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^WORKERS COMPENSATIOI1 hereby affirm that 1 have £sent to self insure or a certCompensation Insurance orthereof (Sec 3800 Labor Cod<POLICY NO >5 1 i-a-. =. - z* ;iis
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^.31 as owner of the property <trading with licensed contrathe project (Sec 7044 Busme:Code The Contractor s Licensply to an owner of propertyproves thereon and who contjects with a contractor(s) licercontractor s License Law)1 am exempt under Sec ^^.for this reason /"> JL*^i./ft-TC^<!WFk s s ' * » " i!E\ " Sg-£-o. 9 «3E A ="^sa"s
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SfaislslEll LICENSED CONTRACT1 hereby affirm that 1 aions of Chapter 9 (co000) of Division 3 of thions Code and my liceneetRliECLARATIONed under provig with Sectioness and Profesull force and efUSE BALLPOINT PEN ONLY10oo
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§:*| FINAL INSP BY BLDG DEPT— • —p
1 OTHER DEPT S REQ COMPLETEDELEC METER-PERM-TEMP| GAS METER-PERM-TEMPJ CERT OF OCCUPANCY ISSUED
INTERDEPARTMENTAL INFORMATION SHEET
LDING DEPARTMENT
BUILDING ADDRESS
DECEIVED
NOV 5 1979
CITY OF CARLSBAD
PLANNING DEPARTMENT
ZONE LOT SIZE LOT WIDTH
UNITS ALLOWED UNITS PROVIDED
PARKING SPACES REQUIRED
7 COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK
ALLOWED
PROVIDED
PROVIDED_
_PROVIDED
PROVIDED
SIDE SETBACK
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS
REAR SETBACK
ENVIRONMENTAL PROTECTION REQ
/Z
ADDITIONAL COMMENTS
OK TO ISSUE -Ttks DATE/l OK TO FINAL
ENGINEERING DEPARTMENT
DATE
ROW INDUSTRIAL WAC.TE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
DRIVEWAY LOCATIO
EASEMENTSA/07
LEGAL DESCRIPTION
ADDITIONAL COMMENTS
OK TO ISSUE DATE
X DRAINAGE_
J
PWI OK TO FINAL DATE
FIRE DEPARTMENT
SPRINKLING SYSTEM
FIRE ALARMS
FIRE HYDRANTS
ADDITIONAL COMMENTS
FIRE PROTECTION EQJIP
EXITS
LOCATION
OK TO ISSUE DATE OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE
9Uf) Chesapeake Drive
San Diego, CA 921 23
565 5920 (Zenith 7-0888)
01
Department of Planning and Land Use
325 South Melrose Drive -
Vista, CA 92083
758-671 1 (Zenith 7-2001 )
200 L East-Mam
El Cajon, CA 92020
579-451 1 (Zenith 7-1 398)
TO THE DEPARTMENT OF PLANNING AND LAND USE
AFFIDWIT
This document will certify that I am aware of the provisions of Ordinance 4945
requiring fencing for swimming pools I have received a copy of Form DPL #297
whicji_stipulates what is an acceptable pool enclosure
I understand that I, as the owner, must obtain a building permit for the
pool fencing at ^<?O S' {* (^_ ^ ^-^c^ C_ "Y"; /
SITE ADDRESS^
and must obtain an approved final inspection of the fencing from your Department
prior to final inspection of the pool, and prior to any use of the pool
SIGNED
DATE
(owner)
&*—
I _ I I have not made application for a fence permit. Enclosure for my swimming
pool presently conforms to the requirements on Form DPL #297 as follows:
SIGNED
DATE
(owner)
This form is to be attached to the Inspector's copy of the pool permit
DPL 3379
Rev 5-7-79 Ref Policy TZ-2
TO Department of Planning and Land Use
This document will certify that I am aware of the provisions of the California
Administrative Code, Title 24, Section T20-1406(c), "Swimming Pool Heating", as
shown on form DPL 1297. I understand that neither a swimming pool building
permit using a fossil-fueled heater nor a plumbing/electrical permit for a new
or replacement fossil-fueled Beater will be issued until this certification is
executed.
For the swimming pool located at t ^2 f) / /
(site address) I certify that all of the following requirements for fossil-fueled
(or electric) swimming pool heaters will be met:
1. Outdoor pools shall be equipped with a pool cover.
2. ON-OFF switch on outside of heater to allow shutdown without adjusting
thermostat and start-up without relighting pilot light.
3. 36" minimum length of'plumbing provided between filter and heater to allow
future solar installation.
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4. After January 1, 1982, new heaters installed must have 75% thermal efficiency
5. Time clocks installed to allow pump operation during off-peak demand periods
(unless pump used for active solar).
6. Directional water inlets in pool for good mixing.
Signed (owner) Q^^^T^^^ Date / f) - f f- ? 7
DPL *379B
6-22-79