HomeMy WebLinkAbout2646 GALICIA WAY; ; 76-2620; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008, 11'·"11 ~1~73*****313.50
Applicant to complete numbered spaces only. Phone 729-1181 Permit No. ~_)/ )0
JOB ADDA [!S ASSESSOR 'S
7h~~ C::..ALtCtA WAY, .LA c ~9 5· r /a.. PARCEL NUMBER
LOT NO. Jll?_J~ ~~I Ct A
BOOK
~AG El
PAR.
LEGAL I A~r· 10sct ATTACHED SM£[. TI /' 1 DCSCA. QG t.-V A '-I ~
OWN[R ~AIL ADDRESS .,, .
A 96""'':r .1 j 2 ,C.f) Ill I ,JJ ~ r, £'hi// /1 ;=,;= fr~; CJ t:. At ,.,,_..,I-/ 5T' ~.~ )-,<('Jf-1.
CONTRACTOR MAIL ADDRESS ~M 0 ·,4J/~ \._STATE LIC, Na:_.7 CITY LIC, NO.
3 /; /'J Iii! l\ ~i0 ~ r~lLtJ rP J 1 It; h /. '51 -.... •A -, .., ·, ..,
•RCHIT(CT OR O[SIGN[R MAIL AOOR[SS PH01 -LIC CNS£ NO. I 4
ENGINEER MAIL A00RE55 PHONE LICENSE NO.
5 -.,
=~lfh' ~~ flu/"'-.
-eOMPENSATION INS. CARRIER . _ 5TA-f7:'~"J='Ag_f't> J.~
BRANCH
6 ... .. ~ ·-' -~ &,, I Uli L !-"'--.. I . .... .
USE OF lhJILOING / ~ 1 S'FD NO. BORMS ..,J_ NO. BATHs.2 'Z...
I
8 Class of work: ~ NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: ~ _ 0 ~ _/_.~ -: ~'" /. _
-. .i --. . .
I / V
10 Change of use from
Change of use to
~ .,..~
11 Valuation of work: $ s-~-<;£5°"'3 + I 4<A F~/s"-.. " --o I /99 " 0 PLAN CHECK\E $ 9q 5 PERMIT FEE S ,
SPECIAL CONDITIONS: MICRO FILM FEE
Type of ""(' ·N Occupancy I J -Const -Group -
s,ze of Bid~ I '30 No. of ~ Max. --(Total) Sq. . Stories 0cc. L oad -77 Fire 5 Use 'R -I Fire Sprinklers '""7J"l PLANS CHECKED BY ;:?t"'""" Zone Zone Required 0Yes ~ Ii No. of OFFSTREET PARKING SPACES:
DAT / Dwelling un,ts I No. 2_ Sq. FSo G, !No. Covered Open
" NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL , PLUMB PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
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. OTH ER (Specify)
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED TH IS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERN ING THIS WATER DEPT. 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.
51GNATUJIIC o, CONTfllACTO" Ofll AUTHOflllZ[O AC£NT V (DATE)
V 5 1C.NAT"fU o, OWN£R II,. OWN[flll au1\..0EfllJ OAT[)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH r~~
TOTAL FEES $ ---------
.... ......... -_.,. ... Ji,_
N!Ol -;L NO.-----------
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 5
Applicant co complete numbered spaces only Phone 7 29-1181 Permit No
Joe ADDA (SS ~
ASSESSOR'S
6 & AL I( w l /\ Cos r/-i PARCEL NUMB ER ,
LOT NO, I ac· r I ~,..c:'r BvvK PAGE I PAR. l.W,l. I tO s tc "TTACHto SHCL r J 1 DCSCA, _,{." i T -.. /Ct/\ vV ii" , . -,
OWN£A MAIL ADDRESS ti. PMOt~ ( -
2 J,..:,/.2. ) S"° h /i /') I • /t,, .. ,, ...: )
CON TftAC TOR l• .. O,IL ADDRESS PHONE STATE LIC, NO, ,, CITY LIC, NO. 3 S"" /I It../) I -,. , ,, ,, " -:-I
ARCHITECT OR OESI CHEA MAIL AOOR (SS FIHON [ LICEN5£ NO,
4
[NGIN[ER MAIL AOO~ESS PHON E LICCNSE NO.
5 ""' , .
COMPENSATION INS. CARRIER S7/J M AIL '1,0Dftt~SA r BRANCH
6 -,.., \
·-;! -~ ,
USE 0 ,. 8UlLOING I 7 . .A • NO. BORMS NO. BATHS ..
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE fl
9 Describe work: 'vt.1 r ,-,,,r: ...../ ~ .t<,. r. \ /aaJ'.,c~ A'~1r-~n 11Jfl q /"\ / /JYV ~ ... : ;11
-JJ \ \ / \J 10 Change of use from
Change of use to ..... •'-_:....,-. , --
I Valuation of work: $ i·";:>-er., ·--r I 11 (J<',) PLAN CHECK FEES PERMIT FEE S
SPECIAL CONDITIONS: MICRO FI LM FEE Type of Tr N Occupancy 1 Const. Group
Size of Bldg. I No. Of ~ Max. -(Total) SQ. Ft. Stories 0cc. Load
F,re ) Use I Fire Sprinklers APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone Zone Required 0Yes 0 No
No. Of OFFSTREET PARKING SPACES:
_./ I ., I
'No. Dwelling Units No. • DATE DATE Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT. ING, HEATING, V ENTILATING OR AIR CONDITIONING . HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON STRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF Fl RE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR A BANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT , THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIV E AUTHORITY TO V IOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
~~~.h:z.,,,,.,O ~ ~1,.~~~//-7-77
StGNATU .. [ o, CONTPll:ACTOA 0111 AU THOlll:IZ.£0 AGENTµ/(} (DA TC I
51GNATU"£ 0,-OWNER I F OWN[" BUILOEIII) OAT£)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M .O. CASH PERMIT VALIDATION CK. M .O. CASH .,
INSPECTOR
INSPECTION RECORD --DATE REMARKS INSPECTOR -
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
USE SPACE BELOW FOR NOTES, FOLLOW.UP, ETC.
4-26-77 NO PLU~rnING PERMIT Sewer -Okay B. Nelson.
4-29-77 Fdn. Forms and s t eel: O.K. B. Nelson..__~~~~~~~~~~~~~-
5-6-77 Grout: O.K. B. NElson
ELECTRICAL PERMIT APPLICATION
~ -City of CARLSBAD CALIFORNIA 92008 ' 77.3?/'/ Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOB ADDRESS
., j -,, '. {:7 ) I
LOT NO. 1 BLK, l TRACT (QSEE ATTACHED SHEET) LEGAL I 1 DESCR,
OWNER • MAIL ADDRESS ZIP PHONE
2 ,_ r},e(J ...S,¥~,I. -
CONTRACTOR MAIL ADDRESS PHONE . ~ STATE LIC. NO. CITY LIC. NO .
3 . {:,I/, f -. •• T'.;;j -r,· I 11 Y SS GLE'CTT~IC I ~ ;( J
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6 _--r7. / -
USE Of' BUILDING •. I ---
7 J'; • ..
8 Class of work: IE..NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE <-~ ~
NEW CONSTRUCTION, FOR EACH
AHLICATION ACCEPTED BY PLANS CHECKED BV APPROVED FOR ISSUANCE BV AMPERES OF MAIN SERVICE, SWITCH, ( • FUSE OR BREAKER ~s /e · }
/ __.// DATE NEW SERVICE ON EXISTING BLDG.
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 120 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE 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 ANO 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 ANO INCLUD· I PRESUME TO GIVE AUTHORITY TO VIOLATE DR CANCEL THE ('-PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP.
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ..,.)
{/J v'? /1) -~~h; TEMP. SERVICE OVER 200 AMP.
...,,_., PER 100
I ' SIGNATURE Of' CONTRACTOR OR AUTHORIZED AGENT (DAT£) ISSUANCE FEE I..
TOTAL FEES -/
s GNATURE lF oWN•R !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
INSPECTOR
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JO& AOD11t CSS
'I_• .. ,, ~/\~ J r I ,1. :c' ~,/ L /~ ,,-.,,~ ' f,/ ~
LOT NO. I OLK I T~ACT ..
LEGAL I -1 0£SCft, ,-y~ vr/.,,. i,/ J I
L . -~ .
OWNUt MAIL AOOIIICSS 11~ PHO Ht
2 lb ,./ >/67'/L/JJ, '/ 71' AL6 -" CcfN TNAC TO .. MAIL ADDRESS PHONl. STATE LIC. NO.
3 --Ill_;; f< t; IA <J .)Q 'RY* I -V . I. •. ' .l.~-/ -
.utCH1"rCCT oA oc:s1GN'EA , MAIL ADDRESS PHON £ LIC£NSCN~ -
4 .. ,..----___ ,../ ("J-1 /L !J. r ,
ENGINEER MAIL AOOACSS PHONE L IC ENS£ NO.
5
COMPENSATION (NS. CARRIER MAIL A0011[5S 8flANCH
6
US[ OF' 8UILOING
7 A I .n ,_ --I ~~cf:.-,~, -.J ..... ~~ ~
"' 8 Class of work: QNEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: 1<.~1or,I, ti /:. I Al> { 1-1
9
fJL t) / \ 1"1 J
/ I
PERMIT FEES
No. Type of Fixture or Item
SPECIAL CONDITIONS WATER CLOSET (TOILET) ?
BATHTUB I
LAVATORY (WASH BASIN) 7
SHOWER I
PLANS CHECKED BY APPROVED •OR ISSUANCE BY
DATE
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC
TION AUTHORIZED IS NOT COMMENCED WITHIN 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 EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND 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.
KITCHEN SINK & DISP /
DISHWASHER ,
LAUNDRY TRAY
CLOTHES WASHER I
WATER HEATER /
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
GASSYSTEMS,NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS _/
CESSPOOL
CITY LIC. NO.
·. -/
.;:
Fee
$ .J/ _.
I )
, I )
) ( f)
' )
' .
I , _J-t,
I ~.·1
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-,;('~~~ ~./~ ;7-;_..~7 ~+--:-~-:-T-~C-D_TR_A_:-l:-S-&_P_IT~~~~~~~~~~~--t~~+--------1
51Cl,l'J;TlJflt!. O"'P'"""tONTfltACTOflt 0911 AUTHOilll'IZ.EO AGE.NT ""'" tOATl)
ISSUANCE FEE $
SIGNATUJ'£ 0,. OWNCfl 11,-OWNEflt IUILOCPI) DATE) TOTAL FEES $ • 4
WHEN PROPERLY VALIDATED {IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
MECHANICAL PERMIT APPLICATIO~
City of CARLSBAD, CALIFORNIA 92008 ·~, 201'* *"' • • t
Applicant to complete numbered spaces only. Phone 729-1181 Permit No. / -?{/ '£,9--
JOB ADO"-E.SS /
'" ,,.; A ,..J I, .... , .t-.I, ( G ~ Tl.
LOT NO. I OLK
I TRACT t0SEE A TUCHEO SHEET) LWL I 1 ouc~. T /I ·-_.
OWNC."-MAIL ADOIIIESS ZIP PHONE
2 1 I A,l . 1 ~ rl I I. ( , ... • I -, t', th~ ~ I -~-
CONT .. ACTOIII MAIL ADO"ESS PHONE STATE LIC, NO. CITY LIC, NO.
3 Ne-./i 7 (" C, // ~ _,..L _,
AlltCHITtCT 0111 DESIC.N[ft MAIL ADDRESS PHONE LICENSE NO. ,
4 ,!"l C::->I,,/ J: j -........
ENGINE.[111 --MAIL AOOfltSS PM ONE LICENSE NO.
5
LtNOUII: MAIL ADDflt(SS efl,NCH
6
USE 0" 8UIL.01NG
7
8 Class of work : QNEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
Type of Fuel: Oil 0 Nat. Gas D LPG. 0
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.
Forced Air Systems-B.T.U. M Ea. It
APPLICATION ACCEPTEO BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Gravity Systems-B.T.U. M Ea.
/) /~· Floor Furnaces-B.T .U. M
Wall Heater&-B.T.U. M
·1
j
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 ..
MENCED. Range Hood ,
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO 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 AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONS TR UCTI ON.
..,,-.,, /I # A-,A # //~7-7~ -J . ..f j 1 / • # I •
SlGNA."'tU"( 0,. CONTIIIACTOIIII O,t A\JTH0111ZfD AC.11:NT t ·u COATll .
ISSUANCE FEE s
TOTAL FEES s /I? V •IGM.&.TU .... o, OWN~fll ,,. OWNf:fll •UII..DEII OAT£ 1' .
WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
CI'J.'Y OF C/\HJ,S JIJ\l) ---------·----
J3UTLDHJC DJW /\n'l'MI·:N'l'
SlNGLE Pl\Ml LY l\ND MUL'J'JPLE Fl\MJ.LY lillS I DEN'l'Il\L PLJ\N
·coHJ<EC'.l'lON 'LI S'J.' ~fJT . f' ,· J. C!, So t
' P Ll~N CIIECK FEES , WllEHE NO ACJ'ION I S T,"".\1<EN DY ·r11 :r..: l\PPLICAN'r
IN 1 20 Dl\YS , /\ND NO DU IJ D1NG ~ERMIT IS I SS UED, ARE F ORF E ITED
TO 'J.'iIE CI'I'Y .
lIOH ADDl~ESS ; 2.__<[t:./b r;_tfi..i~LCJ. A j,),./_,6-.:j..:_. _. __ OWNER :_ £I] t1)A ~ J(J S ~//L:__~7/::. L=-__
CCN'J'PhCTDR: 1£._()IM_A 12 {.) ·--$ H IP'V:E__ ENGINEER: -------------------------
FIHE, zo~,m 11.RCI ll'fEC."T .£!2J!Ltl fl. JO f d / b<Je..E_ __ USE :tiONE ------· ·---------------··-
OCCUl)Jil'JCY s:J..µ-$.LL _;f A MJj.~ __ }:'iPE OP C'ONS'l'Rlx::'I'ION £fl.!..C _<2..__VALUJ\'J.'IO\f ---··--·-------.
~7\SIC'. l~LJQ_;~§_L1~ l2Ul!:DING J\J"U:'~_: 1st F.loor _ _i:Z._f[:}_ ___________ 2nd Fl oor y l-j/
3rd Flcx)r -~-----4th Fl oor .' •. 'I
J-lJ_,If.J:!l\BLE J.NCHEJ\SE DUE 'ID ------------·-·-14 • Cl\RRY 1·JATER F'RJM
rn:p.UIRED PTl\NS . . UNDER SIDJ,.:\;lf.,Ll< T!iROUGH curm JN"IX) S'l'W::E.T
~ · . h1I'J'f1 Cl\ST IRON PIPF
---......... ~ ...... , &t.,r: ,.-,.L\ .C.,.J 15. PROVTDE ENGI>1E}·'RJ.JV.' (--.11,·0 ur 111··10·1c ',\"I) r.Y"\UND7.1'f'-10~1 r:-J· 7\ll 6 ) . ik , ..... -S ..., \\.:J -'\J./~ ... n .. ,\J,_, L'vL ---
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1;, GEL·~I::HJ'J, PRt~MI1-~G 8. HO::::f' PL/IN 16· 1·:,-1~')'·r10·-"F."~,-r~1rn-fi11!L,..~~-~dr11!f'r<'1 .. -..,==
. ;tt,IDCX SHEl:T ' \\. v. ,J 'frr·V-lfC -'~"-''rf-,rf-.,.,..~r,~J , •
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.. TE"• 1t1 ~ls--· ·;,c!'iif-I.\Jfftlf E M,tcw-~ tt'J4TW:1?2. AFP!~ow\L m:QurnEu .
A CD'"' ;-·;.' r,rr,,·,~, COPJ~E:CJ'ION LISI' EN:;_ 1 9..,...SPECJF ' c·~CtSI'E ;,1JX (1 2 000 P .S.I. !•1INH.f.J!v;,
-· ;_;E[\] cncu:o. ~ · . .:.,'. ... ION l:D)Tlf'K; srz1:;s A'\JD CLEARY~CE
B. JJ.\lCX)~·PlL TE I P ffi:CF'D\II'l'f'. OR FADED DR.i'\WD\JC;S FR0,':-1 GRADE .
OH C'.LACul .. A'l'10~~3 ViOT ACCEPTlmLE. 2 l ---S1J0.v D.SP'l'fl OF HX)TINGS B.CL0.v Nl\TURl\L OR
c. J®)Ull,EiJ E~G.D.\!E:CH Is OR SUlNE'LOR Is C,NDISTUH.t.:,.t,L) G!-<llDE . ;:t;~~~t~f'TQ% or. Vi .. .-7\NS SI~ALL BE SICNED 224..,,.JND~~~-PRES/>t~-:;.:r~.21\'I'ED FOUi\1TJi,TI0:'9°S~~e
D. RE\7£PSE PL!,,NS j,j]W Nar BE: USJ.J). POOVIDJ~ ~CX:J R)llt\1Di.'\'.rION OOLT STZI:' SPACTNC.0,!'v"D
CORRECl' PLGl' PL.i\l\J, FDl~TDD'l'IO:-J PLJ.I~, ~~~11.8Tr-J\'l'I01-J INTO CONCRE'I'E .0 ">'.17 ··vna l•lit56~'
FLOOR PJ..l\}J , At,JJ) ELEV?\TIONS. 2 4, INDIClm~ CLE:\RuJ'JCE I:W,':--1 GRADE 'IO FD1'r0t1,;f.J
E. TfIB J\.PPR')Vi\L' OF PLA!.'\JS AND SPECIFICi\'l,IOi'JS 0:F FU:Xm JOlS-:;'S l\J'\'D GIRDERS . . •
J)')ES Ncr.r PER\JJ'I' 'I'l:IE VIOLA'l'IO:i! OF N\JY 25. SlICA<J PIER sr:m, SPl\ClNG N:.JD DLl:'TJl, ):l'.i"j_'O
SECI'ION 01" Tllli BUILDING CDDE OR OI'HER lli-1DI S1'URBED SOIL.
CI'I'Y, COUN'l'Y OR STJ\TE LN;v. 26, SHOW GII\DER SIZE , SPACI NG l\ND. DIRE( ,'ION.
27. Sho w a 11 c on ct i t i on s o f s oi 1 s r e o o r t
Gt::!\lERAL · on Dl ans . ·
J.. SOBMI'r FUILY DI MENSIONb.'"'T) PI.OT PIAN , Dl~hN 28 . S h' 0 \,j . PO S, i t i V e d r a i n a (l S:: a W 0..:Y f r O Ill p I_~
•ro SC1\LE , INCLUDJ:NG ALL FJ\S~WRrs ON ~o ti nqs on si t e n 1 a n . 5'.' f a 11 in 6 feet .
PJ.DPERTY . . . · . w )ECIFY MIN_l:;_\ilJM 18~'X24 " hCCESS OPD:JJ}~G
2 . m JC,W AlJ., EXISTI NG AND PR')l?OSED BUILDI NGS . -.
ON PH.YI' p · O. 1~ h e 1~ e e x p a n s i v e . s o i l s e x. i s t , p 1 a n t e r s
llOW COR ·'CUEG: DESCRIPTION ON PLAN . e nt to foundation s _?re not r ec:o mn,AHI~
'll();v JiJ or,?t,• :: I MPOOVEMEN'l'S , DRIVE-PECIFY UNDE~l L(X)R VENTIU\TION EQUAL 'J.'() ~ 5 -=:i" JtiAY /-,l'Pf.Q LI C:rr S'rl~ND/\RDS , F I RE 2, SQUl\.RE FJ.::8r lt>H El\Cll 2:.i LINFJ\.L FEET OF .
~JYDW\NTS , \vl\TER METERS, SUB-STRlX..TTJRE .. S , FOtlt\11.)AT ION PLUS "ONE OPENI NG lvIT!lIN 3 ' GF
'J.lf/J::P.S , ETC. _ t,,(f!t~ . . El\~ll CORNER.
'"'JffIBCI' LO.l' DI.MT~SIONS. fG-"b. • l N ~£?r 32. STEP FCOTINCS h'!·JEN SLOPE EXCEED~~ l : ~0.
QI~ EXI STI'.'JG /\ND Fl NI Sil .CONTOUR LINES. . l,.,;..I~ -.. I I --~~~ ~ -,.
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nmIC'J\TE l\LL GJ'v'\DING 'LO .BE [ONE. 3.3 .. P.J~\TI!)E '};YPJCJ\L FHl\MlNG l)I:;]'/\IIS. ~
lNDIC'J\'l'E ELl~V,\'l'IO~J~~ OF (:;/\l v\GE FIDOH,1"'· ~ 3'1-SPECH'Y .. ALL LUMnJm G!V\!)ES . · :·i 1
l\NO_ ~T:~I'~~N~ DR[~·,Y :, .·. ) ;•· . . 35-SPECil:'Y Firn~ !,ra::JGNG l\'l' FLOJR, CEILING COVE
10: IND icArt=c, .. 1',l1J ,.., · • NIJ LfX.E l HOlILE J\ND HT.DIIEIC'JJT O[' Wl\J.LE, OVJ·J( 10 FF:1::1· l N li'r.
OF' DHIVEWA'{. . 36. SIKM D.T./\0.)N,'\L BHJ\CING l\'L' l::J\CII CDl~Nlm J\ND
~PE OF f11\JVEW.1W N011 'JD EXIT.ED .l 5 %,,0 -
ll""INDlC:i\'l'E Fl t1.'1 LlNES FOR QI[.3POSL\t.. OF q 6-J-I EVER'{ 2·S LTNl·:J\L Fl.::I::1' OF' 1'1/\LL.
SOFY/\CE \v/\'1'1·:H. I ~ ~ • . . . 37. Cl.l\H..U"l nJ V\ClNG 01:-WJ\T.L.
l.3. LA COS'I'7\ J\PPHtk)(L rmni ,num . 30. f,IICJ\v SIY.r:, DlHJ::Cl'JON l\NU :.;P,\C.I NG 0 1•' l·'!t.:X)R
1 3a.S .D.C ._1IEJ\T/T'JI _IH:P'J'._/\PPHOVl\L .RCQ. l\Nl) CE.Tl,lNG ~mr~:iTS . .:,01:;·1·:~ ---------·--··. 13b. Show .02-.!. HEQunrnr-n:N'J'~~ F(rn_ 0 _ ' IN /\HE ov1·:1i::1·/\NN1-D.
llt\NDJC/\PPl;'.l). unc Se c. l"lJ . .l.. ,r,..~ ~ .39 ... J)()lJl ll.l·: l•'U X)H ,"JOJ :;·1·t; on -·-
l\1-'.!\M 111\J!)l·:I ( l '/\IU\l,1,1 ·:I. l '/\!{l'l'l'l ()~J'.;, , Jc J,,('. \-./.1). :,Fwr:r-Tn·:CJ•:JP'J' Hf'.(JlJHU·'.n. /i(), ::i•J-'.('11•'\' lii·'.1'\Jll:11 ::1 1'.I·: !Xll( (ll'INII-Ji':•; 11\.',:H ,1 ' • . ;:11·1; J.i i11:•1,i; !: :;,.1,11·!: (lil 1:1x·.1 ••
42-11LXJV.I IJI·: Jihl·'J 'l-:1 { Ti I'.!~ \!JI 11-:1·:1·: Cl·:J L .lNG
,JOlf>'fS N JI) H/\FJ'f-:n.s l\rn•; N'J'O l'/\PJ\Ll.,tL.
'1 ' o. c.
IJ 3. Ilm I CJ\'l'E Hl\FTEH SIZE , SPAN , r.;r.2\CINC
N,JI) l)'fl{l·:C.'J'J Ol,J.
'1'1. Sl J(J;y PUHL] I J:; ON E[X;E l\ND INlJI C.l\TF:
SIY.8. Same !:.~.i.:;::e as raft2rs min:imum.
~5. BJV\C.C J~.X>F FPJ\Mll~G 'JO Pl\]{l'J.'l'JO:--rs .
46. J NDlCl\TE /X)L t D ~:,lll::.T\'.l'JI) NG A),)I) 2:-:G
OH 3>:'1 STUDS Oi'1 F JHS'l' FUJ'.)R OF 'J.'LmEB
S'J.DffY. CO>NJ.'HLC'l'J.CX·1.
4 7 • SJ JOH SECJ.'J CY.•J 'l'l II i)lJG! I
48. SllO'd P[,N.J'l'J·:H P0X DE'l'l\l LS /iND Wh'.l'EH
PJ«X:W.[NG, SEC. 2517 C7 .
51.-PR.JVJDE 'l'YPIC71L CIJUNEY D~;:I'l\UJS .
:i2_,SPECIFY 2 u HINI Mf;M CLEAMNCE
BGlWf:EN Olll:~'.\"J.:Y. l\.ND FPJ\lvffNG.
53. SPEC, ;---r POST PnOJ'ECrJO)l 1Yfll::N BEATUNG
CX'1 CO:JCR,Sl'E .
54. PlO\T.IDE P,'\Ri"0?E'J.' DEI'lul.S.
56;,_r_;PECHY INSPECl'ION CIASS ----REQUIRED FDR ---
58-,P:,vVIDE DT([P SCREED 2u DELGW MUD SILL.
59 . INDICl~TE J{O;,J REQUIRED S'l'RUCl'LiHAL !~\JD
H\J.i!.J.'l~IHSD. \-vHERE P2.JLTRA.'.I'IOi.\1 WII.L
BE MZ\DE fDR ELEC.!'Ric_Zl,L , MECH/\i\!IC.l\L,
PJ.,U,ffiING Al~D (\)~,::-1UNICiYrIONS co::-..1DLJJ'I'S,
Pit1ES A1\JD SIMfl,l\R SYSTl:11.S . SECI'I ON
3 01 l .
~ floor ;:u-eil --]:J squo.i:e f02t m..i.n .
e. :cept bal:lu:oon1) •
G3 . .PJDVInE VER'.I'ICAT., ----------CL:&I\HANCI~ l\ND
IJORlz:O:-JTl\L C'.I.£.A.l{i\NCB Fl"D:-1 Ri\t\JGI~ 'IDP
tro CO:'.:'IBUS'1'll3LES.
64._'fNDICl\TE Z\TI.'IC SCUJ'TL.E (22"x30" MIN.)
65. PJ1:)V1DE mm.FT SEPJ\R.J\'I'ION' r•DR l\'.I'I'JC
AREl\ IN EXCESS OF 2500 SQ, IT.
66. SEPJ\Ri\'l'E 1mrl\ BEJ\vEEN Dl~PPED CEIL ING
l\ND FLCX:m l\B)VE 'J'O J.000 SQ. F'T'. M.1\X.
67 ..... Sl'F:CU 'Y S'rl\Ll, s 11rnvER MJN .,h11J"Jl'Jl ]0 ''
MT.NI.MUM FLCDR l\REl\ 900 SQ. IN0 1r~s.
G8-SP1':CHY \vl\J . .L FJNTSI! I N ST1CX,1T::1~ i'\HE!\
NOT 'J.\) DE l\DVr·:R~l·:LY l\FFECI'lm lW
f.DJS'l'UHE TO (1 '/\P.OVE 'l'I ll~ FLCX)R, l\ND
PROVI DE Slll\'L''l'EHP!W F JXX)RS.
69-hl/\'l'ER CT..OSET l\H.El\ MINURJM \vIDl'l r 'l'O
DE 3011 ••
70.SHO~ ~AT ERIA L TO BE USE D UNDER
TILE.
71. OPEN1Nc;..c; CJ .. DSEH 'l'fll\N ------
'l\) l'J()Pl::m.'Y L1 NE ~:11/\LL HE OF ---HOtJH CDr\J~>'l'HUt:l'J.ON.
,_. '·
'/3 .
JU ..... ------·---'----·--·--·--· .. _ . ., .. _ .. ' . ~·--. f_ • ~ll'J',J L/\'l'J·:JV\l, CH.J:;s l.lH/\C.l !K.; i\'J' GAt·:!,Cl·: 1'1/\'l'E ...
L'l NI::.
7,1. SllCJtl J.m DH(:X:)11 \•lINl.x;.,.,r i\S 1·:Xl.'l', f;J.::CJ'J.ON J.J0'1.
c_. ..
ET ,E\1_!\'J']~~)J~SJ ~ .
·1,;u:r.o :n l\'l.'I'lC VL:N' l.'U.Nl'.L PJ.:.:R [.;J::Cl'JGN ~~ 320'.> (c ).
( SI 1a11 /\LT.,' 'Ell.Ve OVEJ~I I/\NGS AND CO>l:;'J'rzucr1rn~
. DEJ.'Al J.,S . ?~·· ~ DlMJ·NS10N Cilll'NrY. JJEJ.U ':'r 7\1.X)VI.:: ncx:w . ~ (2 ' O" l\D)\m HCX)F WJ'J'IJ'i'N 10' O") .
78..,..,. It~OI(.:i\'J'E Fl ! HSI I 1\NJ) Nl\'l'Uf:'J\L GFJ;l)E TO
l.>HOPF.Rl'Y LTNE.
7 9 •. S JJO'll EX'l'EJUOR \-;Ji'\.LL PINISJJES.
80-INDJG'\'l'.G E,1/ PEJ..Jr OH EQUl\1 , ON EXTERIOR
Wl\LLS.
RO:::>F
~' 4
'JDIC.'..1'\'J.'C R(Xlr'J.i'JG Ml'-,.TERll\L LENGTll & h'EA'l'Tl0R
"~1!"!111''1.'~·xrosuRE O~'J \TJ()l) SllINGLES.#1,S Gt/ * + 111!!1 ,-.. ;a • .;nu i 'l'YPE , SlZE /\ND SP/~CHJG OF lWF D +
SHEl\'I'llING . fo-> 1
• FIRE Hl·.;]'l\RDNvr R(X)F REQUIRED DUE ·ro J.JXNJ'IO:.'J
TI.\f FIRE %:00lE .
Gl\ R?\Gl::S
86. GARAGES i\'OT PEE11I'J.T.ED 'IO OI'EN nno
STJ:;1?PING R()J>1.
87. PROVIDE SEPi'\171\'l'lO;\J'
ON Ji.LL W\Ll.,S 7..:0.JD CEl LINGS l\D.Jl\CE:J'l' 'J'O
LIVING QU/\l{T'ERS . ·
88. SPECIFY 1XXJR/h1INW.v
Of-'E.")INC ;-'!-~~ c._;,_!-'J".CE/C']\P,!)())~t J ?.~'I\:)
S'I'l-urn\17\YS i'I..ND EXITS
90. PROVIDE Ill'.NDR~ILS ll.S REQUIPl-:0 IN SECTI ON
3305 (i ).
l \TIDE. I ~.
vWLL .ic4At&,#4~
INDICZ\TE
JIJ'lD MINI.MOM RCN ON
HOUR L ·,S fDR S'l'l\IR .
~ -4..
Mll.XI.MUM RI~~E
·-·-------·-----------ST7'JH.
95. PHOVIDE fl7\T.J.:.'ONY
ni-:rl\ 1 r..s.
100. OCCUJll\NT LOl\l) OF ruX}Uim~s
EXI'l'S-MDM ----
101. rHOVll)E L J.Cl rrs OVEH S'l'/\lJ{\.\//\YS l\Nl>liuiiLTC
CX:mHUX)Jt."~.
1 02. S1J0t>J CJ1i\Nf~E :i:l\i .,,.LO(JH LEVrL J\'.l' DOOf<S
') ,'.
MAX. ·sec. 3303 h. p~4.
now 1·11\NDlUq:1, )J)(IJII:IIJIH!IU~ 6 Ii JiM!l/01,n ~
Q.'1Jl3 I.JtQP f l?O'l''l'QM JHlvlJntl t\ 'J.'Ei<M l NJ\-
I N l\ P OS'r on t.::J\FJ::'J.'Y 'J't•:l·!MJNl\r,
S<'C , 3 3 0:i (.i).
103.
104 .
PLUMBING
INDICATE LOCATION OF WATFR HEATER .
Sl!O~J Tt:MPERATURE AND PH[SS URE REL T EF
VALVES ON \~ATER HEATERS WI TH DlSCllf1RGE
I.INES TO OUTS IDE . SEC. 1007
MISCELLANEOUS l T[MS
1. BORED HOLES AND NOTCHING , SHOW DETILS
AS PrR SECTION 2518 , (F), rn, 11.
2. PROVIDE ~9,;;FT . AREAS OF THE FOLLOvJJNG :
105. t~ATER HEATER NOT TO !sl LOCIHEO rn RATHRf~
OR UNDER STAIR\iJAY OK Lf1NDitlG .
LI V I "IG __ ~-:fif??rzt_ 1 1 3 O S p__f:±
G\f<AGE __ 4 c2_6:_ t+~J3L
PORCIIES_L.6 {;' S f) f + Lf :15tJ -l 06 .
108.
11 0.
Ji 1.
PROVIDE • SQUAkE I NCHES
OF V N-Tl LATld'f~ AT TOP '/1ND BOTTOM
•1 HR HE/\ TER. 1
.~IJO\-J i/ATr:R !IE/HER ON 18 IHC H
PLATFORM.
PROVID[ WA T[R PRESSURE REGU LATOR.
SECTION 1007(8).
JNDICATE MATERIAL TO BE USED AND
LOCATION OF SEWER LINE. (IF V.C .P.
us~ FLEXIUL[ COMPRESSION JOINTS
ONLY .)
SH()\,I nm \!{\Y CLEAN OtJT IN Y,l'.RD BOX
WITH 51 OF BUILDING .
ELECTR IA L
112. PROVJDE tl1INUr~Ut1 100 A!~P . SERVICE .
115.
l JG.
CONDOS REQUlR[ 100 AMP . PANEL
FOR EACH UN I1 .
SHOW AETER AN~ PANEL LOCATTON .
~ FIRE WARNINGS SYSlEMS CEN·rcR[D
0\ll:.R STAIRS. SFCTIOf~ 1310
M[CH/1N I C/.1.L -------·-
!ND I~A r. U ,l. SI Z _O IONS &.
I{ I G I H.1 ~ J IL Z F
INDI ATE HEATJNG EQUIPMl:NT , .CORiJ-
f\NCE \./ITH U!t'\PTER 7 OF UNirORM HOUSING
COOF..
SPECIFY HEJ\TTf~G, AIR CONDITIONING
AND VF.MTl li\TI f-lG EQUIPMENT . INSTALU~--
TJO,~S 10 COMPLY \-HTH TIIE UNIFORM
M~CHANJCAL conE . .
A. ACCESS
B. LOCATION
C. COMBUSTION AI R
D. VENTING
E. RETIJRN AIR
F. DUCTS .
G. LAD DER & LI GHT
H. ENGINEER Is
CALCS FOR
ROOF LOADS .
11 7. INDICATE LOCATION & TYPE OF FIR E
DAMPERS.
EL ECTRIC.
,-975 N.E.C.
·1ROUIW-F/\ULT PROTECTI ON REQU rnrn FOR
OUTDOOR AND BATHROOM flECEPTACL[S 210-8.
, T LF./\S T ONE R[CEPTCAL SHAI.L f3E INSlf.l.L LED
OUT OORS AND GARAGES . 210-2~b
eDRRE CT ELECTRIC AS SHOl~N~~ OH PLAN.
PATI OS 1 o t,S
f3ALCON IES b'.4'~ 5' f) .p-1 S..s-_:f![J.)
Gl£s 2 _&:,-3 [Ji!_.£-!_.J-.-~
~ INSULATI ON l<EQUIREMCNTS: ~.!~;, t8fL=: (&. ~HOW 611 INSULATION IN CEIUNGS ~~$.~
~HOW lx BLOCK FOR INSUL ATION .S10? AT
.-----...VENTS .
~ -IIOl-/ 4" INSULATION IN \•JALLS. U<-11)
~~ HO\~ EXlFRlOR DOORS vJE/1.THCRSTRT?ED.
PLACC THE FOLLOWING NOTE ON PLANS:
TH ESE PLANS COMPLY \•/ITH THE
REQUIR[MENTS OF THE CAL!fORNlA
NOISC I NSULATION STANDARDS.
SIGNED
DATE ---
TITL[ --
. '
F. SIIOvJ DET/\ILS OF PARTY \·/ALL {\ND t-LOOR
SYSTEM AND S.T.C. OR l .(.C. RAlING
OF EACl l .
4. HAVE DES1G~ER SIGN A~D DATE PLA~S.
.
i
CHECKED~ ~ /J '""j ( DATE )--f-----
RECHECKEh• I~" · (i5Aif) .
TH E FOREGOING CO RRECTJ.ONS HAV[ 8HN MADE
AND ARE UNDERSTOOD BY TH E UNDERSiGNED :
OWNER -OR HI S AUTHOR TLED AGENT
\
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT DATE:
~ BUILDING ADDRESS:
PLANNING DEPARTMENT
RECEIVED
!i1AR 7 1977
CITY OF CARLSBAD
Building Department
ZONE e-l-7~ LOT SI Z E_~)&){;t__.__,_,_)"-";i==--L OT WI D T H_---'7..i../..c...)_/.=j::..__ __ _
UNITS ALLOWED UNITS PROVIDED -------'--------__ __,_ _________ _
PARKING SPACES REQUIRED 2-. PROVIDED ~
-% COVERAGE ALLOWED 1til..a PROVIDED--if---J~~-------
BUILDING HEIGHT ALLOWED __ }j+-,,j~~-------PROVIDED c;/_(._
ALLOWED
FRONT SETBACK:
1.0/
PROVIDED_-2_"'.LJ....c_l _~-
INTRUSIONS 2: lf4;<.
SIDE SETBACK:
71
7'
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
OK TO ISSUE
ENGINEERING DEPARTME~
'R.O .W. ______ INDUSTRIA~ WASTE
OK TO ISt'tJE: ---
FIRE DEPARTMENT
REAR SETBACK:
f tl vn~
SPRir;KLING SYSTEM ----------~FIRE PROTECTION EQUIP. _______ _
-.iF I RE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
~AD COMMENTS
OK
PROPRIATE DJ RICTS
...
1 q
INTERDEPARTMENTAL INFORMATION SHEET
'
•
BUI LDING DEPARTMENT DATE RECEIVED
..
BUILDING ADDRESS:
4
UNITS ALLOWED UNITS PROVIDED ---------~~ -------::=------~
PROVIDED }ARKING SPACES REQUIRED ----------------------
-------------% CO RAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACfs,:
ALLOWED
PROVIDED ------~
INTRUSIONS
---------~
SIDE SETBACK:
LANDSCAP'E & IRRIGATION PLAN COMMENTS:
VIRONMENTAL PROTECTfON REQ:
PROVIDED
PROVIDED
REAR SETJJACK:
{
• ADDITIONAL COMMENTS :
, OK TO ISSUE: ____ DATE ____ OK TO FINAL ________ DATE ____ _ ,
OK TO ISSUE:8/(... DATE ;!<5/77 PW~~CT6 FINAL i::2<1L DATE7/-7,77
FIRE DEPARTMENT
SPRI~KLING SYSTEM FIRE PROTECTION EQUIP. ----------~ --------
FIRE ALARMS EXITS ----------------
FIRE HYDRANTS LOCATION ------------------
ADD IT ION AL COMMENTS
WA1JR DEP A~Ij«IIIT
RJfUIREMEijJI OF APPROfJJATE
DATE -------~~
LEUCADIA COUNTY WATER DISTRICT.
APPLICATION FOR SEWER SERVICE
Owner's Name: Edward Shiloff Phone No.453-5383 -----------------------
Mailing Address: _5_4_96 __ B_l_o_c_h ___________ ~---~
San Diegg, Calif 92122
Service Address: Galicia
Tr:ict Des·cription: lot 86 La Costa South 1
Type of Building: single family No. Units _l __ Connection Charge$500.00
Lateral Size: 4" 6" 8" Saddle:
Extra footage:
Extra depth:
___ @ $ __ _ Easement Connection-
____ @ $ __ _
Amount Rec'd$ 500.00
How Paid 1294 Ck
Date Paid 3-11-7 ~=-;-.,~---I Rec'd bv g.franklin
---
Lateral Charge
Total $500. 00
The application must be signed by the owner (or bis 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 RPWPr ~nc:,t-o ...... +-t... ........ ___ .... ___ ,_ r---·
m::1"1,..... ",.,.11 --L-~ -
, f Directors of Leucadia County l!atcr D·istrict
Rcsohition No. 5~.2 of t'.1e [.oai:dl o ti at sc1·"'l' connection appl·ica_tions and conn .. 18 1971 proVHCS l · '~ . . 'tf ti' adopted clunuary , -_ _ _ 1· b the o·istr·ict only in connect:on I'll 1_ 1;: __
,: cction c:1ilrges shall be d~ccptbec ly C ty of s·u1 [J-jc,go or the City of CcirLliacl.
I• issuonce ol btrildin(J perrn'.ts y t JC Olin.. ch~reocs shal"I not l,c accepted at
j/ • . t· . pplicotions and conncccion ~. . t (30) days · Sevier conne~ ion a c. ,. ·t · ot issued 1·1ith"in tlnr Y. . ·
any other t1 me: I! a bu11 m ng pei:m1 is n e are accepted by the 01 s tn ct an~
after the appl 1cat1on and connection ~h~rg bject bui"iding pen:rit, the appl ica-
. construct-ion is not c~mrnenced pur~\w~ ~ ~~e connect-ion charge returned to the
tion shall be automat1cally cance e an . .
applicant .
... . ------.. ~~•~uu 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,-' P.lus disconnection if
necessary.
The undersigned hereby agrees that the above information given is correct and agrees to
the conditions as stated:
~~-r!.a#:h# 3-11-7 6273
Account No. Date