590-9337 858-229-2610 EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinas ADDRESS ADDRESS 4870 viewridge ave CITY STATE ZIP CITY STATE ZIP san dieao ca 92131 PHONE l'AX PHONE I 'AX 619-590-9337 EMAIL EMAIL I STATE LIC. # STATE LIC.# I CLASS lc'Yi1:D~o4 513115 c20 (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, commendmg with Section 7000 of Division 3 of the Business and Professions Code} orfhat 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 {$500}). Workers' Compenution 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. [{] I have and will maintain workers' compensation, as reQuired by Seclton 3700 of the Labor Code, for the performance of the work for which this permit is issued. My wor'Kers' compensation insurance carrier and policy number are: Insurance Co. oak river Polk:y No, 3300065233-131 Expira~on Date 9.15 This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the wor'K 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 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 co&t of compen&ation, damages a\J!.ro r In Section 3706 of the Labor code, interest and attorney's fees. _NS CONTRACTOR SIGNATURE c -- I hereby affirm that I am exempt from Contracto(s License Law for the following reason- I. as owner of the property or my employees with wages as their sole compensation, will do the work ar1d 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, 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, ar1d 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 ar1d materials for construction of the proposed property improvement. OYes 0No 2. I (have I have not) signed an application for a building permit for the proposed wor'K 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 wor'K, but I have hired the following person to coordinate, supervise aid provide the major wor'K (include name/ address/ phone/ contractors' license number)· 5. I will provide some of the wori(, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone I type of wor'K): _NS PROPERTY OWNER SIGNATURE □AGENT DATE =o--" lil!Tj>-THn 1acr1oi,,;;;io1t~ 1110N-RE1J;ii:i.•T•AL au1Lo,111a PERMITS ONLY •~=====~~ = """ ¥ ~¥¥"'"=-= ; "= =- Is the applicant or flJ,'.ure 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? o Yes D No Is the facility to be constructed within 1,000 feet of the ouEr bound.ry of a school site? □ Yes □ 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. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name lender's Address --- ,Al'PLICANT CERTIFICATION ~-- I certify that I have read the application and state that the above Information Is correct and that the infonnation on the plans Is accurate. I agree to comptywlth all City ordinances and State laws relating to building construction. I hereby au~orize represeotawe of ~e City of Carlsbad to enter upoo ~e ab<Ne mentioned pfO!)Olly for inspeclon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations <Net 5'0' deep and deroolilion or construction of structures over 3 stories in heiJhl EXPIRATION: Every permit issued by the Building Offk:ial under the prwisions of this Code shan expire by limitation and become null and void if the building or work authorized by such pemit: is not commenced within 180 days from the date of such permit c, if the building orv.,)O(. authorized by such permit is suspended or abandoned at any tine after the work is corrrnenced for a period of 180 days (Section 106.4.4 Unifoml Building Code}. _N5 APPLICANT'S SIGNATURE c--~ DATE O f?/7/, J Inspection List Permit#: CB152475 Type: PME Date Inspection l_tem 09/02/2015 43 AirCond/Furnace Set 09/02/2015 43 AirCond/Furnace Set 09/02/2015 49 Final Mechanical 09/02/2015 49 Final Mechanical Wednesday, September 02, 2015 Inspector AEK AEK Act RI AP RI Fl MCGONIGAL RES · REPLACE A/C &COIL Comments Page 1 of 1