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HomeMy WebLinkAbout2664 LA GRAN VIA; ; 80-826; PermitLICENSED CONTRACTOR'S DECLARATION I h\:reby affirm thal I am licensed under provi- sions of Chapler 9 (commencing wilh Section 70CXl) of Division 3 of the Business and Profes- sions Code, and my license is in lull force and ef- fect. OWNER-BUILDER DECLARATION DI hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5 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 for such permit to file a signed state- menl 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 fo a civil penalty of not more than five hundred dollars ($500). °')(11, as owner of the property, or my employees / ~h wages as their sole compensation, will do ~ work, and the structure is not intended or ol- yii', d for sale (Sec. 7044, Business and P.rofes- /\ o s 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. !t, 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). --:::1, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project {Sec. 7044, Business Md 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 tor such pro- jects with a contractor(s) license pursuant to the contractor's License Law) l am exempt under Sec. _____ , B. & P.C. for this reaso,~--------~ Date Owner 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. COMPANY~~-~----~ =--:iCopy is filed with the city. L7Certjfied copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit is 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 California NC:rlCE TO.APPIJCANT: If. after making this Cer· tificate of E~emption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisio:1s or this permit shall be deemed revok.ed Cu'NSTRUCTION LENDING AGENCY CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 • ,o. 1. ' ' 't I I I I I I l I I I I I t. ,4Jo, Aop'f A I{ I I I lcr;-I I 1 77.1~11· OWNER ,,. OWNER'S PHONE De.,,<<. le/ R I.. O.. t,<. 1--~,r AV,ST. OATE OF APPLICATION I • RO """ I-I I IA i J,,p' /?, ,;j?. PRIME CONTRACTOR -) ~lt,J/~,:Y 5aH< <!- APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS. LICENSE PERM!T NUMBER STATE LICENSE io~ ~vl 5:..f.-Cu /4 /f/e>'~4£GLC CONTRACTOR'S ADDRESS 5<-l. ,H<e DESIGNER 4s""''""~~ ?HONE , 't 6 -'6 "( ? )7..4.. c;.___, STATE LICENSE OESCRIPTJ01 Of" WORK _, /~ /[/.,,,.,, c:..,~ .C-c., ,,_, J CENSUS TRACT GP LANO USE ,/4 / ~5,IC~N • - ZONING ~k-<.«:.... DESIGNER'S ADDRESS DESIGNER'S PHONE 5a,..u.e ,;-4" ✓-9'1 3J PARKING SPACE I '"· "'"i l "lu,,c, ~, NUMBER OF. STORIES Che. Not Valid Unless Machine C.rtlfi"1 BLDG SQ, FT, BLDG USE I ~'17 H",.11. • .._,_ "Ke~ ;c/4.,d c. 'i~::, .... UTY.I PLUMBING PERMIT ... ~ EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 0 R MORE EACH INSTAL., ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM WATERSOF~ t'),/ ~4 •• ..., TOTAL PLUMBING CONTRACTOR QTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 100 1 PH .25 3 PH EXIST BLDG EA AMP/SWT/BKR 1 PH .25 3 PH REMODEL/ALTER PER CIRCUIT / TEMP POLE 200 AMPS OVER ZOO AMPS TEMP OCCUPANCY (30 OA~ ]It, • 0 ' occ. Gp I STANDARD PLAN -ft ~:;~ l "p;:::.~ 5fk~;"• co,o J ?EE" _,. ,,.. MECHANICAL PERMIT INSTALL FURN. DUCTS UP TO 100,000 BTU '-. OVER 100.000 BTU .,__,..... -,..,-- ~/ ~ iA: . .,, AMT. .c vs.- ").,:-- BOILEA/COM~SOA UPTO 3 HP BOILEA/COMPAES~-15 HP ./ ~ BOILEAICOMPAESS<,11'1~P / VENT FAN SINGLE DUCT ~ ....,,_ RELOCATIO / ---,i CONTRACTOR TOTAL MECHANICAL QTY. MOBILE HOME PERMIT AWNING PORCH SET-UP ./ RAMADA, CABANA ./ FENCE OVER 6' / TOTAL MOBILE HOMP' ./ .,,, ./ AMT. • IL - ./ LI-.- ~ --,, AMT. Jo 71u, - BUILDING PEA~----....__ I I ~ ELECTRICAL MECHANICAL MOBILE HOME SOLAR ~ 0 \ "fF !Jo?t ----- 1 --"\I' \V~..,.J, MICO-FILM TOTAL FEES PAYABLE I _j _j _J I I I .''J,ri/J,.Q ni,, 1'11-7 I I · I hls do ni..,. Jjj-t] ' . I I I I I I I I ·➔ I I 1J -/d.Q. I I ~ I I I I I I I I I I I ~ ~ 5 ~ 0.. V, ?; TOTAL ELECTR1 CAL CONTRACTOR "7,.. 7 -j 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 OR NOT. I.ALSO AGREE TO 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 OF THE GRANTING OF THIS PERMIT. •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5'-0'" DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT (}'-0 (7" _, I APPLICANT'S SIGNATURE" CONTRACTOR□ -I J AGENT D c•:vc...:':C"~O~N"'_'cEJD::J_l'"'~.;-A. '-· SITE cfO -i;;x.., ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK •TOILET ' UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO IN ST ALL 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 .4 WALLBOARD OK• PLACE TAPE EXTERIOR LATH OK• PLACE STUCCO FIREPLACE . DAMPER 8: STEEL . PLATE Tl Es/HEIGHT OF CHIMNEY ' OTHER TEMP POWER (POLE) SEWER GAS TEST SWJM POOL • STEEL BONDING · • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN A FINAL !NSP BY BLDG DEPT n -.2:z.,:; "f' OTHER DE~:PT'S REQ COMPLETED I ' ELEC METER-PERM-TEMP GAS METER-PERM-TEMP , I-I CERT 0~ OCCUPANCY ISSUED ' . LICENSED CONTRACTOR'S DECLARATION 1 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- fect OWNER-BUILDER DECLARATION C7 I hereby affirm that I am exempt from the Con- tractor's License Law for the following reason {Sec. 7031.5 Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior lo 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) L'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 of- 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}. ::::1, as owner of the property. am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business ?.nd 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 reason, __________ _ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate ot con· sent to self-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec 3800, Labor Code). 6g~~;ir----------- _""JCopy is filed with the city. =:JCertilied copy is hereby furnished. ~ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit is tor one hundred dollars {$100) or less). I certify that in the performance of the work tor 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 California. NOTICE TO APPLICANT: ll. after making this Ger- . ·tificate i>f Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwi~ such provjsions or this permit shall"ffil deem~oked. ,_. CONSTRUCTION LENDING AGENCY I herebv affirm that there is a construction len- CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 NO, o<,?,"£, ~• I I I ,-4--T 1.- 7 ~B ADDRESS / /4 ~ .J / .J . .-/ I ,,,/ 6• f f f f f f tff~T-rAT~/4T\ON OWNER , OWNER'S PHONE o.~;;A/j6 -~• • 1 f vj 'f OWNER'S MAILING ADDRESS ~g:;;:1lt::%. ~Au~ ,o, BLOCK I SUBDIVISION I ASSESSOR'S PARCEL NO. DESIGNER I I I I I I I I I I I DESCRIPTION OF WORK APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. ~ --I aus. LICENSE PERMIT NUMBER ~!•1 7 ' '.'!ftJ /! }lb!> STATE LICENSE ~J&,;J,11 CONTRACTOR'S -92,"t-,o,.-? STATE LICENSE /) --, / ~ ,# DESIGNER'S ADDRESS DESIGNER'S PHONE L1/L".3/?: > i~ . ~/4 A.,tlll 1r_.,,1 ,, •·--' • r· t' " .1, 1::"\/ " -1.., 16,.) . . ,-r . CENSUS TRACT GP LAND USE zJ°NING I RES. UN!TS I PARKING SPACE l NUMBER OF STORIES Not Vah"d Unless Machine Certified BLDG SQ, FT. BLDG USE occ. GP I ST AN DARO PLAN" IPLANlO# I TYPE'. CONST I occ. LOAD I QTY_ PLUMBING PERMIT AMT. QTY_ MECHANICAL PERMIT AMT_ A EACH FIXTURE TRAP / INSTALL FURN. DUCTS UP TD 100,000 BTU ~ .:;,-- EACH BUILDING SEWER OVER 100,000 BTU , EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP ,A EACH INSTAL., ALTER, REPAIR WATER PIPE ~ VENT FAN Sl~!GLE DUCT .,,. _y -;a~~ EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WAJER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I I I I Jh~ z::,::,,,-/ ,, :.::: .!!:;::-SIGN PERMIT I I I I TOTAL PLUMBING TOTAL MECHANICAL ~ _ PLAN CHECK I I I I CONTRACTOR CONTRACTOR /I,, ALL INCLUSIVE PERMIT I I I QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. TOTAL PLUMBING I I I ELECTRICAL I I I NEW CONST EA AMP/SWT /BKR AWNING MECHANICAL 1A/,b-r;I 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR I I I I 1 PH .25 3 PH RAMADA, CABANA /,v ~---/ I I I I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' A•• ~ I//Mtc>"v', I I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME ;,MICQ-FILM I I I I OVER 200 AMPS I I I I TEMP OCCUPANCY (30 DAYS) I I I I -~ ..2 e-I I I I TOTAL ELECTRICAL TOTAL FEES PAYABLE I 1/i1.Y'" CONTRACTOR I I .JJ,,-rf /ft-,/. , I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT. ANO DO 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON 1$ TRUE ANO CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS 1ssueo;To COMPLY WITH ALL CITY, STRUCTURES OVER 3STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM f II! II LESS THE CITY OF CARLSBAD AGAINST ALL LlABI LITI ES, JUDGMENTS. COSTS AND " I -EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. APPLICA\.L"OS sj;,_NATUA'k~. OWNER □ CONTRACT~ I APPROVED BY , VII 1/1r1il I c;__t,1 --~,e_ , tc.),"1 . AGENT D BY PHONE 0 , , ' ! !;;: 0 ~ 5 e= ~ ~ V, ,!; SITE s;Jli-~.X. 6 ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR .. !NSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK• 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 8: 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 INSP BY BLDG DEPT 7-??-IC 'Y" OTHER DEPT'S REQ COMPLETED ' ELEC METER-PERM-TEMP GAS METER-PERM-TEMP I i I j CERT OF OCCUPANCY ISSUED - /0 :o-;;:--TIME•;___,L.__-=---=~"'--REQUEST FOR 'NSPECTION INSPECTOR • AJ( 91/ PERMIT NO'tc -i?.. ~' DATE, __.._,_/ 1--'-l--'-i_..-i7. ....... r_ OWNER ___ ...!L::c...l...,._,"-">u{--4.-.JGOJ\LJ.._-___________________ _ ADDRESS _ _,,?-.~;__,(iil<--· _q,___L__,,tL---..;fJ--...A_,__,a.""'/'Y"'-~__._Y....:.1_,.0,,""-"-'----- BUILDING 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT· GUNITE D FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME 0 EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL . □..--.-11'11AL'\ ( 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 ~ ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT D G.F.I. 0 SM TECTOR FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO 0 SIGN 0 GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS 0 REFER PIPING ~ READY FOR INSPECTIO~ D TUESDAY □WEDNESDAY □THURSDAY D FRIDAY DA.M. Cl~ ~1o-~'°U SPECIAL INSTRUCTIONS, ________ _,_\ ____ _t_.y... ___ _D_->£-_~ _ __, ______ _ DP.M, • J'\ f ~ ~ --1rl/-5q,; -r4 s7 REQUESTED BY __ _,1.,,..1_.__,,_'-= :.,;,;__ ___________ PHONE NO. ?J, 112 l PERSON TAKING REPORT 1( ·------------------ ----·--··· TIME_· _____ _ ~E~°:&S'f ~INSPECTION INSPECTOR ---:::: PERMIT NO. I b---1:efL ,If DATE: OWN-ER _______________________________ _ ADDRESS--=c?---=6'--""e(~Y'---~-------=~-=--'="""'--Pi¼-.n .... ,'----------- 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 D TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER D FINAL READY FOR INSPECTION: REQUESTED B~ ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT D G.F.1. 0 SMOKE DETECTOR D FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO D SIGN 0 GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS 0 REFER PIPING D FINAL TUESDAY □WEDNESDAY D THURSDAY o FRIDAY ·--------- PHONE NO. ~-cfYs 2 PERSON TAKING REPORT ~ 7 CORRECTION NOTICE INSPECTOR CITY OF CARLSBAD BUILDING INSPECTION DEPARTMENT PHONE • 438-5525 BUILDING □ FOUNDATION D REINFORCING STEEL D MASONRY D GROUT -GUNITE □ FLOOR AND CEILING FRAME □ SHEATHING □ FRAME □ EXTERIOR LATH □ INSULATION □ INTERIOR LATH OR DRYWALL PLUMBING □ UNDERGROUND PLUMBING □ UNDERGROUND WATER □ ROUGHT PLUMBING □ TOP OUT PLUMBING □ SEWER AND PL/CO □ TUB OR SHOWER PAN □ GASTEST □ WATER HEATER ELECTRICAL ;(_ TEMPORARY SERVICE □ ELECTRIC UNDERGROUND Note: Final Inspection Required ~t;,+ W,.. (;. ~ .p,..,) V \ ~ TIME: _______ _ DATE: JD -2.-?,-'l('e> □ ROUGH ELECTRIC □ POOL BONDING □ ELECTRIC SERVICE @ h-'L C4«1!2d1r ,mv.O: LI-L SC#,R. rt1 & .,~ ;a;r.,,c, ue E-X.1'4 ce.LJ □ UPPER GROUND □ G.F.1. □ SMOKE DETECTOR MISCELLANEOUS D PLENUM AND DUCTS D COMBUSTION AIR □ CONDITIONED AIR SYSTEMS D SOLAR D GRADING □ POOL □ PATIO □ SIGN □ OTHER -------------------------··--·--· ............ .. Rl:OUEST FOR INSPECTION TIME-· _____ _ INSPECTOR -0(1 PERMIT ,lo-f>~, DATE·,t,/,,V/l owNER ___ D"-"'a~k....___~t=-.cc=t.c.=..::"'--c=-~A_e_r ________________ _ ADDRESS-~C~~~~-~-~.?~,a,t-~(;.~T,~"J"_lt_lt~~R0_ 1 -✓-~.....,-~• "'""""'~"''--'e~/2,"-"p,'--""?,.=-4:""--'c;,'--',:1'-'s,=~~ 7 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 );c;I' 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 ELECTRICAL 0 TEMPORARY SERVICE □ ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT 0 G.F.1. 0 SMOKE DETECTOR D FINAL MISCELLANEOUS □ PLENUM AND DUCTS 0 COMBUSTION AIR □ PATIO □ SIGN □ GRADING □ DRIVEWAY □ CONDITIONED AIR SYSTEMS □ REFER PIPING D FINAL READY FOR INSPECTION: □WEDNESDAY □THURSDAY D FRIDAY D MONDAY )(TUESDAY DA.M. ~.M. A..f-/e.,. /:tJci f'/tl, SPECIAL INSTRUCTIONS _________________ __,_Zft__.:..,e,A"""itL..A:'-'--,,~""'l',:::..,,4,,e:::,,,,,._ 7 REQUESTED BY~,Aoc-:c.0~'1_._ ... L __ «,.,., ... ft.Ck...j--L-_~""--'"'-------PHONE NO. _____ ,,,...~_ PERSON TAKING REPORT_-+~------• --··-------····-~· ··-------------- R·EOUEST FOR. INSPECTION INSPE°CTOR~ 01<,._,.~-,-j-/_1'_'7_ PERMIT NO. _______ DATE:-1-!..../-'---"'JL..,~""'-- OWNER s-1) IQ t,,O . L&.J 'f:" E: (? ADDREss vloto'-1-LA. &iZ...~ READY · BUILDING 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT· GUN I TE D FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME D EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL ' PLUMBING 0 UNDERGROUND PLUMBING D UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO D TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER D FINAL FOR INSPECTION: D MONDAY D TUESDAY ~.M. A F',E:'." (.2_ DP.M. ELECTRICAL D TEMPORARY SERVICE D ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC D POOL BONDING ✓ 0 ELECTRIC SERVICE I 11)'/b D CEILING HEAT D G.F.1. D SMOKE DETECTOR D FINAL ~ /6uL_ VNIJ l-1, /,J-1 C- MISCELLANEOUS 0 PLENUM AND DUCTS ( ' 0 COMBUSTION AIR /nlJNV Pov( D PATIO D SIGN D GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL □WEDNESDAY IO □THURSDAY D FRIDAY SPECIAL INSTRUCTIONS _________________________ _ REQUESTED BY _ ___;O"""----=LU-=--..!"""-"fc:=.(2'--=-----------f-P NE NO.r-l/-b <gtj.-3 7 PERSON TA RT _______ _ ----··---------· R~ou·E~T AOi::t. INSPECTION ... INSPECT0I'! t.AX PERMIT NO. 10,.,fJ;;.f, DATE:_/~/,__-_,,t;J,,_--6'i'--- TIME=-~'~•'~;}_O_• __ OWNER_ill~~Lit.A.~-' ~~.0--1 --- ADDRESS_---'i.,__-li~kt-=-_4-'-------'L--"a'-"_~-->..!-n.--'c"-"l'::::c::-"---"--'--V'---1.,.c;.~------ 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 D INTERIOR LATH OR DRYWALL D FINAL PLUMBING 0 UNDERGROUND PLUMBING D UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING ~WER AND PL/co\ TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER D FINAL READY FOR INSPECTION: DA .. ELECTRICAL 0 TEMPORARY SERVICE D ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT D G.F.1. 0 SMOKE DETECTOR D FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR D PATIO D SIGN D GRADING D DRIVEWAY /ti-, 11-'!f D CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL TUESDAY □WEDNESDAY D THURSDAY D FRIDAY SPECIAL INSTRUCTIONS-~ ____ a{_\ ___ \ _"_· _ _v\ _____________ _ r y'l,. ~," _ .,(J"7 rl REQUESTED BY __ __,Q..,__,t ........ v.....__· ___________ pHONE NO. ._,,, O ::::r, PERSON TAKING REPORT_-1.,.•-----···-···---·------------- REOU.EST FOR. INSPECTION TIME·------- INSPECTOR~--'1--'-',yyr'-=--'' --'-----PERMIT NO ..... g.,co~~~g..,_)..~'~-DATE: Pee Ci lzSt? OWNER_____:_.,/A.""'" ."-~..::J'hw&=.:.,/ ✓"'---'-'if'._,_. ____.l,,,......a .... ?:<-,,.~-'-"'1!-C.::...V' ____________ _ ADDRESS iS: 2t:~'I La ~1,,r BUILDING C'i'PFOUNDATION ~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 □ TEMPORARY SERVICE □ ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT D G.F.1. 0 SMOKE DETECTOR D FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR .□ PATIO D SIGN 0 GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL □TUESDAY □WEDNESDAY D THURSDAY D FRIDAY ~ ~ONDAY DA.M. fP.M. SPECIAL 1NsTRUcT10Ns_l/i+-'-~~i'-er..L.-___,/'--'-?.,"'"'.',lf,f.--'-. __ __,,_Z--'-¼-=•.c..:•:c:•_,_k,_,~e..._ _______ _ REOUESTED BY~P.~,,,~n.._.,.J_a.~"-~£~c:~V-________ PHONE No. '5l/b-o'/3? PERSON TAKING REPORT _______ _ .. REOl,JEST ~:NSPECTION TIME· l~SPECTOR __ _,~-=,.=~-----~ NO--=.fi __ -r~~--DATE: ~ OWNER _______ :------.----;;-----,--------------- ADDRESS--=-c3------"-'~&;~t./---'-/4_...c...~----..L-C.~-•=--------- (BUIL'DING '-'\ □ FOUNDA•-~·· □ REINFORCING STEEL □,MASONRY □ GROUT -GUNITE □' FLOOR AND CEILING FRAME ~EATHING D FRAME D EXTERIOR LATH □ INSULATION □ INTERIOR LATH OR DRYWALL D FINAL PLUMBING □ UNDERGROUND PLUMBING D UNDERGROUND WATER D ROUGH PLUMBING □ TOP OUT PLUMBING D SEWER AND PL/CO 0 TUB OR SHOWER PAN D GAS TEST D WATER HEATER D FINAL READY FOR INSPECTION: D MONDAY DA.M. DP.M. ELECTRICAL □ TEMPORARY SERVICE □ ELECTRIC UNDERGROUND D ROUGH ELECTRIC D POOL BONDING D ELECTRIC SERVICE D CEILING HEAT OG.F.I. D SMOKE DETECTOR D FINAL MISCELLANEOUS D PLENUM AND DUCTS □ COMBUSTION AIR D PATIO □ SIGN □ GRADING D DRIVEWAY □ CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL □WEDNESDAY D THURSDAY D FRIDAY SPECIAL INSTRUCTIONS---------'------------------- REQUESTED BY~ PHONE NO.S~.:5 7 PERSON TAKING REPORT ' ··-·--·-··----·------------- REQUl:SJ FOR .INSPECTION TIME-· ---- INSPECTOR. ~ PERMIT NO _______ DATE: _7_,.~<-£..,<,,,A-<--"-~-'1/~-- OWNER ________ ~--~~------------------- ADDRESS~o<~&J~&~t/~~-~~-~//~~·~------ \..BUILDING"") D FOUNDATION D REINFORCING STEEL 0 MASONRY D GROUT -GUNITE D FLOOR AND CEILING FRAME D SHEATHING XRAME -~ D EXTERIO~-~AT/f D INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL PLUMBING D UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING 0 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 D ELECTRIC SERVICE D CEILING HEAT D G.F.1. D SMOKE DETECTOR D FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR D PATIO D SIGN D GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL READY FOR INSPECTION: D MONDAY D TUESDAY D WEDNESDAY DA.M. ~.M. SPECIAL INSTRUCTIONS _________________________ _ REQUESTED R'(2~~ PHONE No.51/-///.37 PERSON TAKING REPORT #I(!,,, / REQUEST FOR INSPECTOR~ INSPECTION TIME:~ at</{ PERMIT NO ______ DATF• i?d OWNER ADDRESS -x.U. <I~ __ ){., ~ j --( BUILDING ) 0 FOUND~. 0 REINFORCING STEEL 0 MASONRY 0 GROUT. GUNITE 0 FLOOR AND CEILING FRAME 0 SHEATHING ~FRAME 0 EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL ( ~LUMBING / D UNDERGROUND PLUMBING J2_)l"'DERGROUND WATER ,.)2\_ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PI-/CO 0 TUB OR SH~AN 0 GAS TEST --..,/ __ / D WATER HEATER D FINAL v~ READY FOR INSPECTION: D MONDAY D TUESDAY r -..;;:,,._ '-...ELECTRICAL } 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND ~ROUGH ELECTRIC POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT 0 G.F.1. 0 SMOKE DETECTOR D FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO 0 SIGN 0 GRADING 0 DRIVEWAY r!IL 4,y. 'I I d 0 CONDITIONED AIR SYSTEMS 0 REFER PIPING D FINAL THURSDAY D FRIDAY SPECIAL INSTRUCTIONS _________________________ _ REQUESTED BY_,~<-WC.-'--'-=-""--=-'-,F---'-------PHONE NO. ~J>B/7 PERSON TAKING REPORT ~"7" C: TIME·'----c,...,-~---REQUEST FOR JNSPECTION INSPEC~OR • ~ ~PERMIT NO. fe-J',;c~ DATE: .5,:?'g I --OWNER, _______________ --_______________ _ ADDRE~S cRt.?tzY /4-k.; ~ ' ( BUILDING) 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT -GUNITE 0 FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME ~EXTERIOR LATH 0 INSULATION hlNTERIOR LATH OR DRYWALL /~ 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: D MONDAY f UESOAY DA.M. ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT 0 G.F.1. 0 SMOKE DETECTOR D FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO 0 SIGN 0 GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS 0 REFER PIPING D FINAL □WEDNESDAY D THURSDAY D FRIDAY AP.M. SPECIAL INSTRUCTIONS _________________________ _ REQUESTED BY'__,t.AJ.~· ~L~~.C;(:7~4~~~~-----PHONE NO.~-$ 7 PERSON TAKING REPORT~ f Mr. Donald Laufer 1340 Garlingford Street Costa Mesa, CA. 92626 Subject: Soil Moisture Investigation Site: 2664 La Gran Via, La Costa, CA. Mr. Laufer: JOHN VERNON & ASSOCIATES 1859 S. ESCONDIDO BLVD. November 16, 1980 ESCONDIDO, CA 92025 TEL. (714) 743-8808 This is to certify that we have investigated the moisture content at 24" beneath the finished grade at the above site and found it to be not less than 2% above optimum moisture. (1_11).~ C. W. DAVIS RCE 21719 PROPERTY DEVELOPMENT ENGINEERS, INC. ENGINEERING• SOILS TESTING• SURVEYING 6/2/80 LEUCADIA COUNTY WATER DISTRICT APPLICATION FOR SEWER SERVICE Owner's Name Mailing Address nonald R. Laufer 1340 Garlingford St. Cos ta Mesa, CA Phone No. 224-4426 Service Address: Madrilena Way Tract Description: -=lo~t'-=3=03:...,._,_S=ou=t=h~H4-'---_____ _ Assessor 's Paree l !lo. vi'-, _2,....,_~/ ,.,(..._-~2 .. -::..7~9"--'-. ~S:..c...:o=----- Type of Building single family No. Units _1~_ Connection Fee $1soo.oo Lateral Size: 4" _ 611 _ 811 _Saddle_ Easement Connection _(pre-pd 200.00) Extra Footage: __ @ $___ Extra Depth: ___ @ $ ___ 1300 aa Amount Rec'd$ 1,300.00 Ck. No/Cash 24-'=-57'-e-,,-- Date 7-2.=2-:--:8~0 __ Rec'd By_ g.franklin Lateral Fee Prorated Sewer Service Fee Total $1500 aa 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 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 comnences 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. );'. ~ -z.:z..::dl) ate . 12171 Account No. • OLIVENHI\IN MUNICIPAL WATER DISTRICT 1966 Olivenhain Road, Encinitas, California 92024 Phone: (714) 753-6466 APPLICATION FOR METER SERVICE DATE: ,~ ~T. /780 OWNER'S NAME Al'W ADDRESS: __, ADDRESS: CITY: _____ _.L.:__ _______ _ PHONE: ______________ _ ACCOillIT Nm!BER: __________ _ NAME ~:O ADDRESS FOR BILLING: NA.\IE; K'r//3f3tA L-A;VEffe,P ADDRESS: I lc/o <;:;A-eL-1 N~ ~/!J) {1. CITY: {0TA-l1F-<5A. CA Cf2_6.U I PHONE: /-~-z..¼, -8t/3J ~*************************************************************************************************' DATE SERVICE DESIRED:. ________ _ METER LOCATION: 246 l( /A fy!ZAN 0A · LA-Cosr'A-. . . APPLICANT WILL SfAKE: __ _.L..Af_,_~cl ___ _ WORK ORDER NO. (} / 7 {,p · TYPE OF SERVICE 7) NO. UNITS_,./ __ SIZE HETER: ~ ,., MONTHLY MINI_H_ID.-1:_$ _ __,...,f""'-?-,.....-C!rG----------=c..L.---~--- APPLICATION TAKE BY: _fi_~-'-'-'--'"--A...,<' ___ _ PRICES QUOTED ARE SUBJECT TO CHA,'IGE WITHO!IT NOTICE COST OF METER AND INSTALLATION . . . . . . . . 22720 $ /3 0 CONNECTION FEE (less credit$ • 49910 $ /S-0 c) PIPELINE EJITENSION CONNECTION FEE ( Ext. II ) 22750 $ DEPOSIT ( ) 22850 $ - JUMl'ERS ( ) 13710 $ --- p A I 0 $ - SEP· 1 S 1980 1630 J'cl TOTAL PAID: $ -;;:::;:. Otut-1131!.. (,,.J;u__ c:C,M;jf:LD.RJte_ 1,€.T17 N ~ "I HEREBY AGREE TO ABIDE BY THE RULES AND REGULATIONS OF THE OLIVEXHAIN MUNICIPAL WATER DISTRICT A.'ID I Al\! IN RECEIPT OF A COPY OF THESE RULES AND REGULATim;s." INSTALLATI0;,1 OF METERS ARE SCHEDULED ACCORDING TO THE DISTRICT'S CURRENT WORKLOAD. THIPORARY CONSTRUCTION METERS FOR Cm-lSTRUCTION USE ONLY. ~******************************************************************************************* ··, ·-.. ·. -.•.. ~. FOR D I ST R I CT U S E 0 N L y ------------------ METER # STARTING DATE METER SIZE tlETER TYPE DIALS UNITS RATE CLASS READG. l',/C M/C T.M. BOOK CO~!P. ~1 <.f, •f~ <( : r --•4· ~-.!~ '!. -~ .,.,,_ ~-,, ,1,,•jll,1, ~ 4,, A,, 4.-~ ..... t .$,.. ,_.., -o,\> /l c1~rv ,;i''\. ,J'~· u,- ... \,Ji:.;. .. .· -;_ ft I UJ r f tt l,l u li r y CAP~LSBAD This Certificate issued pursuant to the requirements of Section 306 ._-_~.,,< ,, . ·~y~ "'. 1-"'-;,-t ' ;:, \~~;' . t,,j -1~ -:-,n j "-' f (} 1,:~){;, of the Uniform Building Code certifies that at the time of issuance this structure complies with applicable ordinances of the City regulating building construction use. ~ ~ j ...;g ~ ~ "§ Single Family Dwelling 80-826 j Use Classification ______________________ Bldg. Permit No. _________ _ _ :§ Group _______ Type Construction _______ Fire Zone _______ Use Zone _______ _ -:. ~ Occupant Load « 0 . f 6 ·id· Donald R. Laufer . Add 134 Garlingford St. Costa 4 \',ner o u1 1ng-·--"-:,-,-~~~-~---~----ress ---,.,--,--,-cv--.--c-'-" ,.._.....;;:;...---,,..,--...n,~-----~ 6 "Id" Add 2664 La Gran Via ~ u; 1ng ress, _______________ _ Loe a lity -~~~,:_~~~, __::::.:.,_-.::1;r----::; ::-·, " ._:,,,. ~·· ;,::,...- ~ :,~ ... 1/ t~ ~ ~ ~ ~ }> ~ " ~ >> §,. ~ M~a ► e' ~ f /4; ~ <{ <:g .. .:{ ,<; NOTE: Alterohons, changes, add1t1ons or changes of occupancrull1t.es thu czr 1!1cote. ~ '~ ): <,, (Post 1n conspicuous place) '~ ~ -4 wv ·:;,, ~ wv "i~W·f'"Y'v'"'li'v/'>, '~'1/"".'Vff«l'efi wv.r·,ro/~VWV"'f/-1/'"1 v/''t~!/w~1-1;1'11/'Y/"f/'¥"'-'f);( \