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HomeMy WebLinkAbout2709 Mateo Pl; ; 77-530; PermitMODEL NO. _________ _ BUILDING PERMIT APPLICATIG>Nn ~':~0 aoa•••••283.S0 Applicant to complete numbered spaces only City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 Permit No 7]-53u Joe AOOR [55 '(V\ od-e__o (p /a c_ e. Carls hrAd.. ASSESSOR'S 17oq rAL~J. PARCEL NUMBER LOT NO. I OLK · I l:ce. I BvOK PAGE I PAR. LEGAL I '1~1 ~, (nSEt ATTACHED 5HCC.TJ 1 0£SCO. ,&'OoTI " ... t_._ 20WNCL1 S Q.t) 1=. rv\a.cl1<AS M~ILi7~C, rf>'<d 1:xt.rtl ~'f6 ; ;~ -~n~~3 -0S2-(:, CONTRACTOR . MAIL ADDRESS PHON C. STATE LIC. NO, CITY LIC. NO. 3 Okl N QJ -rt\u\ I Je, ARCHITECT OR OC51GNCIII MA.IL ADDRESS PHONE LICENSE NO. 4 0<oPaLd rn . r e.e_~ :s-1-..-°' 3~1q LLovd fP/aca .S.D, J. 7S"-/991 ENGINtER MAIL. AOORC.SS , PMONE LICt.NSC. NO. 5 COMPENSATION INS. CARRIER MAIL AOORCSS 8111ANCl-t 6 use or 8,JILDING 7 rt<ec; , rl e v1 in I NO. BDRMS i NO. BATHS z 8 Class of work: ~NEW 0 ADDITION 0 ALTERATI ON 0 REPAIR 0 MO VE 0 REMO:'f 9 Describe work: I\~ ..._7 (!)Y'< ✓y r'/ C01 ,.,\':> 10 Change of use from I ~ Change of use to n.V"iD73,,--<!:!ltd ~-a I l _[>?I --/-,...--.:--i PERMITFE~'7' -11 Valuation of work: $ I I ) LY-VU PLAN CH ECK FEE S / ...... , SPECIAL CONDITIONS: MICRO FILM FEE Typeo~ N Occupancy 't J -Const , Group - Size of Bldg -No. Of I Max (Total) Sq F/7 / / Stories 0cc Load - ~ . , _Fe-I Fire 3 Use Fire Sprinklers APPLICATION ACCEPTED BY PLANS CHECKEO BY ~ISSUANCE BY Zone Zone Required OYes-BNo N o. of I OFFSTREET PA~G SPACES No '1 ✓~ !No. DATE • Dwelling Units coi,ered Sq. Open N OTICE 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. OTHER (Specify) I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT APPLICATION AND KNOW THE SAME TO BE TRUE AND 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 GIVE AUTHORITY TO VIOLATE OR CANCEL THE p ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING l s;;~odut:_~:::~OF ;7;;;l;N. 51, NA,.,,.ff"t '"'O,-CON"T"l'IACTOIIJ O~QIUil:0 AGlNT tOAT[) ,:U ~ Et> F , /111 Ac ( tA \' fJ-./~/77 51GNATtHU' OP' 0WN[ft I f:° OWNt• IUIL0£"1) OAYE) , , WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH -, c3 '5.9- TOTAL FEES $~12:::=_.....__6=-='----- INSPECTION RECORD DATE FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY FINAL . USE SPACE BELOW FOR ~OTES, FOLLOW-UP, ETC. 2-22-77 Fdn. Forms: O.K. B. Nelson 4-8-77 Frame: O_J(. _lh_Nel son 4-19-77 Drywall and la.th.: O.IL~-..Nelson REMARKS .NSPECTOR --- --------------- 0 O PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA Applicant to complete numbered spaces only Permit No 7 , ;,, 7 -_,. .· I JO& ADOR ESS ,. -, i I I LEGAL I 1 ouc•. LOT NO. OWNE.-: 2 / ,..,G£A/--; CONT"ACTOIII 3 ARCHITECT 0111 DESIGNER 4 tNGINCER 5 COMPENSATION (NS. CARRI ER 6 8 Class of work: 1 ruew q Describe work: SPECIAL CONDITIONS: , 7t 0 ADDITION I nAcT MAIL AODIIIESS ll P tdo.21/ PHONE ·'..LI ~~. -~b I .,' ( ' . MAIL ADDRESS PHONE. LICENSE: NO, STATE CITY MAIL ADDRESS PMONC LICENSI. NO. MAIL AOOlll[SS PHONE LICENSE NO, . MAIL AOO,.ESS 811U,NCH 0 AL TE RATION 0 REPAIR PERMIT FEES No. Type of Fixture or Item Fee WATER CLOSET (TOILET) S C10 BATHTUB / (. LAVATORY (WASH BASIN) ', __,(, SHOWER -( KITCHEN SINK & DISP. I ~ ,(') // / DISHWASHER / 50 APPLICATION ACCEPTEO 8Y PLANS CHECl(EO 8Y ~ §"' ISSUANCE BY 1----', .. '4--~-~-~-:-H-:_:H_/_EW-:-:-:-:-:_R _____________ -4-__,~'--l-~-'-'~"-)-I NOTICE THIS PERMIT BECOMES NULL AND VOi D I F WORK OR CONSTRUC· TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM• MENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND 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 CAN CEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRU CTION OR THE PERFORMANCE OF CONSTRUCTION. URINAL DRINKING FOUNTAIN FLOOR SINK OR DRAIN SLOP SINK GAS SYSTEMS NO. OUTLETS ..!:) WATER PIPING & TREATING EQUIP. WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM ,/ SEWER _....., CESSPOOL J . 11 J ~IJ, V d-_ /_ / SEPTIC TANK & PIT fl :©JV {J • f ,I~ 'l"ff:21241/J {}le:. ~ 317-.....I ~R---oo F-=--DR-AI N s~----+---+----t SIC~ATUfU: Or CONT .. ACTO,-OJII AUTHOR1Z.[C,AGCNT (DJ.TE)' z/s/77 PERMIT SIGNATU"I:[ 0,-OWN'~ 1, OWNU' ■IJILOEJII) IOATt) TOTAL FEE S A5d WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK . M.0. CASH INSPECTOR 77,..63/ INSPECTION REPORTS DATE ITEM REMARKS INSPECTOR USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 2-18-77 Underground Plbg. and underground water: O.K. B. Nelson 2-23-77 Soil Line: O.K. B. Nelson 4-8-77 Gas and rough: O.K. B. Nelson 4-19-77 Tubs: O.K. B. Nelson .. J ) ELECTRICAL PERMIT APPLICATIO~ City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. -_Pho..ne 729~1..181 Permit No. . 77, 2- JOI ADDfl C$ai -v ! ~ '/ ~--j,) k ., /'/ ~\. L.OT NO, I ILK I T"At T (□Sitt ATTACHED SHEET) L~GAL I 1 DUC"• OWNE.111 ..... '"¼.A?~~_/2. MAIL ADDfllESS ZIP PMONE 2 CON Ta:AC TOJII --MAIL A00fll£SS PMON£ LICENSE NO, STATE CITY 3 AfltCHITt.CT Olll OESIGNEfll MAIL AODfttSS PHONE LICENSE NO, 4 ENGINE.£" MAIL ADDllllt.SS PMONt LIC£NSE NO, 5 COMPENSATION INS CARRIER MAIL AODIIIIESS 1111:ANCM 6 USE. o,-BUILDING .,,c-7) 7 8 Class of work: \0 NEW 0 ADDITION □ALTERATION 0 REPAIR 9 Describe work: PERMIT FEES No. Each Fee SPECIAL CONDITIONS: ISSUANCE OF EACH PERMIT (?(ll '2- /J NEW CONSTRUCTION, FOR EACH APPLICATION ACCE,TED BY PLANS CHECKED BY APPROVED FOA ISSU ... CE BY AMPERES OF MAIN SERVICE, SWITCH , FUSE OR BREAKER DAT ✓/ NEW SERVICE ON EXISTING BLDG. NOTICE FOR EA. AMPERE OF INr.REASE /dl 1 ,;J \ IN MAIN SERVICE, SWITCH, FUSE . THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAY!> AT ANY TIME AFTER WORK IS COM MENCED. IN SERVICE, FOR EA. AMPERE OF I HEREBY CERTIFY THAT I HAVE RE.AD AND EXAMINED THIS INCREASE APPLICATION ANO 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 ,..,0 HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· I,;"" PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE ) PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ~ cJc1 A, ---1 ,HZ,,~ ~(!l-;7 TEMP. SERVICE OVER 200 AMP. PER 100 t SIONATUIIIII. 0,-CONT"ACTO" 0111 AUTHOJIIU~O 1'-GI.NT l0•n1 l .. /17 32. -.tu• I ,.~€'?.., J:w~u '.Y.!:;~( I 1~1 PERMIT FEE 0A1 1:1 WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR '-77-b INSPECTION REPORTS DATE ITEM REMARKS INSPECTOR USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 4-7-77 Ro ugh e lec. O.K. B. Nelson -,. ..... MECHANICAL PERMIT APPLICATION S.,,. " ....... - Applicant to complete numbered spaces only ., City of CARLSBAD, CALIFORNIA 92008 Phone 7 29-1181 Permit No ~ 1 o 1:• • * n.co n-;~3 JOB ADD•<>".°", __ ...., , ' .. .,,~,?7c;;::~-v--e__ . ' u ,• / ,, I . LOT NO. -,m " r mer LCOAL I <Ostc ATTACHCD SHttTJ 1 Dest•. OWNC~ y~ ·•· MAIL ADO•t~~ ~£k )W P110N[ i..-I -1~ I ~ , c;-:'r' r ..., ~~ (~ <; .~ r,, 2 ,, --~ ,. ~ / L"-7 .J'~ -/ ,,,.. t7 . .I )' ,'. .. 'Z'1 CONT .. ACTO .. MA IL ADDJU:ss PHONC STATE LIC. NO. CITY LIC. NO. 3 ~ '1 ~- AflCHITtCT 0" Dt51GN[i. MA.rt. ADDAC.$5 PHONC LICENSE NO. 4 tNG,IN[[ .. MAIL Aoo,u::ss PHON! LICCNSt NO, 5 L.tNOl" MAIL AOOfl [.5.S &JU,NCH 6 US ( 0,. I UILDINC. 7 '· r 8 Class of work: ' ~-NEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: Type of Fuel. Oil D Nat. Gas D LPG. D PERMIT FEES SPECIAL CONDITIONS: No. Type of Equipment Fee Air Cond. Units H.P. Ea. $ Refrigeration Units-H .P Ea. Boilers-H .P. Ea. Gas Fired A .C. Units Tonnage Ea. ,h,r,. -- / r Forced Air Systems-8.T.U. M Ea. APPLICATION ACCEPTEO BY PLANS CHECKEO BY APPROVEO F~R l,,SSV,.NCE BY Gravity Systems-8.T.U. M Ea. 4· Floor Furnaces-8.T .U. M Wdll Heatert 8.T.U. M NOTICE Unit He&ters-8.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 .. k CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A -. PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-...;'> Ventilation Fan I~-, MENCED. -. I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ~ Range Hood ? 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 CAN CEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. £v»h1ll · :::/~:,~~-.z/3/7 1 sfGNATUfllll. OP' CONTIJt.ACTOfl Ofll AU"h~v/'z.r.o AG[HT IDATt,, -,.,,. GLt Stu f. MA(f A~. 2/3/7; ISSUANCE FEE $ ;,, ., , ~ TOTAL FEES $ , ,-,, .. ,.e .. ~--flt. 0,. OWNlfl OP' 6WtitEfll aulLD£111 OAT[) WHEN PROPERL V VALIDATED IIN THIS SPACE I THIS IS YOUR PERMIT I PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR ----- INSPECTION REPORTS -----------r----- DAT£ lTEM REMARKS INSPECTOR -~ ----- -- ----~- ----- -~ ~ - ---- USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 4-7-77 Heat-: O.K. B. Nelson I· I . t I I j l i I I -- MECHANICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 729-1181 Permit No 77-/{)1.3 JOB AOD" E:55 . (:"~":.'" - LOT NO, I I LK I mer 10su ATTACHED SHEET) LEUL I 1 DCSCA, - OWNt" MAIL AODfllCSS ,, . P,MONE 2 :t'.:n""'' ~~-l. 7 '. clni ' "J202 ,S3 • • -. --------.....__ ..----CO"'I TlltAC TO,t MAIL ADDA£¥,•!~,.....,, PHONE "-".._..,..,..,..,_, STATE LIC, NO, CITY LIQ,-~~. 3 . ·:!cnting 65 .. ... · t ... --92 . -. , • ... -•-.. A"C1'41TCCT 0" DtSIGNt" MAIL AD0"C5S Dl-of0N£ LIC[NSE NO, 4 • I tNGIN[t" MAIL AOO,t CSS PMONt LIC[NSC NO, 5 Ll:NOCJII MAIL AOOIU:5.$ Bll'IANCM 6 D ust or I UILDING 7 Fn:d1y JI -I ,< ,:f.'Q{ .,n~., 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR .-.:P 9 Describe work: ;lng -_,r V ~ ~Jrt;,11,o'-,;;=✓ -, --·- C .,,. Type of Fuel. Oil D Nat. Gas 0 LPG. D , PERMIT FEES SPECIAL CONDITIONS· '-<, / No. Type of Equipment Fee I l Air Cond. Units-H.P. Ea $ . --t-"' Refrigeration Units-H.P. Ea. . Boilers H.P. Ea. V Gas Fired A.C. Units Tonnage Ea. - J. Forced Air Systems B T.U. 4V!,ltVt.JM1Ea. ,Q \II,, APPL1C .. TIOI'; ._CCEPTEO 8Y PLAl';S CHECKED SY _. APPROVED FOR ,ssu .. NCE ev Gravity Systems-B.T.U. M Ea. Floor Furnaces-B.T.U. M .J..,) .. . Wall Heater:. B.T.U. M ! 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 NQt , PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUJ;AT1NG CONSTRUCTION OR THE PERFORMANCE OF CONSTR CTION. ,..,,, ,, y,~ . ; . ,, , t' ~ "',,,..,..,.. .. -l: / 77 '· SIGNATUlltC o, CONT,-ACTOIII o-. AIJTHOIIUtEO AC.ENT (DATE, ·- ISSUANCE FEE s \ ... '·- ~ICN.&.TUJlf: OP' OWNt.111 IIP' OWNE.111 8UILDCfl} DATE) TOTAL FEES s "' WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR ----·- INSPECTION REPORTS ---------------- DATE ITEM REMARKS INSPECTOR -- --- ---- ------~----I - USE SPACE: BELOW FOR NOTES, FOLLOW UP, ETC. 4-5-77 Heat: O.K. B. Nelson • \f,,.: .. ,-.i ,, f ~--··--·-··--·· --··---- Wl1RNTHG: CI 'J'Y OF C/\HLSBJ\D rnn L DD~G [)]~P l\H'J't-1r:N'l' SINGLE Fl\1111,Y l1NIJ MULTIPLE 1"i\MILY l ~ESIDEN'l'Il\L PLJ\N COHHCC'.I'JOH L IS'J.' PLAN CJJE CJ~ F F:l~S , wi'mnE N0 /\C'J.'J ON l S 'l'i'\l<J::n HY T HE l\PPLJCJ\.N'f I N 120 DhYS , 1rno NO BUll DING i1rrn.MI'l' I S ISSUED , 'l\.HE 1-'0HFJU 'J'ED '£0 'J.'1JE Cl'l'Y . --------------------------------·· OWI.\Jl~R ~ ------------------ ENG Ii-JEER: ~ CQ'\J·l'JV\C.TOR: /1.t\C/Jl'l'ECI' OCCTJP J\I'JCY USE ZONE FIRE-1/.0:~E -~----------- 'J.'YP.E OF COi'.,JSTRLY:'r I ON VALUJ\.TION . ------------·---------------- Bl\SIC 7\U Oi;A.BLE BUILDING l>JWA : 1st :r.J oor 3rd J:'J CX)r 2nd Fl oor 4t h Ji'lo.)r ------- ~:: \• 1., J,LH JdflJ3LE JNCJIBJ15E DU.C 'IO R'E:QU_II~p PJj\NS 1. PI t:JJ.' PLI'N 2. l•'\.lUND/.'J'lO\T F-J...71}.\f 3. I'LOJR PLl\\J ~. GENE!v1L Pfo\;/1]1-;:G 5 . FOUNDl\'1'10:,J DE'J'llI LS 6 . S'l'RU:.TlJfo\L DET,\IL'.; 7 . ELE'/7\'I'ION PL71.'.~S 8 . l':CDF PLN J q . J: ND E X S I l £ £ T '(D ·nm l\PPLTGl~T CDnHECl' PJ..l\:\!S \'T!JE1~E CDPPEC:.I'TO:·~ LIST Jll1S BEEN CUt2l.,SO. H AG CORREClIONS . .6-\ o,::r ';·) . .. \. .. _. ~ B. 1NC.XX•;P.Li.:'J'i~, I. "i)EI'Ii.\JI TE 0~ Vi'\D;':;r:> Dnl\l-✓JNGS ..... !i"' OR C'JJACUT.2.\TIONS NOT l,CCEP,.J'J\l3Ll-:. C C. ,,_ ··- Jlli()OJJ{}:-;u ENGrnECR' s or: SLJHVE'LO~' s Ci'iLCOLATIO:\'S OR .PLZ1NS SHALL BE SIQ.;)ED J.N l .. NK. D. rn::v1~r~x PLi,t.:S MAY NO'P 131.:; USED. PR')V.fD;•: ... C..---0::ZRECJ' PlO'i' PLA,1 , 1-:t:iU~'-EJA'l'iO, 1 PLAN , FLOOR PL?\~, l,ND ELEVATI 00l'S . E. 'l1HE l1l'PROVAL OF PLl\1."JS 7\..1\JD Sl?ECJ.FICJ.\'I'IO:-JS WES Nor PERYiI'I' 'rHE V10Ll\TJ O.,J OF ANY SECTION 01" Trill BUILDING OODE OR OI'HER CI'l'Y , C.."OUNTY OR S'TATE LN-v • Gl.~NEPJ\L l. SUBJ\~J'J' FUI ,LY DJ tv'..Ei\!ST6:IJRD PlCTL' PLi'\N, D:RJl,KL-1 'I\') SC!\U::, INCL®ING ALL El\SE/\11:...~TS Oi'\J P fDPEHI'Y . 2. f~Ilv,\l ALL EXTS1'ING AND Pl"DPOSED BUILDlNGS O~ PI.OT PIJ\N . 3. Sl 10\·l CORRECl' I..EG!"\L DESCIUP'11I0N ON PIAN . 4. SIJCA'il N.J, OP.!.~ ST'I'E J.MPI~VEMl:'.i."H'S , DRIVE- WAY N 'P ffill.CII , LIGlT S'I'l\NDI\RDS , FIRE JNDRN:-JTS , \vl\'l'ER ME'rERS , sun-[)'i'Rl.JCrum:s , Tf'J-:ES I ETC •. ~U<J~Cl' J.,0.[' DIMfNSI ONS. -~~:9\·J EXl STI '.'jG AN D FlNISll CONTOUR LINES .! VSY OF r 0 1' l~W")UIHED. 'CJ\1.'E l\LL CHl\Dll.:JG TO .rn-; l"ONE. E Cl\'l'E CLEV,\'J'lO~J'.:.; OF C;/\lZ,'\('.J-;; FLOOR, . l\ND STHCl~f J\ND l)J?.TVJ-;_:\\l\Y. • 10. INDTCJ\'l'l.:'. Cl:'.~~rr:nLlNE AND EfX;E PROFILE OP DHIVD·vl1Y. · ~.)PE or DRIVJ.:1\liW NCYl' 'J'O EXCEED l 5 % •• ~ I NDrC~'\'l'f•: FI.O.v LJ NES !:DH DTSPOSL\t, OF SUJW/\CE \v/\TEH. / ¾ ~ ).3. LI\ COf.~1 ROVl\L TF::0 \iIRJm . 13a .s .o.c . lll•:l\J.Tll l.)J-:P 'I'. l\PPHOVl\L.REQ . .... --·---··-----·---. -·----·-- Sh o w ull Hl ~QUIHCML:N'l'S FOH 11 DJ CA-i;·I'1 •:U. lln C ::-;cc . J ·7 ·1 l • ~!:~-ri~n rn:Cl'.Tl"f' )':r:tiUTHJ~n. . ,1 •. (11•,t,1! l1li ,•i· l~1•111i1P1:. 14. Cl\RRY WATER FROM · UNDER S l])]-;:7/-.Ll{ 'l'!ll<OUCH CLD<B 1NTO-. -,-c,._-l'I-{i-~i:JJ __ _ WJ'l'l·l CJ\ST TPO:ll PJ PE . J 5 . Pi~OVT.DE E:NGI:·:F:ERINC-: CAil...:ULl\'I'IO.\JS l:OR -------------------~ ----- 16 . PHJVI!)l~1~-R-[IT°(iirr:~-=-=== 1 7 . C-;W~DHJG PE'.('•·~·r nr::QITTREif'V -· -. l b. Pil.:E DEP'.1'. h,!)!~0\77-\L REQL:J RED . 1 9, ...... ~,PEClFY CO'.-:'C?J.TE MIX@ 2000 P .S.I. Jl:JNH-'iUM . 20 , ...... DH-1E~SIO~T H .. (Jl'l:\'G SIZES /-'.!.\Ji) CLEl\HA\:CE Ji'fD:,1 GHl\DE . 21. ... sua:v DEPrH 0~:, HX)Tii.'JGS BELO:v N.l\'l'lJRl'J., OR liNDISTURi.:ill GT<.lillB . 22,_INDJCNI'i:: PRESSlJ.<J°:: 'H<.Ei\T'ED FOlJi\TJ.i\'rIO\l SILL , OR EQUAL . 23~,-,S:i(J;·~ IUUND.7\TlO~,J OOL'l' SIZE , SPACJ:-.JC .7\~TD I/ " ,t PEi~EJ'R71TIO:,J IN1D COi'lC.RE.'TE. i'l X l"7 F~I< Mh5MJRY 24. INDICA'l1:.': f,LE!\i~N'-lCE FnJ:,.1 GRADE TI) ffJ]'l1'.'.X1 OF FL(X)R J Ol STS Al\1J GIRDERS. 25. $HO'i\1·PIER SI ZE , SP.l\CJNG l\1',78 DL1-'1'1l , JN'~O UNDIS'I'ORBED SOIL. 26. SHOi'J GIRDER SIZE , SPACING At\i'D. DIRE( ~'ION. 27 ... Sh ovJ a l 1 conditio ns of so i ls r e oort on o l an s . W. S h ov✓ pos_·iti ve dra i na C1 .e al'J f.:Y .f r nm f.ooUnqs o n si t e ol a n . 5" fal l i n 6 feet . 29,-SPECI FY r1nn::-J1JM :i.8 "X24" ACCESS OPENING 30 . Wh ere e xo ans•ive -soil s e~ist , o l a nters aj acent to fou ndati o ns are not' r ~com111 en de 31-SPECIF'Y U!\1DERr LCDR VENTUJ\'l'JO:-.i EQlll\L 'lD 2 SQlli\Rl'.; FELT 1:DR E/\CII 2'J L INE.i'\L FEE.1.' OF FOUNDJ\TlON PLUS ONE OPENlNG 1\il'I'J IIl-J .3 ' OP El\Cf! corw F:n . 32. S'l'EP FCD TINCS h'llliN SLOPE EXO:ill!)S 1:10. ~ ' · FHl\Ml NG 33 •. Pl NJf)f~ 'J.;YPJ <.."1\L FH!\Ml NG l)l:.T l\l LS . 34-f :EClFY .. ,l\LL J.l lM!'ll~H Gl'!J\!)ES . · :·), SPf':.CIJ.-Y F'll~E !!f CCJ<:] NC l\.'I' I-HXm , CEU .1.NG COVE .l\ND t•UDIIL-:ICJl'J' OF Wt\LLS ovi-:n 10 -1-'F:E'l' l N 11'1'. SIJ();"1 DJ/\COtJi\L J\W\ClNG l\'l' 1·1\Cll (X)l~l-:1{ l\Nl) m m HY 2~ L1 Nl~l\T, FI::l::l' OF' h'l\LL. 37 . Cl J\lUYY lllV\CJ NG OF ___ WIILL. 30. f;J ICM ~lZE , Dlnl~Cl.'.LON /\ND :.,;1 ',\Cl NC 01" l·'H..X)I~ l\ND Cl::JI,HJC ~JO U::'l'S. _____ ,)C}l!;'l':; ' IN J\Hi:: ()\/J:;i\] ;P/\NNl:;I). 39 ...... rDt ll l l.1•: 1"1/'nH :JP J t:'I':; on - Hl·:/\M lli!t1/•:11 l '/\ll!·,l,1.1·:I , l'/\1,'l'l'l'l(ln:;, ~n. f;l 1i·'1'll·'t' II,>!•!,!'. :;J ;',i•: l·\ll' <tl 'l :IJ li:, '; ''''::q ,jr • : : 1 i ,. · I U • I ii · I .I : I · 1 . • ' II · I ': : I ii I l : I " : 1 : • '12,_J>ltJ\/JJ)I·: l'hl-'J'l-:1{ 'J'JJ•;;; \·!lll".l:l:·c1:11.JNG ;JOl~~'J'!3 7\J,J!). H!\l-'l'J·:n.s l\HE N'J\) P/\H/\U.,tL. ,1 ' o.c. '1 3. :11mJCJ\TE Hl\FTJ·:H SHE, Sl'l\N , SPJ\CING AND DJ PJ-'.CJ'JON. ,1,1. SllCJ,\1 PUIU,JN.S (Ji'J J,;l.)G[;; l\ND 11-JUJCl\TS s.rzr::. Same size as raftors minimum. '15. BH/\G; J~)OF FHJ\Ml NG TO P/\lZl'J'J'IO'.'JS . 46. JNDlCNJ'E SOLlD r;JfF'.!\'.l'IJJNG l\!-JIJ 2;,6 OH ]Y. '1 STUDS ON FIRST l"JJ..X:)H OF ·nm1:1;; STOHY cow;•rmr J.'ION. !J7. SJIO'IJ SECJ.'ION 'l'JIJ~UGII 48. S!lOv✓ PLTIN'l'J·:n BOX DETJ\lLS -/\NO w0:·m~ . PH08FING, SEC. 25] 7 C7 . 51-PROVIDE TYPICJ\L OIIMNEY DE'rl\ILS. 52-SPECIFY 2 11 MiNJMTJM CLFJ\HANCE J3E'.lvJEEN OlIMNEY AND FPAVLfNG. 53 . SPl:X.: J:;_-.., POST PROJ'ECTION \v!ll:.N BEA HING o;_..;i (X)NCIL9'E . 54. i?R'.JVIDE PARAPfil.' DETAILS. 56;._SPECIFY INSPECrION CLASS -----REQUIRED FDR --------- 58-PR)VIDE DRIP SCREED 2" I3tLC..'1V HUD SILL. 59. lNDIC,\TE HO:v RD:]UIRED S'l1RUCl'U.Rl\I., .?\..!\JD Mi\ll~J.'hli'ff.:D. \·i'HERE Pr~TE'l'HA'rIO~ WILL BE MADE FDH EL!:Cl'RJ.C.Z\.L, .MSCJ lA."UCAL , -PLu,mING JI.ND OJ/:'11UNIO-\TJONS C01'.1DUITS / PIPES Al.'\JD SI.MIU1.R SYSTEM.S. SECJ~IOi.'\J 301 D. 60. CI.,J'.°1,RIFY DIMENSIONS AT --------61. SilCY.•v WINIO.v TYPE, SIZES AND IJX'.l\TIONS . 62. LICTJT l1ND /OR VENTILATIO;-;J IN.ADI:X,]UA'l'E n~ (L/10 floor area -1~1 square f0et min. _cxc~pt bat11room). 63 . PJ~VJ E _______ VERI'ICAL CT •' ~CE l\ND RIZO:-JTJ\L CLEl\RZ\NCE FR)M Ri\NGE TDP 1D 0.')~IBUSTIBIJZS . ..... -~=--·-,·NDICl\'I'E l\1.'l'IC SCLITl'LE (22"xJ0" MIN.) 65. PROVIDE DHi'\J?I' SEPJ\R.7\'l'ION FOR l\'I'rIC l\REl\ IN Exo.::ss OF 2500 SQ, fT. 66. SEPJ\lV\TE l\HF...l\ DEIWE.EN DEOPPF'.D CEU,ING l\~O FLCX.)R l\.lDVE 'l'O 1000 SQ.J.-T. W\X . 67-SPECJ FY STZ\LL ~!IOWER l'lJN .. hi:[l)Tfl 30" . MINI MUM PLCDR 1\HEl\ 900 SQ. JNO JES . 6 8-SPJ•:CII:Y \~/\LL FJ NISI! IN sr 10,vEH l\HE7\ NOI' '.ID GE 7\DVr:I ~~l~LY l\FFECJ'l-:r) lW f.)J<;']'unJ.:: TO (i '/\BOVE rrru:; FLC.OR , l\ND ROVIDE SJIJ\'[TEl{Prror-rxxms . hl/\'L'EI{ CID.SE'!' l\HE:l\ MINU!UM WIDTH TO .-...-. BE ~~O" •. . HO~ MATER IAL TO BE USED UM DER TIL E. 71. OPEN J.NGS CW-5EH 'l'IIN~ ------- \. '1\.1 l 1Jn l 1l•:l{l'Y. Ll NI·: !i i 1/\LL 111~ 01-' ----JlOUn 0:)NS'l'HUCl'.I ON . : :,1 ___ ___ 1·, 11.,(1•:l~ )1~ ~, 73 . /JIU;/ JJ\'l'J·:lif\L CJ,Hi'.j l Uif\CHlG /\'I' G/-.11/,CI·: J'l/\'J'E J."Jl.ll·:. 7-1. sr.KY,v DEDHCX)M l'/J NI.YJ,"1 hS i::x LT, s1.::cr 1 ON D0tl . Ef .l~Vl\'l'TONS 75_11'n}I.CJ\'.J'E l\'ITIC VEN'J.'JJ.J\T.I.ON PEll SrI..:1'1Cl 320S (c). 76. SI ICW l\L1; EhVE OVF:ltlll\NGS l\NI) C'Q;~~j'J.'Hl.JC.,~r:; ON DJ~J'l\JJ .S . 77-DJ..MJ~NSTO'.'l Cl JJ Vi ~r,;y l il;::I.GFT 7\IDVF: J:CX)F. (2 ' O" l\POVE ncx.-,1;, w.cT1riN 10 ' O"). 78-INDIC/\'l'E FJ l H~;!l /I.NC Nl\'J'UW\L GHl\l)J.:: 'I'O PJnPERl'Y LINS . 7 9 •. SIIO'tl EX'J.'f.RfOP. \,lJ\ LT.. FINIS! JES. 80-lNDJC"{l'E lS/t FELT OR EQUJ\1, ON EXTERIOR Wl\IJB. RCX)F 81. NOI'E H...,'OF PI'J'Cll. 82. INDICl\'l'E RCX>FTNG MA'J.'ERIJ\L lJ~NGTI J & h'ENl'HER EXPOSURE ON \DOD SID:NGLE~_;. 83. SIJ0'/1 'l'YPE, SIZE AND SPb.Cll'°/G OF 1WF STJEATI!ING. 84. FIRE RL~l'l\RD!\.:\'T RCX)F REQUIRED DUE 'J'O J .a'.l','I'IOi-J Il'J FJ HE ZONE. GARAGES 86. GARl\GES Nor })f,R:_\1l'ITED 'ID O!)EN INlD SLJ31::\?ING Jro:,1. 87. PROVIDE -~-_________ SEP/\Hi.\TION ON ALL h7\U..S 71"\D C.ElLINGS ,\lJJl\CE~T 'ID LIVING Q:Jl\RTEP.S . . . 88. SPECIFY =::-:-:--= ·:-=-~:::--=-:c-:c DX>R/i,lJND'.)W OI?!.::t-:INC :-'~·:-: C:.:'..:-'1'..GE/Cl\RE'O:?:!.' JN.I'O STAIRHAYS Nm EXITS 90. PROVIDE llMTIR.Z\ILS l\S REQUJP.ED IN SECrIO'.'l 3305 (i) • 92. PROVIDE HOUR Wl\.LLS FDR S'J'AJH . WELL. ------- 93. INDICATE MAXIM0~1 HJ~J1~ ---------AND MJNIMUM HUN ON --------ST l \IR. 95. PHOVIDE Ill\LCONY HAILING N.r L, 2 "MINIMUM Il.EIGIIT. 36" O.I<. For Single Family Unit s. 96. PROVIDE I NI'ER'·lFDll\TE Hl\JLS @ 9 11 O.C. OH '• EQUl \'/\l.,EN'l' I·\.1!{ Ol'l::N 'l'Yl'E ni\1 U1NY & S'J'i\ll{ P✓1IJ.S. 97. INDJ C:l\TI•; G' 6" I•lliHMLl;'vl 111•:7\t)l~'X)M <.J,1:1\l-:.:\!\JCE ~l l\DOVC S'I'l\THWl\Y . 98. SIIOW S11'/\ll<\-v1\Y ('():\J~,'J'!~UCl'.ION DF:'J'l\l l [;. 100. OCCUPJ\NT LOJ\D OF' Hl:X}UHillS EXI'l'=S-1-•'l-~~)M ___ _ 101. "'.'."P-:C-HO-c-V-:-. ..,.-Il-)1""":.: -:-L-1-_{J-,I r=rs 0\/l.-:H 1:i'l'/\lhW/\YS J\Nl) J>UliLJ C (X)H.HUX)HS • 102. SllOW CH7\1'1G E :i:l\i ·1;,LOC1H LEVJ"'L l\'l' DOOj{S .l" Ml\X . ·sec . 330 3 h. 102a SIJ OW r°Jl\NDHl\J L EX'.1.'Elm ITJC G" DEYONr> rr lJE '.!'OP & HO'l"l'OM IUST-:ns & 'l'E HMll\Jl\- 'l~ltlG ItJ l\ Po~-;•r OH Sl\l:'J•:·1.•y 'J'l::HMJNl\L S1;c, 3 .10'j(i). • .~ PLUMBING MISCELLANEOUS ITEMS 103. INDICATE LOCATION OF ~JATCR HE/\TER . 1. BORED HOLES AND NOTCHING, SHOW DETTLS 104. SHOW TEMPERATURE AND PRESSURE REL IEF AS PER SECTION 2518, (F), 10, 11. VALVES ON WATER HEATERS WITH DISCHARGE PROVIDE SQ . FT . AREAS OF THE FO&IINg;._ LINES TO OUTSIDE . SEC . 1007 LJ VP4G L q77 ~ Q 105. WAT ER HCATER NOT TO BE L0C~TED IN G/\Rl\GE '1 1& -?s.-5es ,_ OR UNDER STAIRWAY OR LANDING . "ii"'"Jb ___ 106. PR0VTDE SQU/\RE INCHES PO RCHES /p '? ,_. ----=,c,) (J-~ OF VENTILATION AT TOP AND BOTTOM t · ·?_ 5" OF \✓ATER HEATER. . --2.)('?,0 ,,o + ,t.t~.~ 107 . SHOH WATER HEATER ON 18 INCi I PLATFORM . 108. PROVI DE WATER PRESSURE REGULATOR . GLA ·Z.'I-~ 5 =-lf.O ! x,t : 56 'f-Z .. I oo SECTION 1007(B ). 3. lNSULATI0N REQU IREMENTS: 611 l NS ULATI 0N IN CCILINGS .(R-19) 110. INDICATE MATERIAL TO BE USED AND N~ W l x BLOCK FOR INSULATION STOP AT VENTS . L0C ION OF srnER LI l~E. (I F V. C. p. FLEXIB LE COMPRESS ION JOINTS ONLY.) E° C. SH0\4 4" INSULATION rn \1/ALLS .(R-'l"I) Et-l'T1 D. SHOW EXTERIOR DOORS WF./\T HERSTR.IPED . SHOW TWO WAY CLEAN OUT IN YARD BOX WI THS' OF BUILDING . EL ECTRIAL 112. PROVIDE MINUMUM 100 A~P . SERVICE . CON DOS REQ UIRE 100 AMP . PANEL FOR ~ ,CH UtHT . W ME"frn AND PAi~El. LOCATI ON. E. PLACE THE FOLLOWING NOTE ON PLANS: THESE PLANS COMP LY WITH THE REQUIREMENTS OF THE CALI FORNIA NOISE INSULATIO N STANDARDS. SIG NED DATE -----------✓ __ SHOvi FnF.. l•JARNINGS SYSTEMS CENTERED V' OVER SfA}RS ? SECTION 1310 1 TITLE ·---- 114. 11 5. 1) 6. • MECHANICAL , JNDICATE FURNACE SIZE , LO CATIONS & RIGISTERS AND RETURN AIR . (SIZE) INDICATE HEATING [QUIPMENT IN ACCORD~ ANCE WITH CHAPTER 7 OF UNirORM HOUSING CO DE. SPECIFY HEATING, AIR CONDITIONING AN D VENTI LATING EQUIPMENT. INSTAL LA- TIO NS TO COMPLY WITH THE UNlFORM MECHANICAL CODE . A. ACCESS B. LOCATION C. C0NBUSTI0N AIR D. VENTING E. RETURN AIR F. DUCTS G. LADDER & LIGHT H. ENGINEER 'S CALCS FOR ROOF LOADS . 117. INDICATE LOCATI ON & TYPE OF FIRE DAMPERS . ELECTRIC. . 1975 N.E .C. ~ND-FAULT PROTECTION REQUIRED FOR D a~r~ocR AND BATIIR0OM RECEPTACLES 210-s. 7 2. AT LEAST ONE RECEPTCAL SHALL BE INSTALLED 0UTD SAN D GARAGES . 210-25b ORRECT ELECTRIC AS SHOWN ON FLOOR PLAN . 4. UNDERG RO UND SE RV ICE IS REQUIRED. SHOW ON PLANS. F. SHOW DETAILS OF PARTY WALL AND FLOOR SYSTEM AND S.T.C. OR I.C.C . RATING OF EACH. 4. HAVE DESIGNER SIGN AND UAT[ PLANS. CHECKED c#: ~-2 5 • 11( (DATE . RECH ECKED ---..,....,,( D-:-,AT=E,.._) TH E FOREGOING CORRECTI ONS HAVE BFE N MADE AND ARE UNDERSTOOD BY THE UND ERSIGNE D: OWN ER -OR HI S AUTHORIZED AGE NT INTERDEPARTMENTAL INFORMATION SHEET RECEIVED BUILDING DEPARTMENT ? DATE: ------ BUI LOI NG ADDRESS: ____ c2_7__.(/"'----'f' __ :?/2~~~....-a...,c_:-Y_..,..,~'-=-'-" ___ J_A_N_l_O_i9_77 __ _ CITY OF CARLSBAD BtJildiRg Department \>LANNING DEPARTMENT ~3 / O LOT SIZE ___ .,_3 __ 2_A--'-~----LOT WI DTH_------4~;.;.-.,,=-----ZONE __ JS-............_-__ l __ UNITS PROVIDED l ALLOWED 1 PRKG. SPACES PROVIDED __ 2..-,c;..__REQ. ~ % OF COVERAGE 11r ~ALLOWED ~ BLDG. HEIGHT 1'6 [ ALLOWED 35( FRONT SETBACK O ~ SIDE YARD [)((._.._ REAR YARD 62 ft__. INTRUSIONS c> b 1/C--t:PrCD BY" · 11, /A ENVIRONMENTAL PROTECTION REO'TS. ~f'f,t) 4,osv(a.) LANDSCAPE PLAN_---..,;I\.J=-,.,-r-c-__.._ __ ADDITIONAL COMMENTS __________________________ _ ISSUE PERMIT _ __,_,'fl/,_,_...fr.....,.._ __ OATE !/rt/77 OCCUPANCY_~-~----DATE ENGINEERING DEPARTMENT / R.O. w . _ _____;:C-=....:;.Kr"=--..,•....._rz.........,._A,/"'-'C""'--______ 1 N DUSTR I AL WASTE_~M_'//4 _____ ~,~-------7 1MPRovEMENTs Ex<5r1/AL G--sEwER coNNEcT10N / c . cJ, f) < DRIVEWAY LOCATIONS_C)~~~~-----------GRADING PERMIT ,II~ 7 c ASEMENTs ~ve DRAINAGE S~e:::, ~ LE'GAL 0EscR1PT10N L'c r ~z ?-, L. c... s"' . # c ADDITIONAL COMMENTS __________________________ _ FIRE DEPARTMENT SPRINKLING SYSTEM ___________________________ _ FIRE PROTECTION EQUIPMENT ___________ FIRE ALARMS ________ _ EXITS ________________________________ _ FIRE HYDRANTS ___________ _ LOCATION ____________ _ ADDITIONAL COMMENTS __________________________ _ ______ OCCUPANCY ______ OATE ____ _ C M W t>. ___ :--r-'.-._._;-~ ____ OLIVENHAIN ____ SAN MARCOS ___ _ ADDIT NAL CO MENTS ___ -::--,,--....,....--------------------- \SSUE PERMIT _______ DA"i .: ______ OCCUPANCY ______ OATE ____ _ ~NT TO PLANNING SENT TO ENG. DEPT. ______ _ ~URNED TO BLDG. RETURNED TO BLDG. DEPT. ___ _ OLIVENHAIN MUNICIPAL WATER DIS'l'RICT 1966 Olivenhain Road, Encinitas, C«liforn:i.a 92024 753-Gi\66 APPLICATION DATE '--~d<=/,_,.l_s:..,,,/2~?~7 __ OWNER I S NAME AND ADDRESS : NA.ME : ~ ----=--=--'--'---'--->--------- ADDRESS: -------------- Cl' r Y: -------------- PHONE: -------------- "I HEREBY APPLY FOR WATER SERVICE AS INDICATED BELOW: i\PPLICANT WILL STAKE? --------- i\P PRO X. PRESSURE LBS. MIN. ---- LBS. MAX. ---- FOR ME'l'ER SERVICt-: ACCOUNT NUMBER -------- NN·lli AND ADDRESS FOR BILLING: NAME : ·:tt;/EJseo /tktV/1-5 ADDRESS : a,b? 1a.e/./J,&-p CITY, K/JC1/-ic &s PHONE: 75 3 ~ ·o 5'~tp NEW INSTALL. W.O.l/ -------- TRANS. FROM: ----------- SUB DIVISION UNITf. ----~---- ·rYPE OF SERVICE p #UNITS __ . SIZE METER: 3/-;;z ;-/ MONTHLY MINIMUM: $BY~. __ ,·::~ APPLICATION TAKEN :,~ ~•n \? • ~·:,V '{:)/1 *PRICES QUOTED ARE SUBJECT TO CHANGE WITHOUT N~?k£¥!. D- COST OF METER. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • $ /OS. uV $ :50{), (50 IMPROVEMENT DIS'rRICT CONNECTION FEE ID-__j_) ........... . ADDITIONAL CONNECTION FEES FOR ___ UNI'rS @ $ ___ _ $ PIPELINE EXTENSION CONNECTION FEE (EXT.ii ____ } •••••••• $ DEPOSIT ( ___________________ } • •• •• • • • $ OTHER ( _____________________ ) • • • • • • • • $ TRANSFER FEE ••••••••••••••••••••••••••••••••••••• • • • • • • • $ TOTAL PAID •••••••••• $ 605, o() SIGNATU F O R D I S T R I C T U S E 0 N L Y -------- 1-iETER f ----------STARTII/G DJ\'.i'E _________ M.ETER SIZE ____ _ !-!ETER 'l'YPE _________ UNI'l'S ____ _ DIALS ----RATE CLASS ____ _