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HomeMy WebLinkAbout2508 LA COSTA AVE; ; 79-5042; Permit.. -,. . ~ff¢J ~lODEL :~·---B-UILD~G PERMIT APPLICj Tl0~tr9ftJci6179 • City of CARLSBAD, CALIFORNIA 92008 "7. ,_J. Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No /~-5"?)'7',,l., JOII "00Fl ESS 1 LOT NO. L EG..._l 1 OESCFI. a, 0 CON TFl..._C TOR 3 ·7lJE Ga6tJ,e c;[). "FICHITECT OF\ DESIGNER 5 USE OF 8UILDIIM; y 1 -,.- ] .5,;:; fu 8 Class of work: }IJNEW □ ADDITION 9 Describe work: 10 Change of use from / Change of use to 11 Valuation of work: $ ASSESSOR'S PARCEL NUMBER , BOOK I PAGE I PAR. iOsH "TT..,CHED sHHTJ A/' /'II ~ t, M..._IL "DDFlESS "' - M"ll "DDR[<s C ~T""J; _·T,c.,rZT?) PHONE ,t::: L ~-'?:),, P/ Lu'-- STATE LIC. NO. CITY LIC, ~ 3'17Y7,1J . l?'/''7c:>I-,. M"IL "DOFl[SS PHON [ L-'9-A I VJ /2 ~ /1...L- MAIL ADORESS PHONE MAil ADDFlESS NO. BDRMS .E NO. BATHS ..3 □ ALTERATION □ REPAIR □ MOVE □ REMOVE ~-~ .. - . ('\ PLAN CHECK FEE ( /S4~ ~MIT FEE$ ~S::Pc..:E:::C::.rc.A.cL=---=Cc:Oc.N:.:D:.:rc:T_:_rO=N:::S.:_: ---------------------1 Type of I J ,,,-• J Const. f/,...---N Occupancy Group MICRO FILM FEE r . PLANS CHECKED BY I NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TrON AUTHORrZED rs NOT COMMENCED WrTHrN 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 t HAVE READ AND EXAMINED 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 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 co7,....'.)..'0N.#OR Y'~::ANCE OF CONSTRUCTION. (J...,,,._ ~ ,;z ' l'->::l ~ ?f? SIGNATURE OF CONTFI ... CTOIII 0111 ..._UTHOFllZEO AGENT (D ... TE) I SIGN ... TUIIIE 01'" OWN[l'I II'" OWNEIII IIUII..DEIII) Size of Bldg. 2 '),n\ (Total) Sq. fiVJ /""., Special Approvals PLANNING DEPT, No. of Stories Required HEAL TH DEPT. Fl RE DEPT. ·-, SOIL REPORT OTHER (Specify) ENGINEERING DEPT. WATER DEPT. --. -· - • ' - n -. --• - WHEN PROPERLY VALIOATED (rN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. Max. \. 0cc. Loag} Receivett . - ' M.O. Not Required ~ -u I - --... IIITJ -:, -.. -..n .,, ' TOTAL FEES $ ! .. REQUEST FO~SPECTION INSPEC.'fOR ____ ~rL~~----PERMIT NO TIME·-_____ _ DATE: ~.... --p,,..,zz.,~ ADDRESS ,;;. .5tJ J ~ BUILDING 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT · GUNITE 0 FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME 0 EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER D FINAL READY FOR INSPECTION: ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT OG.F.I. 0 SMOKE DETECTOR FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO □ SIGN 0 GRADING 0 DRIVEWAY □ CONDITIONED AIR SYSTEMS □ REFER PIPING D FINAL □TUESDAY □WEDNESDAY □THURSDAY . / __ p_ Sr1.J. SPECIAL INSTRUCTIONS_~~---~_,_,__. -~----v----------------- □MONDAY DA.M. 0P.M. REQUESTED BY __ ~~---------------PHONE NO. PERSON TAKING REPORT _______ _ • 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 California, in the building located at: SITE ADDRESS e<5"(7J' ~ ~ aw. d¢: ~ , EXTERIOR WALLS Manufacturer 0\CNS-CORNING CEILINGS Batts: Blown: Manufacturer O\f 'N3-CORIIING Manufacturer --------- Thickness/Type_-JL-~'•_• ____ _ Thickness/Type 6" -------- Thickness/Type _______ _ Wt./Bag ______ _ Sq. Ft. Covered ___________ _ FLOORS Manufacturer SLAB ON GRADE Manufacturer ------------ ------------ Width of Insulation FOUNDATION WALLS Manufacturer ------- ------------ Thickness/Type _______ _ Thickness/Type _______ _ Inches Thickness/Type _______ _ R-Value 11 R-Value 1..2. R-Value --- R-Value --- R-Value --- R-Value __ _ R-Value --- GENERAL CONTRACTOR LICENSE# ______ _ BY ABC INSULATION BY~ .~,✓07': TITLE TITLEl'rorluct.ion '.1anap:E,r DA·TE LICENSE # }52?9) C2 DATE .M¾ ,-2~ I fefV II/ 17 ~ ,.. PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 729-1181 Permit No 77'-~¥,3 _roe AODllt [$5 25.'8 f ~ Cn~t~ Av~. LOT NO. I OLK I T~~ Costa South LtoAL I 1 ouco. 2J OWN [llt MAIL A00,-t.SS ti. PHONC 2 ,a 111~ Porter 2 YJ'!.;.~ tour: Lena '~ach 1Ca. ~3 436-5111 C0NT,-ACT01' M ... IL AOOllttSS PMON [ STATE LIC. NO. CITY LIC. NO. 3 ,_";'rf!<Jua· CnrMlanv 229 El tari1co »~"1 Enc1ritas f'.a . J2024 347470 17J9S AJltCHITECT o ,-DESIGNElt M A IL A0011tE5S PHONE LICE,..5£ NO, 4 S,'\7rr: [NGINE[flJ MAIL ADDRESS PHON E LIC["f5E NO, 5 SP.i:1E • COMPENSATION (NS. CARRIER M A IL AOO,t[SS IIIANC~ 6 use OF 8 Utl.OING 7 S1QtJ1 f~ ly ---8 Class of work: at.EW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS: .., WATER CLOSET (TOILET) s ., 8ATHTUB -4 LAVATORY (WASH BASIN) -SHOWER l K ITCHEN SINK & OISP At\ I DISHWASHER f;/t. _ r,;,,,; APPLICATION ACCEPTEO BY PLANS CHECKED 8Y APPROVED rDR fJ'!j'CE 8Y L AUNDRY TRAY ll""" t,J ,,\\;,.·1 I CLOTHES WASHER , - DATE I WATER HEATER ,..J! i..- NOTICE U RIN AL ?y .,. THIS PERMIT BECOMES NULL AND VOID IF WORK O R CONSTRUC· DRINKING FOUNTAIN TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DA YS.OR IF FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DA YS AT ANY T IME AFTER WORK IS COM-SLOP SINK M EN CED. ,/' GAS SYSTEMS: NO.OUTLETS ·-I H EREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ., A PPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR H EREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF A NY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OFV1T'HE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM -.; ! SEWE R _,:;.t____ ~ _.,.i.. #/ NUMBER CLEANOUTS f</ CESSPOOL .# -/':J--~ SEPTIC TANK&. PIT 1 L. ..J ROOF DRAINS '5"1GNATUft£ Of' CONVfACTOfll OR AUTHOl'tlZt D AGENT {DAT£) , ISSUANCE FEE $ ---SIGNAT fll~ 0,-OW N(ft I ,. OWNER 8UILO[R) OAT [) TOTAL FEES $ . / ;,~ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M .O. CA SH PERM IT VALIDATION CK. M.O. CA SH USE BALL POINT PEN AND PRESS FIRMLY ELECTRICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Ph 729 1181 one -Permit No. -_, M,C/ JOB AOORESS ... --.. -. "··-LOT NO. --.. -I BLK. I TRACT LEG AL I 1Osn ATTACHED SHEET) 1 DESCR. . " ~ ~ .. OWNER MA IL ADDREss·~· ZIP PHONE 2 ,. ~--' ... ---. •. CONTRACTOR ·-~ . '" -~ MA I~ ADDRESS '-' °' V< ,.._,,_J,.-1[. ~ PHON[ •'>l,i,I STATE: LIC, NO.I. CITY LIC, NO. 3 , __ --" ~ ' . . --ARCHITECT OR DESIGNER' ''I .... , ... MAIL ADDRESS ·~'-l Loi 111' "'-JV 'PHONEl,,,:.>"",L ,l.l!CENSE NO l/ ·1: 4 ENG !NEER MAIL ADDRESS PHONE LICENSE NO. 5 COMPENSATION INS CARR ER MAIL ADDRESS BRANCH 6 USE OF BUILDING 7 _J 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: PERMIT FEES No. Each Fee SPECIAL CONDITIONS SWIMMING POOL WIRING, NO INCREASE IN SERVICE -f-->---. I NEW CONSTRUCTION. FOR EACH APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE. SWITCH, FUSE OR BREAKER -- DATE NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE. SWITCH, FUSE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC OR BREAKER NO CHANGE+- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL. ALTERATION PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM MENCED. IN SERVICE, FOR EA. AMPERE OF I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE APPLICATION AND KNOW THE SAME TO BE TRUE AND 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 TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE r PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TEMP. SERVICE OVER 200 AMP. PER JOO SIGNATURE OF CONTRACTOR CR AUTHORIZED AGENT -(DATE) ISSUANCE FEE TOTAL FEES ~IC.NATURE OF OWNER If OWNER BUILDER DATE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH BLOG DEPT ( WHITE) APPLICANT ( PINK) TEMP. FILE (GOLD) INSPECTOR ( MANILLA HARO COPY) 11 / /7 lt i p MECHANICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 7 29-1181 Permit No JOI ADOfll £55 ;' j :, ( ,-.~t-n AVA LOT NO. I &LK l T;A;T rnc♦:t ~uth t05EC ATTACHED SHEET) Lt~AL I 1 out~. . .. OWN£fll MAIL •DDPU::SS ti. PHONE 2 i 11 • ..-~ . '2 •. ,,, r, l d'lt'I :: .. m ~I t""A _ ,L ', ,l ll .. i. .. CON TlllAC TO" MAIL ADDRESS -PHON £ STATE LIC, NO, CITY LIC. NO. 3 ,,,inv !.)?Q l:'I t. • ~; ,, ..... , .r:nciuif"ftf.l: ,.JI_ • ---~901 -1 I f l,_ l • '.i .r _,, . _, . I J AfllCHIT[t'T' Olllt OCSIGNfpit -MAIL ADOlllESS PHON [ LICENSE. NO, 4 ENGIN[£11t MAIL AOOflltSS PMON[ LIC[ ... SE NO. 5 (" r l LENDEflll MAIL ADD"tSS &fll,NCM 6 ,,;.· ~frn ?~f:1 i.:i~ Jei11l ,.. __ ., c:hntf r~ _ Q?.~i"'"" n r~-..• , . ,,. -, ,,,1 Rranr..h . ,, uac o, BUILDING 7 :ii,,,;"-~:n 'i1, 8 Class of work: ltNEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: • Type of Fuel. Oil D Nat. Gas~ LPG. D PERMIT tees SPECIAL CONDITIONS: 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. ~ j I Forced Air Systems B.T.U. ~ . M Ea. £.I,,. - APPLICATION ACCEPTEO av PLANS CHECKEO av APPROVEO F()R l~S118f,NCE ev Gravity Systems-B.T.U. M Ea. M11kht\ Floor Furnaces-B.T.U. M Wall Heater, B.T.U. M NOTICE Unit He&ters B.T.U. M THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-Evaporative Coolers TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,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 ,· / 1, MENCED. f Range Hood ") • 4 1, I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS ANO 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 ~HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY THER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. f 'KC/",,,,...\CC;i• ~ "' -.. ~ /// , I ,1-0, .fr--GNATUflt o)' CONTflACTOfl 0111 t,.tfTHOtllZt:D AGE.NT lO.t.Ttl ISSUANCE FEE $ ....,) TOTAL FEES $ "l 0 -· ~IGHAT1111Jr 0,. OWNrl'I. I,. OWNER au1LOE9' DATt:J WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR INTERDEPARTMENTAL INFORMATION SHEET . t BUILDING DEPARTMENT • l ' DA'l\Etl .........., ,.__;; L... J J I ',._) ; • BUILDING ADDRESS: AUG 2 ,3 1919 PLANNING DEPARTMENT " \ Building Depa me ZONE ____ _._L~~\ ____ LOT SIZE _________ LOT WIDTH ________ _ UNITS ALLOWED UNITS PROVIDED ---------------~--------- .PARKING SPACES REQUIRED PROVIDED t % COVERAGE ALLOWED _____________ PROVIDED---~1---/------ BUILDING HEIGHT ALLOWED PROVIDED FRONT SETBACK: ALLOWED PROVIDED --------- INTRUSIONS SIDE LANDSCAPE & IRRIGATION PLAN COMMENTS: /( ADDITIONAL COMMENTS : r /Jr IV l ------:-:-m----~:;--;~"rfi=.=====----==-----.--t-ti==~--t:::1-'lft-:--~- O K TO ISSUE: ENGINEERING DEPARTMENT f-JW' tr,,1)"'1t:f ' I I '"' .,. 5-/J,=.c, ~td6WA,,,.K J'~,,t , I c,,V~f,, ~ < Ts? l<X..,J',f. R. 0. W. INDUSTRIAL WASTE ) IMPROVEMENTS \, 1 1 • ------ SEWER CONNECTION '2-( 90 CJJ< DRIVEWAY LOCATIONS ,,, I ' I IJ --+--~,~----.h-11 __ _ GRADING PERMIT ate: • EASEMENTS ___ ~• ~/ ______ f·_4.._DRAINAGE _ _.'/lft#-,l~._--- LEGAL DESCRIPTION -..... /'JJJ c-APit ~- OK TO ISSUE: VwDATE /l?-1/4-71 FIRE DEPARTMENT FINAL /.Af I SPRiliKLING SYSTEM FIRE PROTECTION EQUIP . _______ _ FIRE ALARMS EXITS _______________ _ FIRE HYDRANTS __________ LOCATION _________ -tt---------.------ ADDITIONAL COMMENTS ' WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _ ' \ \ C 0 BENTON ENGINEERING, INC. PHILIP HENKINO BENTON PIIESIDIENT • CIVIL IINGIN■l:11 The Gregor Company 229 North El Camino Real Encinitas, California 92024 APPLIED SOIL MECHANICS -FOUNDATIONS &11•0 RUFFIN ROAD SAN DIEGO, CALIFORNIA 92123 September 21, 1979 Subject: Project No. 79-8-26F Gentlemen: Moisture Contents in Subgrade Soils Lot 20 of La Costa South Unit No, 1 Carlsbad, California Tll:LIE .. HONI! (714) 11811-19118 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 ct the subject site in Carlsbad, California. The soil samples were obtained on September 19, 1979, end the results of the moisture determinations ore presented cs follows: Approximate Location of Samples Southwesterly portion of proposed building area Northeasterly portion of proposed building area Depth of Sample Below Existing Grode (in Feet) 1.0 2.0 3.0 1.0 2.0 3.0 Moisture Content (% dry wt) 15.6 16.2 18.6 19. 1 15.7 16.8 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 at the locations sampled have been sufficiently moistened to minimize the potential expansion of the soils, as recommended In our report under Project No. 68-11-23D, doted June 23, 1969. Respectfully submitted, BENTON ENGINEERING, INC. By£~ ~-U:? R.C, Remer Distribution: (3) Addressee RCR/PHB/jr Reviewed by ~~ RCE No. 10332 ,· PHILIP HENK ING BENTON PRl!SIDIINT • CIVIL IENGINl!l!R The Gregor Company 229 North El Camino Real Encinitas, California 92024 BENTON ENGINEERING, INC. APPLIED BOIL MECHANICS -FOUNDATIONS !11140 RUFFIN ROAO SAN DIEGO, CALIFORNIA 92123 August 23, 1979 Subject: Project No. 79-8-26F Inspection of Lot 20 Gentlemen: La Costa South Unit No. Carlsbad, California Tl!Ll:PHONII: (714) 589-11111115 In accordance with the request of the Buik'ing Inspection Department of the City of Carlsbad we hove mode on inspection of the soil conditions existing on the subject lot. An inspection was made by a representative of o,,r organization an August 22, 1979 and it is concluded that the soil conditions ore essentially the some as presented in our report on the grading of this subdivision dated June 23, 1969. The soils in the upper three feet below finished grade were classified as Type A (critically expansive) one! therefore the recommendations for special design and precautiom presented in the above dated report should be incorporated in the plans and specifications for any proposed construction on this lot, If there ore any further questions concerning the soil conditions on this lot, please contact us. Respectfully submitted, BENTON ENGINEERll'-lG, INC. Byz:e'C~ R.C. Remer ( ~ .. ,,,--·7/~ ~-- Reviewed by c;--.·' ½-:/ ~~> -.lP~h TI"1 ~i p'-;H-i'.,'"e"'n.?--to-n""','-;!c""i v"""'i;-rl.:,E""n""g":i-n-'e e.._r;::--..:.::'--'-<-!=--c>--- RC E No. 10332 RCR/PHB/jr Distribution: (3) Addressee 7 /28/78 LEUCADIA COUNTY WATER DISTRICT APPLICATION FOR SEWER SERVICE Owner's Name Willi am G. Porter Mailing Address Two Compass Court Long Beach, CA 90803 Service Address: 2508 La Costa Avenue Tract Description: lot 20, La Costa South #1 Assessor's Paree l No. 216-160-20 ----"--'-.c.._~_.cc~-------- Phone No. (213) 431-2767 SEWER PERMIT ISSUED UPON RECEIPT OF BUILDING PERMIT. BUILDING PERMIT MUST BE APPLIED FOR BY Q-a -ro Type of Building s.f. No. Units l Connection Fee ---------$ 600 .00 200.00) Lateral Size: 4" 6" 8" Saddle Easement Connection (pre-pd Extra Footage: @ $____ Extra Depth: ___ @ $ __ _ Amount Rec'd illCC)CD Ck. No/Cash ~l &lD Lateral Fee Prorated Sewer Service Fee .L.\,CO,CQ Date 9:::13-Q Rec 'd By 60 , ,) Total $(oC(),CQ The application must be signeo 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 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 appli- cant'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 DISTRICT AT THE TIME INSPECTION IS DESIRED. ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLEC- TION LINE WITHOUT PRIOR APPROVAL AND INSPECTION BY THE DISTRICT WILL BE CONSIDERED INVALID AND WILL NOT BE ACKNOWLEDGED. The prorated sewer service fee is based upon the date the District estimates that service will begin and covers the balance of the fiscal year. There will be no additional fee or refund if service actually colllllences on a different date. For succeeding fiscal years, the sewer service fee will be collected on the tax roll in the same manner as property taxes. The undersigned hereby agrees that the above information given is correct and agrees to the conditions as stated. /-/s-29 Date 1 mo~ Accounto. <~ ,, ..:..{ --:f ' ' .t, " 4 ~ ,;,._,:,,,· .. ' ,' ,' ;: t ;j ; '" J,_ ~ ~ V\. ~ crrv Ur-.. rt"" -- .,,-.. , .\<(.;>;/ !, -! >:::: -;:,;✓ ' ~ ._ ·-· . 'I(.. • .-\ · '>ddu/ ,,1,: ,• ' ' . ' •+-' ._,, ~(/~ (11;-~-~ ·--. -.'. ·:) u ._ ..... ¥-..,_ ,., o· L.J\.> ... L~t.)A . .--. ' ~ -',d ,.,1 -~ '. -): /, ~ This Certificate issued pursuant to the requirements of Section 306 ~ .. ,,,~y·· ";'; of the Uniform Building Code certifies that at the time of issuance ~ this structure complies with applicable ordinances of the City 1 regulating building construction use. <{ 3 ~ « <} ~ ~ <€ <-Z j Use Clo,iJicati011 Single Family Dwelling Bldg. Pe,mH No. 79-5042 Group tf. 3 Type Construction VN Fire Zone 3 Use Zone _____ _ Occupant Load----~--"'"""'__c..::.:._ _______ __,--------::-----,-------- 0 f .1d. W1.:)..l1..am Porte;ir: . .A"d _..,;2:.cs:.co:.cs-=-::L.c.a·;...' .c:C.c:o.c:s-'tc.;a....cAc..v;...e:....:... ___ _ wner o Bui m~., ... , . _ ' , o ress BuildingAddre,/-'; 2508'!.a·;Gosta Ave.t · . ·i. f!'l,~ .. , ·•--•~ .... -. f·,. ·" _ .... _______________________ Date {;/u u..u\,,; .L v , 19 8 0 NOTE: Alterations, changes, additions or changes of occuponc:y n1.1llifies this certificate. (Post in coupic:uous ploc•l ~:, ;;-,. ~~ .. " ,,,,. ~ }> ~ ~ }> ~ t ~ ~ t }> }> }> p ~ }'> ;> ~ ~ ~ ~ <~ <~ ~; \-' .;' ''f';, '/~i -"y'\l":.J 1t1\/\f~'--~l'\'l·f\·f··f\) ·/·//'.} :;t-:;r<:) \_, .,'./\'')'\? .'/ · -., ,,, l\':;• ~-":l r·:'fi\J,~;,\~r-❖·-\\'. .. ·'-7'W\/::z i j l . ' •-'· -;.;" .. -., ' AS,--I•: ;-S.;i..-,;,,o.,.-~ ...... _ ---..... ,.,...,; ~~"""'-'·· ....... -..... _.s...;;::, "' :::.!;,-'.::::_~ ... ~. ,,..,,, I, I ·. . ..... ' ,--.. '. ' ..........