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I ^rsonji any manner so as to become subject toTra -*G(ji3rs Compensation Laws of CaliforniaNOTICE TO APPLICANT If, after making this Certificate of Exemption you should become subjectto ths Workers Compensation provisions of the,La"bor CjSe, you must forthwith comply with suchprovisions or this permit shall be deemed revoked• J1 HAVE CAREFULLY EXAMINED THE COMPLETED APHEREBY CERTIFY THAT ALL INFORMATION HEREONFURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUECOUNTY AND STATE LAWS GOVERNING BUILDING CC' SPECIFIED HEREIN OR NOT 1 ALSO AGREE TO SAVELESS THE CITY OF CARLSBAD AGAINST ALL LiABIL!1 Z ZO ^
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\ ^NUMBER OF STORIES:- 3_Ihe Business and Professions Code) or that is ex . 1 . — , , . - - iempt therefrom and the basis for the'alleged ex „ | *(Sec TO31 5 Business and Professions Code), Any jjcity or county;which requires a permit to construct, alter 'improve demolish or repair any tstructure prior to its issuance also requires theapplicant for such permit to file a signed state 'men! (rial fre'is licensed pursuant to the provisions of the Contractor s License Law (Chapter 9-commencing with Section 7000 of Division 3 ofS ^ LO {rgs ^-*
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STATE LICENSEJ&fr*/f • 79-569 |LICENSED CONTRACTOR S DECLARATION1 hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section ,7000} of Division 3 of the Business and Profes "slons Code and my license Is tn full force and effeetNO „ JOB ADDRESS* , .. 2849 Cazadero Drivei- i i - 1 -i i i i i r i* i i i - 17
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Mij$M*''~h-- / INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
BUILDING DEPARTMENT
BUILDING ADDRESS : o<O f / C <Z^tZ-&^# -
DATE :QCT151979
01IY OF CARLSBAD
Building Department
PLANNING DEPARTMENT
ONE LOT SIZE LOT WIDTH
NITS ALLOWED UNITS PROVIDED
ARKING SPACES REQUIRED
COVERAGE ALLOWED
UILDING HEIGHT ALLOWED
FRONT SETBACK:
IALLOWED
1 ^ - _***- -
PROVIDED
PROVIDED
_PROVIDED
PROVIDED
SIDE SETBACK:REAR SETBACK
INTRUSIONS V
STANDS CAPE & ^IRRIGATION'PLAN COMMENTS:
ENVIRONMENTAL po^TECTION REQ :
A)DITIONAL COMrTO ISSUE:DATE DATE //~3 - If 0
ENGINEh^I-NG DEPARTMENT
SEWER CONNECTION
GRADING PERMIT
INDUSTRIAL-WASTE IMPROVEMENTS
DRIVEWAY LOCATIONS
EASEMENTS
LEGAL DESCRIPTION
ADDITIONAL COMMENTS
OK TO lSSUE:_v,
EIRE-DEPARTMENT
SPPINKLING SYSTEM
FIRE ALARMS
FIRE PROTECTION EQUIP.
EXITS
FIRE HYDRANTS LOCATION
ADDITIONAL COMMENTS
kK TO NOV 7 7979 OK TO FINAL DATE
'HTER DEPARTMENTr'REQUIREMENTS OF' APPROPRIATE DISTRICTS MET_DATE
BENTON ENGINEERING, INC
APPLIED SOIL MECHANICS — FOUNDATIONS
BBSO RUJT1N ROAD
bAN OIEG9 t H
PHILIP HfcNKlNQ BtNTON
PRtmoSNI Civil t.n ,JNHEK . „ , , (-,-.,, TELEI-HUNi; I 7 1 4 > BOBJanuary /4, 19/9
Mr. & Mrs. Joseph and Connie T«aVsro /"
c/° Mr. Ken Ray nor
2568 Abedu! Street
Carlsbad, California 92008
Pro(oct No. 79-1-22M
Moisture Contents fn Subgrade Soils, Lot 312
'a Costa Meadows Unit- No. 2
California
Mr. arm Mrs. Tedesco:
Tills la to report the results of tests to determine the moisture contents of the soils In the
upper frhr*e feet below finished grade in the proposed building area at the subject site In
C4rlsbad, California.
The soil *arnp!es were obtained on January 22/ 1979 and the results of the moisture deter-
mination* are presented as follows:
Depth of Sample
Approximate Below Existing Content
Location of Samples Grade in Feet % dry wt
Northwesterly portion of proposed building qrea 1,0 17.6
2.0 19.7
3.0 16.2
Southeasterly portion of proposed building area 1.0 17.5
2.u 15,6
3.0 15.4
H It concluded from the field observations of the various soil types and the ffna! results of the
molirure determinations that the soils In the upper three feet below finished grade at th«
location! sampled have been sufficiently moistened to minimize Hie potential expansion of
soils as racommended fn our report under Pro[ect No, 71-2-24D, dated September I/ 1971
RMp*crfu!!y submitted,
BENTON ENGINEERING, INC.
Reviewed by ^~- /•-*—/,,
-7*-™-PhtUpTTTSenton, ClvTTTnaTneer'
RCE No. 10332
Distribution: (2) Addressee
LEUCADIA COUNTY WATER DISTRICT
APPIICAFION FOR SEWtR SERVICE
Owner's JosePh e'ore°
Mailing Address _ £568 Abedul. ____
Carlsbad, Calif 92008
hone No. _ 138-0664:__
V-VAU PLUM11 I^ULL) UPO
PrL ! 1,^1 C. D'J ' DIN j PL'?,
Ru to.ro puiiMiT MUST be/ . /"V
Af PLIES (CV, BYf
Service Address. _
Tract Description- 312 La Costa Meadowsj#^ __
Assessor's Parcel No. _2]J>-340-1_6___ _ _ ^
Type of Building s'__" No'. Units } _ Connection Fee
lateral Si/e. 4" 6" _ _ 8" _ Saddle __ Easement Connection Pre-Pd (?0° °°)
Fxtra Footage: @ $___ Extra Depth. @ $
Lateral Tee
Amount Rec'd $4fO
Cfr. No/Cash _^>
Da t e j£^ ^~
Rec'd By ^ /?
Prorated Sewer
Service FeeTotal
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
pr 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 appli-
cant's plumbing to the point in the street (or easement) where a connection is made
to the service lateral.I
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 INSPECTEDAND 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 THETIME INSPECTION IS DESIRED. ANY CONNECTION MADE TO THE StRVICt LATERAL OR COLLEC-,TION LINE WITHOUT PRIOR APPROVAL AND INSPECTION BY THE DISTRICT WILL BE CONSIDEREDINVALID AND WILL NOT BE ACKNOWLEDGED.
The prorated sewer service fee is based upon the date the District estimates that
Service will begin and covers the balance of the fiscal year There will be no
additional fee or refund if service actually commences 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 agrees that the above information given is correct and agrees
to the conditions as stated.
Owner's Signature Date Account No
1200 ELM AVENUE P| ^'^ r 1 TELEPHONE
CARLSBAD, CALIFORNIA 92003 iVCw d" ' J <7H> 729-1181
Building Department
Citp of Carlsbab
RESIDENTIAL ENERGY DESIGN CERTIFICATION
Permit No.
Issue Date.
CERTIFICATE OF CQMPLIANE WITH ENERGY CONSERVATION DESIGN REQUIREMENTS
CONTALNED IN ARTICLE L iDART 6, TIM 24, CALIFORNIA ADM. CODE
. N> - / ' f/ . ( i * 'I, K-. ' ^ \i . ;1 > \<.v > hereby certify that I am familiar,t ^^^ - \
with the state energy conservation standards mandated in
CAC Title 24, Section T20-1401 through T20-1406, and that the
plans and other documents submitted in support of the application
for a building permit at , I /., ^^ . ^VU oc . 2 - * ^ ^ /V \_
Address
Assessor's Parcel No. Dated
comply with all current requirements of these regulations.
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Signature V^- -V-. - V.OoO^^ - .'
Ti tl e / ^ , -
( ArchVtect, Engineer, Contractor, Other,1
State License or Certificate No. -
Da te . , -
Submit to the Building Department with permit application.
Form 78-101