HomeMy WebLinkAbout2305 RUE DES CHATEAUX; 8; 84-275-8; Permitlv. I[
II) z 0 ;::
C a: C ..I 0 "' 0
u
a: "' 0 ... 5 • ii: "' z
3 0
z 0 ;::
C II) z "' ... :I:
0 0
II) a: "' "' a: 0 3
il
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
O 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 me;lcense Is in
lullfo~' lie Nn Clm
.1 hereby affirm that I am exempt from the Contrac·
tor's License Law lor the following reason (Sec 7031.5 Business and ProfessMJns Code Any city Of county whK:h re-
quires a permit to construct. alter. improve. demolish, °' repair any structure, prior to its issuance also requires !heap-
phcant IOI' such permit to lile a s1qned statement that he ,s
lteensed pursuanl to the prov1s,ons ot the ContractOf·s License Law (Chapter 9 commencing with Sect10n 7000 of D1v1s1on 3 of the Business and Pro1esswns Code) or thal 1s ex-
empt therefrom and the basis fllf the allege<! exemption Any ,iotaUon o1 Section 703 t .5 by an apphcanl fllf a permit sub· 1ecls the apphcant to a crv11 penalty of not more than live hun-
dre<! dollars ($500).
/J. CARLSBAD BUILDING DEPARTMENT Ls'Ye /)e.. t1//~,., 1200 Elm, Carlsbad, California 92008-1989_(619) 438-5525
APPLICATION & PERMIT
BUSINESS LICENSE If VALUATION
8
PLAN 1.0. #
STANOARO PLAN #
f,;~7.:~~~.;,j.Jz!~'-l-ll.,~'.;!,::::.:::;,..-1-}~¥~~~:::!':..!'~~L.~~~~-..I) ~ (_,.. le.....,/ I II
CENSUS TRACT GP LANO USE GRAOtNG PERMIT ISSUEO REDEVELOPMENT
AREA
'e-3 l /
PERMIT NUMBER
~1-zJS-3
BLOG USE CODE
BUILDING SO. FOOTAGE
0 I, as owner of the prope-ny. or my employees w1th wages
as their sole compensation, will do the work. and the struc·
ture is not intended or offered tor sale 1sec. 7044. Business
and Proless1ons Code: The Contractor's license law does
nol apply to an 17#ner of property who builds or Improves
thereon and who does sucn work hlmsell °' through his own employees. provided that such imprOYements are not intend· ed or ollered lor sate. If, however. the bu1k1mg or improve-
ment is sold within one year of cornp&et1on. lhe owner-builder
wilt have the burden of proving tt\a1 he did not build or im-prove fllf the purpose of sale). :z4 YO ND vQ N~
TYPE
CONN
OCC LOAD I FI RE SPR
vQ Ng'
\--
~Valid Unlt!Ss Machine Certified
□ I. as owner of the property, am exclusively conlracltng with lteensed contractors to construct lhe prO(eCt (Sec. 7044, Business and Professions Code: The Conrractor's license
law does not apply to an owner ol property who·buiJds Of im-proves thereon, and who eontracts lor each projects with a
contractor(s) ltCense pursuant to the Contractor's License Law).
QTY. PLUMBING PERMIT · ISSUE QTY.I MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
., , EACH FIXTURE TRAP I Ll L;;.()0 I INSTALL FURN . OUCTS UP TO 100,000 BTU BUILDING PERMIT
I EACH BUILDING SEWER I ~ ~') OVER 100,000 BTU SIGN PERMIT
D As• homeowner I am improving my home, and the toflow·
ing conditions exist: \ EACH WATER HEATER ANO/OR VENT 7 _£;/} BOILER/COMPRESSOR UP TO 3 HP 1 , 1 . -· .. -----..
I EACH GAS SYSTEM l TO 4 OUTLETS ? .::;/} BOILER/COMPRESSOR 3-15 HP ~
Pl AN r.MH'.K
1. The work ,s. being per1ormed prior to sale. 2. I have lived in my home for twelve months
prior to completion of this wlXk. 3. I have not claimed this exempOon during the lasl three years. •
D lamexemptunderSec ______ ,B&P.C.
for this reason -------------
D I hereby alt1rm tha1 I ha'le a cert1hcate of consent
10 self-insure. or a cert1hcate of WOfk.ers·
Compensation Insurance. or a cert1hed copy lhereor
!Sec 3800. Labor Godel I
POLICY NO ~ w_t.) 01 j;i;}'-/ F 1
COMPANY Mict::idJ J:..r5: 1 QTY.
EACH GAS SYSTEM 5 OR MORE . METAL FIREPLACE
EACH INSTAl .. ALTER, REPAIR WATER PIPE . VENT FAN SINGLE OUCT
EACH VACUUM BREAKER . MECH EXHAUST HOOOIOUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
EACH ROOF DRAIN ( INSIDE)
TOTJ.L ME CHANICAL
TOTAL PLUMBING
ELECTRICAL PERMIT· ISSUE QTY. I SOLAR · ISSUE
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHOME
MOBILEHDME PARK INSP
SOLAR
STRONG MOTION -FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
nn, ,nn, "E • DISTRICT ~l.,MUUL rt t Copy IS 1•1e<l '"'th th• c1ty II NEW CONST EA AMP/SWT BK R -COLLECTORS
Cer1,t1ed copy IS hereby lurn,shed I 1 PH 3 PH STORAGE TANKS I 1,ansoaa ..., '-1 i;;.,.
I EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE CIICIIIIIO>
...... '-L --' I ...,.D
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Ttus sectton need not be completed 1f !he perm,t
1s tor one hundred oonars (S 100) or tess)
D I certify !hat 1n the per1ormance ol lhe wo~ le»
which this permit 1s 1ss~. I shall nol employ any
person in any manner so as 10 beCome sub1ect 10
the WoOliers· Compensation Laws of Cal,lorn1a
NOTICE TO APPLICANT If, at1er mak1n1 this Cert1 hcate of hempt1on. yoo should t>eeome sub1ec1 ,.,
the Workers· Compensation prov,s,ons ol the L.abOr
COde. you musl forth'tlo·1th comply with sucn
provisions Of 1h1s permit Shill be deemed revoke<J
c-#0:-:. .....
,._ -.... ,_ -··-I 1 PH 3 PH PUMP :,an u1egu11o I . • . I RErilp_OEL 'AL TfR PER CIRCUIT PLAN CHECK FEE :,an Maicus r, __ ··-----
I TEMP'PDLE 100 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
TOTAL ELECTR ICAL 55.06
CREDIT DEPOSIT
TOTAL SOLAR TOTAL FEES PAYABLE
01·00-00-8220
01·00-00-8221
01 ·00·00·8806
01-00·00·B222
01·00·00·8223
01·00-00-8224
01 ·00·0Q·8225
80·92-33-0519
01·00-00-8227
32·00-00-8933
80·92-21-0519
80-92-22·0519
B0-92·23·0519
80·92-24-0519
V, hereby affirm l'fe¾,ng aoency 10.
wtuch th,s perm11
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED-TO.COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON•
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT 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.
Expirabon Every permit ISSU9d by Ille Bulld1ng Ofl1c1al under the prov1S1ons olth,s
Code shall exp,re by ln'"t■t,on and become null and vo,d II the building Ot work authonzed by such permit ,snot commenced ••th,n 180 days from the date of svcn
permit, 0t 1t the bulldlng o, w0tk autho,ized by such permit •• suspended or
abandoned at any llm■ after the work "' comrnenqd~ tor a penod of 180
* AN OSHA PERMIT IS REOUIAED FOR EXCAVATIONS OVER
5' O" DEEP ANO DEIIIOLITION OR CONSTRUCTION OF
STRUCTUA£S OVER 3 STORIES IN HEIGHT
Len<1e,sNafT'• L,/,-M/ ;.{.jl lJ/_l',{jM.
tenoens Aooress ~/ I "V • f ;r::, f / ,.-ih.
APPLICANT'S SIGNATURE----1, ft OWNER O CONTRACTOR 0 0. ' .. IA .• .,..-. ,,J,~J4LJ BY PHONE D
IVED BY • ---
~ ii:
>-;;;
0 0. E Q) t-
'O
0
C)
C
<II u a. 0.
<I:
I
-"' C ii
0 (/)
(/)
Q)
(/)
(/)
<I:
I
3: .Q
Qi >-
(/)
(/)
Q) u 0 a:
<II ~ 0
~
Cl) u C <II
C
ii:
C Q)
Cl) 0
0 u Q) 0.
(/)
C
2:
.s:::. ~
.;
TYPE I-. . I DATE INSPECTOR
BUILDING ' I
I
OUNDATION ~-' 12 /7-C::: c-A ~ -ff-~ ~✓di ---\.£::I:~
IEINFORCED STE&:----•, ._,.c II -~--
IASONRY I
iUNITE OR GROUT I
LOOR & CEILING SUB FRAME I
F
R
M
G
F
s
F
HEATHING ~OOF ""ISlSHE~R . 9'-f<-~ ~I'--..
RAME ' ' I ..,,
EXTERIOR LA TH I
INSULATION I ',J.. z. 'lf:'tJJ ....... _
I --· --INTERIOR LATH & DRYWALL I -
I
PLUMBING I
I
SEWER AND BUCO DIPUCO I ,
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D W,4TER
TUB AND SHOWER PAN I '
G).S TEST I
D WATER HEATER D SOLAR WAtER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D ~FFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPOFilARY
D BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPl"(G ' ' -
HEAT -AIR COND. SYSTEMS I \
VENTILATING SYSTEMS I ··~' ,, \ ·, '\.' \Y,
I
CALL FOR FINAL INSPECTl@N WHEN ALL APPROPRIATE
ITEMS ABOVE HA VH BEEN APPROVED.
I ----< FINAL -------I
PLUMBING '/' .. _,,..... 1111
4 .. .JO~
ELECTRICAL / f_.; ~-
MECHANICAL r : g]t'-1' N
GAS •.. \ I I -----'T -.. ~, f ,~-
BUILDING \1 .. . _,/
SPECIAL CONDITIONS ~ -...
I
f5c..J,~7S-~ ' . • . ,...
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REO IF INSPECTOR'S INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE J J • l L • PRIOR TO .. --~ ·--· ..,_ FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
I -·
FIELD WELDING l
HIGH STRENGTH . '" BOLTS
SPECIAL MASONRY -,,
n .
I
' PILES CAISSONS
• .
C
' -
-._:). -L,_,1. _ __.
' . . e -t ,a,· . . '
L
"' •I-.. ,: ~· -,\_\\_ (\~ ":1 '! 1 t t I'\ \ -.., ~~' .•• '""'""'\'.°\, ·, \, 11,.,_ -. . ; < ~ . \ \ \ (' ...... I \" " . ' ~ \ \\ ' •,\
.... ,-'"' a •1 \ '-<" ... _, . \,C \ ., ' \. -. .., _, . . ..
~ .\\. \ • \ . ) .Ii,:, ..... , ,. ;.,,1;_\ \., ' ._ .. 't· ._,,' •. •, --j~ ..J ..,. ' .
• •..-~\ I ,, \ ti';\ 'I-.,. • \ \ ' ' -~ ',\ ' ' -' . ' "\ I;._ f • .. . ... -. \,. -,r ..._ -:.. ~ , \! -. ,... ' .-' . I .. J-: •
J ,_ ~
. ' a
-.
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 BUILDING
LEGAL DESCRIPTION
REMARKS:
I
EXISTING BUILDING
LATERAL LOCATION
ST.
LATERAL NO. _______ INSTALLATION DATE-------
9
ISSUED BY __________________ _
DATE ISSUED------------------
VALIDATION
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30", V. 10') _________ _
OVER 30' H. ___ @=~· ___ FT. _________ _
OVER10'V. @ FT. _________ _
STANDARD 6" (Max. H. 30', V. 10') _________ _
OVER 30' H. ___ @,___ ___ FT. _________ _
OVER 10' V. @ FT. _________ _
TOTAL CONSTRUCTION COST----------
SERVICE CHARGE (REPAVING ETC.) _________ _
TOTAL LATERAL CHARGE _________ _
LINE COST DATA
ASSESSMENT DIST. NO.--------------
FRONTAGE ____ COST PER FT. ____ TOTAL __ _
OTHER ____________________ _
CONNECTION FEE
NO. UNITs __ / __ cosT PER UNIT ___ TOTAL----
PUMP STATION FEES
NO. UNITS_-=_COST PER UNIT ____ TOTAL---
WHITE: Engineering. GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permitter