HomeMy WebLinkAbout2803 FOREST VIEW WAY; ; 80-513-B; Permit"' z 0 !ii <C .. ~ u w Q
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,J,, hereby affirm that I am licensed under
~visions of Chapter 9 \commencing with
Section 70<Xl) of Division 3 ol the Business
and Professions Code, and my license is in
!ult force-.anq t'ffif._ /""• ,._ --~
L,c No ;_? (10 J Cla1, '',.,,_.._ -~--~
I hereby att1rm that I illT1 exempt from the Con
~~1~:'B~~~:;:; ~; ~~1~1:s.~~1tC:~l/~~.\~,
county which requires a permit to construct
alter. improve, demolish, or rep;m any s1ruch.1re.
prior to ,ts issuance also requires the apphcant for such perm,t to file a s,gned statement that he ,s
hcensed pursuan1 to !he prov,smns of the Con
tractors License Law {Chapter 9 commencing with
sect,on 7000 of o,~,s,on J of the Business and Pro
tess1ons Code) or that ,s exempt therefrom and tht! bas•!. tor the alleged exemption Any v1olat1on of
Section 7031 5 by ~t tor. a permit sub1ects
me applicant 10 ac1 1\pe~not more than five hundred dolla ( ~
D I, as owner t ropeny, or my employf!l!S
•nh wages as th ol compensat•on, will do !he
work,~d<~!ru re 1s t mt ended or offered for sale 7 , Busmess and Pmfess10'1s Code
The n acto License Law does not apply to an
owner I ro y who builds or improves thereon
and wn s s4Ch work himself o, through his own
employ , ~C?J1ded that such 1mproveme;,ts are
no! 1nl or oflered for sale 11. however, the
building improvement 1s sold w1th,n one year of
complet,o the owner-builder will have the buroen
of p,ovmg that he did not build or improve for the
purpose of sale)
D I, as owner ot the property. am exclusively contractmg with 1,censed contractors to construct
the pmJect (Sec 7044. Busmess and Professions
Code The Contractors License Law does no1 apply
to an owner ot property who builds or 1mp,o-.es
thereon. and who contracts tor each proJecls w,th a contract0!1s) license pu,suant 10 the Conlractor"s
License Lawl
0 I am exempt under Sec
for th,s reasor,
________ B &PC
CJ I hereby afhrm that I ha.-e a cert1f1cate of consent
lo sel!-msure. or a cenit1cate of Workers
Compensation Insurance. or a cert1t1ed copy thereof
(Sec 3800. Labor Code)
POLICYNO~-z.-~) :2.:7/ ;,~·_,_-:'
:JMPA,(,.rl{A f'--i. J /)+ _, (7 (_
~Copy ,s !,led with the city
0 Cen,t,ed copy 1s hereby !urn.shed
CERTIFICATE. OF EXEMPTION FROM
WORKERS-COMPENSATION INSURANCE
.s section r,ee<J not be completed ,1 the perm,t
tor or,e hundred dollars iS100J or less)
0 I cert, at '" me per101mance o! the work for wn,cn 1n1s pe ! 1s issued. I shall r,o1 employ any
person ,n any m er so as to become sub1ec1 to
the Workers· Compe t1on Laws of Cal1torn+a
NOTICE TO .APPLICANT 1f'w.!.1e, mak,n~ 1h1s Gerti
hca1e at E.empt1on. you shou~
!he Workers Comper,sat1or, pro.,
Code. you must torthwrth com prov,s,ons or tn1s oerm11 shall be dee
D I nereby afl"m tnat ', Jhere 1s a construc1,on
1enQ,r,g age'),111 t9r th~(mar,ce ol lhe work lor
wn,ch th,s ~~~ 1Sec 3097 c,v11 Code, \ \ Lender s
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525
J08 AOORESS
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
APPLICATION & PERMIT
BUSINESS LICENSE# VALUATION PERMIT NUMBER
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CONTRA TORS PHONE# J_ ZONE
r/ 3-ZhO.\ r:i)rc';A~ mct.r Horne-~ r _ zr;;:~::a PRlfut;;;<J), Poob
OWNE3cittGs;;&Jt> ValleM blvd~~ "tie!!cl1z1i1 co75SW-fu";n(J..~ £~ -L'S:/C/J(£;() r~;: S/3' B BLDG USE CODE
f'COL
DESIGNER ----S o--::,; _ TATE LICENSE O STANDARD PLAN # BUl~G3. FOOTAGE wr 1 SUBDIVISION ASSESSOR PARCEL NO. • BLOCK
OESCRlP'tiON-OF WOR.C:~
0£St~ Al>Off , °9tlGNER'S PHONE
. U5'r'\~f. toh'mLucul,1 Vcol<i; Sto:1:. 1339 ··~ -'16s. 'MD.Mi)..f!ti..e.. 8 · 11../3-;;ir,, o . ....,,~,.~----~ --~ _,_ --~· -'I F/P FLA ELE J ._ "'"".:;>---~-z-*"-,--V. ] Nb
EDU OCC GP
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CENSUS TRACT G,CANO USE l eAAK 'NG SPA CC
YO ~ D
RES UN,TS I GRADING ~EAMIT ISSUED
vO NO
I REDEVELOPMENT
AREA
TYPE OCC LOAD FIRE SPR
vO NO
6/'di!/6 i 1,,;;..;c':
::·:.14Cc~ e,~-°'-~_./ ,~'
Not Valid Unless lhchine Certified
QTY. PLUMBING PERMIT· ISSUE MECHANICAL PERMIT· ISSUE • SUMMARY/ACCOUNT NUMBER . -7,1:jaJOTY.
EACH FIXTURE TRAP_-----INSTALL F BUILDING PERMIT / B'O ,50
EACHBUILOINGSEWER SIGN PERMIT _ _ -~
'") _EACH WATER HEATER ANO/OR VENT ---· ____ PLAN CHEC~ u;E~'V'.:;)J_C._____:_r. ~~~----1
EACH GA~~YSTEM 1 TO 4 OUTLETS i-TOTAL PLUMB __ N_G ______ _
1----l--EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL
EACH INSTAt.. .. ALTER. REPAIR WATER PIPE MECHANICAL ------
1 EACH VACUUM BREAKER MECH EXHAUST -M0B1LEH0ME
r·---EATER _~OFTNER RELO~~l?N Of T~-MoslLEHoME PARK INSP
EACH ROOF DRAIN (INSIUI::) I---+----1--------JI----I I SOLAR _____ _
TOT"L MECHANICAL I I sTR-oNG MOTION
i ---~~-l1 ;51 __ ™_AL PLUMBING~ r ~s~TY.
-.5£2.Q
~
QTY.I
'J-COLLECTORS
------#--~T~~~TANKS
ELECTRICAL PERMIT· ISSUE
NEW CONST EA AMP/S0W.cT:.:'.cB:.:K:.:R ______ -I-
1 PH 3 PH
FIRE SPRINKLERS
PUBLIC FACILITIES FEE 1--· BRIDGE FEE
SCHOOL FEE -DISTRICT -----
Carlsbad t EX!ST BLOG EA AMP/SWT/BKR
3 PH IPH
-,.. -. REMOOEL.'ALTER PER CIRCUIT ----------------
ROCK STOR-_A_G_Ec_ __ [',
PUMP ·---
-----11--~-AN CHE~~EE -L
Enc1111tas
San_g~~--
San Marcos
L TEMP POLE 200 AMPS --------- -+-------+--
I---OVER 200 AMPS
_ r,~~P-ociuPANCY {30 DAYSI
-------41------
-JI--~--+--
---
I I-~-=
---+--·
---
-
-
--
__ __L'
--1--I I
I lf14, Sc;' I l 100 TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" ANO DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDtNG THE
OECL.AAATtONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS
* AN OSHA PEAMrT IS REQUIRED FOR EXCAVATIONS OVEF1
5' O" DEEP AND DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEtGHT
--------............. ,.,----_.,
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INSPECTION TYPE DATE INSPECTOR -BUILDING
FO.UNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING -
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING ' ' \ ELECTRICAL ' ~'\,. '\ ,. ~
MECHANICAL ..i' ,,\\ .~ \
GAS "\ \' J \. \' l
BUILDING V \ ,, ' I
SPECIAL CONDITIONS ' '
CERT OF OCCUPANCY ISSUED
Fsn -51S -6
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL ----·-
SOILS COMPLIANCE
PRIOR TO -~
FOUNDATION INSP
STRUCTURAL CONCRETE ·----
OVER 2000 PSI
PRESTRESSED
CONCRETE
·-·-~ --~--------POST TENSIONED
CONCRETE
-----
FIELD WELDING
HIGH STRENGTH ---------------------------
BOLTS
I---------------------
SPECIAL MASONRY. \
~---------~ --PILES CAISSONS . ~--
I --·-· ------------------
---·-
·------------
-----------------------
·---------------~
·-
-----------
---------------
-·-------
-------------
("' ' '--------
·----------------
--
LICENSED CONTRACTOR'S DECLARATION
t hereby affirm that I am licensed under provi-
sions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes-
sions Code, and my license is in full force and ef-
fect.
OWNER-BUILDER DECLARATION ~ I hereby affirm that I am exempt from the Con·
tractor's License Law for the following reason
{Sec. 7031.5.Business and Professions Code), Any
city or county which requires a permit to con-
struct, alter, improve, demolish, or repair any
structure, prior to its issuance also requires the
applicant for such permit to file a signed state-
ment that he is licensed pursuant to the provi-
sions of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that is ex-
empt therefrom and the basis for the alleged ex-
emption. Any violation of Section 7031.5 by an ap-
plicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars
($500)
C-1. as owner of the property, or my employees
with wages as their sole compensation, will do
the work, and the structure is not intended or of-
fered for sale (Sec. 7044, Business and Profes-
sions Code: The Contractor's License Law does
not apply to an owner of property who buHds or
improves thereon and who does such work
himself or through his own employees, provided
that such improvements are not intended or of-
fered for sale. If, however, the building or improve-
ment is sold within one year of completion, the
owner-builder will have the burden of proving that
he did not build or improve for the purpose of
sale).
--::;i, as owner of the property, am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business .'lnd Professions
Code: The Contractor's License Law does not ap-
ply to an owner of property '•ho builds or im·
proves thereon, and who contracts for such pro-
jects with a contractor{s) license pursuant to the
contractor's License Law).
I am exempt under Sec. , 8. & P.C. tor this reason _ _ _____ _
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con-
sent to self-insure, or a certificate of Workers·
Compensation Insurance, or a certified copy
thereof (Sec. 3800, Labor Code)
POLICY NO COMPANY __ _
::::JCopy is filed with the city.
::JCertified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the per-
mit is for one hundred dollars ($100) or less).
I certify that in the performance of the work for
which thi~ permit is issued, I shall not employ any
person in any manner so as to become subject to
the Workers' Compensation laws of California.
NOTICE TO APPLICANT: !f, after making this Cer-
tificate of Exemption, you should become subject
to t~ Work'ers' Compensation provisions of the
Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction len· ·--... _ --··-·------· •h-···-·" ·-·
CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT
USE BALL POINT PEN ONLY I LUU CLNI AV Cl'IUL \I l"'t) "'t.JV-.J.J~.J 11 I ,.,'(
_;:.,o ./J ,., I I I J JOB ADDRESS AV.~ • DATE OF APPLICATION . -. J /Li?Jl),'3, .~ /),., r:-r -r \/;. Cl.1 "f. 3/17/81 I
OWNER -' u I OWNER'S PHONE PRIME CONTRACTOR
Broadmoor Homes 455-6200 Broadmoor Homes
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES
BUS. L lCENSE PERMIT NUMBER
20785 i, .-qi STATE LICENSE
370443
CONTRACTOR'S
PHONE
3911 Sorrento Vallev Blvd .. S.D .• 92121 Sarne 455-6200
1 crr?~:u #9540,
I ASSESSOR'S PARCEL NO. DESIGNER STATE LICENSE ';I: f,/H' '77 ·; ---co, BLOCK
31 l · 5, 6, -, 3, l , n, -, 3, 1 , ' ML{\/Architects ci : '.:-) ; ... I /" ., i I ~ .. · ...
DESCRIPTION OF WORK Pno l Eaui nrrient Storane Roam/Restrooms 0 n1f4~'~1z"f'i:lark Blvd. DESIGNER'S PHONE
Irvine, A 92714 556-6610
CENSUS TRACT GP LAND USE ZONING l RES. UNITS I PARKING SPACE l NUMBER Of STORIES
Not Valid Unless Machine Certified
,coo so.t~ / BLDG USE occ. GP I STANDARD PLAN ft I 't'; D..:. 9 i> I TYPE CONST I occ. LOAD I
~
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT.
-.
I EACH FIXTURE TRAP I U.-/ INSTALL FURN. DUCTS UP TO 100.000 BTU
I EACH BUILDING SEWER r. -OVER 100.000 BTU
EACH WATER HEATER ANO/OR VENT --z--BOILER/COMPRESSOR UPTO 3 HP
I EACH GAS SYSTEM 1 TO 4 OUTLETS "7/. -BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 0 R MORE BOILER/COMPRESSOR 16-30 HP ,.
EACH INSTAL., ALTER, REPAIR WATER PIPE --v-VENT FAN Sl~)GLE DUCT ,,..,. .......
Valuation ?--v f.J...,.. EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . Ii ,,, /_ ...J.-
issue '7. n.,., .: -C'-1---::. nn SIGN PERMIT I ,'i I
TOTAL PLUMBING -. -TOTAL MECHANICAL PLAN CHECK I I~ ,I ~-ll.,_0
CONTRACTOR -yb . ..-CONTRACTOR 7. ,,. ALL INCLUSIVE PERMIT I I . I
TOTAL PLUMBING -r7 A• --
QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL I ~ -'-
NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I 1 • . -'-
1 PH .25 3 PH PORCH MOBILE HOME I I . I
EXtST BLOG EA AMP/SWT/BKR SET-UP SOLAR I I I I
.jVl PH .25 3 PH -~ RAMADA. CABANA I I I I
.I REMODEL/ALTER PER CIRCUIT _r. ,,. FENCE OVER 6' I I I I
r TEMP POLE 200 AMP$ TOTAL MOBILE HOME MICO-FILM I I I I
OVER 200 AMPS I I I I
TEMP OCCUPANCY (30 DAYS) I ' I I
~ C! ~ ....... 7, (1 Strano-Motion I ' I I
TOTAL ELECTRICAL //
TOTAL FEES PAYABLE I I -;'J,r/,.-•J_-f
CONTRACTOR I
I School Fee
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I 5'-0" DEEP AND OEMOLITJON OR CONSTRUCTION Of
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUEO;TO COMPLY WlTH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-1/ LESS THE CITY OF CARL SBAO AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND • EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
1/1~ OF THE GRANTING Of THIS PERMIT. APPLICANT'S SIGNATURE" OWNER0 CONTRACTOR0 l~,VED BY
~.~_V----"-~-~c<.."--· AGENT::@) BY PHONED ~
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SITE
ADDRESS-
INSPECTION
WOOD FLOOR
FOUNDAT!ON • FORMS• SET BACK• TOILET
UNDER FLOOR PLUMBING
UNDER FLOOR HEATING
OK TO INSTALL SUB FLOOR
SLAB FLOOR
UNDER SLAB PLUMBING
FOOTING• FORMS• SETBACK• TOILET
OK TO POUR CONCRETE
FRAME
ROUGH ELECTRICAL
ROUGH PLUMBING
ROUGH HEATING/VENTILATING
FRAME OK• PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK• PLACE TAPE
EXTERIOR LATH OK• PLACE STUCCO
FIREPLACE
DAMPER &STEEL
PLATE TIES/HEIGHT OF CHIMNEY
OTHER
TEMP POWER (POLE)
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK
• FENCE PREP LASTER
SHOWN • FRAME
• PAN
FINAL !NSP BY BLDG DEPT
OTHER DEPT'S REQ COMPLETED
ELEC METER-PERM-TEMP
I GAS METER-PERM-TEMP
I
I L CER_~ OF OCCUPANCY ISSUED
OWNER· PERMIT NO· <;;' I J11;' -FIELD INSPECTION RECORD
DATE INSPECTOR I INSPECTOR'S NOTES
\
' '
-: /
(l, ,, <, I II•
'l --, ii . ..
I
REQUEST FOR INSPECTION TIME: ______ _
INSPECTOR __ _L_L/~=:::... ____ PERMIT NO. _______ DATE: ______ _
OWNER--------------------------------
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT· GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
~ FINAL
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
~ FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
~ FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
~ FINAL
READY FOR INSPECTION: D MONDAY 'j. TUESDAY DWEDNESDAY D THURSDAY D FRIDAY
DA.M.
D P.M. ?bpi,, Pl,.,.~
SPECIAL INSTRUCTIONS--------------------------
REQUESTED BY _________________ PHONE NO. ____ D ____ _
PERSON TAKING REPORT_~?}~-----
..
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT 1&03 Fo/!.$1 Vlt"N Wf\YnitiCEIVED
ADDRESS: flt# W,,., I~ JUN 241981 BUILDING
( ~__.._~~~.::........,/~) ------,c-,r-v--o,~c~A-e+Rt-v1se~AFI-D -
eulldlng Department
PLANNING DEPARTMENT
UNITS ALLOWED UNITS PROVIDED ------------------------
PARKING SPACES REQUIRED PROVIDED -----------
% COVER~GE ALLOWED PROVIDED -------------
BU IL DING HEIGHT ALLOWED PROVIDED
FRCJ.NT SETBACK:
ALLOWED-------
PROVIDED -------
INTRUSIONS ------
SIDE SETBACK:
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
REAR SETBACK :
ADDITIONAL C;,.MENTS: ~ ~
OK TO ISSUE:~-DAT;f/:i:f. OK TO FINAt _______ DATE ____ _
ENGINEERING d-JO'f 3, -
R.O.W. IMPROVEMENTS ---------------------
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT
LEGAL DESCRIPTION ________________ ......,..... ___________ _
ADDITIONAL COMMENTS__.di'"""""""'~"""'-"'---"~=-c;;;..... _...._7"t--=;;;t__=-=~:;....;.....,:=·=·~;_)-' c.__p.f;__.&-"'-'/""'"~=/ _________ _
OK TO ISSUE:;:Jd,tk: DATE 6--21/,.8/ PW! OK TO FINAL DATE --------
FIRE DEPARTMENT
SPRI NKLING SYSTEM FIRE PROTECTION EQUIP. -------------------
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS----------------~-------------
OK TO ISSUE:
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _