HomeMy WebLinkAbout2659 JEFFERSON ST; ; 87-291; PermitV
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USE· lALL POINT PEN ·ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND·DECLARATIONS.
C '• '., '., ,, I e[ ·-Ill I her~by affirm tha1·1·am.llcensed under I l CARLSBAD BUILDING DEPARTMENT
,t075 Las_~_almas Dr., Carlsbad, CA 920q9-4fJ59 (619) 438-1161 APPLICATION & PERMIT
~ o. , ~alona of Chapter 9 (commencing with I JOB.ADDRESS ' ,·_; ~ .A·li.s'r .. Ro.
: , ~tion 7000) of Division 3 of"the Business 'f . --0 '.,/,,, .... r" . . NEAREST CROSS ~T-13 r=-4 · ·1 DATE OFAPPLICATl(')N-BU~INESS7IC~ VALUATION PERMIT NUMBER
i .. and_ Professions Code,.and my llcense_ls in I z b..:,,. J ..J£,,;rrLJt.St,...J
0 , full force apd effect. f · · · · · -~ ~.-z..-~7 ·
., ' ' ~~ tl~ O'r , . 'L(?T BLOCK • l svsoiVIS!<:lt{, 1 ·AS~SSOR.PARCELNO.
I hereby affirm· that I am exempt from the Contrac' j' , . ·· . '> / ~S"'-/7 t)-?._ ., tor·~ ~icense ·Law t~r the following reason (S.ec. 70~1 5 . . , . ' . · · · · ·.. , ..
CONTRACTOR
M.(:~<>J-· '-"'+vt, l(y
· CONTRACTORS PHONE j,'I:' zoN·E
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Busmessand.PJoless,onsCode: Anycilyorcounty.whichre-OWNERS l'lAME , . .. 1 OWNERS PHQNE .
quires,a perm,! to constru~t. alter, improve, demolish, or ( C'.A, J · A.J; ..,_ ~ (""I ~ CONTRACTOR'S.ADDRESS STATE LICEN$E NO. repair.any structur~. pnorto ,ts issuance also requires !heap· f . ~ · · · • . . • . . · • ·plicanl for such·permiM9 fll~-a ~ipne'd'statement·t~a\·he !S .. r . t,..,.../, ~ .u J./ A 1 L,lfl/> . . I ':t=r;,. '$/ ~r ~ 0 < .Ai# /.4 ..it .H .A .,A.A '4 ~ ~ ·-,3 at. . . .. . I ' ~
tf~::::L~:~it~tpt~~J~~o~~~{~?nn;:,:ht~:r.tfi~t7i~gr0j, : OWNER'SMAILINGAODRESS ffD_ l_ ..--,,..,_..~--·L . . . t , ' . !L
BUILDING SO., FOOTAGE
Division 3 of lhe·Busmessand Profess,ons,Gode) orlhat IS ex--I . . 0 L,,...' ,....,__ • DESIGNER • DESIGNER.~ PHONE • . . • . -·' ·>,
•!"Pl th~retrom and the.bas,~ f9r l_hra\ltiged exemption .. AnY' I ' 2-::r'/ D -c/71!..F-...... ~ °'-1 . ~ . .,,., -) """' ..i' 0002 06'/11 0101 ·O"r'ldPmt o·o "'' ni vIolatIon of Sect10n 7031.5 by.an applIcan1 for,a perm,t,sub· I . . . · 1 y--V'II' . , .:.i:.• "V\ ,_ jects.theapplicanttoacivilperialtyot:n'otmore.thantivehun· f. oescR,IP'TtON OF WORK. · • /'l .L-.. A · '-p' . . · · · · · 8,
~reddoliars($500). . · i ~b_;; -.-,,.: ..., _ . ,DESIGNER'S ADDRESS ./ 'STATE'LICENSEN,O. E
· 1·11,asown·erottheproperty,rirmy,empfoyeeswithwages 1
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• r'~· : 'fl :::;· k,~· · . . a>,, as·.lh~ir sole cori'ipensal10n, will do ilie'work, and the strui:· '.A -,.. .r') / .AS_<::! · · , · · 1-ture,is not inlended or·offered for sale (Sec c7044;Busmess 1· ., • . . r-,, ~r ~ . I and Professions·Code; 'The'Coniractor's License.Law does , f F/P FLA E·LEV. . NO OCC GP EDU . ' , , npt apply lo an·owner ol :property whl> builds•or improves ·1 • . . , STORIES· --· · .. " · .. . 'O ·!hereon.and who does,such work him·self or lhrough his own , D . o employees, provi~ed th~t such fmp'.ovemen.ts .ar~ n?.' mte.n~.: J , . . . . . . . . , ~ · ND ---... . . . · . <!:l
ed or.offered for sale. I!, how.ever._t_he bmldmg.9r improve I I PARKINd.SPA'CE RES UNIT.$ I GRADING-PERMIT ISSUED I REDE-VE LOPMENT ' TYPE ·.occ LOAD '',FIRE SPR •. . . ment ,s sold within one year of completion, the owner-bµ1lder i · · . A A EA · CONST · will have.the·burden of proving that he.did not builc,or'im· \ , · . . , , . , ,
prove tor. the 'purpose of sale). f, . , . y O N q . .. . . v_[J NQ . . .. . ·vD 1'10. J ~ot V.alid Un/es.~ Mac.hine, Certified c
'D I, as owner of'the property, am ·exclusi~ely.coiltractirig 1· · · ' · I ,<1!
.w1thlfcensedi:on1rac\~rstoc~nstrucl'lhe.project(sec.:7044, QTY PLUMBING PERMIT ISSUE MP"?\:. QTY MECHANICAL PERMIT. ISSUE <'7 "' SUMMARY/ACCOUNT' NUMBER ,~
t!i~~-~~?a~~~~ef;~;.~;it,\1 p~~~e~itWo'g~·itd~~g~r~: . . • . . . .. .•• · . • / . ""> v. . . · · · . : ·. , ~ Ov :· . · . · · ~
prov~? thereon_. an~ who contracts tor each prpjects !"!lh a 1
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. . EA.CH FIXTURE TRAP • INSTALL FURN DUCTS UP to :joo 000 BTU -BUILDIN\ contractor(s) license pursuant to )he Contractor's License . . · . , · · : . •· . •
Law)-· . • 1 EACH BUILDING SEWER • OVER 100,000 BTU • ·SIGN F
-~g !~n~~f0~;0:.r;f:''.amlmp'.ovingl1l~home,,~n?thetoliow-I ' / · 'EACH W~TER HEATrn AND/OR VENT • BOILER/CQMPRESSOR lJP TO 3 HP . · •· · PLAN'~
1. The work IS·being performed ,prior to sale. . r I . . . ' 2. I .have hved in my home tor twelVe months f E~CH GAS SYSTEM 1 TO 4 OUTLETS • , ~QILER/COMPRESSOR 3-15 HP • TOTAL Pl
a: r"~~v~ i~f P~f1i:.3' /~/: ~~~~ption during the l ' EACH GAS SYSTEM 5 0 R MO A E' . METAL FIREPLACE I . I ELECT last three years. , / ·
DlamexemptunderSec.· ,B&P.c. f EACHINSTAt. .. ALTER,.REPAIR.WATERPIPE . VENTFANSIN.GLEDUCT I __ . 8 MECH/
tor this reason. . i / EACH VACUUM BREAK·ER • MECH EXHAUST -HOOD/DUCTS I . II MOBIL l WATER SOFTNER , • RELOCATION OF EA FURNACE/HEATER ] • II SOI
. . j EACH ROOF DRAIN (INSIDE) . DRYER VENl' I . D ,STRONG
'l PERMIT
·ERMIJ
~HECK, --
.UMBING
RICAL
,t,JICAL
~HOME
.AR
MOTION
.Q, en en
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~h~reby affirm.Iha! I have a certificate of consent-to J --TOT IITMECHAN I CAL I FIRE SPR
self-Insure. or a certificate of Workers· Compensation In-I •
surance.~racertifledcopy th•~(c:3801J.~ab~rcodel I TOTAL PLUMBING I . . PUBLIC FACILITIES. FEE 320-810·00·00·8740
··cPOOLICPYAN·~: AJi.uc::..... . . ! I I I I BRIDGE FEE 360·810-00·00-8740 M "'' b/:).._,,'I._ -A/ ., ' -.. · · ,v,-..,t,'-1-· .. 1 ~~~~,,,,~-·~·~ ........ -~~~~ 1 <..;..Qv11-·--1 ···--·--··-···---·-· 1 n PARK-IN-LIEu(AREA l opy ,s f~J!d with ,the city . ! , · J ~~ i
INKLERS,
Q:rv.1 ELECTRICAL PEBMIT -ISSUE I ,~l>IIQTY. MORII F I-IOMF ~FTI IP
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i,ed copy Is hereby furnished· f I I NEW CONST EA AMP/SWT 1BK R · I II ·I CAR PORT I H TIF
j I I 1 PH 3 PH I II I AWNING I II LA COSTA TIF
NEW CONST EA AMP/SWT 'BK R · . CAF 134-810·00-00·8835
g,. c'ERTIFICt,TE OF EXEMPTION.FROM
WOAKERS"COMPENSATION INSURANCE
(Thls ~ction need not be c9mpleted if the· permit
t I I EXIST.BLOGEAAMP/SWT/BKR I II !GARAGE I II FMF I I I 1 PH 3 PH I II I I II LICENSE TAX
1 PH 3 PH
EXIST .BLOG EA AMP/SWT /BKR I II I GARAG
13H1P'l1i>'fo-8U i "D 1l' T'\
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is for one,hundred dollars·(S100) or less) . o· I c~rtlfY. that In the performance of the·work for which I
this permit is issued, l•shall·not employ any person in·any )
~a~~onne~!::~~r g:~fo~:,:~bject to the W~rk8rs' Com pen· t
.NOTIQE, TO•APPL;CANT~.lf, itfl~r makfng lhis Cerilflcate f1·
of Exemptloh, you should become subject to the Workers'
Compensati9ri proVisions,of th~ Labqr Code, you m·ust. (
forthwit~ comply~With such proviSionsor.this permit shall i' pe deemed i'Jfv9ked: · f.
• .f
. .. . -• . j ,r · ·o I h.ereb'y ~fflrfl) that there I~ a construcllon lending I ffi ~gency for the performance of ttle work for which this per· f
C,, rilit is issued (Sec. 3097,.Civll Code). • . I ffi Lender's Name • ' ~ l _, . -I
Lender's Address __ ~c-'-'-'-c+,-,-'------f
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MFF
1 PH
-1 .;? I 'REMODEL/ALTER. PER CIRCUIT
001-s10·Q(!.:.OQ:8JJ52A1 --4--=
880-sijia}h ~ b ISt'ff
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP·OCCUPANCY (30 DAYS)
r -·
~~ @f~~!lL.'11
DEV~U.l~MEM'i'
CREDIT _DEPOSIT
~IUU~~UlVI!. 1 · JS'-. ...
TOTAL ELECTRICAL I r I TOTAl TOTAL FEES .PAYABLE r --:/~ 0 --
I RAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY 'Expiration. E~ery per.miJ is~ued•bythe Building Olflcial '!nderthe Pt(!Yislons ofth,s * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS-OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code·~hall expire by flmitalton aod become n4II !Ind void. ll'lhe building or work 5· O" DEEP AND DEMOLITION OR CONSTRUCTION OF .., · autho11zed by such permit Is not commenced w1th1n 180 days from the date Qf suclJ · , DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANQ AGREE Ir A PERMIT IS Pflrmit, or if the building or work authorized by such permit is suspended or .STAUCT\JAES OVE~ 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY,·COUNiY ANO STATE LA'f'JS GOVERNING BUILDING CON· abandoned at an time alter the work is commenced tor a riod ol 180 da s. • ., \
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , >f. · . b.
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLfCA S SIGNATU OWNER O CONTRACTO-.,
EXPENSES WHICH MAY IN ANY WAY'ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 4i!!~':7""7 BY PHONE 0
GRANTING OF THIS PERMIT.
17
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TYPE i -DATE INSPECTOR
BUILDING l
FOUNDATION
REINFORCEO STEEL I
1
MASONRY
GUNITE OR GROUT ,· -...
I
SUB FRAME D FLOOR D CErLING
SHEATHING D ROOF OS ~EAR ..
FRAME
EXTERIOR LA TH r ~---~~:, ....
..
fNSULATION
INTERIOR LATH & DRYWALL '
. ".,,,---· PL.UM BING
Cl , SEWEWPcN[:)-BUGQ'h '··o !>UCO
l,:JNDERGROUNtf: 'b WASTE D WATER
roe._,..OUT D WASTE D t,IVATER
T!JB AND SHOWER PAN
GAS TEST '\
D WATER HEATER D SOLAR \J IATER
ELECTRICAL 1' ' \
D E:LECTRIC UNDERGROUND [p UFf.,!;:R
ROUGH ELECTRIC 1 \
D ELECTRIC SERVICE 0 TEMRORARY
D·BONDING. D PO.OL " . l
l
I
MECHANICAL l
0 DUCT & PLEM., 0 REF. PIJ;l,ING
1-iEAT -AIR CONO. SYSTEMS l . .
VENTILATING SYSTEMS I ·-' .. -
CALL FOR FINAL INSPECttoN ... WHl;t-/ AL,_L A-P..RRQP.RIA-T..Er-. .,, ITEMS ABOVE HA!VE Bl:EN-:APPROVED':. .. ::.. ---... , .. ·
FINAL I' ; ~ ~;rt""' ...... '-'•--
f \ . 1 \. 'I, ~ '"\, . .,._1 "'*:·_, ~ PLUMBING j '--
ELECTRICAL t ~\ h I,
MECHANICAL l s. lY.
GAS ; -~ -:----,.. 'I-~\a~-~:'---~~. .. I· '· r •. , -··
BUlb,DING I £) \' I
SPECIAL CONDITION,$ ! " I
i
FIELD INSPECTION RECORD
..... _. __ ~ -·~,: --~ _--:;,. y .. ;.... .... ~, .... ··. ' ·.;:·?:'-;:. \ \ ~i\ \\\ --~~--
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REQL}IRED SPECIAL INSPECTIONS INSPECTOR'S NOTES 1• 1-<: ,~· • ,., .... _~ --~
INSPECTION REQ. IF INSPECTOR'S DATE ';.._ CHECKED APPROVAL ,
. . . , ~~;;:~;l ~;;Jt:;:,i,h: 2EBA2' SOILS COMPLIANCE _._
PRIOR TO ,j,t, ""-c ..,_11ti'.li c;'.l;iWv
FOUNDATION INSP.
STRUCTURAL CONCRETE (: ; j j' 2 j.:)h'· •
OVER 2000 PSI v~ · ""'-·-
PRESTRESSED
CONCRETE "'j T'l ~ l'. 7 Y .i' T.'\ 7'
POST TENSIONED ..,,. 1. .Ct V D .c lJ
CONCRETE
FIELD WELDING •
HIGH STRENGTH . , . · ..
BOLTS
SPECIAL MASONRY •.
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PILES CAISSONS
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DEVELOPMENT PROCl;SSING SERVICES DIVISION
2075 LAS PALMAS DRIVE
CARLSBAD, CA 92009-4859
(619) 438-1161 .
MISCELLANEOUS FEE. RECEIPT
Applicant Please Print'And FIii In Shaded Area Only
'OWNER'$. ! MAILING .
;ADORES$ Z.9 /D
: CONTRACTOR /J1 ~ S'"'""' VJll--1..ut:-' . .
. CONTRACTOR'S
TEL.
PLAN ID NO.
0001 06/03 0101 05Mise,.
VALIDATION AREA
ESTMATED VALUATION----. --,~~·:......;0'--. -'-SZ)_._· _
; ~~b~~~S f?'?' 'for<:_ <J PLAN CH ECK FEE 001-810-00-00-8821
1
"-"""' ___ ..::;._:.__:.____:-=~~:.L.:..__.:...J..!:....:._.?:.L=-::..__-.:...--1 IF THE APPLICANT TAKES ·NO ACTION
/') WITHIN 180 DAYS, PLAN CHECK FEES
; CITY $ ,.,..( ZIP TEL. Will BE FORFEITED,
I STATE . BUSINESS
. LICE;NSE NO. q. 0 9 .3./" .J.,. LICENSE NO •
15 .. 00
./~
. $UBDIVISION-'-------LOT(S)------""7"--t--,--..:.,...-----=----'-------'-__,;;.---------
' .. --,--------------,-------t----------:----'-------------"-------------
! LEGAL DESCRIPTION· CHECK IF.SUBMITTED:
I •
D 2 ENERGY CALCS
.
D 2 1987 ENERGY CALCS
FOR-NOf':I RESI_DENTIAL SLOGS .
;
' OE$CRIPTION OF WORK D 2 STR~CTURAL CALCS
D 2 SOILS REPORTS
· 0 2 SELF 'ADDRESSED ENVELOPES
DATE GIVEN/
SENT TO APPLICANT DATE
' CONT ACT PERSON J} LA COSTA LETTER
. ADDRESS · SCHOOL FEE FORM
;CITY P & E CORRECTIONS LIST
CERTIFICATE-OF OCCUPANCY
White -File Yellow • Applicant P.in k -· Finance Gold· Assessor
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4 COUNTY OF SAN DIEGO
DEPARTMtNT OF HEALTH SERVICES
PLAN CHECK #:_E 33_=3.3@
Division of Environmental Health Protection
1700 Pacific Hwy., San Diego, CA.~· 1
.(619) 236-2243 ggz \VlGL-f
It 1, 00 jt;Ut) Z PLA . ECTlON SHEET
PAGE I OF I --
owNER·= r Al.tfO~NtA Bun D6f.S (4~-31z<;') DATE: ·.:l i 1. [l 1
ADDREss: 21to JE,ffFf'SDtv $~ (B. 12000 _,,F PHONE: Dal'-e 1
·
coNTRAcToR = rn t s5ft 11v v Allfv Pwt..:5 PHONE= ro 9S-;;. w 7
Address of Proposed or Remodeled
Health Regulated Bui 1 ding; .. _ ~~.L---=j-=t'-..c.P::__,,/i__.,£"""'£""'" .. -'-':U:.....V::;:__...=..:....;t_.,.-----=---=--=~~----+
TYPE op· BUSINESS: l SPAl . RECHECK REQUIRED r-1,.i ,. ~;,__-=-=-.:...=.-------'-
JZC:=( 11£Ct: 11
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4' ' COUNT,Y 0~ SAN DIEGO ,., £.!. 4
DEPA~TMtNT OF HEALTH SERVICES
Division of Environmental Health Protection MAY l !~1987 PAGE J
1700 Pacific Hwy.' San Diego, CA. 92l..J.l4~ !t'\l'lrM110F· CAR. Lss·· A' o· .. ( 619) 236-2243 ('fl.. 82-~llli· c,,.-' '
11 17 o '1/ r ·)1")2 '-~ . Bulldlng Department
1 • v/ C '-..,. PLAN CORRECTlON SHEET
Qtlt . OOWNER: ( t<JLl frJ(l tvtA Bu (l DGt2S~. DATE:_...;;:;:;;.S+.:...}1.J--,ii+/'-"--i-L-7 __
, ~ -;o? ADDREss, 21, o ,1E r: r:-E f svN 5tR, c e 12oJ ~ PHONE ,_..:,_D..::....;~:..::.v..:;;_G __ _ . 1frJ) CONTRACTOR: {YI t~IVN VAU.£'1 POOLS, PHONE: C, 'I c; <)001
~ Address Of Proposed or RemodeJ.~9 _,,,. q Jr r:'LY ;;?s . ,,-..)TO C 8 c, ZL71'>?, Health Regulated Building.:. Lt.::P? I c ,....,t.::.t.... ON. , , ....,.v
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COU~TY ...QE SAN DlEGO
DEPARTMEJT OF HEALTH SERVICES
Division of Environmental Health Protection
1700 Pacific Hwy., San Diego, CA. 92101
(619) 236-2243
PLAN CORRECTION SHEET
PLAN CHECK#: ------
.,-,..,,. ,. ADDRESS =-..........:~:.z·~=-'( )~\=-'=-·· _· __ )_ ..... _~ c-_,,,',_:: ""°'..;..' _{\....:.',._·1,.=-'---::.':l".:..I __ .....;(._.-._...{.,;"'--(\:....,::_--'>_~\)..;,_ ..... ...,( __ PHONE: ________ _
CONTRACTOR: (°'t\v }:,1,.:. > . \J ,_-, {,40\. .. ,\ (:ii,;'t-~ PHONE: ___________ _
Address of Proposed or Remodeled c·
Health Regulated Building;. __ .....;L=..::h=-·::c.../-....,~\___./.:...;;;J;:;...,...;..:....;~'""'·~:....z=·::r:;=.=:.}"""':,,""';;) __ ,.;....;..;-...:..,_' __ -_-_c.~_<~\:_:~._:_"·..;,_ .. ,,...·::-__ _
TYPE OF BUSINESS:_<..,;.;,.::,;_,1\_\"'-' •• ~;;,__ ____ ---'-_~-RECHECK REQUIRED .. ·,~.:') APPROVED--=-i-1\...:..)_
CHECKED BY:-__ (;_-._-i_:-\:_'\_,..;... .... =-· \...~.Q:==:·2..~-=-----------
ITEMS
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DHS:EHP-886 (4/84)
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TYPE OF PROJECT AND USE:_•~""'-++----0---t----------
SAN DIEGUITO ENCINITAS CA~ SAN MARCOS ----
ZONE: ----SCHOOL DISTRICT:
SETBACKS: FRONT
DISCRETIONARY ACTIONS:
SIDE REAR
----------------------------REDEVELOPMENT PERMIT REQUIRED: ----------------------LANDSCAPE .PLAN COMMENTS: --------,-----------------ENVIRONMENTAL REQUIRED: ____ _._ _____ -____________ _
COA.STAL PERMIT REQUIRED: YES __,._____ NO ___ _
ADDITIONAL COMMENTS: L.. -M-~-----____.~ ....... 1-'T(_<E:":_/_j.._~-~-or___,.-f.-~-~----, --------
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OK TO ISSUE: DATE: ----------------------------------------------------------------------------------------------------------~--~~~~~~n~~n~~~~~~~~~~~~~~~~~n~~n~~~~~~~"~"~~~~~n~~~~~~~~~~~~~~nn~~n~~~n~n~~~n~~nn~nnnn~~nnn~nnnnrnnnnnnnnnnnnrnnnnnnnn~
ENGINEERING
LEGAL REQUIREMENTS
LEGAL DESCRIPTION VERIFIED? APN CHECKED?
EASEMENTS: RIGHT-OF-WAY:
EDU'S: DRAINAGE:
IMPROVEMENTS:
FIELD CHECK DATE & INITIALS:
PERMITS REQUIRED
GRADING: ___ _..._ __________________________ ,
GRADING COMPLETION CERTIFIED: --------
DRIVEWAY: INDUSTRIAL WASTE:
FEES REQUIRED
PARK-IN-LIEU QUADRANT: , FEE PER UNIT: TOTAL FEE: --------------------
P.F.F.:· TRAFFIC IMPACT FEE PER UNIT: TOTAL FEE: ----------------
DD_ FACILITIES MGMT. FEE: BRIDGE & THOROUGHFARE FEE: --------------
SEWER FEE (CONNECTION): SEWER LATERAL: ..
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.:DPD6:10/24/86
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