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Home My WebLink About2365 RUE DES CHATEAUX; 2; 84-275-2; Permit:\> Si![ 8 Cl) z 0 ;::: C a:: C ..J 0 Ill 0 II: Ill 0 .., 5 I Ill z :It 0 z 0 ~ Cl) z Ill ... :I 0 0 C/) cc Ill "' a:: 0 3 rJll' I hereby affirm that I am licensed under Jrovlolono of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profeoslons Code, and my.Jlcense is In fullf~~ Lie N~ Clm I hefeby athrm that I am exempt lrom the Contrac· tor's Lttense Law tor the totlowtng reason (Sec 7031.5 Business and Professt0ns Code Any city or county which re-quires a permit to construct, alter. improve. demolish, or cepair any structure, prior 10 11s issuance also requires !heap-plic:ant lor such permtl to file a signed stalemenl lhat he ,s lteensed pursuant to the prov,stOnS ot the Contracror's license law (Chapter 9 commencing with Sect10n 7000 al Orvis1on 3 al the Business and Prolessions COde) or that rs b· empt therefrom and the basis for the allegeo exemption Any vlOlaltOn of Section 7031.5 by an applocant IOf a permit sub· 1ects the applicant 10 a cMI penally O'I not moJe lhan hve hun- dred dollars (SSOO). 0 t, as owner ol the property. or my employees with wages as lhe,r so&e compensation. will do the work. and the struc· lure is not intended or olfered tor sale (Sec_ 7044, Business and Profess10ns COde: The Contractor's Ucense Law does no! apply 10 an owner of property who builds or 1mprMs thereon and who does such work h1mse1t or through his own employees, provided that such improvements are not mtend· ed or offered tor sale. 11, however. the building Of improve- ment is sold wi1hin one year ot completion, the owner-builder will have the burden ot proving lhat he did not build or im• prove tor the purpose ol sale). D I, as owner of the property, am exclusively contracling with licensed contractors to construct the project (Sec. 7044, Business and Protess10ns Code: The Contractor's license law does not apply 10 an owner of property who builds or im-proves thereon, and who contracts for each projects with a contractOf(S) license pursuant lo lhe Contractor's Ucense Law)_ 0 As a homeowner I am improving my home. and the lt»low· lng conditions e.xist t. The WOfk is being performed prior to sale. 2. I have lived 1n my home !Of rwetve months 3. rr:v~ :rp~:~ t'~l: =~~ption during the last three years. D I am exempt under Sec.-----,---• B & P.C. for this reason O I hereby affirm that I ha¥e a cert1t1cate al consen1 to self-insure. or a cer11t1cate ol Workers· Compensation Insurance, or a certilted copy thereof (Sec 3800. ul>Or Code) POLICY NO p.;;i !).):IOI IP-/ f COMPANY Mf::±10/11-fr:J. t5"Cor,y IS flied with the city D Cen1hed copy ,s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS-COMPENSATION INSURANCE (This section need not be completed ,1 the perm11 ,s tor one hundred dollars ($ HX>) or 1ess1 0 I cen,ty that ,n the perlormance ot the woo tor which lh1s perrrul 1s tSSued. I shall not employ any person in any manner so a.s to become sub1ec1 10 the woni:ers Compensation Laws of California NOTICE TO APPLICANT It. after makm] th1S Cert, hcate of Exemptt<>n~ you shoukj t:>e<:ome sut>1ec1 I? the WOOl.ers· Compensat,oo prov,s,ons,ot !he Labor Code. you must forth'ft1th comply with such provisions or 1h1s perm,, shall be deemeo revoked USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER 5Z· GRADING PERMIT ISSUED YO ND vO NO REDEVELOPMENT A REA v□ N PLUMBING PERMIT -ISSUE QTY.I MECHANICAL PERMIT · ISSUE EACH FIXTURE TRAP I i!!Ji::'l'Jl1 I I INSTALL FURN. DUCTS UP TO 100.000 BTU EACH BUILDING SEWER I /_.:!)I I OVER 100.000 BTU EACH WATER HEATER ANO/OR VENT I 7. c;-1)11 I BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM I TO 4 OUTLETS I 7 Q)I I BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM~ ORM.ORE I I I METAL FIREPLACE 3- B4-z1s, z. PLAN I.D. It BLDG use CODE BUILDING SQ. FOOTAGE I 0/lB/b~llbbb 021 v0 N~ Not Valid Un~s M~chine Certified SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 01 ·00·0D·B220 SIGN PERMIT 01 ·00·00·8221 PLAN CHECK 01 ·00·00·8806 TOTAL PLUMBING 01-00·00·8222 ELECTRICAL 01 ·00·00·8223 EACH INSTAl . ALTER, REPAIR WATER PIPE I ! I VENT FAN SINGLE DUCT I I "'L""""'""L -. --. EACH VACUUM BREAKE R MECH EXHAUST -HOOOIOUCTS ------ w:rH4Nlr4t 01 ·00·00· 8224 MOBILEHOME 01 ·00·00·8225 WATER SOFTNER I II I RELOCATION OF EA FURNACE/HEATER EACH ROOF DRAIN (INSIDE) fOTJ;L MECHANICAL TOT AL PLUMBING QTY. I ELECTRICAL PERMIT· ISSUE QTY. I SOLAR -ISSUE NEW CONST EA AMP/SWT BK R COLLECTORS I PH 3 PH STORAGE TANKS EXIST BLDG EA AMP/SWTIBKR ROCK STORAGE l PH 3 PH PUMP REMOOEL'ALTER PER CIRCUIT PLAN CHECK FEE TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY 130 OAYS) TOTAL ELEtTRICAL I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' ANO 00 HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS TOTAL SOLAR MOBILEHOME PARK INSP SOLAR STRONG MOTION 80·92-33·0519 FIRE SPRINKLERS 01-00·00·8227 PUBLIC FACILITIES FEE 32·00·00·8933 BRIDGE FEE SCHOOL FEE · DISTRICT Carlsbad V t,;I ~ 80·92·21 ·0519 Encinitas 80·92·22-0519 San Dieguilo 80·92·23·0519 San Marcos 80-92-24·0519 LICENSE TAX 01-00-00-8162 CREDIT DEPOSIT TOTAL FEES PAYABLE * AN OSHA PERMIT IS REOUIAEO FOA EXCAVATIONS OYER 5' 0" DEEP ANO DEMOLITION OR CONSTRUCTION~ ISSUED· TO COMPLY WITH ALL CITY. COUNl Y AND STATE LAWS GOVERNING BUILDING CON-L.!_,!!!~OOt~lecl!!!_,!lll!.,!!an!!Lb!!!me!!!!.!8"~er~lhe!!!!.!•~o!!:rk~•sl,!C.lom!!!!!m!!:enced!!!!,!2.!f09!rcJ•~~:!!!.;~!J!l!...2lll---=~~~~~~~-----------::"i':Tr--,--~ STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPlll:AMT'<I "'""'-"To.-.... ~1 1 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH STRUCTURES OVER 3 STORIES IN HEIGHT ' GRANTING OF THIS PERMIT 2 u::: >, ~ 0 a. E Q) I- 'O 0 (!) C (1) u a. a. ~ I -"' C a:: 0 u, u, Q) u, u, ~ I 3: Q a:; >- 1/) u, Q) u 0 a: (1) co 0 ~ Q) u C (1) C u::: s C Q) ~ <.? 0 ti Q) a. (/) C ~ ~ 5'. TYPE BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SHEATHING FRAME EXTERIOR LATH INSULATION SUB FRAME ROOF INTERIOR LATH & DRYWALL SEWER AND BUCO UNDERGROUND TOP OUT □ □ WATER HEATER □ SOLAR WATER ELECTRICAL □ ELECTRIC UNDERGROUND ROUGH ELECTRIC ' '1 □ ELECTRIC SERVICE □ TEMPOmARY □ BONDING □ POOL MECHANICAL □ DUCT & PLEM., □REF.PIPING HEAT -AIR COND. SYSTEMS VENTILATING SYSTEMS DATE INSPECTOR CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION REO IF INSPECTOR'S CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRES TRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING ·, HIGH STRENGTH .. BOLTS SPECIAL MASONRY PILES CAISSONS ,. ·~ , ...... - .l,,' . 1,,: ,' ' ' > I 1 ,, ' . ~ ' . .. ~ • I 1 .. ' ~\\ . ~ t -. I . . • ' ..; . _, --' ,. , ! ' ; . . 84 ~~7!5:-~ /,. -·, \ ,· . INSPECTOR'S NOTES DATE I I ,, --· .. : , ~ C r ~ -- ' ' r I ,, .; \\.' \\ ,~• \'x'r.:i\ . . ~ ,'i'\•'\'. ·'v ·,i -.IL' i"' .... ~-, ~ '. \\ I ' ~ .. ' . -\' . -_ ! r '\' ~·f\ •,,_,, "\ .. : . . : ' ~. \' "'\ r,--r , : !, 'i. \j:,J' ' .._ .._i,.:.. ¼',;;, t-,.-...,,.,' ,,\ -\ .'\'. - -- APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM. CITY OF CARLSBAD ENGINEERING DEPARTMENT 438-5541 FOR APPLICANT TO Fl LL IN BUILDING ADDRESS OWNER MAILING ADDRESS CONTRACTOR CONTRACTOR'S ADDRESS NEW BUI LDING LEGAL DESCRIPTION REMARKS: Al\! EXISTING BUILDING I LJNl1 (. ,rvD.) I ..,: en LATERAL LOCATION ST. ..,: en LATERAL NO. _______ INSTALLATION DATE--------11 ISSUED BY -----'----'-----"--"'---------- DATE ISSUED-----'---'--....:........:... __________ _ VALIDATION I / LATERAL CHARGE COMPUTATION STANDARD 4" (Max. H. 30', V. 10') __ .=./:__ _____ _ OVER 30' H. ___ @~._· ___ FT.-:::./ _________ _ OVER 10' V . @ FT. _________ _ STANDARD 6" (Max. ti:' 30', V. 10') _________ _ OVER 30' H. ___ @, ____ FT, _________ _ OVER 10' V. ___ @ ____ FT, _________ _ T6TAL CONSTRUCTION COST---------- SE'RV ICE CHARGE (REPAVING ETC.) _________ _ TOTAL LATERAL CHARGE __________ _ LINE COST DATA FRONTAGE ____ COST PER FT, ____ TOTAL ___ _ OTHER ____________________ _ CONNECTION FEE NO. UNITS __ / __ COST PER UNIT----TOTAL---- PUMP STATION FEES NO. UNITS ___ COST PER UNIT ____ TOTAL--- W-HITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permitter