HomeMy WebLinkAbout2454 UNICORNIO ST; ; 78-2876; PermitMODEL NO. _________ _
BUILD NG PERMIT APPLIC TION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29·1181 Perm it No
7
JO& AD0r css UA/f ( . ASSESSOR'S
I / I,. ' Vil , ( ., A.,.s ·1 i..J PARCEL NUMBER ..,. J I
LO:YJ I OLK I me //i /j I.J BoOK PAGE·t PAR.
L [~AL l I r,,yJ ~ (0stc ATT..,CHEO SHttTJ •;..,,,-..... ,_ n1 1 OCSCA.
OWN[IIII MAIL AODIIIC.59 llP PHONC ' • (
2 ,/~/1:/.,, ~ / o ~ r /il'L 1 0 I 1-,·t J..; J ,, h I ✓-./V, ,(_ -· ' .__, ' COJf UIACTOII MAIL ADOPIES.5 PHONE STATE LIC. NO. CITY LIC, NO,
3 / I;-// ~ ..... ::c r, ' I I , I_I. I /'/ I,.. I I.::.... , I --AltCHIT'[CT DA Ct.SIC.NC" MAI L AODfU:55 PHONC I..ICCt•SC NO.
4 \
ENC INC.CA !\AA.IL. AOD111£$S fl'HONC LICC~5£ NO. .. /·1 !i -...
COMPENSATION INS, CARRIER h.1._I L 400ltESS 8"ANCH . I-.... 6 l Al ) / /I', .' /~ ('; . ( / I
j _. --. -, -., .,
IJ$E 0,-&UILDING" ~{ NO. BATHS · ~ 7 NO. BDRMS . t.
8 Class of work : []..N.e.W 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work : !/ ,C./~,' r.,L.X, /-..,.;.7H fi'~_,v_,.:;_ • . ,Y -
.,
'l 1 -I I p,,~
~ ~ L 11/J I
I ,,
10 Change of use from I
;.:•
..
Change of use to
/lo 9~1 -( .. , ·O 11 Valuation of work : $ PLAN CHECK FEE $ ·' -,( f PERMIT FEE $ .
SPECIAL CONDITIONS: . MICRO FIL.M FEE
Type of .J_/ t ~I . Occupancy t' Const Group -I
J ,:z Size of 8ld9 • -, No. of Max
(Total) Sa. Ft . ·r:i ' Stories 0cc. Load ..
Fire ? use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECO:EO BY APPROVED fQR ISSUANCE BV Zone zone -Reauired Oves E3No
~ , ✓ _, OFFSTREET PARKl~G SPf-JES: I No. of
OATE I ct-.-Owellln~ Units No. INo. Covered SQ. Ft. Open
NOTICE Special Approvals Requir?Jd Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
ING. HEATING, VENTILATING OR A I R CONDITIONING. HEALTH 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 A FTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND 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 AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. . --,,
' r-/ ( ' / -/ ,) .
:5 10/'lilAT'{jfll. OP CONTIIIACTOA O" AU TH01111ll£0 AG ~NT (OATE I
SIGNATURE. 011" OW-NEIii' 1111" OWNEIII ■UILOERJ (DAT[}
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, M.O. CASH
TOTAL FEES $ __ 1 .,...·__._Z ____ _
INSPECTOR
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 1 1 ' L
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JOII AOt)fll [1,S .
,,,.. -,,.,S', ',_...,, ~·, ,• f ~ I .GI.. ~ I . ,,..
LOT NO, I ■L• T"ACT
.e'' (,l. J ,. .. .J , Lt UL I ,1 -; I 1 DtsC~. , '( .. -w --
OWNER /;~~ M Ait. A00RE9S 11• PHONI.
2 _;•~--· -CONT"A.CTOR , MAIL A.00 .. £..SS PMON[ STATE LIC. NO. CITY I.IC. NO.
3
A"C""I TCC T Ollt OE..SICNCR MA1 L A00RE5S PHONI. LIC[NSE NO,
4
E.MOINtE" MAIL AO0"[SS PHONE. LIC£.NSE NO.
5
COMPENSATION (NS. CARRIER MAIL AODllllES5 1&11:ANCH
6
US[ Of I UILOINCi
1
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: ' '1 WATER CLOSET (TO ILET) $
,/!.~.,/-~ ,( 4,._,L I~../,,,/ ,u.u'-Ll,[,,,_ "'-.-· r-, BATHTUB
(/ -LAVATORY {WASH BASIN)
J SHOWE A
J KITCHEN SINK & OISP. ✓
/ DISHWASHER t (.. ( C ~ ... ( -
APPLICATION ACCEPTED ev PLANS CHECKED BY APPROVED /01'1 ISSUANCE BY . LAUNDRY TRA Y I , ,, -, r 'J I• CLOTHES WASHER 1 ' { t C\'A"T E (.) C' --I WATER HEATER
NOTICE ' URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DA INKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABAN DONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED, I GASSYSTEMS,NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AN O KNOW THE SAME TO Bf TRUE AND COAAECT, WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR H EREIN OA NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
I SEWER NUMBER CLEANOUTS ..,i-~
CESSPOOL
SEPTIC TANK&. PIT
• -' "
.,."J" ROOF DRAINS
SIGNATUIIC 0,-CONTIIIIACTOJI Ofl AUTHOl'lllED A(i.E.N'T 10 .. Tt)
ISSUANCE FEE $
SIG!'iA'TUII[ o, OWN[fll (I,-OWNEII IIUIL0tA 1 (DAT£) TOTAL FEES $ '7 -
WHEN PROPERLY VALIDATED (IN THIS SPACE) 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 7 29-1181 Perm it No
I ( J-t •
LEGAL / I LOT NO,
1 DESCR. y {£
l BLK. l TRACT (QSEE ATTACHED SHEET)
2 071' ,/ ,,., ,., .s. 'I
MAIL ADDRESS
7 6 / ~
PHONE
'-)-:> o 7 '>-/. l.--I 2 G,, ~
CONTRACTOR
3 S n-,
MAIL ADDRESS V PHONE ~ ... -c:::...
STATE LIC. NO.
..:>-Z~CJJ
CITY LIC. NO.
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENGINEER
5 11/ 1 J <!,L ACOR// 9 LICENSE NO. 1 ;J _; • 1, / }"-...J
COMPENSATION INS c:.+R,~R
6 ,:,--~ ... t" d! "f' ;;.. L BRANCH / .,1.:)-_,){ ..,/(C
, dG/1 < CI 1J 7 Ii ,r...__,.,. ., .. t. -
USE or BUILDING
1 f-l u#fl G V , l .i) ~ IL
l
8 Clm of work: ~NEW 0 ADDITION □ ALTERATION 0 REPAIR
9 Describe work : 2
PERMIT FEES
SPECIAL CONDITIONS: ---------------------------SWIMMING POOL WIRING,
---------------------------NO INCREASE IN SERVICE
APPROVED FOR ISSUANCE BY
DATE
I NOTICE
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHtN 120 OAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT, ALL PROVISIONS OF LAWS ANO ORDINANCE~ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF CONTRA/A OR AUTHORIZED AGENT \ (DATE)
stGHATURE oF oWN£R IP'-OWNER BUI DER DATE!
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH ,
FUSE OR BREAKER
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH , FUSE
OR BREAKER
REMODEL, ALTERATION. NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO AND INCLUD·
ING 200 AMP.
TEMP. SERVICE OVER 200 AMP.
PER 100
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK.
INSPECTOR
No. Each Fee
I
"' , _;.;.
.,✓
36' f '-' -
M.O. CASH
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 .
JOB ADDfl f:S5 ,, //~ '/._, /.·/ ( 0.,
LOT NO. Im I T"AC T (OS££ ATTACl-4[0 SHE.ET) LEGAL I '/t,,. I/..,)-., 1 ouc". I .
OWNUII MAIL A00ftE5S ZIP PHONE
2
/.,,, J ~ '/ / "1-"--0 ,,/./.
(ON T"AC TOllll M•tL •DDRESS PMOH[. STATE LIC, NO. CITY LIC. NO.
3 ,..,. ,. ~ I
AIIIICHITE:C T Ofll O£.S1GN£,-MAIL A00,-ES5 PM ONE LICENSE NO.
4
tNGINl:tfll MAIL -'DDJll[SS PHONC LICEN.9£ NO,
5
LU\101:111 MAIL ADDltES5 &fll ,NCH
6
US[ o, autLDINC.
7
8 Class of work: NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
Type of Fuel : Oil D Nat. Gas D LPG. 0
PERMIT FEES
SPECIAL CONDITIONS: No. Type of Equipment Fee
Air Cond. Units-H.P. Ea. $
Refrigeration Units-H.P. Ea.
Boilers-H .P. Ea.
.... Gas Fired A .C. Units-Tonnage Ea . , Forced Air Systems-B.T.U . M Ea. /,--
APPLICATION ACCEPTED BY PLANS CHECl<.EO BY APPROV~O f()R ISSUANCE BY Gravity Systems-B.T.U. M Ea . .,
r .. 4 , Floor Furnaces-B.T .U. M ~ ., _ _, __ ---Wall Heaters. B.T .U . M
NOTICE Unit He&ters-B.T.U . M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· Evaporative Coolers
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF ~ Clothes Dryers CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-..,
Ventilation Fan y ---~,,
MENCED. / Range Hood ..,
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED Incinerator HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT • PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE • ~ I-. ,--. ~ -PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
./ f " 11:,,
SIGNATufi't. OP' CONTIIIACTOIIIJ OR AUTH0,-IZ£0 AC.tNT (OATEI '
ISSUANCE FEE s ... -
TOTAL FEES s /lj -AIGNA.Tu•r. o, QWNIEIII n, 0WNIIUI eUILOl:fl) CDATCJ
WHEN ,AOPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT J
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
REO.UE~ST FO~~P~CT!,ONL_ TIME:
INSPECTOR _UL._ ___!~r NO. _______ DA TE:$ /4/7,
I I '
OWNER flY"V/ forlY\ ,e '/ ~
ADDREss 2 'f Si 1/2-; ✓-012 ,e ft/, o -'iieui ~ ~
BUILDING
0 FOUNDATION
0 REINFORCING STEEL I· 0 MASONRY
D GROUT· GUNITE
0 FLOOR AND CEILING
D SHEATHING
D FRAME
D EXTERIOR LATH J-~ 0 INSULATION
0 INTERIOR LATH OR
FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
D ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
0 TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
READY FOR INSPECTION: D MONDAY
D A.M.
D P.M.
ELECTRICAL
0 TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
ROUGH ELECTRIC
MOKE DETECTOR
~ 'FINAL
MISCELLANEOUS
PLE M AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY~ 7~ PHONE NO. -,.lj'~ 2._ ,?_,
PERSON TAKING REPORT_~~ll'--":...L-----,
THIS IS TO CERTlfY THAT INSULATION HAS BEEN INSTA LLED IN CONFORMANCE WITH THE CURRENT' ENERGY REGU-
LATIONS, CALIF~IA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
2454 Unicornio Street La Costa
Street Lot Number Tract
EXTERIOR WALLS:
OWENS/CORNING
Manufacturer ··-··-·-·-·-·········-··· ............................ Thickness /Type R Value .... J.L ........... .
CEILINGS:
Batts: Manufacturer ...... ~~~~1~9.~.~JNG .................. Thickness ....... 4 . R Value . J f.. ........ ' ..
Blown: Manufacturer -············································· Thickness .......... -·-.. . .. No. Bags ................ Wt./Bag ......... ~ ... r·
Sq . Ft. Covered ······-····························· R Value_ ...................... .
FLOORS:
Manufacturer ....................................................... . Thickness/Type .. ....................... ............ R Value .... ·········-·········
GENERAL CONTRACTOR .................................................................................................. LICENSE NUMBER ........................... .
BY ................................................................................. TITLE ······-·· Date ... -·· ......... . ............................... .
SPRING VALLEY INSULATION CONTRACTORS
License_Jf )J2°M--.
By .. /g_e~~ ................. , President -:) -z -'79 f Date & ..... .. . .. . . . ...................... .
-..
h I o~ PE CIVIL ENGINEERING
ENGINEERING GEOLOGY
SURVEYING
David J. Newton-C.E.G.
Stephen D, Dlllemuth•P.E. AVENIDA DE ACACIAS
P.O. BOX 2004 RANCHO SANTA FE, CA 92067
March 24, 1978
SDE 1115
Tom Fortney Construction
701 Seabright Lane
Solana Beach, CA 92075
756-1861 766-3064
SOIL TESTING
SUBJECT,
1
Moisture Conditioning of Foundation Soils, Lot 47
La Costa Meadows Unit 1, Carlsbad (La Costa),
California.
Gentlemen:
In accordance with your request, we have inspected the subject
lot in regards to moisture content of the foundation soils.
Moisture content tests were performed March 22, 1978 on
a soils sample obtained from an approximate depth of J feet
below existing pad grade on the subject lot. The results
of the test, tabulated below, indicate that the moisture
content of the foundation soils had been increased generally
in accordance with the City of Carlsbad requirement for expan-
sive soil conditions.
LOT
NO.
47
SAMPLE DEF TH
(FT)
3
MOISTURE CONTENT (%) OPT. MOISTURE
CONTENT(%)
12.4
SDE 1115 March 24, 1978 Page Two
If there are any questions regarding this report, please do
not hesitate to contact this office.
This opportunity to be of service is sincerely appreciated,
Respectfully submitted ,
SAN DIEGUITO ENGINEERING, INC.,
~~~ ( ~hn B. Fox, RCE 26525
~N/JR/pg
CCI (4) submitted
Typr· of B11i.ldi ng :
Ex tra footc.1e,(!:
Ext ra depth:
U UC:A!:l ,\ COU~;TY \·.',\T ·:R ll I '..iT!U CT
,\Pl'LTC:,'.·~·rn~i FOi, SH.'f 1, SU{Vl u~
H0r:·ol rJ H,wrison
~2 9 Sout h Sierra #141
~ o lirnc1 Lieu ch, Ci\ 920 7 5
Singl e Family
S:.1dd.le :
£2.s c"lcn t l:om1E:c t i on
C ;:lllcc:t ion Chr.trgc $600 .00
T, ·,··, .. '.'. t ,' ', ', .... 6 ,,· r; : • (" r • ·1· ..:. .. ] ' r r •• { • l C C) v~ o O O • • • ,;..:n ... i • ::1 :.·.,: _.,.L~~.& ___ _
' 1 ., t 600. 00 ,-,mount Xcc u .;, ·--··---
How P .:1 id _c.k!J..._JOill__ _____ _
D:1tc raid • o;. -t -· ~ -b __ /_,_ __ _
I CC I cl h·; s ,\ . h 4-. ____ _.:..._-, ___ _,_J ,!'~.L e.t::.:1......-..
...,
in Ro,c!Cl !c • (}~)f ~D: \) -\i-~
,-';.i • ..-r __ ,:'. -1 ---.... _<: __ )_") L)'l.lli'":;..~ .
' ', ·, ' ' \ •
'--· ( ' , --l , \ 1 • , • i :. :c : rt ir ,. , • ',: , \ 1 , i, 1 ! ii:: c1 n t
Tile npp li.c~i tinn T'lust b e !;i0nccl by
['l-operty to b e S(!cVt•d . The to u?l.
-'lpplication is submittc•<l .
t h e owner (or his Autho rized r cprcsentati.v c )· of the
chn:-r;c·s r;-,\:s t be p.:dd tc., t]~c Dist r ict at th'. ti.m .. t he
If a se·,·vic(~ lateral is required , it: wil l i.ie installed by t h e Leucndia County Water
District. The servi ce l2tero.l j:; that p;,irt of the sev:er f,ysteu, th.:.it: extend s frorn the
m,d n collPctJon l i n e in th2 street (or case-'iH:i1t) to the poin, in the street (:it o r n c"r
the applicant 's property line) 1,;h cre th e serv.ice lateral i s connec t ed to the~ applicant's
buildinc s ewer. The ap11licant is respons i ble for the cons trcction, at the applicant ,s
expense , of the s e~,•er pipeline (buildin0 s ewer.) from the applicant 1 s plu!!:binr, to the
point in the stre0t (or eas erac:it.) whc1:e ,3 c on!lect i on i s miide to the servi ce later.11.
T 1c c onnection of the applicai1t 1 s building s,::-v.1er t o the "C.t"..rjce lateral s!1.:;}l be r~ade
by the applica nt at his r..!Xpensc . The cor:ncction must b e mace i.n conformity with the
Th :~t r ict '~; speci:ic ;,tio :1:-~, r u:!e:. and regul..'.ltior.,;; and IT MU ST Ii.~ lNST'ECTED AN '.) APPROVED
RY THE DISTRT CT RE FORE THE SEHH. SY '~Tef M.,\Y RE US ED BY T!lE il.?rLICAlIT . THE ,\PPL I CA.Yr, OR
ms /\.lJl'llORTZED REPESSJ'.Nl'ATIVE, !{1.JST ;;0TIFY T'.~E DISTRICT /,T TliE. Tl'·!E I%PECT10N lS DESIR.En .
,\NY CON;JFCTlON M.\DE TO TH E SEi{VlCi~ l./1TW/\L Oi-'. COLLECTION U >l:C: \H THOUT PRIOi\ /'.?i'ROV/\L AND
I.,SPECTlO,~ BY Tl!E !l}STl:T CT WlLL BE r:o:1S IDER!~i) INVALID/\ lD \·.'JL'.., NOT BE AC}J~O:.'LEOGED ,
,\f ter c :1n 11 vr-t ·i o1 1 i s c-nr:,p l cl l), t i)c' 1•ropcrty J,'!:>C'r iht>d nb<''.'l ' j ,; i,11bjcc t t} ,1 ;:H1!l ti11y
':t·i,·t~r service ch· ri.:r•, h i.I.led bi-monthl y i ;1 ,HJvon cl'. Tht~ r,:l•~ \./i ll be governe d l>y the
us e o( ti1e pr operty, ~;·1:1;•,l e f a::-d l y , 1:1ultir1 e ri·,n~1ling or -cn,.r..-·rci.::i.J.. Non-p;,y;~1cn l o f
th l' r;c•wt:r ~;,'rvjct' c h:1r;•,1• j:,; s uh·j c•1·L r '1 :1 s~; µcn:1 1ty fH'.l rn0,i :!;, r lu r; d j scon1 w1-1:ion i f
n :.:c e,s,:iry.
.. . .9/6/IJ. !):i t ,.
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
Building Department
<ttitp of <ttarlsbab
RESIDENTIAL INSULATJ..ONJIRII.EIJ_
Pe rmi t No.
TELEPHONE:
(714) 729-1 181
-~-----
Issue Date. ------
CERTIFICATE OF aJ't1PLIANCE WITH ENERGY CONS NATION INSULATION
. REQUIREMENTS CONTAINETI IN ARTICLE 1, PART 6, TITLE 2L~, O\LIFORNL~
Arr~. OODE.
1$p,e_v~ '4Lt-.Jf-7 ~svt..1ft~~H ~ INSULATION APPLICATOR, HER BY
CERTIFY TW\T 111E INSULATION INSTALillJ AT _________ _
Addres s
-::-----~::------:---,---' IS IN CONFOR'W~CE WITH TH APPROVED Pl.Al~ Ass essor's Pa rcel No.
AND WllH THE REQUIREMENTS OF THESE REGULATIONS.
Signature ___________ _
Name of Insulation Contractor ---------------
Date State Licen se No . -----------------
* * *· * * * * * * * * * * * * * *
I, 7£on4=£ k-/bfITNe.Z , THE BUILDING CONTFACTOR HEREBY
CERTIFY MT THE INSULATION INSTAli.ED AT THIS ADDRESS IS IN CDN OWlANCE
wrrn "THE APP~ED PLANS AND WITI-1 TI-IE REQUIREMENTS OF THESE REGULATIONS.
Signature ~4'¥:4-~-;&-~
Ti t 1 e CJ C-6,<' 4---< 64::
Name of Firm .~r:-<..J6---r a$77?
Date ? -,2)?-?7 7
State License No. 3..2...-26 U
Post one copy , on the building at completion of work and file one
copy with the Building Department, prior to final inspection.
78-104