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HomeMy WebLinkAbout2004 SALIENTE WAY; ; CB160481; Permit02-09-2016 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB160481 Building Inspection Request Line (760) 602-2725 2004 SALIENTE WY CBAD PME 2164815500 Lot#: WUSTMAN RES-GAS LINE FROM POOL 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: EQUIPMENT TO GAS RANGE IN KITCHEN, GAS LINE TO BBQ, REPLACE FLOUR LIGHTSX IN KITCHEN W/ 8-10 CAN LIGHTS ISSUED 02/09/2016 RMA 02/09/2016 02/09/2016 Applicant: Owner: WUSTMAN JEFFREY P&RENE S REVOCABLE LIVING TRUST WUSTMAN JEFFREY P&RENE S REVOCABLE LIVING TRUST 2004 SALIENTE WAY CARLSBAD CA 92009 760 943-1373 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees 2004 SALIENTE WAY CARLSBAD CA 92009 $163.00 $38.00 $0.00 $0.00 TOTAL PERMIT FEES $201.00 Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due: Inspector: Clearance: $0.00 I\OTICE: Flease ta<e cJ yw: jltjecl irdum tte "lrrµ:,;tiori' cJ fees, dedcaiors, """"'8ticns, or ctt-er exactiors -roledivay ra'ened to as 'fees'E!Xl'di ." Yoo 9'.J days from tte-lhs pemit v.as issued to pictest irrµ,sition cJ these fees'~ If )00 pictest tt-ern )00 mJSt fdlootte ?dost poa,cl.res set forth in <?o;errma,t Code Seclion 60020(a), ard file tte J>Olosl ard ,n; ctt-er req.jrecl infarretion vJth tte Oty ~ for proc,sssrg in axnda rewth Or1sboo M.ridpa Code Saction 3.32.CllO. FalLreto tirrayfdlootl>ll procai,evJll ta-,n;sw;ecµrt lega adiontoatta:I<, reviEMf, set aside, \tid, a anJ treir irrp::stion. Yoo !l'El hereby FlRTI-ERI\OTIFIEDthat ya.r rigi to pictest ttespedfied fees'E!Xl'diors llCES NOT APFI..Yto\Mller ard .......-cxrnadion leas ard~ ctwges, nor Jjmrg, 2"irg galrg or ctt-er snila-'l)pication proc,sssrg or"""'"' leas in oonnEdion wth lhs jltjecl. fCR DCES IT APA.. Y to ,n; . . ·1a- THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH □HAZMAT/APCD I Ccicyof Building Permit Application Plan Check No. ( '11 //,, f)[f,f / 1635 Faraday Ave., Carlsbad, CA 92008 -' Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov (/,1,_ www.carlsbadca.gov Date~/q/[t., lswPPP JOB ADDRESS '5"' /,-t;\. + e_ w "'I SUITEf/SPACEf/UNIN' APN 2 .. 00'(_ --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME ICONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Alea(s) II'_., I GA fi /)_ """' (!)-6 Ntw a. I u G-45 l.._l ... (; -E, ~ .., ' ~ o,,,H'j,. -t 1rl ( r,1 rad......_ - k ,_,, "6/J ' 6A5 -:-:? Bo_ .. Fuu11.&,vc7I 1.,;-t +--..> <,<,-1T"-. +o "' t: fl.foe 1=- ~~ro {....6t) c~<; EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE IAIR CONDITIONING l FIRE SPRINKLERS v,so,_ No[] YES□No □ YES□No□ APPLICANT NAME PROPE~ 't'"F-Wv > JI'\" r1,J Primary Contact ADDRESS ADDRfo::; ~c /, -L>"t .J.,._ (_,.J.....,_ 24o'i CITY STATE ZIP CITY ~12LJfAP STAT!! C..t<1-ZIP ~,.o, 1 PHONE IFAX PH~ 1;>71 I 'AX 1°!?'1 I~ 4 1'f'] 760 1'11 EMAIL EMAIL "J'wuST,.,AtV e__ {<_ r A-0 12. ii f\. n e;, , U'II-\ DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE l'AX PHONE l'AX EMAIL EMAIL I STATE UC,# STATE LIC.# I CLASS I CITY BUS. UC.# {Sec. 7031.5 Business and Professmns Code: Any City or Coun_ty 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 ts licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending 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 {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjUl'f one of the following declarations: B I have and will maintain a certificate of consent to self-insure for W:'.lrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co, Policy No. ______________ Expiration Date _________ _ ~section need not be completed ii the 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. _g CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION ~ reby affirm 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 compensaUon, 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 awrier 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 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 Section _____ ,Business and Professions Code for this reason: 1. I ~ally plan to provide the major labor and materials for construction of the proposed property improvement. (Kl Yes 0No 2. ~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/ phone I 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/ phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the !lowing persons to provide the work indicated {include name/ address/ phone/ type of work): _g PROPERTY OWNER SIGNATURE □AGENT DATE COMPL~TE THIS SECTION FOR NON·RESIDENTIAL BUILDING PERMITS ONLY Is the apolicant or future building occupant required to submit a business plan, acutely hazardous materials registraUon form or risk management and prevent on program under Sections 25505, 25533 or 25534 of the Presley-tanner llazardous Substance Account Act? □ Yes O No Is the applicant or future building occupant required to obtain a pemlit from the air pollution control district or air quality management district? 0 Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes O No IF ANY OFTllE 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, CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read the appllcatlon and state that the al>ove lnfonnatlon Is correct and that the infonnation on tile plans Is accurate. I agree to comply with all City ordinances and State lav.s relating to building construction. I hereby authorize representative of the City of Carlsbad to enter uJX)n the alx)','e 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: M OSHA permit is requred for exca'l8tions over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every JJ:3rmlt issued by the Buik:ling Offk:ial u rthe provisbns oflhis Code shall expire by Ii · 000 and become null and void if the buik:ling or 'Mll'k authorized by sudl JJ:3rmit is not oommenced 'Mlhin 100 days from the date of sudl permit or if the ilding authorized by such JJ:3nnit is suspended or ndoned at any time after the v.or'K is oommenced for a period of 100 days (Sec!On 100.4.4 Uniform Building Code). AS'APPLICANT'SSIGNATURE p k DATE 7 -i -/ 6 • 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. DEUVERY OPTIONS PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg . .1) MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) MAIL/ FAX TO OTHER: ________________ _ ,.65 APPLICANT'S SIGNATURE o ASSOCIATEDCB#------------- □ NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Pennit#: CB160481 Type: PME Date Inspection Item 08/09/2016 29 Final Plumbing 0810912016 29 Final Plumbing 08/0912016 39 Final Electrical 08/09/2016 39 Final Electrical 02/1712016 23 Gas/TesVRepairs Wednesday,August10,2016 Inspector PY PY PY Act RI AP RI AP AP WUSTMAN RES-GAS LINE FROM POOL EQUIPMENT TO GAS RANGE IN KITCHEN Comments Page 1 of 1 7.5' Tie into existing 1.5" gas line 75' P.L. Existing SFR Back hill (part of property) 7.5' 148' P.L. Owner/Builder: Jeffrey P Wustman Site Address: 2004 Saliente Way Calrsbad, CA 92009 APN: 2164815500 Summary: Tie new 1" gas line into existing 1.5" gas line at pool equipment. New gas line to supply Kitchen range and Patio BBQ. Zoning: R-1