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HomeMy WebLinkAbout1521 MARTINGALE CT; ; CB042665; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-08-2004 ' Plumbing Permit Permit No: CB042665 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1521 MARTINGALE CT CBAD PLUM Status: ISSUED 07/07/2004 FM 07/08/2004 07/08/2004 Parcel No: 2150722000 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 GREENWALD RES-REPLACE WATER HEATER Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 1 0 0 Plan Approved: Issued: Inspect Area: Owner: GREENWALD JOHN&ZAIDA 6151 07/08/04 0002 01 1521 MARTINGALE CT CARLSBAD CA 92009 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 CGP Total Fees: $27.00 Total Payments To Dale: $0.00 Balance Due: $27.00 DATE 7,,,-;z.3...d~EARANCE. ___ _ SIGNATURE_-'--fZ_---'--/5 ____ _ 02 27 -00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE O~ 'f-, PLAN CHECK No. wOLf J.0<.oS EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date. _______________ _ Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units As~sor's Parcel # Ded.Wa)£~ A Proposed Use #of Stories # of Bedrooms # of Bathrooms lfr/.:tiilC.QNiT,RAQitb.Bi~\)\~.OWi'P.AN:'t!tN~Nlititi!:1~1mi~~liM!timillm~]fo1!~[½~tI~f.ltt1i~,~!f1ITT)l~lliliJm~~~~~:1~8T¥ilRi~~~J1i?illt~'m/1J!l!r~G!iil~lilf~~1i~U~!11~mrr.rur~ll1!!i!~~i!Wliji]ij~~~\rilliilmifa\ ::i: {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 flle 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 e cempti~ An viola ·on of Section 7031.5 by any applica fm per~it subj c~ the a pllcant to a cJvil pen~lty of n J more an five hund E!,d dol ars 5 0 ). Designer Name Address City State!Zip Telephone State License # __________ _ ::t,:1;:;t:'.;/;).jyl:)J{KEF.i.'!tMttOM.e.~N~A!fc(ij_Ni!)!ij;;~:::i~r:m:ir:~}:11J\]tl\!]ittlll'ii~fj!1,11r:w~Jr~i!!)\i!i[l~!lm:n~~!~[i~~ii~w1[~~J,i~Jgjtij(\~~;;-1~~ij~~;~~i~llffi;1m1~Jll~~~~f~l~J~1~Ifl~k~~!iJ~i~1i~!!i~rr; m;:!i~)t/,'.]i,;L!!'!'iliii::"'!i:j:!,ii}I:::::,,;:;: 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 .. ~e work for which this permit is issued. ~ 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 1s issued. My worker's c ~ens tion insure e earner a policy number are: j -J 2,. ~7/ --(~)l_j J_J/f'~ Insurance Company .J..L.1.1....11....JC,,-"--'L"--"--'"-.<I~-------Policy No.~ J \l/ '-" .::-( Expiration Date--1. J V-J (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. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties end civil fines up to one hundred thousand dollars ($10 ddltlon cost pensatlon, damages as provided for In Section 3706 of t~'-;'or co,., Interest and attorney's fees. ;~~:~NAT u A E,c::;:;itlii.tlliili .,i!li,;::t , ~,,., ,. , ,,, • ;;iP~:i~li~t!!!!l!:11,l!l!!Jil!~;l!:l!i·'"!'i ~1t:~1:Ci;~~i,11~it11~.~111r-~I!l,i'i";;j :,, ,, .. :·111,· ,. · i i'':r ' // ., · · ctor'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 sate (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 dld not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to conttruct 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 applicatlon for a bulldlng permit for the proposed work. 3. l 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 1 have hired the following person to coordinate, supervise and provide the major work !include name I address / phone number I contractors license number):. ____________________________________________________ _ 5. I will provide some of the work, but I have contracted (hlredJ the following persons to provide the work Indicated (include name / address f phone number / type of work):. ___________________________________________________________ _ PROPERTY OWNER SIGNATURE_______________________ DATE _________ _ i_C'bM~t~I~mrJti$!:$e,¢[1~00EAR~~QJw8l$iP.fiVX/4'Pli!ii!~Q!N:~i!~iijivijJ\$1QNitiiWlt~l~J1~r~~ii'illii~1fllll,im,r~i~~fllll~a]~1&~illi11~·il~!J!t;imi!tl~]\11:i~:;:1:~i~iilli!ilst:!,~i:l!:!!li };~ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managem·ent and prevention program under Sections 25505, 25533 or 25634 of the Presley-Tanner Hazardoi.Js Substance Account Act? D YES O NO ls the applicant or future building occupant required to obtain a permit from the air pollutlon control district or air quality management district? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 'fHE AIR POLLUTION CONTROL DISTRICT. ,8';'.t!/t:Gi:H:itfl~:~llfij!!U.e.N·~,.8iji!~:ca~Re!~\:1ftl(!l~~i~1t!l!~~~if~ii[~il[:!!1~~]if~li~l~---!ti':!lli~l!&~li'i1~,,iu1~1•1,;e111si111~~~-1·mi11::;i1:1iP;i):t1!!/i'i]!l\::ii~L;: \i1\1~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). LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _ ,!:f~,}i(i{J(P~U[JANJf~iC~Bffilf.(ij'~(Of,lj!rni,Wi!f:,m :::iiln;!:i~ii~:i!~i~m!lffil!!~ti~fT.'!llft:;J~ilmW1~!m~~[ii!~~IITfillil"l.~n~~.@Jru1~1~1~mtiili\iliti--~iiJi~-]!~l~!f:l~~'lltil"1tmim:tt(~i!!i~!~gmm11:m:m1~~W,!i:ii~fiiTI!:Hif~ 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. 1 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 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 constrUctlon of structures over 3 stories in height. El{PIRATrON: Every permit issued by the building Official under the provisions of this Code shall expire by limltatlon and become null and void if the building or work authorized by such permil Is not commenced wlthl O days from the date of sue ermlt or If the building or work authorlze:f}by su h permit is suspended or abandoned at any time after the work is commen~ for 80 ays tion 1 . Un rm Building Code). 1 'v /()f J APPLICANT'S SIGNATURE ---~~11!!!0~ • DATE Q f.l v'f ______ _ PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/22/2004 Permit# CB042665 Title: GREENW ALO RES-REPLACE Description: WATER HEATER Type: PLUM Sub Type: Job Address: 1521 MARTINGALE CT Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: GREENWALD JOHN&ZAIDA Remarks: Total Time: Inspector Assignment: L _3 Phone: 7604769941 Inspector: /-. (? ~~ Requested By: JOHN Entered By: CHRISTINE CD Description 25 Water HeaterNents d/!__o_m_m_e_n_t ----------------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments