HomeMy WebLinkAbout2431 SACADA CIR | 2433 SACADA CIR; ; 80-215; PermitLICENSED 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
0 1 hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 7031.5,Buslness 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-\
slons 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).
O I, 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 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).
CJI, as owner of the property, am exclusively con·
tracting with licensed contractors to construct
the project (Sec. 7044, Business Md Professions
Code: The Contractor's License Law does not ap-
ply to an owner of property 1•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, o, a certlfl le of Workers'
~
ensatlon Insurance, or
of (Sec. 3800, Labor Code).
COM~~~~-----ft-J-.l--\f--\.lit.t.L-
□Copy is filed with the city.
□Certified copy ls hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the per-
mit is for one hundred dollars ($1CJ0) 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 APfpCANT: If, after making this Cer•
tlflcate of Elcernptlon, you should become subject
to the Workers' Compensation provisions of the
Lalx>r C6de, yo., must forthwith comply with such
• provisions or this permit shall be deemed revoked. -. ,-----
CONSTRUCT IO N LENDING AGENCY
..LMretiy affirm that there ls a construction len-
--·-....-tormao.i;e of the work for ------··~
.\ CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
I I N0?4~~ ~ap;d~ ~irc,1~ (f~~\i~gs1\i°lfSr '1 9ny pn, 1i¥ht)tR~T-1DAT3;'1 A0/80TION
OWNER OWNER'S PHONE PRIME CONTRACTOR
JNJ iEnterprises Kleeb Construction
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS
12903 Long Boat Way, Del Mar. CA. 92014 1647 Haydn Drive Car .
±o3 I '8.i?ocK IL°cDsVIS#°1 I 2 ,ASlES~OR'~ i~RC~L ()°
1
~o 1 1
DESIGNER
DESCRIPTION OF WORK
( 1 11n it) ~~.///~~ --DESIGNER'S ADDRESS
CENSUS TRACT GP LAND USE ZONING
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
I PERMIT NUMBER
349692
I" 80 -21 SA
CONTRACTOR1S
PHONE
436-]4]2
STATE L ICENSE 01QfJ
DESIGNER'S PHONE
i7 I
r-2 l RES. 7T: I p4?4AC~F l NUMBER ;F STORIES
Not V•lid Unless Machin• c.rtifi«J
BLDG SQ, FT. eLllG USE ~, residential
QTY.I PLUMBING PERMIT
II I EACH FIXTURE TRAP
J EACH BUILDING SEWER .
I EACH WATER HEATER AND/OR VENT .
I EACH GAS SYSTEM 1 TD 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL., ALTER, REPAIR WATER PIPE
EACH LAWN SPRINKLER SYSTEM
WATER SOFTNER
JStihiiii TOAL PLUMBING
CONTRACTOR
QTY. ELECTRICAL PERMIT
NEW CONST EA AMP/SWT/BKR
1 PH .25 3 PH
EXIST BLOG EA AMP/SWT/BKR
1 PH .25 3 PH
REMODEL/ALTER PER CIRCUIT
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS} ,:,«,v~ .... ~
0CC, GP TYPE CONST STANDARD PLAN II l PLAN ID II
80~215 wood frame
l occ. LOAD l
A:allQr;.
~
MECHANICAL PER MIT
INSTALL FURN. DUCTS UP TD 100,000 BTU
OVER 100,000 BTU
~· II-
"·~
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
BOILER/COMPRESSOR 16-30 HP
~ VENT FAN Sl~!GLE DUCT
I MECH EXHAUST -HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER
, ~ .ID ..... ,,~~
TOTAL MECHANICAf ,4t/,.1D CONTRACTOR
r
AMT.
~fl)
~.n
QTY. MOBILE HOME PERMIT
AWNING
PORCH
SET-UP
RAMADA, CABANA
FENCE OVER 6'
TOTAL MOBILE HOME
AMT.
i/;.Ol) ~ ~i;,1.\i,
~ 88 .:J79-ttJ ,
BUILDING PER T
SIGN PERMIT
PLAN CHECK ;;;,7,.rD J-t'',-,J
ALL INCLUSIVE PERMIT
AMT. TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILE HOME
SOLAR I . I
I I
I . I
MICO-FILM
.. ~~ J,a
·~,
I I
TOTAL ELECTRICAL
CONTRACTOR ,1,n TOTAL FEES PAYABLE .~AL.:t~ . I I
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO 00
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I
FURTHER CERTIFY ANO AGREE IF A RERMIT IS ISSUED; TO COMPLY WITH ALL CITY,
COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHEJ HER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO K~EP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT.
~.~ .::::--
-et,..JCi /V lT;A:5 -l '2.0c:7
:;,,A-µ oi~u,ro -,s1q
f--{;f-Ir d. ~ I /.
!CANT'S SIGNATURE' OWNER□
AGENT D
·/ • I w I
• w < Cl ~ >
5 i== ~ Q. V')
?,;
SITE •' ' ., xo ->IS--k' ADDRESS: . ' .OWNER: ' PERMIT NO: -
., FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR 1
FOUNDATION • FORMS• SET BACK • TOILET
UNDER F.LOOR PLUMBING , I ' --
UNDER FLOOR HEATING
-•· .. , -· OK TO INSTALL SUB FLOOR
SLAB FLOOR ;-1 , T-." I
UNDER SLAB PLUMBING '"t-7. ~--•
FOOTING• FORMS• SETBACK • TOILET . . , ..... OK TO POUR CONCRETE •
FRAME
ROUGH ELECTRICAL ; . ~· ,·t: .. .. ·,
ROUGH PLUMBING ' --~ "'·,,,
ROUGH HEATING/VENTILATING -,. -.~ .. ' FRAME OK• PLACE INSULATION , ..... 4 -
INSULATION OK• PLACE WALLBOARD .
WALLBOARD OK• PLACE TAPE' ,. :, ·. •a ~··. \ ~ ....
EXTERIOR LATH OK• PLACE STUCCO • ,, ·, . -). -.
.; ~ --~,\~-;.:\ "T\ •~.I "•"J \.~. ? i FIREPLACE
DAMPER 8: STEEL •. A" --.\ ··~ PLATE Tl Es/HEIGHT OF CHIMNEY ' ~ •o ' .
' . .
OTHER --
TEMP POWE!j! (POLE)
. \ ~ ..... -.. I SEWER " \ ,, GAS TEST
SWIM POOL • STEEL BONDING '
• PRE DECK
.,
• FENCE PREPLASTER
SHOWN • FRAME -' -•· • PAN 'I.\. .... \ ~ -.. "\~ 1
\'". 1~
1/~-/-,f-/ V -...: •-.l {' ,, ,•" \ FINAL INSP BY BLDG DEPT . ..
OT Hl;R. DEPT'S REQ COMPLETED ~ ... -. .
ELEC MEtER-PERM-TEMP
GAS METER-PERM-TEMP
'9
'
CERT OF OCCUPANCY ISSUED '!
...
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provl•
slons 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
D 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 ts licensed pursuant to the provi-
sions of the Contractor's License Law (Chapter 9
commencing wilh 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).
□ I, 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 sate (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).
':JI, as owner of the property, am e:iccluslvely 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 t•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 reaso .. ____________ _
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 certflied,. copy
thereof (Sec. 3800, Labor Code).
POLICY NO. ¥'.' N I COMPANY _ \»,./
D 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 ($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 an~ manner so as to become subject to
the Workers· Compensation Laws of California.
NOTICE TQ APPLICANT: If, after making this Cer-
tificate of Exeli,~tion, you should become subject
to the Workers' Compensation provisions of the
Labor Code, yo.u must forthwith comply with such
provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction fen•
ginlf ngency for the performance of the work for
which this permit Is issued (Sec. 3097, Civil Code).
'
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY
APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
INOP1f•1'-~ ~/#/J,;f-JOB ADl)l!ESS tRr-IDt-E 10 :sLoCATION
I I I I I I l~/~IC:-{') I I I I I I I I I
OWNER OWNER'S PHONE PRIME CONTRACTOR
JNJ ENTERPRISES Kleeb Construction
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
BUS. LICENSE PERMIT NUMBER
)..JO i-f ·MP'
ST ATE LICENSE
349692 80-215 e,
CONTRACTOR'S
12903 Lon!Z Boat Wav. Del Mar . CA. 1647 Haydn Drive, Car ,PH'lr36~141i 9/ bJ6 'J3r ___
15'"6 BLOCK 1r.~~WSJ.ON I z tt\~sfg'q ~1tr N~. ,
DESIGNER ST ATE LICENSE
I I I .
DESCRIPTION OF WORK 1 unit condo DESIGNER'S ADDRESS DESIGNER'S PHONE
CENSUS TRACT GP LAND USE ZONING I RES. UNT l p:;;cdPA:sr-
I NUMBER OF STORI ES ~-L Not Valid Unffss '!'achin, CNtifitJd
BLDG SO. FT. BLDG USE ;.;J;:, ,I STANDARD PLAN It I PLAfb : ~ I TY,;o~
I occ. LOAD I ~DD/ 5FD . -~
QTY. PLUMBING PERMIT AMT . QTY. MECHANICAL PERMIT AMT.
II EACH FIXTURE TRAP ..!J.!! .. 8, I INSTALL FURN. DUCTS UP TO 100,000 BTU 4 . IJIJ ,. EACH BUILDING SEWER I"": t':JI. . OVER 100,000 BTU I
i EACH WATER HEATER ANO/OR VENT 4."7» BOILER/COMPRESSOR UP TO 3 HP ·, EACH GAS SYSTEM 1 TO 4 OUTLETS '1.. dD BOILER/COMPRESSOR 3-15 HP ,. EACH GAS SYSTEM 5 0 R MO RE -BOILER/COMPRESSOR 16-30 HP ~~ EACH INSTAL., ALTER, REPAIR WATER PIPE ~ VENT FAN Sl~!GLE DUCT 4.d/) f'!, I ,1~-db EACH LAWN SPRINKLER SYSTEM / MECH EXHAUST -HOOD/DUCTS 2-~
WATER SOFTNER -RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I '!1 1_{"1_(:' ~ c;. ,~,,,..-:i....-.2 ./Jn . ... ~ .. .,-~ ·"" SIGN PERMIT I I I I I , . ,., ' .,_ TOTAL PLUMBING $/,.ti/) TOTAE'MECHANICAL
///-A PLAN CHECK /,.,(p 1 °)d j'111 ,-">7t/ I I Ill /.ll.J .. ('" ' CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I . TOTAL PLUMBING I ~ . t:1:'D
QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL 12; ,_ )I~
NEW CONST EA AMP/SWT/BKR 4 -AWNING MECHANICAL I /1/J , ~
Ill 1 PH .25 3 PH -A I"'. II/ PORCH MOBILE HOME i' ,, . I
EXIST BLOG EA AMP/SWT/BKR ... SET-UP SOLAR I , I I I
1 PH .25 3 PH RAMADA, CABANA I I I I
REMODEL/ALTER PER CIRCUIT FENCE OVER 6' I I I I
TEMP POLE 200 AMPS ~r.d"l} TOTAL MOBILE HOME MICO ·FILM ! . I I I
OVER 200 AMPS I • I . I I ; I
TEMP OCCUPANCY (30 DAYS) ~· -Monn,1 I I t'-,.;fL•-.:1 .
J~'l'l-~.n . -, . --. I I I I
TOTAL ELECTRICAL ~.IO TOTAL FEES PAYABLE I .4~1..5i CONTRACTOR , I I t:it .r~ ,tffeo,;z;~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATI ~ HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5•.0--DEEP AND DEMOLITION DR CONSTRUCTIO ~ f'J \TA. S /WO• <}z,
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY,
f~3STV E~ ~ Ote-0UJTD--b¾·I 00/51( COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER J
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-I
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT. , ~LICANT'S SIGNATURE'/ OWNERQ CONTRACTO~ I Ay ffi iil?/4 AGENT D BY PHONED /fl jv., n
. ,
I~
• UJ I-< 0 ~ >
~ j:::
lrl a. V')
?;
SITE , i o--~1~ ~ ADDRESS: . OWNER: PERMIT NO;
_, . FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR IN SPECT OR'S NOTES
WOOD FLOOR . '. . . ..
FOUNDATION • FORMS • SET BACK • TOILET I -· -
UNDER FLOOR PLUMBING
UNDER FLOOR HEATING
OK TO INSTALL SUB FLOOR
SLAB FLOOR !. -: ,.,. .... 't. ...... ..... ~~ • ' (',r;
UNDER SLAB PLUMBING ""-~~ -~ :
FOOTING• FORMS • SETBACK • TOILET --"' ,;.,,! I ~ i ~ .. .:, ... : ... : -! .. ---4-. -. ..
OK TO POUR CONCRETE • ....::. ' --~: ' ·, . . -.
FRAME I
ROUGH ELECTRICAL ' I..\ \ ... --... ,. "
ROUGH PLUMBING , .... l ._ I
~i"Y --ROUGH HEATING/VENTILATING '_? ~ :.~ \
FRAME OK• PLACE INSULATION ·..... . . \~-
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK• PLACE TAPE . '
; . ,-~ ... ; ,,,, .
EXTERIOR LATH OK • PLACE STUCCO . ' -.. \
>
......... ... \ ' --· ' FIREPLACE '"-'-:i" 4cr .. ~ '· -_~,·-.. -' '.
DAMPER ~SJ'EEL r -' I •.
PLATE Tl Es/HEIGHT OF CHIMNEY '
:.
OTHER
TEMP POV(ER (POLE) ,. ,_ .
SEWER I .,~.,,c
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK .
• FENCE PREPLASTER .
SHOWN • FRAME • ' , -• PAN .. . II ,. " -• /LJ-1-,1 t.r' -..
FINAL INSP BY BLDG DEPT
OTHsR·0EPT~ REQ COMPLETED ... ,.
EL Ee' MErrFf.:..PERM-TEMP '
GAS METER-PERM-TEMP
. ~
•. .
CERT OF OCCUPANCY ISSUED
/)
REQUEST
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUN I TE
0 FLOOR ANO CEILING FRAME
0 SHEATHING
0 FRAME
D EXTERIOR LATH
0 INSULATION
0 NTERIOR LATH OR DRYWALL
FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER ANO PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
~ FINAL
;2_/5A T,~·-----
-,,)..., s DA TE, _1_,__----=-S...c..d __
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
0 POOL BONDING
D ELECTRIC SERVICE
0 CEILING HEAT
OG.F,I.
0 SMOKE DETECTOR
FINAL
MISCELLANEOUS
0 PLENUM ANO DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
0 DRIVEWAY
□ CONDITIONED AIR SYSTEMS
0 REFER PIPING
FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY \□WEDNESDAY o FRIDAY
DA.M. ~ \. . ~ .f-"v-,.__
OP.M. ~
SPECIAL INSTRUCTIONS---.,,--y=.,...... ----,------,----------------~ -/Ar~ 1 t, Y7
REQUESTED BY OL /~ PHONE NO. ;2? £ -.J:J,:;:Pr:; ~ PERSON TAKING REPORT _______ _
•• A ' •. ' ' •' ' A } A ,< A ,, , " ,, " I A ;, ·' ";,' A 1., ,, A A ,, l ,, .·, : A " I ., /2 A ,. ; ~ t\ ' :. \ \ ,: . ,' ::..(. /AJ.'\\/r..Vt-:VA \/AVA\/A\ t/2 J.'l.V/MAVA\ /1\\ll-.\llv.il\.\J~~iA\ iAVAV/\\ 'AVA \11'::. .,l .. li\\lAVI\\.,/-;,. /A\ 1.-,,:/,.V/:~JA \, ,·;J.-...Vi\,J1,\,J~J1 ,V , .• , .. ,\£,\ i·\,J, 1,.\.l\\_!; .:, ;..... ~ ffirrttftratr 11f ®rr1tpa1try ~u,... E ~
CITY OF CARLSBAD t ~ ~
I i
:i: 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
] regulating building construction use.
Bldg. Perm;1 Na. 8 0 -215 ~ u .. ClassH;ca,;on Duplex
Group . T ypeC .onstruc;tion Fire Zone Use Zone
Occupant Load ··
Owrn al Bu;ld;nf .~NJ Jlnterpr1se!!
<ii; Bu;ld;ng Address ,1t 4--3'lf24·33;·.Sacada
'.Address 12903 Long
Ci_rcl~cality Carl.:;bad;
Del Mar ~
~ , I " < :-t 1.. '
j,c By C)/ ~ L/ /7J lUC{)
_________________ Dntz 1 1J0/21 J
(Post in c:onspicuous ploce)
•"" ,,. ,,. ,,. M ,,. ,,. ,,. ~~~wwwwwwx.
~ · Y .I
--,, ~,~~-'..? --J --~ ,<'~ ~--
,.
I
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
RECEIVED DATE: --------
BUILDING ADDRESS: MAR 1 a l380
CflY OF CARLSBAD
Building Department
PLANNING
UNITS ALLOWED ___________ UNITS PROVIDED ___________ _ .-
PARKING SPACES REQUIRED PROVIDED
'-0~ COVERAGE ALLOWED r::< PROVIDED __________ _
'ii• --~f:L:___ ---J-/c______
BUILDING HEIGHT ALLOWED PROVIDED LZ
'
FRONT SETBACK:
ALLOWED
PROVIDED -------
INTRUSIONS -----
LAND~APE & IRRIGATION PLAN COMMENTS:
;;Yf~~!
REAR SETBACK:
ENVIRONMENTAL PROTECTLQ.N REQ:
.... ~ f\ c.i .. rs 1
ADDITIONAL COMMENTS: ---l!:....q,~t.J=-..L...J~t=....-~~~~..:::311~~--------ti---~ 81
.oK TO rssuEF DATE "J/~oK ro
"ENGINEERING DEPARTMENT /it; 5Sd.r(I
R.o.w. c:?/:f INDUSTRIAL WASTE OJ?__. IMPROVEMENTS OZ 'd
SEWER CONNECTI_QE._g..d ~ DRIVEWAY LOCATIONS / ~ --' :;• -zff
GRADING PERMIT~·o gg'21-1 z:EP/.EAsEMENTs N<>Nt=" DRAINAGE __ e-__ _
LEGAL DESCRIPTION ___________________________ _
ADDITIONAL COMMENTS __________ -+---A-iHthfli---------------
OK TO ISSUE:..).ilc_ DATE 19-J-~
FIRE DEPARTMENT
SPRiliKLING SYSTEM ___________ FIRE PROTECTION EQUIP. ______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS ___________________________ _
\. OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQ UIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _
•
1200 ELM AVENUE
<?ARLSBAD, CALIFORNIA 92008
Building Department C!]y OF o 1997
TELEPHONE:
(714) 729-1181
<ttitp of <ttadsbab r~·111;ne CA.RLs
Depart BAD rnent
. . -RESIDENIIAL INSULATION CERTIFICATE_
Permit No.80-215A .:....;;_.==---
Issue Date.9/18/80 ---'-------
CERTIFICATE OF ffi\1PU/~~CE WITH ENERGY CDNSERYATION INSULATION
. .
REQUIREMHITS CONTAINED IN ARTICLE 1, PART 6, TITLE 2Ll, CC\LIFORNL~
AIT"l. CDDE.
. . . . . . . . . . . . . . ... . . . . . . . .. . .
I, Steve Mallory · · ... ':.,THE 11_!:NS~U~~~-'-'-L-I~
CERTIFY lW\T 11-IE INSULATION INSTAillD
· _.....Q~90=4-'-"7 '-'-2 ...... J 6-'=--'-J 9=0c:c...-3.u,.Q ____ , Assessor's Parcel No.
Name of Insulation
Date June 2, 1981
::.
State License No._..,.,_3.,,._,52..._.2.....,9-3 ___ _
* * *~ * * * * * * * * * * * * * *
I I John J. Kleeb ---4-Tl·IE BUllDmG CONTRACT();{ HEREBY
CERTIFY MT THE INSULATION INSTAlli] AT ·rn1 S ADDRESS lS IN WNrOR'V\NCt
wrn-1 nlE APPROVED PL.A;~S Al'lll \llnl nlE R~QUIHl"Jl[NTS OF -rnl'.SE~~
. . S1gnatur~-;;L--.,c.-· _____ _
Titl e Owner __;_ _________ _
Name of Fi rm Kleeb Construction Company ___ _
Date_'u],,.,__7 .....,.8-1 _________ _
State License No. 349692 -~=---------
Post one copy on the building at completion of work and file on e
copy with the Building Department, prior to final inspection .
-78-104
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
Building Department
19 ~ c TELEPHONE: _ I [ (714) 729-1181
. . f"fly Op 7991
Qtitp of QCarl.sbab tL'i!rr C.4Rl
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RESIDENTIAL . INSULATION CERTIF ICATE_
· Permit No . ....::8=0.....:-2=1~5 ---'-~--
Issue Date ·ill,=8 /w.8-><-fl ___ _
CERTIFICA1E OF Ut'1PLI/~~CE WITH ENERGY ffiNSERVATiON INSULATION
REQUiREM8ffS CONTAINED IN ARTICLE 1, PART 6, TITLE 2L!, Cl\LIFOPJ·H,~
AIJ"'l. aJDE.
. . ····· ....... .
I, Steve Mallory, Prod·. Mgr.· ~, THE I NS ULA I ON APPLICATOR, HEREBY
. . .. . -···· ... . ....... .
CERTIFY THAT TrlE INSULATION INSTAllED AT.,,~~~'-l.o.1.-J~,.____._..:;LJ.....I...»~~......_
. 09047-216-190-30
Assessor's Parcel No. ::.
PND Hrm ~oos ~E~ULATIDNS.
S1gnatur~~
Name of In sulation Contractor ~ Insul~tion Co., Inc.
Date June 2, 1981 State License No . 352293 --------
* * *" * * * * * * * * * * * * * *
l, Tobu I Kleeb , 1l!E BUILDil'·JG CONTRACTOR 1-lERf.BY
CERTIFY THC\T Tl-IE H·lSULATION INSTALlf] AT ·n11 S ADDl~SS lS IN CDNFOWV\NCE
Hill-I THE APPROVED PLA\JS AND WITH THE REQUirffM[JffS OF ·mESE REGULATIONS,
Signature OL ~
Titl e_Z ·
Name of Fi rm Kleeb Construction Company ___ _
Date_ 5/27 /81
State Li cense No.349692 -=--...:.....:....;__ _____ _
Post one copy on the building at completion of work and file on e
copy with the Building Department , pr1or to final inspection.
-78-1 04
L
7-18-77 . .
LEUCADIA COUNTY WATER DISTRICT
APPLICATION FOR SEWER SERVICE
Owner's Name Edward Colbert Systems ------------------Mailing Address 436 9th St ----------------
Del Mar, Ca 92014
Service Address: 2433 Sacada Cir
Tract Description : lot 136 La Costa South #1
Assessor's Parcel No. 216-190-30 -~~~~---------
Phone No. 481-7083
SEWER PERMIT ISSUED UPON
RECEIPT OF BUILDING PERMIT.
BUILDING PERMIT MUST BE
APPLIED FOR BY 8 32{o....8)
Type of Building ~ • .&.4 f>Q~ No. Units 1 Connection Fee $ 600.00
Lateral Size : 411 611 811 Saddle Easement Connection pre-pd (200.00)
Extra Footage : __ @$ ___ _
Amount Rec'd $~0(").C:D
Ck . Mo/Cash ~\4x
Date q .::'i -~
Rec 'd By ~t,.u
Extra Depth : @ $ ------
Lateral Fee
Prorated Sewer
Service Fee
4.COCO
Total $(aC'O fl;
The application must be signeo 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 appli-
cant'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 COLLEC-
TION LINE WITHOUT PRIOR APPROVAL AND INSPECTION BY THE DISTRICT WILL BE CONSIDERED
INVALID AND WILL NOT BE ACKNOWLEDGED .
The prorated sewer service fee i s 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. ,.,_,
EDwAJUj ~/~Syst.Lu<.A:Z-~
~~--l"P C/~!/1? \02:Q.3
Account No.
"
'·
'
11 /13/78 SEWER PERMIT ISSUED UPON
RECEIPT OF BUILDING PERMIT.
L EU CAD I A COUNTY WATER D I ST R I CT BUILDING PERMIT MUST BE
APPLICATION FOR SEWER SERVICE APPLIED FOR BY C2 ~Q,lp-8Q.
Oi,,mer's Name Edward Colbert Systems
Mailing Address ~4_3_6~9~t=b~St-r~e-e-t _________ _
..Del Mar. CA 92014
Service Address: Sacada Circle -,.;z;.-:3:3
Tract Description: lot 136. South #1
Assessor's Parcel No . __ 2~16_-~J-9_0_-3-□~--------
Phone No. 481-7083
NOTE: See 7/18/77 Hemphi l l
and Rusch, only half of
duplex paid for.
Type of Building _.....;d..._.1....,ipL...LJ ..... e.a..x ____ No. Units._ \ Connection Fee
Lateral Size: 411 611 811 Saddle Easement Connection (pre-pd
$ 600 .00
200.00)
Extra Footage: __ @$ __ _ Extra Depth: ___ @$ __ _ 4(:>0.CO
Amount Rec'd $400,CO
Ck. Mo/Cash ~ Date --Rec'd By
Lateral Fee
Prorated Sewer
Service Fee
Tota 1 $t0 Qo CT)
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 appli-
cant'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 COLLEC-
TION LINE WITHOUT PRIOR APPROVAL AND INSPECTION BY THE DISTRICT WILL BE CONSIDERED
INVALID 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 conmences 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. ~
Cl> evA~IJ ~ I ~T ~sr~s -1,-A.J C,,
~~::6/f/ y', /', '11.f. L/77 lc'?o~?io.