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HomeMy WebLinkAbout2774 LEVANTE ST; ; 73-498; PermitI BUILDING PERMIT APPLICATION Perm it N o . .,..,...._._,__ _ __,~ Applicant to complete numbered spaces only. City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 JOe ADDA ESS A77L/ Le1ltl-~ _,S-(- LOT NO, I &LK I TAAC T LEGAL I (0SEE ATTACMED SHtETJ 1 DE~CA. ,;;./ -· ✓ - OWN EA MAIL. ADDRESS 2\P -y PHONE 2 I" , t"'..-kA-'2. n Ar 1Jr .i-tr, ~ ill /I / '., ,,,,,, CONTf'IACTOR ,---MAI k ADDA£SS PHON £ -.. LICENSE. NO, -7..:,J I\ 3 J/J r Jfft (., --~ /_; I /, /r'..,, ~·= 1 ,_ • I •, ._. . ARCHI TECT OR DESIGNER -MAIL ADDRESS PHONE --LICE.NS[ NO, 4 / I" . , I -I / I ,,, /.,, ~ It ENGl'NEEA T~ " MAIL ADDA £.SS PHONE L ICENSE. NO, 5 L&W:DE:A MAIL AOO .. tS.9 I BRANCH 6 ' r ,, f ,, , . ~ ,. .,-/, ,I~ . USE OF BUILDING / ~/~ 7 , f 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE 9 Describe work : ,r.,., ~ /,,-/6' ,/, . -,. .,, ,#' , I' ., ' --/ ,. ,. ., -· .i -. 1,, ,~J 10 Change of use from Change of use to Valuation of work : $ 5' .I }r ~ I PERMIT FEE -11 PLAN CHECK FEE ?<"< ~ SPECIAL CONDITIONS: Type of Occupancy Const. I Group T -Division -Size of Bldg. 7'J No. Of I Ma><. (Total) Sq. Ft. Stories 0cc. Load Fire ;L use Fire Sprinklers APPLICATION ACCEPTED BY: PLANS CHECKED BY APPROVED FOR ISSUANCE av Zor,e Zone Required O ves No. of OFFSTREET PARKING SPACES: '-~ Dwelling Units Covered I Uncovered 0 <. ~ ~ 0 z Ill fTl > l) 0 0 l) fTl t/1 t/1 - ' ~ -,,, L ~\ 1, I\' r--,;.. ONo 7J ct) 3 :z 0 NOTICE Special Approvals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· ZONING 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 60 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 ANO 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 CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULAT ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. , , .J 510NATURI. OF CONTAACTOllt 0 .. AUTHORIZED AGENT (DATE) SIGNATIIRE OF OWN!:R {II" OWNER BU ILDER) DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR INSPECTION RECORD FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNO-MION WALL & WEAIHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY FINAL 7 -//-7 USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 6/29/73 l. Seal floor of F.A.U. compartment at door. least 61 • 3. Show qualification of glass at shower. sprinklers. B. Nelson REMARKS INSPECTOR p. 2. Grade away from foundation for at Note ! Permit is required for 7f2../:!P.;= 1. 0,:,11 ectJ::ons. 1. Seal floor of Y.--A. u. Compal tmcab ab d:GG:1 • ®• G~y from _ :t'ctmdatbii=-1-i:n--ac least 6 I • 3. srrow qdalifieat:tOtl j Ir g3 &65 st M II iltte£a 0 '-, 0 MECHANICAL PERMIT APPLICATION 71/./., City of CARLSBAD, CALIFORNIA 92008 z CD /Tl ► Permit No. ,, 0 Applicant to complete numbered spaces only. Phone 729-1181 0 :u JO a -.00--. ES$ I'! In (II 2771:,. , ... -Li .,,':-.. ~- LOT HO, 1 •1..tc I TIIACT .. L.EGAL I Qscc. ATTAC"EO •HECT, 1 DUCII. ~· OWNC." MAtL AD0ft£59 ZIP PHONE 2 ;-.. .. .... -•~ -.,u n ,~nr,, .-~ I"' •..,, ri.j1--Y'!" 1r ,.., "" .•. CO~TIIACTOII ,449 8080""''L .(bo .. cn • ,r..~,~.,f (!· LICC'G,: N!n~"?~ 3 ,~, ., .. :~ ... ft~ rd' '-'·'"'' Pf\rl't-f n'"r -,.:. Ii, 4 to· t"..n,,,-1,11 t-4 n-n ii nn Q f; 1 0 t.'.'t ~ 'li """' ... ---~· .. ~ .# l"r'!i C ,\IIICtHTCCT 0111 DE.SiCi.N~,-·-----·· •~r-MAIL A.DD~caa , .. ---~ .,,. Prf"OJI £.. ,.._ -~ • .:r -,'-JCl'.kAE N0o , r~ 4 \] , ___ J "' ENU.lt•U:t;t MAIL AODJll:US PH0N(. I.IC:E.NSI: NO. 3 5 ~ --· --:z LC~OC"' MAIL -'OOfttSS IJIANC~ ? 6 use 0,. 9UILOING, ; 7 f 8 Class of work: □NEW 0 ADDITION □ALTERATION 0 REPAIR , •~· 9 Describe work: 11:"n..,._t-,d -nr-ri .. -c '".n •------ ,, 011 □ □ . Type of Fuel Nat, Gas I?:: LPG. PERMIT EES SPECIAL CONDITIONS: ... No. Type of Equipment Fee ~ -~ A,r Cond. Units-H.P.. Ea ,, $ Refrigeratton Units"·H,P Ea. _, - .. Boilers-H.P. Ea • ..:L. --,. fi' Gas Fired A.C. Unn&.=-Tonnage Ea . : '<.-·-!• ·- I Forced Air Systems B,T.U. M Ea. ..// ~ ....... ~ APPLICATION ACCEPTEO BY PLANS CHECl<.EO 8Y APPROVED roR ISSUANCE av f' Gravity Systems-a T.U. M Ee. ~ v~ Floor Furnaces 8.T.U. M ~ Wall Heater~-BT.U. M ,-NOTICE Unit Heaters·-8 .T U. M THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-Evaporative Coolers TION AUTHORIZED IS NOT COMMENCEO WITHIN 60 OAYS, 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 AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF l.AWS AND ORDINANCES GOVERNING THIS Air Handling Unit-C.f.M. 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 VIOL.ATE OR CANCEL THE ' PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION . . b:.! ... fa .... ,.. IITt'nt:.l.n~ .-~•►inn.t-nrr /,;;~~ .>.i~ "g _ -- .7:" -.<LA/,7Ji!.~ 'SIGHATUlll:t: 0,. CONTflACTOlllt Oflt AUTHOIIIZ(D .At.i.NT ID._ TI I .;! •¥-, = •-:;: -I PERMIT s ~ I:? c l' Sl<.N.A Tr ar OP OWH[II IP' OWNC!it BUILOEff OAT!" . TOTAL FEE s ,-, ,,,,.. fJ .,. --WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR ELECTRICAL PERMIT APPLICATION / City of CARLSBAD, CALIFORNIA 92008 ..,......,,...-::::;r----Phone 729-1181 2 3 4 C.NGINEEII MAIL ADO"t.SS PHOMl LIC~HSC. NO. 5 LCN0l~ t-,,IAIL A00ii.ESS a,tANC:M 8 USE 0,. 8UIL01Nr. 7 8 Class of work: 0 ADDITION □ ALTERATION 0 REPAIR 9 Describe work: /tJ-tJ PERMIT FEES SPECIAL CONDITIONS: ISSUANCE OF EACH PERMIT NEW CONSTRUCTION, FOR EACH 1-IIP-PL-•CA~T~,o~N-A~c~c1:~,~TE~o~1~v~~,-LA~NS~c~H~Ec~1<~E.~o~Bv~---rAP~P~R~o~ve~o~F~o~R-1&S=-uA_N_c~e-a-v1 AMPERES OF MAIN SERVI CE, SWITCH, /1 / ,//' /;") I FUSE OR BREAKER /f /. ./\ _ // /_ NEW SERVICE ON EXISTING BLOG. NOTICE THIS PERMIT BECOMES NULL ANO VOID IF 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• MENCEO. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TME. SAME TO BE. TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO 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 CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. I~ OWNC" eulLOI'." OAT£ 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 AND INCLUO· ING 200 AMP. TEMP. SERVICE OVER 200 AMP. PER 100 MINIMUM PERMIT FEE WHEN PROPERLY VALIDATED IIN THIS SPACEI THIS IS VOUR PERMIT PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. INSPECTOR No. Each M.O. Fee CASH 0 ' ~ .,, .. a INSPECTION REPORTS DATE ITEM REMARKS INSPECTOR 7-//-) 5 USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. PLUMBING PERMIT APPLICATION Pe rmit No.~ City of CARLSBAD, CALIFORNIA Applicant to complete number,:.d spaces only. JOB ADDA ESS 0 I.. -0 -'~ ~~ ~ om ~ z m3 Ill ►;:.; LOT NO. Im I TJI .. CT (05£& ATTACHED SHEET) ~ 02 ~EQI<~ I ~ ~ 1 DESClt. / --~ OWNCIII MAIL AOOtU:.ss XI~ PHONE :1\"t 2 Al I, ·,.v~.,, ~~,,,_ _ __, 1r,ft?.ll..v1 ~ I~ )J '.I',~ -. ~ COfttT,.AC.TOJt "'41<1~ "'D01tE99 -~ ~ PHOt,,tlE LIC£N5t. NO. 7.ll'f 3 •,> }: I~-.. /. ,.,£., I ; l\ / { ' < l ' I~ AACH 11'EC T 011. DCSIGNltR MAIL AODJU;as PHI)~£ . LICt.NSI: NO, :~ 4 EN<HN Et~ MAtL AOO ... ES-5 PHONE. LICltN5£ NO. 5 ll:~ LEN DUI: MAH,. A00JtlES$ 8"ANCH 6 .~ 1, • USC Of" BUILOIHG ~ i~ 7 -i• 8 Class of work: □NEW 0 ADDITION □ ALTERATION □ REPAIR 1, 9 Describe work : .,._ L tn·:1/ ...,,_ t PERMIT FEES 'T No. Type of Fixture or Item Fee SPECIAL CONDITIONS: ~ WATER CLOSET (TOILET) $ :;> rJf', I BATHTUB , ~G ~ LAVATORY (WASH BASIN) ,:: ~c ./ SHOWER , ,,-,, "/ KITCHEN SINK & OISP. , l.r-,:, r / DISHWASHER . I•--· .APPUC;TIO~:JED BY PLANSCHEC~ ~··::;t;"'"""' ~ LAUNDRY TRAY ;:;:,1, / CLOTHES WASHER ·, ~,. / WATER HEATER . --n I~ NOTICE URINAL THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC· DRINKING 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 MENCEO. / GAS SYSTEMS: NO. OUTLETS ~ ~ c:-t'l 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 AND 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 tr. / Js SEPTIC TANK I, PIT J -SIGNATUII~ OF C0NT1t:AC.TO,t 0111 AUTH09111ZltD A.Ct.NT (DATEI PERMIT $ SIGNA,-URE 0,. OWNLl'I II,. OWN(" 8-Uf-Ot.Ftl l!>ATE) TOTAL FEE $ -WHEN PROPERLY VALIDATED UN 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 \ -II-ij 0. USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. ------- PLUMBING PERMIT APPLICATION Permit No.'-'---"----City of CARLSBAD, CALIFORNIA Applicant to complete numbered spaces only. JOB ADOR E.SS 0 l. -0 :!: 0 co z Cll3 l'1 )> ;::;. LOT NO. I aLK I T"AC T ll oz LEGAL I \~ 0$E.E ATTACHED ~11CET) ~? 1 DESC •• • ,;_ .J UAJ.I -I l'1 (II OWNUI MAIL A.0D9'ESS ZIP PHONE ' "' 2 /::l~ o Al,,,. #Cl. /_ (" /) iJ (! 1/1•;~ • )~ I /J.-'f,A r!)·-.u CONTRACTOR I MAIL ADDRESS PHON£ ~ LfCENSE NO, i~ 3 7 ~ A,-CHITtCT OA DESIGNER MA t L AODfll ESS PHONE LICENSE. NO, 4 -:-' -.:, ENGINEER MAIL ADDRESS PHONE LICENSE. NO, 5 :.""'-·I t· ~ . ' r L £N DtR MAtL ADDJltESS BRANCH 6 I'-VSE OF BUILDINC. . 7 "\ ~ 8 Class of work: □NEW JTI ADDITION 0 ALTE RATION 0 REPAIR !! 1:,, 9 . Describe work : (\i.lJ.,ir~; , .,. u,,r,--..,;1, A ,· I Jl't , A~I r t ., < •l" P..-:, -. . -~ --, .. t-t,11"7;-(" 6'i J A . .t._,.·r t"' PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. DISHWASHER APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY CLOTHES WASHER ~· A· WATER HEATER NOTICE URINAL THIS PE AMIT BECOMES NULL AND VOi D IF WORK OR CONSTRUC-DRINKING 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 AFTE/i WORK IS COM• I,.~ SLOP SINK ~ ' 1 MENCED. GASSYSTEMS:NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPI..ICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPIMG & TREATING EQUIP. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OP' 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 PEAF'OAMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM SEWER CESSPOOL SEPTIC TANK & PIT 51GNATURE OF COHTRACTOPI OR AUTHORIZED AGE.NT (DATE) PERMIT $ SIGNATURE Of" OWNER {I,. OWN£R l!!IUILOE") {OAT£J TOTAL FEE $ 7 / -- WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR t I BUILDING PERMIT APPLICATION Permit No. '7? J-(cS/ Applicant to complete numbered spaces only. City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 JOD A.DOR ESS OWNER MAI L AOOR ESS 2 CONTRACTOR MAIL ADDRESS 3 ldlJCHITE.CT OR DESIGNER MAIL ADDRf.59 LICENSE NO, MAIi.. AO&R£SS LICENSE NO. 5 LENO EA MA.IL ADDl'IESS B"ANCH 6 USE 0,-BUILDING 7 8 Class of work: 0 NEW 0 ADD ITION □ ALTERATION 0 REPAIR □MOVE □ REMOVE 9 Describe work: 10 Change of use from Change of use to 11 Valuation of work: $ PLAN CHECK FEE PERMIT FEE .,_S_P_E_C_I_A_L_C_O_N_D_IT_I_O_N_S_: _________________ -1 Type of Const. t----------------------------------1 Size of Bldg. (Total) Sq. Ft. Occupancy Group No. or Stories Division Max . 0cc. Load Use Fire Sprinklers 0 ~ z rn ll <.. 0 a, ► 0 0 ll rn !II "' Zone Required Dves DNo OFFSTREET Pf\RKING SPACES: NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 126 DAYS 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 AND CORRECT. ALL PROVISIONS OF L.AWS ANO 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 CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATUIIIE OF CONTRACTOl't Oft AUT-t0'-121EO AGiENT (OAT£! 51GNAT l'E 0,-OWN£.A 1,-OWNER BUILDER DATE} Covered Special Approvals Required ZONING HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. INSPECTOR Uncovered Received Not Required M.O. CASH 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 NOTES, FOLLOW-UP, ETC. 9-19-73 Fence O.K. INSPECTION RECORD REMARKS INSPECTOR ,.. ~ Q(}/JJJ e,ss;: &_,74 ~~ '-R OJV:!l-z o ci a C,c~ CcLr'~, CQJ_Lb . t . -+== t . 0 ~%iie. . ' l :,, . ~le. J7Q-UQV 0'YL;~. ~~chard---11 ct2_f-z©-~ , 5 S 9 / /:J(_j__,r' OJ13 o . Dr ~. fv<-e_j_ '-rY1af') ~ ©r1 n_,,l,D.__ 765 -7~43 J:,;TERD:SP r.R'.i':-:E:~;T l\L r:; FOR:•:ATIO:i SHEET 1ivV ~tr72 ~ECEIVED PLAN RECEIVED BY __;,,,1C.-;....1.--~~---.,==-,--~---__:DATEFE8 6 1973 BUILDING ADD~~s ~...£,...._:--+--&o'~~~;....:..=----=:..:::.------:--~c~11+ry¥--E_0H=F=-4C~Au;~N,.L.Q.SBA.AA-10=1--- 0WNER -l..U&:.Ot!~~~Q.~;LC:Di!U~l!::..--~------B-u_,,_d,_n~g_D~e~pa~rt~m~·=en:t:___ PLANNEJG DSPT • • ~ .. -=-~~;!'!.~--4 .. UNITS PROVIDEO ____ ___,,../'-----,,,=---~-ALLOWED __ _./.__· ____ Z_ONE /?-/ PARKING SPACES PROVIDED ___ · _':J _________ -_ REQUIRED --2.,. SETBACKS ____ __:a-4=.1..,__r==-.------..---__;PROTRUSI0~'1S IN SIDEYARDS . ~ • ENGINEE!lI:JG DEPT. , ~----;;,$'Qi/Gr INDUSTRIAL W~ w ft . • IMPROVEMENTS gt: . SEWER CONN~~ DRIVEWAY LocATroNs_Qo/Jd Our~e,,f,«1r.£••,, EASEMENTS IJK DRAINAGE_·-4,,a!E,,jK ___________ _ LEGAL DESCRIPTION Lar 3Z/ 1 .LtCosnt Soc.JZ:4?' C/Ntr »f 1: ..... dhr&A: C.IIJ(/0 . ·---------------------..;.._---~:----------- ISSUE PERMIT~/IL.._ __ DATE ~ .. ,~OCCUPANCY If/ DATE ,i;:7:¥--2,3 FIRE DEPT • .-,:;'nhl!El:·~~ SPRINKLING SYSTEM:,__ _____ ;_· ___________ ::..;• . ________ _ FIRE PROTECTION EQUIPMENT __________ FIRE ALARMS ______ _ EXITS __________________________ -:------- FIRE HYDRANTS (location) _________ ~-----__,;,------~ ISSUE PERMIT DATE OCCUPANCY DATE ---------------------- WATER DEPT. ... . -~?~~~s _____________________________ _ ISSUE PERMIT ________ DATE _______ OCCUPANCY ___ DATE_. o.'t (p /\ Owner's Name: LEUCADIA COUNTY WATER DISTRICT APPLICATION FOR SEWER SERVICE Richard Nichols Mailing Address: _________________________ _ Rancho La Costa, Calif. 92008 Job Address: 2774 Levante , Lot No. 321, L. c. South i4 (Mr. Nichol's address: 13891 Durango, Del Mar) SERVICE REQUESTED: CONNECTION CHARGE for single family residence (type of building) If a multiple unit building, indicate no. of living units ___ _ SERVICE LATERAL If service lateral previously installed -No Fee Receipt No. 2653 Phone No. ___ _ COST $ 100 .oo If service lateral required: SURCHARGE FEE $ 100 .oo Check size lateral required: (4")_ (6")_ Other~-- Saddle connection required: Yes_ No __ TOTAL CHARGES $ 200.00 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 from the main collection line in the street (or easement) to the point in the street (at or near the applicant's property line) where the service lateral is connected to the applicant's building sewer. The applicant is responsible for the construction, at the applicant's expense, of the sewer pipeline (building sewer} from the 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 rep- resentative, 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 serv- ice charge. The rate will be governed by the use of the property -residential, commercial, or multiple dwelling. Non-payment of the sewer service charge is subject to a 5% penalty per month, plus disconnection if nee es sary. The undersigned hereby agrees that the above information given is correct and agrees to the conditions as stated: ~ Owner's Signature ~C,H',t1,ck /PC 3.-J->3 Date