HomeMy WebLinkAbout2310 RUE DES CHATEAUX; 9; 84-275-9; Permit5~'1
0 tl
Cl) z 0 ~ a: < ... 0 "' 0
ac "' 0 ... 5 I ... z ~ 0
z 0 ;:: < Cl) z ... IL :I 0 0
Cl)
ic "' ..: a:
0 ~
if
0 I hereby affirm that I am licensed under
provision■ of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Prf!9i/7,i!/t"nd my15_nse Is In full lo
Lie No -"--,H'-'-'~~ lass _
I hereby amrm that I am exempl lrom lhe COf'ltrac·
to<'s L,cense Law 10< the lollow1ng reason (Sec 7031.5 Business and Professions Code· Any city or county whtth re-quires a perm,1 to construct. alter. improve, demoltsh, or repair any structure. prior to 11s issuance also requires !he ap·
phcant !Of such permit 10 file a signed statement that he ,s hcensed pursuant 10 lhe 1)(0V1sions ol lhe Contractor's
License Law (Chapter 9 convnenc,ng w11h Section 7000 ot DtVISlOfl 3 ol lhe SU..ness •nd ProlOSSIOf1S Code) 0< lhal rs ex·
empt therefr0<n and the basis fo, the allege<! exempt,on Any
v,olalion ot Section 7031.5 by an appwcant 10< a permit sub· ,eels the applic.anl to a CNil penalty ol nol more 11,an lrve hun·
dred dollars {$500).
□ I. as owner of the property, or my employees with wages
as lhe,r sole compensation. will do the work, and the struc· ture 1s not intended or ollered tor sale (Sec 7044, Business
and Professions Code. The Con1rac1or' s L.cense Law does
not appfy to an owner of property who builds or improves thereon and who does such WOfk himself Of through his own
employees, provided tha1 such improvements are not intend· ed or offered for sale. If. however, the building or improve-
ment is sold within one year ot compietion. the owner·bu11der will have the burden or proving that he did not buikf or im-
prove 10< the purpose ot sate).
D I, as owner of the proPerty, am exclusrvely contracting
with hcensed contractors to construct the project (Sec. 7044, Business and Profes~ons Code: The Contracto,'s License
Law does not apply to an owner or property who builds 01 im· proves !hereon. and who contracts tor each pro;ects with a contractor(s) hcense pursuant to the Contractor's License Law).
D As a homeowner I am lffll)foving my home. and the lotlow· Ing conditions exist: 1. The work is being per1ormed prior to sale.
2. I have lived in my home t« twetve months
3. r~!v': ':1Pct:e:' 11~i: ~~ptk>n during the las1 three years.
D lamexemptunderSec. ______ ,B&P.C.
!or 1his reason ____________ _
0 I hereby affirm thal I hcl11e a cen,t,cate ol consen1
to self-insure, ,or a cert1f1cate of Workers· Compensation Insurance. or a cen,t1e0 copy thereof
(Sec 3800. Labor Cooe1
POLICY NO ~ lJU 0 /j;Mt f
COMPANY Ni.ionµ:;.
□~y IS hied with lhe city
d Cen,tied copy rs hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 lhe permit 1s to, one hundred dollars (S 1001 or tess1
0 I cen,ty that 1n the performance ot !he wor1!. tor
which lh1s permit ,s issued. t shall not employ any
person 1n any manner so as to beeome sut>1ect 10
the Workers· Compensation Laws of ca11torn1a
NOTICE TO APPLICANT It, after makmJ th•s Cert,
flcate of Exemption. you should beeome subJecl I?
the Workers· Compensation provisions of !he Labor
Code, you musl torthw1lh comply w11h such
prov,s,ons or 1h1s permit shall be deemed ,e..,okeo
Lenders Name r l~'r',;'.' ~ I lJ. ~ll. &,I
'
USE BALL POINT PEN ONLY & PRESS 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 I
~/Oss O~,n ~9-1-eeL ( (;;;/[q) Nc;;-~d /3/vd , 'f,t[;;_ 7lj/7ATIONI
BUSINESS LICENSE # 11t?JTB PERMIT NUMBER
&4-l71//1 LOT BLOCK I ~'1"v?Jr-3-s-l "~~~~oJn~ J'l--o ti NaifveA:!;~ /J~vdcorctr/fl:, CONTR.-.CTORS PHONE• ZONE ,
bli.LJ'-l/-l/55 FTdive:SiJ-earc~) OWNER'S PHONE
bJq --r·l'-//-/i55 CONT~TOR'S.AOORESS A 11i' Vtiz: LICENSE NO. PLAN 1.0 . # BLOG USE CODE 00.r ~ -;"',TY}:/da f ~ 'D3. .~~-13 ,i:R·&:~rl~A,~~:ltfB vw ljl. q~ l/)ll}?_ , Ar /en ~, &ff116s LICENSE # STANDARD PLAN# BUILDING SO. FOOTAGE
Cl-=l771 Ir'. B'IF1Jr}fi7)t ri n -, ~ /)a 'Ir Unlt-d ;----/ F11-V °3'655°:!;iJt Ave &ii} ~fy) DESIGNER'S PHONE
l~rx/o,nlnilffJ V I 7/'t-/.Jc;:JlM
--·-· ----F/P FLR ELEV. V NO OCCGP EDU
,4-~ vONO ~ STORIES J J/.~b/t:1',~UbU 521'••'+f· 'Z., 't-~ l
CENSUS TRACT I GP LANO USE I PSZLfSPACE I RES /NrTS I GRADING PERMIT ISSUEO I REOEVELOPMENT TYPE OCC LOA D Fl RE SPR AREA CONST
v □ N 0 vO NO vO NO Nor Valid Un~s Machine Certified
QTY. PLUMBING PERMIT · ISSUE '1 .q,, QTY. MECHANICAL PERMIT -ISSUE I~-SUMMARY/ACCOUNT NUMBER
l~ EACH FIXTURE TRAP AS.Of. I INSTALL FURN. DUCTS uP TO 100.000 BTU fl .-8UILOING PERMIT 01-00·00·8220 '=11.5,0'0
I EACH BU I LDING SEWER t-,£;/. OVER 100.000 BTU " \ . SIGN PERM IT 01·00·00·8221
I EACH WATER HEATER ANO/OR VENT z.~ BOILER/COMPRESSOR UP TO 3 HP \.f\ \. PLAN CHECK 01 ·00·00·8806 "3'1t ),£/!;)
I EACH GAS SYSTEM 1 TO 4 OUTLETS 7 .~v BOILER/COMPRESSOR 3-15 HP :\., \. TOTAL PLUMBING 01 ·00·00·8222 /_(. 7,00
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE \-\ ELECTRICAL 01 ·00·00·8223 .:;~ ,C V
EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE 0UCT ~~ .\ MECHANICAL 01 ·00·00·8224 VJ,Ov '
EACH VACUUM BREAKER MECH EXHAUST -H000/OUCTS
..._ \ \ MOBILEH0ME 01 ·00·00·8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER ~ <. MOBILEHOME PARK INSP
EACH ROOF DRAIN ( INSIDE) -SOLAR 01-00-00-A??~
-TOTJ;L MECHANICAL I STRONG MOTION 80·92·33·0519 1z.,o~
TOTAL PLUMBING I lA.f)'( ~~ 1.-FIRE SPRINi<LERS 01-00·00·8227
QTY. SOLAR -ISSUE ~ ~ PUBLIC FACILITIES FEE 32·00·00·8933 5, CJ 3,6 I (JU
QTY. ELECTRICAL PERMIT -ISSUE ,r:-;--8RI0GE FEE
NEW CONST EA AMP/SWl ,BKR zoo ~o-COLLECTORS r' " SCHOOL FEE · DISTRICT
1 PH 3 PH STORAGE TANKS '\.... \ Carlsbad V L"'T1L 80·92·21-0519
EX 1ST BLOG EA AMP/SWT /BK R ROCK STORAGE -Encinitas 80·92·22·0519
I PH 3 PH PUMP San Oieguito 80·92· 23·0519
REMODEL'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92· 24·0519
TEMP PO LE 200 AMPS •.
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCC UPANCY (30 0AYS) ' m~t= l®~bU 9>ffi.tn.,
CREDIT DEPOSIT <ZR1.rYJ ~
TOTAL ELECTRICA L I 55.00 TOTAL SOLAR TOTAL FEES PAYABLE I 5Z(5 . .Lll; -
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMtr· ANO DO HEREBY Eapinllion E--, pe,_ ISSUed by Ille Bu,ld<ng Qff1c1a1 under the prov1s,ons of this * AN OSHA PERMIT IS RECIUIAED FOIi EXCAVATIONS OVER
·CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code -eapife by hmitllhon and become null and void If th~ butfdmg or work 5· O" DEEP -'NO OEMOllTION OR CONSTffllCTION OF
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS lltllhor1Zed by IUCII perm,! 19 not commenced ''"""n 180 days from the dale ol such sryucllJAEs OVER 3 STORIES IN HE!GtiT pennil. or If Ille bu1ld1~ woril author!Ud by such permit IS suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON· __ ,_ .t ..... -Iha work ,. commenced for a oenod of 180 "•••
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICAN . OWNER ;:J CONTRACTOR 0 APPR EO,BY I D'7'1i KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO e.,'t.J 'ct-0.~.tJ. 11/J;/~ BY PHONE o ' \ EXPENSES WHICH MAY IN A!'lV WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 'I' /) \ .
I I r~ ~RANTING OF THIS PERMIT A , ~ _ J l I
A ' ·, --.
~
u:::
~
<'l 0 Cl.
E (l) ~
I
'O 0 (!)
C <1l u
n. Cl. ~
I
.>< C a:
0 "' "' (l) "' "' ~
I
3: .2
(l) >-
"' "' (l) u 0 a:
<1l .;
Cl
~
(l) u C <1l C u:::
C (l) ~
(!)
0 0 (l)
Cl. "' C
(l)
.c ~
; ,-t ..
TYPE . I DATE INSPECTOR -~ I I. -I ~4 ~ ;i.,7~ -9 \, --,.
BUILQING .. "'' I '
FOUNDATION ~\/)\-, Jtl1/ ,r, ./,."'~""' II,,, l'.r2J. ,-;: ,,,,. ..
-u FIELD INSPECTION RECORD
REINFORCED STEEL~ ,r .L::,,,'j C"' 1 rv--
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I
INSPECTION REQ IF INSPECTOR'S DATE GUNITE OR GROUT I CHECKED APPROVAL . ·-
FLOOR & CEILING SUB FRAME I
I SOILS COMPLIANCE • ' ~ ;__ ! . '
SHEATHING JG ROOF t19HEAR ~.,,.~ "'-~. PRIOR TO --~ ~ -··-
FRAME FOUNDATION INSP
I
EXTERIOR LA TH I STRUCTURAL CONCRETE
I . OVER 2000 PSI
INSULATION I r,1.7...~ ...:'.a.-. ... PRESTRESSED ___ ., -
CONCRETE INTERIOR LATH & DRYWALL . I POST TENSIONED I CONCRETE
PLUMBING I FIELD WELOINQ. ~
SEWER AND BUCO DIPUCO I '' in '?)X
~ HIGH STRENGTH'
BOLTS I
UNDERGROUND D WASTE D WATER I
TOP OUT $WASTE [)f-WATER ~-,1'~ ~ SPECIAL MASONRY
TUB AND SHOWER PAN ' -
I I
GAS TEST I
PILES CAISSONS
D WATER HEATER D SOLAR WATER •
I . -
ELECTRICAL I . .
D ELECTRIC UNDERGROUND D lllFFER . , . ,
ROUGH ELECTRIC ' ' I ~' .
□ ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I u ~:.· s--. . . ' I --
MECHANICAL I .
□ DUCT & PLEM., □REF.PIPING ..... ··-·-· -
HEAT -AIR COND. SYSTEMS ' \
I •
VENTILATING SYSTEMS I , '1l • .. '). . ~ '\ \ ,' \\ .· ,, \ T' . \ ";.. . ,~ \ \ ~ . ' "!' +_. .... ' ',~\ --< ' ·'-' I ---• --,., • ~ I.
.... ~~ ,
CALL FOR FINAL INSPECT~iN WHEN ALL APPROPRIATE '• ' i ,1·\ ""I· ' ' -~' \\
ITEMS ABOVE HA V BEEN APPROVED. ,_..-' -.
~ ,. • ' FINAL ' __, ,,,, . ---~ .. ...... ' -' .
' <.J.. ·.: \ ' 1 1' t \ " : . '\'·_•, ~, ... .:. -I"-\' \ PLUMBING I :::::-:, I ,. ---., a;: I ~ • •
ELECTRICAL I /'7/ ,/ ~ I -_/ ' '/ ..... J \ <I\ ~ . ' , \, I . I \ I ... ' ........ __ ... ·. ~ " ,._,,,,\·, '--\.~---
MECHANICAL I o, l 0 ,._ . -
GAS \ I } . },\• ' \ . l
, .
,( ' ' I .,, _ ' . ·~ '~,\. ' . ~ .) .., -\:.. BUILDING . I -... .
I I .
SPECIAL CONDITIONS I
I -. -
-
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:
1-,, ,: C,
EXISTING BUILDING
/ DU
LATERAL LOCATION
ST.
3
LATERAL NO, _______ INSTALLATION DATE--------1
SE
ISSUED BY ------''--':---:-':-....c.--------------
DATE ISSUED _ __;;.;.;~..=...:=...!-.:.!..!!=:.:...------!....!....!~~-'---
VALIDATION
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30', V. 10')
OVER 30' H. @ FT.
OVER 10' 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 OATA --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---
-TOTAL CHARGES (LATERAL ETC.l---=-----------
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter