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Home My WebLink About2351 MARCA PL; ; 77-4427; Permit--.... MODEL NO, _________ _ BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 1 11 !N -~-77~ ... ~•"""f 310 50 Applicanttocomp/etenumberedspacesonly Phone 729-1181 Permit No ~r..z..; r · JOl!!I ADDA CSS ASSESSOR'S d.~51 mBFJ:R fLACL PARCEL NUMBER L.0T NO. I ILK lii¼0 {tlhlf\ BOOK PAGE I PAR. LWC I !03 SllWlSH VftDib£""EETI T DESCR. OWNE"' MAIL A.DCJlll~:!ii.S ZIP PHONE 2 S'fli~TKil f..Nf FR W\~~ lt&'5'-l5"Jll ----. ~ :> C:ONTRAC::TOR MAI l ADDRESS PHOt<,1£ STATE LIC. NO, '-!£ITV LIC. NO. 3 SPiC. TRA E NT tR PRlSEr ~i~-1510 \1-uq~ l~u~ 4 A~CHITECT OR DESIGNE• w~ DRMiifl&R[~~CLt PHON'l ,s -~c/o'"" NO E.H G INE.'EFI MA.IL .1,,0□FIESS Fl'HON E LICENSE NO. 5 COMPENSATION INS, CARRIER ~ .. U.1L AOOIIIE SS BAANC~ 6 USIE: OF BIJILOING f 7 RU JOOJ'llJ)L NO. BORMS NO. BATHS a 8 Class of work: ~EW 0 ADDITION □ ALTERATION □ REPAIR □ MOVE 0 REMOVE 9 Describe work: ~NJTJ?WlDVl Of SIMSLL Fl\ Yn/L l/ Rff tDt:Nce -,/k -, TO Change of use from ( J wu ✓'~ I I '-" -, l " Change of use to 11 Valuation of work: $ 5'lie;;9. d?) U'~'~ PLAN C.Jj.½J jj-E_& ~ ~¥" PERMIT FEE$ .;1t) 7, _{51) SPECIAL CONOITI ONS: Type-6] ~-, -·••••./ MICRO FILM FEE r/£'.~ancy Const. /, ..... -, ~ ·-J--...J . s,ze of 8'l'1 g. 3,~ No. of g.. Max. (Total> SQ. Ft. Stories 0cc. Load Fore ..:_~ u,e (<-1 Fire Sprinklers ~o APPLICATION ACCEPTED BY PLANS CHECKED BY ~~::3fi1/2' Zone Zone Required 0Ye, No, of OFFSTREET PARKING SPACES: DATE Dwelling Unitl No, L. Sq. Ft~t;;"...._t;,.~ l~~en Covered NOTICE . ,-1 . Special Approvals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB• PLANNING DEPT. ING, HEATING, VENTILATING OR AIR CONDITIONING, THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· HEALTH DEPT. 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 AFTER WORK IS COM· MENCED. OTHER (SpecifYI I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT l)OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONZCTION OR THE PERFORMANCE OF CONSTRUCTION. AJA _.1_ ~I~ ~~ h ~1 'll ~-----J_D ~/~_II .A r,-r, $-t~NATUfH: o, rTAAC"fOf/f. OR AlJTH'OAIZl[D AGENT , (DAHi" SIG-NATUIIIE 011" OWNE~ 11F OWN£111! IIUILOEPI) DATC.J WHEN PROPERLY VALIDATED UN THIS SPACE] THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATlON CK. M.O. CASH TOTAL FEES $_3___._¼_~_._t..IZI __ _ REQUEST FOR D~ I½ I)~ 1NsPEcT10N TIME re l..i__j ~nspector ............... (.0 ................................... Permit No.·················-·········· Date ... /..Qff. . .!.=)/ ::e-ss-. -. _;;.._3_-s_, __ ;i'-"lru~/(--=0:::._;:1 '~~~--~'-------- BUILDING PLUMBING ELECTRICAL MISCELLANEOUS Insulation ................. O .................................. O ................................ O Plenum & Du~ts ..... ;;51 ~~~~;;~;··:::::::::::::: 8 ~~e~.H~.~~~·:::::::::::: 8 ~~~P~~1~n.~.:::::::::: § ::t~h ::::::::~:· .·.~ Steel ........................ O Sewer ................ O ................... O 0r· aD_Q, .. Sheathing ................ O Undergrnd. Plbg ....... O Underground .......... O Si ·····~··~.... . .... O Lath .......................... O Undergrnd. Water .... □ Ceil Heat .............. O Wal ..................... O GJ"':me~ ................... O Rough ...................... O Rough .................... O Fence .................... O '=·····=·:···,Qr F;aa1 ....................... □ F;,al ........ $. D C.-Sd;,,. ................... D ::~.:~ .. :::,:::~:.~~\~· Th;~ -"'· / -. 7 7 . Cl,. _ Requested by ......... , .. f.\). .. .J\f!:.......................... f Phone number............................................................ Person Taking Report: ................ . .......... \j .. . REQUEST FOR ? M Inspector _ O; 1--.. _::.:~:::: _. -~'~:. ~,. h --< o -77 Owner ~s/J " <,..,.__.., Address v 2 3 ~? I M,f}eKA: Lot Numbers B(JILDING PLUMBING ELECTRICAL MISCELLANEOUS Insulation ................. D .................................. □ ······························••□ Plenum & Ducts ....... D Drywall .................... D Gas .......................... D Pool Bonding .......... 0 Porch ........................ O Fdn. Forms .............. D Water Heater ............ D Temp Pole .............. D Patio ........................ O Steel ........................ D Sewer ................ □ •············ .. ···· D Driveway .................. O Sheathing ................ D Undergrnd. Plbg ....... D Underground .......... O Sign .......................... O Lath .......................... 0 Undergrnd. Water .... D Ce i I Heat . .. . . . . . . . .. . . O Wall .......................... □ Frame ...................... O Rough ...................... D Rough .. . . . . . . . .. .. . . .. . . . D Fence ...................... 0 Final ........................ O Ready for Inspection -- Spec ia I Instructions -- ''"'' ························D Fi~ D "°"· , ..... foes. , ..... Wed,, ..... Th ~····-················-············-···········- G-ading .................... D Requested by ............. 1... .. lt~.t ..... ~ ...... ::-...... ((})' Phone number............................................................ Person Taking Report: ............ \d:.~ ............. . Inspector ............. fhrl2::::::::~ ......... T~·~·--· ~•• l':_~7. 7 MISCELLANEOUS Insulation ........... 1 .... D .................................. D Drywall f!f flJ.. .... • Gas .......................... 0 ................................ □ Pool Bonding .......... D Plenum & Ducts ....... O Porch ........................ 0 Fdn. Forms .............. O Water Heater ............ O Temp Pole ............. O Patio ........................ 0 Steel ........................ □ Sewer ................ □ ................... □ Driveway .................. O Sheathing ................ 0 Undergrnd. Plbg ....... 0 Underground . ... .. . .. . 0 Sign .......................... 0 Lath .......................... D Undergrnd. Water .... D Ceil Heat .............. □ Wall .......................... □ Frame ...................... D Rough ...................... □ Rough .................... O Fence ...................... O Final ........................ D Final ..................... .. 1 ...................... 0 Grading .................... □ ::;.:~,:::,~:: -~ .:::: .... T":·· ........ :.~-·-···=::~.-~~-·-~·2.~.zD Roq,eoted by :~::::~::::::::l'kk.i ::::~:::················· ......... ~ ... -Y-.. . Phone number·······-··················································· Person Taking Pe port: ....... (;,,/,,,1. .. !."!t,J.. .... ! ... . . D ~sidential REQUEST FOR D Mobilehome Park D Multiple Res., Tract _b INSPECTION 10# ................ Space# ......... . Inspe c::;~ ... JZ.................... Pe,m ;, No ............. ·~······· Date.I: .. :{.~:::.? ) Owner................................................................. ..................... ....... . .................................................. . ~~;::: ............. 2 3 .5 L............... . ....... ~ ........................................................... . PLUMBING ELECTRICAL MISCELLANEOUS Spec ia I Instruct ions -- Requested .. by .......... ~ ................. ···················································~·· T •· Phone number ........................................................... Person Taking Peport: ......... ~ .. -~ .......... .!. • . . \.M .,,A REQUEST FOR - ' (I t.,,e,t' INSPECTION TIME q~ , ~ Ins::~.:or -----~ ... ____ Permit No.------······--·-· Oat: z 1-1] AddceR ~{ .v1 ti.A (.o,._ e I ,.. '-""' V Lot Number~ BUILDING PLUMBING ELECTRICAL MISCELLANEOUS Insulation ................. 0 .................................. D ................................ D Plenum & Ducts ....... 0 Drywall .................... 0 Gas .......................... D Pool Bonding .......... D Porch ........................ O Fdn. Forms .............. D Water Heater ........... D Temp Pole ............ D Patio ........................ O Steel ........................ D Sewer ................ D ................... O Driveway .................. D Sheathing ................ 0 Undergrnd. Plbg ....... O Underground .......... D Sign .......................... O Lath .......................... 0 Undergrnd. Water .... □ Ceil Heat .............. O Wall .......................... D Frame ...................... D Rough ...................... O Rough .. .... . . .. . .. . ... ... D Fence ...................... O Final ........................ O Final ....................... D Final ...................... D Grading .................... O Ready for Inspection •· Special Instructions •· ---. 'f:L!~Vp\_. __________ _ ············· ....................................... ;;1 ·· .. ·~·······--···· .......................................... -. Requested by ·····-¥J-·~······· .. ···~···---·--········-- Phone number ........ '::'t .. "1:J(p.-. .l,D .. ~~········ .. ·--Person aking Report: .. ~ ............................. . -----------------------··-·•·--·---,--, .... . REQUEST FOR INSPECTION Inspector ........... t! ... ~ ................................ Permit No.·················-·········· Date .1::.J::./.-::.1.! ~;;;::,. ~.JAQ.J\eco--i( ~ ,:,,ce., ✓ Lot Numbers B'JILOING PLUMBING ELECTRICAL • MISCELLANEOUS Insulation ................. D Drywall .................... D Fdn. Forms .............. D Steel ........................ D Sheathing ................ D Lath .......................... 0 P~~··;·&~d·i·n~·::::----:: B :~:~~-~-~~~~~-:::::;g Te p I .......... D Patio ........................ D a f' ................... □ Driveway······--···------·□ Un erground .......... D Sign .......................... D Cei Heat .............. 0 Wall .......................... 0 Frame ..................... . Rough .. . .. . .. ... .. . .. .. . . Fence ...................... D Final ....................... . Final ...................... O Grading .................... D Ready for Inspection -- Specia I Instructions --.::::~~~:: :::: .... Th""·,.~ .y/ • ··---·-· ·- REQUEST FOR f{)f}? . .B INSPECTION Tl~E . ' .· Ins;;;:r ·-·--··OY::··~---~••~ -7~ )] PL.UM BING EL.ECTRICAL. MISCEL.L.ANEOUS Insulation ................. D .................................. □ ................................ D Plenum & Ducts.. ..... D Drywall .................... O :aster···H··ea··--e.···"·&f······.··.· .. · D Pool BondJ!19j ....... D Fdn. Forms .............. D T~mp~lil--1.. ......... D :~::~h·I~~--:::::::::::::::: D ~~:=~grnd. Plbg:·.·: .. : ul;;gr~~·~·:::::::::: 8 Porch ........................ 0 Patio ........................ 0 Driveway .................. D Sign .......................... □ Lath .......................... D Undergrnd. Water .... □ Ceil Heat .............. □ Wall .......................... O Frame ...................... D Rough ...................... □ Rough ... . . . . .. .. . . .. ... . . O Fence ...................... D ::~·;:·;:~;:~ ~ ': .. · ;~:::·~~--,;B ;i □ Grading .................... O Spec ia I Instructions --......................................................................................................................... . Aequeoted ·by···-·····~---···· ...... ---············-······················· ~ .•. ··-···- Phone number............................................................ Person Taking Report: ....................... Q..-:.: ---------•-------------------~ ' ••••··•·•• •-·-·~ce REQUEST FOR ✓ INSPECTION TIME ____ _ Inspector 4w ___________________ Penn;, No. :z-~= Date /,:/)-_7 J Owner -~. Address _:=:J. --i p-~ ~. ..... Lot Numbers 62--J -..) / ~~ ..,.., BUILOlNG PLUMBING ELECTRICAL MISCELLANEOUS ~t:::i1°~.::::::::::::::::: 8 Ga~::::::::~□ p~~i-~~dl~~·:::::::::: B :::~~.~.~~~~~.::::::: B Fdn. Forms .............. Q9. Water Heater ............... □ Temp Pole.............. Patio ........................ O Steel ........................ tJ Sewer .............. ~ ................... ~ Driv?/ .................. O Sheathing ................ D Undergrnd. Plbg ...... · U~:'J.r~nc(,·--/ Q ........................ D Lath .......................... D Undergrnd. Water .... ~t .............. w;/i ......................... D Frame ...................... D Rough ...................... D ougli ..... ............... D Fence ...................... D :::~ ;:; ·;:;~;;:, ~ •:... ;:: : . ~ ..... ;•~~;;:. 0 D <sa/.:: . D s;,.., ;a I Ins truer; ons •· ____ . ... . .... _ ·----.... _. __ .......••••••.... ____ ---.. . .•.•....... L. --·-·-·-·· -·-·-··· ----·- ·························· .............................................................. ·-· ······· ............................................... o·--······· -· Requested by ............................................................ /( / - Phone number............................................................ Person Taking l\3port: ( .. ':::!..£ ......................... . -----------------------•·-•·---·---.. -·- REQUEST FOR INSPECTION TIME _____ . Inspector ~·---------·-······-·--···-·······-··· Permit No.----·---····-····--·-·-·--·· Date .6.../J£/7.7- 0wner ______ R1j_=;,'#<✓-="""""A:a.,=--... · ,__ __________________ _ Address·---~--~-----~...-B~--------------- Lot Numbers 2 S of B'-IILOING ELECTRICAL MISCELLANEOUS ···-··. --··•---·-·--·--·------------------------"•-'-•~--·-·. PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 729-1181 Permit No. JOB AOOA ESS 1 ~~!~~. OWNtllll 2 CONTIIIIACTOA 3 4 t:NCINCE" 5 COMPENSATION (NS, CARRIER MAIL AOOJl[SS 6 US£ or 8UIL01p,fG 7 8 Class of work: 9 Describe work : SPECIAL CONDIT.IONS: APPLICATION ACCEPTED BY PLANS CHECKEO BY APP'1DVEO FDR ISSUANCE BY OATE NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZ D IS NOT COMMENCED WITHIN 120 DAYS.QR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK \S COM· MENCED. I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINl::O THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SF"ECIFIED 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. BfllANCH PERMIT FEES No. Type of Fixture or Item WATER CLOS :r (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR-SINK OR DRAIN SLOP SINK GAS SYSTEMS: NO.OUTLETS WATER PIPING & TREATING EQUIP. WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER NUMBER CLEANOUTS CESSPOOL SEPTIC TANK & PIT ROOF DRAINS ISSUANCE FEE $ SIGNATURE OP' OWNE.fll IF OWN[A IUILD!R) lOATE) TOTAL FEES $ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR Fee I :) · [~ PlA ELECTRICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicantto complete numberedspacesonly. Phone 729-1181 Permit No. 7)-Y:Y'~ 'J J Oa A DD,. CSS LOT HO, 1 :;~=~~- OWHt" 2 CONTIU ,CTO,_ 3 4 I.NGINCt,-LICtNSlt NO, 5 COMPENSATION INS CARRIER MAIL A0Dft£5S , l "ANCH 6 USC Of' 9UIL 01NG 7 8 Class of work: 0 ADDITION 0 AL TE RATION 0 REPAIR 9 wK . WU~tr/N ~P-ottt PERMIT FEES No. Each SPECIAL CONDIT IONS: APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY ISSUANCE OF EACH PERMIT NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER oATE NEW SERVICE ON EXISTING BLDG . ...._ _______ ..,__ _______ ...._ ___ '---------t FOR EA. AMPERE OF INC:REASE NOTI CE IN MAIN SERVICE, SWITCH , FUSE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAY!> AT ANY TIME AFTER WORK IS COIi.: MENCED. I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND 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. 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. I .nm PER 100 I Fee 31 1, n<1/I ~Ii! ----------------l-----1----1~--==----1~-l (DATCI PERMIT FEE OP' WN " .,. OWNUI aun.DE" OAT& WHEN PROPEfi.LY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION cK. M.O. CASH INSPECTOR MECHANICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 7 29-1181 Permit No. JOB AOO,ii! E.SS 1 ~:=~~~ OWNCft 2 CON T,iiAc ro.- 3 4 tNGINE£111 5 LENDUt 6 USE 0,-8Ult.DING 7 8 Class of work: 9 Describe work: 0 REPAIR BIIIA~C.H Oil D Nat. Gas LPG. 0 PERMIT FEES -# 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. APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVE O FOR ISSUANCE BY NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· TION AUTHORIZED IS NOT COMMENCED WITHJN 120 DAYS.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 ANO EXAM INED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK Wlj..L 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. "' OATC) Forced Air Systems-B.T.U . Gravity Systems-B.T.U. Floor Furnaces B.T.U. Wall Heater,-8.T.U. Unit He&ters-B.T.U. Evaporative Coolers Clothes Dryers Ventilation Fan Range Hood Air Handling Unit- Incinerator WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. INSPECTOR Ea. M Ea. M M M C.F.M. fSSUANCE FEE TOTAL FEES ·M.O. $ s $ CASH INTERDEPARTMENTAL INFORMATION SHEET RECEIVED BUILDING DEPARTMENT MAY 1 61977 • BUILDING ADDRESS: Bulldlng Department __________ UNITS PROVIDED ___________ _ PARKING SPACES REQUIRED --~--z.__ ______ PROVIDED -z__ % COVERAGE ALLOWED ~ PROVIDED _ _?f:__..,.......,. _______ _ BUILDING HEIGHT ALL-OW_E_D---~--------PROVIDED ~ . .df-~------------ FRONT SETBACK: -.._·T.t,.OWED _·_~...,._f-,-·· .------ JVI DED --------- SIDE SETBACK: /0 REAR SETBACK: 201 gl/ ,._RUSIONS .LANDSCAPE & IRRIGATION PLAN COMMENTS: JJ) ENVIRONMENTAL PROTECTION REQ: ADDITIONAL OK TO ISSU _/NGIN~ERING DEPARTMENT S--/,_;;,? _,_ R.o.w.e,q,.s:z: INDUSTRIAL WASTE A.>?.4 IMPROVEMENTs$s/": . / .. ~EWER CONNECTION L Otf()j') DRIVEWAY LOCATIONS«.' g.o.f,,t,J. Ps-e ~ g8r;}/:> GRADING PERMIT i)_._,q EASEMENTSA,..,b.,.-e . DRAINAGE~ LEGAL DESCRIPTION?e,:f-/0=!)/ er 7z...-2~ lf-,e 7SJ9S- ADDITIONAL COMMENTS />L,,:(: :e,c;,g7': s:/-.,,C :z'c:;, &c-Ce,,. - ·t::~. t:--" ~ .J?Ga:rt,F -~ TO ISS,UE:f"NL. DATE •/f.Sl77 PWI ~PK TO FINAL~ DATE(Z-/9-71 .. -·,fIRE DEPARTMENT ~ SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. ______ _ '~IRE ALARMS EXITS ______________ _ FIRE HYDRANTS LOCATION ________________ _ ADDITIONAL COMMENTS __________________________ _ OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET _______ -_DATE _______ _ ... Owner's Name: LEUCADIA COUNTY WATER DISTRICT APPLICATION FOR SEWER SERVICE Spectra Enterprises Phone No. 485-1510 ----------------------- Mailing Address: P.O. Box 28578 S.D. 92128 Service Address: 2351 Marca Pl. ---------------------- Tr~ct Description: lot 103 Spanish Village 1 single family No. Units Type of Building: --------------Connection Charge$600.0 0 Lateral Size: 4" 6" 8" Extra footage: ____ @ $ __ _ Extra depth: ____ @ $ __ _ Saddle: . __ Easement Connection --- Lateral Charge Total $6~0 .. 00 The application must be signed 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 is required, it will be installed by the Leucadia County Water District. The service lateral is that part of the sewer system that extends. from the main collection line in the street (or easement) to the point in the street (at or near the applicant's property line) where the service lateral is connected ~o the applicant's building sewer. The applicartb. is responsible for the construction,-at the applicant,s· expense, of the sewer pipeline (building sewer} from the applicant's plu,;nbing to the point in the street (or easement) where a connection is made to the service 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 specificationsp rules and regulations; and IT MUST BE INSPECTED AND APPROVED BY THE DISTRICT BEFORE THE SEWER SYSTEM MAY BE USED BY THE APPLICANT. . THE APPLICANT, OR HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT THE TIME INSPECTION IS DESIRE ANY CONNECTION MADE TO THE SERVICE IATERAL OR COLLECTION LINE WITHOUT-PRIOR APPROVAL AND INSPECTION BY THE DISTRICT WILL BE CONSIDERED I~1VALID AND WILL NOT BE ACKNOWLEDGED. After connection is complete, the property described above is subject to a monthly sewer service charge, billed bi-monthly in advance. The rate will be governed by the use of the property, single family, multiple dwelling or connnercial •. Non-payment of the sewer service charge is subject to a 5% penalty per month, plus disconnection if necessary. The undersigned hereby agrees that the above information given is correct and agrees to the con itions as stated: 5-/{,-7 7 &7_ss ___ _ Date Account No.