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Home My WebLink About2535 UNICORNIO ST; ; 78-2871; PermitMODEL NO. _________ _ BUILDING .PERMIT APPLIC TION City of CARLSBAD, CALIFORNIA 92008 Applicant ro complete numbered spaces only Phone 729-1181 Permit No JOIS AOOR CSS 1//li / ?~/ll~C ASSESSOR'S ? .., 31'" PARCEL NUMBER LOT NO. I I LK I TRACT BOOK PAGE I PAR, LtCAL I tOsEE •n•c•ro SMEETI 1 OE.SCA. OWN CR ~~A) MA~L 00,.£55 ?IP cjpP.Jr ••o;;,r]r-~"" 7,.,f' 2 z~.,At2 ,.., >'V'C,: , CONTRACTOR~ 1~&."'rn7•:prty A ,ii/i;. •• ,,.:; 'j ,::: STATE LIC, NO, CITY LIC, NO. 3 -,,,,r,·/t' p,.,, /~ c ->7Vt/i' r, 7 //t:2 I ; JI _, • A .. CHITCCT OR DCSIC:.NCR MAIL AOOR£SS PMON E LIC[NSC NO, 4 - [NGIN tCR MAIL AOOACSS PHONE LIC[NS( NO, 5 A 6 COM5N;;:~INS, 7;.J MAIL AOOlll:£.SS 1:!il'IANCH USC OF BUILDING ,, 7 NO. BORMS NO. BATHS 8 Class of work: □NEW 0 ADDITION 0 ALTERATION {"fJ REPAIR ""'70 MOVE 0 REMOVE ~ 9 Describe work: lov~71~. I()~ f 1)1-,--e --/ 7 ,,., I/;/ ,/ _,,,,) ,, 10 Change of use from Change of use to ~ ~It 3 !13-/1~ l · r PERMIT FEE $ -,. f V 11 Valuation of work: $ PLAN CH ECK FEE $ /;i. - SPECIAL CONDITIONS: , MICRO FILM FEE Type of Occupancy Const. Group Size of Bldg. No. of Ma><. (Total) Sq. Ft. Stories 0cc. Load Fire Use Fire Sprinklers APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Required 0Yes □No N o. ot OFFSTREET PARKING SPACES, \ j , s,·~;1/2 ~ ' No. Dwelling Units No. OATE DATE Covered SQ. Ft. Open NOTICE Special Approvals Required Received N ot Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT. ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FIRE DEPT. CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. OTHER (Specify) I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOR~TY TO VIOLATE OR CANCEL THE PROVISIONS O~NY OTHER TATE OR LOCAL LAW REGULATING CONSTRUCTIO OR THE,PERFORMANCE OF CO~RUC~I0 1 . ~ ;ti, :,, V AA,..\.., _... ---; A J ~ $1GNATURC o, CONTRACTOR Ollt AUTHORl?CD AGCNT .ID• T'i'I ~IGNATURC o, OWNE,. 11 , OWNCllt IUILDC") OAT£) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. CAS'f () 4-r./:.---- T0TAL FEES $ __ ...,~~(1~---- M.O. INSPECTOR INSPECTION ijECORD DATE REMARKS INSPECTOR FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY ' .. . '\ FINAL ~ ,~ USE SPACE BELOW FOR NOTES, FOLLOW-UP, £TC. PLUMBING· PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 Applicant to complete numbered spaces only ,,. ~v dJ· > L: Ll Permit No JOII .t.OOJI £$5 /k~.A4~ ~~"'?-S--I LOT NO. I OLK I T~AC T I..CGAL 1 DESC•. OWN£11• 0£,tfk} MAI L ADDlll:£55 ~~~ p·J r, ~7 y 2 /Ef?A~ ~~ 3 COZAC:~· /4 .. r~ 11 .0 //.IL ADD•<SS ~ ('"( ?~ PHONC STATE LIC. NO. CITY LIC. NO. . -.,,r -Je;' r -?v~r -yf</GZ, /5lf,S vu ........ ,. -'-• i"A 'I'~ VA -~, ·r I IF AIIIICH ITCCT 0111 OC51GNCII I MAIL A.0011£55 PHONE 1..ICCNSC NO, 4 CNGINCC" MAIL AOOIIU.SS PHONE LICENSE NO, 5 COMPENSATION (NS. CARRIER lt,AAIL AOONC55 8ftANCH 6 USC o, IIUILOINC. 7 8 Class of work : □ NEW 0 ADDITIO~ □ ALTERATION □ REPAIR 9 Describe work: 11/ _a,u...::, ~ '.4.. /~ •·"{....,' t ' PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. DISHWASHER APPLICATION ACCEPTED BY PLANS CHECKED BY APPIIOVEO •o~,i,ssuANCE BY LAUNDRY TRA Y , (' ,7i J ,,,,. I:/' CLOTHES WASHER ) DATE • ' '~ / I WATER HEATER / ( ,, NOTICE ~ I URINAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUN TAIN TION AUTHOR IZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK MENCED. I GAS SYSTEMS: NO. OUTLETS -(. i) I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS .... APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. / WATER PIPING & TREATING EQUIP. ---:; r[ ALL PROVISIO NS OF LAWS AND ORDINAN CES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR N OT, THE GRANT ING OF A PERMIT DOES NOT . PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE I VACUUM BREAKERS :; ~er PROVISIONS OF ANY OTHER STATE O R LOCAL LAW REGULATING CONSTRUCTION O R THE PERFORMANCE OF CONSTRUCTION. 1...AWN SPRINKLER SYSTEM gAbf l. Ji'Mr SEWER NUMBER CLEANOUTS CESSPOOL SEPTIC TANK .. PIT \ ROOF DRAINS s ..,. .. W<(l ol co,_ACTo• o• AUTH0•1zc0 AG<NT / / IOAT<I ISSUANCE FEE $ ~ , C SIGNATUIU'.. o, OWNC .. Ct ,-OWN £111 BUILDER) (OAT£) TOTAL FEES $ /1 [/' {.,. WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR ELECTRICAL . PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 729-1181 J08 ADDRESS ~ ~~3~ LEGAL 1DESCR, I LOT NO, I 8LK, I TRACT <OsEE ATTACHED SHEET) 2 owc§bpL {}~-,://4/1 MAIL ADDRESS Wo~ PHONE~]f-;i..;-? 6 ~~'-4--- CONT~ACT p 3 _!~· -~ IJ~ .:i;;ADDRryp,f, ifA~E Ja .-JI • rra ·---? 'j Jrv'Y)rri i1«,;Jy ~;; r_ ... ARCHITECT OR DESIGNER MAIL ADDRESS ..,,. PHONE LICENSE NO. 4 -ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 COMPENSATION INS CARRIER MAIL ADDRESS BRANCH 6 USE Of eu ILDING 7 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR ---- 9 Describe work: .j/1_~ ,//~--€:__ ,, PERMIT FEES No. Each Fee SPECIAL CONDITIONS: SWIMMING POOL WIRING, NO INCREASE IN SERVICE I ~('. 5 .... NEW CONSTRUCTION, FOR EACH Al'rLICATION ACCEPTED BY 'LANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, , FUSE OR BREAKER ~ ,1 t # ,,,/4✓,~✓ lY) DATE NEW SERVICE ON EXISTING BLOG. I FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE, SWITCH, FUSE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM MENCED. IN SERVICE, FOR EA. AMPERE OF I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCE!> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. £,n TEMP. SERVICE OVER 200 AMP. /), ~ ~~ 1A"' PER 100 < SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT I /(DATE) ISSUANCE FEE ~ r _ - TOTAL FEES 7 (__ (. ,u~NATURE nF nWNF'R ("If OWNER 6UILDER DATE ·--WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR "' z 0 ~ a; C ~ 0 Ill a a:: I[ 0 0 a:: Ill a ~ 5 • c Ill z ~ z 0 i= C "' z Ill a.. 2 0 0 "' a: Ill " a; 0 3 •. i[ .M I hereby affirm that I am llcensed under ~lslona of Chapter 9 (commencing with S.Cllon 7000) of Division 3 of the Business and Professions Code, and my llcenae Is In full force •!IS' JI~ ~~ I.Jc N,0L:"f_C,1..3"~1ass ~ I hereby attum that I am exempt from the Con· ¥cn~(f8~!~:SS: ~-~f=I~~~~.\~ county which requires a permit to construct alter. lrnpt"OYe. demohsh, o, repair M'IY structure, p,10, to its issuance also requires the apphcant tor such pem,I1 to tile a signed statement that he ,s hcensed pursuant to the pr~Is1ons of the Con-tractor's License Liaw (Chapter 9 commencing with Section 7(0) of O.v1st0n 3 of the Business and Pro- fessions Code) or that 1s exempt therefrom and the basis fOJ the alleged exemption Any vK>tat1on of Section 1031 5 by an ~pltcant for a permit sub9ects tne applicant to a cIvrl penalty of not more than five hundred dollars (S500). 0 I, as ow-of the property, O< my emrloyees .,.,th wages as their sole compensation, w,I do the WOt'tla, and the structure ,snot intended or offered for sate tsec 1044. 8us1~s and Professions Code. The Contracto,'s License Law does not apply to an owner of property who builds or improves thereon and who does such wQl1( himself or through his own employees, provided that such 1mproveme,1ts we not intende1 o, offered for sale If, however, the bu1ld1ng or Impr0¥efflent Is sold within one ~ or comph!-1!00, the owner-builder will have the burden of pr0¥Ing that he dtd not build or improve tor the purl)OSe ot sale) C I, as owner of the property, am exclusively contractIns, with hcensed contr~tors to construct the pr()JeCt (Sec 7044. Business and Protesst0ns Code The Contractor's License Law does not ~ply 10 an owner of Pfopeny who builds or improves ~~:=t~ ~:n~~~!~: ~:C~~r~~~~;:.: License Law). 0 I am exempt undef See ____ , B. & PC tor this reason ~ hereby affirm that I have a certIhcate ot consent to self-insure, or a cert1t1cate of Workers· Compensa:tton Insurance, or a certified copy thereof (See 3800. ~ Code) POLICY NO ~ C,,. / ~({__1;£__ COMPANY~cJ4'-1C:. 1.J~~'V J!'S.Copy ,s toled with the city GI t\ 1 0 Cert1hed copy ,s hereby turn1she<J CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sect,on need not be completed 1f the petmIt Is for one hundred dollars ($100) or less) D I cert,ty that in the perlOfmance of the wont tor wruch this perm11 Is issued, I shall not employ any person ,n any manner so a.s to become subIect 10 the Wonters· Compensahon Laws of Gahtornia NOTICE TO APPLICANT It. after makon~ lhos Cert, lie.ate of Exemphon, you should become subIect l'J the Workers' Compensahon provisions of the l..Jbor Code, you must f0f1hw1th comply with such prov,s,ons Of this permit shall be deemed revoked 0 I hereby affirm that there Is a consuuc1Ion lending agency lex the per1ormance ot lhe wort( to, which th1s permit IS issued (Sec 3097, C1v1I Code} Lenoer s Name ___________ _ Lender sAOdress __________ _ .,----....... US( I ALL POINT'l!EN ONLY & PRESS HARD ~ l APPLICAfl ) FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. (! ~) CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, Callfornla 92008 (714) 438-5525 ~r AV. ST. I DATE OF APPLICATIONII BUSINESS LICENSE • VALUATION ,,.Al/ft, PERMIT NUMBER /)'4)/ ,-.. ,~ 4J/h .s-r RD, /-I '1-81 Z.3::7'-fi ,..2 , ~0-0 8 '✓ 3tB OWNER'S NAME 14;?::u,; PRIME CONTRACTOR CONTRACTORS PHONE • ZONE ' (:).S~ '1~ /l')/3//J,../ ~ ~ 6,.J-6LL'!-I .SAI.-A....S-,S~7S70 OWNER'S MAILING AODRESS CONTRACTOR'S ADDRESS ~ LICENSE NO. PLAN 1.0. # BL~~ -,s3.S--LJl'I.JJ ~il.Jtd $r. ~9...rl .Au.r,..,~s /IJff,tL/1:. ~~ LO,.. BLOCK I SUBDIVISION I A52s'J !!f~2tfd -07 DESIGNER $AN Dl£Go STATE LICENSE It STANDARO PLAN# BUILDING SO. FOOTAGE DESCRIPTION OF ~K ~~~~"77A,I'-. ~~ a1JJ~1 -So, . DESIGNER'S· ADDRESS . DESIGNER'S PHONE ---------------F/P FLR ELEV. NO OCC GP EDU STORIES vO NO 7/l4/E:!16094 7.50 CENSUS TRACT I GP LANO USE I PARKING SPACE l RES UNITS l GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR 00Llo09u 7/14/8 I 7~r.;o AREA CONST YO N 0 vO NO vO NO 0 NoA fraQ5tin!ffsl~hine <Artifi«J 71 I "/t QTY. PLUMBING PERMIT· )SSUE QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK L,;;:;.o EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL EACH INSTAl .. ALTER , REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR /_ n,.., TOT.t;L MECHANICAL STRONG MOTION ---I TOTAL PLUMBING FIRE SPRINKLERS 3.00 PUBLIC FACILITIES FEE QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR • ISSUE BRIDGE FEE NEW CONST EA AMP/SWT /BKR I COLLECTORS --;;~o SCHOOL FEE -DISTRICT 1 PH 3 PH STORAGE TANKS ,,. Carlsbad EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 1 PH 3 PH PUMP San D1egu1I0 / REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE / ,,r::::.r San Marcos , TEMP POLE 200 AMPS . OVER 200 AMPS TEMP OCCUPANCY 130 DAYS) - TOTAL ELECTRICAL ,-TOTAL SOLAR 7,50 TOTAL FEES PAYABLE r 7,50 I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expirat,~~£1· t IQu~'i • Bu,ldtng Off1c1al under the prov,s,ons of tilts * AN OSHA PEAMIT IS AEQUIAED FOA EXCAVATIONS OVEA CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Cod~s expir m1tet.•9f\ and ome null and void If the bu1ld1ng or work • 5' 0" DEEP ANO D£MOUTlON OR CONSTiruCTION OF DECLARATIONS ARE TRUE AND CORRECT AND l FURTHER CERTIFY AND AGREE IF A PERMIT IS autho ed by mot ••not co menced wIthIn 180 daya from the date otsuch STRJCTUAES OVEA 3 STORIES IN HEIGHT per I. o~ • 1ld1~!f; w I1ulhonz;~Jtuch permit ,. suspended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-ab me• ttie:ifwctk IS com for a oerood of itii> da•• STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ·-"~ , /4' CONTRACTOR.Si A~Jt DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES .. JUDGMENTS, COSTS AND A'!<-~.. GNATURE 1c:· / r OWNER 0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE l.k_1 ~~ BY PHONE 0 17-14-BI GRANTING OF THIS PERMIT. _ -~ -c '--.....-77 ..9:? u:: >-:0 0 a. E (I) I- I 'O 0 (!} c <ll .2 a. a. c( e~ '@ I a. 0 <fl <fl (I) <fl <fl <( I ~ 2 a; >- rii <fl Q) (.) 0 a: <ll ni 0 §: (I) (.) C <ll C u:: C Q) Q) 0 £ (.) Q) a. <fl C 2? 'E ~ " INSPECTION TYPE .. ·-· DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING - SEWER AND BL/CO . PLUMBING UNDERGROUND PLUMBING TOP OUT -- TUB AND $HOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS REQ IF INSPECTOR'S INSPECTION CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRES TRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING • HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS ~ .... C l ' ' - ·, , .. ' r--- u ~ I r 1 --- ~ 1.1 iJJ~ t. INSPECTOR'S NOTES . DATE ~ --. -. - - - ' ' . • . ' - - _, - ' ' \ •-.. l ' ,; _Ir"' .. I· ; -... -. '· I ' ..... - 0 • INTERDEPARTMENTAL INFORMATION SHEET RECEIVED 'BUILDING DEPARTMENT BUILDING ADDRESS: PLANNING DEPARTMENT DATE : MAY 3 1978 CITY OF CARLSBAD Building Department ZONE __________ LOT SIZE _________ LOT WIDTH _________ _ UNITS ALLOWED UNITS PROVIDED -------------------------- PARKING SPACES REQUIRED PROVIDED ------------ % COVERAGE ALLOWED PROVIDED ------------------------ BU IL DING HEIGHT ALLOWED PROVIDED FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED ------- PROVIDED ______ _ INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: ADDITIONAL COMMENTS: OK TO ISSUE: ____ DATE ____ OK TO FINAL ________ DATE ____ _ ENGINEERING DEPARTMENT R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _ , SEWER CONNECTION ________ DRIVEWAY LOCATIONS ____________ _ GRADING PERMIT EASEMENTS __________ DRAINAGE ____ _ LEGAL DESCRIPTION.....!Lc....:::?/~3~/=-~~~::::;:::::=~::::;:===:::-------------- ADDITIONAL COMMENTS D fl~ck ---=~=:=:~:::::~~,,___--- FIRE DEPARTMENT SPRiliKLING SYSTEM ____________ FIRE PROTECTION EQUIP. _______ _ FIRE ALARMS EXITS ________________ _ FIRE HYDRANTS LOCATION __________________ _ ADDITIONAL COMMENTS _____________________________ _ OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ___ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _