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Home My WebLink AboutPD 189; WEST BLUFF PLAZA; Engineering Application. -.APPI ication' for Grgdi,ng·perm'i.' PERM'IT NO'. . .. ' . ( I,etter Gode '+ . number) . . FOR APPUCANT TO F I. LL SI fe j\,Sf<i£9SS . ~# > I ',A' . . .' , . IV ~c;.. ,t!!;.o fl:. A~':&K---' ' R r . Lega I 'Oeser ~tjpn " . . if '. 7 '/'-' . subdivision Ngme -CITY OF CARLSBAD', . PUBL I C WORKS & BU I LO-I NG -QI;PARTME:NT 1200 Elm Av.enue 729-11'81-. , " , .s~rety'8ond . Sur~ty .company . . ':Surety . Address Date· F'i led' . . , ·L=lbt. ",-. S=stlpd i v isTob" C=Ci.tYC0ntra~t , Bond· N~ • ~ '., . Rec'd by: t, Gash. d'eposi t ,', . Rec' d by' pate fi red $, . .. ._ .: .c." .. " I The.f.ollowi ngdocuments.are reql,Ji reg'qnd,shal f become, a part of thegrgc;l'ingpermit wh.en. tbey - PhoH/"):> .)\ ..... 0 a:re app·~. . " . . J:-+~:::::--L-~~~-!Wi~~-__ ----':~==/ ~.:::::>-=:::>=-. 0_, _u--,..I_-I ~~p I.ans ~~i cat i'ons Phone , _. ,~_ ' ,rreeport ,. ,,~~y map I::-~;-r-:=G-;:-.!£...I-~~~=-.:.::~:::o.;:-"'-"----'---""'-=:-------'----I" ~tfrage structu res ~lo 1)1g w~ I -' s . Phone ~ct i on repo'rt _. _. _9ther . . . • J _ , ., ~"' • ... . SPEC I.Al. COND I T I·ONSWH IGH ARE· MADE .. '-, .. A PARTOF~ TrJ·IS PERM1T superv i~' on.· ~A.A. I". Aut·hori.zed hour~ .6;t 6 eration: 7:00 AM.TO . • -r ~, ~ , .. 5:.00 PM., ,·,Monday':'Fri'day:.;) :,.' . 2., Hau.1 .rou.tes, 'are .'f,o, 'be a rewed'j) .:C ft· . 'rotal. ompacted. fM.' 5 '(yes' or . .'no) . .. " S . . Proposed C'hedu I e of s. art O' erat i ons'( dates) ,:1 hereby atknow I edge that I have read the appl i CEl-;-J;..,-,-'-'"'--""'" .......... ..:.....-~"'-'-'~-"'--~----~,--.,--~~==':f==-=- ,tloD and state, that the information 1 have provide,;" INSPECTION .DAT5 . I,NSP[::CTOR'S. is corre¢t and' 'agree to:comp I y with a I J C:i tv' , .... .' , .S IGNATURE: ' . . -ordJnane:es and State laws regu I at i ng excavat i ng an GrolJhd' 'P'repara.f i'.on, grad i ng',-and the, PTOV is' 0 . and cond i t ions of any I---~-'::"--'-:----:-:--------'-~-'--"-'----"':-------"",,' ''--''''7"'"'''-;-;' -,-.' ...... ~-,.,- PE?rmi t i sS'.ueapursuaht t his Pit Rough g'rad i, ng. _, 'J'. , . Q6rilpClc+ion. re'p6rf ret'iL s ,gna~u~ of Perm i tte~,,-' -¥.-', ,..;..' ---J~-4I---I--*--H--I---p=-::"-I'a-.n"""+-::l .... ·~-g-, &::--d:-r-a-:-i-na-g-e-·-'--·;-·-,-,---,----,-~---'-'--.,. . Qwne r \0 ra uthor i zed age n --''-!f=,.L.=~-.:.::.ri''-''----,---..,. I---::-F:-, n-a-::I--·,-;.d-'er....,+:-:i;-:f~r-c.,-at-:-' ::'-to-n-r"";e-c,:-"'" d-:-... -:'.-' ~-----------=-,-,-:-,","' '~ Work CQrriP I eted' .', Perm.it Exp-irati'on [;late --~==~~~~=-~-------- TH I S FORM WHEN PROPERLY VAL I DATED BY SIGNATURE I SAPERMlT TO DO, THE. WORK DESCRIBED-. TH·IS PERMIT IS VALID FOR A .SIX (6) 'MONTH I?ER:lOD "~ Owner.' s Name: ~EUCADIA COUNTY WATER DISTRICJit APPLICATION FOR SEWER SERVICE" Frank Mola Phone No. 536-2547 ----~----------------------------------------- Mailing Address: 417 Main St. --------------~----------------------------- Huntington Beach, 92648 i:ierV:Lce Address: TrRct Description: La Costa Viejo Shopping Center Type of Building: _c_o_ffi_ffi_e_r_c_i_a_l_, ____________ No. Units 3 Lateral Size: 4" 6" 8" Saddle: _' __ Extra footage: _____ @$ __ _ Easement Connection' --- Extra depth: --@ $---,-~ Lateral Charge ~ ~:::~. ') ~ Total ~Z.~8QQ, ------:--=--:=--+'<>, NOTE: fee based on 252 'eqUivalent fixture Amount Rec'd $7,800 units to' be located' in 3 buildings'~ How Paid ck# l-mT-r-----t offices, ,market.& bank •. Any add:j= tional fixture .units'wi 11 entai 1 an additional connection' fee. The application 'must be 'signed by the Owner (or his authorized representative) of the property t;o he served. The total charges must be paid to the ,District at the time the' application is submitted. If a service lateral is required, it will be installed by th~ ~eucadia 'County Water District. The service lateral is that part of the sewer system tha,t 'extends. froin the 'main collection line in 'the street (or easement) to the point in the street ,(at o~ ,near the applicant's property line) where the service lateral is connected to ,the applicant's building sewer. ,The applicanu is responsible for the construction, at 'the applicant~s' expense, of the sewer pipeline (building sewer) from the applicanes plUlllhing t:o the . . point in the street ,(or easement) where a connection is made to the serVl;c~ lateral. The connection of the applicant's building sewer to the 'service lateral-shall be made' by the applicant at his expense. The connection. must be t;nade in CPl;lfb~ity tvith the Di~trict's specifications, rules and regulations; and IT MUST BE INSPECTED AND'APPROVED BY THE DISTRICT BEFORE THE SEWER SYSTEM MAY BE USED BY THE APPLICAl\IT" ' THE ,APPLICANT, OR HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT-THE TIME INSPECTION IS DESIP~D. ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLECTION LINE WITHOUT· PRIOR APPROVAL AND INSPECTION BY THE PISTRICT WILL BE CONSIDERED INVALID AND WILL NOT BE ACKNO\~EbGED~ After cQnnection is complete, the property described above is subJect' to a monthly sew~r service charge, billed bi-monthly in advance. The rate will be governed by the use of the property, single family, multiple dwelling or commercial •. Non~payment of .r 'j the sewer servj.ce charge is subject to a 5% penalty per month" plus dis'connection if necessjA'_ the above information given is correct and agrees, to -;629 - Accotin:t No. ", -/ _ •• _ •• .10.-'" . , ~ " --. -~~.~-'. ~~-·-l"-~·-~· ~-, ...... .-.. ~ "'-;,--r--"-"-... ...-... 7:"~"" ~"'--. , Owner.' s Name: _ LEUCADIA COUNTY WATER DISTRI* ,., APPLICATION FOR SEWER SERVI~ Frank Mola Phone No. ----~~~~~----------------------------------5S6~2547 I Mailing Address: 417 ~1a;"n St. --~~~~~~------------------------------- Huntington Beach 92648 , ' ' Service Address: La Cos'ta Viejo Apartment Compl ex TrRct Description: Alga Rd. & E1 Camino,Real .. Type of Building: _a=-pl:.:a::.:r:....t~m~e:;.:..n:..:;t ________ No. Units 80 Connection Charge' $'48,.000 Lateral Size: 4" 6" 8" Saddle: -'-- Extra footage: ---@$---Easement Connection' ---- Total Extra depth: ----@$---"'':..,~ - Amou,nt Rec' d $ 48 000 ~\. , How Paid ck#l ~ Date P aid--6=--~2:-:4--;;;;77;;;--, --I ~ Rec'd by J. Geiselhart ~ Lateral Char;ge' ~;..,(..r~~~l The application must oe signed ,by the owner (or his authorized representative) of t '"e' property to be served. "The total charges must be paid to the Dist1:'ict, at the time :'ne application is submitted. If a service lateral is required, it will be installed by the Leucadia County Water District. The service lateral is that part of the sewer system tha.t extends,. froin, t:n~ main collection line in the street (or easement) to the paint ;in'the'street (at or near , the applicant's property line) where the service lat~ral is conn.ectecl to the cipplic$"lt,t s, . ' building sewer. , The applicanb, 'is responsible for the construction, at' ,the appl:icant~s' expense, of the sewer pipeline (building sewer) from the applicant's pl~biug to the point in the street (or easement) wher.e a connection is made to' the serv:i.ce lateraL The connection of the applicant's building sewer to'the service lateral shall. be made by the applicant at his expense. The connection must be made in conformity with the District's specifications, rules and regulations; and IT MUST BE INSPECTED AND APPROVED BY THE DISTRICT BEFORE THE SEWER SYSTEM MAY BE USED BY THE APP~ICANT. : THE ,APPLICANT, OR HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT. THE TIME INSPECTION IS DESIREV~ ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLECTION LINE,WITHOUT'PRIOR APPROVAL AND INSPECTION BY THE DISTRICT WILL BE CONSIDERED INVALID AND WILL NOT £E ~CKNO~~EDGED. After connection is complete, the property described abov~, is' subj.ect to a·monthly sew~r service charge, billed bj.-monthly in advance. The: rate wili be:governed, by ,the use of the property, single family, multiple dwelling or commercial •. Non-payment of the seWferVice charge is subje~t to a 5% penalty per month, plus disconnection if ~/ necessa y. , ',' . -! The und {signed her~b information given is ~orrect and agrees to the con. I i;n~ \s ~ta f NV " ---iq ./11 7630 . s S:t.gnatur ., Date Account No.