HomeMy WebLinkAbout2711 LLAMA CT; ; 77-2868; PermitMODEL NO. ___ ~~------BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 2 9-1181 W~ri,r -JJ 1:, ~2~ ~32 l .OO
Joe AODR ESS A..£c,./rrl ,-(1_/ ASSESSOR'S (}_ 711 PARCEL NUMBER
L..OT NO. I '" TRACT -1:!: rl 9...,...,K PAGE I PAR.
1 ~~;~~-(:,~J ~i: /JJ. -;LJsrr .t.TT.t.CHED SHEET!
•~W5'
.~WNER~ MAI I.. .t.DDR[SS '" P,-,ON E
( ,:
9 Q ~:;::I~ FJJ_ a ,r MAl1..;o;:~ r,,-.,JJi~ R '"Z'" r;(3<:>-3)?l."J'J'.::..· CITY LIC. NO.
~ -. . , .-.,, .. ,..,,.._"',·~ "'. v,~~c:,
A"°1,;HITECT OR ll[Sl<.NER MAIi.. .t.ODRESS .... .. r~ 75 f>HON E 1..ICENSE NO.
4 ,
[N<.\N[ER MAIi.. AllDR[SS PHONE I..ICENSE NO,
5
1 Vpi/;SATION INS. CARRIER MAIi.. AllDRESS BRANCH
0 J:MP~----IIJA.t Ii-, oAJ ~,L,r:-
USE OF BUII..DING •
7 'P ..n.i,,v-o. ·~ -~ ,._ S'Ft> NO. BDRMS 3 NO. BATHS '2.._
8 Class of work: }(NEW □ ADDITION □ ALTERATION □ REPAIR □ MOVE □ REMOVE
9 Describe work: ·-;-,~ 12. ,,. ~ ,!?/, ----
L ,, • A ✓ u /./.....-~ I .,.,_ . . . . •
Change of'use from
, V 10
Change of use to
11 Valuation of work: $ I, pp R. • 1t~~. r,,c.s I'~ Hf,~JfrRA :U,~, ,t:1 ..., . -PLAN CHECK FEE$ 99.j'l) PERMIT FEE$ /99
SPECIAL CONDITIONS: MICRO FILM FEE Type nf ,... Al Occupancy J
Const IL Group r--
Size of Bldk..,_c· r No. of I Max. -(Total) SQ. Stories 0cc. Load
Fire 7 u,e R-1 Fire Sprinklers
APPLICATION ACCEPTED BY PLANS OIECKED BY APPRDVVSUANCE BY zone Zone Required Oves c::JNo
No. of s/
OFFSTREET PARKING S~O'ci~:
or..1 JI Dwe!!i~-g Units No, ~ la? o, DATE Covered Sq. Ft. Open
NOTICE '-"' Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-
HEALTH DEPT.
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF Fl RE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCEO. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT.
ALL PROVISIONS OF LAWS ANO 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 PROVISIONS OF ANY OTHER SlATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE or CONTRACTOR OR AUTHORIZED AGENT (DATE)
0--A ✓-/} ~. ,
A-,.,. ..,
'" RI. or Olll'NER IP" OWNER DUII..DER) OA,-i;:J
(./ • WHEN PROPERLY VALIDATED {IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.o. CASH
.-.~ 4-d TOTAL FEES $_-_ _1,,__,,6/__~-----
INSPECTION RECORD
.:.__:;,._.. --DATE REMARKS INSPECTOR
~ -FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL --
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
5-26-77 Fdn. Forms and steel: O.K. B. Nelson
5-26-77 Pour: O.K. B. Nelson ----------
----------------
-----------------------------------------
PLUMBING PERMIT APPLICATION . 917 ••••• .s1i.
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.1'"1 ·;)5' l, C,
Joe Aoo111 css
,X-1' t.• //
I LOT •2, > / I aLK LlC.AL t auco. L
OWNEJII MAIL •00-.rss ...
2
3 P..~ I\., 1,'i_ ' ,._
/ ,,J;,,,~ H
PHONE. STATE LIC, NO,
'3 0 ·3J't:,.,y
CITY LIC. NO,
AIIICHIT[CT 0,-0£SIGNCIII MAIL •oollt[SS V PHONI. LICENS[ NO.
4
[NGIN[tllt MAIL AOOfltl55 PHONE LICtNSC NO,
5
COMPENSATION INS. CARRIER MAIL ADOtllt.SS a1U,NCH
6
USC OF IUtt.OINf;
7 ·'
8 Class of work· CTNEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS ':
1
~ WATER CLOSET (TOILET) $ .5 O<.:
f.t BATHTUB / .,,,,c)
'?J LAVATORY (WASH B ASIN ) ·; <JO
( SHOWER / -::o
.1 r KITCHEN SINK & OISP I --; 0
/J / DISHWASHER 1::;o
APPLICATION ACCEPTE OBY PLANS CHE C>.E O BY ·••qovE O '5( ~-,s,,ANC[ BY ,-~'-.,---+-_L_A_U_N_D_R_Y_T_R_A_Y _____________ --t~---+-
r:J(.,. 'l"j / CL OTHES WASHER
/ ,;;a
/ :,, 0
,,. WATER HEATER ,, ~o
NOTICE URINAL
DRINKING FOUNTAIN
/ n1'0R-SINK OR DRAIN I:; 0
SLOP SINK
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY T IME AFTER WORK IS COM•
MENCEO.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO Bf TRUE ANO CORRECT ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HERE.IN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME. TO GIVE. AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULAl ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
./
/
GASSYSTEMS NO_._o_u_TL=E_T=S======----4--~~ ~ -, <.:
/ _: C WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
I.AWN SPRINKLER SYSTEM
/ SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK I. PIT
~9..9F DRAINS
SIGNATU .. l o, CONT .. ACTO" 0" AUTHOlltlZ[D AC.CNT IDATl') /
ISSUANCE FEE.
51GNATUll\t 0,-OWN[A ll' OWNl" IIUILOCN) (OAT[) TOTAL FEES
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
----
---
-----
. -
----
USE SPACE BELOW FOR NOTES. FOLLOW-UP. ETC.
5-18-77 Sewer, underground plbg, underground water, copper: O.K. B. Nelson
.. 0 0
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 f• •
Applicanttocompletenumberedspaceson/y Phone 729-1181 Pe mit No r ' JO• ADO,-CSS ' /) , " ·I rY.J/ (A';'-I
--I
:J7o
1..0T NO, ""''\., --l ILK I T"Ac Tl , A ~At/44,_ J~ ¥-<□•cc ATTACHED SHUTI LEGAL I I 1 DUC"• /_ --"-,-..:_ I
OWNC,-MAIL AOOIU.SS
2
21. PMOHE
COHTfllACTOIII /), MAIL ADD,.ESS ~ PHONE LICENSt NO. STATE CITY 3 l/1,19 ' , -' ·-,. <-,~-/ l't. .,, • n -::.x,,
A,.CHITECT 011 DES\t.iNlfll MAIL AODIIICSS
4 ti PHONE LICENSE NO,
tHC:INEUt MAIL A.00111£59
5
PHONC LICENSE NO,
COMPENSATION INS CARRIER MAIL AOOltESS IIIIANCH 6
uat 0,. IUILDING,
7 .
8 Class of work: IiJ.,NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT ,z
NEW CONSTRUCTION, FOR EACH
Al'PLICA TION ACCEPTEO BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
DAT~ NEW SERVICE ON EXISTING BLDG. ,
NOTICE FOR EA. AMPERE OF INCREASE I '2 c; f(11 IN MAIN SERVICE, SWITCH, FUSE I 11 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 READ ANO EXAMINED THIS INCREASE APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. . ALL PROVISIONS OF LAWS ANO ORDINANCE~ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· .,10 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.
TEMP. SERVICE OVER 200 AMP. PER 100
911NATU"I o, COHTIIIACTOIIII 0111 AUTHO"IZllD AGllNT (DAU)
!Sa PERMIT FEE 3f ., T•1•1t OP' OWNltlll: Ill' OWNI" aUILDlt" DATI.)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPA CE BELOW FOR NOTES, FOLLOW-UP, ETC.
5-18-77 Tanp. elec. O.K. B. Nelson
...
..
...
. ' MECHANICAL PERMIT APPLICAT.ION t.
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No7 /·;JS')/
JOI ADD ft t5S rW~ y JI I .r;,I .~ ; .I J-C~
LOT NO, -~·-,m ITOACTP{' ~ / ~!r_/iATTACH£D SHEET) LtGAL I l.·i I 1 DU<~. -: . A A./Ld /. v 7' r-,.,_,
OWNE" l-MAIL AO0 .. £SS ZIP PHONE.
2 •
q>N T"AC TO"
. a/lA1t.b/l.-L;
MAIL ADQ ,.£S$ ,-r-.~ ~ ~.,__PHONE f.Jo--STATE L IC. NO. CITY LIC. NO.
3 \ . .! -' , ~.;, . 1~, ~ . ~~-(,,,'I I' -... .l'i /_,' _.J.,1,. l
•'.'fCHITE.CT o/ otSIGNt" MAIL ADDRESS I/ PM ONE LICENSE NO. 4 .
tNGINElft MAI L AOOIIICSS PMONE. LICE.NS£ NO.
5
LtNOUt MAIL A0011t[S5 8111ANCH
6
VS£ o, 8 Vlt.OING .D 7 ") I -.
8 Class of work: ~EW 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. ,..
I Forced AirSystems-B.T.u ./-.' ., M Ea. ~ _,,.,
APPLICATION ACCEPTEO ev PLANS CHECKED ev APPROVEO FOR)BliUANCE BY Gravity Systems-B.T .U. M Ea.
(. / Floor Furnaces-B.T.U, M /o Wall Heaters. B.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 120 DAYS.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. i Range Hood ;., -I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED' WITH WHETHER SPECIFIED Incinerator HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
.
SIGHATu,n. 0,. COHTRACTO,it O'I AUTHOflllZf:0 AGl.NT CDAHJ , ---ISSUANCE FEE s 7
•11:NA.TUfU: OP' OWNUI IIP' OWNl" ■V ILDl.lilll (DA Tl TOTAL FEES s /, ( (...'
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
et;:~
NUM BE~
77-113 VALIDATION
APPLICATION FOR PERMIT TO WORK ON CITY RIGHT OF WAY I
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
729 -1181 EXT. 34
24 HOURS NOTICE REQUIRED FOR ALL INSPECTIONS
Cl
Fff'ANCHISE NO.
LEGAL
FOR APPLICANT TO FILL IN
EMERGENCY
TEL. NO.
OESCRl~TION ___ LQT NO
TRACT
CONTRACTOR
ADDRESS
CITY
STATE LIC. NO. CITY LIC. NO. EMERGENCY TEL, N O.
DESCRIPTION OF WORK
STARTING DA ~(-,_ ,rE(T'?D?T? OF COMPLETION _____ __
I HEREBY ACKloWLEOGE TH~T I HAVE READ THIS APPLICATION ANO
STATE THAT THE INFORMATION GIVEN IS CORRECT.
I AGREE TO COMPLY WITH ALL APPLICABLE CITY ORDINANCES AND
STATE LAWS ANO WITH THE REOUIREMENTS OF THIS PERMIT.
AUTHORIZED AG ENT
N! 2175 INSPECTOR'S COPY
PERMITTEE CALL CITY ENGIJi~JR'S OFFICE FOR
INSPECTIONS CH EQtfll-9"3.~·p;,'6-ee-201 LI***** **2.
DATE INSPECTOR
D CONTINUOUS
.fit( EXCAVATION ,. FORMS
D BACKFILL
D PAVEMENT
D PRIOR TO BACKFILL
,s. PRIOR TO CURB CUT
D
(81 FINAL
ENDORSEMENT OF COMPLIANCE
I have examined this applicatlon and have found that 1t complies with all
requirements of the Carlsbad environment pr tect1on ordinance. f/4dz7 -:::;I-!-'~~=--
SPECIAL CONDITIONS
(A) ALL WORK MUST CONFORM TO REQUIREMENTS O F
PUBLIC WORKS INSPECTOR.
(B) INTERFER ENCE WITH
A MINIMUM,
(C) P AVEMENT REMOVED
ON E WEEK.
(Dl OTHER• &tr
i-/'..;,e ,A.f'l
PERMIT
T RAF FIC MUST BE KEPT TO
MUST BE REPL ACED WITHIN
A i .a ,1, ,.e
FEE __________ _
DEPOSITS ________ _ s ________ ---1
s ...,.,,___ ______ _
TOT AL s __;;=--· _o_o __ --1
INSPECTOR'&
SIGNATURE DATt:
INSULATION CERTIFICATION
This is to certify that insulation has been installed in conformance
with the current energy regulations, Califo rnia Administrative Code,
Title 25 , State of California, J..p/'lthe ~uilding located at:
1-') t l ~--, · ' ·
SITE ADDRESS _ <%]f'f5 f: J , i:,!E5:5 g \j ( av 0'm;>-nl 1' ~,1~~ f ,v
EXTERIOR WALLS Owens -Corning and • • tit '
Manu fact urerl" ohns -Mans ville Thickness/Type ·3½" .fR.\C.TlON R-Val ue '.lll
CEILINGS Owens;:-corning and
Batts: Manufacturer Johns-Manville Thickness/Type 6" KRAFT
·a1ow11: Manufacturer ________ _ Thickness/Type _______ _
Wt./Bag ______ _ Sq. Ft. Covered ___________ _
FLOORS
Manufacturer __________ _ Thickness/Type _______ _
SLAB ON GRADE
Manufacturer __________ _ Thickness /Typ P. __ _
Wiatn oY Insulation ______ _ Inches
FOUNDATION WALLS
Manufacturer __________ _ Thickness/Type _______ _
-
R-Valuel.9._
R-ilalue ---
R-Value __ _
R-Value __ _
R-Value __ _
-R-Value __ _
GENERAL CONTRACTOR
BY TITLE
LICENSE# ______ _
DA-:'F.:
SCHM:, INSULATION CONTRACTORS, INC.
BY Qh1. ~ · TITLE\J~£ ~Es,·dEwf-
. -~
-, .
lnaul■tlon
only A
RS
, R11
R13
R19
R22
Nomln■I ldentlflc■tlon
ThlctineH Stripe
2½" II
3½" Ill
3 5/a" 1111
6" . 11111
6½" 111111
LICENSE # 22151 7 C-2
DATE
. t Ir 1 ) ll l_, _ !·'.;: l , tl tl 77-//~
CI T Y OF C/\IU ,/;nl\D
ntJTLDIIJG Dl~Pl\R'l'MF:N'l'
SINGLE Fl\.MlLY /\ND MULTIPLE Fl\MILY l~E SIDEN'I'!l\L
·coHREC'J'TON LIS'J' . .
l?Ll1N CHECK Frms I WIJE RE NO ACTION rs 'l'Al<Et~ BY 'I'Il.E l\P.PLICJ\N'r
I N 1 20 DhYS , l\ND NO BUIIDING PERMIT 1S ISS UE D, /\RE YORFE I TED
'J'O 'l'JJE C I'l'Y. IJ/ _______ 7to.;..._-b_~_l:,_;:_~.:.-<--I __ . j C. ~#$_
: i JDB I\DD!<ESS: -~/ / LL BMR-:-·C,oi,,<R-T ()ir~f\1ER :_ Jo .s E"p J.I : _ _B..et:1.cN I Fl_· --
_________ O=-i,W:....,/Y ... .....,E:.-!..::R_ _____ ENGINEER:
USE ZONE FIRE-ZO.'\JE , ·-----------
________ TYPE OF CD.\TS'J'RtX:TION f_ffj/1'1£ Vl\LUl\TI01.'J .. ~ .... ~£-~---0-0 ____ _
,;"..5JC ,l\T.,UJt:l\BLE nuU.,DI~G l\RE.7\: 1st Fl00r .,c . 2nd Pl(X)r ---3rd Fl(X)r '1th Floor -~------------------
-\.t.U11lNJL8 JNCi W.J\..SE DUE 'IO ------
Hr)')UIRED PrJ\NS
PIDl' PLA~ . · @ FOTJNDATIO:~
r-ou;m.1-:J'lO:-J HJ~• SJ'RUCTUW\L l)J;J'AILS
FLOOR PLPN ELEVATION PLl\!>JS/oU
. GENERl.\L FRL"\.l\ffi ;G 8 RC0.? _ PLl1.N __R(. . /. -: q . ZNDl:i, SHEf.'I V4 ;t . · · 'IO TIIE APPLJC71NT . . ~ ~. CDRHECr Pr;, . .Ns ~.~JERE· (D;>FECl'ION j.,IST I~S
P~'SN CIHCJ.1-::D. _ F!./\G CORRECTIONS . .6\. 0 ~(7)
':-INCOt,1Pl.,ETI::, INDf:J'INI'J'E OR FADED DRAWINGS
'
'~J:._ •. OR CLl\CiJU\:TJ.001S Nal' .!,CCE:PTAl3LE .
Rl:.:{)lJJ HE[) Et lG.iJ'ff.:t::E I ~ OR ~URVEi'OR Is
CALCUI.A'I'IO~S OR PLt'\l'lS SH.4.LL BE SICNED
IN IlJE. ~ ~l . HEVimSE Pl.:~~:s Ml\Y ;-..·.r:)T BE USED . PR1VfDE ,, b-CO~J:LCl' PI.DI' P)]ii,J , J:DlNCl\'.1'10~ PLi'll~, "'l FLCOR PLi\i\l , IIND E.1,EVA'I'ICNS .
~ 7 • 'l'!IG APPffJVAL OF PL!--.:'1S h .ND SPECI FIC/\TIONS
_ OOBS NOT PET\'.\il'l' 'l'HE VIOLATIO.\I OF 7'J.'ft
14. Cl\RRY _______ h7ATER Fffi:VI
· UNDER SIDEvl.:...l.l\ 'I'!lf<DUG! l CURB IHI\) S'l'FE□-• --
~-!n.--..TJ J Cl\S'I' I RON PIPE.
ROVIDE ENGI:;EERING Cl\.LCUT ,ATIO:JS i.:DR
~~ 6-\ (A.,(U ~ ~ ----~~--~--~ -. ~:¥..-
1 ~v:ci:5E ENG JNtt1H MO I S TtJlft H E PORT . -==
GPJ\DING PEK"!..!.'I' REQUJ J!ED .
FIRE .DEPT . 1"\PPROVAL REQUIRED.
1 9-SPECIFY CO:-.:CP£I'E HIX @ 2000 P . S. I . J\llNIMUM.
20-DJlltl:~lSIO:-r F0:)1'1":G SlZES ANO CLJ:t"\.K\NCE
FOO.'·! GRADE.
21--SHU,v DF.P'l'H 0~ RXJ.I'l~GS J3EI0.v NA'ITJRhL on.
liNDISTURi:.ill G~~Di~.
22.,..,INDICZ:\TE PRESSuRE 'I'R2Nl'ED FDlJNDT:rroN SILL,
OR B;)UAL .
23-.SHCW fDU\1DATIO~~ BOL'I' SIZE, SPACING .M1D
PEtmTRNl'IO:-r IN'IO COi\!CRI:TE.½ "x i-1 "poR lvlfr5MJR}1
24 . Th"DICATE (:LG"\.Ri'\.NCE FROM GHlllii:: TO JXJ1'IDM
OF rrroR JOISTS l\ND GIRDF.RS .
25. SHOW· PIER snE, SP?.\CING AND DE.l:"J'H , jl\"ffi
UNDISl'URBED SOIL . . C> SECTION OI-' '.rrn:;; BUILDING CDDE OR 01'JJER
UNTt OR STA'.rE LAW. /~6. S GIRDER SIZE, SP.Z\CING llND' DIRE( ~ION .
~ ow a ll condition s o f soil s reoort
""~ on .:fan s . • · . · · GrillJJRAr.,
SUI1{[T FULLY DJY.f:NSI(); IBO Pwr PIAN, DRA¼~ , 0 W p Os. i t i v-e d r a i n a O e a \•J ?,.:.Y .fr Om
·ro SC2\L'E, INCLUDING ALL E:l\SF.MEN'I'S ON X f_ootinq s on s i te olan. 511 fall i n 6 feet.
P lDPER'l'Y. . . . ?.9-SPECIFY MJNJ.MfJM 18 "X2'1" ACCESS OPE!'J.lliG
2. SlfO\•l l\LL E...'GS'l'Il~G AND POOPOSED BUIT.J)INC'-S / · -. .
PI.Or PLAN . '30. 14here exoa ns·i ve-soi l s ex.i st., planter s
'il corJIBcr LEG..7\L DESCRIPTICN ON PLl\N. )( a,jacent to fo.undations are not r ecommende1
v ALL OfF SITE IMl?roVEJ•IT'.:.tH'S , DRIVE-31.-SPECIF'-...' UNDERl IroR VEN'I'IU\TION EQUJ\L 'ID
WAY l\PPfDl\CJI, LIG!rr S'I'l\NDJ',rJ)S , FIRE 2 SQlJl\..1<.E FELT FOH El\CII 25 LINEl\L PEET OF .
IP.i'.DHJ\N'I'S , \\'l\TER METERS, SUl3-S'l'Rl1C I'URES ,--.,/ FOUl\TIJ\'l'IOl~ PLUS ONE OPENING IH'l'llIN 3 ' OP.
·rm·~, :ere . 1--. El\CII COHNF:R .
m1~Cr LOT DIMfl~SIOt-LS. 32. STEP l:Wl'lNGS WI-JEN SLOPE EXCEEDS 1:10 .
SIIOl~ EXJSTI'.'lG /\NO FINI SH CONTOUR LIN ES .c:9\~ 0twt ~. .
7. SUHVEY OI-' T.01' l<EQUIHED. cf {Fv . . . . E'Hl\Ml NG
8 •. INDlCJ\TE l\LL Gl~'\DU~G 'ID .BE l::O~E . 33 •. Pl~VI!JE 'l:Yl.;JCJ\L FRl\Ml NG l)J.:.Tl\US. llJ JNDlCl\TE EI.EV,Yl'ImlS OF C,/\H,\Q-;: FLCOH,(,,I{, Tt:~l.34_sPECHY · ALL • LUM!JEH G'V\!)ES · · :·) i
l\Nn S'l'HEE'r l\ND rnuvi:.,\'J\Y • 35 ,-SP . , .!)., 1:nm m.JXJ<JNG Nt' 1•·1 ro1; • cr-:n 1 NG cov·~
lO. INnlCJ\'l'E cr::~m-::m.,INE l\ND EDGC PffiFILE .-...r>"".., MtDlll::lCJl'l' Of W/\1.LS OVJ;:H .lO,-FEE'l'
1
1N HT.
1
'
OF DHIVEWiW • . f;J ICl.'J DI /\0JW\L HHl\CING Nl' l•:J\Cll O'.)J~l-'H i\.ND ';(:--
~PE or DRIVE'ivA'{ NOT 'f0 E)-:O::F.D 15%.. EVERY 2S LJNI-:1\I, F.D::l' OP {'11\LL •
.,...J.ND1C'J\'l'f:: FfO.oJ LlNES FOR DISPOSL\L OF' X .
SU1W/\CE \'1/\'l'EH.
3. L l\ COS'I'7\ J\PPHOV/\L R.F.()l1 HmD .
3a .§_. D. C ._IIEJ\L'I'II DEP'f . At!.'._)30Vl\L. HEQ.
<1 l l m:QUIJH":Mr:N'l'~, FOH
1m1cj\PPI\D . IJBC Sec . J 711 . .
: J..(:. \v.D . [,1-:\•Jr:R Hf:C~l P':'.' RJ~()TJJHP.D )(
_,(!. ('c,,1 •; t,t l I 1•1 I C'l' [~, q111 r t•rl.
llll:'Y IlHl\CING OF ______ W!\T..L.
SIIC.Av sn:r:, DlH1·:c1.·.LON l\ND :.;Pl\ClNG 01" J,'J/-.X)H
J\NI) CJ~] I.l NC: ~IOE>'l'S, ----------~01:;q•:~
I IN /\lU·: OVJ-:H: ;pf\NNl~I).
39-WlJlll ,J•: J,'J /)'.)!I. ,'Ji)I :;01•:; OH ·-
l ll-:/\M t U\Jl •l·:H l'/\IU\1.1.1•:1 , l'A l-'l'l'!'IOtJ~;. --
~ (). [;!'I·, 'I l''( 111 '/\I 1! :1, : ; I ,',I·: l·\ll' < : 'l·'.I JI! J ;: ; c l\.'1,.I{ ,1 ' •
: ;, I' :· ; I r ii .: ; I : I II './\I ll :1 ·:; r l; I l :1 r :1 ',
,._;, J J 1 _ I l ~' l •• ,, . 1 ~ 'J LO!. I\ I ••••• )I:· ... ' I ...... ~ • •
rivTiii·: 11/1.FfJ~I{ 'J'l.l•;:;"Ti,11-:1-::1-: "ti~ L.U-JG____ 4 0::-iTiff1~1V\LC:1ii:·;:.ri'iT{/'\Cll·JG-i\'l0'-(;i\i,:;;(;j.;1 :1 A;l'I.
1 sTi; 1~m Hllt··.1·1·:~:,; l\nE N'J'O l'AH/\l.LEL. I... V t /Ni:~. · ~
O.C. . · 7-1. SJICYl"'l l.3EDJW11 l·HNIXM! l'S EXl.'J', SECl'JON J.J0tl .
)ICJ\'l'E Hl\FTl·:n SIZE, SP/\N , SP/\CJNG 'f.-
7•.ND D:I rn-:cno;~. ELl~Vl\'J'IOI-.JS
'11. f..ill PUHJ,JllS ON J~[X;E l\ND 11'JD1Ci\'l'E ~
. zt::. Same size as raft rr:-s minimum. ~J~DJCl\'l'i: 7\'l'rJC vrnn'H.J\'.l'lON PJ.::H /jJ•:C:l'J C'N
)Hl\CE HX)F FR/\Mll-lG ']'() Pl\J"(eJ'l'lO~~s. 7 ~205 (c).
JN[)] Cl\'l'E SOL1.IJ SIIJ·:J\'J'I JHJG l\J~I) 2zG f ~ S.I 10/'l J\LL. J:.:l\\ll~ 0 •,HJJJ\l S l\NI f'Oi:lS'J.'HOCTION
OR 3x tl STUDS o; ~ FJH;:,;'l' J-'Jf-X)H. OF ·n m.r:E ~E'J'l\ lJ 1] •
S'J'OHY c.u~~;•rnrx:1·1O:,i. -,-~DIMEN:,10, CIIT.J ·.:·mt l fEIGFr 7\1?0\TJ:. l'D")F .
'17. S110,'1 SF:C.l'.[0;1 'l'Jll~)UGII --,--------· (2 1 O" l\lX)VE HCOF lv.l'J'JJ'iN 10 10"). )(!.
48. SIIOW PIN~'l'J·:R BOX l)b'l'l\lLS bl-JD vl/\'l'l::H 78-INDJ.CA'l'E FHlJSI I l\NG Nl\'J'UML Gill\DE '16 -
. PR'.XWJNG, f;Ec. 25) 7 C7. PJl')J>ERl'Y LINS.
51-Pffi\TIDE TYPICTiL CID !½NEY DE.Tl\.ILS.
52...-SPECUY 2 11 MINIMUM CLFARANCE
BE'.l\tU::EN CIJH'..''-H:Y. AND FPJ\MJNG.
53 . SPI~ 1:;:--1 POS'l' PROl'ECTION 1'7IlF.N BEARING
Oi'-J CQ):CRI:."1.'E.
54. PROVJT~E PARl\PEJ.' DETZ\.ILS .
56;...SPECIFY INSPECl'lON CLi'\.SS ------
79 •. SII017 EX'.('EIUOP. HJ\ LL Fil\JISJlES.
80-TNDlC"\TE 1511 FEL'J' OR EQUAL ON E)~J'ERlOR
WZ\LLS.
ROOF
~IroP P.J'l'Cfl. --. ~ '~~i ?\'J'E J<C'OJ"f i'~G .Ml','l'EPJ.l\I.., U:NGTfl r, WE!:.'l'IIBR ~
l:XPO.SURE ON \'l)C)D SI JINGLES.
1O:v 'l'YPE ,aIZE D SPZ,CJNG OF I~:X)l?
SIJEl\T.I !II G • 7.
84. FIRE l lliT,"l,l JA:;J" IroF REQUIRED DUE 'JD J..CX:I\TION
JN F'JHE i.:()L\lE.
(',AR7\GES
REQUIRED FOR ~6 71,CES :~ar PI-:ru-IT'J1'ED 'ID 0:'EN Il.\71\J
--~------/, EEPING RC.n-1. / • (/. t ..._
v'l VlDE _ _L~_!!_!,__1~SEPAW'..'l'ION
ON l\LL ' r.s J\.\]0 a:::r LlliGS ;\l,iJl\.Cf0~'I' 'l\'J
58.,,,.,PR'.)\I IDE DRTP SCRE'c.D 2° 1381.CW 1'-~JD SlT..L.
59. lb,DICNJ'E HC;,\1 Rl':J2UI.RED S'l'HlJCrURl',L !\ND
Ml\Il\'Tl\Il'l'I:r). IvHi::RJ:: rr: .JET RAT I ON WJU,
BE Mi\JX:.: IDH ELSC.~'lDC-7\L , MECfii\NIC1'.L ,
PLU:'.'1BTI'lG .l\J.'ID a..·x-f,1lJ'.'lICATIONS CDtJDUI':'S ,
PIPES l\ND SIMILl\H SYS'I'Et·~. SECl'lON
301)).
(l/10 . :Clo:)r arQa --10 square /{~el min. ·
_except b.:ithroo.'Tl) • ½_o Pl 1,J B1 F
63. PJ~VIDE ________ VERI'ICZ\L
CLill'J-w-.JCE l\ND -------. HORTZO;~'I'J\L O .. E.l\RANCE 1-'lOM Rl\...~Gl.:: 'TOP
'ID C.UMf3USTil3LES.
:NDICJ\'l'E i\TI'IC scurrLE (22"x3011 Mm.)
'ffiVIDE DRZ\F'l' SEPARATION FDR Nl'TIC
J\rn.,J\ IN EXCESS OF 2500 SQ, Fl'.
6G. SEPi'\W\TE i\l'IBA J3ET'i'lF:T:.:N DJ"DPI'ED CEJJ.,ING
)\!.\JD FLOOR l\lD\IE 'lQ J.000 SQ. l·'I'. Ml\X.
67-SPECJFY STl\LL SllOivEH JIUN •. WJDTII 30"
. MINIMUM FLCXJR 7\Rf.l\ 900 SQ. lNCIIES.
G8_5PJ•:Cil:"i' \f/\LL FJNISII I N SllO>JEH 7\HE.7\
NCJI' 'JD BE l\DVEl~~l-:LY l\.FFECJ'ED DY
M)IS'l'Lnm '10 (11 l\P.OVf·: 'l'l lE n ron., l\ND
PHO\TIDE SI ll\'lT Em..,Irof JXX)RS.
69-\v/\'l'EH CLOSEl' .l\RE:l\ MINIMUM \vIDTII TO
BE 3011 ••
70.SHO ~ MATER I AL TO BE USED UNDER
TIL E.
71. OPEN l NGG Cl.,().'iER '1'11/\N -------
il\) l 1JDl'l•:1n•y LlNE t;11t1LL Ill~ OF . ----IIOUH CON~.i'l'l,UC'J'JON .
.0
STl\IRl'IA \ S 1\:\1D :CXI'J.'S
PROVIDE l·Il\..'t\.lJ)RTuLS AS REQUIRED IN SECTION
3305 (i) •
92. PffiVIDE IK)lm. \\Tl\.tJJS ron S1'i\IR . -------WELL.
93. INDIG\'l'E Ml\.XD0.1 n.JSE
95.
96.
97 .
98.
l\ND M.lNIM_ill_M_J_10_.'.'J __ 0_1'_l -------------ST l\I H.
PROVIDE Jl7\T.ffi~Y RN.LT.NG A'l' l1 2 "MJNIMUM
JIEICllT. 36" O.K. For Single Fami.Jy Units.
PffiVlDE Jl\i°"l'l•:I~'1FD17\'J'E Hl\J'LS @ 9" O.C. OH
EQUJ \T/\LLl\i~J' rem OPEN 'l'YPE nT\T ,CY)]\,"{ F, S'J','\"LI{ Rl\IL.S
INl))G{J'E G' G" MllUMUM 111·:l\l)RCX)M C.fJ::J\l•:l',1\!CS
ABOVE S'l'l\THi"11\Y. . -·-·---· ... ··---S!I0\\1 S'J'/\HM,W (X)Nf;•rnuc1·.1 ON nl-7J'J\ 1 J.S .
100. OCCUPJ\Nf 101\.D OF JU:X2lll RES
EXI'J'Si-'-J\C-).-M-----
101. j-)f-~-V-l_l)_E_L_l _C_lr-rs OVl::H S'l'/\l -1.W_/\_Y_,S--' -/\N-.,.1)--,-l 'l:-:".ll,..,il-:,l::-:.c::----
C'OJUU!X)HS .
102. s 1;O1.v Cn i'\l\JGE jl\i ,~LO(,R LJ::VFL Nl' DOOr{fi
1 11 Ml\X. ·sec . 3 3 o 3h.
102 .:t snow l
0
ll\NDl{l\IL EX'.l'ElJl)INC 6 11 DEYON!)
'£llE 1.l'OP & BO'l"l'OM ru:s1mr; r. 'l'J•:nM lN/\-
'l'Il'lG IN l\ ror,•1: on t.il\FJ•:'l'Y '.l'l~HMINJ\L
St:C, 330:i (i).
I
" PLUMBING
103. lNDICAT[ LOCATION OF vJAHR HEATER.
)04. SHOW lEMPERATURE AND PRESSURE RELIEF
VALVES ON WATrn HEATrns WITII DTSCH/\RG[
LINES TO OUTSIDE. SEC. 1007
J05. I.J/Hl R HEATER NOT TO RE LOC/\TED JtJ HATl-m~
OR UNDER srnrnvi/\ y (J~ LANDrnG .
106 . PROV c:..-=-c----.c-c=-,~ SQUARE INCHES
0 1tNTIU\TIOI~ ATTOP AND BOTTOM
llAlTR HF ATER .
SllOH WAHR liE/\TER 01'! 18 INCH X
PLATFORM.
108 . PROVIDE WATER PRESSURE REGULAl"OR .
SEC TI ON "!007 ( B).
~CATr MATERIAL TO BE USED AND CJel[~~lnoN OF srnrn LINE . (IF v.c .r.
USE FLF.XIBLE COMPRESSION JOINTS
Oil! y. )
111. SHO:J THO W\Y CL I /\fl OUT H! Y /\RD BOX
\.JI 111 5 ' 0 F BU I L DING .
ELECTl<J AL
M[CH/V· CAL
~ml , "'•'P. s1z LOCMTONS & :x_
RI G1ST~S NI ~~TURN AIR, (SJZE)
JJ 5. INDiC/\TE HEATING EQU IPMEtH Hl ACCORD·-
/\N C[ \•:Il H CHAPTEH 7 OF UNIFORM HOUSlNG
CODE.
1)6 SPECJi-Y H~/\llNG, AIR CONDITIONING
AND VENTILATlNG CQUJrM[Nl . lNSTALLA-
TI011S TO COMPLY \tITH lHE UNirGRM
ME"CH/1,1-i I CAL CODE .
/\. ACCESS
B. LOCATION
C. CONBUSTION AIR
D. VENTING
E. RETUl~N /\IR
F. DUCTS
G. LADDER & LIGHT
H. ENGINEER Is
CALCS FOR
ROOF LOAIJS.
l ·17. INDICATE LOC.'\TlON & TYPE 01-FIRE
DAMPERS .
ELECTRIC.
197 5 N.E.C.
RRECT ELECTRIC /\S SHOWN ON rLOOR PLAN . ~
4. UNDERGROUND SERVICE IS REQUIR ED . SHOW
ON PLAr~S .
. MJSCCL LANEOUS ITEMS -
1. 130RCD IIOUS AND NOTCIIING, SHOW DETILS
O AS PER SF.CTJON ?Sl8, (r), 10 , 11.
JJWVJD[ SQ . FT. AREAS oi-THE roLLO:•!~r~G;_
_IVJI\Jf'; ;t;;t3er ~015 q
(,,'\R/\GE _____ 6~6 1/ 2-J:..~
. f'ORCHES ?'_j_ · I L tJ
PATIOS -----· __ ™ 5~_3
----~.,,~
--·------;:!~-~.
1~1-
THESE PLANS COMf'LY \-llT!I TH[
REQUIREl1ENTS or THE CALI FOHi'iTJl.
NOISE INSUI../\TlON STMWARDS .
SIGNl:D
DATF
TITLE
-------· -~ ---·---·
r. SH0\-1 DET/II LS OF PARTY 1tiALL A~:D FLO:J'~.
SYSTEM AND S.T.C. OR l.r.c. RATING
OF rnc11 .
4. HAVE DESIG~ER SIGN AND DATE PLANS.
RECH ECKED ---..,.,,( Dc-=-A=cTE='"'"") ___ _
TH E 1-'0REGOTNG CORRECTIONS ll/\VE BFEN MAD[
AND ARE UNDERS TOOD BY TH[ UNDERSIGNED :
-
INTERDEPARTMENTAL INFORMATION SHEET REC EiVED
BUILDING DEPARTMENT
BUILDING ADDRESS: 271/
~A TE , f,lP.R 11 19?7
~CITY QE CARI SBAD
Building Department
PLANNING DEPARTMENT
ZONE_-+g--'--~/----+7~52:tu.-,,,cc...-) __ LOT SIZE ________ LOT WIDTH ________ _
UNITS ALLOWED UNITS PROVIDED ----+---------+------------
PARKING SPACES REQUIRED z_ PROVIDED 7_
% COVERAGE ALLOWED ---=~==================PROVIDED--~--+--------=£f!L1 BUILDING HEIGHT ALLOWED --~~➔---------PROV IDED
FRONT SETBACK: /
ALLOWED ---Z-D C
PROVIDED 1.,p-/-
SIDE SETBACK:
f u lolf
r'NTRUSIONS
L~NDSCAPE & IRRIGATION PLAN COMMENTS: /JA "
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
1K TO ISSU
ENGINEERING DEPARTMENT
R. 0. W .~f:"':7 INDUSTRIAL WASTE AJof &,?le. IMPROVEMENTS &c0 5-I-
SEWER CONNECTION /,(?Lo[? DRIVEWAY LOCATIONS~ fJl,(.#1 P.,,,,"'f Sf:~f, /:.,.IJ.~/!.
JP ft..,
GRADING PERMIT,;..,~ ;f >/eio~~EASEMENTS ,(}o14e DRAINAGE/~Mi '1 ,t-w.-/c_ 9
LEGAL DESCRIPTION c..c-(--6ZII C,.Q c?'a.s"I. Me~-40..s ~ 417!° -zsG7
ADDITIONAL COMMENTS ,ce t-~ef e:,~ F/_,,,,,S -/e'.s ffl)SS /~:r.;.:;a1
f
FIRE DEPARTMENT
Bl0cll,i1G, l' •r
RIGHT OF ~IAY
TRACTOR OR I
TRAFFIC tONn SPRINKLING SYSTEM FIRE PROTECTION EQUIP. -------------------
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: DATE OK TO FINAL DATE -----------------------
\TER DEPARTMENT
1UIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _
' \
BENTON ENGINEERING, INC.
Al'PLIED SOIL MECHANICS -FOUNDATIONS
6717 CONVOY COURT
SAN DIEGO, CALIFORNIA 92111
l'HILII' HENKINQ ■ENTON
~"•81D1:HT • CIVIL SMGIH&&,t:
April 20, 1977
Mr. Joseph Armenia
27015 Pin jara
Mission Viejo, California 92675
Subject:
Gentlemen:
Project No. 77-4-1 SM
tv\oisture Contents in
Subgrade Soi Is
Lot 621
La Costa fv'\eadows Unit No. 4
Carlsbad, California
TELU•H0NE (714) 15419-1999
This is to report the results of tests to determine the moisture contents of the soils in the upper
three feet below finished grade in the proposed building area at the subject site in Carlsbad,
California.
The soil samples were obtained on April 19, 1977 and the results of the moisture determinations
are presented as fol lows:
Approximate
Location of
Samples
Easterly portion of
proposed building area
Westerly portion of
proposed building area
Depth of Sample •
Below Existing
Grade in Fee t
1.0
2.0
3 .0
1.0
2.0
3.0
iVoisture
Content
% dry wt
20.3
18.3
15.4
20.3
20.4
16.9
It is concluded from the field observations of the various soil types and the final results of the
moisture determinations that the soils in the upper three feet below finished grade at the
locations sampled have been sufficiently moistened to minimi ze the potential expansion of the
soils as recommended in our report under Project No . 71-3-24D, doted September l 0, 1973.
,
Pro.ject No. 77-4-18M
/v\r. Joseph Armenia
Respectfully submitted,
BENTON ENGINEERING, INC.
R .C. Remer
-2-
Reviewed by L ~ ~------,,., • S. f-1. Shu, Civil Engineer
R • C . E. No • 1991 3
Distr: (2) Addressee
(1) City of Carlsbad
Building Department
Attention: Mr. Ray Gree n
RCR/SHS/mr
BENTON ENGINEERING , INC,
April 20, 1977
LEUCADIA COUNTY WATER DISTRICT
APPLICATION FOR SEWER SERVICE
Own er's Name: Joseph Armena Ph N one o. ------------------------
Mailing Address: 270 l 5 Pinjara
Mission Viejo, CA 92675
8ervice Address: 2711 Llama Court
Tr;:ict Description: Lot 621 La Costa Meadows Unit #4
830-3a64
Type of Building: Si_ngl e Family No. Units ---Connection Charge $600.00
Lateral Size: 4" 6" 8"
Extra footage: ____ @ $ __ _
Extra depth: ___ @$ __
Saddle:
Easement Connection __ _
Lateral Charge
Total $600.00
'
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. froin 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 applicant'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 COLLECTION LINE WITHOUT PRIOR APPROVAL AND
INSPECTION BY THE DISTRICT WILL BE CONSIDERED INVALID AND WILL NOT BE ACKNOWLEDGED.
After connection is complete, the property described above is subject to a monthly
sew~r service charge , billed bi-monthly in advance. The rate will be governed by the
use of the property, single family, multiple dwelling or commercial •. Non-payment of
the sewer service charge is subject to a 5% penalty per month, plus disconnection if
necessary.
The undersigned hereby agrees that the above information given is correct and agrees to
thecondd~
~ignature
6578
Account No.