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Home My WebLink About2880 Highland Dr; ; 80-36; Permit,.. ,. LICENSED CONTRACTOR'S DECLARATION I 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 O 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 ~~•~~ nt ~re than five hundred dollars . as owner o\ thYproperty, 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 builds 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). qn ~ - 1:ll, as ow~e~ ~f fhe property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and 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. _____ B. & P.C. for 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 ____________ _ □Copy is filed with the city. □Certified 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 ($1CXl) or less). I certify that in the performance of the work for which this permit is Issued, I shall not employ &(!Y_ person In any manner so as to become subject to the Workers' Compensation Laws of California. lil'>TICE TO APPLICANT: If, after making this Cer- • tilicate of Exemption, you should become subject to the Workers' Compensation provisions of the abor 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-__ fo.r_the performance of the work for ,Ali l~D,.. 'V)q7 r.lvll f"'.ntfp\ CITY OF CARLSBAD-BUILDING DEPARTM E N T USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 CENSUS TRACT GP LANO USE ZONING I RES. UNITS 87S OCC. GP I ST AN OARD PLAN II QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND/DR VENT EACH GAS SYSTEM 1 TD 4 OUTLETS BOrt~ft/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 DR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER TOTAL MECHANICAL CONTRACTOR_., CONTRACT~ QTY. ELECTRICAL PERMIT QTY. NEW CONST EA AMP/SWT/BKR AWNING 1 PH .25 3 PH PORCH EXIST BLOG EA AMP/SWT/BKR SET-UP 1 PH .25 3 PH REMODEL/ALTER PER CIRCUIT TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) issue CONTRACTOR APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS. LICENSE STATE LICENSE CONTRACTOR'S PHONE ST ATE LICENSE -DESIGNER'S PHONE PERMIT NUMBER ~;'3t NUMBER OF STORIES I Not Valid Unless Machin, Cartifild OCC, LOAD AMT. Fb1,i~ I -v-j'½ valuation: ·~) klto BUILDING PERMIT ~ ~ 11 PLAN CHE~rz .... -lt '?'l,2 I ' . ' 15A-I Al I ll.lf"I IIC::I IT I I I AMT. ELECTRICAL MECHANICAL MOBILE HOME SOLAR MICO -FI LM TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. !,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND ·AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER school fees: 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF S. EXPE~:, WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE <.,RANTING OF THIS PERMIT. STRUCTURES OVER 3STORIES IN HEIGHT AGENT D CONTRACTOR□ BY PHONED • ~ ~ ~ > ~ j:::: !rl 0.. .,, ~ ' --SITE O'O ~ -"7,0 ADDRESS: 0WNER: PERMIT NO: -- FIELD INSPECTION RECORD --- INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• 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 !NSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE".,. EXTERIOR LATH OK. PLACE'sTuCto - FIREPLACE DAMPE~ 8: 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 [ F!NAL !NSP SY BLDG DEPT ! OTHER DEPT'S REQ COMPLETED I ELEC ~ETER-PERM-TEMP IG~SMETER-PERM-TEMP I ' - CERT OF OCCUPAi-JCY ISSULD , , --' ' ' • LICENSED CONTRACTOR'S DECLARATION I 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 lull force and ef- fect. OWNER-BUILDER DECLARATION ::.1 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 permi1 subjects the applicant to a civil penalty of not more than five hundred dollars ($500). r_ I, as owner of the property, or my employees wi1h 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 builds 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). :::.1, as owner of the property, am exclusively con• tracting with licensed contractors to construct the project {Sec. 7044, Business ?.nd 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. _____ B. & P.C. for 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) P0LICY NO. ____________ _ COMPANY [;Copy is filed with the city. □Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per· mil is for one hundred dollars ($100) or less). I certify that in the performance of the work for which this 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: If, after making this Cer• • fificat,.e of Exemption, you should become subject to the Workers' 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- ding agency for the performance of the work for which this permit is issued (Sec. 3097, Civil Code). ·1 vr ~,... ..... ._~...,,......, ..,...,,._..,,.,....., ..,.__,----,....,. • ,.,.__,, • APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200,.f._LM AVENUE (714) 438-5525 . 2"&'%tl LJ___,, . ,I J:l -JOB yioRESS tRr' lotJ.OF /t~JN I ,, . .., r I .A'J I r I I I I I I I I I I I I I I I I OWNER A /J '';,,:bf.._ ?Ju~ A~ --j OWNER'S PHONE P~T/?/ -J A ~ OWNE;> g')?:;!E!,ESS 't 'JJ,,. I / CONTRACTOR'S ADDRESS LO. BLOCK ~DIV '"r o ./, ·, I ASSESS~2 PARCEL NO. /,/r". DESIGNER 1 / ,-5T "'). b ,O , , , OESCRAION ~F ~C,RK IV~~ • .,, -~~.fi,-4-. ..... l..i'l'F"SIGNER'S ADDRESS ~C/.1~ Cr t /' 1Y, -r ~ CENSUS TRACT Gf' LANO USE 0 sf APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES . BUS. LICENSE PERMIT NUMBER STATE LICENSE [o--sJo CONTRACTOR'S PHONE STATE LICENSE DESIGNER'S PHONE ,o"'"f? -/ I ") ~~ 5-,..) I";""' S,ACE l NUMBER O~RIES Not Va.id Unless Machine C.rtifitld BLDG~i't· -~ BLOG USE occ, GP I STANDARD PLAN# "~'-{r_ I "'V'"t,1 I occ. LOAD I I ~ -- VAMT. QTY. PLUMBING PERMIT / AMT. QTY. MECHANICAL PERMIT / / EACH FIXTURE TRAP / INSTALL FURN. DUCTS UP TO 100,lllJ8"BTU EACH BUILDING SEWER ./ OVER J81f,ooo BTU EACH WATER HEATER ANO_tQ-R VENT BOILER/COMPRESSOR Ue,nJ 3 HP EACH GAS SYSTEM 1 !-'Y1l-OUTLETS BOlLER/COMPRESSll,lfJ-15 HP EACH GAS SYST~ OR MORE BOILER/COMP..i£SSOR 16-30 HP oO ~;j'/2., EACH lNSTAv.(ALTER, REPAIR WATER PIPE VENT F¢1NGLE DUCT EACH 1.AWN SPRINKLER SYSTEM MEy(tXHAUST HOOD/DUCTS V7'.T,TTM'ION: I"';>/ \IU<TER SOFTNER Ff'ELOCATION OF EA FURNACE/HEATER C BUILDING PERMIT ~ I ' ~ .Lssue 3.00 Is:sn,o < -r, n T I I '. 1 TOTAL PLUMBING TOTAL MECHANICAL !""PLAN CHECK ./ I I'~ CONTRACTOR , CONTRACTOR All INCLUSIVE PERMIT I • . / MOBILE HOME PER~ AMT. TOTAL PLUMBING I I I QTY. ELECTRICAL PERMIT AMT. QTY. ELECTRICAL I I I NEW CONST EAAMP/SWT/BKR / AWNING ./ MECHANICAL I I I !PH .25 ./ 3PH PORCH / MOBILE HOME I I I EXIST BLOG EA AMP/SWT/ji(R SET-UP / SOLAR I I I I 1 PH .25 / 3 PH RAMAD~ABANA I I I I REMODEL/ALTER/f'ER CIRCUIT FErii.e'E OVER 6' I I I I TEMP POLE 28b AMPS 'TOTAL MOBILE HOME MICO-FILM I I I I OVER 200 l<MPS I I I j TEMP OCCUPANCY (30 DAYSI 1t( Cm..,_,..,., .. .,.. -.~r,.m T ,.._-.,T • I I 1/."l,LJ I75ue 2.00 . ' I I I I 'TOTA l ELECT RI CAL TOTAL FEES PAYABLE I . /JJY.fJ CONTRACTOR I I I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION ANO PERMIT, AND DO "AN DSHA PERMIT IS REQUIRED FOR EXCAVATIDNS OVER SCHOOL FEES: HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY. STRUCTURES OVER 3STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER C' 1,A-1,,-A I()£?., JU -· A / • SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND ~/r "IAJ-;i · •~Lr /~ , EXPE~SES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT APPLlCANT;sfSl~TUAE" ' OWNER □ CONTRACTOR□ ~ BY 4 /i#AJs,,r.- .. ----fU' <.J AGENT D BY PHONED --.. - • = >-< Cl ~ ~ e:: w a. Vl ~ ...... REQUEST' FOR INSPECTION . I ,; ...,..-n TIME c._· _____,~,,,..~~~~-- 1 / -S (D INSPECTO"---~---;./,..i-----,f-t-----PERMIT NO. $?a-'3),£ DATE: D FOUNDATION D REINFORCING STEEL D MASONRY D GROUT -GUNITE D FLOOR AND CEILING FRAME D SHEATHING D FRAME D EXTERIOR LATH D INSULATION PLUMBING D UNDERGROUND PLUMBING D UNDERGROUND WATER D ROUGH PLUMBING D TOP OUT PLUMBING D SEWER AND PL/CO D TUB OR SHOWER PAN D GAS TEST D EADY FOR INSPECTION: D MONDAY ~ ELECTRICAL D TEMPORARY SERVICE D ELECTRIC UNDERGROUND D ROUGH ELECTRIC D POOL BONDING D ELECTRIC SERVICE D CEILING HEAT MISCELLANEOUS D PLENUM AND DUCTS D COMBUSTION AIR D PATIO D SIGN D GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS D REl'-E-AI---RlPING FINAL □WEDNESDAY SPECIAL 1~.,___~ ...... M+. -1-+-'-,----1'.)14,. M-0~-~'-'"'"'-'*~· _Q,_,_ _______ _ REQUESTED BY _ __..!M4~~....:...~o~'..::~a.~-r:,:r:• ..gt)~L_:'.__ ___ IPHONE NO. __ q-l--_s___,.s2,.,.9£...LJ.=-- PERSON TAKING REPORT--~w<JF..---- ~ , SITE ADDRESS: OWl'iER: P_~RM_IT NO: > FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR I INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• 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 WAl..LBOA~D~ WALLBOARD OK• PLACE TA~E '-.y . EXTERIOR LATH OK• PLACE STUCCO ; FIREPLACE □AMPEa .a·s_TEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER . GAS TEST SWJM POOL • STEEL BONDING • PRE DECK • FENCE PREP LASTER SHOWN • FRAME • PAN . FINAL lNSP BY BLDG DEPT OTHER DEl'fT'\_REQ COMPLETED EL.EC MET"ER-P.E:RM-TEMP i GAS MET!::R-PERM-TEMP i ! i ~ CERT OF OCCUPANCY ISSUED ,-, f' ~ .i l . ' ..... OF -.· ,:! This Certificate issued pursuant to the requirements of Section 306 '< of the Uniform Building Code certifies that at the time of issuance ' -~ this structure complies with applicable ordinances of the City ;j regulating building construction use. . Single Family Dwelling 80-36 ~:o:: Use Classification ____________________ Bldg. Permit No. ________ _ Group ______ Type Construc::tion ____ V_:_:_:N'--Fire Zone 3 Use Zone ______ _ Occupant Lood _-, _________________________________ _ Owne, of Bu;11;n7, . }lyr.on Bremer 2885 Highland Drive ,_,, Budd;ng Add,.,.' C:2880 Hi_ghland Drive RECEIVED p BUILDING DEPARTMENT DATE: JAN 171981"1 BU~DING ADDREss: :<ll'o /~-c1rv0ECARLSBAD , Buf ldln1 Department 11.B, Aeet/W'( i'@=~SEll!S'" Psf"-IT M Ql&/l(l8.ING '.!IS'I'. PLANNING DEPA~MENT ZONE Pl . LOT SIZE ________ LOT WIDTH. ________ _ UNITS ALLOWED __ ~ ________ UNITS PROVIDED ___________ _ PARKING SPACES REQUIRED _________ PROVIDED _____ ,L/ ____ _ % COVERAGE ALLOWED ~-------~---PROVIDED ____ V ______ _ BUILDING HEIGHT ALLOWED PROVIDED ____ _,_ ____ _ FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED-----'--- PROVIDED ___ __, __ _ INTRUSIONS ____ _ • LANDSCAPE & IRRIGATION PLAN COMMENTS: :......._.,~ ""'-----~~---------"'""',--,...,...---~------------ ' ENVIRONMENTA~ PROTECT ION REQ: -"-W4:,_;JL~L-'--....r,:~ac.·_:_-__________ _ ,1 •; ·1 .T, :··:=::rs.. · ~_4'r,.:sT!1Ic·:.: ~ AI'Ol..'N'.I':, . .r-ADDITIONAL COMMENTS: : oK To IssuE: i/JL DATE{%!@ oK To FINAL 4,t/4= _ ~ DATE (1~3-~o ENGINEERING DEPARTMENT SrtJ.. /f JO pJ. 701 JrJrJ • \ /'EV< ,-r iiE& j). R. 0. W. ro..._ l>f1.JC INDUSTRIAL WASTE 1v/4 IMPROVEMENTS Nto:Ntz: SEWER CONNECTION ._s~ .3 DRIVEWAY LOCATIONS · ~C..; 4$2Mc!f-"T'.O ?if: M !ltr ,/ ' ~~c GRADING PERMIT o/ EASEMENTS #o-,1£ DRAINAGE O JL LEGAL DESCRIPTION _________ __,\----------------- FIRE DEPARTMENT SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. ______ _ FIRE ALARMS EXIT~--------------- FIRE HYDRANTS LOCATION ________________ _ ADDITIONAL COMMENTS ~~DATE JAN 28 1980 OK TO FINAL _____ DATE ___ _ ATER DEPARTMENT 'lQUIREMENTS ~J/'APPROPRIATE DISTRICTS MET ________ DATE. __ -===,..--- ' ;' ./ \/ /// \ ~ - ~ .. . . . . . 'I'. < APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM • . . CITY OF CARLSBAD SE 6 ENGINEERING DEPARTMENT BUILDING DEPT. , 729-1181 EXT. 35 FOR APPLICANT TO Fl LL IN ISSUED BY DATE ISSUED • , I , , BUILDING ~Z '/0 /.l16J.1LA111> ' . ADDRESS VALIDATION V OWNER --· . MAILING ADDRESS . LATERAL CHARGE COMPUTATION CONTRACTOR STANDARD 4" (Max. H. 30', V. 10') - OVER 30' H. @ FT. CONTRACTOR'S OVER 10' V. @ FT. I ADDRESS STANDARD 6" (Max. H. 30', V. 10') i • OVER 30' H. @ FT. NEW BUILDING V I EXISTING BUILDING I OVER 10' V. @ FT. LEGAL DESCRIPTION . TOTAL CONSTRUCTION COST r I ' , M ' SERVICE CHARGE (REPAVING ETC.) ~ TOTAL LATERAL CHARGE ~'-\0 -· REMARKS: LINE COST DATA "NEW BUILDING: Expires with Building P~rmit or, if non:J, in 1?. . ' . .:s ASSESSMENT DIST. NO. EXISTING BUILDING: Expires ! .::J FRONTAGE COST PER FT. TOTAL day? from d::te of issuance'' OTHER LATERAL LOCATION CONNECTION FEE f-'. I I f-'. /__ (/) (/) NO. UNITS COST PER UNIT JOtJO TOTAL ' /" r---/'~ PUMP STATION FEES '-1,1 '-,./ NO. UNITS COST PER UNIT TOTAL I I ST. ()() /~qo -TOTAL CHARGES (LATERAL ETC.) LATERAL NO. INSTALLATION DATE --~---·~ .. --------... -~---------r-· -)/,I --------- I r t. . -, ~-" / ~•.=~ _______ Lj_~~,~iiiii~ __:S"-3 ~,-'1 ✓ Si APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM•· CITY OF CARLSBAD ENGINEERING DEPARTMENT · 729-1181 EXT. 35 FOR APPLICANT TO FILL IN BUILDING ADDRESS OWNER .. .-·, .. -.. -;,·•' .. ,_ -... .- MAILING ADDRESS • ;, I ~-.:} ,""' CONT RACTOR CONTRACTOR'S ADDRESS NEW BUILDING LEGAL DESCRIPTION REMAR KS: I EXISTING BUILDING I "NEVI/ 8 Ul LDlNG: Expires v./i'~h Building Permit .. if none, in 120 d :J/,3 EXI STING BUil_[:i::-: :'.: :-:--~p;res 120 d -f r ~,-:,-:..-.. r · ...... ,~.~r-'.l1' ay::. rom u u,.-! C , 1-::., .. , .. :: ,.,~ LATERAL LOCATION .,_: CJ') I I \...,) \.../ ST. LATERAL NO, _______ INSTALLA TION DATE:..• -------1 N ? SE 1636 SANITATION DEPT. ISSUED BY ___ -,:./4_.i:...:.i,/~'-~'-\-L\.'.l.;;;.!~_O/o...;..,~~4..0 '• ~---- / ') a9 V :, DATE ISSUED----,,,-+.''~'w''---''·-·..,...,.,.--,.;.,•,----'-/4>~7.,,._~~•---,-~ ,:?'-,.._·~ , ,1111 1_Q$!n '?!>>. LATERAL CHARGE CbN1?1JTATION I ~· . > t -1-:,r: '-_:, ~ STAN DARD 4'' (Max. H. 30', V . 10'1--~---·-----,-- 0 VER 30' H. ___ @..__ ___ FT. ___ ,_·,•------'•''--'-/ @ ~ i ~ OVER 10' V. FT. ______ __.,..,.7..._,..._l...;..\ ST A N DARD 6" (Max. H. 30', V . 10') _____ ' ____ !_1_' _· ..... - ' . • l! I OVER 3CY H. ___ @. ___ FT.------.:-: ~:r-·'::..c):...· _ O V ER 10' V . @ FT _____ ,__ __ .., __ _ T OTAL CONSTRU CTION COST---•-+..,__::.,;,.'';....'·_·.-__ · -- SERVICE CHARGE (REPAVIN G ETC.) ___ •_,-:-'<.._·_-_~_-,._·_:--_,· __ _ T OTALLAT ERAL CH A R Ge ___ r_~-'-7~.~•·_ .. ,_.·_-·_. __ -_ LINE COST DATA ASSESSMENT DIST. NO.-------------- FRONTAGE ____ COST PER FT, ___ TOTAL , ::.:-· OTHER __________________ _ CONNECTION FEE .... ~ /,. ··tr ... J NO, LJNITS __ ., __ COST PER UNl•T //",-:;,..T OTAL /( I' • w• PUMP STATION FEES NO. UNITS ___ COST PER UNIT ____ TOTAL--- TOTAL CHARGES ( LATERAL ETC.) __ ...:.1- 11 ~-~~··_7_;_.::.._-::.. __ _ / ,• -" -----------------'-~--_.. _ _.,.. _______ , __ _ BN FORM 116 !IA FORM 146 INSULATION CERTIFICATION This is to certify that, in conformance wifh the current energy regulations (California Adminis- trative Code, flfle 25, State of California*) and approved plans, insulation has been installed in the buHding located at: Carlsbad San Diego "" -2880 Highland Ave, $lrllatlfe.(lt.._..... -... -T_.._ DESCRIPTION OF INSTALLATION 100'5 TYll8 of Matlrfll11 _________ Manufaclu11r ________ Tllicllllm.__ __ R Value .. __ <Orr,.."-- ~~~~~iLI __ F_i_b_e_r..;g:;;;.l_a_s_s_ ManufxlurerJohnsManvilleTllicuns J½"R vaiue••....ll.. {Ory,.-,.._. CIIUNGS 'f,:~f Matlria1LI __ F_i_b_e_r_g;;;...l_a_s_s __ ManufxtumJohnsManville Tllicum 6½"R Value .. 19 Sq.Ft.~ ,a.r-- lL0WN, TYll8 of MatlnaiiL---------Manufaclurer· _______ Tlricllnro:ISS.._ __ No. Sa,.,p.__ (Qr T,_ ,.._. Wl/llllalCC---Sq. Ft. C-fd._, ___ R Value.,. - PLQOa TY119 of Mataria<L.--------Manufactuter ________ Thiclln., ... s ___ R Value ... __ <Orr .... ,._. SU.SON GUDI Tn,e of Matari,a:•IL---------Manufactullf', ________ Tlliclln,ens..._ ___ R Value .. __ (Gr T_.. ,._. Wldtll of Insulation lndles FOUNDATION WAW (lf ....,.ul,..) Type of Materir1L--------· Manufaclurar ________ Tllicllnm._ __ R Value••-- {Or T,... ,.._. IIMAJIKS (If deu,..)1------------------------- i:.n.r.li ConlractDr (Buildlr)rJ.,------------u-Nurnllet:·--------- ay, ______________ TIii,._ _________ _ QmL.._;,, ____ _ Sub-Cantl3ctar (lnsulatfan A!llllicamr) San Marcos Insulation, I!'.1$:anse Numatir _ ___,_J-"-8..a.0.;;;,;81::.:2=- 11~~~.1~· ....... ··---~ ay,_;;,;;J......L.1>--4A,,...._f/~-u.:;::::::...1-.~44.~~~-~-¥---ntl President 5-22-80 Du,._ _____ _ r•c.11,.._ ..... .........,. e.... e-w r__...._ ,.......,., '-- '"C. -·--u... ----., -;...-.--,,, 1--,t-•• --_.,.,.... ,._, NNo 1...-.----11.-,,... ... I• www¥ '""Ill ... -I 4 el ,._,. ,.._.._. ._, lie ---_. __,. ..,, ,_ ;.......,_ ........... .., ... ""'9 ........ TM• 1--•-_..._ ca'III ...a lilie .--.., C I_._ -.itM• ,.. .-.11 .... ") {.,.I V9'N 11 IN -411 1M ,....,_ 11' c ...,... ., ..... .. ~ i. ,_ ....... 11' ,._._ .,._ ,_.,_. _._ (II 11' _..,_ iMIN..._ .... , _, iad .. -,. ~ ,er ~ ,.....) DClll'f "-S... 191175 ff N "-6ftll __. S.. C... 11' 1M s,-. "c:-,,...._ ..,.. ........ -__...., fl/I ti1111il• _.. ...... ,..,. C _.,, ~ I ....... ti.Mil, ..... , ......... 11--. i.-tW ............... ..... II .... it__,...._ INfl .. i■--..... a Mil41"'1 i, OQIWWWil ....... Ifie ~ ff 1-, safl.-n. ,_. "'''"-......, ;,. ....... .......................... i.!N1~ ... Form 116 -BUILDING NEWS. INC.. 3055 °"'1and Ave. Los Aftleles, C.lif, 90034--<2131870-9871 Form 1486-'ll BUILDING INDUSTRY ASSOCIATION OF c.11.IFORNIA, INC., 1571 Sr,erty 81"1, Los Anples, C.lif. 9002S....21:ll 625-Sm