HomeMy WebLinkAbout2217 PAMPLONA WAY; ; 76-2624; Permit4-........
M ODEL NO. _-_.frc.= __ 'llc...;;. _____ _
BUILDING PERMIT APPLICATIO~
City of CARLSBAD, CALIFORNIA 92008
Applicant to CO.JlJl)lf:l.e ~bered spaces only. Phone 729-1181 Permit No. y
Jo• •oo.,••_;:---, ~A /Yl?L t) vA b-t-n-y ~,-.I
ASSESSOR'S -PARCEL NUMBER
LOT;:·~/7 ?I OLK I r •m Bvvl\ PAGE I P AR,
LEGAL I /. t["]sct ATTACH[O SH[[T) 1 DtsCA ,
OWNER //.r MAIL AOORC55 / ? ,,. ll P PHONE :-.,.r-' .,
2 .,, .,::J -~ ;; ,
CON'l"R ACTOR . M A IL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO.
3 :-;:, ~ ,.,,. ~..;!;:),;,;) -/ --: -.,,
J
ARCHITECT OR OESICN[R r ~) MAIL AOORESS PMONt LICENSE NO.
4 .I r -,r;::-, \ C") ---I
ENGINttfll /,1 MAIL AOO~ESS PHONE LICENSE NO,
5
COMPENS"-TION INS. CARRIER MAIL AOOIIH.55 /)_; A BIIIAN CH
6 ~ A' --J • --·
_,
U S[ 0 ,-8 i.JILOING -d'G .:? 7 ' / -r,.. -!,/. . NO. BDRMS V NO/IBATHS
8 Class of work: Q..NEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE ,if
C ~~ -/J oiJY.Li --~~~ 9 Describe work: -J Tc;>, .,,,.
_,,,,. , , V }' '/' ., )> -/ -
10 Change of use from 1
Change of use to
~9 , ~ 5i" 7 -In~ '4:" j PERMIT FEE s
Q( 11 Valuation of work: $ PLAN CH ECK FEE $
SPECIAL CONDITIONS: MICRO F ILM FEE
Typeol ·v Occupancy' J_
Const -}t Group /.J
s,ze of Bldg .• f.< No. of I Max.
(Total l Sq. Ft, Stories 0cc. L oad
r:, ' Fire . use Fire Sprinklers
A PPLICATION ACCEPTED av PL"-NS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Required 0 Yes □No
No. of OFFSTREET PARKING SPACES• ~/.., .,,. ...
'/ !No . Ow e11,ng U nits ~g~ered ....,_
, ..
DATE DATE Sq. Ft,-Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERM ITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING. VENTILATING OR AI R C ONDITIONING. HEAL T H OEPT. THIS PE RMIT BECOMES NULL AND VOID IF WORK O R CONSTRUC·
T ION AUTHOR IZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FIRE DEPT.
CONSTRUCTION O R WORK IS SUSPENDED O R ABANDONED FOR A SOIL REPO RT PERIO D OF 120 DA YS A T A NY TIME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAV E READ AND EXAMINED THIS
A PPLICAT ION AND KNOW T HE SAME TO BE TRUE AND CORRECT. ENGINEERING DEPT.
ALL PROV ISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WO RK WILL BE COMPLIED WITH WHETHER SPECIFIED H EREIN OR N OT. THE GRANTING O F A PERMIT OOES NOT PRESUME TO G IVE AUTHO RITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
C ONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
z
l/51Gt-lATVA( 0,. CONTIIIACTOA OA AU TMOIIHlEO AGt.NT fOATtl
SI GNATt1JU 0 ,-OWNER II " OWN[,-BUILDER) OAT()
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 $ _~.5'--~/~/'-__ _.,,,
INSPECTOR
INSPECTION RECORD
' .. --
DATE REMARKS IN~t't C' ,·" --,
FOUNDATIONS: I
SET BACK I
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
/7
FINAL J-CJ-77 o.//. & L~ /~-~~
I
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
8-23-76 Fdn. Forms and Steel: O.K. B. Nelson -----;;_:;;_;;_c. _______________ _
____ ....,8--.... 2 7.:::.:J 6.-1iou-:t:-:-G-.-K-.----B-.-Ne-1so:n------------------------
10-21-76 Drywall nailing and lath: No. B.Nelson ------
___ ___,c9_---c:2 9-7 6
10-5-76 10-8-76
Sheathing: Covered W/0 Inspection~=-~B"'-'-._...N-e~l-s=o~n...._ _______ _
Frame: Corrections. B. Nelson Insulation: O.K. B. Nelson
10-13-76 Duct and frame: O.K. B. Nelson
10-27-76 Lath and drywall: O.K. B. Nelson
..
MODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No
JOB AOOA ESS
r //1 (.;} ~A,)"' CA r:=~1 ;-f ASSESSOR'S
PARCEL NUMBER
LOT NO, I ILK I TAACT e...,...,K PAGE I PAR.
LEOAC I _/o/ 7 ef ~~ <[7src ATTA.CHCO SHCET) 1 oc.scA. , ( -
OWN CM , A MAIL 4D0RC55
/~
ll P PHO,,[
2 ~ -...>r ,</ (.
CONTJIU,CTO" ~ MAIL AOOAE5S PHONE STATE LIC, NO. CITY LIC, NO.
3 . ...... ...) J .... ~--._ -.
A,.CHITCCT OM 0[5IGN[1' MAIL AOOAE$5 PHONE LICENSE NO
4
ENGINEER / A' MAIL ADDRESS PHONE LICE.N S£ NO.
5
COMPENSATION INS. CARRIER MAIi.. •OO,111:c.ss 8,.ANCH
6 (' _-s-x:: -,;;.-~.---.
USE Of' &UH .• OING ~ 7 -,,.. .,,{,.,, -, NO. BORMS NO. BATHS
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE
9 Describe work: .t"<c_ 7,4 t • .c_ .,,,.,, <:,.. ~~-C,,. :r J/Vt c;. r ,...
,,..,f'-.._.> * ;rz>.,,-~ '--
10 Change of use from
Cha nge of use to
11 Valuation of work: $ ;J I//) ( ' I I .,
PLAN CH ECK FEE s PERMIT FEE S j
SPECIAL CONDITIONS: Type of Occupancy MICRO FILM FEE
Const. Group
s,ze of Bldg. No. Of Max.
(Total) SQ. Ft. Stories 0cc. Load -
Fire Use Fire Sprinklers
APPLICA T!ON ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Reouired DYes □No
N o. o f OFFSTREET PARKING SPACES
DATE, Dwelling Units No. 'No. DATE Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not 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 AUTH ORIZED 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 AND KNOW THE SAME TO BE TRUE AND 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 T O GIVE AUTHORITY TO VIOLATE OR CAN CEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OP CONSTRUCTION.
SIC.NATURE 0 ,-CONTIIIACTON O illll AUTHOflllZCO AGENT (OATC)
~IGNATUJII[ 0,-OWN[fll ti,-OWNf:1111 8UILOC,t) {OAT Cl
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $ ___ ....;;../_.,;_~_..., __ _
INSPECTOR
INSPECTION RECORD
-~
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, ETC.
____ 2_-15-77 Retaining Wall Footings -Okay _B...
41,ltoo....:,-.....~119 ............ ....,.....,_ ___ .., -.---• ,. __
MODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it N 0
Joe •ooA rss p ~,.,. ASSESSOR'S -r ,r /'/1 ,.,,. ·v-A--c:'/,"O PARCEL NUMBER -
LOT NO, I ILK ·lTRAC T BvvK PAGE I PAR.
L[GAL I /'-r7 ~ ~,e .,,,,.-; ~ ([]SEC ATTACMEO SM[tTI 1 OC5CA, 1/
OWN[flf -_r-MAIL AOORC55 ll P PHONE
2 ~A ·" /'--.,l~r.Jr --A _.,.
--
CON TRAC TO.,. MAIL AOORCSS /4, P t-IONE STATE LIC, NO, CITY LIC, NO,
3 < <....,,,~ -,,;:, ~ ...,._,r \,__~ ,.1'( ,
A.R(MI TE(T OR 0£5\CNtR MAIL AOOA CSS PHONC ~ LIC [NS( NO.
4
~
[NGIN CC'-M AIL A00"[55 PHONE LICE"'fSC NO.
5
COMPENSATION INS, CARRIER MA.IL AOORCSS l!IRANCl-4
6
USE OF 8;,JILOING
7 NO. BDRMS NO. BATHS
8 Class of work: LlNEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
I
9 Describe work: /cr;t,-,..., ' c;:.. 6/A" ~ '-/u:,< .A'.,...,.,,/.,,.<~ ,..-.,, ~ /~ . '< K f"" <...) tt:..c.->,,,-<,;....
10 Change of use from
Change of use to
J/d✓J I
.--11 Valuation of work: $ l -PLAN CH ECK FEE S PERMIT FEE S .) ..
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const. Group
Sile of Bldg. No. of Ma><.
(Total) Sq. Ft Stories 0cc. Load
F,re Use Fire Sprinkleri
APPUCA TIQN ACCEPTED 8'Y PLANS CHECKE D 8Y APPROVED FOR ISSUANCE 8Y Zone Zone Required DYes O No
No. of OFFSTREET PARKING SPACES, ,, I Dwelling Units No. !No. DATE DATE Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB• PLANNING DEPT.
ING. HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK O R CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF Fl RE 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 AND KNOW THE SAME TO BE TRUE AND 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 OOES 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.
~
SIGMA.TU R( o, CONT,-A.(TOIII 0 " A.UTHORIZCO AGENT (DAT£ l
SI GH~T lit[ OP' OWNER 11 , OWNCIII l!IUIL DEIII) IOATC.)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES$ __ -'--------
INSPECTOR
,, ) C ,: • .
1: PLUMBING PERMIT APPLICATION
Permit No. City of CARLSBAD, CALIFORNIA
7/4-;; 7--4 Applicant to complete numbered spaces only. ~
JOB ADDA t5!!1 _, )J ] t;.';AJJ)l/i A
LOT NO ... '~ r 1 •LK I T~•cT
LtG•L I /, /L .I ,I ,I Qstt ATTACHED SHEET) 1 OESC~. I "I 'I i
MAIL ADDflCSS .... I -ZIP PHONE OWN£ ..
d.,,]1 2 7 / ,;,,.../,~.J /,!-> ,;. J,,,., r'I J ' .
CON TflAC TOR ----" ---MAIL ADDAE5S.,..: . PHONE J --LICENSE NO.
3 I.. /. -,, ' I 1, ii J.-. ' (-:. .I i,,,f ,( J I .. , --
A~CHITE.Cl' OR OESIGNt.JIII ·r r "'" -(j -MAIL AOOflt_,S -. PHONE LICENSC NO,
4
IE.HGINE.tJIII MAIL AO0fl£SS PHONE LICE.NS£ NO.
~ -5
LENDER MAIL AODfll[SS BflANCH
6
USE O F BUILDING
7
-
8 Class of work: @NEW □ ADDITION □ALTERATION 0 REPAIR ;,
.1
J f ~•J .l t,,,,._I,. -~ _./ £ 1-. 9 Describe work: /,, ~-.1-1'' ~ --. ,IL~ -.. ,.~..,.,. -. 5 I --
PERMIT FEES
No. Type of Fixture or Item
SPECIAL CONDITIONS: ? WATER CLOSET (TOILET)
-'"?.... BATHTUB
<:"' LAVATORY (WASH BASIN)
J SHOWER
I KITCHEN SINK & DISP.
l DISHWASHER
-"PPLICATION •CCEPTEO BY PLANS CHECKEO 8V -"PPROVEO FOR ISSUANCE BY LAUNDRY TRAY
AP. I CLOTHES WASHER
.I WATER HEATER
--NOTICE ~ URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY T IME AFTER WORK IS COM• SLOP SINK
MENCED (J GAS SYSTEMS: NO. OUTLETS .-I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING a. TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES N OT 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
-
/ I CESSPOOL
L~/ /~ SEPTIC TANK & PIT
SIGNAT\H•c o, CONTlltACTOfll: O,t AUTH0ftl2ED AGENT lf" (DATE! ~ ~
PERMIT
SIGNATUfll:E O" OWNE.fl (I,. OWNEft 8Ull.OE.RJ (OAT£. TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
--
INSPECTOR
'O :I' z
fT1
::0
?t.l
<' -
I..
0 m
)>
0 0
""'O
(I)
3
:z
0 ::0.
fT1 CJI "'
Fee
$~/ :. ·o
~ ·;O
7 S--0
/ j~
I \ {,J
I i<"O
J ,·u
~ ~<J
I ,u
-_,~
$
$ ,.
CASH
INSPECTION REPORTS
DATE ITEM
USE SPA CE BELOW FOR NOTES, FOLLOW-UP, ETC.
8-11-76 Sewer : O.K . B. Nelson
8-19-76 Underground Water : B. Nelson
REMARKS
9-27-76
9-28-76
Gas and Rough Plumb.-Okay . B. Nelson.
Tub Test, Okay. B. Nel son.
11-17-76 Tub and Shower-Okay B. Nel son.
7<L,-~7~
INSPECTOR
.
F-.
)
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ~,
Applicant ro complete numbered spaces only. Phone 729-1181 Permit No. &,
Joa ADD .. css
,/
LOT NO. """ T"ACT tOscc ATTACHED sHc1:T>
OWNC" MAIL ADDJIIUSS ZIP PMONI:
2
CONTJIIACTO .. MAIL AOOllll:ESS PHONE LICENSE. NO,
3
A"CHITtC.T O,t DCSIGNl:N MAIL ADDlllESS LICtNSE. NO,
4
I.HGINE.t1' MAIL AODIU::ss LICENSE NO,
5
COMPENSATION INS CARRI ER MAIL A00"E.SS IIIIIANCl-i
6
USE. OP' 8UILOING
7
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
STATE CITY
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
NEW CONSTRUCTION, FOR EACH
1--------,E-T~E~o~a--v~-::,-~s--c""H~E-:-CK~E:-:o~e~v:-----r:.-::,:::".,R:-:O--v:-=e-=-o-::F-:-O-:-R ~1ss-::u""•""N~c-::e""e""v-t AM PER ES OF MAIN SERVICE' SWITCH, APPLICATION ACC p LAN " " FUSE OR BREAKER
~_.; ___ ../ ___ .._ ______ __._o;;;..;A.T~E=----/...;p/~->'1-'7_/-_L---t NEW SERVICE ON EXISTING BLOG.
,.. FOR EA. AMPERE OF INr.REASE NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYl:> AT ANY TIME AFTER WORK IS COM
MENCED.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO 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 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
I _/
I' w,u:" II' OWNUI aul\..01:" CATIE:
IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER
REMODEL, ALTERATION, NO CHANGE
JN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO ANO INC LUO·
ING 200 AMP.
TEMP. SERVICE OVER 200 AMP.
PER 100
PERMIT FEE
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS VOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
JS c.-JI
M.O. CASH
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
9-27-76 Rough Elec-Okay. B. Ne lson.
...
MECHANICAL PERMIT APPLICATION ~--... . .
Applicant to complete numbered spaces only
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181
i;:~;:s/7 P,'?fll ,0/4N/J ' tJ/J 1/. ,,/_~ rd's<,L',.,,
Permit No 76-1~8"'
1..0T NO. I OLK
I rdcr tOscc ATTACHCO SHttn .. ~..... I 1 DUC~.
2 OWN'j.k,? r5 • ~PS
MAIL A0Ofll[55 ZIP PHONE •~.
•
CONT .. .-._C-10 .. fl(,,'tJ ., /lye. ;k;;~~ P. s. PHONE STATE LIC. NO. CITY LIC. NO.
3 ro. y~,c:.. ~-?~ 17';11"/' l Yi.:J2, /o?9.S-
A .. CHITt:l"T Ofl DESIGNCft MAIL AOOfll£55 PHONE LICENSE NO.
4
[HGIHE.Ut MAIL AOOft[SS PHONE LICENSE NO,
5
LltNDUII MAIL AQQ,t[SS IHtANCH
6
USC 0,. BUILDING
7
8 Class of work: fi6Ew 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ,.,,:1,;)_:s~ // ,#//~~c J yg£/,, ,
Type of Fuel. Oil D Nat. Gas~ LPG. D
PERMIT FEES
SPECIAL CONDITIONS: No. Type of Equipment Fee
A ir Cond. Units-H.P. Ea. $
Refrigeration Units-H .P. Ea.
Boilers-H .P. Ea.
Gas Fired A.C. Units-Tonnage Ea. .I. -/ Forced Air Systems-8.T.U. /;z;;J M Ea. 7 VC...
APPLICATION ACCEPTEO BY PLANS CHECKED BY t:?92/2:BV Gravity Systems-8.T.U. M Ea.
Floor Furnaces-8.T.U. M
Wall Heater, B.T.U. M
NOTICE ' Unit He .. ters-8.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 MENCED. I Range Hood -:: • o,,-:/ I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Incinerator 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.
/!lc-t:I~ ft~/?~
SIGNATu .. , or CONT"ACTOIIJ Oflll AUTHOIIIIZEO AC.:l.HT (CATE) -· ISSUANCE FEE $ < --~ . TlJR:r OP' OWNUl IP' OWHltflll BUILOCPI (DATE) TOTAL FEES $ u t?<
WHEN ,ROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT /
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
, -.._
INSULATION CERTIFICATION
This is to certify that insulation has been installed in conformance
with the current energy regulations, California Administrative Code,
Title 25, State of Californi_-in the building locate.Lat:
SITE ADDRESS
EXTERIOR WALLS ~
Manufacturer~ &1,1,//L.Thickness/Type 7/4 '" R-Valu_//
CEILINGS ~~
Batts: Manufacturer ~,::,;,/.?Thickness/Type C, 1/Z \,, R-Value-4-
Blown: Manufacturer ---------Thickness/Type _______ _
Wt./Bag ______ _ Sq. Ft. Covered ___________ _
FLOORS
Manufacturer
SLAB ON GRADE
Manufacturer
-----------
-----------
Width of Insulation
FOUNDATION WALLS
Manufacturer
-------
-----------
GENERAL CONTRACTOR
Thickness/Type _______ _
Thickness/Type _______ _
Inches
Thickness/Type --------
LICENSE#
BY TITLE DATE
R-Value
R-Value ---
R-Value ---
R~Value ---
R-Value
-------
ABC~~
TITLE~~-
LICENSE # .26J5'.}6 .),2,;--z ~I
BY -~ DATE ¼be
(7 11' -.✓., 1 '1'1 J"· I '10 • , -··· , •✓-, 1 , _, ·,x_. _ .• __
T CI'l'Y OP C/\HLSl1l\D
J3UILDil~C l)J~Pl\R'l'Mr:NT
SINGLE Fl\MlLY l\ND MULTIPLE Fl\MILY nESIDENTIJ\L PLJ\N
CORHEC'l'ION LIS'l'
Wl\RNING : P 'Ll\N CHECI< FEES , W!JERE NO ACTION IS
IN 1 20 DAYS, l\ND NO BUIIDING ~ERMIT
TAI<EN BY THE l\PPLICJ\NT
I~D, ARE FORFEITED
JOB l\DDRESS:
ffi'ITJV'.CI'OR:
·ro ·rHE CITY. . ,z.d l, ~
ARCHITECT
CX:::CUPl\NCY
L ( ~ ;z:t4 USE ZO'-JE FIRE, ZO.\JE
r -~ TYPE OF C'ONSTR02'I'ION _____ VALUJ\TION __ -_-_-_-_-_-_-_-_-_-:_-:_-_-_
u, BASIC .l\LLONABLE BUILDING AREA: 1st Fl(X)r 2nd Fl(X)r
3rd Floor ~
~ ~ ALW/IABLE INCREl\.SE DUE TO u -----
4-l RJ::)JUIRED PIANS
~
tt.-1. PLOT PLAJ\J
c 2 . ffilJNDl\TlON FL?\N
~ 3 . FIDJR PLl\\J
4 • GEl\lERAL FRAMING
5. FDUNDJ\TIO:-.J DE'l'l\ILS
6 . S'l'Rl..CTURAL cr::rl\ILS
7. ELEVATION PIJl.:~S
8 • RCDF PLAN q . :r N u ex. S H £ £ r
'TO TIJE APPLIC11NT
-----------4th Fl(X)r
14 . Cl\.RRY -=-_____ WATER FROM
· UNDER SIDL'.-l!-.LI<. T!lROUG[i CURB INTO STRECl'
WITH Cl\ST IRON PIPE.
15. PROVIDE E..NGI:-;EERIN~"'.CALCUJ..ATI0:1S FDR
f1.tf•' --. , c!!'s 6i> PROVIDE SOHS;t ili,;J.iUlf'l!Hiil I s REP◊i~T .
17. GRADING PER'·:.!'r REQUIRED.
1 8 . FIRE .DEPT. 1-,.PP~OVAL REQl.:IRED .
O)RHECr PLANS WHERE· O)PP.ECTION LIST lil\.S
BEEN CIRCLED. FL AG CORRECTIONS .£ o i\ r '7)
. ~-19. SPECIFY CO>~G~TE HIX @ 2 00 0 P . S . I. HINIMOM.
2 0 . Dll-1ENSION FOJl'n,x:; SIZES A .. 'ID CLEi\R:;,?~CE
FROM GRADE . ~ B. IlliCOMPLETE , INDEFINITE OR FADED DRNdINGS
& OR CLACUI.M'IONS Nor ACCF...PTAGLE .
cc t
~ -..,...
4J t---C)
<:
c. REQUIRED Ei'JGfaECR' S OR SUHV.C10R ' S
CALCUIATIO:--JS OR PL~lS SI-JAµ., BE SICNED
. IN INT<.
D. REVERSE PUINS MAY NOI' BE USED. POOVIDE
E.
1.
2.
3.
4.
CORRECT PLOT PLA.1\J , FOUNDATION PL!-IN ,
F1,(X)R PLl\i.~, AND ELEVATIONS.
'rI-IB APPRJVAL OF PLAi.'JS AI\1D SPECIFICATIO~S
JX)ES NOT PER\lI'l' THE VIOLATIO.'J OF 'PNf
SECTION OF Tl lE BUILDING CODE OR OI'BER
CITY, COUNTY OR STATE LAiv.
GENERAL
SUBMIT FULLY DJJv'£NSIONED PLOT PLl\..l\J , DRA½'N
WSCAIB,lli~illlliG~LF~FMTh~S00
Pl'DPEITTY.
SHOW ALL EXISTING AND PlDPOSED BUILDINGS
ON PI.D'r PlJ\N.
SI !OW CORRECT LEG.7\L DESCRIPTION ON PLAN.
Sllav l\LL OFF SITE IMPOOVEMENI'S ' DRIVE-
Wl\Y APPB:)l\CII , LIG'.IT STl\NDl\RDS, FIRE
IJYDRl\N'I'S, \vl\TER METERS , SUl3-S'l'HLCI'URES ,
THEf':S , ETC.
5. COHRECr LOJ' DHWSIONS.
6. SHO\.J EX I STI\JG /\ND FlN ISII CO NTOU R LIN ES .
7. SLTINEY OF LO'l' HEQUIHED .
8. INDICJ\'l'E l\T.L GH/\DING '10 .13E l:DNE.
9. INDIC'.l\'l'E ELEVi\TIO~lS OP G/\lv\Q-;; FLO)R, .
l\ND S'l'l<EET l\ND DRIVS'i'l\Y.
10. INDlCJ\TE: cr.r-m .::n.LINE AND EDGE PROFILE
11. SLOPE OF DRIVEiv/\Y N01' TO EXCT::l~D 20?,.
12. INDlC/\'JT: FI.a-J LINES FOR DTGPOSI\L OF
~URFI\CE \'J/\'l'F:H.
~]\ COS'I'l\ l\PPHOVl\J. rrrm1,uum .
S. D. C . llf-:l\T.'T~~J__l)EP'l'. i\Pl~ROVl\L. REQ.
13a Show all ru-:QUIIU~Mr::N'l'S F OH
Jl l\NDIC/\l1PP.D. unc Sec. 17 LI.. 0 ~(!WO~~~·
21. SHCJ.v DEPTH OF FOOTINGS BEW.v NATUR/\l., OR
u1®ISTUi-fut0 G~JI.DE .
22. INDICATE PRESSURE TREL~TED FOlliTIATION SILL,
~R IX)UAL •
-~I·KXv ffiUN.Dl\TION OOLT. SIZE, SPl\CING AND
. PENETRATIG-.J IN'IO CONCRETE .½ "x 1"7 '1l·0 ~ MMMJRY
. 24. lliDICATE CJ...E!\...~\JCE FR)M GR!\DE TO EDTTOM
OF FLCX)R J'OISTS Ai.'\D GIRDERS.
25. S}lOW PIER SIZE, SPACING Ai'-!!} rn~TH , ~{!'·~--o
UNDISTURBED SOIL.
26. SIJOW GIRDER SIZE , SPACING M1D' DIRE( '.'ION.
27.
28. .-.:: ..
29. SPECIFY MINDIUM 18":X2'1 " l\CO.::ss OPEt'JI!';G
30.
31. SPECIFY UNDER! LCX)R VENTil..J\TJON EQUl\L '10
2 SQUl\RE FJ:.:CT FOH El\CII 2S LINEl\L FEET OF
FOUNDJ\'l'ION PLUS ONE OPENlNC Iv] 'l'I !IN 3 ' OJ:
El\Cll COHNl~R.
3 2. STEP FO::)TlNCS WllEN SLOPE EXO~ED.'.3 J. : l O •
· Fl'V\MrNG
33. i')J~VJ/)J~ 'l;YP J<....'.l\J. FIW-11.NC Dl::J'/\TI .. S.
34. SPECIFY FJ~i\~IING LUMrnm G!;.l\!)ES . · · :·;,
35. SPECIFY FlnJ: !'\I D2KlNG l\'L' FJ .(X)H , CEJLlNG COVE
l\ND HID! ll.~l(J IT or W/\LLS ovrm .l O .J-'IJ:.'l' lN ll'I'.
3G. SI 10.v D.l/\OJNl\L HH!\CING J\'L' 1·:J\Cll CDl~EH /\ND
EVERY ✓.s LTNFl\L FJ.::1::1' OF' \-J/\LL.
37. Cll\lfU'Y IIH!\ClNC 0 1~ W/\LL.
30. f.l lCk-7 S]i'.f,;, 1)1Hl·:C l'JON /\NU :~l'/\CJNl; 01" l•'ltX)f~
N~D C'J::J l,'INC :1O 1~;T:-;. ,·itH!:'l't;
lN .---·7\1U~:-0\/1:;j~·:4;11/,~~~!·'.!).
39. J'X)\ II IJ.I•: l•'I IX)H .-,i)J: ;•1•[; on --
111-:/\M l ltJl ;J•:I: l'/\IU\1,1,1 ·:I, 1'!\l(l;l'l;l-6N·'.·;·:-··--·--·-·-·····-..
~ (), [;I 'l·'.l'I I•"{ I 11·'.AI ll·:I{ : ; I 1/,J,; l·Yll{ i 11 '1·'.l',J I !Ji;:; < l\'l<ll /j ' .
f:IJ!J'.: l l1!J1 11 ,1-: 111:1\111-:1::: (lll 1-:1 x :1-:.
'12. l1JtJVJUJ•; )1/d·'l'J:I{ 'J'JI•;:; \·Jill·:I:I·: Cl:JL1NG
,JOISTS l\l·IIJ H/\t••n;n.s J\HE NT0 P/\H/\T.LEL.
'1' O.C. 74 . J::Xl'l', Sl£1'1ON J.JOtl.
43. IlmJCl\'l'J•; l<l\l·1'El1 SHE, SPAN , SPACING
l\ND DIHECJ'JON. ELEVl\'J'JONS
'1'1. Sll(Jl"l l"UH.LTNS ON EDGE l\ND INDICJ\'l'E
Sli:m. 7 5 . INDlCJ\'J.'E l\'ITIC VEN'J.'JT..J\'l'.lON PEH sr:x:,~r1ON
45. BHT\CE JWF FW\MTNG TC Pl\f<rl'l'IONS. ~-S (c). '
'16. INOlCRT'E SOT.1.D SIIFJ\'J'IJJNG l\ND 2x6 CM J\J..,T; El\VE OVEH!ll\NG.S l\ND CONS'J'HLX.:'I'ION
OR 3x '1 STUDS ON PIHS'l' FJJX>R OF 'l'J lHEE DLJ'l\ lLS. -•ilai:~~M•-,~r7,
STORY CO:-.JS'J'HUCl'ION. ,rl1 77. DIMENS ION CIIJt'iNf-:Y IIEICI"!r l\lX>VE
O
IU)F~
SIIO✓J SECJ.'ION 'l'JIHOUCII ~~ · . (2 ' O" l\f.DVE H(X)F WJ'l'JJ'iN 10' 011 ).
SIICYN PIJ\N'l'EH P.OX DE'l' ~ AND WNl'ER 78. INDICJ\'l'E FINISII l\NC, NNl'UML GMDE 'l'O
PRCX)FING , SEC. 2517 C7. . POOPl!.RTY LINE.
51. PffiVIDE TYPICJ\L CHIMNEY DEI'l\ILS.
52. SPECIFY 2 11 MINIMUM CLEARANCE
BE'1Wf.EN OIIMNEY l\ND PMM.TNG.
53. SPJ.:X.:i':-"' POST PROTECTION \vllEN BEARING
O.'\J CC~J~IL-r.<J:'E.
54. Pl-0\TlDE PArw:>EJ.' DETJ\IIS.
56·. SPECIFY INSPECTION CLASS ------
79 •. Sl!OW EX'l'ERTOP. Wl\lL FINISHES.
80. INDIC'\'l'E lS II FELT OR EQUJ\L ON EXTERIOR
Wl\LLS.
ROOP
81. NOI'E RJOF PITCH.
82. Il'.JDIC.:l\'l'E RCOFING Ml\'l'ERIJ\L u ;;NGTH & WEJ'l.'l'IJER
EXPOSURE ON \DOD SI !INGLES.
83. SllCYd 'l'YPE, SIZE 7\ND SPZ.i.CING OF ROOF
SIJI':.J\TJ JING.
84. FIRE Illi'l'l\RD~IT rror REQUIRED DUE TO I./JCl\TION
IN FIRE :lONE .
Gl\RJ\GES
REQUIRED FDR___________ 86. Gl\.R.7\GES Nor PEP~·ITT'Tffi 'ID O!JEN INlD
~ SLD-:::PING RCD>1 . /
~ PROVIDE / ~ SEPJ\Rl\TION
ON lu.J., {"11\LLS J>~';D CEILINGS i\DJi\CE'.\'T TD
58. PROVIDE DRIP SCREED 2° BELav MUD SILL. LIVING QUZ\RTERS. ·
59. INDIChTE HQ';v REX).UIRE1) STRUCl'(JRl\L !\ND 88. SPECIFY __________ IXX)R/hTJNrov
r irr::-rn:::SI~'IVB D7EGRI'I'Y \ :'ILL EE OPENING PR::': C:?I'.i'I.Gr::/C7\P..PO!f!' ]:\~
l·lATI~TAI NED. 1tviicRE PE~:JETl~TIOi.~ WILL
DE Ml\DE FDR ELECTRICAL, .MECl!A,,''UG.L,
PLUMBING Al.'ID OJi-1-ruNI(:i"\TIONS CO:'.'JDUITS ,
PIPES AND SIMILAR SYSTEMS. SECTION
301 D •
. 60. CLA DHJENSIONS AT --------6 ;1 WINJ:XY.v TYPE, SIZES Al.'\lD IlX1\TIONS.
6 J:Jj}fF~T;°':_!;!AfJBQu;TE
0./10 floor area _: square feet min.
except ba throom) .
63. PIDVIDE _______ VERI'ICAL
CL'El\MNCE 7\ND ---------IJ 01 U Z O i '-l TA L CL.El\l~'\i'\lCE Fl~M RANGE 'IDP
'IO COMI3UST1BLES .
64. I NDICJ\'I'E 7\'lTIC SCUTI'LE ( 22"x30" MIN.)
65. Pl\\JVIDE DRl\PI' SEPJ\Rl\TION J;uR l\'.rrrc
7\REl\ JN EXCESS OP 2500 SQ, Pl'.
STAIR'i-vAYS A:\JD EXITS
90. P ~lIDE I-11\NDR!'\ILS l\S REQUIPED IN SECTION
330 (i) •
92 . HOUR WALLS fDR STAIR .
93. MAXIMUM RJSE
95. Rl\ILING J\'r t, 2 MINIMUM
IlEIG! l'J'.
'
66. SF.Pl\Hl\TE l\RFJ\ m :IWEEN Dl\\JPPED CED~ING
7\ND FLCX)R 11.lDVE 'lD 1000 SQ.FI'. H'\X.
96. I'ffiVJDE l N'l'FJ~\l Jl\'I'J-. Hl\JLS 0 9 " o .c . o n
EQUlV/\1.EN'l' FOi~ Pl·:N 'l'Yl'E nl\l~X)NY & Sl'l\l'H IV\IJS.
67. SPF.CJ FY ST,'\LL SIIO{vF:r~ f\UN •. WIIJJ'll 30"
MINIMUM FT ..(X)R l\REl\ 900 SQ . JNC'J 11-:S .
GB. SPJ•:CnY \v'/\T.L FJNTSII JN SI 10.vEH l\l{fj\
NOT 'JD DE l\DVJ-:l~~J·:r.y J\1-'Fl::C~l'ED lW
M)l~,;'l'LJHE '10 () '/\l '.OVI-:: 'l'I II·: J,'f .COR , l\ND
PROVIDE Slll\'l'l'El~f'rror IXX)RS .
69. \\l/\'l'EH O'.DSE:l' l\HEl\ MINlMUM \vIIJI'II 'IO
DB 30" •.
70.
71. OPENlNGS ClOSER ·•rJ IJ\N -----
"" ·10-F1nJ>1,:m'Y Ll NI·: !;11/\Ll,, m; OJ-' ---
IJOUH C:ON:;Tl~UCl'.I ON .
97. lNl)lC/\'J'E 6 ' G" M ~]MUM I11·:l\l)fn Ji'-1 CJ.l·'J\l~i\NCE
l\DOVI~ S'J'/\'I r-,v/\Y .
98. S110\'1 ~,'I'/\IHh',W CON'.i 'l~UC'l'ION I)I·:l'l\ll.:i.
99. f~IIO\\l 1-'.IXl•:I) \\'1'.'JI X)\y I I X.DI~; rnm\11·:I·:N C..'./\I,l'Ol~l'
l\ND T.l VJNC Ql ':\lffl~I~;.
100. OCCUPJ\N'l' IDJ\D OF RIX)UIRES EXl'l'S 1:1·~_.J _____ _
101. I'_f_{()_V_.l_l _)E ___ J.,_l c-;1-n·s OVEH S'1'/\ . I Ml\ Y S J\N!) I 'Ulil ,) C.:
CX:mHUX)l lS .
102. snow c1111.w;r: ;N ·,~r.oc1n ~vrL l\'l' ooogs
l" Ml\X . Sec. 3303h . \
l 02u SIIOl\l 1·11\NDi{l\] L r::x·.n:1mn.ic G II r,EYONI)
'l'IIE 'J'OP & BO'J"l'OM nn;1m:i & 'l'l:HM rNJ\-
'J'It!G IrJ l\ POf>'J.1 on ~/\l•'J,:"l'Y 'J'l~HM ] tJl\ L
Sec. 3 J O S ( i ) .
/. .
PJ,U'lJm~G
l.03. IHDICll'l'E I/XY'{l'lON OP W/\TEl1 IIE/\TER.
),0'1 , SIIOI/ 'l'fJl:PI::P✓\TUH!-: /\ND PHJ.~S~jLJl{l~ IU:.:LI~F
Vl\J...,Vf.S O!-J \tl/\'l'J·:H llf':J\TERS WI'l'II DI.SOI/\HGE
LINES 'IO OUJ'::ill)l~. SEC. 1007.
105. W/\'l'EH I IEJ\TEH Nar 'IO DS IJX.1\'11~0 IN
Bl\1HrroM, Clf'Jl'l lr::S CWSET, 13EDTro'1
OR UNDER STAI.fW/\Y OR Ll\NDING.
106. POOVIDE ______ SQUAf<E INOIES
OF Vl:...'-l'I'ILl\TIOt~ /\T '!'OP l\.ND roI'l'OM
OF WATER HEATER. SH0H t·l/II Ot}
1 8 IJJCII PLA'I'F0R!.1 .
108. ProVIDE WATER PRESSURE REGULl\'I'OR.
SFC'I'ICN 1007 (b ). WEEN PRESSURE IS
ICl~TE .Ml'{l'ERIAL 'I'O BE USED AND
T..JX:!1'l'IO~ OF SEWER LINE. (IF V.C.P.
USE FLEXIBLE COMPRESSION JOINTS . ·
:Y).
112. PH'.)VIDE MINIMUM 100 AMP. SERVICE.
CCNOOS Rr:.")JUIPE 100 l\MP. PANEL
FOR EACH rn~IT. .
113. SHav METER & PANF'..J, UX:ATION .
. 113 a FIRE WARUNGS SYSTlli. SEC. 1310. (Show)
( CSHTER 9¥~ftANj:Fi"\LRS)
116. SPECIFY HEATING, AIR-CO:IDITIONING
AND VENI'ILATING EQUIPMD11T . INSTALLA-
TIONS 'I'O ('0;:.1PLY WI'I'H THE UNIFO:f~\1
· MECHANICAL C'ODE.
-A. ACCESS E. DUCTS
B. U:X:::.~IO:J F.
C. C'OMBUSTI0N AIR G.
D. VThTI'Il-JG
R!::TU~!J A:!:R ,LOCATimJ
& SI?.E .
IADDER & LIGIIT
ENGINEER'S
CALCS FOR
IroF LOADS
117. JNDICATE LCCATION & TYPE OF FIRE .
DAMPERS.
MISCET ,T .1\NDJllS ITEMS
1. OOREO IIOLES /\ND NOl'CIIING , SIKM DP.l'IL.S
AS PER SECI'I0N 2510, (f ) 10, 11.
2.~HO\~ TOTAL SQ. FT . OF ALL GLASS
//'. IN bUILDING.
3~
SIJ0t·J 'J'0TTI.L sn. F'T. OF LIVUTG l\RF.A.
INSULATION REQUIREMENTS:
a. Show 6" insulation in ceilings
{R-19)
b .. Show 411 insulation in walls(R-11
. . c. Show exterior doors weathe r s trip,
CHECI<ED, _,,I ,/-/2 • ?{,.
Date
RECHECKED :
Date
THE FOREG'.JING CORRECTIONS H}\VE BEEN'
MADE AND ARE UNDERSTOOD BY THE
'
(¥ner -Or His Authorized Agent
Electric: 1975 N .E.C. _..,, __ /1,,h /4. ~ /J, ' ~w -I-
I ~ Ground-Fault protection required for outdoor and bathroom rece ptacles
\.. 210-8.
I
and garu<JCS .
2. At l east orie receptical shall b e installed outdoors1'2~0-25IJ.
3. COrrec~ e l ectric as shown on floor plan .
Those ,plans_ cornply with the
/?c quir01nents of the C cJ/ifornia ·
Nois·e lnsulai"ion St,/ndards.
Signed _______ Data __ _
Title
3. ( OVEH
SllOW '!'IJB FOLLO\HtlG Ol·l 'J.'IIE PLl\~IS:
1. S(JUJ\IU:: FOO'l'l\GE OF DUIJ:,DIUG ------
(__] o/ SQUJ\HE F001'1\GE _OF LIVItlG AREA ____ _
3 • SQUARE FOO'l'AGE OF GARAGE ---------
4. S0,UARE POO'l'l\GE OF PATIOS, Bl\LCOllIES, PORCHES, ETC. ----
5. TYPE OF CONSTRUC'l'ION .17 · f\.J
6. FIRE ZONE · > ------------
7. OCCUPMlCY r /-r
8. OCCUPANT LOAD G HAVE DESIGllER SIGll At1D DA'l'E PLANS.
INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
!UJILDING DEPARTMENT DATE: _____ _
j u I LO I NG ADDRESS: _____ ____.,2"-=---=,;l_.....;;....,:../_7...______,&.............,~c..L.~~--"'""'-"'--''--""-"'li:::,,,-"'-/4----'-"J_~--"-U➔L /.____6_1_97_6_ ~ c1rviitcARLSBAo
Building Department
PLANNING DEPARTMENT
LOT SIZE ___________ _,_OT WIDTH
ADDITIO
lGINEERING DEPARTMENT
w. '2-Kr s -,•7 ,-,.t CZ INDUSTRIAL WASTE. _____ ....:./V __ '1-=---------
~OVEMENTS {£. ~r $Yltf,llft SEWE R coN N ECT1 oN, ___ ...;;:L=--c..c..·_;1._A__.__.fO-=------
,IVEWAY LOCATIONS P.e,-m,-r Bo7w,--a:f GRADING PERMIT _____ _
"ASEMENTS /J Qt:Jfl. DRAINAGE .,-o S't1l..6il-,,.
LEGAL DESCRIPTION Lo-Y-197 1 M-Ce>~ V.4-lLE'{ ,t-q:.. M '1-P S7S,r
'DDITIONAL COMMENTS ___________________________ _
UE PERMIT ~//1C~
': DEPARTMENT
,')PRINKLING SYSTEM ____________________________ _
FIRE PROTECTION EQUIPMENT ____________ FIRE ALARMS ________ _
EXITS _________________________________ _
FIRE HYDRANTS ___________ _ LOCATION ____________ _
I ADDITIONAL COMMENTS
ISSUE PERMIT _______ DATE ______ OCCUPANCY ______ DATE ____ _
WATER DEPARTMENT
' C M W O ________ CARLSBAD ___ _
' ADDITIONAL COMMENTS ___________ _
ISSUE PERMIT _______ OATE _____ _
SENT TO PLANNING ______ _ SENT TO ENG. DEPT. ______ _
RETURNED TO BLDG. ______ _ RETURNED TO BLDG. DEPT. ___ _
PHILIP HENKING B ENTON
PRESIDENT • CIVIL ltNGINEER
Mr. Herbert Hops
7701 Primavera Way
Car I sbad, Ca I i forn i a 92008
BENTON ENGINEERING, INC.
APPLIED SOIL MECHANICS -FOUNDATIONS
6717 CONVOY COURT
SAN DIEGO, CALIFORNIA 92111
July 23, 1976
Subject: Project No. 76-7-21 F
Moisture Contents in
Subgrade Soi Is
Lot 197 of
La Costa Valley Unit No. 4
Carlsbad, California
Dear Mr. Hops:
TELEPHONE (714) 565-19515
This is to report the results of tests to determine the moisture contents of the soils in the upper
three feet below finished grade in the proposed building area at the subject site.
The soil samples were obtained on July 22, 1976 and the results of the moisture determinations
are presented as follows:
Approximate
Location of
Samples
SE Portion of
Building Area
North Side of
Building Area
SW Corner of
Building Area
Depth of Sample
Below Exi sting
Grade in Feet
1.0
2.0
3.0
1.0
2.0
3 .0
1.0
2.0
3 .0
Moisture
Content
% dry wt
20.8
23.4
22.3
11.3
11 . 1
13.8
11.4
11. l
11. 7
'
Project No. 76-7-21F
Mr. Herbert Hops
-2-July 23, 1976
It Is concluded from the field observations of the various soil types and the final results of the
moisture determinations that the soils in the upper three feet below finished grade have been
sufficiently moistened and are suitable for construction of the proposed building.
Respectfully submitted,
BENTON ENGINEERING, INC.
By£~~
R. C. Remer
Reviewed b@~
Philip H. Benton, Civil Engineer
Distr: (3) Addressee
RCR/PHB/ew
BENTON ENGINEERING. INC.
LEUCADIA COUNTY WATER DISTRICT
APPLICATION FOR SEWER SERVICE
Owncr.'s Name : Herb Hopps Ph 436-0361 _________________________ one No .
Ma iling Address : 7701 Primavera Way
Carl sbad, Calif. 92008
Service Address: 2217 Pamplona Way
Tr~ct Description: lot 197 La Costa Valley 4
Type of Building : single No . Units ---l C . h $500.00 onnection C ar ge ____ _
Lateral Size: 4" .6" 8" Saddle:
Extra footage: Easement Connection @ $ __ _ ---
Extra depth: @$ __ Lateral Charge
Total $500.00
The application mu s t be s igned by the owner (or his authorized representative) of the
property to be served. The total charges must be paid to the District at the time the
application is submitted.
If a service lateral i s required , it will be installed by the Leucadia County Wate r
District. The service lateral is that part of the sewer system that extends_ froin the
main collection line in the street (or easement) to the point in the street (a t or near
the applicant's property line) where the servi ce lateral is connected to the applicant's
building sewer. The applicanti. is responsible for the construction, at the applicant,s
expense, of the sewer pipeline (building s ewer) from the applicant's plumbing to the
point in the street (or easement) where a connection is made to the service l ateral.
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 ma de 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 APPLICANT. THE APPLI CANT , OR
HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT THE TIME INSPECTION IS DESIRED.
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 BE ACKNOWLEDGED.
After connection i s complete , the property described above i s subject to a monthly
sewe 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
the sewer service charge i s subject to a 5% penalty per month, plus disconnection if
necessary.
The unders igned hereby agrees that the above information given is correct and agrees to
t~&&?~/~~:::::c· ---_7_-_27_-_6 __
/,,/,'Owner's Signature Date
5332
Account No.
Ol'n~ER:
7(, ~9"/
PLAN CHECK NO.
NEW CONSTRUCTION VALUATION WORK SHEET
------------------------------
Types Of Construction:
I & II -Steel, Concrete, or Masonry with Floors and Walls Steel or Concrete.
III -Masonry Walls, Wood Floors and Interior Walls (Except 1st floor oould have cone.slab)
rv -Steel
V -Wood Frarre EVERY BUILDING REX)UIRES A SEPARATE PEPMIT
! Cost/SF for Types of Construction Valuation
GroUP DESCRIPTIOO SF Of I Floor Area I & II III III-N V-lbr V . l Hr .
~, B, Aud.itoriums,Theater ~ 41.00 32.00 30.00 29.40 27. l 0
Churhes, Schools
) Hospitals 56.00 53 .70 -45 .60 -
Convalescent Homes 40.30 37.20 33 .20 ---
:, F, Industrial Plants 21 .90 16.00 13: 90 -14. 00 12. 10
,r G Ti lt-Up ---12. l 0 10. 20
Stock 'l'ype IV ---14.30 12. I 0
Warehouses 17.60 14.00 11 . 80 12. 30 I l 0. l 0
Office Areas . Same as Offi ce Bldgs.
I ·->-I ·--
Store~ & Com'l.BldgJ 30.40 23 .30 21 .20 21. 00 18 .90
' Office Bl dqs. ~a 1 n ?a nn ?fi Rn ?4 on I ?l .RO
Restaw:'.'ants -3'1 ?n 33 00 31 90 29.70.
Service Stations -in nn ?8 on. 18 90 -
Canooies (Service) IVN 9 60
. Public Garages 18 30 F i 30 13. l 0 13. l 0 13. l 0
: API'S. , HOI'ELS, M::YI'ELS 31.40 24.50 -22.50 21 .70
Type I Garage 13.60 I ~ ;{.r,& l.Jv'/1' I ,I 1 1\1(~<..: ~ t"!i~ --24.30 -22 .60
Patios , -&H Porches, Balconies ?? . 5.00 .,.-s
. ,
. Basement Garages --13 . 60 --
. Priv. Gar. ")<( () 9.70 -7.40 'J9tfl, ,. --
1-Caroorts-Ooen 5.00 ,
i r e-Extinguishing Sprinkl er 1fn IAdd 60¢ -p2r sq. foot of
ystem !Area Sprinkled
Air-Con~itionin g Commercial Add $2 .00 Sq. Ft . TOTAL VA LUATION: ~~-Residenti a l II $1.25 Sq. Ft. -,
-
Pile Fdns. Cast in Place $4 .00 LF MICRO FILM FEE:
Steel & Pre-Cast-$8.00 LF ,o-, so PLAN CHECK FEE:
BLDG. PERMIT FEE : '2 ~-, -· -~ -•~ .~cs --" -