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Home My WebLink About2629 La Gran Via; ; 76-3646; Permit.... ... MODEL ~o._/_5 __ ,_\.i_C)_G __ _ BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 / Applicant to complete numbered spaces only Phone 7 29-1181 Permit No JOB AOblll rs.s ASSESSOR"S ,~7 ~ ~ V~4-1 PARCE L NUMBER LO 1 NO. Im I TRACT Bvv" P AGE I P AR. LEGAL I ,. 4 7 tn SEC ATTACHED SHC[TI 1 DCSCA, I OWNEft MAIL AOD .. ESS 21 . PHON[ I I q s . ' J 2 ,_ I -T Nl n-r ,HE:" ·-,, ~ L) l-1.J ''\(.J ( A•\ u ' -1 CONT!ltACTOR M AIL AOOA[SS PHONE STATE LIC. NO, CITY LIC. NO. 3 • >_ ' I ~~ _, •L ARCHIT ECT OR 01.51GNC,t MAIL ADDR ESS PHON E LICENSE NO, 4 ---~ ~ \ I I 45 J, ~ \ ,Jdtl -",l. «-(, -I" } ENGINEER fl.AA.IL AOO~ESS PHONE L.ICENSC NO. 5 ,o.,., ... i {.,. >,• I J •"' ( (. - ,, -'{;"' j 1:"' -(.:, ,, -COMPENSATION INS. CARRIER MAIL A00,-£5S 8111ANCH 6 i -~ -'"" p , ..... ). ,. J J'1.I {,' -A I'-H .{. ~v t Ac» ---~ .i) J-t'/.J( USC or 8,JJ.LOING ~ 7 n ;;;;,I NO. 8'i\Hs ; NO. BDRMS - 8 Class of work: □NEW 0 AD DITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE ~ I 9 Describe work: ~~u-rl . , L..n~ .. .) •... l:·.;J-... Tl ON ""l,. S lt-J(.,. .._ C ~ ~1w,' '-r -~ \\. \\ ~ f\...'1-/ 1~ \(~~1 ~~ -~ 10 Change of use from /) _ .. ~. \ - Change of use to "1.c/.~·~ \. ..,.. ~~J;/.~ e, \\ 11 Valuation of work: $ s8-3.50~ PLAN CHECK FEES ~~ I --~ C PERMI T FEES_/ SPECIAL CONDITIONS: -MICRO FILM FEE Type o f Al Occupancy / ~~ Const. Group S,ze o f Bldg. jC-No. Of I Max. -(Total) Sq. Ft . "3~ Stories 0 cc. L oad Fire Use r ~ F ire Sprinklers APPLICATION ACCEPTEO SY PLANS CHECKED SY APPRQ,llft) FOR ISSUANCE BY Zone -Zone Required 0 Yes 0 N o No. of OFFSTREET PARKING SPA9ES • ...;., ·-·, / INo. L tfATe: Dwe11 1ng Units No. DAT E . Covered Sq, Ft. , .' Open N O T I CE Special Approvals Required Received Not Requ,red SEPARATE PERMI TS ARE REQUIRED FOR ELECTRICAL, PLUMB PLANNING OEPT, ING. HEATING. VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. TH IS PERMIT BECOMES NULL ANO VOID IF WO RK OR CONSTRUC· TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR I F FIRE DEPT CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WO RK IS COM - MENCED. OTHER (Specify) I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME T O BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS A ND ORDINANCES GOVERNIN G T HIS TYPE OF WO RK WILL BE COMPLIED WITH WHETHER SPECIFIED WATER DEPT. HEREI N OR N OT, THE GRANT ING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE O R CA NCEL THE PROVI SIONS OF ANY OTHER STATE OR LOCAL LAW REGULA TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 5 1GNATUR t OP' CONT,-ACT01' 01' AUTH0 1'1t[0 AGENT lDATC) , SIC.NATu .-:c 0 ,. OWNCIII (I F OWN[ .. I UI LDtllll) (DAT £) WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK . M.O. CA SH /.-f' I .. / TOTAL FEES $ _..=::....-~.=....:.... __ -__ INSPECTOR INSPECTION RECORD ~ DATE REMARKS PEC"TOR --,-- FOUNDATIONS: SET BACK \ TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY FINAL 7 -j' .... -;) 0 k' ~ USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 12-10-76 Fdn. Forms-Not ready morning, not ready night. B. NElson. 12-27-76 Gradinq Foo-ting and Temp. Power-Corrections Included . T. Mat-a. 3-4-77 Frame -Okay B. Nelson. 3-25-77 Insulation: O.K. B. Nelson 4-11-77 Lath and drywall: O.K. B. Nelson .,so 0 PLUMBING PERMIT APPLICATION 0 City of CARLSBAD, CALIFORNIA Applicant to complete numbered spaces only OWNEIII 2 CONTlltACTOflt MAIL ADD .. CSS PMONC LICtNSt NO, ST ATE CITY 3 ARCHITtC't 09' Ot:.SIGNCft MAIL ADDA£S.S PHOHI. LICE.NS[ NO, 4 [NG INCtft MAIL ADDllt5S PHONE. LICENSE NO. 5 COMPENSATION (NS. CARRIER MAIL ADDRESS l"ANCH 6 ~-u ~~. •~WGD 7 • 8 Class of work: cffiEw 0 ADDITION 0 ALTERATION 0 REPA IR q Describe work: PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ ✓ BATHTUB LAVATORY (WASH BASIN) SHOWER I KITCHEN SINK & DISP I DISHWASHER I ") APPLICATION ACCEPTED SY PLANS CHECKED ev APPR<lllEII FOIi ISSUANCE BY LAUNDRY TRAY ' 1---..-4---------------------+--+----I / CLOTHES WASHER / J ,, / WATER HEATER , ) c) 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 DAYS AT ANY TIME AFTER WORK IS COM• MENCED I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME. TO BE TRUE ANO 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 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF' CONTIIU,CTOIII 0111 AUTHOfl\ZCD AGENT (DAT[) I / URINAL DRINKING FOUNTAIN FLOOR SINK OR DRAIN SLOP SINK GASSYSTEMS·NO.OUTLETS WATER PIPING & TREATING EQUIP. WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER CESSPOOL SEPT IC TANK & PIT ROOF DRAINS PERMIT SIGNAT 1111: 0,-OWN[III IP' OWN[" 8UILO[JII) lOATt) TOTAL FEE WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. INSPECTOR -~Ofl ... $ $ ~ I CASH 7~-!;0tf'5 INSPECTION REPORTS DATE ITEM REMARKS INSPECTOR USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 12-10-76 Underground Plumb.-Not r eady mo rning, not ready night . B. Nelson. 12-16-76 Soil line and underground plumb.-Okay B. Nelson. 3-4-77 Gas and Rough Plumb.-Okay B. Ne lson. ) ELECTRICAL PERMIT APPLICATION · City of CARLSBAD, CALIFORNIA 92008 A ,-pp ,cant to comp e e num ere I t b d spaces on y. Phone 729 1181 -Permit No._ JO a ADO,. tSS l 11 -~-(. I I I , l b /?A1v0 l'~ l'i -I . 0..)7 /f I LOT MO. Im I TftACT Qsc, ATTACHED SHE£T} Ll:GAL I 1 OUCft. . ----7 /4J, ,> OWNUt MAI\ ADD,.tSS "> .,. (" i) PlitONl "1''19_. ry:i 2 J< . I I T. J.11AolioW -,·, ,., :,(' G,"' -u'],,,J 1/f,I; () ' ~' ,_ .. , I ' CONTfll:ACTOIII MAIL ADD,.CSS • PHONE) u--,.,~,.., LICENSI. NO, ST ... TE CITY 3 /. L J I r I I(. , , ~ Co1.1.rr: (r -//{, £';(,'CIA/A -t f. ,, , UV6/W I Ii ·; f r I -, ·~.;; .... .: ,' ""CHITtCT Ofll or.atGNf.,. MAIL ADDJlltSS PHONt. LICENSE NO, 4 CNGINt.E" MAIL ADD"ESS PMONE. LICtNSC NO, 5 COMPENS ... TION INS C.,_RR IER MAIL ADO,.ESS Bl'tANCM 6 us, or BUILDINC. 7 .,' 8 Class of work: tfNEW 0 ADDITION 0 AL TE RATION 0 REPAIR 9 Describe work: 7EA,A. -I· .1'1 -,Ii: at/, re. , PERMIT FEES No. Each Fee SPECIAL CONDITIONS: ISSUANCE OF EACH PERMIT ~o 1,;:.~ f,-: NEW CONSTRUCTION, FOR EACH APPLICATION ACCEPTED BY PL ... NS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER 1--" ,I DATE NEW SERVICE ON EXIST ING BLDG. FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE, SWITCH, FUSE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF OR BREAKER CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DA% AT ANY TIME AFTER WORK IS COM MENCED. IN SERVICE, FOR EA. AMPERE OF I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE APPLICATION AND KNOW THE SAME TD BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE~ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED It°'~" HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· s-PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISICNS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ) .-~I TEMP, SERVICE OVER 200 AMP . {,_ .:,,/11 ltt1 (~j -17 PER 100 i. , . •tGNATUIUfOP' CONT"ACTOIII 0111 AUTH01111%1t0 AGE.NT IDATlJ J PERMIT FEE 7 ,.,. N•T n,-nwHrfl 11p, OVWNIR av1Cn1tfl DATl:I WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. 1111.0. CASH PERMIT VALIDATION CK. 1111.0 . CASH INSPECTOR - 1,, ..,, t ELECTRICAL PERMIT APPLICATION n City of CARLSBAD, CALIFORNIA 92008 "' 7,l'' / ~ l ... J Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No '- •27. JOB A00fl CSS J Via LOT NO. I OCK I T~ACT <Osa:c ATTACHED .SHEi.Ti CCGAC I 1 DUC~. OWH[flt MAIL ADD,.I.SS ZIP PMONE. 2 ,.mn J -mi--=~ --m---:, ,: ,~ . 1,-L••--.... -~ -.T-:-i/1 c•·-- C.ON TIIIAC TOllt MAIL ADDlll£5S -c, PHONE LiCCNSt NO, STATE CITY 3 . i..c 11326 r:.-"! Lrlc~ '1,0..1"81i :M , L l , .. . .,_ A"CHITECT o,-DESIGNI." MAIL ADDlll:tSS PHONE LICENSE. NO, 4 I.NGIN[Cfl MAIL AODJIESS PHONE. LICCNSt NO, 5 COMPENSATION INS CARRI ER MAIL ADDfltCSS lflANtH 6 ... 1rui1. USE 0,. BUILDING 7 i .._......_]-~,~ 8 Class of work: ID NEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: m-e ... ,... ,., r.,ri ...,--ii/Im~ - PERMIT FEES No. Each Fee - SPECIAL CONDITIONS: ISSUANCE OF EACH PERMIT 4' Inn, --- NEW CONSTRUCTION, FOR EACH Al'PLICA TION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER 'll'n ~ ·"IC': rm V i· ' NEW SERVICE ON EXISTING BLDG. --DATE NOTICE FOR EA. AMPERE OF INCREASE 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 cm.~ REMODEL, ALTERATION, NO CHANGE MENCED. IN SERVICE, FOR EA. AMPERE OF I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE APPLICATION ANO KNOW THE SAME TO BE TRUE ANO 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 TEMP. SERVICE UP TO AND INCLUD-PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. J~ / / ~ P.:lk TEMP. SERVICE OVER 200 AMP. PER 100 -'- alCJNATUIU. OP' CONT"ACTOIII 0111 AUTH0fll%1.D AG~NT &nt,L; •• PERMIT FEE .,~._,,.,.., 911'. OP' OWNl'.11 "" OWNl" aUILDE." fDATI.J ---- vv WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR 77-&r ;)- INSPECTION REPORTS DATE ITEM REMARKS INSPECTOR USE SPACE BELOW FOR NOTES, FOLLOW.UP, ETC. 3-4-77 Rough Elec.-Okay B. Nelson. •• MECHANICAL PERMIT APPLICATION -· ~ity of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 7 29-1181 Permit No •--4 J08 ADON i:ss 11 I··,, 1 A t;..ieA~ ! ., l-1 t .. L.OT NO, I OLK -I TOAC T ccm I tOstc ATTACHED SHEET) 1 DUC~. OWNt" MAIL. A00flt[55 ll P PMONC 2 I ,I~ lll,~ ././ "~"" ,~C: J '> ·If { FN('/NA A< ( '.) ( l O IH •t~• (, , I ,.. I' ! CONT .. ACTO .. MAIL ADOACSS PtltONt STATE LIC. NO. CITY LIC. NO. 3 , ' ,,1,~ 14 hr;_w .re .,, 1-I ,. ~ A ,\ A-be",(. ~ l,Z., -'i '1 '} <( 1-1 ? ,· 4. ', ) A"CHIT[CT Qf' OCSICNUt MAIL AOOfltCSS PHONE l.lC CNS£ NO, 4 ltNGINCUI MAIL AOOAESS PHON E l.lCIE.NSI: NO, 5 L CNDt:N MAIL 400111£55 8NANCH \ 6 US[ 0,. 8UILDING 7 8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: Type of Fuel. Oil D Nat. Gas D LPG. D PERMIT FEES 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. ,t . I I Forced Air Systems-B.T.U. .. v M Ea. r~ APPliCATION ACCEPTEP BY PLANS CHE CKE O BY APPP.OVEO/OR ISSUA,¢E BY Gravity Systems-B.T.U. M Ea. /11 A /I/I 1 1 J. Floor Furnaces-8.T.U . M Wall Heateri B.T.U. M .... NOTICE Unit Heaters-B.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 . J , . PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-.. Ventilation Fan .\' U<.. MENCED. / Range Hood ---=> c...(._,I I HEREBY CERTIFY THAT I HAVE READ AND 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. 7 .I J Ji t117f fr,,.' ,, I , {r I J . 't• .... /I I I 'lt SIGHATUlll:E o, CONTfU,CTOJIII 0111: AUTHOttlZED AGENT IDATC) , .,,. ISSUANCE FEE s , .,, - fir o,-OWNUI fl, OWNER IU ILDElll:I DA.Tl TOTAL FEES s,/,"'-v1· 1 WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O . CASH .:. INSPECTOR --- INSPECTION REPORTS --~---------- DATE ITEM REMARKS INSPECTOR - --------- - ----------,.--.---- ------- --- -----~ -- ----_ ___.__ ------ USE SPACE BELOW FOR NOTES, FOLLOW-UP. ETC. 3-4-77 Heat-Okay B. Nelson. ~· / / ,.. INTERDEPARTMENTAL INFORMATION SHEET "\_ '!UILDING DEPARTMENT ' :'.::: RE'C'EIVED ~ B~ILDING ADDRESS: «i~ tt2E~""l'2 MAY 28 1976 ... ·· · X. 2lw-c q, ~,., .1 " eiT; ~ 0= aur; i:t~hffiW~0 •---,.--~~r=;:;;;---_,_ M~~..µ.µu:i... __ ZONE J( -f -75'D1J UNITS PROVIDED LLOWED-,,..q.__J-PRKG. SPACES ?JVIDED ol REQ. __ % OF COVERAGc_..-1.<,µ,....-ALLOWED BLDG. HEIGHT ()_{, ALLOWED ___ _ -FRONT SETBACK_--1,,,1.,__SIDE YARD, _____ REAR YARD·_..;::,, ___ INTRUSIONS ___ _ ----- ISSUE PERMIT ENGINEERING DEPARTMENT R.o.w,._----1ie-..:-?=.rS.:..,;.Yl.1..M.,._.t-,'1--______ INDUSTRIAL WASTE~ i"'} IMPROVEMENTS ~ 'CC"'ir(&fr SEWER CONNE<::TION,__,,,G--=~-~~~~-------- i:lrRIVEWA Y LOCATIONS,_..,.0'-''"""""'•:....~J..&..!>~f.:.!...IT"'-'--'31L-t"-""ES\.L.::.::e.:':..._ ____ GRADING PERMIT _____ _ ASEMENTS N ~~ L DRAINAGE ..,...0 S,_:3:rqt.fi LE'GAL DESCRIPTl-i;:;:: u ' Vf◊ A :::--,,. o,,:.. : ADDITIONAL COMMENTS,_· -------------------------- ISSUE PERMIT 'l2, £he: Yl g,-p., DATE 9 (-z,,s/1G OCCUPANCY~ ,d/ DATE ::zo.:n:,cz 2 / flRE DEPARTMENT . SPRINKLING SYSTEM ___________________________ _ FIRE PROTECTION EOUIPMENT __________ _rlRE ALARMS, ________ _ EXITS ________________________________ _ FIRE HYDRANTS, ___________ _ LOCATIO,,"---'------------... ADDITIONAL COMMENTS __________________________ _ ISSl.lE PERMI_T ______ __.,,AiE: ______ OCCUPANCY _____ _.,ATE, ____ _ )p!'IER DEPARTMENT C fv1 W D, ________ CARLSBAD ___ _ ' \ [¥DITIONAL COMMENTS _____________ _ E PERMIT _______ DAT.._ ____ _ T TO PLANNING ------- URNED TO BLDG. ------- • 'I'ypc;; ___ O_f_-____________ _ I & H III IV V -1•~asonry Halls, -St1_;cl -Wcxxl Fram:: cunc.slau E.'VERY BUILDIJ\:C ffr);)UUlE:3 l\ c:EPl\lWf'E PElt•lIT ------------~--------~---------- DESCRTP'l'ION SF Of Floor Arcc1 G."10• I 1:------------+------- l\., B, ,~-udi.toriurn.s, rr'nc::aters [Churhcs, Sd10::>ls I & II 47. 00 32.00 30.00 29.40 1) t, ·t, 56.00 53.70 ___ 1-45.60 27. l 0 ---!"::::~:1~~;,m, Haros '°. 30 .. 3L2JJ ·1-3~3~_~2~0--+-----+------ r:, F, rnd•.1-ot~:i_alPlants _. 21.90 16.00 13.90 [ 14.00 12.10 ! ~~~-~;/:(yrc, iv I ---+--~~~--_____ _ _ ___ -I __ 1 ~: i~L __ 1 ~ J~ ______ _ or G ! h:,_r,.,_t.ou-:::::''--~------, _l_J_.60 __ H.00 --11.SCi J 12.30 f __ 10.1 ___ ; ----- ! Office Atc•ac; ! --Same os Oifice Hldqs. i I I '--+-----_-_----------,---------, -----------•-------------·--\· ---(--------------;----------------r-· ---------------------------,------------------------ l!;~:c::l'."J1c~~;:: l_:Ilc12't1'-------__ 30~;~-------~~~~~-' J~j~_j~~:~~L_l_l~_:;,X L ____ - 1fl.2~:t:.1l.P' ... ?lni..~; . 'H~ 2n i ~)? '.)_() ! ?1 Q() J ?(l u, I l,.., i ....... ;../---t----M.-.,_._ .;.. ___ ,. __ ...,_._,_....,__.~.-..,____----t __ ~•-·'.__':'-'----- J~ J\P' I :::_; L_;-_, l .. :.u1 ,.~.) ' ' ' :.l ', . .LL'··-I ____ r~---JU-lliL . _i;'.t<, llU ___ _l __ JJ:L ''U __ ~------______ I 1::. ::)')if"·:"-; J~!i.rv:i ce ) l ___ 9.60 __ _1 I ----_____ l.VN_ I -·· ------l ------, .. ------"'.;):i ·i.c Gn:::-;_qc~) 1_8~~'½,J 75. JO l 3. 10_! 13. HJ I 13. l 0 I ------------~ ---I 37 .40 24.50 -22.50 21. 70 I rs. , ECTr~LS , M:fJ.Y,IS i 171' ---·--1-· ,)'jl_e I ~_r_age ,2: 13. GO f-----24.30 ·,.~:..iLlli...:,::i ----· --Patios I & l-1 rches, B'1lconies I' ~r l...2.,023r~ I 4 . o o ::>_21:>: -- s-2::ent Gar-:1.ges -- ---=~'-'_,i Pr:Lv. CrlE:.~-~/1' r--- _aq,orrs-0p-"11 1 _, JGi c;hing Sprinkler I ~•~ 6~¢ ]ix:,~ E:(;, ?ir-2-E..xtin~- ~\-' .s Lcm wa • .pr.Lnk le u Air-Cond i ti O II i nq Co111111r re i al Adu $?. 00 Sq. Ft. Residential " $1 .25 Sq. Ft. -- 13. 60 -I -- 9.70 -~-~i-.~ 5'o_l4 ----- -J. _____ I__ ---------- foot of . fr ]Sd - TOTAi VALUATION; -----~--.--~-----~ -··-· ------·---------------~-------------------·-------------- Pile Fdns. .,,----, Cast in Place $4.00 L F i-1ICRO FlLM FEI-: --~~-~• ••~=-•-'v•••----..,-•-~••••-----t!X'J-·--Steel & Pre-Cast-$~:.oo LF 7/ -------·-----·-------PL/\N ClffCK FEF: -· 11-tJ---•-•~--•,., ••---• •----•-,.-• ••--•• •r BLDG. PERMJT ffL: t c.-(t . ' -----------·----·----------------TOTAL PERMIT FEE: Owner's Name: LEUCADIA COUNTY WATER DISTRICT APPLICATION FOR SEWER SERVICE Bruce T. Matthewson Phone No. 599-5910 -------------------------- Mailing Address: 671 Redwood Ln San Dimas, Calif 91773 Service Address: La Gran Via Tr~ct Description: lot 447 Lacosta South 6 Type of Building: Single family No. Units 1 C . Ch $500.00 ---onnection arge _____ _ Lateral Size: 4" 6" 8" Extra footage: @ $ __ _ Extra depth: ____ @ $ __ _ Saddle: Easement Connection --- Lateral Charge Total $500.00 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 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 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 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 commercial .. 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 ~ :11/Jd: 10-13-6 5521 Owner's Signature Date Account No.