HomeMy WebLinkAbout2345 RUE DES CHATEAUX; 4; 84-275-4; Permit{<~
Cl) z 0 .:: C a:: C _.
(.) "' a
IC ![
0 (.)
a:: "' 0 _.
5 ~ "' z 3 0
z 0 ~ Cl) z "' IL
:I: 0 (.)
Cl) ir "' "' a:: 0 3
il
~ I hereby affirm that I am licensed under
OYlalona of Chapter 9 (commencing with
lion 7000) of Division 3 of the Business
and Proleaalons ~. and my13 nse is in
full for:!Jt7::lf!fl l,c N« Class
I hereby alllrm that I am exempt lrom the Contrac·
lo(s License law for the following reason (Sec. 7031.5 Business and Professions Code Any c,ty or county wn1ch re·
quires a perm11 to cons1ruc1. alter. improve. demolish, or repair any struclure. pnor 1011s issuance also requires !heap·
plicant tor such permd to file a signed sta1emen1 that he ,s hcensed pursuanl to the prov,sKM'ls of the Coniractor's
License Law (Chapter 9 commencing with Sect,on 7000 ol Ow,s.on 3 of the Busmess and ProtesSIOfls Code~ or lhat rs ex·
empt 1herefrom and !he basis for the altegeo exemprion Any v,otat,on of Sect,on 7031.5 by an applicant tor a perlTIII sub•
1ects the apphcant to a crvil penalty o1 not more than hve hun·
dred dol~rs ($500)
0 I. as owner of the property. or my employees w,th wages
as thtv sole compensatK>n, wlll do the work, and the slruc·
lure is not Intended orotfered lor sale (Sec 7044, Business and Professions Code. The Contraclor's License Law does
not apP,y 10 an owner of property who builds or 1mpmves
thereon and who does such work himself or through his own employees, provided lhat such improvements are not intend·
ed or o11ered tor sale If. however, the bu1tdmg or improve-ment ,s sold within one year of compfetion. the owner-builder
will have the burden o1 proving that he did not build or im-
prove lor the purpose of sale).
□ I. as owner or lhe property, am exclus,vety contracting with licensed contractors to construct the pro,ect (Sec. 7044,
Business and Profess,oos Code: The Contractor's License Law does not apply to an owner 01 property who builds or im-
proves thereon., and who contracts for each prOfeCIS with a contractor(s) license pursuant 10 lhe Contractor's License Law).
D As a homeowner I am improving my home, and the t~low· ing conditions exist
1. The work ,s being per1ornned prLOr 10 sale
2. I have hved in my home for twelve months
prior to completion of this work. 3. I have not claimed lhts exemp1ton during lhe last three years
D I am exempt under Sec. ______ , B & P.C.
for this reason
D I hereby a1flrm that I ha·-te a cert,hcate al consen1
10 self.insure. or a cert1t1cate of Workers·
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
RES UNITS ,.
QTY.I PLUMBING PERMIT· ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER'HEATER ANOiOR VENT
EACH GAS SYSTEM 1 TO 4 DUHE.TS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAl. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING
GRADING PERMIT ISSUED
YO N □
vO
REDEVELOPMENT
AREA
v0 N
QTY.I MECHANICAL PERMIT -ISSUE
INSTALL FURN. DUCTS UP 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 -HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER
TOTJ.L MECHANICAL
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
BUSINESS LICENSE • VALUATION
STANDARD PLAN#
TYPE
1 □11 ·
1.lUUlbllb
'-ob · 1 u/ I
PERMIT NUMBER
i1-z15--4
BLDG USE CODE
BUILDING SO. FOOTAGE
v vO Not Valid Unl~s Machine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01·00·00·8220
SIGN PE.AMIT 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 0 l ·OO·OQ-8225
MOBILEHOME PARK INSP
SOLAR
STRONG MOTION 80·92·33-0519 0~
FIRE SPRINKLERS 01-00·00·8227 ~~1:'.:'~lns~~~::;cer1,~::; Feot
POLICY NO ~~OI ~ 'c
COMPANY 1-.:561'01 .J,A I,_?• I IQTY. QTY. I SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00-00-8933
BRIDGE FEE J!. Copy ,s ftled w1tn me city
O Cen,hed copy 1s heret>y furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS" CDMPENSA T!DN INSURANCE
(Hus section need not be compleled 1I lhe perm11 1s 104' one hundred dollars (S 100) or less1
O I cen1ty that in the performance ot !he work tor
which 1h1S perm11 1s issued. I shall not employ any
person ,n ~Y manner so as to become sub1ec1 10
lhe Worllers· Compensallon Laws of Cahlorn1a
NOTICE TO APPLICANT It. after makin) lhrS Gen,
llca1e or Exemplton. you should beeome sub1tt:t l'J
the Workers· Compensation provisions ol the Lat>or
Code. you must forthwith comply with such
prov,s,ons or this permit shall be oeemed revoke<]
"£.. I t)ereby aflum /i;nd,ng agency ~
which lh1s perm11
lencter s Name J Jirt/9(/'A'i'~-. _[LkJA-fl
NEW CONST EA AMP/SWT BKR ~ COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad v L. ""f'2 .. 80·92-21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinilas 80·92-22-0519
I PH 3 PH PUMP San Dieguito B0-92-23·0519
REMODEL 'AL HR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL ELECTRICAL '5(1.) TOTAL SOLAR TOT AL FEES PAYABLE 5Zl5-4~
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT" AND DO HEREBY Exp,-Ew,y perm1t1ssued bytlle Bu,ldtng Ott,c,al under the prov1s1ons ofth,s
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by hmitat,on and become nut! and void If the bu,td,ng or"'°"'
* AN 06HA PEIWIT IS REOUIAED FOf! EXCAVATIONS OVER
5· o·· DEEP ANO DEMOUTIOH OR CONSTRUCTION OF
STRUCTVRES OVER 3 STORIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhonzed by suell _m,t 15 not commenced w,tll,n 180 days from tt>e dale of such
ISSUED TO COMPLY WITH ALL CITY. COUNl"Y AND STATE LAWS GOVERNING BUILDING CON :.:0'1 Ille building°' worli •uth0t1.ted by such permit 1s suspended or
STAUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND '-:°:=~:':':':=el~an~:"'-:.:.:=afler~:.:t11e:::,~w~Ot'::_:k:._!!,s~c~o~m~menc:!!!~ed~lo!!!r:..!a~!!!r.!.!tod!2.._!02!f.Jl!J!ll..2!n. __ _..,~,_-----------------------I
KEEP HARMLESS THE CITY OF .. CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICANT"S SIGNATURE • J., OWNER□ CONTRACTOR O 'f'PR~V D BY D_/l"lii'
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ..-r-::>' --'"-' ./"')\ ,· I . I . / 11' IA
GRANTING OF THIS PERMIT t"'h'f)JIA_ _A ( ), 1J.1)_ Jt; fq ,~ BY PHONE ~ 1 /
.Sc u:·
>-.;
0 a.
E (I)
I-
I
"O
0 (!l
C co -~ a. a. <t
I
.:£
C a:
0 "' "' (I) "' "' <t
I
;;;
!2
ai >-
en "' (I)
0 0 ct
co -;;
0
~
(I) 0 C co C u::
C (I)
(I) a
0
i3 (I) a. "' C
(I)
£: 3:
1, .. ~ .. . ' .. 13-\ ·. TYPE ' DATE INSPECTOR ;' "· , ... I g<-1---;;;.,7~-<-(, .. , -.. , ... \'-, .. -.-.. ' . . . -BUILDING
FOUNDATION . ~ 1, • r ... '7 ·""" . ., ""v FIELD INSPECTION RECORD .
REINFORCED STEEL ' / \ \ v tr ...
I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I
INSPECTION REQ IF INSPECTOR'S DATE GUNITE OR GROUT I CHECKED APPROVAL
FLOOR & CEILIN$a: ~B FRAME I
j SOILS COMPLIANCE I I 'L. i... SHEATHING J:?i OOF D SHE~R PRIOR TO ·--. ------//L_ FOUNDATION INSP FRAME I
I STRUCTURAL CONCRETE EXTERIOR LA TH I OVER 2000 PSI
INSULATION I PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL I I POST TENSIONED j J CONCRETE •. ,.
PLUMBING I _/ FIELD WELDINQ_
SEWER AND BUCO DIPUCO I ... ,o.~S, r ,----y" l HIGH STRENGTH' ~ I
UNDERGROUND D WASTE □~ATER 'IJ, 7 /J,.(Y) BOLTS
trv"""" ' TOP OUT D WASTE D WATER --SPECIAL MASONRY !· I -
TUB AND SHOWER PAN I ✓?1 '
GAS TEST I //(. . ' I PILES CAISSONS
D WATER HEATER D SOLAR WATER ' I
I '
ELECTRICAL I ..
D ELECTRIC UNDERGROUND D l!JFFER /A J I
' ROUGH ELECTRIC I //'
D ELECTRIC SERVICE D TEMPORARY '-
D BONDING D POOL I i..!.1.--~ ~-.~
I ~
'
,, ..
' ~ . MECHANICAL
D DUCT & PLEM., D REF. PIPING /// '
HEAT -AIR COND. SYSTEMS I V L... /. I ,__
VENTILATING SYSTEMS I '\.' / ' '· "-...... ' '•'l.\''" ~•qi _~\\\' . -\ •. \• ,L _. .\\-\,-•~l~·,,~~\.-l'L
I / / i t ..
CALL FOR FINAL INSPECT~WN WHEN ALL APPROP,ytE , r. i r · I '" \_ ---t··' .. -~ . (' .~. \ \ r
ITEMS ABOVE HAV BEEN APPROVED. ~~ l/2 . "\• -• I ,_,.
FINAL / / \ \ "' . ., I ' ~ ... -.. . . ,, v'117, ~., : T ,\ ·•• ":t Ir' • ~. • . . ' ' • •'Ii l. ..... ~ "' ...... PLUMBING I I •• I \°_:,.' ,-, \,; "t ..... -... ,. l. •
ELECTRICAL I . J~ /I -, . I • f'"·' f t , ~ r1 \ ( \. r-,..,_ • , , , \' ,, , , , I ' , . '• • ;--_, ., -.. -~ ~.. .. ~ -'\, '\\ I, • 'I" ... MECHANICAL I "' " I I f'if ' I " \J ,, . ' ·. ' t -t \., ... ,, . a " GAS I, I I ~ -
... .. ...,,,. .
' ' . BUILDING ,, I , ' /
• J ' J -SPECIAL CONDITIONS I ' \!) I ' I \I ,·
I
-~
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
438-5541
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
ADDRESS
NEW BUILDING EXISTING BUILDING
LEGAL DESCRIPTION
I u I
I
REMARKS:
I LJr/1 r r:,
LATERAL LOCATION
ST.
LATERAL NO, _______ INSTALLATION DATE---------'
SE 23-~9
ISSUED BY __ __,.....:....-'-:-:-::-:----.:----------
DATE ISSUED--~:,...,..,,...;-..;-=-------------
VALIDATION
LATERAL CHARGE COMPUTATION
OVER 30' H. ___ @c_ ___ FT._----:::=-..::.::------
OVER 10' V. @ FT. _________ _
STANDARD 6" (Max. H. 30', V . 10') _________ _
OVER 30' H. ___ @, ____ FT. _________ _
OVER 10'V. ___ @, ____ FT. _________ _
TOTAL CONSTRUCT! ON COST----------
SERVICE CHARGE (REPAVING ETC.) _________ _
TOTAL LATERAL CHARGE _________ _
LINE COST DATA ____,,
ASSESSMENT DIST. NO.------"-'----------
FRONTAGE----COST" PtR FT. ____ TOTAL __ _
OTHER ____________________ _
CONNECTION FEE
;
NO. UNITS ____ COST PER UNIT----TOTAL----
PUMP STATION FEES
NO. UNITS ___ COST PER UNIT--,-'--~·TOTAL---
WHITE: Englneerl~g GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Perrnitter