HomeMy WebLinkAbout2335 RUE DES CHATEAUX; 5; 84-275-5; Permit5~'1[
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Qll' I hereby affirm that I am licensed under
~lalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my5nse is In
fulllo..,~
lte ~----~-~ Cl•ss
I tlereby affirm lhat I am exempt lrom the Cont,ac·
lor's license Law tor the fOllowfng reason {Sec 7031.5 Business and Profess,ons Code Any city or county wh,ch re-
quires a permit 10 construct. alter. improve. demolish, Of repair any struclure, puor to ,1s issuance also requires !heap·
phc:ant tor such permit to tile a signed statement that he ls
hcensed porsuant to the provisrons ot the Contractor's Ltcense Law (Chapter 9 commencing with Sec110n 7000 ol
Dtv1sion 3 of the Busmess and Proless10ns Code) or that IS ex-empl therefrom and the basis tor the aUegeo exemption Any
v11>1at100 o1 SectK>fl 703f .5 by an applicant lor a permrt sub·
1ects the applicant to a cMI penarty of nol more than five hun·
dred dolta,s (SSOO).
□ I. as aNner of the property, or my employees with wages
as lhe1r sole compensation. wilt do the work. and the struc· lure is not Intended Of offered tor sale (Sec 7044, Business
and Professions Code: The Contractor's License Law dOes
001 apply to an owner o1 property who butlds Of improves thereon and who does such work himseH Of through his own
employees, provided lhat such improvements are not intend-
ed or of1ered for sale. If, however, the buitd1ng or Improve-
ment is sold within one year ~I completion, the owner-builder
will have the burden ot provmg that he did not build or im-prove 10< the purl)OSe o1 salt).
D I, as owner of the property, am exclusively contracting witt'l lkensed contraclors to construct the pro,ect (Sec. 7044,
Business and Pfo1essions Code. The Contractor's license law does not apply to an owner of property who builds or tm-proves thereon, and who cootracts for each projects with a contractor(s) ncense pursuant to the Contractor's license Law).
□ As a homeowner I am improving my home, and the f~low· ing condit,ons exist:
1. The work ,s being pe~o,med prior 10 salt
2. I have lived m my home tor twelve months
3. rr:v~o :rp~:i:c, of lt~.i; =~ptlon during the
last three years.
□ lamexemptunderSec. _______ B&P.C.
lor this reason -------------
D I hereby affirm tha1 I ha....,e a cef11hcale ol consent
to self-insure. or a cert1hcate of Workers·
Compensation Insurance. or a cert,t,ed copy 1nereof :I::~ u~~(I.C/0/ !Pl r
COMPANY Pllt:£:iaJ 'J,-,n5-
, Copy IS hied ... ,h the city
0 Cert,hed copy ,s hereby furnished
CEATIFICATl OF EXEMPTION FROM
WORKERS· COMPENSATION INSURANCE
(This section need not be comple1e<1 ,f !he perm11
,s for one hundred OOllars IS 1001 or less)
D I certify that in the per1ormance of the wO/iit tor
which Hus penntt 1s issued. I shall nol employ any
person 1n any manner so as to become sub1ec1 10 the Wor11:ers· CompenS-ihon Laws of Callforn1a
NOTICE TO APPLICANT II. alter maktnJ this Cen1
tic.ate ol E,;emphon. you should beCome sub1ec1 I?
the Wor1ters· Compensation prov,s•ons ot lhe Labor Code. you must forthwith comply with such
p,o..,1st0ns or 1.tus permit shalt be oeeme<' ,evOkeo
USE BALL POINT PEN ONLY & PRESS HARD
RLSBAD BUILDING DEPARTMENT
CENSUS TRACT GP LANO USE PARKING $PACE.
,;z. '1
QTY.I PLUMBING PERMIT · ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO/OR VENT
EACH GAS SYSTEM I TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAl. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
\. TOT AL PLUMBING
QTY. ELECTRIC~L PERMIT · ISSUE
NEW CONST EA AMP/SWT BKR -zeu
1 PH 3 PH
EXIST BLOG EA AMP/SWT/BKR
1 PH 3 PH
REMOOEL'AllfR PER CIRCUIT
TEMP POLE 700 AMPS
OVER 700 AMPS
TEMP OCCUPANCY 130 DAYS)
TOTAL ELECTRICAL
AES UNITS
vO NO
GRADING PERMIT ISSUED
YO ND
REDEVELOPMENT
AREA
v□ N~
QTY.I MECHANICAL PERMIT· ISSUE
INSTALL FURN. DUCTS iJP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST -HOOOIOUCTS
RELOCATION Of EA FURNACE/HEATER
TOTJ.L MECHANICAL
QTY. I SOLAR · ISSUE
COLLECTORS
STORAGE. TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
BUSINESS LICENSE# VALUATION PERMIT NUMBER
0 t34-Z75-5'
PLAN 1.0. # BLDG USE-COOE
-------
STANDARD PLAN# BUILDING SO. FOOT AGE
2878
R-l I l/ lb/tJ4B0bU 49[,th
II " -•-L
occ LOAD I FI RE SPR
vO ~ Not Valid Un~s Machine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01 ·00·00·8220
SIGN PERMIT 01·00·00·8221
PLAN CHECK 01 ·00·00·8806
TOTAL PLUMBING 01 ·00·00·8222
ELECTRICAL 01 ·00·00-8223
MECHANICAL 01 ·00·00·8224
MOBILEHOME 01-00·0Q-8225
MOBILEHOME PARK INSP
SOLAR
STRONG MOTION 80·92-33-0519
FIRE SPRINi<LERS 01·00·00·8227
PUBLIC FACILITIES FEE 32·00·00-8933
BRIDGE FEE
SCHOOL FEE • DISTRICT
Carlsbad 80·92·21·0519
Encinitas 80·92-22-0519
San Dieguito 80-92-23-0519
San Marcos 80·92· 24·0519
LICENSE TAX 01-00-00-8162
CREDIT DEPOSIT
TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION ANO PERMIT"" AND 00 HEREBY hp,rahon Everyperm1t1SSUedbytt,eBu1lc1tngOlfte1a1unc!erthepro•191onsofth1!
CERTIFY_ UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by hmtla~on and become null and v.ord II the building or work * AN OSHA PERMIT IS REQUIAEO FOA EXCAVATIONS OVER s· o·· DEEP ANO OElirtOl.lTION OR CONSTRUCTION OF
STAUCTVRES OVER 3 STOfllES tN HEIGHT DECLARATIONS ARE TRUE:ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhonzed by such permrt 11 not commence<I wrthtn 180 days from tile date of such
ISSUED TO COMPLY WITH ALL CITY COUNTY ANO STATE LAWS GOVERNING BUILDING CON-::::,.,:./~1~ i;:,.:•::x or work auiharized by such permit ,s suspended or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO , a er the work 15 commence<l lor a nod of 1 ________ _
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO APPLICANTS SIGNATURE • OWNER O -. -
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
G~ANTING OF THIS PERMIT BY PHONE 0
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TYPE \ I DATE INSPECTOR ·. ~
.BUILDING I
FOUNDATION ~ 17.-?,-~ '-... ,, -ws::.J. ~
REINFORCED STEEL I / [/I ,r-:J • ' -
MASONRY I
GUNITE OR GROUT ' I
I
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SHEAR
FRAME I
I
EXTERIOR LATH !
INSULATION I
INTERIOR LATH & DRYWALL !
j
'
PLUMBING I
SEWER AND BUCO DIPUCO I "'\ 11,..-,rcY ~ I
UNDERGROUND D WASTE ', D WATEfy-ll,. t,'./ C>, \
TOP OUT □ WASTE □ W,4.TER
TUB AND SHOWER PAN I
I
GAS TEST I
□ WATER HEATER □ SOLAR WAtER
I -.
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ ~FFER ..
ROUGH ELECTRIC I
' □ ELECTRIC SERVICE □ TEMPOIIIARY
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPl~G
HEAT -AIR COND. SYSTEMS l
VENTILATING SYSTEMS l .. ~ \ \ '
I
I
CALL FOR FINAL INSPECT/(!)N WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE!. BEEN APPROVED.
FINAL
PLUMBING ,,
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ IF INSPECTOR'S
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING -
HIGH STRENGTH I
BOLTS
SPECIAL MASONRY
I
PILES CAISSONS
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INSPECTOR'S NOTES
DATE
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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 t:=DU
EXISTING BUILDING
;
LATERAL LOCATION
ST.
LATERAL NO, _______ INSTALLATION DATE---------1
SE
ISSUED BY ___ ,/ __________________ _
DATE ISSUED--.=.....a\~\-'--'--------------
VALIDATION
"' I •
LATERAL CHARGE COMPUTATION
OVER 30' H. ___ @.,,,L· ___ FT. __ --::-:c--='--------
OVER 10' V. @ FT.~---------
STANDARD 6" (Max. H. 30', V. 10') _________ _
OVER 30' H. ___ @, ____ FT. _________ _
OVER 10' V. @ FT. _________ _
TOTAL CONSTRUCTION COST----------
SERVICE CHARGE (R EPAVING ETC.) _________ _
TOTAL LATERAL CHARGE _________ _
LINE COST DATA
ASSESSMENT DIST. NO.--~-----------
FRONTAGE-~--COST PER FT. ____ TOTAL ___ _
OTHER ____________________ _
I CONNECTION FEE
NO. UNITS ____ cosr PER UNIT ____ TOTAL----
PUMP STATION FEES -
NO. UNITS ___ COSTl'ER UNIT ____ TOTAL---
✓ -
TOTAL CHARGES (LATERAL ETC.) _________ _
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permitter