HomeMy WebLinkAbout2732 UNICORNIO ST; ; 80-213; Permit~
SEO CONTRACTOR'S DECLARATION
y affirm that I am licensed under provl•
Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes•
sions Code, and my license Is In full force and el•
feet.
OWNER-BUILDER DECLARATION
0 1 hereby affirm that I am exempt from the Con•
tractor's License Law for the following reason
(Sec. 7031.5 Business and Professions Code), Any
city or county which requires a permit to con-
struct, alter. Improve, demolish, or repair any
structure, prior to its Issuance also requires the
applicant for such permit to file a signed state·
ment that he Is licensed pursuant to the provl·
sions of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that Is ex·
empt therefrom and the basis for the alleged ex·
emption. Any violation of Section 7031.5 by an ap-
plicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars
($500).
0 1, as owner of the property, or my employees
with wages as their sole compensation, will do
the work, and the structure is not Intended or of•
fered for sale (Sec. 7044, Business and Profes•
slons Code: The Contractor's License Law does
not apply to an owner of property who builds or
Improves thereon and who does such work
himself or through his own employees, provided
that such Improvements are not intended or of•
fered for sale. If, however, the building or improve-
ment is sold within one year of completion, the
owner-builder will have the burden of proving that
he did not build or improve for the purpose of
sale).
'JI, as owner of the property, am exclusively con·
tractlng with licensed contractors to construct
the project (Sec. 7044, Business end Professions
Code: The Contractor's License Law does not ap•
ply to an owner of property ••ho builds or im•
proves thereon, and who contracts for such pro-
jects with a contractor(s) license pursuant to the
contractor's License Law).\ I am exempt under Sec B. & P.C. for this reason, ______ ._ ______ _
Date
WORKERS' COMPtT~~EC10~ I hereby affirm th ave a rtifi f con•
sent to self•lnsure, certifl te Workers'
Compensation Insurance, or a certl 1ed copy
thereof (Sec. 3800, Labor Code).
POLICY NO ___________ _ COMPANY ___________ _
□Copy is flied with the city.
□Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the per•
mil Is for one hundred dollars ($100) or less).
I certify that In the performance of the work for
which this permit Is Issued, I shall not employ any
persort in any manner so as to become subject to
tile Workers' Compensation Laws of Callfomla.
NOTICE TO APPLICANT: If, after making this Cer•
tificate of Exemption, you should become subject
to the Workers' Compensation provisions of the
Lator Code. you must forthwith comply with such
provisions or this permit shall be deemed revoked. . "' CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction len-
ding agency for the performance of the work for ..... ,_~ .. . . ,,., .. -........ .,,.. _ _._.
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
t I NO; 1 £.i 7 I~ 'L I I tJ I N1 l I~ ~
0
i/JR~sl~ I I 1 1 1 1 1 1 1 1 t;.r-IDAJJ; /11f!JCATI \;?_~c;s~ f~ PERM IT NUMBER
OWNER 11 -~ ~, I . OWNER'S PHONE PR),7A CONTRACTOR , I TATE L ICENSE 1~ J_/ 3 ~~~ /M v ~.,,/4 J,d/, ~ g~ / ~ //J~/ (}() •
ow/_? ;:;;?DR~~,;'~.;~ ~d /# h-/ /3T;;:;;s_;;;Esj~ ;(l;V ,?;:T;;s?q ~
~ BLOCK ISIUl.9"Vllf'N I ASSE~OR'S PARCEL NO. ,:--/ HJESIGNER✓ ,,,,, .ii IA~ STATE LICENSE/ '.l',f'/JI ;--x_ C , ,mA~ . , v,n1 / ,~r ,3.s?-, ~ 6 ()u ~,,D-vz tl,,v, 9/24/(_.t,.jU&~ !13 ~.ii
DESCRIPTION OF WORK
(""\ _ DESIGNER'S ADDRESS DESIGNER'S PHONE
Jr,t>, (
CENSUS TRACT GP LAND USE ZONING / I RES. UNITS I PARKING SPACE rp I NUMBER OF STORIES
~ -/ 51 ~ ~ Not V•lid Unf#ss Machin, c.rtifi«t
B~G:,;/., BLD~PO ~a;;; I STANDARD PLAN# PLA;,: J,/ -~ I TYP;;;s;..i I occ. LOAD l
,
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT.
17 EACH FIXTURE TRAP _i3d,. 00 INSTALL FURN. DUCTS UP TD 100,000 BTU
I EACH BUILDING SEWER -c-.O~ / OVER 100,000 BTU -~t:Ji)
I EACH WATER HEATER AND/OR VENT '7_. A? BOILER/COMPRESSOR UP TO 3 HP
I EACH GAS SYSTEM 1 TO 4 OUTLETS -, .. t?O BOILER/COMPRESSOR 3·15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16·30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE -Z,.. VENTFAN SINGLE DUCT A.. d{;, n.
/ EACH LAWN SPRINKLER SYSTEM 1,,. 6)/) ✓ MECH EXHAUST -HOOD/DUCTS .A .(:It:) V~llll,AilON. : !JP {24-J q I 2-
WATER SOFTNER , RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT , I , 1it~l.¢._ri0
t,!;0/? .~ 00 /!5,St/-(:5 !2. t:)~ SIGN PERMIT JG," ,,, I , I I I
TOTAL PLUMBING TOTAL MECHANICAL /4 00 PLAN CHECK / J't/1.J-~/ "J'7 Y1 I , I r1 . .J10
CONTRACTOR 48 .{)CJ CONTRACTOR • ALL INCLUSIVE PERMIT I I I
TOTAL PLUMBING I ~JI ./)10
QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL i-2£, Aft:)
fh'J NEW CONST EA AMP/SWT/BKR :J.r.01) AWNING MECHANICAL I/ Jt/.. ()10
1 PH .25 3 PH PORCH MOBILE HOME ( 1 I
EXIST BLDG EA AMP/SWT/BKR SET·UP SOLAR I , I I I
1 PH .25 3 PH RAMADA, CABANA I I I 1
REMODEL/ALTER PER CIRCUIT FENCE OVER 6' I I I I
/ TEMPPDLE 200AMPS .J"'-00 TOTALMDBILEHOME MICO-FILM I , I I I
OVER 200 AMPS I , I I I
TEMP OCCUPANCY (30 DAYSI I I I I
J'!;SU~ 2 . oo -~NG /.;f Pru,,-..J 1 • 1 17 .7 "'--
ToTAL ELEcTR1 cAL .,./) ll---+---------------+-------41 TOTALFEESPAYABLE I _-t.,
CONTRACTOR .82•c,;v I I .~~l~.-114-
~L. "FC'G •
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO DO ·AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER ----· ' • ✓~II,,,. s -,II, I 'KB' --
! ~ C ~
~ j:::
~
Cl.. V)
~
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 1 5'· "DEEP AND DEMOLITION OR CONSTRUCTION OF ~ .,_,._. ,-,iiP'\f-V...C., 'IP /• '
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, S CTURES OVER 3 STORIES IN HEIGHT ~
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER ./'J ' f t#°'
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM• ,r /.,,. ~ 1/
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO I l 'Jt .,.._ ... _......, ---./ -1 l! lt EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE / V • • .,,_-, ✓
OF THE GRANTING OF THIS PERMIT. ,, AP"-CANT'S SIGNATURE•' OWNE:□,,. ct>NTRACTO~,APPROffi ')y .n n OA7_ 1
. _ ---' AGENT'flf BY PHONE. 0 I ~ ',. _ . 14-/JI ~ '
'
SITE
ADDRESS: • , OWNER: • -PERMIT NO: t 150 ✓ J../ ~
• FIELD INSPECTION RECORD .
INSPECTION DATE INSPECTOR INSPECTOR'S NOT ES ••
WOOD FLOOR ~
FOUNDATION • FORMS• SET BACK • TOILET
UNDER FLOOR PLUMBING "' _ • ~ ---• --1
UNDER FLOOR HEATING
OK TO INSTALL SUB FLOOR .
SLAB FLOOR , .. \
UNDER SLAB PLUMBING ' ' \ \ .; ~
FOOTING • FORMS • SETBACK • TOILET
-'. -. . ,.. -"t: .; .... ;,
OK TO POUR CONCRETE • , \ , , , • , ,
FRAME
ROUGH ELECTRICAL
ROUGH PLUMBING ~ •· ~
ROUGH HEATING/VENTILATING • l ~
FRAME OK• PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
\r.'.• WALLBOARD OK• PLACE TAf>E ""'
EXTERIOR LATH OK• PLACE STUCCO ' '"'
Fl REPLACE ' ,~ 1
0
,-• 1
DAMPER 8: STEEL _
PLATE TIES/HEIGHT OF CHIMNEY \' •
OTHER
TEMP POWER (POLE)
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK
• FENCE PREPLASTER -
SHOWN • FRAME
• PAN J ...-? __, l-=-:-:-:--:---------------------~"F--.---r.~~l-:;'7...,.q,~L.;'.,:::::._::::::1-½---• "
FINAL INSP BY BLDG DEPT / :....-,_y I A.M'J <---
OTHER DEPT'S REQ COMPLETED r I {/
EL EC METER-PERM-TEMP ,/
GAS METER-PERM-T EMP J " . . '
11\'
'
C ERT OF OCCUPANCY ISSUED , '\. ..... -----------------,,_,f----' .. ,,-------------------------------........ ,/1
X
.,
REQUEST FO~ INSPECTION
t.c(_ PERMIT No. Zo -;J....l_3 INSPECTOR DATE:
OWNER ___ ....... S.:::....1+ ..... ~e........e.._..;..__......,&:.---l_a.....-9_, ____________ _
ADDREss_-~,,,_____,J._~-=---d--_.:.......;::LJ::;_,7 __ 1 Ovvt\ ___ 1 _·c ________ _
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT · GUN I TE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
l$) INTERIOR LATH OR
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: ~y
~ D P.M.
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
, ~ ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
SMOKE DETECTOR
D FINAL
D TUESDAY
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
D WEDNESDAYe □FRIDAY
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY ___ ....,a....._\+--0-=--___________ PHONE NO.
PERSON TAKING REPORT
REQUEST FOR INSPECTION TIME=•----
INSPECTOR ft~/ PERMIT NO, _______ DATE:_..,<.¼_Y~f.._?ffe;;;,__ __ _
OWNER--------------,-----------------------
ADDRESS
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
□ GROUT -GUN I TE
□ FLOOR AND CEILING FRAME
□ SHEATHING
0 FRAME
~XTERIOR LATH
-□ i'NSULATION
\z(j'NTERIOR LATH OR
/d FINAL
PLUMBING
DRYWAL
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
D TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
□ GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION:
REQUESTED BY ~ & ~ 7
ELECTRICAL
CTRIC UNDERGROUND
ELECTRIC
ONDING
KE DETECTOR
INAL
□ PLENUM AND DUCTS
0 COMBUSTION AIR
□ PATIO
D SIGN
D GRADING
D DRIVEWAY
□ CONDITIONED AIR SYSTEMS
□ REFER PIPING
D FINAL
D THURSDAY D FRIDAY
PHONE NO. ,7..S-5 -6 .:J> / 7
PERSON TAKING REPORT ~
REQUEST FOR INSPECTION
ADDRESS
FOUNDATl•N
D R NFeRGING Sl'E" D TEMPeRARY SERVICE
0 MAS.NAY O ELECTRIC UNDERGROUND
0 GReUT · GUNITE O Rl>UGH ELECTRIC
D FLeeR AND CEILING FRAME D Pf>liL BONDING
0 SHEATHING O ELECTRIC SERVICE
';lZJ FRAME O CEILING HEAT
/ 0 EXTERl•R LATH i O G.F.1.
0 INSULATleN D SMl>KE DETECTOR
0 INTERl•R LATH eR ljtRYWALL \~ 0 FINAL L--□ __ FI_NA_L _____ _,.i~~~=-----------'
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: □ M&NIBAY □ TUESll>AY
D A .M.
)eP,M.
MISCELLANEOUS
0 PLENUM AND l,tUCTS
0 CIIMBUSTleN AIR
0 PATle
D SIGN
D GRAIJING
D •RIVEWAY
D ceNDITleNED AIR SYSTEMS
D REFER PIPING
D FINAL
D WEBNESIIAY D THURSlitAY ~~ll>AY
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY ______________ PHONE NoL.>S-:: 6jJ<j
PERSON TAKING REPOR~--=----
1
REQU .EST FOR INSPECTION TIME:. ___ _
INSPECTOR __ .,;;;;E--.l):.....=::;._ ______ PERMIT NO., _______ DATE: _.::...~.#-,:,-'/.L.]_,,/4c..E-_') __
OWNER ________________________________ _
ADDREss-~..:........:.1.-=~:.....:z::::....._ _ _..._v..L.1v.:......:....., c.o==.....!.tl-N-ll.....::L..!..., ..... o""----------------.. BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUN I TE
0 FLOOR AND CE I LING FRAME
~SHEATHING
b FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
i· o·,~~
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
D FINAL
D FINAL ~\Mv ...._ ______________ __,J 1,,,,,,.1,,,._ _____________ __,
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
D TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
D WATER HEATER
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY ~UESDAY □WEDNESDAY D THURSDAY D FRIDAY
-f,A.M.
D P.M.
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY __________________ PHONE NO._;-,nc:;::;----
PERSON TAKING REPORT-~::.._ ____ _
TIME: __ ___,,... ___ _
DATE:__,¾J ............. #;~1/-,:S~~T~:S~ F~SPECT~~:T No.
OWNER ___________ ---=----------------------
ADDRESS d 73 ~ ~~
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUN I TE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
::2).XTERIOR LATH
~ ~~SULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION:
D P.M.
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
I
D TUESDAY D WEDNESDAY D THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY-~,...,...,.""-'~'"""-----------PHONE NO ~;-.,,t3 7/'
PERSON TAKING REPOR~ 72;;tit{-
~-~
REQUEST FOR INSPECTION TIME:, ___ _
INSPECTOR ·~ PERMIT NO. _______ DATE: /WA
OWNER _________________________________ _
D REINFORCING STEEL
D MASONRY
D GROUT · GUN I TE
D FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
D EXTERIOR LATH
D INSULATION
D INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
D UNDERGROUND WATER
D ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: D MONDAY
D A .M.
O P.M.
ELECTRICAL
-----□ TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
□WEDNESDAY □THURSDAY □FRIDAY
SPECIAL INSTRUCTIONS-....,....-1..~-,:...,.::::,,.,~~==--=~...L...--------------------
REQUESTED BY ~ PHONE NO,;;~¥
PERSON TAKING REPORT,.,;.~
REOU.EST FOR INSPECTION TIME·-------
INSPECTOR----~~·~~---PERMIT NO. ___ ..,,.')//_~_DATE: jl-cltZf'o
OWNER _________________ -,--_c0 __ ~--",6""'--"-....,._/_,_ _______ _
ADDRESS ______ .....:d=--'-7 ...... J~__._..~""--.KC.~-"-----' ___:_ _ _;;:_----""-~ ______ _
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT· GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
n(" UNDERGROUND PLUMBING
~'uNDERGROUND WATER
0 ROUGH PLUMBING
D TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: □MONDAY
D A .M.
OP.M.
□TUESDAY
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
□ SMOKE DETECTOR
D FINAL
MISCELLANEOUS
PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
□WEDNESDAY
SPECIAL INSTRUCTIONS _______________________ ..,.q... __ _
REQUESTED BY ________________ PHONE NO. _ __,,..~_.)C-,<t.i,L-f-_
7_. __ _
PERSON TAKING REPORT _______ _
~~
7 r j--✓' "3 7, __ -,-=.:...::E'--R-"D_E'--P_A_R_T_M_E..:....N_T_A_L_I.:.....N.;.;...F_OR'--M_Ac...:...T.:.....I_O_N_S_H.:.....E_E_T
BUILDING DEPARTMENT ' .
BUILDING ADDRESS: 2.73;2/ ~
PLANNING DEPARTMENT
RECEIVED DATE: ---------
t1AR 7 1380
CITY OF CARLSBAD
Building Department
I
ZONE. ___ ~~ .. ..-./_\_,__ ___ LO T S \ ZE. _________ LOT WIDTH
UNITS ALLOWED ___________ UNITS PROVIDED __ ___. _________ _
PARKING SPACES REQUIRED "1.--PROVIDED -----------
% COVERAGE ALLOWED ________ v ______ PROVIDED __________ _
BUILDING HEIGHT ALLOWED ✓ PROVIDED -----------
FRONT SETBACK: "i)
ALLOWED Iv
SIDE SETBACK: REAR SETBACK:
PROVIDED /LP
INTRUSIONS 0
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
OK TO ISSUE: 1A
ENGINEERING DEPARTMENT
R.O.W. _____ _,INDUSTRIAL WASTE IMPROVEMENTS t=)
SEWER CONNE C Tl ON O)\_ ~ DR_I_V_E_W_A_Y_L_O_C_A_T_I ON S ---=c...:c..:.....-----
GRADI NG PERMIT _________ EASEMENTS ~ DRAINAGE I.
LEGAL DESCRIPTION ;;£:c: {(cPCJ ~ 3 ti(_{!_~~~
ADDITIONAL COMMENTS __________________________ _
/ -CALL 43&.552s;. 24 mt :i. l\l,1t~"E '.
FI RE DE PAR TME NT REQUESTED PRIOR TO INSPECTIONS :
SPRI~KLING 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 _______ _
\
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j CITY OF CARLSBAD t 1 ~ ~ This Certificate issued pursuant to the requirements of Section 306 -.,,.•_a,, t
j of the Uniform Building Code certifies that at the time of issuance ~
~ this structure complies with applicable ordinances of the City ~ J regulating building construction us~. ~
3 UseClassification Single Family Dwelling Bldg.PermitNo. 80-213 ~ ~ Group _____ Type Construction _____ Fire Zone ______ Use Zone______ ►
Occupant Load •· ,-; ,.. ► ~ OwnerofBuildin~ .. ,.Il:Ies. Topolc;:hn.r:i, . 'Mdress 13745 N:ogales Dr., Del Mar ~ ~ ~ f2 "l...:z. 2 U • • • -• • d ~ ~ Building Address •. ._ r-? ...... n~~p~n:o Q~ ~I • 'Locality~rl~ba .. ,, c~. ·? 2Q~_8 ~ ~ ·t · ~; ... ••-r-1 t -, .,, -?,-' • . • • • • ! • :· '_!_1-/J-•-(,.,, ► ~ ~ •
j ,om ...... ,; •• ,. <'•····· odd;,;-:· •• <'•.···· ., m,, •• ,t, .,u;n., '"'P'"";l;c .. ,. I • ► ~ (Post ,n consp,cuou• ploce) \._ ►
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1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008 Building Department
,.
Qtitp of Qtarlsbab
RESIDENTIAL ENERGY DESIG~ CERTIFICATION
TELEPHONE:
(714) 729-1181
Permit No. ____ y_c?_· _-.-;2_~/-3-..'--
Issue Date .. ·-------.---
CERTIFICATE OF.. ca1eLIN.JCE Willi aJERGY COt1SERVAIION DESI.GU HEQUIREMOOS
CDNTAINED IN ARTICLE 1, PART 6, Tifil 24, CALIFORNIA AIT-1. CODE
. I, k--i~ •: , hereby certify that I am familiar
with the state energy.conservation standard~ mandated in
CAC Title 24, Section T20-1401 through T20~1406, and that the
· plans and other .documents submitted in support of the appJication
' for a building permit at -..J::...--1---,-----%-dd:-'-:~'-'--""✓~~::;;;--:::o....L..."--""'-'.=--·----J? ~ Address •
)../) --~5?2 -5'? ••• ,· -----'--1,o/~/-::;.,.;2--",q,.__) _..:;...y-0~·---
.Assessor' s Paree 1 No. • 7fated I
-comply with. all current requirements of these regulations .
. State License or Certificate No . ___ ?J-+.+7i-'-/~0--=~'---'-/ _____ _
Date_-+Ji-+-r,/;1.,.._,1/H-(..,....... ?:9___;:;;_· _. _
Submit to the Building Department with permit application.
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Form 78-101
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,. l' . • • . . LEUCAD IA COUNTY WATER DIS TRICT
APPLICATION FOR SEWER SERVICE
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Owner's Haine Craig Wright . Phone No. 438-1936 -------------------------------, -Ma 111ng Address _P_._o_. _B_o_x_1_6_33 __________ _ . . . \ Rancho Santa Fe, CA 92067 St::'.VER PERMIT ISS•Jet;, UPON
Servtce Address: .l 7J2-lJn,,t~MtYS)::, P.E:Ct:IPT OF IUILD!NQ PEAMIT ..
Tract Description: Jot :180, Meadows #3 DUILOING PcRMlr'MUST a& • .
Assessor I s Paree 1 No. 215-350-56 , APPU~ FOR DY 6 t-&SJ :_89.
Type of Building s,f, No. Units ) • Connection Fee *·188·88
Lateral Size: 411 611 811 Saddle Easement Connection (pre-pd ·• ( -• -Extra Footage: _ i $ __ __,_ epth:1 . i $ __ 400.00-
.) )~<> La tera 1 Fee
~~~/~:,:d ~~1&:IJ • / ;;o~.'r~~Q,,,, Prorated Sewer~~-•.
Date e_:30=n 1-o'l~'n<J ,~Service Fee
Rec'd By goui,-,:, 1..-'·· . , ,'' Total ,$ • ~.00
1. \ 0 '~ ~ <r . e . . .
The 1pplic1t1o'n must be signed by the owner to -hts thorfzed representat1v•) of
the property to .be served. The totai charges 1111.!._t 'be to the Distr't.ct at the
time the appl tcation 1s submitted. '· • •
If I service lateral 1s required, tt will be installed by the Leucadia •County Water
District. The service lateral 1s that part of the sewer systan that extends from t~e main collection, line in the street (or ea~ement) to the point in the ~treet {at or near the applicant's proper~ line) where the service lateral ts coMKtecl to the applicant's building sewer. The applicant is responsible for the construction,
1t the appltc1nt11 exp11111.--of the sewer pfpeltne (bufldtng 1ew1r) fl"OIIII the app11· cant's plumbing to the point 1n the street (or eas•ent) where I connec,t1on 1s ud1
to the service .lateral. , • • • ~ . 1,
The connection of the 1ppltc1nt•1 building sewer to the service lateral shall bt .
made by the appl tcant at hts expense. The coMectton ~st " 111da 1n c;onf°"'f ty . with •the District's spec1f1cat1ons, rules and regulations; and IT MUST :BE JNSPEatn AND APPROVED BY THE DISTRICT BER>RE THE SEWER SYSTEM Mt\Y BE USED BY THE APPl.lCANT~ THE APPLICANT, OR HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT Af TffE
TIME ltlSPECTl<Jt IS DESIRED. ANY CONNECTICX·i M.4.0E TO THE SERVICE LATERAL OR a>I.LEC,. TICN .LINE WITHOUT PRIOR APPROVAL AND INSP!:CTI~ BY THE DISTRICT WILL BE CON$JOEREi' INVALID AND WILL NOT BE ACKNOWLEDGED. . . .
The prorated sewer service fee ts based .upc,;~the date the District est1inates that•
service will begtn and covers the balance of the fiscal y•ar. There wfll be no ,
add1tfo,aal fee or refund if service actually connences On a different d.ate. For
succeeding fiscal years, the sewer service fee will be collected ·on the t~x roll
tn the same unner as prope~,taxes. . .
The understyned hereby agr•• that the above fnfonnatton given 11 correct and agrees to the cond tions as stated. .
?Jo
Date
ENGINEERING, INC.
476W. Vermont Ave., Suite 102
Escondido, California 9 2025
714-743-1214/ 727-1 8 18
Job #1036-80
March 27, 1980
Mr, John Teapolchanji
13745 Nogales
Del Mar, CA 92014
SUBJECT• Moisture Test for Lot 480, La Costa Meadows #3
This letter has been written at your request to verify
that the moisture content of the soil on the above refer-
enced property is from one to three percent (1% -J%)
over the optimum moisture content as required by Benton
Engineering soil report.
The field sample was taken and tested March 22, 1980 and
the r esults are as follows•
Optimum Moisture Content---------------11.5%
Field Moisture Content-----------------13,0%
If you have any questions, please contact this office.
MV ING, INC.
RAL HM. VINJ E
RCE 25115
RMV/et