HomeMy WebLinkAbout2080 GAYLE WAY; ; CB142816; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-08-2015 Cogeneration Permit Permit No:CB142816
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2080 GAYLE WY CBAD
COGEN
2051511000
$8,000.00
Sub Type: PHOTO
Lot#: 0
Constuction Type: IIN
Refere·nce #:
Status: ABANDOND
Applied: 10/21/2014
Entered By: LSM
Occupancy Group:
Project Title: SANBORN RES-INSTALL ROOF MNT
PV SYSTEM 20 PANELS NO SERVICE UPGRADE
Applicant:
T AND M SOLAR INC
STED
7848 SILVERTON AVE
SAN DIEGO CA 92126-6308
760-703-3890
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
$96.55
$0.00
$67.58
$82.42
$0.00
$1.04
$1.00
Owner:
SANBORN TRUST 01-26-99
2080 GAYLE WAY
CARLSBAD CA 92008
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Plan Approved:
Issued:
Inspect Area:
Plan Check #:
Total Fees: $248.59 Total Payments To Date: $150.00 Balance Due:
FINAL APPROVAL
Inspector: Date: Clearance:
$0.00
$0.00
$0.00
$0.00
$248.59
$98.59
NOTICE: A"""'fao> NCJTICEttat lW'CNa d )W' ?tied ird«m tte "lnµ,;itiai' cifees, cloclcaioos. """'11i'tia,s, a dl'e' exaiicns -a:Jle:Ji\<'ly
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fdlc,,vtte pictest pocecires set lath In G:Mmrst Code Sedi01 oo:J20(a, a-d filette pictest a-d m;dl'e' recµred irtarraia, wth theaty M,-_-lir
(ltl(llSSirg ir, ax.uda o, with caisba:l Mridi:a Code Sedi013.32.raJ. Faluelotirrayfdlc,,vttat (JIXllCire wll ll'I' m; Sl.m<J.lEri legs !dim lo atad<,
-. set aside, ;tic\ a aru their inµ,;iticn
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•
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING •ENGINEERING •BUILDING •FIRE •HEALTH 0HAZMATIAPCO
c·cityof Building Permit Application Plan Check No. C!.5 IY d--8,\ I -
1635 Faraday Ave., Carlsbad, CA 92008 tcvo ,
Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit (SI) email: building@carlsbadca.gov
www.carlsbadca.gov Date''"' ru.l tL./ lswPPP
JOB ADDRESS 7.-0y(J (ry Cl. l{ I -e, w ... '-' SUITEI/SPACEI/UNIT# IAPN ---
CT/PROJECT# I LOT# I PHASE# I# UF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONS TR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) !: a /Pr ;t~11-f /YIPvn .f ..2 o r,--e.. Is I , ; I </ .q-./--..,c, p(J
/lf'o J,e, v,. c.c. v-,,., ,... .. /4 .
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS {SF) FIREPLACE 1 IAIR CONDITIONING I FIRE SPRINKLERS
YESQ Nc0 YES •NO• YES• NO•
APPLICANT NAME {)/,., °f ,r, /, I '-/-ft /,,,'\ PROPERTY OWNER 1-,krl '5"..,,,,hPrn Primary Contact
ADDRESS . ADDRESS to~ tiavle W"''f
CITY STATE ZIP Cl"e. / !'A. f'. y ,-,/sb4 C7 ,lei
'76,'1'7''13 3frJtJ I FAX PHOtE ? tJ7V'J JZ-112--!FAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ,--ea /I ,,./ IYl 5',,/ c-r
ADDRESS ADDRESS 7g'(y c;-, iv-er h,,... ~ ,H .D
CITY STATE ZIP CITY,; D SCA {" z_1z1o
PHONE IFAX PHONE ,,:,,o 7 o 3 '5 Y'J c, !FAX
EMAIL EMAIL ~ ...)'\ s O'" -+-o-.r.d. ...,.. s, I .,.,,-.co--, I STATE UC.# STATE UC.# 'f z , S-7 [P I CLASS lc'"i'~~.i, ;r\ 1s'
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to c_onstruct, 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
B_usiness and Professions Code) or that he rs exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPEN$ATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
~ I have and will maintain a certificate of consent to self•lnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the per1onnance of the work for which this pennit is issued.
~ I have and will maintain workers' compen a · , as uired b ion 3700 of the Labor Code, for the per1ormance of the work for which this permit is issued. My workers' compensati insurance carri rand policy
nomberara,lcsuraoceCo (/, (7( ~ 1/1/4 Polb{No.W(ZtJJ'(t7tJC,f,f fl &plrabooDale_L_-_/:_-.L.,!_ __ _
Jt!j§.secUon need not be completed if !tie permit is for one hundred dollars ($100) or less. LJ 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 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 .
.85 CONTRACTOR SIGNATURE
I hereby affinn that I am exempt from Contractor'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 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).
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 ol
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 to provide the major labor and materials for construction of the proposed property improvement. OYes 0No
2. I (have/ have not) signed an application for a building pennit for the proposed work
3. I have contracted with the following person {firm) lo provide the proposed construction (include name address/ 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 / address I phone/ 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/ phone/ type of work):
.65 PROPERTY OWNER SIGNATURE •AGENT DATE
•
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
Presfey-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or future building occupa11t required to obtain a permit from the air pollution control district or air Quality management district? Yes No
Is the facility to be constructed within 1,000 feet 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 AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above Information Is a:mectand that the infonnation on the plans Is accurate. I agree to comply with all City on:llnances and Stam law.; relating 1D building construction.
I hereby authorize representative of the City of Ca~sbad to enter uix:m the aOOve mentioned property br 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: AA OSHA permit is required for excavatons over 5'0' deep and demolitk:m or construction of structures over 3 stories in hei;iht.
EXPIRATION: Every permit issued by the Buik:ling Official under the provisions of this Code shall expre by limltation and become null and vok:I W the buik:ling or w::irk authorized by such permit is not commenced 'Mthin
180 days from the date of such pennlt or if the building orw::irk authorized by sucti permit is suspended or abandoned at any tme after the w::irk is rommenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
,6$ APPLICANT'S SIGNATURE DATE /{} -'Z. 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 Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY 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: _______________ _
AS APPLICANT'S SIGNATURE
ASSOCIATEDCB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP