HomeMy WebLinkAbout2463 LEVANTE ST; ; 83-561-112; Permitti! z 0 ~ C a:: ~ (.)
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0 I hereby affirm that I am licensed under
prOYlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeealons Code, and my license Is In
full force and effect. Lie No ______ Class
I hereby affirm lhal I am eiemp1 from lhe Con1rac-
1or·s License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any c,ty or county which re-quires a permit to construct. alter. improve, demolish, or repair any structure, prior to its issuance also requires !heap-
~~~or ~~~~a::r:t 11~/l~~~~e: g~;~o~~~~-•:
License Law (Chapter 9 commencing with Sec11011 7000 of
Division 3 of the Business and Professions Code) or that Is ex· empt therefrom and the basis tor the allegeo exemplion. Any
viO!alioo of Sectoon 7031,5 by an applicant for a permil sub·
jecls the applicant to a civil penally of no1 more than five hun-dred dollars ($500).
D I, as owner of the property. or my employees with wages as their sote compensation, will do the work, and lhe struc-
ture is not intended or oflered for sale (Sec. 7044, Business
and Professions Code: The Cootractor's License Law does
not apply to an OWRef of property who bu1kis « improves thereon and who does such work himseH or through his own
employees, provided tha1 such Improvements are not intend-ed Of ottered tor safe. II, however, the building oc 11nprove-
ment is sokl within one year of comp5etion, the owner·buflder will have the burden ot PfOYing that he did not build or im-
prove foe the purpose of safe).
D I, as owner of the property, am exclusively contrat1lng
wi1h licensed contractors to construC1 the project (Sec. 704◄, Business and Professions Code: The Contractor's license
Law does not apply to an owner of property who builds or im-pnwes thereon, and who contracts tor each projects with a
contractor(s) license pursuant to the Contractor's License Law).
D As a homeowner I am improving my home, and the follow· ing conditions exist: 1. The work is being pertormed prior 10 sale.
2. I have lived in my home for twelve months
3. rr:: :;'P~~ot 11:: =pUon during the last three years.
D lamexemptunderSec. ______ , B& P.C.
tor this reason -------------
0 I hefeby affirm that I ha-ve a cert,hcate of consent
to s.elf-,nsure. or a cert1hca1e ot Workers·
Compensahoo Insurance. Of a cen1hed CoPy thereof (Sec. 3800, ubo< Code)
POLICY NO
COMPANY
0 Copy IS Med with 1he Ctly
□ Cen,hed copy ,s heteby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ,f the perm,1
Is fOf one hundred OOllars IS 1()0) Of tess)
[j I cen1fy that ,n lhe performance of the wortl. tor
which th,s permit Is ,ssued. I shall not employ any person 1n .,,Y m¥1ner so ~ lo become subIe-c1 to
the WOt1lers· Compensation Lilws of Ca11torn1a
NOTICE TO APPUCANT If. after makmJ ttus Cen,
ltcate of Exemption. you should become subIecI 1?
the W()ft{ets· Compensait1on P,O\'iStOns ol the Labor Code. you must forth"11·11h comply with such
provIs10ns or this permit shall be deemed revoked
0 I hereby athrm !hat there 1s a construction
Iend•no ~ency fOt' the performance ot lhe woA. tor
which HUS perm ti 15 issued {Sec 3097, C1v1I Cooe)
Lenders Name ___________ _
Lenders AOOress __________ _
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
YO ND
QTY.I PLUMBING PERMIT -ISSUE MECHANICAL PERMIT -ISSUE
EACH FIXTURE TRAP INSTALL FURN. DUCTS i.JP TO 100.llOO BTU
EACH BUILDING SEWER OVER 100.000 BTU
ACHWATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM !i OR MORE MET Al FIREPLACE
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE OUCT
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
EACH ROOF DRAIN (INSIDE)
TOTJ.L MECHANICAL
TOTAL PLUMBING
QTY. I ELECTRICAL PERMIT -ISSUE ~--QTY. I SOLAR -ISSUE
NEW CONST EA AMP/SWT tBKR D COLLECTORS
1 PH 3 PH STORAGE TANKS
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE
1 PH PUMP
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE
TE MP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 OAYS)
TOTAL ELECTRICAL
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA A!
APPLICATION & PERMIT
~ 5Trff,
iffl OCCLOAD
BUILDING SO. FOOTAGE
~"2-
3 /2{]/fj4/~4U 7F-7.
llot VM II..-llladti• urtilial
5-SUMMARY/ACCOUNT NUMBER
, BUILDING PERMIT 0HI0-00-8220 I • I 2..J-;,.l. -SIGNPERIIIT 01-00-00-8221
PLAN CHECK 01-00-00-8806
IDTAL PLUMBING 01-00-00-8222 -ElfCTlllCAl 01-00-00-8223 -IIEalANICAL 01-00-00-8224
IIOBIL£HOIIE 01--00-0l>-8225
IIOBII.EHOIIE PARK INSP
SOLAR
STllOIIG IIOTION II0-92-33--0519
ARE SPRINICI..ERS 01--00-00-8227
PUIUC FACILITIES FH 32--00-00-8933
IIRI06E FH
SCHOOL FH -DISTRICT
ca1smd 80-92-21-<1519
Encinilas II0-92-22-0519
San ~ II0-92-23-0519
Sanllanm II0-92-24-0519
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TYPE I DATE INSPECTOR
BUILDING ...... :
FOUNDATION "'l. /)
REINFORCED STEEL 1, 4/-1/J~ 17
MASONRY I , / 'I
I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I /)
SHEATHING D ROOF D SH~R ._/11/hl I~
FRAME I ..f /211/J-"1 ri'
EXTERIOR LA TH . , ,
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INSULATION -: \ .. s-611>4 l'f" I}
INTERIOR LATH & DRYWALL I \._ //,;,, k..i rr
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PLUMBING I '
SEWER AND BUCO DIPUCO I
UNDERGROUND ~ WASTE ~WATER .-z,.~.QA ~ jJ.., . ~
TOP OUT □ WASTE □ WATER '('/41/f,1 -ri
TUB AND SHOWER PAN I , , ....
GAS TEST I . <rh.J /)',f -r
□ WATER HEATER D SOLAR WATER
, I
-
I
ELECTRICAL I ... ~ 'I
D ELECTRIC UNDERGROUND O 1UFFER .,.,
ROUGH ELECTRIC I .rinlhl It' -
□ ELECTRIC SERVICE D TEMPQRARY I I
D BONDING D POOL I ..
I r~ -
MECHANICAL I
I A
D DUCT & PLEM., D REF. PIPING ~~1/l-'I 7"
HEAT -AIR COND. SYSTEMS , . If I
VENTILATING SYSTEMS I ~,. ✓_,. ... ·,' --\C. -~ I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I
J
PLUMBING " " I ' -'
ELECTRICAL "" I I. i ... _. I)
MECHANICAL ~ I -/,.A i
GAS I~ -7//:,rt[' /"
~ ., -l BUILDING I
SPECIAL CONDITIONS I ...
I
I
...
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
-~ -REO IF INSPECTOR'S INSPECTION CHECKED APPROVAL
SOILS COMPLIAN.CE
PRIOR TO ,.
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRE'SSED
CONCRETE
POST TENSIONED ..
CONCRETE
~£i:LD WELQING
HIGH STRENGTH ' j
,,
BOLTS ~ -. -
SPECIAL "1!A$ONRY .. -,,
PILES CAISSONS. l
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PLAN CHECK NUMBER &--4/ ADDRESS J-:x:;.u;.,,(, f!C..-2 DATE ~j;;
PLANNING: TYPE OF STRUCTURE -< ZONE: ____ _
Q .A~~ I I.,__,,,.\ .C~C... ;S~
u::::
UJ 3 UJ
SCHOOL FEES: SAN DIEGUITO ~ --'"2-I-Z--/ ENCINI~AS
0~ ~ ~1-t,j ,._,.., -------
CARLSBAD________ SAN MARCOS _______ _
% COVERAGE ------------REQUIRED SETBACKS -+--.f----
BUILDING HEIGHT -------..,.-.---1--1-----FRONT --,.......;---t----....----
FENCES/WALLS --------r-"t-t--t-----S IDE ---.----------
-TWO CAR GARAGE -----------RE AR ----------
;: ~~ COMMENTS: ___________________________ _
UJ <( ex: n
g □ REDEVELOPtTENT APPROVAL REQUIRED: NA---o ___ _, ______________ _
B~ []
§ ~ [ 7 LANDSCAPE PLAN COMMENTS: (V ff -----------------------
ENVIRONMENTAL REQUl RED_: ___ ..;;;.75_{_G_M_P_f ____________ _
ADDITIONAL COMMENTS: ------·----· -----------------,
**1'**********'~*'k**********i,******************************************k************ -·----
ENG INEt::R JNG LEGAL DESCR!PTION VERIFIED? Och A.P.N. CHECKED?_D.,
p. F. F. il.e:Qo' i,...E:.,D PARK IN LI EU --=-~-------=~\)-=-\...__,\l-EJD'--=-------~
'::r-H.O.l~:_O_,:._K __ , --IMPROVEMENTS: O .. K.
(\\ ;----'1-J _____________ E.D.U: ~~~'------------,
-. ~ SE-WC~~----~ OIJ
_.L.L..!l,.LW....L_~~::i....:L.1::::::J::::o-~~-L...::..LJ....-...=.&...~....L.::;.;...;;;_:..........:.~'-'--~.....::.C-...i-.---i
LATERAL: -~( A _______ DRIVEWAY: ~O~.K~·.:......• ----------,
GRADING PERMIT: ..O ....... , __ K __ . __________________ _,
DRAINAGE: _...::O::::....J....li.....:::a..s.------------------------;
EASEMENTS: _o_"'"", ...... /Z.___. ________ ADDITIONAL COMMENTS: ----------i
OK TO ISSUE: Ow&: 3/1 ~/Bt DATE:~1~'-4-~---------:
* ENGINEERING INSPECTION REQUIRE6:_1 ________________ ---;
PUBLIC ~!ORKs INSPECTOR: d)t!,~ sj,{h
FINAL OK: -----------DATE: ____________ --1
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENTr?')L MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.) C)/X-~~\~7
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GREGORY PELTON f~ '!tie-!--t..v'e'lJ M--1 fN-Jy CONSULTING ENGINEER
rt1f : ~ fp(-J~iJ(I 't A~Pv.
3800 McHENRY AVE. • OFFICE P • MODESTO, CA 95356
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_____ .... ___ ···--·---~-----"
!'.r
~ E /\ALTERNATIVE
/ \ )/
5
\ ENERGY
ASSOCIATES
P.O. Box 5332 • Modesto, California 95352 • (209) 524-1607
TITLE 24: RESIDENTIAL ENERGY STANDARDS
Compliance Summary
for
LA COSTA VILLAS
LEVANTE ST LOT* 112
CARLSBAD, CALIFORNIA
NOVEMBER 25, 1983
1. ·· House Plan(lii!l: 2476 S.F. DUPLEX
II. Orientat:ion<s>: FRONT NORTH <azmsouth 180)
Ill. Climate Zone: 7
IV. Compliance Summary: COMPLIANCE BY CALPAS3 PERFORMANCE METHOD
1. All mandatory features and devices as specified by
California Energy Commission
2. Windows: DUAL PANE
3. Attic Insulation: R-3O
4. Wall insulation: R-11
5. Floor insulation R-19
6. HVAC: FURNACE S.E. 71 (min)
A/C SEER 0.0 <min.)
7. Window Shading: NONE
8. Infiltration: STANDARD
'··
FORM 1
CALPASJ -TITLE 24 PERFORMANCE METHOD COMPLIANCE SUHHAllY
PROJECT LA COSTA VILLAS by ALDEN CO.
T.EYANTE ST I,o+ # 112
LOCATION -F=-a=-r.:::.l.:::.S.:::.b.:::.B.;:;.d ___________ ~_CLtHATE ZONE _ _.,_7 ____ _
BUILDING D Single family dwelling or lodging house
I!] llllti-family w/co11lllJJOn walls but no co11lllJJOn floor• or ceilings
0 All other multi-family
l • • I 1, Space cond1t1on1ng budget from CALPASJ Table 3 __ 5;__,8 __ . kBtu/1f-yr
2, Solar w•ter heating ~djustment
'
2a, ~=-,---,,---X (T4ble 3
water htg,
budget)
(Number of
dvel1i11g
unite)
• _____ ltBtu/yr
2b, Predicted annual water htg, 1ource
energy consumption from FCHART4 • __ ;._ ___ ltBtu/yr
2c, Space c~rid it ioiiing b~dget "creel it" for 10 lar
water heating (enter O if no solar water heating)
• -(Line 2a) (Line 2b) • (Conditioned
floor area)
3. Adjusted space conditioning budget (Line 1 + Line
4. CALPAS3 predicted annual space conditioning source
energy consumption (from CALPASJ RUN SllMliARY,
ENERGY CONSUMPTION, Building total Source Btu/sf)
5, Excess budget (Line 3 -Line 4)
(Hust be positive to show compliance)
•
2c)
0 kBtu/sf-yr
2,8 kBtu/1f-yr
_ __.4~•~9 __ kBtu/sf-yr
__ 0_,~9 __ kBt~/sf-yr
I certify the assumptions and calculations used to produce the above results
were done in accordance with procedures approved by the California Energy
Co11DDission for compliance with the New Residential Building Energy Standards.
SIGNED: ~~L ~--::R2 =
PRINT NA.'i;i;~las G. Beaman
DATE:
<
November 25, 1983
PHONE: ---524-1607
ADDRESS: _ -~! t erna ti ye Energv...A.:i.s.o.9..il!t!l.ll __ _ -----------------
___ P.O. Box 5..3.J~Modesto, Ca, 95352 ___________________ _
Revised 11/7/83
12
LA COSTA VILLAS
LEVANTE ST LOT# 112
BSG CALPAS V3.02
25-NOV-83
ALTERNATIVE ENERGY ASSOCIATES
MODESTO, CALIFORNIA
(209) 524-1607
LA.COSTA VILLAS
RUN: ALD5. 2929 SANDIE.GO. CA. 62. ESOL
LEVANTE ST LOT# 11,
BSG CALPAS V3.02 25-NOV-83 12:36:3:
R LI N S U M M A R Y ---------------------
FLOOR AREA: 2476 SF
AC SYSTEM OUTF'UT ANNUAL TOTALS PEAKS
=--==--=-===-------------------r-------------
I KBTU BTU/SF l<BTL)H
---------____ ,_. ___ . ---------I !
'
HOUSE
COOLING 4662 1883 46.932
HEATING 4396 1775 17.638
ENERGY CONSUMF'TION ANNUAL TOTALS PEAKS =--=----==---------
PROF' LINE SOURCE
l(WH; l<BTU BTU/SF BTU/SF· l(W; l<BTUH ---------------------------. ---------
ELECTRICITY
HOUSE COOLING 584 805 2414 5.876
TOTAL 584 805 2414
FUEL
HOUSE HEATING 6191 2500 2500 24.842 --------------------
BUILDING TOTAL 3305 4914
====================
LA ,COSTA· VILLAS
RUN: ALD5.2929 SANDIEGO.CA.62.ESOL
LEVANTE Si LOT# 112
BSG CALPAS V3.02 25-NOV-83 12:36:57
ANNUAL OPERATINGI COSTS
----------------~----=
'
ELECTRICITY (1! $. 1200/KWH $ 70.
"UEL @ $. boso tl<BTU ' $ 31.
I
TOTAL $ 101. ($ .04/SF> ----=----
i
~OTE: 1 KWH= ld.,239 BTU SOURCE • .
I .
BSG CALPAS V3.02 12:36:57
RUN: ALD5.2~29 SANDIEGO.CA.62.ESOL
LINE
l TITLE LA COSTA VILLAS
2 SITE LOCATION=CARLSBAD
3 AZMSOUTH 180
l
25-NOV-83
i
l 4 HOUSE FLRAREA=2476 VOL=22772 CAfR=5714
!
5 ROOF AREA=2574 INSIDE=AIR UVAL=,03
I
PAGE 1
6 ·WALL NAME=FLOOR AREA=2476 AZM=O;TILT=180 ABSRP=O INSIDE=AIR UVAL•.0!5
7
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WALL
WALL
WALL
WALL
WALL
WALL
WALL
WALL
WALL
WALL
I ;
NAME=FRONT AREA=392 AZM=O ,NSIDE=AI.R UVAL=.08
NAME=LEFT AREA=327.5'AZM=99 INSIDE=AIR UVAL=.08
NAME=LEFT AREA=lO AZM=45 INSIDE=AIR UVAL=.08
NAME=REAR AREA=246 AZM=180 INSIDE=AIR UVAL=.08
NAME=RIGHT AREA=327.5 AZM=-90 INSIDE=AIR UVAL=,08
NAME=RIGHT AREA=10 AZM=-45 INSIDE=AIR UVAL=.08
NAME=KNEE AREA=260 AZM=O ABSRP=O INSIDE=AIR UVAL=.08
NAME=DOOR AREA=.34 AZM=O INSIDE=AIR UVAL=.5
NAME=DOOR AREA=20 AZM=90 INSIDE=AIR UVAL=.5
NAME=DOOR AREA=20 AZM=-90 INSIDE=AIR UVAL=.5
GLASS NAME=F~ONT AREA=18 AZM=O
SHADING WHEIGHT=4.5 WWIDTH=2 OHDEPTH=2 OHWD=.5 OHLX=2 OHRX=5
GLASS NAME=LEFT AREA=27 AZM=90
SHADING WHEIGHT=4.5 WWIDTH=6 FLDEPTH=14 FRDEPTH=10
GLASS NAME=LEFT AREA=40.5 AZM=90
SHADING WHEIGHT=4.5 WWIDTH=5 OHDEPTH=2 OHWD=.5 OHLX=5 OHRX=2
GLASS NAME=LEFT AREA=9 AZM=45
SHADING WHEIGHT=4.5 WWIDTH=2 OHDEPTH=3 OHWD=.5 OHLX=2 OHRX=2
GLASS NAME=REAR AREA=198 AZM=180
LA -COSTA VILLAS
, . . .. ..
RUN: ALD5.2~29 'SANDIEGO.CA.62.ESOL
LEVANTE ST LOT# 112
BSG CALPAS V3.O2 25-NOV-83 12:36:57
26 SHADING WHEIGHT=7 WWIDTH=8 OHDEPTH=2 OHWD'=. 5 OHLX=3 OHRX=3
27
28
29
30
31
GLASS NAME=RIGHT AREA=27 AZM=-9O
SHADING WHEIGHT=4.5 WWIDTH=6 FLDEPTH=14
GLASS NAME=RIGHT AREA=4O.5 AZM=-9O
SHADING WHEIGHT=4.5 WWIDTH=5 OHDEPTH=2
GLASS NAME=RIGHT AREA=9 AZM=-45
I i
OHWD=.5
i
I :
i
OHLX=2 OHRX=5
32 SHADING WHEIGHT=4.5 WWIDTH=2 OHDEPTH=2 OHWD=.5 OHLX=2 OHRX=2 '
33 GLASS NAME=SKYLITE AREA=16 AZM=O TILT=O
34 INFIL ACBASE=.62
35 _INTGAIN INTGAIN=25.48
36 OPCOST ELPRICE=.12 ACCOP=2.34 HEATING=FUEL FUELPRICE=.OO5 HTEFF=.71
37 END
*** NO INPUT ERRORS.
*** BEGINNING SIMULATION
*** RUN COMPLETE.
25-NOV-83 12:37:17
. '
BENTON ENGINEERING. INC .
.l.PPLll:.0 SOIL MECHANICS ---l'"OUN0ATIONS
~~40 RUFF'tN ROAD
P►~IL IP r,lNK:NG llfNLH,_
t'Olf~'I ("'I , '"" li'oc. .. tr'<
Alden Company
411 Borel Avenue, Suite 410
Son Mateo, California 94402
Attention:
Subject:
Mr. Kip Jones
Project No. 83-9-2F
Inspection of Lot 112
SAN DIEGO, CALlrORNIA. 92123
November 17, 1983
Lo Costa South Unit No.
Levcnte Street
Carlsbad, California
Ge.ntlemen:
Pursuant to your request, we hove inspected the subject lot in the Lo Coste area of Carlsbad,
California. It is understood that a condominium dupltx is to be constructed on this lot.
An inspection was mode by a representative of our orgonizotion on November 7, 1983 and
it is concluded that the soil conditions ore essentially the some as presented in our report
on the grading of this subdivision doted June 23, 1969. However, th<e lot h0$ been scarified
to depths of approximately 3 to 6 inches below the existing ground surface c'ld numerous
gopher holes and erodtd gullies exist in the slope areas. It is recommended that all existing
loose soils and any additional filled gr:,uc,d should be u.nifonnly compacted lo at least 90 percent
of maximum dry density.
Compacted filled ground was placed over the entire lot area during the previous major site
grading and the results of tests and observations mode ta inspect the compaction of filled gr 0 und
were presented in th< above doted report. It hos l>een determined that the fill materials, compacted
to 90 percent of maximum dry density, hove o safe bearing value of ut least 1510 pounds per
square foot for one foot ..,ide continuous footings founded at a minimum depth of one foot below
finished grade and placed five feet or more inside the top of slope. If footings ere placed closer
lo the exposed slopes than 5 feel inside the top of slope, these should be deepened one foot below
a I l,'2 horizontal to 1 vertical line projected outward end downward from a point 5 feet
horizontally inside the top of slope.
.
Alden Compa11y
Project' No. 83-9-2F
-2-November 17, 1983
The soils in the upper three feet below existing grade were classified as having a low expansion
potential, Therefore special design for expansive soil conditions will not be required,
Respe c tfu II y submitted,
BENTON ENGINEcRING, INC.
By~C:~
R,C, Remer
R,,;,w,dby~ Q:'
~on, Civil E:ngineer
RCI: No. 10332
Distribution: (3) Addressee
RCR/PHB/jer
•
BENTON ENGINEERING. INC
LEUCADIA COUNTY WATER DISTRICT
APPLICATION FOR SEWER SERVICE
The application must be signed by the owner (or his representative) of the property
to be served. The total charges must be paid to the District at the time the application is
submitted.
APPLICANT MUST SUBMIT EVIDENCE OF BUILDING PERMIT WITHIN 60 DAYS.
FAILURE TO MAKE SUCH SUBMITTAL WILL RESULT IN AUTOMATIC CANCELLATION
OF THE SEWER PERMIT. THE SEWER CONNECTION FEE LESS A $50 ADMINISTRA-
TIVE FEE WILL BE REFUNDED.
A six-month construction period shall be provided and sewer service charges for the bal-
ance of the fiscal year shall be collected at the time of application for sewer permits.
Sewer service charges for subsequent fiscal years shall be collected on the tax roll in the
same manner as property taxes. If the six-month construction period extends into the sub-
sequent fiscal year, a prorated sewer service charge for that fiscal year shall be collected
on the tax roll in the same manner as property taxes. The full sewer service charges for all
subsequent years shall be collected on the tax roll in the same manner as property taxes.
There will be no additional fee or refund if service actually commences on a different date.
The prorated sewer service charge shall not be required in those applications for sewer
permits for subdivisions. Such applicants shall be required to notify the District, on
forms provided by the District, of escrow closings on individual properties within the
subdivision. Sewer service charges shall commence upon close of escrow and will be the
responsibility of the buyer.
If a service late;al 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 to the applicant's building
sewer. The applicant is responsible for the construction, at the applicant's expense, of
the sewer pipeline (building sewer) from the applicant's plumbing 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
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 APPLICANT, OR HIS AUTHORIZED REPRESENTATIVE
MUST NOTIFY THE DISTRICF AT THE TIME INSPE€TION rs' 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.
The Inspection Deposit will be refunded upon the completion of satisfactory inspection of
the connection to the District's sewer system. The inspection deposit shall not apply in those
cases in which the applicant has paid plan check and inspection fees for a subdivision.
OWNER'S NAME ==---.i.IJJb,::ec...1:1A.i.Jud,::eua...i..Cuowwµ.paa.ou,:tl'---
MAILING ADDRESS: 411 Borel Ave, Ste 410
San Mateo. ft\ Q4402
PHONE NUMBER: Z5'i-4341 -Do11g Carr11thers
SERVICE ADDRESS: __ ~2~4~6~5~lue~v~awa~t~e-S~t..._ __
LOT NUMBER:~=--~-------
TRACT DESCRIPTION: 1 a ,osta 5011th #1
ASSESSOR'S PARCEL NO: ?16-190-0600
TYPE OF BUILDING dupl NO. OF UNITS __
CONNECTION FEE:
LATERAL SIZE:x.._; EASEMENT:
EXTRA FOOTAGE: @$__I Foot
EXTRA DEPTH: @$ /Foot
LATERAL FEE ----
INSPECTION DEPOSIT
PRORATED SEWER SERVICE FEE
TOTAL
PAID BY: CASH_CHECK NO.ll2J =
RECEIVED BY: ecd
$ ___ _
500.00
50 DD
$ r,5n an
The undersigned hereby agrees that the
the conditions.as stated.
above information given is correct and agrees to
,., -~, , ,·
/:; ,@f'?1?0))c-<:t/JKk /4<__,,-:,;/
Owner I s Signature ,....... ,_,,,/ Date
supplement
10173
Account No
. ' .
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CITY OF CARLSBAD
REQUEST FOR REFUND
:count No. '6°-q;_-23 -OS-I 't Vendor No.
nount of Refunf ,,]_ J 3 'l' · 0 ° Fee Paid For: -=S'-'lle,J,/"'-"'D"-t1L>1<C:"-'1.1!:C.!.., 7!....!,'.t:>_::,S'C.!'?Hl?:l::t:rllzz.'-,c,...J../#ffs-=-"~------
1te Fee Paid· 3/ 2. O /if . Fee Paid By: ____ A-'--'-l""'l)=,!".-'-'-,v'--"'~~'-=-""""'lf:..:...~_,7..._ ________ _
,cts Supporting Request: L,J /r S ,1.,) E t1v.r l, S
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ddress: -'-L!...:--.....c,,.<--=-..u....::::...::,,,__LL~~::;....::.:....:.=--L.:....1/.=:t).,._.=:S,...:.:19,~W::....:./lf~,f-.t...fi!:!lG'!,!.,......!..~:.!.-,,,~~:...z...l..:'t>~>j..==----
State Zip Telephone
Date
inance Investigation:
lee: ------=--------------------------• D Approve D Disapprove Dept. Head Signature
:ity Manager's Action:
D Approve D Disapprove
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Date
Date
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