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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