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Home My WebLink About2746 GALICIA WAY; ; 76-5795; PermitMODEL NO.----------- BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 • Applicantto complete numbered spaces only Phone 7 29-1181 Permit No J08 A DDA ESS ASSESSOR 'S J 7· ~1 -;Ii L1t!JA (.J.J A y PARCEL NUMBER LOT NO. OCK -1 T;;~.1/T .~·'/ BOOK PAG E: I P AR. LEGAL I ~ 6<./ <DSEIE. ATTACH ED 5HE: E. TI 1 DESC A . OWN[A MAIL AOOAt.s'S ZIP F'HON( 2 "'. ') N I.J.P"o R D . '..":>c, .">-. ~ ,1 ,1 ;f', ~ . '96 c;, CON 't"RAC TOR • -tV:;;Y, ACCRESS " PHONE STATE LIC, NO. CITY LIC, NO. 3 fl ,1f.i "' ·" .D Co · :1 ,t:; 1 hf··~ Pb; ,,v)-t:. / ,-(.., .·' 9 6 9 ::lo J 15;~ I ; -. AA CH IT c c r'oR·o t s I CN £A MAIL A OO AESS . PHON E LIC[NS( NO, 4 €°,._ 'l,;,1/ ....., C lkRA ;. . ENGIN EE R MAI L ADDR ESS PHONE LIC(NSE NO. 5 COMP E:NSATION INS. CARRIE:R MAIL A.OD AC.55 BRANCH 6 USE or BUI LDING 7 ; (;;('_ id. I,!_ t NO. BDRMS 4/-NO • BATHS L:,..--. .; -. .. 8 Class of work: ila--NEw 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE .J 9 Describe work: vt)&,... ,,.(~ ...,.("'.,,, .~ ......... ,.(' (!....f.,r.=,, !. M ~/.r A ~)ii/'~ ., ti .· !' (JI' ~, -._:l 10 Change of use from ~,, Change of use to 11 Valuation of work: $ er-o. 69-Jf r,C, 7 .. -I -PLAN CHECK FEE$ PERMIT FEE $ SPECIAL CONDITIONS: MI CRO FILM FE:E Type of Occupancy Const. Group . l Sile o f Bldg~ ~3 No. of I Max. (Total) Sq. . Stories 0cc. Load Fire use l Fire Sprinklers APPLICATION ACCEPTED BY PLANS CHECKED OY APPROVE D rDR ISSUANCE BY Zone _:;, Zone Required 0 Y es DNo No. of OFFSTREET PARKING SPACES: Dwelling U nits No. 'No. DATE: 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. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· 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· MENCED. OTHER (Specify) I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ENG INEERING DEPT. 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 WATER DEPT. HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER S1ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. sljNAT~AE 0~ CONTRA,TOA OA AUT~AGENT (DATE) .S IGNATUIU 0,-OWNEllf llf° OWNER 8UILOE:A) DATE) WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH I (.,I TOTAL FEES$ _______ .., ___ _ INSPECTOR INSPECTION RECORD DATE FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY FINAL J-/,, ~,, 11 . USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 1-18-77 Foot-ings-Okay B. Nelson. 2-8-77 Sheathing: 2-14-77 Frame: O.K. 2-22-77 Insulation: O.K. B. Nelson REMARKS ("') - e--: son - INSPECTOR \( f5 ~Jt ~ hv"v ) PLUMBING PERMIT APPLICATION City of CARLSBAD CALIFORNIA ' 77 Applicant to complete numbered spaces only. Pe rmit No . ~ JO& AOOR E.SS I j A ~6... r L • n . .. -- LOT NO. Im I T•ACT JI~-:1 LtUL I 1 OESC A. OWNER MAIL AOOIIIE!iS ll p PHON[ .. /' 2 L -0 ,-.J CON TIii.A C TOR f\ ~hai :kJ, MAIL AOOAESS PHON[ LICENSE Jrr,iO. STATE CITY 3 £1 '1/H I !~b 'J.. '-..JI :._ .. ~-... -.. ·' t, . \ ARCHITCCT bR OESIGNtR I MAIL ADDRESS PMON E LICENSE NO. 4 ENGINEER MAIL AOORESS PH.ONE LICENSE NO. 5 COMPENSATION (NS. CARRI ER MAIL ADDRESS BRANCH 6 US£ Of' BUI L DING 7 8 Class of work: 0 NEW 0 A DDITION 0 ALTERATION 0 REPAIR q Describe work : PERMIT FEES No. Ty pe of Fixture or Item Fee SPECIAL CONDITIONS: -, ,., WATER CLOSET (TOILET) $ f BATHTUB I 1, J .. LAV ATORY (WASH BASIN) ,/ lj C -I SHOWER , \ KITCHEN SINK & OISP. / I DISHWASHER / APPLICATION ACCEPTE.O BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY . 11 CLOTHES WASHER I I') > .. ./ DATE r WATER HEATER ,. ,-,., NOTICE URINAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DR INKING FOUNTAIN TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR -SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK MENCED. -GAS SYSTEMS: NO.OUTLETS / I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS '- APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING&. TREATING EQUIP. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM . SEWER CESSPOOL SEPTIC TANK & PIT ' ~('' '-l u/ l I ROOF DRAINS .$1GNA'TURE o, CONT,.ACTO .. OR AUTHORIZ[D AGENT {DATE) i ; PERMIT $ ._, :> ,\ S IGNATu R·F 0,. OWNE.R T1r OWNEJI. BUILD[R) DATE;) TOTAL FEE $ _' 2 ') WHEN PROPERLY VALIOATED (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 USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 1-13-77 Soil Line Underground Plumb.-Okay-B. Nelson . 1-17-77 Copper-Okay B. Nelson. INSPECTOR l ELECTRICAL PERMIT APPLICATl0N City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 7 29-1181 Perm it No. <Ostt. ATTACMLD sMEt::T) ,, , ' / A,-CHITECT O" DlSIGNl,- 4 ENGINECPI Mid L ADOA ESS PHONE L ICENS[ NO. 5 COMPENSATION INS CARRIE::R M AIL AOOfitESS B .. ANCH 6 US£ 0,. BUJL.DING 7 , 8 Class of work: ~NEW 0 AOOITION 0 ALTERATION 0 REPAIR 9 Describe work: PERMIT FEES SPECIAL CONDITIONS: APPLICATION ACCEPTEO BY PLANS CHECKEO BY APPROVED FO R ISSUANCE BY NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED W1THIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DA% AT ANY TIME AFTER WORK IS COM MENCED. I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS 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 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. IDATl:I fl 1, OWNEtl IUILDE." DAT£) ISSUANCE OF EACH PERMIT NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE, SWITCH , FUSE OR BREAKER NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE OR BREAKER REMODEL, ALTERATION, NO CHANGE IN SERVICE, FOR EA. AMPERE OF INCREASE TEMP. SERVICE UP TO ANO INC LUO· ING 200 AMP. TEMP. SERVICE OVER 200 AMP. PER 100 PERMIT FEE WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK, M.o. CASH PERMIT VALIDATION CK. INSPECTOR No. M.O. Esch Fee INSPECTION REPORTS DATE ITEM - USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 1-13-77 T_emp Pole-Okay B. Nelson. REMARKS INSPECTOR --·- MECHANICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 729-1181 Permi.t No. 77-/oO,£ J09 ADDR cs:a 7'/ (p iu~-··-· -·-·-.00 GLAciA wy LOT NO, I BLK I TRACT / t0SEE ATTACHED SHEET) LCGAL I 1 DCSCR. 2 OWNtrtlt./, //1 nMA~ MAIL AOOAESS 21 p PHONE CONT,-AC TOA . -MAIL ACOllttSS PHONE STATE LIC. NO. CITY LIC. NO, 3 ~EIVA1ll. . /~v ;::; LL, :./1: .;-J Zit "l" -~.2. q "I /9/l)?/ /L&J/J ,'A/L A"CM1T£CT 0" D£SIGN£f1 M ... IL. ADDRESS PHONE L..ICi:.NSt NO, 4 CNGINE.Ellt MAIL AOCR£55 PHONE LIC£NS[ NO, 5 L E:N DE ft MAIL ADO"E:SS BflA.NCH 6 USE 0" BUILDING 7 8 Class of work: ~EW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: 4-~ .... __A "'..,,,!_ -./ / Type of Fuel. Oil 0 Nat. Gas 0 LPG. 0 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 Air Systems-8.T.U. //JO M Ea. ·'I {,( APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVE O FOR ISSUANCE BY Gravity Systems-8.T.U. M Ea. . Floor Furnaces-B.T.U. M Wall Heaterit-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 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. Range Hood t HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND 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. ~ .fll .. ~A ,L~/~ .,,-:,,;/''A /if /d-:17 ,1GNA1'\JRE. 0,. COIIT"ACTO" Olt AUTHl>411'1Z.t.D AG£'°"T (DATl:I ISSUANCE FEE s _, >C !llr..u•.T"•-r o, OWNCR Cl,. OWN[." BUILO!IIU (DAT£) TOTAL. FEES s I (.)C> WHEN PROPERLY VALIDATED (IN THIS SPACE! THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR MODEL NO. _________ _ BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicanttocomplete numberedspacesontv Phone 729-1181 Permit No 77 ,-;i_.Sj JOB ADDRESS ASSESSOR'S _.,' . .;/~ ,)(JI /(L iA LL) - I PARCEL NUMBER , LOT NO. Im 1~::T ,,/ 11/T $ <-/ BvvK PAGE I PAR. LE GAL I :::l6'! cO stE ATrACHto SHt1:..r1 1 ocsc•. 0WN[A !/A~b IJv+ic MAIL ADDRESS ZIP PHONE 2 ' '-' ~-,; ~,, ( ' 7 (/ " ,· .... ' CON1',u.c TOA: M.AIL .AOOAESS ; PHONE STATE LIC. NO. CITY LIC. NO. 3 · , ._ 1 H; e--~ C'./1 ti/ C.,... _:, .,, (/ Pt! I, /A i I I AltCHl'Tt.C""' 0 " OE"S1GNElt MAIL A ODA[SS Pi10 N E L IC[NS( NO. 4 ENGINEER MAIL ,t,.QQR[SS PHONC LICENSE. NO, 5 COMP ENSATION INS. CARRI ER MAIL AOOA:ESS 8R:ANCH 6 USE OF BUILDING 7 NO. BDRMS NO. BATHS 8 Class of work: C9NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 9 Describe work: l?ETA1/u/ll/C-l_;(J ~ LL -:,.. <./ ,, II S'"o' L, 10 Change of use from Change of use to 11 Valuation of work: $ ..)(Q (" ,, I ( ,., ' PLAN CHECK FEE S PERMIT FEES SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy Const. Group Size of Bldg. No. of Max. (Total) SQ. Ft. Stories 0cc. Load F,re u se Fire Sprinklers APPL!CA TION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE 8Y Zone zone ReQulred D Yes D No N o. of OFFSTREET PARKING SPACES; Dwelling Units No. JNo. DATE 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. HEALTH DEPT. THIS PE RMIT 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 CERTIF Y THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WATER DEPT. 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 C NSTR1.JCTION QR THE PERFORMANCE OF CONSTRUCTION. I , s·1cNATURE 011' COMTlltACTOA OR AUTHORIZtD AGENT (DATE) SICNATUflU OF OWNER (I,-OWNEllt !IUILOEA) (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M .O. CASH PERMIT VALIDATION CK. M.O. CASH _.) TOTAL FEES$ ________ _ INSPECTOR MODEL NO.------------7-77A~·~:• lf9'1*****H5JIO BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicanttocompletenumbered spaces only Phone 729-1181 Permit No fl -.;t_9 JOB AOOR CSS ASSESSOR'S .27-l~~;</I /e_ /4 w 1..{ PARCEL NUMBER ; LOT NO, I Bl K TR A.CT BOOK PAGE I PAR. LE GAL I ~(r:,Lj ( Al//~ t:../ <Ostt ATTACHED s1H;;ETI 1 DESCR. _r"">t." OWNER tit~~ MAIL ADOAESS liP Pt-tONE. 2 k\(I JJJ. ~ I) L) L/f/,/Yt 7 ::;r-:;J .?/(/ CON'TRAC TOR i MAil. ADDRESS / PHONE STATE LIC. NO, CITY LIC. NO. 3 ;Jt ·(.(: t I> (',-., IA/ c:; (' h~ _) ,)-{/ f:>A I l A P { ;1 r- A~CHIT(CT OR OE.SIGNER MAIL ADDRESS PHONE LICENSE NO, 4 EN GINE.CR M AIL ADDRESS PHONE L tCtNSE NO. 5 COMPENSATION INS, CARRIER MAIL AOORCSS BJillANCH 6 IJSE OF BUILDING 7 NO. BDRMS NO. BATHS 8 Class of work: !B"NEW 0 ADDI TION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 9 Describe work : ~ETAtll ll/e ... Lo A Lt__. "J .. J/-I/ // s~' L,, 10 Change of use from Change of use to 11 Valuation ot work: $ /2RO ~ PLAN CHECK FEE s I PERMIT FEE S ..50Z-- SPECIAL CON DITIONS, MICRO FILM FEE Type Of Occupancy Const. Group size of Bldg. No. of Ma~. (Total ) SQ. Ft. Stories 0cc. Load Fire Use Fire Sprinklers APPLICATION ACCEPTED av PLANS CHECKED BV APPROVED FOR ISSUANCE BV Zone Zone Reou,red O ves 0No No. of OFFSTREET PARKING SPACES: Dwelling Units No. !No. DATE 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. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID I F WORK OR CONSTRUC· TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FIRE DEPT. CONSTRUCTION OR WORK IS S\,JSPENDED OR ABANDONED FOR A SOI L 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 SPECIFI ED 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 CFSSTR7//N ? ~HE PERFORMANCE OF CONSTRUCTION, 1' Ir' / ' -~ ~GNATUAI: o, C°t4TIIIACTOIII 0111 AUTHORIZ[O •GENT !DATE l S1GNATUIII£ o, OWNl!:llt llf' OWNER IIUILO[l't) (DATE) WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH s~ TOTAL FEES $ ________ _ ( ' ' ' '/ > 1 ' t • [ } • l A · I I . 4 • ~ ~· ..J -.. I l I I ,1, . ' • i. l > .. . ..... ~--.-~--.,_. -··· -----·-· CI 'l'Y OF C/\l(J.'.~ l 11\ D --------~--· ... --··- BlJIJ..J)lflC Dl~Jlf\H'l'Mr:l'J'l' SINGLE Fl\MJ.LY l\NV MUL'J'IJJLE F/\MILY LESIDEtJ'l'Il\L PLl\N COHJmC'.l'TON LTS'J' Wl\HNIHG: PLAN C JIECl\ Fims' WIJEHE NO l\C'J.'JON IS 'J:,\KEN BY TJJ.E 1\PPLICJ\W.[' IN 120 Dl\YS, l\ND NO BUIT DING PI::mH'l' IS ISSUED, ARE l·'OHPEI'l'ED TO 'l'Il E CI ' JOB l\DDRESS: =:~::R'/}!!_..,___,_--J~--;---USE ZONE FIHl:t ZG\JE ---- OCClJPA!:~CY C.'ONSTRUC.rION VALUl\TlON ~~-------- BASIC l\.LT .Ul'7l\l3LE BUILDING l\REl\: 2nd Floor ~-~--~~-------------~ 3rd Flo~r ALW;JABLE INCRfJ\SE DUE 'IO REQUIRED Pll\NS 1. PirJl' PLJ\l\l 5. l:DUNDl\'I'IO>J DCT!uLS 2. FDUNDli,'1'10:~ H..J".\J.\l 6. S'l'RU~TURZ\L DLTAIL.S 3. PI!X)R l:'Ll':-J 7. ELEVNI'ION' PLiV-JS I! • GEL\JERl'\L PF.ll.MING 8 • RCDF PU,N Cf. 'J:N DE'X SHE F.T 'ID TFIB APPLICa;:T A, CDRIIBCr PI.J"\..~S WI-JERE · CX)Fl'.ECTJO:\l LIST BA.S BEEN CIRC:LED . FL/\G CORR[CTIOl~S .,.6 oR(Z.,) B. Il-::1C0l'-1PLETE, INDEF11H'TE OR FADED DW'JYINGS .. OR CLl\CUINl'IONS NCTr ACCEPTl~BLE. c. H.BQUIHE, ENG.[NEC:R Is OF: SURVE'IOH Is C.ALCULl-'tf'IO'~S OR PL~JS SP.ALL BE SICNED IN IN1<. D. REVERSE pu~,s MAY Nor BE USED. PROVIDE CORRECT' FJ..DT PU-0-T, l:DUND.?\'rION PLl\.T\J , :FLCX)R J?Ii\i.~, !!.ND ELEVA'I'IONS. E. TI ill APPTh')VAL OF PJ..J\.l\JS Al\TD SPECIFICATI00l'S OOES Nar PEft\lI'I' THE VIOIJ..1TIO~..:J OF Ai.'\JY > SECTIO:'J OP 'rllE BUILDING CX)DE OR OTI-lER CITY , CDUNTY OR STATE LJ.Jv. GENERAL ----1. SUBMI'r FUIJ.,Y DilIBNSIO:t\lED PIDT PIAN, DRAViN 'ID SCl\LE, INCLillING ALL El\...SEMEN'TS ON PR)PERTY. 2 . SHOW .l\J..J, EXISTING AND PR'.)f-OSED BUILDINGS ON PIDI' PIJ\N. 3. SI !OW CORRECr LEC'>-7\L DPSCRIP'l'ION ON PLl\N. 4. SilCJ.v i\LL OFl.~ SITE JMPlUVEMI:l'J'l'S , DHIVE- WAY l\PPlDZ\Cl I , LIQ l'T STZ\ND!\I',D;:', f:'JRE IlYDRl\NTS, \vi\TER .METEf'...S, SUJ3-S'I'H\JCTURES , 'l'ru.:J~S , E' I'C • 5. COHHECr LOJ ' DIMfNSIONS. 6. SIIOI~ EX JSTl~G /\NO r-lNISI! CONTOUR LIN ES . 7. SLTHV8Y OJ: I.O'l' rmQUIW~D. 8. :i:NDIC'J\TE l\.T.L crumlNG 'lD rn,; }J'.)l'!E . 9. I NDlCNJ.'l~ ELE\T1\'J 'IO~JS OF (~l\Tv\CL FLOOH, l\ND S'J'nr,:sr J\ND DIUVF~\'l\Y. lC. INnrCJ\'m cr:ne1-:nLINC l\ND EDGC PHOFJLE OP DHlVE:\~l~~·i. · ll. DI.OPE Of l)JUVLiv/\ Y NCYl' TO J·,XCT.r::u 20'1,. 12. INJ)l'Cl\'l'f·: Fl.CW LlNES t-t)R 01<;p ... ;/\I., OP StJ1,F/\(.:E \vi\'l'l·:H .• 13. LA COS'l'i\ l\P 1 .. o.c. m•:7\ ,'I'll ur:11·r . /\Pl novl\L.nJ::Q. --···--··--------...---·-------~··-""'·-··---··-·--- 13 a [';how n] l JU ·:QUJl{l:Ml::~,J'l'S l·'(Jl{ J l /\ N)) I ( 'I\ I 1 I • I .;J) • l 1 .'~ <' c . ] '7 J 1 . 1 :{h J.. C. . · ·' ·1 ;1 P'l' W·'.()ll I Ul~I). 4th Floor 14. Cl\HRY WATE:f-: Fl-OM ----. UNDI·:R SIDEl·lr.LI< 'Pl.ROUC[{ CURI3 INTO S'l'J'~~r::r WT':r'H C.7\ST IRO~..:J PIPE . 1 5 . PROVIDE ENG r :;r-:r.:::JU.NG CALCULATIO~lS F(m -----.~~?-:'.);:-;:::;;ii;;;.;,,,,~.-::::~== 16. ~1GI ,: _, , REPOW'. 17. GR!\DI.TG P·1 \:!'f ·HEQUJRED . 18. FIRE .DE.VI'. 1-:,PP ROVlJ_, REQUif<ED . 19-SPECIFY CO~CRE'I'E NIX @ 200 0 P . S . I. HINIMIJM. 20 -DIJ-'.i.E:'.'JSION FOJI'IJ\K,; Sn.ES A:.\10 CIEl\J('\.NCE FRJM GMDE. 21.,... SilO:v DEPTH OF FOOTINGS BE.I,O;v Nl\TURlu_, OR lil'-iDISTURi;ED G.G)illE . 22-INDICATE PRESSul~E TREATED FDl.Jl\u A'rI00l SILL , OR EQUAL . 23-SHOd fDUNDATIO::,..J EOLT. SIZE, SPACING A"l'D 1 / " •I PF.i>JETAA'l'Io;~ IN'JD C01..:JCRETE. ,,! X Ii F"'R Mlr-SDNRY 24. INDICl\'ill CLEL'i.R!-1:\JCE FIDM GRZillE TO JY-fl'l'0:1 OF FiillR JOIS'rS Ai.'\'D GIRDERS . 25 . $HOW· PIER SIZE I SPACING AN:) DE1~TH I ~[!'."~-0 UNDISTURBED SOIL. 26. SHCJ.'il GIRDER SIZE, SPACING AI\TD. DIRE( ·.'ION. 27. 28 . 29-SPECIF'Y .M.INDlU i 18"X2tl 11 1'1CCESS OPI:.1HNG 30. 31-SPECIFY UNDER.I LCDR VENTll/\TJON EQUAL 'ID 2 SQUZ\RE FELT FDR El\Cfl 25 LJNEl\L FEI.:.T OF' FOUNDJ\TION rLUS ONE OPENJNG VlI'I'l !IN 3 ' OF El\CI! COHNl ·:n. 3 2. ST1':I I 'O)TlNGS 1vl1EN SLOPE EXCEUX3 1~10. · FR7\M1 NG 33 .. i')J Q.'JVJ/.)J,, 'l.'YPJCl\L 1"1W'll.NC DJ·:l '/\lLS . 3'1 -SPJ::CH'Y FW\~HNG LUt-mJ~n (;IV\!..JES . · :· J 1 35 -SPECJ.['Y FJ!U·: !lf..OC l'lNG l\'l' FLCX:m , CEILTNG (X)Vh )\ND MT!)[ ll~l('J l'l' OF \vl\LLS ovi,:n l O J,'!~1·71.' HJ l l'l'. 36. f-;J JO,\I D.11\COr~l\L ·L\f<l\ClNG l\'l' I::J\CI I CDl~l·:l~ 1\ND EVf:HY 2:3 Ll NFJ\L F.t::l·:1' 01: \\1/\1,L. 37, Cll\lG1"":i' 11J'V\CTNG OF' Wl\TrL. 3B. ~illCAv ;,11,J~, Dll~J·:C'l'.JON /\NIJ ~~l'i\C.lNC <W J·'l /X.m l\NI') CJ::J I. 1 NC J O l f)T!~. ,)() l: ;'I':; ----w--..,-·-----~ •• lN /\lU·: OVJ ·:1t;l 1/\NfWI). 30_,fX'llJill,J·: l•'I O')ll ,10!::'!'~; OH . ·- l1,l·:t1M l l!Jl 1l-'.I\ l '/IIU\1,1 ,1-'.I, 1'/Wl'l'l'l ()if;.·-"····-··-·--·· ... ~n. '.il 11-:(·11,y 111"..1\1t1 :1, ::11.1·: 1-n,.: c,1·1 <1Jll~,::: <J\.'LH ~1 • ::11, . liill/ll,1 : 111·11,1,1·1·:: i ll l 1-.1'0;. '12-1'l{JVl 1l!·; J>J,.l'J'l;I{ 'J'.ll:'.; V.111i".1 ·:J·; C'l:JLl!·)G ;J O'! ~;'J';; 7~ JI) H/\tTJ·:J t·i l\HJ.·: NTO J 11\PJ\l.U::L. ,1' o. c. ,n. :11~mcN1·1; H1\FT1 ·:n s1zE, r;P/\N, sr11cING T\ND J>l rn·:c:r JON. A 1• 't:). !JG . f_;l!(Jd l'UW ,] N;_; UN EDSE l\ND INUJ Cl\'l.'E: SIX!~. Same size as rafters rninjmum. l3Hl\CE HX)F Fl'N1jl IJ(; TO P/1,JffJ'l'JCNS. JNDJC/1J'E ,r;Ol ,'I.D f;JJJ ·:/\'J'!Jrl'J(; l\t~D ?.:-:G OH 3xi] STUIX> ON l·'JJG'J' J:'J.ODH OF '.l'JJHEI~ STOJ<.{ co:JS'J'HUC'J'JO>l. IJ.7. f;;JJCM ~~J·:C.l'JON 'l'JJJ~)lJCI I 18. SIJOW PJ hN'l'J·:R BOX DJ::l'J\ILS /il JD vJNl'l·:R PJ<CYJF.f!JG, SEC. 2517 C7. . -----------· 51-PROVIDE 'fYPICJ\L CfIIMi.~EY DE'l'l\1LS. 52-SPECU'Y 2 11 MDUMUM CLl.~AANCE J3E"lWEF:n OJIViNLY Al\JD F'PA¥J.NG. 53. SPfa..: J.;_,v POS'l' PHOJ'ECl'IO:N 1v!IEN BEA.RING ON CXI\!CRS'l'E . 54. PROVIDE PAW\PEJ.1 DET.Z\II.S. 5 6;....SPECIF'Y INSPECI'ION CLASS ------REQmrn::D FOR ----- 58-PROVIDE DRIP SCREED 2u l3Ei.CW MUD SILL. 59. lNDICl'l'J'E H();v RD)UJRED STRUCTul~ N.~D MAIN'rATNED . WIIBim PENETRl\'1'10~ ~,vILL DE MADE r;un ELECTRIO\L, MECIIJ.\l--JICAL , PLUYIDil'JG AND CX)YimNIO\TIONS CX)NDUITS , PIPES l\ND SIMIIJ\R SYSTEMS. SECTIOi.~ 301 D. 60. CLARIFY DIMENSIONS N.11 61. SIICT.·v 'i'i1INro.v TYPE , SIZl-~S-.'N..-N-lD-I-.(-':CJ,)_-'l-,I-0-0!8. 62. LIO:IT AND /OR VENTILATIO;-:J :INADDJUA'l'E IN -~ 0./10 floor area ..!J.'G-square feet min. _exc2pt bathroom) . G3. Pl~VIDE VERTICZ\L CLEl\lV\NCE AND ~ nornzo:~TAL CLEl\.J.~~ Fl\lJ~~ nl\NGE •fup •ro cu;--..mus'l'Im J::s . 64-'.J:NDICJ\TE l\TTJC scurru: (22"x30" MIN.) GS. Pl~VIDE DW\FT SEP.l\Ri\TION H)R. l\'ITJC l\REZ\ IN EXCESS OF 2SOO SQ, FT. 66. SEPl\.H!\'l'E l\nl::J\. DVJ\vEEN Dl~PPF:D CELLING l\ND FLO]R l\JDVE 'l'O .l.000 SQ.Fl'. J\ll\X. 67-SPEC.I FY S'fl\LL :;rlOh'EJ'{ MTN •. Iv.I lJJ'll 30" MJ:NJMUM .rrron l\I'.J.;;J\ ~)00 SQ. ]NCJlr:s . 68...,.SPJ·:cn Y \v/\.LT , Fl NT:;I 1 IN ~;1 10.vIJl l\HL:~/\ NOJ' 'JO rm J\DVl·:l('>l·'.LY J\FFl·'.CJ'l,:D lW M)JDJ'LJHE '10 (> 'l\J'\OV!~: 'l'l ll·: Ff .CX)R, l\ND PH(lVJl )E SI ll\'l'J1El~PF:CX)F rx:x)HS . 69-\v/\'l'J·:H CI.OSJ-71' l\REl\ MIN] ~1UM lvIDTlI 'f() DE 30" •. 70 . 'l\) Jl!~)J,J·:lt l'Y LlNl·: :;1J/\LL Ill~ 01" ---·--JJOUH C\):J'.i'l'l~l!C l' ION . n_c;11<f:l Ci·'.ll,lHl.; 11·:i r,,,i' ------·----·--,._ JN .. r 73. ~~I JJ',./ J./1'1'J·:l v\L C:l·l.L:3 lil<I\Cll'J<.; /1'1' C/IJ.Y;(;1-:-J ,·J .ifrl·~ r,·1 NI·:. 7 IJ.. SI JCJd Jll~Dff..DM \'lJ l-.ll.:X.Jd l\S EXJ T , /.,EC!' I ON LHM. ELl·:V/\TJONS 75,-J:NDlCJ\'J'E l\'J~r:rc VEN'J'JLl\'T.lON PEE SJ·:Cl'.LON 320S (c ). 76 . S.l !0/l l\Ll; El\.VE OVJrn.l.I/\NCS l\ND C'ONSTELX.;J':i 0~ DE'J'hl.J :~. 77_,..DJMJ,;N;.;]:rnJ ClrJ.I'i:-~r;y JJEI(]'!l' l\lX)VE RCX°)F. (2 ' O" l\Jl.OVE HO:.)J,' 1'7J'J'lriN J O'O"). 78-INDICJ\'J.'E vnns11 ]\NI) NJ\'l'UH/\L GHl\DE 'lD PR')PEm'Y LI NS. 79 •. SJlO't/ T.::X1L1fo:1uon \-J/\1,T., FINJSm :s. 80-1ND1C}\TI:: lS/1 Fl·~LT OH EQUJ\L ON EXTElUOH Wl\LLS . ROOF 81. Nan: R'..,'()f,' Pl'l'CIJ. 82. I NDJCNJ.'E ROJFTNG MA'l'EIUl\L U::NGTII & hJJ.~Nl'ff~:R · EYJ?OSU.RE O:\J' \·ffiD Sl JD-.JGJ..J:!:S. 83. SIIG.·J 'l'YPE , SIZE A.\lD SPhCl NG OF RCDP SIWNl'JllNG . 84. FIRE ffi.:J.'l\RDA'v H(X)F Rl~QUIRED DUE 'ID lJX'J\TIOi.-J IN FJ RE ZONE. GARl\GES 8 6 . GA.Rl\GES NOT Pf:~1I'I'TED 'ID O!?J::N IN1D SLEEPING R::X:X-1. 87. PROVIDE SF..Pl\Rl\TJON ---------ON J>J.,L 1\17\LLS l.:..'-:D CEILTh'GS i\l).Jl\Q:~I' 'l'O LIVING QU.l\f:'I'BRS .. 88. SPECIFY _OCOR/\\1INI:XY.v OPEI'!INC :-'~~~ C.".:'YJ".GE/Cl\PPO'.~.!' J'.\1'::'0 STAIRWAYS 1\.1\JD EXITS 90. PROVIDE HANDRZ\ILS AS REQUI P.SD IN SECI'IO>J 3.305 (i). 92. POOVIDE IDUR Wl\LLS J:DR STJ\IR . v-.'ELL. ------- 93. INDICA'l'E MAXIMUM RTSE AND MINIMUM RUN ON -----------~ STJ\IR. 95. P ROVJDE Bl\T.,CO,~Y MTLING l\T 11 2 "MINIMUM llEIGll'.l'. 36" 0 .1<. For Single Family Units . 96 . PffiVJDE lNTFJ\.\\P,f)Tl\TJ-;; rV\TJ ,S 0 9 11 o.c. on EQLJ.1 V/\1 EN'J' 1-\.1!{. 0/.'J·:N 'L'Y I 'E l~/\U .. DNY & ~;Tl\lH Hl\JLS 97. I NDlC'./\'J'E G' G" MLIUMUM 111·:i\1)[¥.X)M C.Ll~l\lv'"\I\JCJ~ l\BOVI~ S'r l\·1 Pi-v/\Y . 9 8 . SllO\v ~:i'l'/\l n\,vi\\' CON'.,'/'l~UCl'I ON l>l·:.J'l\ll .:>. l O O • OCCUP 1\N'l' IDJ\D OF REQUIRES 101. Pli)V.l.J)E LJ.Clfl'S OVJ·:H :3'1'/\ll.W/\Y:3 /\Nt) Plllil;ic-, -- CX:mm I Dl{.r_;. 102. S J,()1..J Clli'\N(;J,: :i't\i t•'T,O(,H LJ,:vn., J\'l' D001<S 1 " M/\X. Sec. 330311. 102~1 .s11 mv 1·1/\NDl{l\J L 1·:x'.l'1rnuJ 1~c; G II m;vol'm '.L'llE '.!'OJ> ~ nO'l"['OM 1nf;J-;n~; i;. 'J'J-:JU.1'1 l'J/\·- rj'] I JG JrJ I\ l 'O'.;'I' OH [i/WJ•:'l'Y 'J'J·:l:~1lf·Jl\l, r:,,t;, :no'> ( i). •-i""' PW.fflNG .. _ ... ~--., MISCT.T..IJINfOUS ITEM.S . C,. Show exte:r:ior doors weatherstripe~ . . . 112-PIDVIDE MINIMUM 100 A\lP. '"SE!W!~'c:~-·: ,.., ...... :· ... ,. -·--· :=··~--., ...... ., . .-... . .• ~-Rli:QUIRE 100-AMP-. PANEL-·~···-··-4. -HAVE DES~-&IGN -AN&-DA-TE--PlAN~. · FOR EArnlNrr-:-·~--<--..,...,c'.::::.:·:.· .•. ::"'··""":'"':·• .. -.-----.. --~3}a~~-~;~~~~~~~;~~~~~~~•-·: .,-.'.~ ··------~ --=-~~,~,-----~---~~- -····--·-----·--·--~-· -·· ll4. IMDid\TE FURNACE STZEF~ot-s··t; .. · .. -.......... -·-· ... ..::.~~'.----· REGISTERS A.'-'D. RE:TIJ~ AIR.... rsrztl; :.."".·· ::·:-.c ..... : . · -I llS, INDICATE. HEATI!sG El;lU!P~l!Nil'!N·~ -·· ' '"'! 'CHECRE'D': 7 ' c:-r··, · __,,,.,.,,., ...... ll~~~~~=~:,::~'-,:~~,~----.... ;z~'.-~~-~:.-:~-.:-,:-:· ----=o=-a-t,..e-----~ · · .: .. ANJ;) VENl'ILATING EQUIPMENT.' :~l\Uii-· · :. ··· · ·. ·. , . ~~!~-~TH __ '.r),,E_~~~:;,, ~~.:::.·. ·m:caioKEir~:::::~-_. -·-==·C'.::::-~~-, . !: =CN _.-._·._;:,y~-~--~-~--W· ___ ,_·:_;;~.-~_-_,;..~ ~"1;:_;~,,,_ J :"-;c:;;::·C,-Jl)MBlJST!eN.::Aiit. ..,. ""''-'-"'"""'"'~·------- 1), .\!Elbll'ING·:.:: ~-. · · · ~·£\·.:::~ MADE ~D B'f...: .. .... ----.. -• .-. 0 •. ------"""'" ""'~""' '''""ERS: ·r·:·ffi, .. -ccc;;,:;:;:;:._,_: ·---/!t--·=-~ . . , &"il.AJ1: ~ \Au.>: .-~~ .. ~2::~},.f'.x.;. __ ,,_.;_-_:F·'."- · -. ---· -----· u 1. lNDitATE LCX::ATION & TYPE w·nf!!Ef'':.::,;:." · ,·:-:~:::· ·-::-:.:,, · ,~,--,,-:=±"=:0'": · -· Dl\MPtRs;-~S'· ... ----=·------·--·--·--., ... _-i,,-,---------------• ..• ~ ----~,-..;;:,.·. ---. -... f • Elect·r •c 19 7 5 N E C ,. E;':;i-;;.::~,.:.. .... · · -~ : . . .-. . ' ~ . .--~ ~--.... "" .... ~-... (J'.?)Gy;:.si~~-:f.st.YU pr1a1teetl~:~e'cr-"for"""'offl:ifcto~'--attli4:!'lfl!·~~~reeep€ae.Jiies'~·,;,,~;,:· .. -1 l:!Y211>.,.a. . -~·-·· -·-· · • · .. .. .. · · . and garages. · ·· · ·· --- ·•'-~L-~~~~.J>Lone recepticili."csna'W'be -cittS't1'fH,ed-'~~-2ff~·~:..:; · _ ..... _ -~-:""""'-""'' ~ . 2::'.P.~rect· electric as s:hown;::air:~:;,~:~-==--~c:-,----· ---··-· Those .plans .. complys .wlilL the____ ...... : .. ____ :. .. : Requlrements:c:-ar-1l'lec: <;_atijornia·c, :---·' ··· -·--., · --- Noise Insulation · SJa.nd.a.eds., Signed,.;.· .....;.;· ·;;;;;---,;;;--·;.;.·· ·.;.;;· ··.;.;--;.;.· ... · Date __ _ Title 3, ( OVER .• INTERDEPARTMENTAL INFORMATION SHEET QUILDING DEPARTMENT RoE-C'E IVE D BUILDING ADDRESS: __ __JLJ~7.L-..JCfr""r· ,.L-.:=:~:...=..::..::... ~~----------f'H'-1'!-t-1!M!'l'I~-~ .eE e t o 1s7s PLANNING DEPARTMENT 1 ) LOT SIZE·--------r--r--OT WIDTH ___ ___,~ ___ ZONE z...-,,..1 UNITS PROVIDED PRKG. SPACES PROr-· V°REQ. V % OF COVERAG ---~· HEIGHT L-.C:::: ALLOWED FRONT SETBACK ____ SIDE YARD . LR.EAR YARD::-,--INTRUSI,~ ENVIRONMENTAL PROTECTION REQ'TS. q LANDSCAPE PLAN· ___ (__:.< __ v- ADDITIONAL COMMENTS•--------------------------- ISSUE PiRMIT ~ATE I v-lf--1/p OCCUPANCV _____ DATE ___ _ ENGINEERING DEPARTMENT R.O.W. ______ _,;.£ __ _.v-.... ,'".S:.z.Lu...1./:..!d:i.'/~fru:..._INDUSTRIAL WAlITE? ?7 ,v' ,Id "1PROVEMENTS E )( J,6T/tu G: SEWER CONNECTIOa"-,.;Z-La~.O..-..i./.L/_:•...:?...=-:"2:__· _7'...:c;;-.._ ..)RIVEWAY LOCATIONS.__,D"-'/<=--------------GRADING PERMIT __ _.~oc,~c.e::z:...-- EASEMENTS 1./IJA/E DRAINAGE __ _,{2,""""'~"""----- LE'GAL0 DEscR1PT10N'"L<> r z 6..¢ ,,,.1B;; L.c . .s;;-. I -; ADDITIONAL COMMENTS·--------------------------- ISSUE PERMIT FIRE DEPARTMENT SPRINKLING SYSTEM---------------------------- FIRE PROTECTION EQUIPMENT ___________ ,FIRE ALARMS ________ _ EXITS--------------------------------- FIRE HYDRANTS ___________ _ LOCATION, ____________ _ ADDITIONAL COMMENTS--------------------------- ISSUE PERMIT _______ DATE ____ ~_OCCUPANCY ______ DATE: ____ _ WATER DEPARTMENT ~ L w D. ________ CARLSBAD. ____ ouvENHAIN, ____ SAN MARCOS, ___ _ SEN RETURNED TO BLDG. ------ J....-__ OCCUPANCY ______ DATE: ____ _ SENT TO ENG. DEPT. ------- RETURNED TO BLDG. DEPT. ---- LEUCADIA COUNTY WATER DISTRICT APPLICATION FOR SEWER SERVICE Owner's Name: __ H_:uf_f_:o_r_d_C_o_n_s_t _______________ Phone No. 496-7969 Mailing Address: _P_._O_._B_o_x_52_4 ________________ _ Dana Point, Calif 92629 Service Address: 274hGalicia Wy _______ _.c ______________ _ TrAct Description: La Costa South Unit 4 Type of Building: single family No. Units _l __ Connection Charge$500.00 Lateral Size: 4" 6" 8" Saddle: Extra footage: ----@ $ __ _ Easement Connection __ _ Extra depth: ----@ $ __ _ Lateral Charge Total $500.00 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 applicantl. 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 sewer service charge, billed bi-monthly in advance. The rate will be governed by the use of the property, single family, multiple dwelling or cormnercial •. 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 conditions as stated: 4d.s~i~J the above information given is correct and agrees to 11-22-6 5672 Date Account No.