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Home My WebLink About1581 MARTINGALE CT; ; CB030505; Permit< City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-21-2003 Plumbing Permit Permit No: CB030505 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1581 MARTINGALE CT CBAD PLUM Status: Parcel No: 2150712000 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: KEMENY RES GAS LINE TO BBQ Inspect Area: Applicant: T LANGSTON CONSTRUCTION 701 POMELO DR VISTA CA 92083-6308 760 855-9583 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 0 1 0 Owner: KEMENY FAMILY TRUST 04-09-02 1581 MARTINGALE CT CARLSBAD CA 92009 ISSUED 02/21/2003 SB 02/21/2003 02/21/2003 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: Inspector: Date: Clearance: :··:i::· $27.00 NOTICE: Please take NOTIC that approval of your project includes the "Im osition" 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 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 IT APPLY to any hi h h i I iv n N ii r hi whi h h f1imi h . rwi --:-, ',,~ ~ \ ~ERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NoC ~e) 3 oSo.S-- CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Esr. VAL.---------- Plan Ck. Deposit_...,..-=-------- Validated By_:-2..o;;;...f,_J"---.,------ Date ~..., Z [: 0 5 Business Name (at this address) ~,Rt No. Subdivision Name/Number Unit No. Phase No. Total # of units 6rJ&, Existing Use Proposed Use SQ. FT. #of Stories # of Bedrooms # of Bathrooms State/Zip Telephone# Fax# ~ Name !I-. ~~!L'Q'~OWNER "11/\e.t" Address City State/Zip Telephone# Name City rJ c.oNiftAC 98 · t.mi.-N' V' (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 end 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 sub· cts the applicant to a civil ~epalty o/ not more tha9tfive hundred dollars ($500)). ""' " Co.,,. ~ 'oA 10 I 0. lo U 11 .,.., cJf 82<.,. (j) Address City State/Zip Te~h2!:1_e # License Sjlass /S / pty Business License 1 ;tf f Z / '-1 { ) --7o I f' .ov---(_ ~ r U1 ~ 1", L fi2..-lf S-] '2_ Address City State/Zip Telephone 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. D 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 _______ _ (TH~ECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) µ' 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. re,.,~ctal[("cc:Oonimijipiiellln~on coverage la unlawful, and ahan subject an employer to criminal penalties and civil fines up to one hundred to the coat f compensation, damages aa provided for In Section 3706 of the Labor code, In ereat and attorney's fees. DATE Z. 2, ( {) 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). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business end 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 end Professions Code for this reason: 1. I personally plan to provide the major labor end materials for construction of the proposed property improvement. D YES ONO 2. I (have / have not) signed en 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 end provide the major w ork (include name / address / phone number 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 I address / phone number I type of work): ____ ..:.... ___________________________________________________ _ Is the applicant or future 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? D YES D 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 D NO I hereby affirm that there is a construction lending agency for the performance of the w ork for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S ADDRESS ti,'"'•-----...... -..; ... 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 ell City ordinances end State laws relating to building construction. I hereby authorize representatives of the Cltt 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. DATE YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 03/25/2003 Permit# CB030505 Title: KEMENY RES GAS LINE TO BBQ Description: Type: PLUM Sub Type: Job Address: 1581 MARTINGALE CT Lot Suite: 0 Location: APPLICANT T LANGSTON CONSTRUCTION Owner: KEMENY FAMILY TRUST 04-09-02 Remarks: IF NOT HOME, OK TO ENTER THRU GATE Total Time: CD Description Act Comment 29 Inspector Assignment: PY --- Phone: 7604384033 Inspector: ---- Requested By: MR. KEMENY Entered By: KAREN Final Plumbing /Jt£2___ ~~"'~~~~~ Associated PCRs/CVs Inspection History Date Description 02/25/2003 23 Gas/TesVRepairs Act lnsp Comments AP PY