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Home My WebLink About1596 MARTINGALE CT; ; CB153720; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-29-2015 Cogeneration Permit Permit No:CB153720 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 1596 MARTINGALE CT CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: 2150723300 $8,800.00 GATES: 22 ROOF MOUNT PV PANELS Owner: Status: ISSUED Applied: 10/29/2015 Entered By: JMA Plan Approved: 10/29/2015 Issued: 10/29/2015 Inspect Area: Plan Check #: HOME UNPLUGGED GATES ALICIA L REVOCABLE LIVING 2010 TRUST 3525 HIGHLAND DR CARLSBAD CA 92008 858 349-2369 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $105.72 $0.00 $74.00 $0.00 $0.00 $1.14 $1.00 1596 MARTINGALE CT CARLSBAD CA 92011 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $181.86 Total Payments To Date: $181.86 Balance Due: Inspector: MJ{;. Clearance: $0.00 $0.00 $0.00 $0.00 $181.86 $0.00 J\OllCE: Rease ta<e J\OllCE Iha 'W"D/a ct )OJ ~ect irdu:lestre '"lnµ,;itiorl' ct fees, dedcaicns, -ens. cr ctrer exa:Jicn; -a:lledi-..ly refe!red to as 'fees'exa:Jicrs."' Yru hMl 00 d1tys frantre-lhs p,mil W'IS isso..ed to pities! inµ,;itia, cttrese fees'exa:jja,s If )OJ pitiest them )OJ nust fdlootre pities! J)"OOO(l.les sa lath in G:Marnra1 Om Sedia, oo::0.l(a). ard file tre pitiest ard "'f ctrer req.jred irfarreia, v.ith treaty,.,,..._..,. p-oces,;rg in axuda re ,Jlh Galstm Mridpa Om Sedia, 3.32cm. Falcretotirrayfdlootha ?(X:E(l.rewll ta-"'I s.tre:µrt lega 1diootoata::l<. re.Aew, sa. asiCE, vcid, cr aTU tter irrp'.Eticn Yru ae rerro,, R.RT1-ER J\OllRBJ trat )OJ rigt to pitiest tre sµ,jfied fees'exa:Jicm OCES NCJr /IPA.. Ytov.aer ard -.er o:rre:lia, fees ard ~ty d....-ges. ncrJJannrg. mirg. ga;:lrg crdrersnrila-,wicaia, p-oces,;rg er ss>Acefees in o:rre:lia,wth lhs ~ect. frn OCES IT l'PA..Ylo"'f i wi ·vena ·m1 towi · · ·roo. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING Ccityof Carlsbad JOB ADDRESS CT/PROJECT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEf/Sf'ACEf/UNrr• # BATHROOMS f>u f lsL 2 l f1akks /l (J y)ct 11.d vf /, EXISTING USE PROPOSED USE APPLICANT NAME DESIGN PROFESSK>NAL ADDRESS CITY STATE PHONE FAX EMAIL ZIP STATE UC.# PATIOS (SF) DECKS (SF) FIREPLACE YES[}, PROPERTY OWNER NAME ~ tr AOORESS / ,r~ /¼rt/ PHONE EMAIL □FIRE □HEALTH 0HAZMAT/APCD WPPP CONSTR. TYPE OCC. GROUP • AIR CONDITIONING N<O vesONoO FAX - FIRE SPRINKLERS YES□No□ co11 (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 Div1s1on 3 of the Business and Professions Code) or [hat he ,s 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. COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of petjury one of the following declarations: B I have and will maintain a certificate of consent to self-insure for worl\ers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this_ permit is issued. I have and will maintain wor1':ers' compensation, as required bv Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. My worl\ers' compensation insurance carrier and policy number are: Insurance Co. _____________________ Policy No, ______________ Expiration Date _________ _ mc:tion need not be completed if the permit is for one hundred dollars ($100) or less. ertlflcate of Exemption: I certify that in the pertormance of the work for which this permit is issued, I shall not employ any person in any manner so as lo become subject lo the Workers' Compensation Laws of mia. WARNING: Fallura to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages II provld or In Section 3706 of the Labor code, interest and attorney's fees. ,6$ CONTRACTOR SIGNATURE I hereby afflmi that I am exempt from Contractor's Ucense 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 lo 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 lo 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). I am exempt under Section _____ ,Business and Professions Code for this reason: 1. I personally plan lo provide the major labor and materials for construction of the proposed property improvement. OYes ONo 2. I (have I 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 construcijon (include name address I phone/ contractors' license number): 4. I plan lo provide !X)rtions 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/ type of work): _g PROPERTY OWNER SIGNATURE □AGENT DATE COMPL~TE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the a~licant or future building occupant required to submit a business pl~, utely hazardous materi;is registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes o ~ Is the applicant or future building occupant required to obtain a permit from · llution control disbict or air q!' management district? Yes ~ Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UN THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1vd Code) Lender's Name lender's Address APPLICANT CERTIFICATION I certify that I have 188d the appllcatlon and state that the alxlve infonnatlon Is cormctand that the Information on the plans Is accurate. I afieetD comply"1111 all Clly ordinances and S1zllB laws relatlng 1D building construction. I hereby authorize representative of the City of Carlsbad to enteruJX)fl the aooYe mentioned property klr ins,::ection pulJ))SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST A1.L LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AN'/ WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA pennlt is requred for excavations over 5'0' deep and demoltbn or construction of structures over 3 si>ries 11 h9ght. EXPIRATION: Every permit issued by the Buik:ling Offcial under the provisi:lns of this Code shall expire by liTiilalion and berome null and ..od I the buik:ling or v.ork authorized by such pennlt is not oommenced v.ithin 180 days from the d8e of stK:h permit or if the lllik:I. v.ork rized by sudl pennlt is suspended oc abandoned at a'"IY time after the 'M'.ll"k is oommen~ for a perk>d of 100 days (Section 100.4.4 Uniform Buik:ling Code) . .A!f APPLICANT'S"GNATURE DATE / c,-2B-I • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building DMsion 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CllY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: ________________ _ A.f APPLICANT'S SIGNATURE ASSOCIATED CB#------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB153720 Type: COGEN PHOTO GATES: 22 ROOF MOUNT PV PANELS Date . Inspection lt_em Inspector Act Comments ----------------··-· -·------- 11/02/2015 35 Photo Voltaic (PV) RI AM PLEASE 11/02/2015 35 Photo Voltaic (PV) AEK AP 11/02/2015 39 Final Electrical RI AM PLEASE 11/02/2015 39 Final Electrical AEK Fl Monday, November 02, 2015 Page 1 of 1