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Home My WebLink About2875 LEVANTE ST; ; 75-730; Permit/ BUILDING PERMIT APPLICATION "t • Applicant to complete numbered spaces only. City of CARLSBAD, CALIFORNIA 92008 v .- Phone 729-1181 Perm1t 1No. ?5 -:,:7 6 JOO ADDA tsS .::2. 8 7-5 LE GAL I l DCSCIII. OWN EA t1 LOT NO. ... . 7 2 , MAIL AODIIIESS e.r ~-t."n_,,,:.~CA.., ., :,~, -~ d/?D. 3 COl'IITAACTOJlt MAIL A.O0111£55 ,. -fl,, IJ.F ~.,,...) 'e, CL Pl.lllr LA MAIL AOOAESS CNGINCCA MAIL AOOAESS 5 COMPENSATION INS. CARRIER 6 --,._ ,_..._c __[/ ~ USE OF BUILDING 7 , 8 Class of work: □NEW 0 ADDITION 0 AL TE RATION 0 REPAIR 9 Describe work : 3 I): /. Ill / 10 Change of use from Change of use to ASSESSOR'S PARCEL NUMBER Qstt. ATTACH[O SH Et TJ BOVK LICENSE NO. PHONt LICE.NS[ NO. ' 0 MOVE 0 REMOVE t /..,.:7 , / 11 Valuation of work: $ PLAN CHECK FEE s PERMIT FEE S PAR, j/ CITY i,.;S:..:P....:E:..:C:..:l.:..A...:L:....C.:..O.::.....cN..::D_IT_l....:O:....N.:..S.:..: _________________ --1 Typ~ 1 MICRO F'ILM F'EE Const 1 Occupanc11 Group .' ( Max. Size of Bld!J-.-J~ -:_i (Total) Sq, Ft.' )lP / No. of Stories ./ 0cc. Load 1----------.--------------,--_,.;/);....;'----------1 Fire _:::,, ' Use F Ire Sprl nKlers APP Lt CA TtON ACCEPTE o av PLANS CHE CKE o av AP~VE o FOR 1SSUANCE ev 1-z_o_n_e__,---'>_a:::'------+-z-o_ne __ c-:::-______ ._R_e_q-=u:c:ir-e_d_O_Y_e_s _!Zl_N_o--1 OFFSTREET PARKING SPACES, DAT~/.,,_JI_-7t.. ~:e~l:ng Units I No. INo. c _1, ~· , '> Covered Sq. Ft. Open CATE NOTICE Special Approvals Required Received Not Required 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 WITHIN120DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. I HEREBY CERTIFY THAT I HAVE READ AND 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 REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ·- PLANNING DEPT. HEALTH DEPT. FIRE DEPT SOIL REPORT OTHER (Specify) ENGINEERING DEPT. WATER DEPT. R~S.,.,IG,.:~{A~T=<~ll[,:=c.~0:,;,C.-~c;:o~~;T~•v.:..C,,.T,,;~~,•)0~~"7:'AJ~TH:;.O:-c•#:1;:'.;U;:;:D~'-A::G~[H~T~~::__!f:.l")~:,;::;.~s:;£;,l....!.''....J'L 1--------4-------+-------+--------l 91C.NATUJII[ o, OWN£N 11, OWN[Jlt IUILO[RI OAT[) WHEN PROPERLY VALIDATED (IN THIS SP..:A..:.C=-E=-):.....:..T:....:H.:..:IS:.....:..clS:__:.Y..:cO.._.U:....:R..:....:_P.=Ec...R..:.M.:..:I_T _____________ _ PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ~I<&- INSPECTOR INSPECTION RECORD . DATE REMARKS INSPECTOR FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB '\ . FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY FINAL 1,;;,-/0· 7 !,-d-~d L~.£ u,t __ /J ;/ ./l~L~ ' ., ~ - USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 7-9-75 Fdn. Forms: O.K. B. Nelson 7~-..25 -.Con..c..r..e t e Pa u r; ..Q...K..._B_. Nels_.,,,_,_.. ____________________ _ 8-11-7 5 Fireplace Info: 0. K. B. Ne_l_so~ 9-2-75 Frame: O.K. B. Nelson 9-8-75 Insulation: O.K. B. Nelson --9 -U.=.1..5 Dr y_w a 11 a_n d n a i 1 in g : 0 . K . B . N..e 1 s on --------------- I, I: :, L, ~ .._______ ~ -~ . . MECHAiQCAL APPL2ATION 3 i'fl •• PERMIT 0 ... :li 0 City of CARLSBAD, CALIFORNIA 92008 z Ill l'I ► Permit No. lJ 0 Phone 7 29-1181 '75'-7<, -<~ 0 Applicant to complete numbered spaces only. lJ l'I JO• ADDJII ESS .. _-, R '7..!:>-L cUAurr / ... , r,....~_.,.~, .. ,,~~,,;.L,-;-,_ LOT NO. I IL~ r"rli'Ac 1' tOsa:E ATTACHtD •HI.I.Tl LCGAL I 1 DUC~. -~,...,. ~ Ir C-;.1 .. _,,., r /.-_ ~ ,. ___ _'::,_, OWHllfll MAIL AODIU,SS ?IP r P>'ft,t.() -,. 2 ~I>~ 4 .1..h , b cn .. J 0J.o l\,r-. f /I u.,.,..~- CON'rJU,CTO-..""---MAH. A00flllSS -·, P~O•t ,' LICENSE NO, 3 1J~,1_,-_,. -I J/- ,, lL ,r;__.I,.. h ,,u,) 1"'\s... I JJLP /d ~ . J ~ AIIICMIT£CT Ofll 0E.91GN•fll --.-,, MAM. ADDJIES5 -. -, .. ,.. P1't0HE ..... , ._..-.-LICENSE NO. 4 ~.c,~/r-,;;, i .s £4!-(:;" _ ENGIN"'tE'ft . "' --MAIL AOD"tSS PHONE LICE.N■ll NO, 5 LlHOE• MAIL AODfllllS allAHCtf 6 I uat 0,. aulLOING 7 ,, ' . F 8 Class of work: Q._NEW 0 ADDITION 0 ALTERATION 0 REPAIR _, 9 Describe work: Type of Fuel: 011 D tlat.Gas Q i;,G. D PERMIT FEE§ SPECIAL CONDITIONS: No. Type of Equipment Fee Air Cond. Units-H.P. Ea, $ Refrigeration Units-H.P. Ea. Boilers-H.P. Ea, Gas Fired AC, Units-Tonnage Ea. Forced Air Systems-B.T.U. ~-, ....-, M Ea. ~--~r ,_PrLIC,.TION ,_CC[PTEO BY P~CkCOBY ,_pp '?;CO FOR ISSUANCE BY Gravity Systems•-B.T.U ., . -M Ea. -~ - W~,, -t1-1~ Floor Furnaces B.T,U. M Wall Heaters-BT.U. M ~, . NOTICE Unit Heaters-B.TU _ M THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· Evaporative Coolers TION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 ., I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPL.I CATION AND KNOW THE SAME ,O BE TRUE ANO CORRECT, Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL. BE COMPL.IED WITH WHETHER SPECIFIED Incinerator A HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT -PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE ~ rx-!,, /-,' .,,_ __ .... -r. PROVISIONS OF ANY OTHER STATE OR 1..OCAI.. 1..AW REGUL.ATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. . -'u-~ - - SIGNATUflE o, CONTfU1CTOIIII Ofl AUTJotOllll?.E.O AGtNT COAT£> yr'#-,, ,b -~ ~~ I. I PERMIT s ~ 1-n <.._ ~ ---V ----,, TOTAL FEE s / ,; ,-,I') ••NA .. , flt o, OWH'JI: 1,·owN r:" au1L01N DATE ,. WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M,O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR -0 (1) 3 :z C i INSPECTION REPORTS DATE ITEM USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 9-2-75-Duct: O.K. B. Nelson REMARKS INSPECTOR u ( •.s so PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA Applicant to complete numbered spaces only JOB ADO-~ E5S r ~ -.., V'1 tLJ ,:_ J... Ii ·--~.,./7 (?/.-.., I I LOT NO. OLK I T~ACT' 4~ LtGAL ·3 5 0 :t:J ·7 -/;..s 1 otsc~. • • .,_ "-· . C" OWNE., //c6 MAIL ADDftCS/ ZIP PHONE. 2 ,; /i!.T .3.,. rntc. ~~Cq ,_ .,. . ''-' -~ .l-/ ~ CONT"ACTOR . qGH-~·SaA./,. i:?r. " PIAAlL AOORE55 I), P.-.ONE LICCNSE NO, STATE CITY 3 _., 0,..,.. f D9'V, I ,917 (.1L ' , ' • .. .. - "-R;CHITCCT 0111: OCSIGNCft f MAIL. ADDRESS PHONE LICCNSC NO. 4 ')I /j I Ou.,cn ~ >St. r:. [NGIN CCR MAIL ADDRESS PHONE LICCNSC NO, 5 COMPENSATION (NS. CARRIER MAIL AODR£5S lfltAMCM o7-: / L.../4. J..lnw~ .L..L L /l/ <'Ill/ 17 Ff 5 USE 0,. e.{HL.OING 7 . • (' ~ .,~ ,:;. ..c. <i-. 8 Class of work: 10 NEW 0 ADDITION 0 ALTERATION 0 REPAIR 'l Describe work: PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS· 1,...::1 WATER CLOSET (TOILET) s+ .. . .I 7 BATHTUB / ,_. () ., 'I' LAVATORY (WASH BASIN) I& c-"'O . --•-I 7 SHOWER I ··r / KITCHEN SINK &, OISP / . -... 7 DISHWASHER ,,I ~-11 .6PPLICATl0N ACCEPTED SY PLANS C,._EO BY APPf\Ovi,0 FOR ISSUANCl BY LAUNDRY TRAY ._A l_~w~--,e-., CLOTHC::S WASHER I -; () .-/ .I !> c) -·t:,A\E -✓ WATER HEATER NOTICE URINAL THIS PERMIT BECOMES NULL AND 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 DR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK MENCED 1 GASSYSTEMS·NO.OUTLETS / .,u I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS . APPLICATION ANO 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 H E VACUUM BREAKERS PROVISIONS OF ANY OTHEI'< STATE OA LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCJ:10N. ./ LAWN SPRINKLER SYSTEM .:J ; l?U / SEWER ,r ,7'.:.J CESSPOOL 7 SEPTIC TANK & PIT ROOF DRAINS l{~;!J."sl]~ {DATEI -Y-7':J ' PERMIT s7 15"0 TOTAL FEE $ i.'.\ . ~7J i l,rSHiNATUIIIE 0,. OWNtlll ,,. OWNtJlil 9VlLOCA) IOATEJ 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 . USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 7-3-75 U.G. Plbg. O.K. B. Nelson 7-10-75 Underground Water: O.K. B. Nelson 8-26-75 Gas test and rough plbg. O.K. B. Nelson 9-8-75 Tub: O.K. B. Nelson 10-31-75 Sewer connection: O.K. B. Nelson c~, ELECTRICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 729-1181 Permit No 75"--'.73~. JOa ADOfll E.SS . --,; -VH ,4-7"-,..t:.. _C, ~7/,/" -I -'/;V ✓ LOT NO. 1 ■-• I TU;T LEGAL I 3 So. .ct ~ 1Qsu ATTACHED SHUTI ~ ?,I/!,. .,6.:, 1 OUCII. ( /_ I.'. • g --s#J-~ OWNl,_ MAIL AD0flU:5S ZIP PNONE . 2 ~ C?'& ,-.:.,.6,,8 s.eAt ,. M .s~ C, ; /'-I)/ r. ;:--/"'rf 1LJ. { ,rtLl. l . __.. CONt,,-ACTOlllt JJ~ t-J '.'ii--£ o,,.J,,, MAIL ADD,tESS PHONE: ,:f tNSt. N~:'" STATE CITY 3 R-. ~s.-;f,o'i'U. l J/!J R { t . o/7 '°"' f/ I ,.. _ __, . A"CHITECT Ofll DISIGNUI MAIL A0D"E:SS PHONC .. LIC CHSC NO, -' ~(.I=:. 4 11-u I tJ<..tJee r: ,-(_ ' , . t' ,IC.) r •17•J S . .. ENGINE(" ~AIL AOD,.CSI PHONC LIClNSI. NO. 5 - COMPENS~TION INS C 7?~~AIL A0011£SS &lllANCH ., ., 6 ~ ,, ~ ~:.:.-:...c:.. ~ UIE 0,. aulLDING 7 ,_ 8 Class of work: t'.lNEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: PERMIT FEES No. Each Fee SPECIAL CONDITIONS: ISSUANCE OF EACH PERMIT ~ ~ NEW CONSTRUCTION, FOR EACH Al'PllCATION ACCEPT[ D ■Y PLANS C~iCJIEf BY APPAOVE0 fOA ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, t,&j-f-?,s FUSE OR BREAKER ~6- .. (< r NEW SERVICE ON EXISTING BLDG. NOTICE FOR EA. AMPERE OF INCREASE "sic. ...... IN MAIN SERVICE, _)Y~C~ FUSE ,~· THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· OR BREAKER } TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYl> AT ANY TIME AFTER WORK IS co~: MENCED IN SERVICE, FOR EA. AMPERE OF I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCE::, GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TEMP. SERVICE OVER 200 AMP. PER 100 --~c~C~~7]E~UNT (OATCI I 16-c/ ... 7':) PERMIT FEE 33c ~-~ ., Tll•r n,. OWH•fl ,,. OWHIIII a 1J1LntA DATI WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR INSPECTION REPORTS DATE ITEM REMARKS INSPECTOR I I -11// 75 'Id,_ ~ v->t--c:fl 1-<! To {!__/4_,,n fl/ ,]JJ~~ ~ A--#L?/',#21 Vlf )& ;;~ , ...,:L,i ·~v1 P/1.A n I ~ I / Iv V 1- USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 9-2-75 Rough Electric: O.K. B. Nelson PLUMBING PERMIT APPLICATION re City of CARLSBAD, CALIFORNIA Applicant to complete numbered spaces only. Perm it NoF~ --:Z... d Joa AOOIIII css T Y7S z. A.J7 '-' -I LOT NO. I OLK I T,.ACT Co ~o~tfo,, :ft - Lt GAL .SC?; rrl 7 1 ouc,.. ) 2 OWN <c 11'!, <c::-t, 'f-/ MAIL AODOUS Al ti. ·-i,HONY --.. <C . ~7~-~ ( ~ -( v/f.,_..,~ ( ~ . ,, CON TIIIIAC TOfll ., l MAIL. ADDfltCSS r ti A f PHONE LICtNS[ NO, STATE CITY 3 -,I ,,_ -I -,-..,_ ,,-"' f.)VJ I! --. . ---. , ·• ' . AIIICMITECT Oflt DE.SIGNEIIII MAIL AOOIIIICSS PHONE LICENSE NO, 4 ENGINC[1' MAIL AODIII tss PMONIE. LICE.NB[ NO, 5 - COMPENSATION (NS, CARRIER MAIL AOOllltSS ltU,NCH 6 USC o, BUILDING 7 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR q Describe work: ,:::, µ ,e / A.,/ K'/.. "-~ s ~/~-,-~/.,;/ ' PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS. WATER CLOSET (TOILET) $ BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & OISP -DISHWASHER ,-PPLtCA T ION ACCEPTE O 8 Y PLANS CHECKED av APPIIOVE O FOR ISSUANC[ BY LAUNDRY TRAY .,.!:[, .. ,;-, CLOTHES WASHER WATER HEATER NOTICE URINAL THIS PERMIT BECOMES NULL AND 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 MENCED. GAS SYSTEMS, NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO 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 01' 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. I LAWN SPRINKLER SYSTEM ;J IVV SEWER ~~~A~ CESSPOOL ~ I SEPTIC TANK & PIT ~ -ROOF DRAINS .SIGNATU"!. or CONTfU,CTO" o .. AUTHOlltlZE.0 AGE.NT (DATI.) PERMIT $ '✓ "l"V' 51G,-.ATUlltt OP' OWN[" u, OWNCJII I OILD[ftJ lDATt} TOTAL FEE sq l">O WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR (71 t1 l 729-J llrt, Ezl:. 48 -···~- CITY OF CARLSBAD BUILDING DEPARTMENT pc.-#7s--0 SINGLE FAMILY AND MULTIPLE FAMILY RESIDENTIAL PLAN CORREC'l'ION LIST WARNING: PLAN CHECK FEES , WHERE NO ACTION IS TAKEN BY THE APPLICANT IN 129 DAYS, AND NO BUII DING PERMIT IS ISSUED, l'.RE FORFEITED TO THE CITY. JOB ADDRESS: ----#-/4~J.-'""-· ,.~At::::...L..1=•-.... S:!:....,L..L•-· ____ a~R: _____________ _ CCNI'RACIOR: ENGINEER: -------------- ARCHITECT ____________ USE ZONE FIRE ZOOE ---,-------fl, -------- OCCUPANCY _________ TYPE OF ~STRu:::TION VALUATION ---'-------- BASIC ALLOivABLE BUILDING ARFA: 1st Floor 2nd Floor ---------- 3rd Floor 4th Floor ---------- 4t 14. CARRY ______ WATER FOOM ____ _ ALI..O"NA13LE INCREASE DUE TO ------- · RE:;2UIRED PI.ANS · UNDER SIDEWALK THROUGH CURB INTO STREET WITH CAST IOON PI PE. . 1. PI.Dr PIA!IJ 5 • FOUNDATION DETAILS 15 .-PROVIDE ENGINEERING CALCULATIONS FO 6. $TROCTIJRAL DETAI~ R 7. ELEVATION PIANS ---------· ----------- B • ROOF PIAN bt/ ~ . PROVIDE SOILS ENGINEER'S REPORI'. ~ ~ :J,, 2. FOUNDATION PLAN 3. FLOJR PLAN 4. GENERAL FRAMING .,...;----' • RADING PERMIT REQUIRED . 'IO THE APPLICANT . ·-•r.a~ FIRE .DEPT. APPROVAL REQUIRED. • CDRREC"r PLANS WHERE· CDRRECTION LIST SPECIFY CONCR.wt:TE MIX @ 2000 P. S . I. MINIMUM. LAG CORRECTIONS . .&.· 0 ~ r '?:, 0 .-DIMENSION FCDTING SIZES A."ID CLEARr""1NCE B. INCOMPLETE, INDEFINITE OR , FOOM GRADE. OR CLACUIATIONS Nor ACCEPTABLE. 21.-SHO,v -DEPTH OF FOOI'INGS BEI.ru NATURAL OR c. P.EY,)UIPED ~!Gil~R Is OR SURVEYOR. Is UNDISTURBED G!<_lillE. CALCULATIQ~S OR PLANS SHAI.J., BE SIG'IBD 22~ICATE PRESSURE TREATED FOUNDATION SIIJ.., ]N INI<. OR muAL. . .· D •. REVERSE PLANS MAY Nor BE ·USED. POOVIDE 23'r-SHCW .FOUNDATION BOLT. SIZE , SPACING AND CORRECT PI.Dr PLAN, FOUNDATION PLAN, PENETRATION IN'IO CONCRETE. FLCOR PI.Al.'J, AND ELEVATIONS. 24 --INDICATE CLEARANCE FROM GRADE TO BYITOM E. THE APPOOVAL OF PLANS AND SPECIFICATIONS OF FIOOR JOISTS At"\10 GIRDERS •. [X)ES Nor PERMI'I' THE VIOLATIOO OF AtW 25. ~HOW PIER SIZE, SPACING AND DEPTH, INTO SF,CI'ION OF THE BUILDING OJDE OR orHER UNDISTURBED SOIL. CITY, COUNTY OR STATE u,w. 26 .-t::HOW GIRDER SIZE, SPACING AND. DIRECTION. 27 •. GENERAL 1,-SUBMIT FUIJ..Y DIMENSIONED Piill PLAN, DRAWN TO SCALE, INCLUDING ALL EASEM.Il,J~S ON PIDPERI'Y. 2 :-SHOW ALl., EXISTING AND PR)POSED BUILDINGS · 00 Piill PLAN. 3.-SHOW CORRECT LEG.ZU., DESCRIPTION ON PLAN. 4. SHCX-v ALL OFF SITE IMPOOVEMENTS, DRIVE- WAY APPOOACH, LIQ-IT S'I'ANDl\RDS, FIRE HYD . S, WATER METERS, SUB-STROCI'lillES, T · , ETC. Rl"IBCI' LOI' DIMFNSIONS. SHOW EXISTI~G AND FINISH CONTOUR LINES. · OF wr HEQUiffu7). ~-----ACJ\TE l\LL GM0ING 'l.D .DE WNE. NDICATE ELEVl\TIONS OF GAHl\GE FLCOR, . .,stt\" AND S1'Rf'El' AND DRI%WlW. W' t;;' INDICATE ran'ERLINE AND Ecx:;E PROFILE . O· S ,.,.~ . ..-F DRIVl:.YViW Nor TO EX',...-r.r, ,:or-., -.::i..r1 INDICJ\'fE FI.CW LINES FOR DWPOSJ\L OF SURFJ\CE Wl\'l'ER. 19/tC tW~l\.t) • . SURFACE DRJ\INAGE N<Yr TO DRJ\IN _ _,_.--- 28 ,..-SHOW CONTINUOUS FOUNDATION SUPPORI'ING 51:CQND STORY. 29.rSPECI FY MINIMUM 18"X24" ACCESS OPENING WITIIIN 20' OF BATHRCOMS. 30.-SHOW MINIMUM 3'.' CONCRETE BET'WEEN FJ\RI'H AND WX>D. . 31.-SPECIFY UNDERFLOOR VENTILATION EQUAL TO 2 SQUARE FEEr FDR EACH 25 LINEJ\L FEET OF FOUNDATION PLUS ONE OPENING WITHIN 3'. OF EACH CORNER. 32-sr'EP F<XYI'INGS WHEN SLOPE EXCEEDS 1:10. -FRAMING .A~'T'Fr,E TYPICJ\L FIW·UNG DI:.Tl\ILS. SPECIFY Fry\MINC LUMDER TO DE D.F.#2 OR DE'ITE 5. SPECIFY Fil"ill ·m..OCKING l'i.T FLCOR, CEILING COVE J\ND r-lIOIIEIQl'l' OF Wl\LLS OVER 10 FE:E'J.' TN l-l'r. 36 -SI J(Jtl Dil\GJNl\L DRJ\CING l\T El\CH CDRNER l\ND EVERY 25 LINEJ\L FIIBl' OF \'11\LL. (lXG L81' IN ONLY). · • . CI.l\RIFY TJMCING OF ________ Wi\LL. SJICM SIZE, DIRECl'ION l\ND Sl'l\ClNG Of' 1"100R J\ND CEILING ,JOISTS. ________ J OTSTS I IN ----:,-----,-----,-----__,;l\HE OVEJ~; PI\NNE:D . 39. roum J~ FT OOH ,JOIS'l'S. OH 111•:1\M lJNDl-:H l'/\IU\T.J.I•:!. P.l\rfrl'l' I ONS . 40. Sl1F<'H'Y 111•:/\lll-:ll ~;Ji',J•: !·OH 0 1•1-:l'-JINC'[; OVEfl '1 1 , r;11,_Y1-J· 1nnn1.1•: 111•:/\1>1mi; nN 1-:1x:1•~. 41. 72. SllCW C.l~l L[NG lll•:Jc,1~•·, - ' --~------- SI l(M 1.J\'l'J.::H/\L CH'JSS ·BJ <I\ClNG /\'l' G/\JU\Cl~,1)t?T'.~ LINE:. · • 1>Yov1rn-; H/U·'f l·:H 'l'lJ.::[-; WI :1-:fo:: CELLlNG ~t ,JOIS'l'S l\ND Ml·'l'ERS l\TIB N'lD Pl\.lV\LLELi~ 4' o.c. 74. Slleft'l I3EDRCX)M WINI:X:M lS EXIT, SECl'ION 1304. . , AND 2x6 OR 3x4 STUDS ON FIRST 1":U:X)R OF TillTh"'E S1DRY C'ONS'l'HOCTION. 47. SHOW SEC"fION THIDUGH · 48. snow PLANTER BOX DE'I'AI_L_S_l'iN_D_Wl'i_TE-71-~ - PJ:roFING, SEC. 251 7 C7. 49. INDICATE FIASilING AND Wl\'IF.RPJ:roFING AT ALL EXTERIOR OPENINGS, CHIMNEYS AND R)()F /WALL INTERSECTIO..\lS. 50. SHOW STEEL CHIMNEY . ANCHORS AT CEILING ELE\77\'l'IOJJS 75.7:NDICATE ATTIC VENTII..ATION PER S.E.C'l'ION 3205 (c ) • · 76 • ...-Sllatl ALL' EAVE OVERHl\NGS l\ND CONSTROC'I'ION Dm.'l\ILS. 77,...-f>IMENSION CIIT.MNEY 1--IEIGJ ;T l\OOVE RCX)F . (2 ' 0" AOOVE 1-WF WITI--riN 10 ' 0 11 ). 78. INDICATE FINISH AND NATURAL GRADE TO PIDPERI'Y LINE. 79 •. SHOW EXTERIOR WALL FINISTIES. 80. INDICATE 15# FELT OR EQUAL ON EXTERIOR WALLS. RCX)F · LINE; · .,. ~RCX)F PITCH. 51. PIDVIDE TYPICAL CHIMNEY DE'I'AILS. ~~~ICATE ImFING MATERil\L LENGTH & WEATHER 52. SPECIFY 2 ' MINIMUM CLEARANCE '.p ~SURE ON via)O SHINGLES. BE"IWEEN CHIMNEY AND FAA.MING . ~1 ~~,::~, TYPE, SIZE .i-\liC SPACING OF IroF 53~ SP}..X.:i:.::'Y POST PROTECTION WHEN BEARil'iif SHEATHING. ON CONCRETE. 84. FIRE RE'I'ARDANT RCX)F REQUIRED DUE TO LCCATION 54. PIDVIDE PARAPEI' DE'I'AILS . IN --------=-__ FIRE ZONE. 55. SPECIFY MASONRY AND MASONRY VENEER 85. SPECIFY IroFING NAILS. 'ID COMPLY WITH CP.APTERS 24 AND OF THE UNIFORM BUILDING CODE . GARAGES 56~ SPECIFY INSPECTION CLASS · REQUIRED FDR___,,------_-_-_-_-_-_-_-_-_-_-86 • .-GAR.l\GES Nor PERMITTED TO OPEN INID 5 7. SPECIFY LATH AND PIASTER 1D CONmRl.\1 1D CHAPTER 47 OF 'I'.HE U.B.C. 58. PIDVIDE DRIP SCREED 2u BELOW MUD SIU,. 59. INDICl~TE HQ';-7 PJX2lJIPED S'l'Rt.!Cl'UR7Ua .7'\.:>.I]) FIRE-RESisrrve INTEGRITY WIIJ, BE MAINI'AINED •. WHERE PENE'I'RATION WIIJ., BE MADE FDR ELECTRICAL, MF.CHAt\lICAL, PLUMBING AND COMMUNICATIONS CONDUITS, PIPES AND SIMILAR SYSTEMS. SECTION 301 D. 60. CLARIFY DIMENSIONS AT 61~-SHCJ/J WINIXYi-;i TYPE, SIZ:=E-:::-S-:AN:-:-'.-=D~IJ:X:NJ;=-=-::==Io=N=s=--. 62.A.ICHT AND /OR VENTILATION INADEQUATE ]N --------------- 0.. / l 0 floor area -10 square feet min. except bathroom). 63 .....-PROVIDE =-::-=,--------VERI'ICAL CLEARANCE AND . HORIZONTAL CLEAR-WJ----:-CE-FOO---=-M-IWJ---,GE----ro= P 'IQ COMBUSTIBLES. 64'--1:NDICATE ATTIC SCUITLE (22"x3011 MIN.) 65:-1?ROVIDE DRAFT SEPARATION FDR ATTIC AREA IN EXCESS OF 2500 SQ. Fr. 66. SEPARATE AREA B8IWEEN DWPPED CEILING AND FLCX)R AEOVE TO 1000 SQ.Fr. MAX. 67~ SPECIFY STALL S!IOWER MIN •. WIDI'H 30" MINIMUM FLCX)R AREA 900 SQ. INQIES. 68. SPECUY Wl\LL FINISH IN. SI!(J;vER /\Rf.A Nor 'TO BE -1\DVERSELY AFFECTED DY 1-0ISTURE 'ID G 'l\OOVE TllE FLCX)R, AND PROVIDE SIIA'I'fimPiroF IXDRS. 69. Wl'.TER CLOSET l\REA MINIMUM WIDI'II 1D · BE 30". 70. INDICZ\'l'E PLUMOING ACCESS l\.T TUnS, EI'C. 71. OPENINGS CLOSER TIJ!IN ------- '10 PIDPERTY LINE S11.l\LL BE OF HOUR OONS'fRUCl'lON. --- SLEEPING RCX)M. 87. PIDVI.DE ===-=--:c:-::-:::--====--=-=-=-SEPAMTION ON ALL WALLS AND CEILINGS ADJACENT TO LIVING QUARI'ERS. · 8 8. SPECIFY =-::-:-:---==-:c-==-====--==!XX)R,/l\11t--.1!:XJ:"7 OPEL\JING FID'1 Q;RAGE/CARPORT Th'"TO 89. SPECIFY 60 SQUARE INOIBS OF VENTI""'LA=-T=I=o=N---. 90. 91. 92. 93. 94. WITHIN 6 11 OF FLCX)R OF GARAGE FDR EACH CAR SPACE. (FDR GARAGES.OPENING INTO THE LIVJNG AREA OF THE RESIDENCE) •.. . · STAIRWAYS AND EXITS PIDVIDE HANDRAILS AS REQUIRED IN SECTION 3 305 (i) ·• MINIMUM STAIR WIDI'H 'ID BE PIDVIDE ______ IDUR=-=WALLS:-=-::-=-:::-=FO:::-:R:::--::S=T:-=-AI-=R=--. - WEIJ,. INDICATE .MAXIMUM RISE AND MINIMUM RUN ON STAIR. ----------- STAIR WINDERS NOI' ALW\'ED IN CJrHER THAN . GROUP II I II OCCUPJ\NCY. 95. 96. 97. 98. 99. 100. 101. 102. PIDVIDE BALCONY RAILING AT 4 2 · MINIMUM BEIQ-fl'. POOVIDE INrERMF.DIATE RAILS@ 9 " O.C. OR EQUIVALENT F'OR OPEN TYPE J3l\LCX)NY & STl\.IR RAILS. INDICATE· 6 ' 6 11 .MINIMlJ!I,! I lEJ\DfO)M CLEJ\Hl\NCE . \ ABOVE --:::-:-:----::---:c------STJ\IrMAY. SHOW S'rl\IRW/\Y CONS'l'RUC'l'ION Dl'.."'I'l\ILS . SI!Cft'l FIXED WINOOW IN IXDRS DEIWEEN Cl\RPORI' AND LIVING Qlll\m'ERS . OCCUP/\N'r I.OM OF _______ RE(?UIRES EXI'I'S FffiM "'"pno-c-=vr=D=E-L,:-cl-:G=1:::-n·s OVER STAf--rM=-=1\:-::Y-:-::S::--::".l\N~D~P:-::rn:=31,=--::1c CDRIUOOR.S • PIDVIDE STl\Irn11\Y 'I'O THE IroF. · ·/.. .. -PLUMHJNG 'J:'E I.JX:7\TlON OF WATER I JF:/\TEf~. .. 110.,..;, 'J'EMPEM 'l'Un!-: /1ND PHESSUJZI~ Hl•:LIEF VALVl::S ON WNrEI~ l U::J\'l'EHS WI'.1'11 DISCI!l\HGE LINES 'lD oursrrn~. SEC . 1007. WNl'F · -----~, U.P.C. ~--:LIi~~,., PIDVIDE WA'l'ER PRESSURE REGUI.ATOR. SECTION 007 (b). 109. IND · SIZE, CAPACI'IY AND LOCATION CESSPOOL AND SEPTIC TANK. • INDICATE MATERIAL '1'0 BE USED AND S J.4~~-LCCATICX'-J OF SEWER LINE. (IF V. C. P ~ ,:tt/ 4-9 USE FLEXIBLE COMPRESSION JOINTS . OOLY). ~@'~~9~1~wg ,wa~ ~brt~I~~: IN YARD B~ ELECTRICAL 112. PIDVIDE MINIMUM 100 AMP. SERVICE. CQJIX)S UIRE 10 0 AMP . PANEL METER & PANEL u:cA.~ION. SEC. 1310. (Show) j..---~ MECHANICAL ~ ~. ~;~ FURNA~ :sIZE, LCCA'I'IONS & rJf'j REGISTERS AND .RETIJRN AIR . (SIZE). 115. INDICATE HEATING EQUIPMENT IN ACCORD-- AN ··-CHI\P'I'ER 7 OF UNTFnRM HOUSING SPECIFY I-IEATING, AIR-a:NDITIONING 'AND VENI'ILATING EQUJ:P.MENT. INSTALLA- TIONS TO COMPLY WITH THE UNIFDRl.'1 · MECHANICAL C0~7"~ --~' v---Ti. DUCTS B. LCCATION F. UillDER & LIGHT C. COMBUSTION AIR G. ENGINEER'S D. VENI'ING CALCS FDR IroF LOADS 117.. IlIDICATE LOCATION & TYPE OF FIRE nz\MPERS. -Deleterl MISCF:l ,T l\Nl')'.')US J'J'J•:M:.i 1. OORED IIOLES l\ND NO'l'CllING, SIK.X,,, Dfil'I IS AS PER SECTION 2Sl8, (f) 10, 11. 2. SHOW TOTAL SQ. FT. OF ALL GLASS IN BUILDING.· CHECKED : -. Date RECHECKED: Date THE FDRECDING CORRECTI ONS HAVE BEEN MADE AND ARE UNDERSTOOD BY THE UNDERSIGNED: <Mner - ) INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDREss: _ _c::~u;~1~~-~~~E~~~~•~4~~~~1 ~luE:._~ :;...-. __ . __ ~AJ ;;..,. G; -• < PLANNING DEPARTMENT -LOT SIZE ___________ -->-OT WI DTH---1...____:__ _______ ZONE ______ _ UNITS PROVIDED _____ .,,LLOWED _____ PRKG. SPACES PROVIDED_-=:::_ __ REQ. __ _ FRONT SETBACK ____ SIDE YARD __ ~ ___ REAR YARD __ _.--___ INTRUSIONS ___ _ ENVIRONMENTAL PROTECTION REQ'TS.~ ________ LANDSCAPE PLAN_.----______ _ ADDITIONAL COMMENTS ____________________________ _ I ~~{)J.....:....;fl;......:._ __ OCCUPANC ' ENGINEERING DEPARTMENT I R.O.W. _______________ INDUSTRIAL WASTE ~ -i--~ IMPROVEMENTS __________ ,SEWER CONNECTION---..::.:=-~(_2i.:::::..._~,-1.j&...,.· c...,1--/3~1--6-...L-,Ac:...___.~ ~I DRIVEWAY LOCATIONS_;;_;;__ ______________ GRADING PERMIT ______ _ EASEMENTS ____________________ DRAINAGE ________ _ LEGAL D ESC RI PTI ON_,_' __ -_____;;;'2=-W--=--_-_0;....::,__C(..:.,__ _________________ _ ADDITIONAL COMMENTS. ____________________________ _ • (, . ISSUE PERMIT '"-"='......,._,.__J.1,;--"<¥:..11.....:..;i,;.----'-DA T :=L+~~~--OCCUPANCY~!..:....J.--=---..J.L.:..--DA TE ____ _ FIRE DEPARTMENT FIRE PROTECTION EQUIPMENT ____________ FIRE ALARMS ________ _ EXITS __________________________________ ____: FIRE HYDRANTS ___________ _ LOCATION _____________ ~ ADDITIONAL COMMENTS ________ _.., ___________________ _ ISSUE PERMIT _______ DATE ______ OCCUPANCY ______ DATE ____ _ SE' ro..,.....~m SENT TO ENG. DEPT. ______ _ ~-r RNED TO BLDG. -------RETURNED TO BLDG. DEPT. ____ _ "' • -:z ,JI .... ..... .,. 0t..n.n. i @ Lot Lot- LA •2.lf,G,,4' 50.3 S i.71- CO STA ~l 9 '1?13 SOUTH UNIT 11/'<./70 11/:.hr::; i; ~ s > ,~. o· l'JW..? / 11, <)t:-ZJ I F3ouv , I l''. <H> 1'), ..... ·,.,o ~-~ '!; :z: NO 7 ~ & <> ·' r ,1 0 ' 0 • ., O O ,n C, ..,~ "} . ,. t.tW 11·i.~..,,, r~s e.o · I H&,.ri'"i.!,tW \1!1~ vo' -,1.00· J" 4 "o "'0 -.., C, ? o e -~ 'g -;I. ,,.e,,o· ... "' w 1~ ,;c,9 .,. ~; ~, I ~e.+ ~\~s: -fro"' t -C-0 I I ~\&.., -to~ W\'" s I ,~ W'AXlOreed r&,.,r '2 ~ $\~ '"'F- noi a surve_v of the land hut is compiled for info:mation by th:,S O U This is Title lm,11rar:ce a11d Trust Company from data shown by the ,,mcial records. .. p~¾-;;t~, ~~ 7~ 3 7 31/( tj~+-s i "PL01 Pl.--D-N 1'1,, ~~"IA\. ""TI ON 7 :f= Led<-. ~N + -B<-T--e.LE-'16-TNS s~SEC.,T{q,_J ~ C::S1Lt ~.Jo1'5T l~t="" ~ \NT eL.£\lA-c\.15 j B-£C d:.r/\ee~. '·------ PHILIP HENKING BENTON l"IU:SIDl:NT • CIVIL l!NGINl:l!R BENTON ENGINEERING, INC. APPLIED SOIL MECHANICS -·· FOUNDATIONS 6717 CONVOY COURT SAN DIEGO, CALIFORNIA 92111 May 31, 1975 Tl::LEPH0NE (714) 565-!9!US M.r. Robert Hobson P.O.Box3 RECEIVED Cardiff-by-the Sea, California 92007 Subject: Gentlemen: Project No. 75-5-28F Inspection of Lot 503 La Costa South Unit No. 7 Carlsbad, California J\JN 3 1975 CITY OF CARLSBAD Building Department In accordance with your request, we have made an inspection of the sail conditions existing on the subject lot, · The inspection was made by a representative of our organi:zation on May 30, 1975, and it is concluded that the soil conditions on the lot are essentially the same as presented in our report on the grading of this subdivision under our Project No. 69-12-8D which was dated on August 10, 1970. The soils in the upper three feet below finished grade were identified to be Type "B" expansive with respect to volumetric change with change in moisture content. Therefore special design for expansive soil conditions for this type soil will be required on this lot and field moisture contents should be taken in the upper 3 feet prior to pouring concrete foundations and slabs on grade. Sufficient time of several days should be allowed in case more moisture must be added to the soils during construction, If there are any further questions concerning the soil conditions on this lot, please contact us. Respectfully submitted, BENTON ENGINEERING, INC. By ~-Z:~ Ph~n, Civil Engineer Distr: (3) Addressee PHB/mr .• ---·-·-- PHILIP HENKING BENTON PRl!.SIDaNT • CIVIL ENGINEER Mr. Robert Hobson P. 0. Box 13 BENTON ENGINEERING, INC. APPLIED SOIL MECHANICS ~ FOUNDATIONS 6717 CONVOY COURT SAN DIEGO, CALIFORNIA 92111 June 25, 1975 TELEPHONE (714) 565-195!5 Cardiff by the Sea, Cal ifomia 92007 RECEIVED Subject: Prolect No. 75-5-28F Moisture Contents in Subgrade Soils Lot 503 of La Costa South Unit No. 7 Carlsbad, California Dear Mr. Hobson: JUN 2 6 1ci-is CITY Ofi CARLSBAD Building Department This Is to report 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 subfect site. The initial group of moisture samples were obtained on June 12, 1975 and it was determined that the soils at depths of 2 to 3 feet below finished grade were not sufficiently moistened to allow pouring the concrete footings and floor slabs. A second group of samples were obtained on June 23, 1975 after additional water had been added to the subgrade soils. The results of the moisture determinations are presented as follows: Approximate Depth of Sample Moisture Location of Below Existing Content Date Samples Grade in Feet % dry wt 6-12-75 Northwest Portion 1.0 18.6 of Building Area 2.0 21.2 3.0 13.3 6-12-75 Central Portion 1.0 22.4 of Building Area 2.0 19. l 3.0 13.3 6-23-75 Northwest Portion 1.0 18.7 of Building Area 2.0 18.5 3.0 18.8 6-23-75 Central Portion 1.0 22. l of Building Area 2.0 16.6 3.0 17.5 ., ' Prolect No, 75-5-28F -2-June 25, 1975 La Costa South Unit No. 7 Approximate Depth of Sample Moisture Location of Below Existing Content Date Samples Grade In Feet % dry wt 6-23-75 Southeast Portion 1.0 17.0 of Bulldlng Area 2.0 18.4 3,0 17.5 It Is concluded from the field observations of the various soll types and the final resulh of the moisture determinations that the soils In the upper three feet below finished grade have been sufficiently moistened and are suitable for construction of the proposed bulldlng. Respectfully submitted, BENTON ENGINEERING, INC. By-£e~ R. C. Remer Dis tr: (2) Addressee (2) City of Carlsbad Bulldlng Department RCP/PHB/mr BENTON ENGINEERING, INC. Owner's Name: LEUCADIA COUNTY WATER DISTRICT APPLICATION FOR SEWER SERVICE Robert Hobson Mailing Address:P.O. Box 3 ----------------------- 8ervice Address: Cardiff, Ca. 92007 JUN 3 1915 -------------c1,Y Of CARLSBAD Building oepartment Tr~ct Description: lot 503 La Cos ta South #7 Type of Building: -~s...,.i,..,_ng"-le.:e"-'f'-'a""m'-'i-'l.,_y ___ No. Units __ _ Connection Charge 300 00 Lateral Size: 4" 6" 8" Extra footage: ____ @ $ __ _ Extra depth: ____ @ $ __ _ Saddle: Easement Connection Surcharge --- Lateral Charge T tal 100.00 400.00 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 applicanb. 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 ,he property, single family, multiple dwelling or commercial •. 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 above information given is correct and agrees to the conditions as stated: 110 I, '1 pi?::'-:'..,;;__g-~ Ge &k,t C J/4/,:,c:i,,...,_ k,1s<> 197; Owner's Signature Date 4064 Account No.