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HomeMy WebLinkAbout1596 MARTINGALE CT; ; CB030453; Permit. ' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-14-2003 Electrical Permit Permit No: CB030453 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1596 MARTINGALE CT CBAD ELEC Status: Parcel No: 2150723300 Lot#: 0 Applied: Reference #: Project Title: GATES RES/ ELEC. LINES TO POND &WATERFALL Applicant: GATES GARY G&ALICIA L 1596 MARTINGALE CT CARLSBAD CA 92009 602-9188 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: GATES GARY G&ALICIA L 1596 MARTINGALE CT CARLSBAD CA 92009 ISSUED 02/14/2003 CB 02/14/2003 02/14/2003 $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: $0.00 Balance Due: $20.00 13:?18 ':.)2/J..:f ··~i3 '.)002 }t )2 ·CC~r-· PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Subdivision Name/Number Existing Use Name ia. Name Address ~. PRO ER OWNER Name City FOR OFFICE USE ONLY PLAN CHECK No.C t1D,:;():J"S.P EST. VAL. _________ _ Plan Ck. Deposit _________ _ Validated By-=C.,=--_&""-------- Date '2 -£4 :02 Unit No. Phase No. Total # of units Proposed Use State/Zip Telephone# (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 ($6001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Address City State/Zip Telephone ,§."·-"== O~D9fl.--------Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. O 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 policy number are: Insurance Company_____________________ Policy No.____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) O 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: Fallura to aecure worker,• companaatlon coverage 11 unlawful, and 1hall 1ubject en employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the coat of compenaatlon, damages 111 provided for In Section 3706 of the Labor coda, Interest and attorney's fee■. SIGNATURE DATE / OWNER,Bl,!l!J)ER D __ c;L MII.QN I hereby 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. 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(sl licensed pursuant to the Contractor's License Law). 0 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. 0 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 (h' arsons to provide the work indicated (include name / address / phone number / type of work): ________________ "7-"--~--:,----7'------------------===-------::------- --:>.4"ROPERTY OWNER SIGNATURE \ [COMPL]ILTm S~N FOR Is the applicant or future building occupant required o 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? 0 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O 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 ENDING ~GENC'I: 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). 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 hereb'I 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 Official u e rovisions of Ibis Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 s from the ate of s ~ ermit or if the building or work authorized by such permit is suspended or abandoned at any tin ~ after the work Is commenced for a perio f 180 d , .4. Uniform Building Code). ~PPLIC.A T'S SIGNATURE ? DATE ,//-_;;:z=:;p¢ d:J 2 PINK: Finance City of Carlsbad Bldg Inspection Request For: 03/28/2003 Permit# CB030453 Title: GATES RES/ ELEC. LINES TO POND Description: & WATERFALL Type: ELEC Sub Type: Job Address: 1596 MARTINGALE CT Suite: Lot 0 Location: APPLICANT GATES GARY G&ALICIA L Owner: GATES GARY G&ALICIA L Remarks: DID NOT SAY WHAT WAS NEEDED Total Time: Inspector Assignment: Phone: 7606029188 Inspector: jf:. --='--- Requested By: GARY Entered By: CHRISTINE CD 31 Description Underground/Conduit-Wiring Act Co~ f1/l_~6~--------• Associated PCRs/CVs Inspection History Date Description Act lnsp Comments