HomeMy WebLinkAbout2080 GAYLE WAY; ; CB950888; Permit06/30/95 08:51
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B U I L D I N G
Job Address: 2080 GAYLE WY
Permit Type: MISCELLANEOUS
Parcel No: 205-151-10-00
Valuation: 0
Construction Type: NEW
P E R M I T
Suite:
Lot#:
Permit No: CB950888
Project No: A9501257
Development No:
Occupancy Group: Reference#: Status: ISSUED
06/30/95
06/30/95
DC
Description: 33 SQ COMP SHINGLES REROOF
Appl/Ownr : SANBORN, JUDITH
2080 GAYLE WAY
CARLSBAD, CA 92008
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee #1
* MISCELLANEOUS TOTAL
***
90 .00
.00
90.00
***
>
Applied:
Apr/Issue:
619
Entered By:
729-1202
Fees Collected & Credits
Total Credits:
Total Payments:
Balance Due:
.00
.00
90,00
***
Units Fee/Unit Ext fee Data
90.00 90.00 REROOF
90.00
2547 06/30/95 0001 01 02
C-PRMT 90-00
Fl~'AL APPRr"'u
INSP. Pc
CLEARANCE _____ .
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (6 I 9) 438-I 16 I
PERMIT APPLICATION PLAN CHECK NO.
City of carlsbad Building Department
Z075 Las Palms Dr., carlsbad, CA 92009 (619> 438-1161 EST.VAL. __________ _
PIAN CK DEPOSIT _______ _
I. JSF.kMli h'PE VAIJD. BY __________ _
DATE
From Llst 1 (see back) give code of Pennit-Type: ___________ _
---------------------------------------------------------
For Residential Projects Only: From Ust 2 (see back) give
Code of Structure-Type: ___________________ _
FOR OFFICE USE ONLY
Omt No. Phase No.
CH£tk BEWW IF SOBMII IED: • 2 Energy Cales • 2 Structural Cales • 2 Soils Report • 1 Addressed Envelope
ON OF WORK
-3,3, [,of<'oD 'i-4•-~
I/; OF STORIES
t 1 eren rom app tcan
9
# OF BEDROOMS ~ # OF BATIJROOMS z_
NAME (last.name first) ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE • OWNER • AG£N I FOR OWNER 4. APPLlCAN I O WN I RAC IUR 0 AGEN I FUR WN i RAC IOR
ADDRESS NAME (last name first)
•1Y STATE ZIP CODE DAY TELEPHONE
5. PkuPEitiYoWNElt -T?.o,~ r· ~A-,JC,., "'~~kl ~7a=-(' ~ · .c , •/2/ ~(last name first) c '->~~Y--" _.M,._.. -{ ~...., ..... ~·.ADoRESS ... _ ..; C....>-J _,,,~\~l,___A-'°' 'I\?-,
✓Cl1Y (}':l.(?,,(5,, • , STATE (I, -ZIP CODEa2 , DAY TELEPHONE D-!f -t" ~ _
ADDRESS
CI1Y STATE
STATE LlC. #
ZIP CODE
LlCENSE CLASS
DAY TELEPHONE
CI1Y BUSINESS UC. #
DESIGNER NAME (last name hrst) ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE STATE LlC. #
7. WUkkERS' WMPENSA'iioN Workers• Compensation Declarauon: I hereby afhrm that I have a cernhcate of consent to seif-msure issued Dy the Director of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLlCY NO. EXPIRATION DATE
teruhcate of Exemption: I certify that m the performance of the work for which this permit 15 issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. oWNEk-BOrmmt D£CilRAliuN
Owner-BuUder oedarafion: I hereby afhrm that I am exempt from the Contractor's license Law for the followmg 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 Llcense 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 Llcense 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 Llcense Law).
I am exempt under Section ________ Business and Professions Code for this reason:
(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, commencing with Section 7000 of Division 3 of the Business and 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
subjects the applicant to a civil penalty of not more than five hundred dollars [$5001).
SIGNATURE DATE
CuMPLEIE IHIS SECIION FOR NON-RESJDEN i'IAL B0IWING PEkMIIS ONLY:
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 pollution control district or air quality management district?
DYES •NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • YES • NO IF ANY OF THI! ANSWERS ARE YES, A FINAL CERTIFICATE OF CXx:IJPANCY MAY NITT BE~ AFfERJULY 1, 1989 UNLESS THI! APPLlCANT
HAS MET OR IS MI!ETING THI! REQUIREMENTS OF THI! OFFICE OF EMERGENCY SERVICES AND THI! AIR POLLUTION CDNTilOL DISTIUCT,
9. WNSI RUCIIDN LRNDING AGENCY I hereby afhrm that there 1s a constructlon lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CIVIi Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPiJCAN i CHtiMCAIIUN
I cerllfY that I have read the application and scale that the above mformatlon 1s correct. I agree to comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I AISO AGREE ro SAVE INDEMNIFY AND KEEP HARMLESS THI! CI1Y Of CARISBAD AGAINSf AU IJAIIIUllF.S, JUDGMENTS, CDSfS
AND EXPENSES WJilCH MAY IN ANY WAY AfDI.UE AGAINSf SAID CI1Y IN CDNSEQUENCE OF THI! GRANTING OF TillS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by
building or work authorized by su
su pennit is suspended or aba
APPLlCANTS SIGNATURE
e Building Official under the provisions of this Code shall expire by limitation and become null and void if the
rmit is n men · in 365 days from the date of such permit or if the building or work authorized by
t any ti af is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
DATE:
OW: Applicant PINK: Finance
0
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB950888 FOR 09/22/95
DESCRIPTION: 33 SQ COMP SHINGLES REROOF
TYPE: MISC
JOB ADDRESS: 2080 GAYLE WY
APPLICANT: SANBORN, JUDITH
CONTRACTOR:
OWNER:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA DC
PLANCK# CB950888
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619 729-1202
REMARKS: BJN/NORMAN/
SPECIAL INSTRUCT:
INSPECTOR ---10""""-_0 ______ _
I
TOTAL TIME:
CD LVL DESCRIPTION
19 ST Final Structural
--------------------------------------
***** INSPECTION HISTORY*****
DATE
091895
080195
DESCRIPTION
Roof/Reroof
Roof/Reroof
ACT INSP
AP DC
AP DC
COMMENTS
FI
:'1 0 ~ ~ [rl
0
"' i[
0 u
a: .. 0 ...
3 I .. z ~
z 0 ~ z .. .. ,.
D I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
L,c No __ Class
I hereby affirm that I am exempt from the Contrac-
tor's License Law tor the following reason (Sec 7031.5 Bus mess anct Professions Code Any city or county which re-quires a permit to construct. alter, ,mprove. demolish, or
repair any structure. prior to its issuance also requires !tie ap-
plicant for such permit 10 file a si9ned s1atement \Ml he 1s
licensed pursuant to the provIsIons of the Contractor's
License Law {Chapter 9 cornmenc1ng with Section 7000 ot
D1v1s,on 3 of the Business and Professions Code) or that Is ex-
empt therefrom and the basis !or the alleged exemption Any
v1otat1on ot Sect1M 7031.5 by an applicant for a permit sub-
Iects the applicant to a cIvII penalty of not more than live hun-
dred dollars ($500)
0 I, as owner of the property, or my employees wrth wages
as their sole compensation, will do the work, and the struc· ture is not intended or o1fered for sale (Sec. 7044, Business
and Proless,ons 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 intend· ed or oHered for sale If, however. the building or improve-
ment is sold within one year of completion, the owner-builder
will have the burden of proving that he did not build or im-
prove tor the purpose of sale)
LJ I, as owner ol the property, am exclusively contracting
with licensed contr~ctors 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 im-
proves thereon, and who contracts for each proiects with a
con1ractor(s) license pursuant to the Contractor's License Law].
• As a homeowner I am improving my home, and the lollow·
ing cond1t1ons exist 1. The wor~_ Is be_ing per1ormed prior to sale
2 I _have lived rn my home for twelve months
prior to completion ol thIs·work
I have not claimed this exemp110n during the
last three years
~r ih~:r~~:;it under Sec ______ , B & P.C ------------
0 I hereby a!l1rm lhal I ha·,e a cer11t,cate o1 consent
to sell-insure, o, a cert1!1cate of Workers
Compensation Insurance. or a cert1f1ed copy thereof
(Sec 3800. Labor Code)
POLICY NO
COMPANY
0 Copy IS tiled w1!h the city
D Cer111ied copy ,s hereby furnished
8 CERTIFICATE:. OF EXEMPTION FROM u, WORKERS' COMPENSATION INSURANCE °' ~h sec1,on need not be comple1ed 1f the perm,1 w Is tor one hundred dollars 1$100\ or less)
"' a: ~t !he performance of the work 10, O ,ch t s issued. I shall not employ any
~ person , anner so as to become subIect 10
the Workers' Compensat,on Laws of Ca1itorn1a
![
• NOTICE TO APPLICANT If. alter mak1nJ th,s Cert,
f,cate of Exemp!,on. you should become subIect t"J the Workers· Compensat,on prosIs,ons ot the Latx:n
Code. you must tor1hw1th comply w,th such
prov,s,ons or tr1Is perm,1 shall be deemed ,evoked
D I he,eby aftirm that there ,s a const,uc1,on
lend,n<,1 a<,1ency Tor tne performance of tne work tor
wh,cl'l tn,s perm,1 Is ,ssued 1Sec 3097 C1v,I Code)
Lenders Name•------------
Lendefs Address __________ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
AV.·St'. bATE·OF•APPLtCATION-i
. • RQ.· .. ~·· . ·a-."2 'lSOrll) .::;;, ,;;,. ·••&,..;)
OWNER'S, PH,(>NE' <;{JNJ)tAt.TOfl' . '
BUStNESS·LtCENSE # I qxA~~ I~ i:RM,TNUM8ER
I CONl:RACTOAS PHONE 8 ZON ;, 7 3
7;i,9-/,;J/J.Z a"~12.. .... ~-~~uz;;;;~WA¥
LOT BL.OCK SUSO!VlSION
(k.ll.5$A-b I ASSESSOR PARCEL NO.
CONTRACTOR'S ADDRESS
DESIGNER
rE~PnON OF WO~ 1 r'-d:JCI:, ~" OESlGNER:SAOORESS
,.,
-"'' ~ .. .A ,c:::-\,..,. --.... ,,.J.,, A .,. -11'._;,0
V \Jwu (} ' F/P FLA ELEV.
vO NO
CENSUS TRACT GP LAND use GRADING ~ERMIT ISSUED
NO
STORIES
TYPE
CONST
LICENSE NO.
LICENSE#
DESIGNER'S PHON,E
DCC GP EDU
DCC LOAD FIRE SPA
PLAN 1.0. # BLDG use CODE
STANDARD PLAN# BUILDING SQ. FOOTAGE
II 11/!J,Ji I ., ........ ~ ..
~'
C,Otai!26 Slal41 e: ~3.3;
>ARK'NG seAce RES UN'TS-1
v O ND I REDEVELOPMENT
AREA
vO ,.,_Q vO ND Not Valid Unlt!ss ~chine Cerrifif!d
QTY.
~
PLUMBING PERMIT· ISSUE 7£!. QTY. MECHANICAL PERMIT· ISSUE 3 SUMMARY/ACCOUNT NUMBER ---
EACH FIXTURE TRAP
EACH BUILDING SEWER r-
INSTALL FURN DUCTS iJP TO 100,000 BTU +---~--I °lfUILOING PERMIT 01-00-00-8220
OVER 100,000 BTU . SIGN PERMIT 01-00-00-8221
--l------~
BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806
BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00-8222
""=:c.\O, Jo 1 .... ;s:-,,~ , .
METAL t-lHEPLACE • ELECTRICAL 01·00-00-8223
EACH WATER HEATER ANO/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INST Al .. ALTER. REPAIR WATER PIPE --1--· rVENT FA.N SINGLE DUCT MECHANICA·L-----o~OO-oo-8224 1 1
1-----
EACH VACUUM BREAKER MECH EXHAUST -HOQDiOUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RHOCATlON OF EA FURNACE/HEATER . MOBILEHOME PARK INSP
I---.---i-EACH ROOF DRAIN (l"'JSIOE) ---_ _ · $.OLAR 01-00·0Q-8.2..26 I
__J___ . TOT.l.l MECHANICAL I STRONG MOTION 80-92-33-0519
----rnTALP·L·u-MB-ING ---. FIRE SPRINKLERS 01-00-00-8221 ----
PUBLIC FACILITIES FEE 32-00-00-8923
ELECTRICAL PERMIT. ISSUE I .s=-II QTY. I -~-· .. . ""'""' ett
COLLECTORS SCHOOL FEE· DISTRICT
QTY.
NEW CONST EA AMP:'SWT,BKR
c:::rn .6.R . ISSUE
EXIST BL•GEA AMP/SWT/BKR ~~~ __ JL-_ _,R•CKST()RAGE ---Encinitas 80·92-22-0519 I -= 1 PH 3 PH ~ STORAGE TANKS Carlsbad 80·92-21-0519
<---+--I_P_H_ _____ 3 PH ---11---< PUMP . San Dieguito 80-92-23-0519
REMO•£ L 'ALTER _ !~~c~~---------··-!_LAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS -----
TEMP OCCUPANCY {30 DAYSI
-----
----Jt-·----+-
------+-·-___,__
--
-------!
!!! u:
>-~ 0 Q.
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TOTAL ELECTRICAL
--_ _:__ ---II----+--
TOTAL SOLAR -+----'-1
1 I I ~ 3 '3 ill TOTAL FEES PAYABLE
-o t,
"' Q.
"' ~ ,·~t\~i~tt·' -" -~~THE,CO~~~EO.'"APPu~AN!iPhEBMrr:,.:ANo'oo·~; :;·ap1ratton.E!NSly~~.~tW¥ding;~~~~~~'i{iNs ', ', . '" ' " ·~~"?~· ~ OF PERlUfl:Y·l~T.~Lt. lNFQfMATIQN H~O~ 1jJCLU01t«l 1HE, ~)tliafl UP',re t,y·1~·afflHaec0#¥~and~.1tltiahwtdfng'.0rirork · ~., .• 0$~,".J81f{Jl:S11fQWREDFOR ~YATl)tt$(W,EJ1' t.' ~"'f10NS, , Tiltl~·~NO eOAAE9T ANttffURT·FIEffCEffrtFY4,NCYAGREE IF A.'PERMIT JS au~~ o/ SUCh penrrit ~ not ~.•~f!i 1&q,~[,qm lhedileQf~ · •,;!!:~~-~OR~ Of, ·.·~·'TO~'l,WtTH.~lLcm',Q(l~tY·AND'~ATE"J.:,\WS'"GOVl;.FfNINGiltJM...0J+.IG~•,,. Pt 1.nw WN pc WO(); aµttlon~ ,·auch, ft,'ntt .. " or'," , .. f.'.~I~ , "l&TOAIESIN.HE,IGHT
"ST.ffl)¢TJQN,W~ER~~.HE~!N-,ORNOT, l~t.S(l'.'AOOEtTOSAVE!NOEMNIFYAND.', ilrMJ& otA ·0 "'~" ,, ' '·," ' ,KE(~ f!AliMLE.$tM'.tte:~ ~):.$BA{l"~-~1Ns1' ~~1:.JA8U1T1~ JUOG~EN~' Cq'sts ~n , APP,l{~'S S~AT~ , ~,;,; .:+ :-, ·:•~R.\&l'Q8-0 APPAOV BY ~~a,~•W.AV,~-~$,<jOC,rYIIU>ONSi<llll;N~ ()~ ~--:,-::;a:;;,r .· . ··• • •c .. > ·'·.,'I • • •. ~ .-.3 ., •• C/• •·. ~!<&11!' !J!i~ .•• ;;: .• .• > . > < · .. ·.· .. •·. . >: •¢~'4t ::tt:,· . ~ . :;/,-.11>1~JJ I
I
~ .c s:
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION ,.,,.,i,""' "·
REINFORCED. STEEL Iv ""v ... \.,'
MASONRY
GUNITE OR GROUT lt:;,1-1. i 1 f-#
FLOOR & CEILING SUB FRAME 'I
SHE,9,,THING
' -
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING ' -
HEAT -AIR COND. -SOLAR SYSTEMS -VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING ,ia, r _,, ~' ELECTRICAL , ,I\Ar 1n,\rYn \"'l I
MECHANICAL l{\~'' -•
GAS '
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
I I SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE I POST TENSIONED I
CONCRETE
FIELD WELDING
HIGH STRENGTH
REO IF I INSPECTORS
CHECKED APPROVAL DATE
BOLTS ·---
SPECIAL MASONRY
PILES CAISSONS
-.. ~ 1 ..
g--;-.;1.7 3
INSPECTOR'S NOTES
'~-':; ·-~ ' -~ ~ ._;
i'--.:~ ; : .; :--~ = .,
·-----------,