HomeMy WebLinkAbout2325 RUE DES CHATEAUX; 6; 84-275-6; Permit)«;
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1i{f" I hereby affirm that I am licensed under
~ovlalona of Chapter 9 (commencing with
Section 7000} of Division 3 of the Business
and Professions Code, and my/5se is In full for:!/t.i:J5/-l1c No.,~,_-.., IJSS -~--
I hereby amrm lhat I am exempt from lhe Contrac• for' s License law lor the lotlowing reason (5ec 703 t. 5
Business and Proless,ons Cooe· Any city or county which re• quires a perm,! to construe!. alter. improve, demo11Sh, or
repair any structure, prior to 11s issuance also requires !heap· pbcant tor such perm1t 10 Me a signed stalement that he 1s
hcensed pursuant to the prOVJSIons of the contrac,or·s license Law (Chapter 9 commencing with Section 7000 ot
Oiv1s1on 3 ot lhe Business and ProfeSStOOs Code) Of that rs ex-
empt 1herefrom and the basis tor the alleged exemption Any violat1on ot SectH>II 7031.5 by an applicant tor a permit sub-JeCIS the applicant to a civd penailly of ROI more lhan twe hun•
dred dOllars ($500).
0 I, as owner ot the property, or my employees with wages
as lhe1r sole compensation, will do the WOl'k, and !he struc· ture Is not intended or ottered for sale {Sec 7044. Business
and Professions COde· The Contractor· s License l aw does
not apply to an owner DI property who builds or Improves !hereon and who does such wOl'k hlmse!f Of through his own
ei:nployees, provided lhat such unprovements are not ,ntend-ed or ottered ID< sale. If. however. the building or imprOYe-ment is sold within one year of completion, the owner-builder
will haVe the burden of provmg th.at he did nOI build er im-prove lor the purpose ot sale).
D I, as owner o1 lhe property, am t)lclusively contracting
with licensed contractOfs lo construct the project (Sec. 7044, Business and Professions Code: The ConlractCN''s license
Law does not apply to an owner of property who bUifds cr im-
proves thereon, and who contracts for each pro;ects with a contractor{s) 1teense pursuant 10 the Contractor's license Law).
D As a homeowner I am k'nprovmg my home, and the ldlcw·
ing conditions exist: I. The W<Wk is being perl0<med prior to sale. 2. I have lived in my home for twelve months prior lo completion of 1h15 WOfk.
3. I have not claimed lhis exemption during lhe last three years.
D I am exempt under Sec. ______ , 8 & P.C. fDf this reason ____________ _
D I hereby a.fftrm that I ha..-e a cert,hca1e ol consent
to self-insure. or a cer11lrcate of Workers·
Compensation Insurance. or a cert,hed CoPV thereof ':,::~B;i.a/0/ b;l-/ F
COMPANY f'1'fttjon :Ins , l Copy ,s toled woth ,.., c,ty
0 Certified copy 1s hereby furnished
CEATIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 lhe perm,1
1s t0< one hundred dollars ($1001 Of less)
0 I certify that ,n lhe performance o, lhe work tor
which 1h1s permit ,s issued. I shall not employ any
person m any manner so as to t>ecome sut>1ec1 lo
the WC)n(ers· Compensatt00 Laws of Cai11torma
NOTICE TO APPLICANT It. after makm;» this Cer1,
f,cate of Exemption. you shoufd beeome sub1ec1 I?
the WM ers· Compen~t,on prOY1s1ons ot the Labor COde. you must torth,..;1th comply wllh such
prov,s1ons or lh1s perm1I shall be deemed re~oked
L I hereby afl1rm
17:'nchng aoency which th•s perm
Lenoe•sNaroll ~-,..Cf.J lf.il/!. 'flJ ,Ill
,t BALL POINT PEN ONLY & PRESS HARD ---. ·-APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT .. A. ~ l...1. l... 1200 Elm. Carlsbad, Ca lifornia 92008-1989 (619) 438-5525
~£,,.,/)~-c~ . ( UnJt /;)' NEARESTrr,;;5&u1 iJvc/. I Di;7'~7~4ATIONI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
7ifl7 IWJ. ~0b
LOT BLOCK ?},,o/v'fJy_~ I ~~fJ.?J/f')NJjf,.00 IA bNTRACTOR b:ve . u CONTRACTORS PHONE • ZONE 7 ~4-z7S-G, ti V< ~-<y J/J I ~~!Pfl.f,~ 1!:J?-1/JJJ~ Ii ~ fJol/ve:5:un-Cart/J,U l61q.:q;r1is5 1Jo~;;~1d; Av~ .Jn3 Wi LICENSE NO. PLAN 1.0. # BLOG USE COOE
,3-/Vd/-l~ JirJ7iJinl/rh5AvL-111o ~Vela,fJJ 9~ ~i;;,R Prh1thrac;<;, LICENSE • STANDARD PLAN# BUILDING SQ. FOOTAGE
--1 .1 2-, 7i · za18 .... era pT..-..N"" -D~ _ m''5' U/ VnJt--,;J,-::J.llV ',,)f riJ (J ( 11 LI } · rllii, 01 fJriNE~S;;JI;, Mt.m&:h ~ DESIGNER'S PHONE
I u I -r,.-r-¼,'r_ 17JI-I--I.Jtlq-J? ~ -I -·w li"LIJ 7J Y.·K lU ~
. "B~(' .::t --------~ -------F/P F LR ELEv'. u NO OCC GP EDU ~'"""''' 30 STORIES ~-, I 1!:;(1 . 3f
vO NO z ~ r.~ .. :l~~---
CENSUS TRACT GP LANO USE I PARKING SPACE I RES t'TS I GRADING PERMIT ISSUED I REOEVELOPMENT TYPE OCC LOAD FIRE SPA
....;7A AREA \Jl) y D ND vO ~ vO N,< ...,
QTY. PLUMBING PERMIT · ISSUE ,.., ~ QTY. MECHANICAL PERMIT · ISSUE .~-SUMMARY/ACCOUNT NUMBER
I 'tJ EACH FIXTURE TRAP LJc;;-~N) I INSTALL FURN DUCTS iJP TO 100,000 BTU 4 .-BUILDING PERMIT 01 ·00·00·8220 ~);f,,t;U
EACH BUILDING SEWER ·~ .c:;o OVER 100,000 BTU SIGN PERMIT 01 ·00-00-8221
I EA CH WATER HEATER ANO/OR VENT ? .57) BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 "?..CJ,D. (o()
I EACH GAS SYSTEM 1 TO 4 OUTLETS 7 .i::;o BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00-00-8222 /,LI (V)
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01 ·00·00·8223 :,~. ()()
EACH INSTAl., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00· 8224 -, M)
7
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01 ·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE} SOLAR n1.no-nn. ooo~
TOT kl MECHANICAL STRONG MOTION 80·92·33-0519 1/.7£.,
TOT AL PLUMBING I /,A.-7 _-FIRE SPRINi<LERS 01 ·00·00-8227
QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00·00·8933 -:VI 7. rID -~-. BRIDGE FEE
NEW CONST EA AMP/SWT •BKR '2,.<.)0 su-COLLECTORS SCHOOL FEE · DISTRICT
1 PH 3 PH STORAGE TANKS . Carlsbad...-(...1t_ -80·92·21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92-22-0519
1 PH 3 PH PUMP San Dieguito 80-92-23-0519
REMODEL'ALHR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS I LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 OAYS} m~~ I Qs;S)\O vmnu
CREDIT DEPOSIT t:"Z.:::[),00 7
TOTAL ELECTRICAL l 55.(J(J TOTAL SOLAR TOTAL FEES PAYABLE I L'.lqbQ,3"
I HAVE CAAEFULL Y EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY EXl)tfatiOn. Every pe,1n11 JSSUed by lhe Buttdmg OfftCIII under the prO'i'tS1ons ofttus * AN OSHA PERMIT IS REQUIRED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall ••p,re by ltm1tat1on and become null and void u the building or work s· O" DEEP 4NO DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhonzed by such perm,t 1s not commenced w1th1n 180 days from lf'le date of such STRUCT\IA£S OVER 3 STORIES IN HEIGHT permit, or 1f the budd':ff:' work author,zed by such permit ,s suspended or ISSUED. TO COMPLY WITH ALL CITY COUNl Y AND STATE LAWS GOVERNING BUILDING CON• --at anv bme a the work ,s commenced for a oeriod or 180 A ....
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND FJ:3-NAO~ ~ 1 bA• ., 0
~j;;/f;4 °::AP:::ER ~ APPt D BY
ID~J18Y-
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 ~ ---. .
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TYPE . . l DATE INSPECTOR
BUILDING ' I
n .. . . ., ~Lf ~ a,7S -Jo .
FOUNDATION ~, ~ ;;,.3 .~ ·~ "'-t/("'Jf'I~ -........ ,/ ~' ~ FIELD INSPECTION RECORD '
REINFORCED STEEL {_ l'IVVV -I
MASONRY ' .
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I -SHEATHING ~ROOF ~SHl;AR :).-,),)~ . .,,
FRAME I
SOILS COMPLIANCE ' J f t ! PRIOR TO .... -. ., "
FOUNDATION INSP
EXTERIOR LATH I a
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I IU-7.•JtS ~ I ----INTERIOR LATH & DRYWALL I --PRESTRESSED
CONCRETE
POST TENSIONED
I . CONCRETE
PLUMBING I FIELD WELDING
I
SEWER AND BUCO DIPUCO I II ,.,rr;:::;1 I-\ ,,~~
UNDERGROUND D WASTE D WATEjl'-ff---
TOP OUT D WASTE D W~TEA
TUB AND SHOWER PAN I
HIGH STRENGTH, .
BOLTS
" SPECIAL MASONRY
' !
GAS TEST I PILES CAISSONS ' '
D WATER HEATER D SOLAR WAl"ER
I . I
ELECTRICAL I <
D ELECTRIC UNDERGROUND D t:JFFER
ROUGH ELECTRIC I r II
D ELECTRIC SERVICE D TEMPO!ilARY
D BONDING D POOL I '. ~;-I._\ • _.,. ~ .
I .
MECHANICAL ' _j
.
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I ._, ~ \\ ,, ·, H'
i ,, '·1
I ''I: ~-I.~ l\\__t\ \· '\ \ \ \' \ \ . ~ ,0c, -.... ~ \" ."
tiEiis·A-BOVE HAV5 BEEN APPROVED.
FINAL t
,. ' ~ , . ' ',. -\ h· -s: 1r" \ \ i_\
-.. '.,' ( .~\\ \_._, • 't . ... -.:..--· . .. .... . \
PLUMBING .. -\' ~ JI ... ! t\ '/ ,!-.., ·•: ..,, ~) .. . \ ' .. 'II ;. ,, ' , l --..._,, -
ELECTRICAL
MECHANICAL
.
,\, \'" ~ \". Y("\wrr~·1, \.\ •\ ·, , -. ' ·l ., _ l .._ r . ,h_t • J . ' ,\•\ 1. • ' . '-. .. ' .
GAS ,. ' ' r • ~ ' '· .
BUILDING -\ ' J: ~.,., ,,.\.,_ -
--~ 4 •• \
SPECIAL CONDITIONS
' ' ..
-
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM.
CITY OF CARLSBAD
ENGINEER ING DEPARTMENT
438-5541
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
ADDRESS
NEW BUILDING EXISTING BUILDING
LEGAL DESCRIPTION
H 'r '/-~ -
REMARKS:
I
LATERAL LOCATION
ST.
LATERAL NO, _______ INSTALLATION DATE--------1
SE 24 6
ISSUED BY ----i----:--....;...:.....:...:....._ __________ _
DATE ISSUED --,--':-'---------------
VALIDATION
I I
LATERAL CHARGE COMPUTATION
ST ANDA RD 4" (Max. H. 30', V. 10') _________ _
OVER 30' H . @ FT. ___ .=_,/::__ _____ _
OVER 1 O' V. ___ @ ___ FT. __ ~---------
STANDA R D 6" (Max. H. 30', V. 10') _________ _
OVER 30' H . @; FT. _________ _
OVER 10' V. ___ @. ____ FT. _________ _
TOT A L CONSTRUCTION COST----------
SERVICE CHARG E (REPAVING ETC.) _________ _
TOTAL LATE RA L 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---
;!..Q_
TOT AL CHARGES ! LA TE R AL ETC.) _ ___,_l-1-,''--=C)'-0=..::CJ=------
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