HomeMy WebLinkAbout2721 ABEJORRO ST; ; 80-203; PermitATENTION
This file contains information for more
than one address
2721 Abejorro Street
and
2723 Abejorro Street
i. .
INSPKTION VALIDATED
r
ENG1NEERlN.Q DEPARTMENT
CITY OF CARLSBAD
729-lf81 EXT. 34 I i
NO. ' "03649
-..
PERMIT FOR WORK ON CITY RIG$ I E~F WAY
DATE INSPECTOR
STATE LIC. NO. I CITY LIC. Nlb. I Emergency TEL. NO. I
0 EXCAVATION
0 FORMS
0 BACKFILL
PAVEMENT
0 PRIOR TO BACKFILL
0 PRIOR TO CURBCUT
CONDITIONS
nus1 CONFORM TO 'REQUIREMENTSOF
II.-. rrcCIFICATIONS. 2ARLSBAD STANDARDS, PLANS AND
iRFERENCE WITH TRAFFIC MUST BE KEPT TO A IINIMUM. ERMlT EXPIRES SIX 16) MONTHS FROM DATE OF iSUANCE UNLESS EXTENDED RY CITY ENGINEER.
STARTING DATE
EST. DATE OF COMPLETION
SPECIAL CONDITIONS
IA) ALL WORK MUST CONFORM TO 'REQUIREMENTSOF CITY OF CARLSBAD STANDARDS, PLANS AND
SIGNATURE PERMITTEE
ADDRESS
PERMIT FEE
3PIES: BLUE-OFFICE YELLOW-INSPECTOR GREEN.FINANCE PINK.PERMITTEE MANILA CARD MUST BE POSTED ON JO
! REQUEST FOR INSPECTION TIME: ,.
~ INSPECTOR 42 PERMIT NO. flPA03 DATE:
~ OWNER I
~
i ADDRESS I,
0 FOUNDATION
3 REINFORCING STEEL
L? MASONRY
C GROUT - GUNITE
U FLOOR AND CEILING FRAME
n SHEATHING
U FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL b
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PLKO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
0 FINAL
READY
J
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
$D G.F.I.
0 SMOKE DETECTOR
0 FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
0 FINAL
I
FOR INSPECTION: 0 MONDAY 0 TUESDAY 0 THURSDAY 0 FRIDAY
0 A.M.
SPECIAL INSTRUCTION
REQUEST FOR INSPECTION TIME:
INS~CTCI'R PERMIT NO. 80 DATE: - ll-ad
%LlL.bOM
\I
BUILDING
~ n FOUNDATION
0 REINFORCING STEEL
0 MASONRY
E GROUT - GUNITE
U FLOOR AND CEILING FRAME P n SHEATHING
U FRAME
U EXTERIOR LATH
0 INSULATION
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
Ac-FEiP 0 WATER HEATER
L
I ELECTRICAL
0 TEMPORARY SERVICE n ELECTRIC UNDERGROUND [t 0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.I.
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
FINAL
"
SPECIAL INSTRUCTIO br\
REQUESTED BY olo PHONE NO.
PERSON TAKING REPORT A I
~~ P' , ~~ "
o FOUND~N
Ei REINFORCING STEEL
El MASONRY
C GROUT - GUNITE
U FLOOR AND CEILING FRAME
L7 SHEATHING
Cl FRAME
0 EXTERIOR LATH
O INSULATION
TERIOR LATH OR
I
PLUMBING
U UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PLKO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
0 FINAL
P
.
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
@ POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
KE DETECTOR
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
0 FINAL
READY FOR UESDAY OWEDNESDAY OTHURSDAY 0 FRIDAY
0 P.M.
SPECIAL INSTRUCTIONS
L
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
0 FINAL
J L
qb PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
0 FINAL
// x
READY FOR INSPECTION: OMONDAY OTUESDAY OTHURSDAY 0 FRIDAY
A.M.
P.M.
SPECIAL INSTRUCTIONS
f? 72 f-3 30 s-
PERSON TAKING REPORT
c3 REINFORCING STEEL
0 MASONRY
C GROUT - GUNITE
U FLOOR AND CEILING FRAME I
~HEATHING
El FRAME
0 EXTERIOR LATH % INSULATION
0 INTERIOR LATH OR DRYWALL
0 FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PLKO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
0 FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
U G.F.I.
0 SMOKE DETECTOR
0 FINAL
READY FOR INSPECTI~N: MONDAY TUESDAY o WEDNESDAY
0 A.M.
0 P.M.
9
MISCELLANEOUS
0 PLENUM AN0 DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
0 FINAL
SPECIAL INSTRUCTIONS
n.
REQUESTED BY PHONE NO.
PERSON TAKING REPORT
- - " - -. I
REQUEST FOR INSPECTION TIME:
INSPECTOR 42 PERMIT NO. pF >63 DATE:
0 REINFORCING STEEL
0 MASONRY
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
n GROUT. GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 EXTERIOR LATH
0 INSULATION 0 SMOKE DETECTOR
0 INTERIOR LATH OR DRYWALL
I PLUMBING 1
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PLKO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
0 FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
0 FINAL
/ /’\
READY FOR INSPECTION: OMONDAY TUESDAY FRIDAY
0 A.M.
SPECIAL INSTRUCTIONS / .-
REQUESTED BY PHONE NO.
PERSON TAKING REPORT
0 TEMPORARY SERVICE
0 MASONRY
0 GROUT. GUNITE
0 FLOOR AND CEILING FRAME
0 CEILING HEAT
0 INSULATION KE DETECTOR
0 UNDERGROUND PLUMBING
TOP OUT PLUMBING
0 SEWER AND PLKO 0 GRADING
0 TUB OR SHOWER PAN 0 DRIVEWAY
0 GAS TEST 0 CONDITIONED AIR SYSTEMS
0 WATER HEATER 0 REFER PIPING
0 FINAL 0 FINAL
READY FOR INSPECTION: OTUESDAY OWEDNESDAY OTHURSDAY 0 FRIDAY - 0 A.M.\
0 P.M)
SPECIAL INSTRUCTIONS Wd _I - - -.- 0 CmOQ 0 ~. ." * "-~_~ ~ " 1
L - ~~. ~..
REQUESTED BY 0 I 0 PHONE NO. 7,'3-bfaS
PERSON TAKING REPORT t
.CORRECTION NOTICE
.. CITY OF CARLSBAD
~~
BUILDING INSPECTION DEPARTMENT TIME:
INSPECT~R PHONE - 438-5525
Note: Final Inspection Required DATE: 4-u -80 a7a +uarsllaf?nO
BUILDING 4LL WT MUDSILL [wr. 3
0 FOUNDATION flRt?bO~+) Mu.cr Ae 7mQFS-Q
0 REINFORCING STEEL P rrr\T PROQf.
0 MASONRY
0 GROUT - GUNITE I” &uAR+dC!
FLOOR AND CEILING FRAME UNO p!Ece PLfiOe aJMN6\/.
SHEATHING
FRAME PKDLlrOer IU aCgA.rc,kM
0 EXTERIOR LATH /NO I/fsm.
INSULATION
0 INTERIOR LATH OR DRYWALL @ P~UI DE 50 ‘ AIPfl‘ M/A?.!.W
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUNDWATER
0 ROUGHT PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GASTEST
0 WATER HEATER
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRICSERVICE
0 UPPER GROUND
G.F.I.
0 SMOKE DETECTOR
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 CONDITIONED AIR SYSTEMS
0 SOLAR
0 GRADING
0 POOL
0 PATIO
SIGN
0 OTHER
1 i
REQUEST FOR INSPECTION TlME:JLGL”
PERMIT NO. DATE: fl-/ 0 -#I3
ADDRESS d7d/ +A723
*
BUILDING ELECTRICAL
0 FOUNDATION
0 REINFORCING STEEL
0 ELECTRIC UNDERGROUND 0 MASONRY
0 TEMPORARY SERVICE
0 FINAL
0 INTERIOR LATH OR DRYWALL 0 FINAL
0 INSULATION 0 SMOKE DETECTOR
0 EXTERIOR LATH 0 G.F.I.
0 CEILING HEAT 0 FRAME
0 ELECTRIC SERVICE 0 SHEATHING
0 POOL BONDING 0 FLOOR AND CEILING FRAME
0 ROUGH ELECTRIC 0 GROUT. GUNITE
~ * I PLUMBING
0 UNDERGROUND PLWBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLWBJNQ
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 QAS TEST
0 WATER HEATER
0 FINAL
A
4 MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIQN
0 QRAOINQ
0 DRIVEWAY
0 CONWTIONEB AIR SYSTEMS
0 REFER FIPINQ
0 FINAL
READY FOR INSPECTION:
SPECIAL INSTRUCTIONS
REQUESTED BY PHONE NO. 7r3 -6&p
PERSON TAKING REPORT
' REQUEST .. FOR INSPECTION TIME: 3*>/ 0
'INSPECTOR - ,- PERMIT NOps DATE: . 3- 20-80
OWNER
ADDRESS z72/ - Z7ZS Rh? 6
BUILDING
0 FOUNDATION
El REINFORCING STEEL
L3 MASONRY
C GROUT. GUNITE
0 FLOOR AND CEILING FRAME
L2 SHEATHING
Et FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
FINAL - I
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
0 FINAL
~
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.I.
0 SMOKE DETECTOR
0 FINAL
3 p/
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
0 FINAL
READY FOR INSPECTION: OMONDAY OTUESDAY OWEDNESDAY OTHURSDAY d+f&
0 A.M.
\
SPECIAL INSTRUCTIONS OM
REQUESTED BY PHONE NO.
PERSON TAKING REPORT
I ~~~~
CORRECTION NOTICE
E9
INSPECTOR
. CITY OF CARLSBAD
'BUILDING INSPECTION DEPARTMENT TIME:
PHONE - 438-5525
Note: Final Inspection Required DATE: mro
BUILDING
$REINFORCING STEEL
FOUNDATION
0 MASONRY
0 GROUT - GUNITE
FLOOR AND CEILING FRAME
SHEATHING
FRAME
0 EXTERIOR LATH
INSULATION
0 INTERIOR LATH OR DRYWALL
PLUMBING
UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGHT PLUMBING
0 TOP OUT PLUMBING
SEWER AND PLKO
0 TUB OR SHOWER PAN
0 GASTEST
0 WATER HEATER
ELECTRICAL
0 TEMPORARY SERVICE
ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 UPPER GROUND
G.F.I.
0 SMOKE DETECTOR
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 CONDITIONED AIR SYSTEMS
0 SOLAR
0 GRADING
0 POOL
0 PATIO
SIGN
OTHER
l-
REQUEST FOR INSPECTION TIME:
INSPECTOR PERMIT NO Jr- ao .DATE:.
.. CL 3-/8 -”
I BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT. GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
c? FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
0 FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AN0 PL/CO
0 TU6 OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
0 FINAL
ELECTRICAL
c? TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC n POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.I.
0 SMOKE DETECTOR
0 FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING n DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
0 FINAL
SPECIAL INSTRUCTIONS
REOUESTED BY PHONE NO. G 77- 1307
PERSON TAKING REPORT
REQUEST FOR INSPECTION TIME:
.INSPECTOR PERMIT NO.
.1 -
OWNER n
ADDRESS 274/ 6-
0 MASONRY
0 GROUT. GUNITE ROUGH ELECTRIC
0 FLOOR AND CEILING FRAME POOL BONDING
0 SHEATHING LECTRIC SERVICE
0 FRAME 0 CEILING HEAT
0 EXTERIOR LATH
0 INSULATION 0 SMOKE DETECTOR
L
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
0 FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
0 FINAL
READY FOR INSPECTION: p PAONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
/nA.M. ,/j
SPECIAL INSTRUCTIONS
REQUESTED BY PHONE NO. 75346AJT
PERSON TAKING REPORT
REQUEST FOR INSPECTION TIME:
.INSPECTOR ..
I PERMIT NO. DATE: I
OWNER
ADDRESS 272/ d2,723
BUILDING
0 FOUNDATION
0 REINFORCING STEEL n MASONRY
0 GROUT. GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING n FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
N - ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
13 G.F.I.
0 SMOKE DETECTOR
0 FINAL 1 0 FINAL 1 I
MISCELLANEOUS
D PLENUM AND DUCTS
0 UNDERGROUND WATER
0 ROUGH PLUMBING
,,Of OUT PLUMBING
SEWER AND PLlCO
TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
0 FINAL
n COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
0 FINAL
"----
READY FOR INSPECTION: OMONDAY OTUESDAY OWED E 0 THURSDAY 0 FRIDAY
0 A.M.
0 P.M.
SPECIAL INSTRUCTIONS
REQUESTED BY PHONE NO
PERSON TAKING REPORT
PARTMENTAL INFORMATION SHEET
, . ,,
.r ;,
BUILDING ADDRESS: $
'!
,:,
I
'; i ,...
PLANNING DEPARTMENT *'I
ZONE &I" LOT SIZE LOT WIDTH . :. q
UNITS ALLOWED d/
PARKING SPACES REQUIRED t/ PROVIDED
% COVERAGE ALLOWED !/ PROVIDED
BUILDING HEIGHT ALLOWED PROVIDED
2
. .a
1/ ,: I ,, :,
UNITS PROVIDED ,, .
'~- f
iJ ,;
.1 .,
t. ., 4
I V
FRONT SETBACK:
ALLOWED r/'.
PROVIDED
.$
SIDE SETBACK: REAR, SET;&CK: ?i 42 .,
!.
ENVIRONMENTAL PROTECTION REQ:
SEWER .CONNECTION
GRADING PERMIT
LEGAL DESCRIPTION
ADDITIONAL COMMENTS
.. .' ,
n I
OK TO ISSUE: DATE;~->~Q PW&&I,& - '>
..
OK TO FINALL-. ,LC DATE7-7- .m ~! ,/.,' .'
" _" . .,
..
FIRE DEPARTMENT
SPRIXKLING SYSTEM FIRE PROTECTION EQUIP.
'. . .., 7j
, .y
;
1 FIRE ALARMS EXITS #,
FIRE HYDRANTS rl . ADDITIONAL COMMENTS
n til- - " - (h) U .KC.
DATE- 9~ foQn OK TO FINAL DATE ,.
.~ ., ,. c
.TER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE
.y * ,, .. ..
..
BENTON ENGINEERING, INC.
APPLIED SOIL MECHANICS - FOUNDATIONS
9AN DILGO. CALIFORNIA SZ(P1
SS.0 IUPFlN ROAD
February 29, 1980
Mr. Jerry Sullivan
7639 Galleon Way
Carlsbad, Cal lfornia 92008
Subject: Project No. 80-2-23M
Lot Inspection and Moisture Contents in Subgrade Soils
Lot 244 of Lo Costa Meadows Unit No. 1
Carlsbad, California
Dear Mr. Sullimn:
This is to report the results of wr inspection of the subject lot and also to present 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.
An inspection was made by a representative of our organization on February 28, 198Oand
it is concluded that the soil conditions are essentially the same as presented in wr report
on the grading of this subdivision dated October 12, 1971. The soils in the upper three feet
below finished grodo were classified as Type B ~a~inally exponsive)and therefore, the
recommendations for special design and precautions presented in the above dated report
shwld Le incorporated in the plans and specifications for any proposed contnrctim on this Jot.
Soil somples were also obtained on February 28, 1980, and the results of the moisture
determinations are presented as follows:
Depth Below
Approximate Existing Gmde Moisture Content
Location of Samples In Feet (?A dry wt)
Northwesterly portion of proposed buildiw area 1.0
2.0
3.0
Southeasterly portion of proposed building area 1.0
I 2.0
3.0
24.3
23.5
24.1
22.7
27.6
22.3
Project No. 80-2-23M
Mr. Jerry Sullimn
-2- February 29, 1980
Respectfully submitted,
BENTON ENGINEERING, INC.
BY &L? #z" R. C. Remer
Reviewed by
-
PhiliD H. @enton, Civil Engineer "
RC E 'NO. 10332- '
-
Distribution: (3) Addressee
RCR/PHB/c
BLNTON LNOINCLRINQ. INC.
,. . 1-26-78
LEUCADIA COUNTY WATER DISTRICT
APPLICATION FOR SEGfER SERVICE
owner Is N~~~ Bruce Newton Phone No. 755-1879
blailing Address - 441 S. .Sierra-Ave. #307
Service Address: 2721 Abejor- St 2 7-23
Tract Description:
Assessor's Parcel 110. 215-300-36 APPLIED FOR BY'R-a?.
Solana Beach, Ca 92075 SEWER PERMIT ISSUED UPON
RECEIPT OF BUILDING PERMIT.
lot 244 La Costa Meadows BUiLDING PERMIT MUST BE .
Type of Building duplex No. Units Connection Fee $1*2oO*oo
1-ateral Size: 4" - 6" 8" - Saddle - pre-pd -13VrerS) - Easement Connection -
Extra Footage: - @$ Extra Depth: a$- 8C-e.m
Lateral Fee
Prorated Sewer Service Fee Total $jsM.m '
Amount Rec'd
Ck. No/Cash =@=a30
Rec'd By
I
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.
District. The service lateral is that part of.the sewer system that extends from If a service lateral is required, it will .be installed by the Leucadiit County Water
the main collection line in the street (or easement) Wthe point in the street (at or near the applicant',^ 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.
made by the applicant at his expense. The connection must be made in conformity The connection of the applicant's building sewer to the service lateral shall be
AND APPROVED BY THE DISTRICT BEFORE THE SEWER SYSTEM MAY BE USED BY THE APPLICANT.
with the District's specifications, rules and regulations; and IT MUST BE INSPECTED
THE APPLICANT, OR HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT ME TIME INSPECTION IS DESIRED. ANY CONNECTION MADE TO THE SEWICE LATERAL OR COLLEC-
INVALID AND WILL NOT BE ACKNOWLEDGED.
The prorated sewer service fee is based upon the date'the District estimates that service wiii 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 agreesthat the above information given is correct and agrees to the conditions as stated.
TION LINE WITHOUT PRIOZ APPROVAL AND INSPECTION BY THE DISTRICT WILL BE CONSIDEREP
- -
Account No.
.. .
,
.. . I /I
.." ._ ,._ "" "_ ~ . . . - .. .. .. . . .
.
,- ‘I ,-
COMPLETE IN DUPLICATE AND POST WITH THE INSPECTION RECORD CARD .I
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE
CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE
OF CALIFORNIA, IN THE BUILDING LOCATED AT:
SITE ADDRESS A0E*ZB G4PL549AD
Number Street City
EXTERIOR WALLS
Manufacturer OWENS CORNING Thickness/Type 9%” R Value 11
CEILINGS
Batts: Manufacturer OWENS CORNING Thickness/Type 6” R Value 19
Blown: Manufacturer ThicknesdType No. Bags -
Wt ./Bag Sq. Ft. Covered R Value .-
FLOORS
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation I nches
FOUNDATION WALLS
Manufacturer ThicknesdType R Value
GENERAL CONTRACTOR LICENSE NUMBER
BY TITLE DATE \
N CONTRACTOR DANA JOHNSON INSULATION,INC. LICENSE NUMBER 306495
TITLE Authorized Representative DATE “/z;/” .
BI Form #121
22 1 75