HomeMy WebLinkAbout2374 ALTISMA WAY; BLDG I; 80-405; PermitI -:,
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iNSPKTlON VALIDATE, W V
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LEUCADIA COUNTY WATER DISTRICT
APPl rCATlON FCIR <FWFR SFD\IlCF
Owner's Name -
Mailing Addres Rancho Santa Fe, Ca.' 92067
Service Address: >'?-77y A1ti@Wy. RECEIPT OF BUILD:EG PERMIT.
Assessor's Parcel No. APPLIED FOR BY8 -aq-P
Type of Building mndn No. Units 18 ,Connection Fee $ 10.800.00
Lateral Size: 4" __ C" 8" Saddle pre-pd 1-0: - - Easement Connection -
Extra Footage: __ (58 ' , Extra Depth: @$
Mike Kupfer
P.O. BOX 2148 1- Phone No. 438-5333
de Casitas =La Costa SEWER PERMIT ISSUED UPON
Tract Description: -SUklJb BUILDING PERMIT MUST BE
- vq Lateral Fee
Prorated Sewer Service Fee Total $"
Amount Rec'd $ &uT? Ck. No/Cash 7
Rec'd By a
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 D5strict. The service lateral is that part of the sewer system that extends from the main collection line in the street (or easement) to the poiilt in the street (a1
the applicant's building sewer. The applicant is responsible for the construction, or near the applicant's property line) where the service lateral is connected to
cant's plumbing to the point in the str*ee: (or easement) where a connection is madt at the applicant's expense, of the sewer pipeline (building sewer) from the appli-
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 specifications, rules and regulations; and IT MUST BE INSPECTEI
THE APPLICANT, OR HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT THE
TION LINE WITHOUT PRIOR APPROVAL AND INSPECTION BY THE DISTRICT WILL BE CONSIDEREE INVALID AND WILL NOT BE ACKNOWLEDGED. .
The prorated sewer service fee is based upon the date the District estimates that
additional fee or refund if service actually comnences on a different date. For service will begin and covers the balance of the fiscal year. There will be no
succeeding fiscal years, the sewer service fee will be collected on the tax.rol1 in the same manner as prcperty taxes.
The'undersigned hereby agrees that the above information given is correct and agree to the conditions as stated.
AND APPROVED BY THE DISTRICT BEFORE THE SEWER SYSTEM M4Y BE USED BY THE,APPLICANT.
TIME INSPECTION IS DESIRED. ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLEC-
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. CARLSBAD,'~ALIILOFiNIA $2098
126 ELM AVENUE TELEPi !ONE:
' . BIJ3lding Departwnt 1714) 729-iI3:
Kitp of Carlf;bais
FESIDE~ITIAL. ~ii'my wsrm CFRTIFICATIOFI
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Permit No.
... Issue Date.
ERTIFICAE DE C@PLIAk€ !/Ill Ei?fEFir,ly CO!!SERVaION DESK!! REQUIPE4ETffS
CIXITAIND IY ARTICLE 1, PART 6, TITLE 24, CALIFORhIA All";. CODE
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. I Y f>Cq. CI&JIS. '' ' ., hereby certify that I am familiar
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with the state energy.conservation standards mandated in
.. 'CAC Title 24, Se'ction'T20-1401 through T20-1406, and that the
. . plans and other.documents submitted in support of the app.iication
-. for a building permit at - I?V,T/Trn wb;/ -Ray 1 Address .. ..
.. Y &5"3 jksessor's Parcel No. Dated "
of these regulations.
Signature I
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' ' Title A~Ul&7 c .
( Architect, Engineer, Contractor, Other.)
Submit to the Building Department with permit application.
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Form 78-1 01 .
City of Carlsbad
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
1200 ELM 438.5525
VALIDATION i(i T , 1 iL
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Prevtous use of Building new
~~ Type of flammable or explosive llquids lo be used, if any h ..
I certify that I have read the statements contained in this application; that they are true and correct. and that I make this statement under penalty of perjury. I
, 19 b I in the City of Carlsbad, State of California
Signature of Building Onicial
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FOR DEPARTMENTAL USE ONLY
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White - Building Dept. Yellow - Appllcant Plnk - Finance Gold - Fire Dept
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