HomeMy WebLinkAbout2651 MARQUITA PL; ; 80-514; PermitOWNER-BUILDER DECLARATION
DI hereby amrm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 7031.5,Buslness and Professions Code), Any
city or county which requires a permit to con-
struct, alter, Improve, demolish, or repair any
structure, prior to its issuance also requires the
applicant for such permit to file a signed state·
ment that he is licensed pursuant to the provi-
sions of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that is ex-
empt therefrom and the basis for the alleged ex-
emption. Any violation of Section 7031.5 by an ap-
plicant for a permit subjects the applicant to· a
civil penalty of not more than five hundred dollars
($500).
0 1, as owner of the property, or my employees
with wages as their sole compensation, will do
the work, and the structure is not Intended or oI•
fered for sale (Sec. 7044. Business and Profes-
sions Code: The Contractor's License Law does
not apply to an owner of property who builds or
improves thereon and who does such work
himself or through his own employees, provided
that such Improvements are not intended or of-
fered for sale. If, however, the building or Improve-
ment is sold within one year of completion, the
owner-builder will have the burden of proving that
he did not build or improve for the purpose of
sale).
0 I, as owner of the property. am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not ap-
ply to an owner of property \•ho builds or im-
proves thereon, and who contracts for such pro-
jects with a contractor(s) license pursuant to the
contractor's License Law). I am exempt under Sec _____ B. & P.C.
for this reaso ------------
Date Owni!r
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con-
sent to self-insure, or a certificate of Workers'
Compensation Insurance, or a certified copy
thereof (Sec. 3800, Labor Code).
POLICY NO--------'-llf.Ll~-I--COMPANY ______ _,f+---4~---
□Copy Is filed with the city.
□Certified copy Is hereby furnished.
CERTIFICATE OF EXEMPTION F
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ii the per-
mit ls for one hundred dollars ($100) or less).
I certify that in the performance of the work for
which this permit Is Issued, I shall not employ any
person In any manner so as to become subject to
the Workers' Compensation Laws of Callfornla.
'-NO'fleETO APPLICANT: If, after making this Cer-
t'::iiate of Exemption, you should become subject 1,.-ie Workers' Compensation provisions of the
Labor Code, you must forthwith comply with such
pro__vlslon\0r this permit shall be deemed revoked. .. .
• CONSTRUCTION LENDING AGENCY
..,..,e Is a construction len-
-~---...od< for
CITY OF CARLSBAD-BUl1..DING DEPARl Mt:::NT
USE BALL POINT PEN ONLY
CENSUS TRACT GP LANO USE
BLOG SO. FT. BLOG USE
QTY. PLUMBING PERMIT
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/DR VENT
EACH GAS SYSTEM 1 TD 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL., ALTER, REPAIR WATER PIPE
EACH LAWN SPRINKLER SYSTEM
WATER SOFTNER
TOTAL PLUMBING
CONTRACTOR
QTY. ELECTRICAL PERMIT
3 PH
1 PH .25 3 PH
REMODEL/ALTER PER CIRCUIT
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
Issue
TOTAL ELECTRICAL
CONTRACTOR
APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
ZONING RES. UNITS PARKING SPACE Sf
#
OCC. GP ST ANOARO PLAN 1/. TYPE CONST
AMT.
AMT.
QTY. MECHANICAL PERMIT
INSTALL FURN. DUCTS UP TO 100,000 BTU
R 100,000 BTU
BOILER/COMPRESSOR 3-15 HP
BOILER/COMPRESSOR 16-30 HP
VENT FAN SINGLE DUCT
MECH EXHAUST -HOOD/DUCTS
TOTAL MECHANICAL
CONTRACTOR
QTY. MOBILE HOME PERMIT
AWNING
PORCH
SET-UP
RAMADA, CABANA
FENCE OVER 6'
TOTAL MOBILE HOME
AMT.
AMT.
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
PERMIT NUMBER
NUMBER Of STORI ES
OCC, LOAD
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILE HOME
SOLAR
MICO-FI LM
TOTALFEESPAYABLE
0
Nat V1/id Unless M1chin1 Clrtifi.J
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY.
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN O R NOT. I.ALSO AGREE TD SAVE INDEMNIFY AND KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
•AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5'-0"' DEEP AND DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
OF THE GRANTING OF THIS PERMIT. OWNER
• UJ < 0 ~ >
V
SITE
ADDRESS:
INSPECTION
I WOOD FLOOR r---FORMS• SET BACK• TOILET i FOUND,ATION •
I UNDER FLOOR PLUMBING
UNDER FLOOR HEATING
OK TO INSTALL SUB FLOOR
SLAB FLOOR
UNDER SLAB PLUMBING
FOOTING• FORMS• SETBACK • TOILET
OK TO POUR CONCRETE
FRAME
ROUGH ELECTRICAL
ROUGH PLUMBING
ROUGH HEATING/VENTILATING
FRAME OK • PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK• PLACE TAPE
EXTERIOR LATH OK• PLACE STUCCO
FIREPLACE
DAMPER & STEEL
PLATE TIES/HEIGHT OF CHIMNEY
OTHER
TEMP POWER (POLE)
i SEWER
\ GAS TEST I
I SWIM POOL• STEEL BONDI NG ' ' j • PRE DECK r FENCE PREP LASTER I •
I SHOWN • FRAME
' ' . PAN
FINAL INSP BY BLDG DEPT
! OTHER DEPT'S REQ COMPLETED
iELEC,tETER-PERM-TEMP .__.___
I GAS METER-PERM-TF:M"' , _____
j I ·-' ! ~--~-! '
rCE.i,T OF OCCUPANCY ISSUE·~-
DATE '
..
~;;,J'/
I
-80 --s-1cf
' OWNER: I
.
\ l'
FI ELD iNSP ECTION R'ECQRD
INSPEC-iC,R
~ ·-T~ •',. 1 I NSP~CTOR'S 'NOTES
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'
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi-
sions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes-
sions Code, and my license Is In full force and ef-
lecl.
OWNER-BUILDER DECLARATION
□I hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 7031.S ,Business and Professions Code), Any
city or county which requires a permit to con-
struct, alter, Improve, demolish, or repair any
structure, prior to Its issuance also requires the
applicant tor such permit to file a signed state--
ment that he Is licensed pursuant to the provi-
sions of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that is ex-
empt therefrom and the basis for the alleged ex-
emption. Any violation of Section 7031.S by an ap-
plicant tor a permit subjects the applicant to a
clvll penalty of not more than five hundred dollars
($500).
□ I, as owner of the property, or my employees
with wages as their sole compensation, will do
the work, and the structure Is not Intended or ot-
tered tor sale (Sec. 70«, Business and Profes-
sions Code: The Contractor's License Law does
not apply to an owner of property who builds or
Improves thereon and who does such work
himself or through his own employees, provided
that such Improvements are not Intended or of-
fered for sale. If, however, the building or Improve-
ment is sold within one year of completion, the
owner-builder will have the burden of proving that
he did not build or Improve for the purpose of
sale).
:Jt, as owner of the property, am excluslYely con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business end Professions
Code: The Contractor's License Law does not ap-
ply to an owner of property 1•ho builds or im-
proves thereon, and who contracts tor such pro-
jects with a contractorjs) license pursuant to the
contractor's License Law).
I am exempt under Sec _____ B. & P.C. tor this reason ____________ _
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have Nee
sent to self-insure, or a cert ·c
Compensation Insurance, or a
thereof (Sec. 3800, Labor Code
POLICY NO 11,, /~ ~
~::::yflled with thif
□ Certified copy is here
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the per-
mit Is for one hundred dollars ($1()0) or less).
I certify that In the performance of the work for
which this permit Is Issued, I shall not employ any
person In any manner so as to become subject to
the Workers' Compensation Laws of Callfomla.
.., NO'tlCE.TO APPLICANT: If, after making this Cer-
llfir.ate of Exemption, you should become subject
to l he Workers' Compensation provisions of the
Labor Code, you must forthwith comply with such
pr~vislon! or this permit shall be deemed revoked. .. .
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction len-
ding agency for the performance of the work for
which this permit Is Issued (Sec. 3097, Civil Code).
CITY OF CARLSBAO-BUILOING DEPARTMENT
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (7 14) 438-5525
0-1<aS/ i/l/f¾/?tfJ.rJ/ 17FJ , 1 fl ;
0q6;; 1 i lA 1 Go, 5,'""T~ I
tR~T' 1°3 o~z:l~N
OWNrKeZ:7 J:?~q ' OWNER'S PHONE PRIME CONTRACTOR
/53-ic??? RcYA ('O?_q /i1C
°770AILlm SS ~JR r-e: ~ e:;;c ~ CONTRACTOR'S ADDRESS
t?' / -(
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
BUS. LICENSE PERMIT NUMBER /_,yC/<Jf" ~,,~~f4i j7s?lo/ -17·'
CONTRACTOR'S
~~ . -?"2'1
lt,02Li1.. 7 Li '1' n s101180 Li
l/ '.: i.-v; BL~ '21J;f)f SICM< ~ l ?A'rESSOR'~.2ARCEL,NO. ,/ / DESIGNE>~ ST ATE LICENSE L l ~ ..)!J • <o 1/ I{ .,I .,r:; i I I I I I
DESC~ION 2 /,/RK . /1'-, ~ Hi/llc. v /4'6-:JI a=~c ¥Z DESIGN'ER' S ADORESS DESIGNER'S PHONE
I /
CENSUS TRACT GP LAND USE ZONING I RES. UNITS I P;RKING SPACE sf I NUMBER OF STORIES
Not V•lid Un/Gs Machina Cmifi«J
BLDG SQ. FT. BLDG USE occ. GP l STANDARD PLAN# l PLAN ID # I TYPE CONST I occ. LOAD I ~
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. • /
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU /Y EACH BUILDING SEWER ./". I OVER 100,0®,eTU J
EACH WATER HEATER ANO/OR VENT ~/ BOILER/COMPRESSOR UP T~
EACH GAS SYSTEM 1 TO 4 OUTLETS / 801 LER/COMPRESSO R~HP
EACH GAS SYSTEM 5 OR MORE / BO I LE R/COMPR.£.i$0 R 16-30 HP .
EACH INSTAL., ALTER, REPAIR 'l!l,ll'l'ER PIPE VENT FAN SINGLE DUCT !f . ...2 I 6 !;!-EACH LAWN SPRINKLE,¢STEM MECH EXHAUST -HOOD/DUCTS VALUATION: -
WATER SOFTNER.,...... RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . ~,r.Uy•
TSSTTP ~ nr T C:C:TTP '\. nn SIGN PERMIT I . I I
TOTAL PLUMBING ~ TOTAL MECHANICAL PLAN CHECK I 1A4'.dr"!.. ..-.
CONTRACTOR CONT ALL INCLUSIVE PERMIT I I .""1
ELECTRICAL PERMIT
/_
A~
TOTAL PLUMBING I I I
QTY. AMT./ QTY. MOBILE HOME PERMIT ELECTRICAL I I I
NEW CONST EA AMP/SWT/BKR /. AWNING --.,--MECHANICAL I I I
1 PH .25 3 PH ./ PORCH ~ MOBILE HOME I I I
EXIST BLOG EA AMP/SWT/BKR .,,/" SET-UP _/" SOLAR I . I I I
1 PH .25 3PH _/ RAMADA, CABANA / I I I I
REMOOEUALTER PER CIRCUIT ./ FENCE OVER 6',/ I . I I I
TEMP POLE 200 AMPS ./ TOTAL M(J,,IH'(E HOME MICO-FILM I . I I I
OVER 200 AMPS ./ / I . I I ; I
TEMP OCCUPA)ICY (~VS) -I I I I .
T SSTTF. 7,. 0( STRONG MOTION: I . I I
TOTAL ELECTRICAL TOTAL FEES PAYABLE I ~ ~ .01 a. CONTRACTOR . I I ..
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER / SCHOOL FEE: SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-/71? // LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND I I ,1 , A . ~ ~ ,/ EXPENSES WHICH MA'I' IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT. l~1f:f(Pbt OWNERQ CONTRACTOR□ rPPROVY., o/7/Yd AGEN-ita--BY PHONED -.
• w < 0 ~
0 j:::
~ 0.. V,
~
SITE
ADDRESS:
WOOD FLOOR
INSPECTION
i FOUNDATION• FORMS• SET SACK• TOILET
UNDER FLOOR PLUMBING
UNDER FLOOR HEATING
OK TO INSTALL SUB FLOOR
SLAB FLOOR
UNDER SLAB PLUMBING
FOOTING • FORMS• SETBACK • TOILET
OK TO POUR CONCRETE
FRAME
ROUGH ELECTRICAL
ROUGH PLUMBING
ROUGH HEATING/VENTILATING
FRAME OK • PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK• PLACE TAPE
EXTERIOR LATH OK• PLACE STUCCO
FIREPLACE
DAMPER &STEEL
PLATE TIES/HEIGHT OF CHIMNEY
OTHER
TEMP POWER {POLE)
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK
• FENCE PREPLASTER
SHOWN • FRAME
• PAN
] FINAL !NSP SY BLDG DEPT
OTHER DEPT\•REQ COMPLETED
i ELEC METER--ERM-TEMP
!GAS METER-PERM-TEMP
DATE INSPECTOR
r--~------------------------i-----+--------~
'--------------------+-----1------------
1-------------------t----+---------1 L_c !::RT OF occuPAN_c_v_1 s_s_u_E_o ______ __, ____ _._ _______ ---1,
OWNER: PERM!T NO:
FIELD INSPECTION RECORD
INSPECTOR'S NOTES
, .
TIME: ______ _ :.REQUEST FOR INSPECTION
INSPECTOR ::(0":::<1: PERMIT NO. &-~/Cf-
OWNER_-..:!....c~~Q,,1{~....!:::.CL--===...___::::.~~~t..!.....:A:....:.Ll.C-=-=--..1_t ..:....ll...,;,---!..-....:0,Co~-· ------
DATE: """"i-...._-......... 4_ ..... ~~-()-
ADDRESS_?-=----::b::....~-=----' ~Yl_____...:..t,,,L.....>.'4---==--<--+-'-""'o~.......,_l.-________ _
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT-GUNITE
D FLOOR AND CEILING FRAME
0 SHEATHING
D FRAME
0 EXTERIOR LATH
D INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
~UNDERGROUND PLUMBINa)
D UNDERGROUND WATER e,,D_ff!..fl.
D ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
0 TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: ~A
DP.M. ---
ELECTRICAL
D TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
□WEDNESDAY D THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY ___ O~\_t::;;......_ ________ PHONE NO. 1S3-VJ. ~).-
\
PERSON TAKING REPORT--~~Q..,c,:;..._ __ _
·-----~----------•·--.,_Y~~T FOR INSPECTION :---
1.NsPEcToR..l\\'Yl'\ ~ PERMIT NO.ls _.,,/£/
OWNE~~ &;.\~J;__ \
q, -TIME :__.42..__'.___._'-{_0 __
DATE:~{_.-_1,-_1'_a_
ADDREss __ 'J: __ ~ _____ ti_\ ---',c{--------'-CC/1_(l .......... UL~~~v------------f L-_, __ _
----ttt-.n O ~LECTRICAL
D REINFORCING STEEL
0 MASONRY
D GROUT -GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
D FRAME
0 EXTERIOR LATH
0 INSULATION
D INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
0 GAS TEST
D WATER HEATER
D FINAL
D TEMPORARY SERVICE ~ .
D ELECTRIC UNDERGROUND fl/
D ROUGH ELECTRIC k ~A
D POOL BONDING O AS IIJl..,
D ELECTRIC SERVICE CIIAJJ6e 14/f~"
0 CEILING HEAT 8'-7-ft>
if D G.F.1.
D SMOKE DETECTOR
D FINAL
OVER~
MISCELLANEOUS
0 PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
0 GRADING
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTIO~Y □TUESDAY □WEDNESDAY /4THURSDAY
DP.M. G~ ~<2 h
D FRIDAY
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY ___ ~1.....__.\ ....... ~"----------PHONE N0.1 c;-~--bJ;J.-?--
PERSON TAKING REPORT__.,~_.(? _____ _ -------------------------~--------····---~•-· ---
~ ·.,.,,,,, d//1£/PE~· • . • 4 ~ t.JA5 /N'61t.A?tt(j tJ/2 #~£) ~41( i!:drl?!!GtnJ C~~ 11-....,;
,PLA A/.f "'?/A:"g..:.e..? .,._ /<e.. -~ t!:-1' 15Y d ~4/ . .Po/7'°", #~ ~.J:?
eor/'e-~ ;?£"'1,J.f t,Jtll ~ SUOA?hrt'..# 41 r-1-ro PP?. A;t.,$/
~7"e'.P ALL Ref'V/;e{!# C:dr~,/4~ V/L:.L d~ ,,,,,,,AP~.
-------····-,. .... ___ --------------------
------.,1------i,--_-_ -__ .--_. 1~1~' ......,_,,.."'7),__~;.._-1.~~~,~~...;__;;;_:;_ __ ~==---=~-----~=-~
_ \\ _ -~ 187. · · ... ·
. .
. /vv,vo,,#'/DA) C#,,f~E ,/JY .
.it//(..PER) 6Vtt1Nil WILL -ft-J"'!4
aw ,l/£~A ~l'l Aff'':~v"'L_ ,1-
R~-;::-E~.
~
t-:.~TT t---·-B ~L-,--:, :_~-·j_ ---.. ·_· -·:I -4 -~ ---r~· 'L ~
+-t~ -t ++
I 1 ·
,3
~--. :=· -1--:--· --I-·-==-__ .-. 1:=f-ii
I ·-. ,.. ·..:+---=:;_I .. -. -., ~.,
I -:
--~--... ·••"'-""
:.REauEsT INsPEcT10N TIME: _ __...J.__:-,.....v~s_
INSPECTOR __ ___._,.....,....---------PERMIT NO.__,_g.;-0_,,._S_/_,_q __ DATE: __ q'---_q..__-.,._/_6_
BUILDING
D FOUNDATION
0 REINFORCING STEEL
D MASONRY
D GROUT· GUN I TE
0 FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
0 EXTERIOR LATH
D INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
0 UNDERGROUND WATER
D ROUGH PLUMBING
¢_ TOP OUT PLUMBING
SEWER AND PL/CO
TUB OR SHOWER PAN
~GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: D TUESDAY
ELECTRICAL
0 TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
0 POOL BONDING
D ELECTRIC SERVICE
D CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
□ THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY __ ____.0~)0--,,....._' ________ PHON E NO. ..--; 5 3 -Cx;)._~
PERSON TAKING REPORT ____ .,..,ffR,......---
--------------------------------• .. u-•-H __ _
.•
'-RE~UEST F,P~-INSPECTION
INSPECTOiR e::.~ PERMIT NO ~-57-f/
TIME-· ---=--+-~---¼ffe DATE:_,~_ ........ _,.__ __
OWNER ______________________________ _
D REINFORCING STEEL
D MASONRY
D GROUT· GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING
__gFRAME
D EXTERIOR LATH
D INSULATION
D INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
~ ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
ELECTRICAL
D TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
P( ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
D CEILING HEAT
□· G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
1i:J' PLENUM AND DUCTS
D COMBUSTION AIR
0 PATIO
D SIGN
D GRADING
D DRIVEWAY
I
9-J/-(P
1/
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY □WEDNESDAY FRIDAY
DA.M.
OP.M.
SPECIAL INSTRUCTIONS __ ~_ ...... -'~'--'--·"'"':a ..... '--------------------
REQUESTED BY~ ~ -
7.D-~ 2 I--J.-,,
PHONE NO. __ -;,h;----.-n,,:i----
PERSON TAKING REPORT--'-'~"-"-.;.__ ___ _
:REQUEST FOR INSPECTION
INSPECTOR 0/
TIME-· ------,~----
Jo-9 f DATF !41/cl PERMIT NO.
OWNER _________________________________ _
ADDREss--"-d..--& .... ~"'-----'--/ __ ;J_____._.:;;g"""'--""l✓;..:;,$....,a.A_:t:.,_ ... _-vfr-' Z/4 ...... 0_1....,.Lk=-----------
BUILDING
D FOUNDATION
D REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING
0 FRAME
D XTERIOR LATH
NSULATION
NTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
□ ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
0 TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
----------------....... ELECTRICAL
D TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
D CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
□WEDNESDAY D THURSDAY D FRIDAY
REQUESTED ev-+-=..::..,:...~·-=---.. .::.-=---·_l,,.,_<1-_· ... _·..:.J._· ________ PHONE No. Jrs-t ►Y2------
PERsoN TAKING REPORT__.;&-:'--', ........ __ .----~•L~•-----------
----·----••cc~••• •••~· ••---,_,,,-~--~"'-•-• ,. .. ,. --• •• ~~•~--
REQUEST
BUILDING
0 FOUNDATION
D REINFORCING STEEL
0 MASONRY
0 GROUT· GUN I TE
D FLOOR AND CEILING FRAME
0 SHEATHING
D FRAME
$EXTERIOR L@
D INSULATION
0 INTERIOR LATH OR
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
0 ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION,wTUESDAY
DP.M.
-----·-···--···-------'1! D1 TIME: __ ,_,~----
DATE: r -;;24 -fa
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
0 CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
□WEDNESDAY D THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY ___ o--t-10 __________ PH0NE NO. 75 3-/.d;;;rz_
PERSON TAKING REP0RT ___ ,_.,,.._t-. ----
REOUE?OR INSPECTION TIME
INSPECTOR-~----------PERMIT NO._._.,ft_-_S°_f....,.//~_DATE,~
D REINFORCING STEEL
D MASONRY
D GROUT-GUNITE
D FLOOR AND CEILING FRAME
0 SHEATHING
D FRAME
D EXTERIOR LATH
0 INSULATION
D INTERIOR LATH OR DRYWALL
FINAL
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
0 ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND Pl/CO
0 TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
~ FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
0 POOL BONDING
D ELECTRIC SERVICE
D CEILING HEAT
D G.F.I.
D SMOKE DETECTOR
~ FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
0 COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
~ FINAL
READY FOR INSPECTION: □MONDAY □TUESDAY □WEDNESDAY □THURSDAY ~IDAY
DA.M.
DP.M.
SPECIAL INSTRUCTI0NS----F-+--~=--'---~.__~__;;_....::::::.:i..:.:~--+---------
~ ~
/
INTERDEPARTMENTAL INFORMATION SHEERECEIVED
BUILDING DEPARTMENT
BUILDING ADDRESS:
Bulldlns Department
PLANNING DEPARTMENT -ZONE ~-l LOT SIZE ________ LOT WIDTH ________ _
UNITS ALLOWED I UNITS PROVIDED / --------'----------'----------
PARKING SPACES REQUIRED 2-PROVIDED 2,_
% COVERAGE ALLOWED ------~3J.-=-f"_7 ___ PROVIDED--_/=tj=~=~l-_~~~=J41===~3-_-5==,====-
BUILDING HEIGHT ALLOWED l(P lj PROVIDED _11 ___ ~ _ __,_f1_~_<--z-~--
FRONT SETBACK: /
ALLOWED ?..,(/
3 0 I
PROVIDED -------
INTRUSIONS
SIDE SET}}ACK:
J' 7"
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTEC
SCHOOL l"SBS1 f
ADDITIONAL COMMENTS:
'P. J'. F?!&t $
')K TO
REAR SETBACK:
,~ 7
ENG~;-N&__JJ_PJRTMENT..?. / otO, (pG1 3i1j °'7 i:p'7 i; fi/lo
R.O.W.F-a!-)>).Jvt:?" INDUSTRIAL WASTE J.1/4: IMPROVEMENTS e)<.-/~
SEWER CONNECTION~~(!_ DRIVEWAY LOCATIONS_--=~=----K'--=,.,___,.,_ ______ _
GRADING PERMIT _______ EASEMENTS l_}l'f• A,,, DRA~AGE ~
LEGAL DEscRIPTioN ..k~..3,s-L-C: ~ ?'I'-h 7 ADDITIONAL COMMENTS ___________________________ _
» • -, • l"Elh •
FIRE DEPARTMENT FIRE RETARDANT ROOF REOU?~~,
SPRit~KLING SYSTEM CJTY ORD. #8085-SEC, 3200r~ lr.fJ.8:ECTION EQUIP·------
FIRE ALARMS ______________ EXITS _______________ _
~FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS ___________________________ _
1Z TO ISSUE: _____ DATE. _______ OK TO FINAL. ______ DATE ____ _
ATER DEPARTMENT
.EQUIREMENTS OF APPROPRIATE DISTRICTS MET __ _,_ _____ DATE _______ _
.
C1u)~ '-'F~ l:?'e:.VA BENTON ENGINEERING, INC.
Al' .. LlllD •OIL MllCHANIC• -l'OUHDATION8
IIB•O RU ,.,-,N ROAD
•AN DUEQO, CALll"OltNIA lt21 ltJ
,-HILII" HIEHKING .llNTON
1'1111.IPIINl • Cl\111 • .:NGIHl:1:lt
Reva Construction Company
770 Rancho Santa Fe Road
Encinitas, California 92024
SubJect:
Gentlemen:
Prefect No. 80-5-30M
Inspection of Lot 433
La Costa South Unit No. 6
Carlsbad, California
June 3, 1980
TaLl""ONIE 1'11•) ff■,1-11
Jn accordance with the request of the Building Inspection Deportment of the City of Carlsbad,
we have made an inspection of the soil conditions existing on the subfect lot.
An Inspection was made by a representative of our organization on June 2, 1980 and It f•
concluded that the soil conditions are essentially the some as presented in our report on the
grading of this 1ubdivision dated August 3, 1970. The soils in the upper three feet below
finished grade were classified as non-expansive, and therefore special design and procautlon1
for expansive soil conditions wil I not be required on this lot,
If there are any further questions concerning the soil conditions on this lot, please contact
us.
Respectfully submitted,
BENTON ENG I NEERING, INC.
ByR~~. R.t. Remer
Reviewed by
-Ph,_.i .... ltp--H .__,B,,_.e-nt-on-,-C:.--iv--.i I ..... E ..... ng-in-e-er ______ RE CE JV ED
RCE No. 10332
Distribution: (3) Addressee
RCR/PHB/jr
JUN 6 1980
CITY OF CARLSBAD Building Department
2/9/79 ,. _._.., _ _,:···•·'·· ____ , ...... ~~•-' ... (
.. "'-• r
LEUCADIA COUNTY WATER DISTRICT
APPLICATION FOR SEWER SERVICE
Owner's Name _ _Ere.cLlle.v.....___~---------
Ma i ling Address __ zzo Rancho Santa__Ee__._R ..... a .... a ..... d ____ _
Encinitas, CA 92024
Phone No. 753-6222
SEWER PERivfiT ISSUED UPON
RECEIPT OF BUILDING PER!-.,1IT.
Service Address: o2 ,sl Marn11ila __ Pl_a .... c_e ____ _ .....,.. BUILDING Pl:RMIT MUST BE
Tract Description: Jot 433, South #6 APPLIED FOR BY a_:-2.>-BC) .
Assessor I s Parcel Ho. __ 2_1.....,6 ....... -..... 2-SQ .... -_J ..... J _______ _
Type of Building _ single family_ No. Units 1 Connection Fee $ 600.00 .
Lateral Size: 411 611 811 Saddle Easement Connection (pre-pd 200.00)
Extra Footage: __ @ $___ Extra Depth: __ @ $ ~-:400-CO
Amount Rec'd $::4CX),
Ck. No/Cash ~
Lateral Fee
Prorated Sewer
Service Fee Date 115.-~J..\-
Rec 'd By &,QoQ Total $toC:O,ffi
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 ins_talled 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-
cant1s 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 wi 11 begir~ and covers the balance of the fiscal year. There will be no
additional fee or refund if service actually corrmences on a differer.t date. For
succeeding f i seal years, the sewer service fee wi 11 be co 11 ected on the tax ro 11
in the same manner as property taxes. ·
The undersigned hereby agreesthatthe above information given is correct and agrees
to the conditions as stated.
lC\.g:1 . Account No.
l
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