HomeMy WebLinkAbout2050 GAYLE WAY; ; CB112646; PermitCitf of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
12-15-2011 Permit No: CB112646
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
2050 GAYLE WY CBAD
PME
2051510700 Lot#: 0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
MAKJIAN RES· RUN NEW ELECT Inspect Area:
FROM PANEL TO AN EXISTING 60 SF SHED IN REAR YARD
Applicant: Owner:
ISSUED
12/15/2011
LSM
12/15/2011
12/15/2011
MAKJIAN ROBERT V&ANGELA D FAMILY TRUST 06-11-02 MAKJIAN ROBERT V&ANGELA D FAMILY TRUST 06-11-02
2050 GAYLE WAY
CARLSBAD CA 92008
760-434-2781
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2050 GAYLE WAY
CARLSBAD CA 92008
$0.00
$150.00
$0.00
$0.00
$150.00
Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due:
Inspector: ~ FINAL APPROVAL
Date: 12c ~ Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the almposition" of 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
f h' h h v T 'mil hi r w i h h
• ~ (Jj)f1 ~l./y <<1~ Building Permit Application Plan Check No.
1635 Faraday Ave., Garlsbad, CA 92008 Est. Value
OF ¥ CITY 760-602-2717 / 2718 / 2719
CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit
www.carlsbadca.gov Date 121,~tr lswPP
JOB ADDRESS SUITE#/SPACE#/UNIT # IAPN
"1-05"0 GA'-IL.E lJJAL/ ---
CT/PROJECT# , I LOT# ' I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
N ELV 1:4:CT,z__, c t-,..,E -to SHEO I ,-.J n,.,..CIL••~•_,(j'), -
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES •#_ NO • YES • NOD YES • NOD
APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE IFAX PHONE I FAX
""'"'' '"'"'"'"
PROPERTY OWNER NAME CONTRACTOR BUS. NAME n.c,r-b MEf,:_...;:J,,q,.J
ADDRESS ADDRESS
"Z.050 G ,,., l-€ v\...lt:>•...,
CITY ' S1'ATE ZIP CITY STATE ZIP CA rU. so,, r.:, o CA. "l_-z._009,.
PHONE I FAX PHONE I 'AX !Cao 4 ?,4 -z., 81
E.MAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS ISTATELIC. # STATE LIC.# I CLASS I CITY BUS. LIC.#
(Sec, 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, pnor 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 fhat he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
WO!HUIR$' COMl'IIIIUl.'1'10111
Workers' Compensation Declaratlon: I hereby affirm under penalty of perjury one of the following declarations:
D I have and will maintain a certificate of consent to self-insure for workers' compensaijon 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 workel'I' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance canier and policy
number are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _
This secbon need not be completed if the permit ls for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the periormance of the work for wtiich this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees,
,A$ CONTRACTOR SIGNATURE •AGENT DATE -OWJUTlf•IIU IL PE II ti EC: LARATl«:1111
I hereby affirm that I am exempt from Contfactor's Ucense Law for the following reason:
~ I, as owner of the property or my employees with wages as their sole compensation, will do the work and ttie 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 wtio 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(s) licensed pursuant to the Contractor's License Law).
• I am exempt under Sectkln _____ ,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 • Yes • No
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 construction (include name address I phone/ 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 I address/ phone/ contractors' license number):
5. I wil\ provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work)·
~ PROPERTY OWNER SIGNATURE l:IAGENT OATIS I 7..--11
,.
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? • Yes • No
Is the applicant or future building occupant required to obtain a permit from the air poMon control district or air quality management district? • Yes • No
Is the facility to be conslructed within 1,000 feel of the outer boundary 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have 188d the appllcatlon and strte that the al>ove infonnation is correct and that the infonnation on the plans is accurate. I agree to comply \Wlh all City ordinances and State laws relating 1D building construction.
I hereby authorize representative of the Qty of Cartsbad to enter upon the alxJve mentklned property klr inspecoo!l purposes. I AL.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Cf 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: Pf,, OSHA permit is required br excavatklns over 5'0' deep and dem~ilion or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Oflk:ial under the provisklns of th IS Code shall expire by limitaoon and become null and void if the building or oork authorized by sudl p:irmlt is not commenced wthin
180days from the dale of such permit or if the building oroork authorized by such p:irmlt is suspended or abandoned at any time after the oork is commenced for a peood of 180 days {Sectkln 100.4.4 Uniform Building c.ode) .
...@S' APPLICANT'S SIGNATURE DATE tz-1s-1
r
ti City of Carlsbad Bldg Inspection Request
For: 12/22/2011
'
Permit# CB112646 Inspector Assignment:
Title: MAKJIAN RES • RUN NEW ELECT
Description: FROM PANEL TO AN EXISTING 60 SF SHED IN REAR
YARD
Type:PME Sub Type: Phone: 7605337338
Job Address:
Suite:
Location:
2050 GAYLE WY J!_
Lot: 0
Inspector:
OWNER MAKJIAN ROBERT V&ANGELA D FAMILY TRUST 06-11-02
Owner: MAKJIAN ROBERT V&ANGELA D FAMILY TRUST 06-11-02
Remarks:
Total Time: Requested By: ROB
Entered By: JANEAN
CD Description
34 Rough Electric
Act Comments L _________ _
39 Final Electrical -!---------------
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments