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HomeMy WebLinkAbout2420 SACADA CIR; ; SD7263929; Permit.. ,VAUDAT ON ~ ,· • MAR·2~;;; r. er --17b .';t] . B~it.bhJJ PER~rr 7 0 1 ~ 0 0 B -PC 86.25 NEW APPLICATIOtJ,,._ __ t./ ___ 1 COUNTY OF SAN DIEGO / 0~ BUILDING INSPECTION DEPARTMENT ~t<.. "Jt}Ol C> 3 "U 0 Afvvt~~~ o(I m)>~~ PEl!MIT NO_____ .,,,,__,. z RENEWAL OF BLDG. LA MESA OFFICE VISTA OFFICE CENSUS TRACT •. ·-··-··-·············-··-·········· ~):: SUPPLEMENTAL TO BLOG. PERMIT NO .... -.......................... 8054 Allison Ave. 837 Wil liamston St. LA CO sr ,A... ;g l La Mesa, Calif. 9204 1 Vista, Cal if. 92083 DISTRICT ......... -......................... -............. z~ v/!:J~~tf/f y 460·8220 (Zenith 7-0888) 724-8571 (Zenith 7-0847) .... r OWNER NAMF !JoJ~1lfltJ ...... HMRI/ ·········· .. ··-············MAILING AOORESS ........................................................................ b'3 oc;?; ~~I :~:::;~:~)g.~:B.t.tt.< .. ~~ ... ~::.a,J;t?r .................... MAILING AOORE:~::~.~i::fl..:&./; ... 9..~~~.7;;;Jf4.~M$..: ........ E . PLEASE PRINT NUMBER STREET CITY PHONE Z TO CONSTRUCT •✓ TO ADO O TO ALTER O TO REPAIR O TO CONVERT O TO MOVE FROM .. ·-······ .. ······--··· ................................... . Q ~ k ~ TYPE OF CONST •..• ..&&..1£t<1NO OF FOUNOATION ................. ____ •... NO. OF STORIES .. 2. .. To BE USED FOL .. t2fl..11..-?.:.~_ ..... . ~ FRAME, MASONRY, ETC. (ONE FAMILY DWELLING, srofE':· .. ETC.) :!! ~ FLOOR 5'ACE o, PROPOSED co"'"""'':; ;~EETJ.----=~;:-:,-------CONST. VALUATION • "'> b 3 9 ·::rf ~--" · FLOOR SPACE OF GARAGE (SQ. FEET) .•.•• _./ .. .! •••••. --f-..... -.... DETACHEO O CONST. VALUATION $ .••.•••.. ✓-.................. _._ ................ ____ ......... . LEGAL DESCRIPTION .. -······--· /5" -::;;-......... -.......... -.................. _. ____ I-f)(; ~ 7/~ _ ~ ...... C//J 1 7., ... L .. -·-·-····· LOT BLOCK SUBDIVISION ~ or .......................... ~·o···· ............................. 'l,:-i)··-····· SECTIO,,._ ______ TOWNSHIP ... _ .. ____ RANG...._ _____ _ ~ LOCATED Arit ............ s'f"Ji~'::'Ho~:e~~BER·····?,1t'M :i[Q2. f'L/tt:£-STREET, NE.AR ___ L ____ e.._v_A_tv_l_C __ ~_r __ ::. .,, LAND AREA .. ___ .................. NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ............... _ ........................... (INDICATE SIZE, USE ~ AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR ADDITION? YES ...... NO ...... ti I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT ND AGREE TO COMRL'C.. WITH ~ ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Map Name: -,-Page-__o(;;;....;._LJ __ !z IF A CHECK IS TENDERED FOR PAYMENT OF THE ABOVE FEE ANO THE Coordinates:-,1-:..'_--,-__ 4-.L..:.c!!~r------8 CHECK IS NOT HONORED WHEN PRESENTED FOR PAYMENT, YOUR BUILD-SIGNATURE OF ' j!! ING PERMIT WILL BE IMMEDIATELY REVOKED. PERMITTEE ... -~~~~4t__J_'(L~~~~~1.--~ ~~-1-F_I_N_A_z_o_N_ro_A_R_EA_,-B-LDG_._1_N_S_P.-S-H_A_L_L_F_IL_L_A_N_D_A_P-PR_o_v_E_~-E-FO_L_L_o_w_1N_G_:_LA_N_o_o_1_v_1s-1o_N_P_LA_T_N_o_ .. -•• -P~.~~~./~/~~~-----1 [f VARIANCE/PERMIT NO------------- PERMIT EXPIRES .. ·-·· .. ·-------------, OISTRICT __ L~A __ C..2..s._ ___ ,_A ____ ......_70NE. ...... _ R--6, NO. OF STORIES-------................. -..... NO. OF BUILOING.,_ ______ ·-··-····AREA OF BLOG. SITE-----·----- MAIN BUILDINGS 2'.'.) DETACHED ACCESSORY BUILDINGS FRONT YARD DISTANCE: C/L STREET TO BUILOING ____ St. ________ FRONT YARD DISTANCE: C/L TO BUILDING SIDE STREET: C/L STREET TO BUILOING ... -.. -······-------··-·-.. -···--.. •••• ... -----------------------1 REAR YARD DISTANCE: C/L OF ALLEY TO BUILOING ... _ .. _··---c:c--=----REAR YARD DISTANCE: REAR LOT LINE TO BLDG------ REAR LOT llNE TO BUILOING---~5 SIOE YARD DISTANCE: LOT LINE TO BLDG-------- SIOE YARD DISTANCE: LOT LINE TO BUILDING -S FENCE IN REQ. FRONT YARD SETBACKS (MAX. HT.)'-------1 DISTANCE BETWEEN BUIL~~QUIREO)............ EISEWHERE MAX. (HT. ZONING APPROVED BY... • -DATe._3/.J 7/7...;2,,, .DRIVEWAY PERMIT REQUIRED YES ( ) NO ( ) ISSUED ( ) ~EtlC#- sEWER AVAILABLE YES( .....,....-;iece1PT NO I 5 ~.5 SEWAGE DISPOSAL SYSTEM APPROVAL REQUIRED: YES ( ) NO ( ) RESIDENTIAL: NO. BEDROOMS ........... _ ................... COMMERCIALS: YES ( ) NO ( ). TYP~-----OTHE.._ _________ .. , WATER FROM PRESSURE SYSTEM: YES ( ) NO ( ). "NP"----------·-···-· .. ··-·- ;7~.:--- BUILOING PERMIT FEE $ ......... -.. 'ij-;.~·';i, .. 5 ___________ APPLICATION APROV!D J,;; PLAN CHECK FEE $... _ ·-·· PLANS APPROVED B~ RESIDENTIAL DRIVEWAY PERMIT FEE $ • ..,..5=--_.£-_CJ __ -r __ ~ CLASS COOF ... d!..7.. ....... -:J-___ ,.;..__--r __ 3_~ _____ _ THIS PERMIT BECOMES VOID IF WORK NOT COMMENCED IN SIXTY (60) DAYS OR IF WORK HAS BEEN SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS. FORM: B01 1e.2e.111 ... .. "' .. l> ;;:. ... .. ;:: !!. z !> , . ' • r II ' n • n The following information is required by Sec. I 193(J), Calif. Code of Civil Procedure. The name and branch de- signation, if any, of the Construction lender is: The Address of Construction lender is: /5.$C OA//?-1£}'() JUft:7 There is no known Construction lender. □ (~heck box if this. is the ca~ ~ Signature of Perm,ttee s APPROVALS INSPECTOR DATE SETBACKS REINFORCING STEEL MASONRY PIERS FOUNDATION /-/[) I 'I 7 717 -/I DRIVEWAY FINAL BUILDING .. • ... ., .VALJDA..TION. PERMIT NUMBER ~·4 HAY--3 ;.! 0616 8 0 Map NL EP 2:t:>o, 0 3 5.00 Page No. ___ ....,....,"'""'4). ....... --r- Coordinates ---"---,5----"-t,?,- DISTRI(/ ,,-Co.r/~) ~PLlp LOCATED AT 1Y:z..o Sr;u, I IA IJJPr-,4 HOUSE NUMBER STREET V / TYPE OF PERMIT COMMERCIAL AGRICULTURAL ACCESSORY SIGN PUMP TEMPORARY SERVICE CONSTRUCTION TESTING CARNIVALS z 0 i== ~ g z < ::~:~ I J VOLTAG_E ____ _.\.._~--:==1=7==,=t:J=~~ REINSPECTION FEE TOTAL •••••••• $5,00 0 i== i2 UJ 1-...J < PERMIT FEES For issuing each permit IN ADDITION·· either one of the following (a) New permanent service, including fixtures and outlets. Fees are based on carrying capacity of each set of service entrance conductors • $ 3.50 O to 40 amperes ••••••••••••••• , •• , • , , , , • , , •• , , , ,$ 8.50 41 to 60 amperes ••• , • , , , , , , • • • , , , • • • , , , , , , • • • • • • 9.50 61 to 70 amperes , , ••• , , • , • , , , , • • , , , , , , , • • • , , , , • • 12.50 71 to 100 amperes •••••••••• , , , , , , , , • , , , , , , , , , , • , , 15.50 :~: :: ;~~ :::;:: : : : :i. :-:;:~: : S-~ C~,; ~km:lo 20 l to 300 amperes , , • • , , , , , , , , , , • , , , , • • • • • • , • • • • • 24.50 301 to 400 amperes • , , , , ••• • • • , , , , , • • • • • • • • • • • • • • • 27 .50 OVER 400 amperes , •••• , •• , , , , • • , , , , • • • • • , , , • • , , • 27 .50 Plus $6.00 per 100 amperes or fraction thereof over 400 amperes. (b) Temporary service, including fixtures: Construction ( Expires 120 days from issuance) , • , • , • , • ••. , • , $ 5,00 Testing (Expires 30 days from issuance). . • • • • • • • • • • • • • • • • 5.00 Carnivals (Expires 90 days from issuance), • • • , , , • , • • • , • • • • 5.00 T.O.P. ( Expires when building permit expires) •••••••••.•• ,. 5.00 (c) Miscellaneous: Additional wiring, outlets, fixtures or similar work with no change in service entrance conductors • . . • • . . 1.50 Neon sign ••••.••••••••••••.•••• , , ••••. , • , , , • 1.50 Sign, other than neon ••••••••• , •••••••••• , , , , , , , , • l.50 TOTAL FEE $ 3.50 SJ ~ C r i-------i m 0 :e z f'T1 ~ A 11 work done by virtue of th is perm it must be done in conformity with the application on file in this office and the laws of the County of San Diego, State of California, Any e lectrical installation as herein provided may be inspected at any time by a Building Inspector. Violators shall be fined, imprisoned, or both, If a check 1 ered for payment of the above fee and the check is not honored when presented for payment, this Permit will be immediately revoked. Checks will be accepted on ly on Banks in the State of California. APPLICAMT'S DRAWIMG OF DIRECTIOMS FOR LOCATIOM OF JOB SIGNATURE OF ~ PERMIT EE ..__.,) FORM E-0 I (3-70) PERMIT, OTHER THAN TEMPORARY SERVICE, EXPIRES ONE (1) YEAR FROM DATE OF ISSUE BUT BECOMES VOID IF WORK NOT COMMENCED IN SIXTY (60) DAYS n .. I, INSPECTION RECORD INSPECTOR llA.TE UNDERGROUND OR PARTIAL -RE-INSPECTION ROUGH WIRING ///1 7-J? RE-INSPECTION RADIANT HEAT RE-INSPECTION FINISH WIRING FIXTURES RE-INSPECTION J CLEARED TO ENERGIZE rv,!r \-i-/v,/7 .. ~· . I I 1 fl I " ~ ' . I ~00,0 '3 FORM No. oP'-ot ,,,..:.1n· •• OFFICE USE DISTRICT L -A C tJ s: :z::c\ ~~-~---------N-o.-//6.......-2 ___ 3_4_9....,..8- FLOOR AREA ::J 7 8:8': VALUE ~ 3 q s2 9 ORIGINATING LA MESA ____ ...,__, OFFICE FOR VISTA _____ ....&.::;J WOOD FLOOR ~NC. FLOOR ___D NEWCONSTR.~ITION . D MOVE ON O~o.S~FVJ:"---- couNTERMAN,,...-'~w=-=-....::..=~--- county of San Diego BUILDING INSPECTION DEPARTMENT Hor.FA,;JAIV ~AR/?f SITE IN{,ESTIGATION FORM y/; 7/7 2.___ OWNER'S 753 -C}9$0 --'-,,~-....;_....;_..__..:_~-===-----PHONE ____________ _ OWNER'S ADDRESS------------------------- PERSON IN Z'~ 1 /') ~ ,,,-. CHARGE OF CONSTR. -J..ICo......cclYc..:.__,().~~!....:::e;.__----1,L,,~C!:....,N~S:uGc:........,.~ PHONE • ..::zA,,-n ..c:. PROPOSED USE OF BUILDING OR ADDITION: ________________ _ OCCUPANCY: A B C D E F G H I J 1 2 3 4 5 MAP -,-1-3 REFERENc~do -B'-(p ZONE K-2 REMARKS:----------------------------- CROSS REFERENCE Examine Site for: Pre-Construction ~ Grading Plan Application D Senior Inspector received this on PRE-CONSTRUCTION REPORT 1. Soils Report: Obvious fill . . . . . . . . . . . . . . Obvious clay . . . . . . . . . . . . . 2. Site Report: 3. Flood Hazard Report: Does material appear to be expansive Slope greater than 5% . . . . . . . . Appears grading will be required (100 yds. +) Located in flood area ..... Located in local watercourse . GRADING PERMIT APPLICATION -REPORT 1. Does the plan agree with the site? . . . . . . 2. Does expansive soil appear to be a problem? . 3. Does the plan provide for proper drainage? .. 4. Does the location appear to be in a flood plain or watercourse?. 5. Does there appear to be danger to existing or adjacent structures? 6. Does the cut and fill appear to be balanced?. . . . . . . . . . Yes t,, Yes Yes Yes Yes Yes Yes No Yes Yes No No Yes Yes No Yes No No Yes Yes No ;i 0 7. Does it ap~ar th the work will invade adjacent properties? . . . Inspector: 7/)"' •~; Rec' this on 3 -# () Date of lnsp. ----'"J""-_-_______ _ □ Date reported to Senior Inspector ~ ( • 7;, VIA: Telephone D Radio ~ 0 SEE REVERSE SIDE FOR NOTES /U S;i ~~ s::z 001 mm :%J :%J m (I) ~ t ~ ~ ~ ~ ~ ...... t. " ,.. ):. ~ ).. ~ ~ \ ~ :z: 0 ~ N w ~ c.o CX) L. ~ 0 T, w ~ ~ ~. ~ :rt i o •• -< ~ t ;_;. Pr' ~k n~ them 11 -ir or ~ 1orized Ag ~ ~~ ,iurNAl:C;E Z:O. 3~0'1 (New Series), P'7"1UNC -- 1at.:.c r.-n9t showing . ~1·uction reqt; _ t-rn or r ~qu.Lred ng. r;e and under that final not be performed 1 required parking ~-ng s~aces and driveways bet;n c ,,.,pleted --Date - \ ·ss1 •)\•O \ S'8 ~ b'!i • +u.10N I ~ . • . t . Q ~-a,O t\(1 I } ~ 0 (3) X'31c10(L J...0/ / .. 1. · -MY·.15;;: . 06719 g PERMIT NUMBER • 0 A PP-43.00 PLUMBING GAS WATER Supplemental & ·~ D PLUMBING PERMIT COUNTY OF SAN DIEGO BUILDING INSPECTION DEPARTMENT LA MESA OFFICE VISTA OFFICE 8054 Allison Ave. 1·7 I /' -co Old Permit No. P. _______ _ La Mesa, Calif. 92041 460-8220 (Zenith 7-0888) 325 S. Melrose Dr. Vista, Calif. 92083 724-8571 (Zenith 7-0847) Lo n District -5.,....,,.,_ ., " ~-----------~"~ -0 ~ Mailing :, Middle , Contractors license No ........• Classification. Address ____________________ Phone-------< Mailing Address LEGAL DESCRIPTION -,--------=-:--,:----------------------------=--..,....,------I Lot Block Subdivision or------------------------Section ________ Township _________ R onge ---------1 -, i/ <" • ~ / ~ . J / /,J ~ -<~--.-I _:; .. '!) ~~-),.' Located at --r,r',.;:?t) ,<etJ1//A.,. LL/4-j/,1, ~# Cd(r.4 No. of Stories ______ Class of Buildin-~ House Number Street;:;ost Office tores, etc. ~ NO. OF TYPE NO.OF TYPE FIXT. OF FIXTURE FIXT. OF F IXTURE PERMIT FEES _._ _,o /-TOILETS .:2 WASH. MACHINE For issuing each permit $3.50 .:..1... _:-; SINKS WASTE OUTLET IN ADDITION ••.. 4 For each plumbing fixture or trap or set of fixtures on ~ 3.o BATH TUBS OTHER DEVICES on trap (including water, drainage piping and back-.;;)() z .. WASTE OUTLET flow protection therefor) at $1.50 each LAVATORIES / _r -~ For each house sewer at $5.00 each SHOWER ORAi NS LAWN SPRINKLER For each water heater and/or vent ~ at $1. 50 each ~ v -SYSTEM LAUNDRY TUBS For each gas piping system of one (1) to five (5) _,,,,, ;o.ro outlets / al $1.50 each URINALS For each gas piping system of six (6) or more, SLOP SINKS per outlet at $ .30 each For each industrial waste pre-treatment interceptor, in- FLOOR SINKS eluding its trap and vent, excepting kitchen type cjrease interceptors functioninn as fixture trans ot $1.00 each SAND TRAPS For installation, alteration or repair of water piping FLOOR DRAINS and/or water trea ting oquipment at $1.50 eoch DENT. CUSP0RS. For repair or alteration of drainage or vent piping at $1.50 each DRINK. FOUNTS. For each lawn sprinkler system on any one meter including backflow protection devices therefore al $2.00 each GREASE TRAPS For vacuum breakers or backflow protective devices on GARBAGE GRN0R. tanks, vats, e tc., or for installation on unprotected plumbing fixtures inclu~necessary water piping ... one (1) to five (5) at $2.00 each DISH WASHER \ I Over five (5), each at $ .JO each WATER SOFTENER Sewer connections, County Lnitation District WASTE OUTLET at $2.50 each REINSPECTION FEE ot $5.00 each 11' =< SUB-TOTAL ~r TOTAL FEE 4-~ ~ SUB-TOTAL '-<D TOTAL Approved Signature of Plum~ 121 J.. ' (-)~~ ~ - All work done by virtue of this permit must be done in conformity with the application on file in this office and the laws of the County of San Diego, State of California. Any plumbing installation as herein provided may be Inspected at any time by a Building Inspector. Violators shall be fined, imprisoned. or both. If a check is tendered for payment of the above fee and the check is not honored when presented for payment, your Permit will be immediately revoked. Checks will be accepted only on Banks in the State oi California. On new construction, no plumbing installation shall be made until a building permit has been issued. Map Nome __ ,_~.,,.,.ole--+--------- Page _____ ~__,.,,_ __ ~t;------ Coordinates, __ £_.___-_______ _ VALUATION, ___________ _ 'M P-01 (6-71) THIS PERMIT EXPIRES ONE (I) YEAR FROM DATE OF ISSUE ~ -· a. a. ;- / - INSPECTION RECORD UNDERGROUND PLUMBING UNDERGROUND WATER WA TER PRESSURE CARD MIN . MAX. PRESSURE REGULATOR LOCATION HOUSE □ METER □ WATER HEATER PROTECTION P. & T.O PRESS. RELi EF 0 GAS LINES (HOUSE) GAS LINES (YARD) ROUGH PLUMBING (TOP-OUT) TUB & SHOWER WATER SERVICE HOUSE SEWER SEWER CONNECTION FINAL PLUMBING CLEARED TO POWER COMPANY FORM P -01 (6-71) -..JNj PECTOR ;f AA "'X ,....::i,,. -........ ,6A _..,... "1'/0 O'L ,,,. )1, I . DATE .~,, r::"' I ., , 'AZ( . I ,.,~MA Ir> -i • . '. VALIDATION . ' . PERMIT NUl-lBER JUN· 111 .;! o a 4 9 a • • B PP-lJ7.5C PLUMBING GAS WATER Supplemental PLUMBING PERMIT COUNTY OF SAN DIEGO BUILDING INSPECTION DEPARTMENT t-00.07 LA MESA OFFICE VISTA OFFICE 8054 Allison Ave. Old Permit No. P. -------La Mesa, Calif. 92041 460-8220 (Zenith 7-0888) 325 S. Melrose Dr. Vista, Calif. 92083 724-8571 (Zenith 7-0847) D; •• (!~e..L~ 'B If>- Moiling Address __________________ _ Phone Number Street Post Office Mailing a ,l;:t.. / ~// Address 7 W ~~/ ('d .5 /I c....f' Phon.,M- S"' .<.£ LEGAL DESCRIPTION -----------------------------------------------4 Lot Block Subdivision or------------------------Section ________ Township _________ R onge ----------i Located at &F?(...::?L? ...:S-l?(N //;(.,, ?£.>e~ j/t ~$IA.No, of Stories _____ Closs of Building)...., LC'.j( House Number Street rc;;t Office Dwelli g, tores, etc.) NO. OF TYPE NO.OF TYPE PERMIT FEES s-o FIXT. OF FIXTURE FI XT. OF FIXTURE ..., /'-TOILETS _;j_ WASH. MACHINE For issuino each permit $3.50 P' ~ SINKS WASTE OUTLET IN ADDITION .... For each plumbing fixture or trap or set of fixtures on 4 oc:> BATH TUBS OTHER DEVICES on trap (including water, drainage piping and back-"'2-"'2---7~ ··" /_ WASTE OUTLET flow protection therefor) at $1.50 each LAVATORIES ..J T For each house sewer at $5.00 each -SHOWER DRAINS LAWN SPRINKLER For each water heater and/or vent -i..---~ --SYSTEM dt $1. 50 each LAUNDRY TUBS Far each gas piping system ol one (I) to live (5) ~ ()V outlets -< at $1.50 each URINALS For each gas piping system of six (6) or more, SLOP SINKS oer outlet For each industrial was te pre-treatment interceptor, in- at $ .30 each FLOOR SINKS eluding its trap and vent, excepting kitchen type c;irease interceotors functionina as fixture traos at SJ.CO each SAND TRAPS For installation, alteration or repair of water piping FLOOR DRAINS and/or water treating equipment at $ I. 50 each DENT. CUSPDRS. For re pair or alteration of drainage or vent piping at $1. 50 each DRINK. FOUNTS. For each lawn sprinkler system on any one meter including bockflow orotection devices therefore at $2.00 each GREASE TRAPS For vacuum breakers or backflow protective devices on -'2 GARBAGE GRNDR. tanks, vats, etc., or for installation on unprotected plumbing fixtures incl~ng necessary water piping ••. one (I) to live (5) at $2.00 each DISH WASHER I I Over five (5), each at $ .30 each WATER SOFTENER at $2.50 each 'UO -i ct:, ~ ct <t ~ 'U ~ :, ~ ~ -· 0.. 0.. <t . WASTE OUTLET Sewer connections, Cou/iy Sanitation District -REINSPECT!ON FEE / al $5.00 each --z..,..,-SUB-TOTAL ~~v-TOTAL FEE l/-) ,S"O "1.-0 SUB-TOTAL /,//-V TOTAL Approved - G f.,i; / {)/;.,-;,~~ d. r)/1 Signature of Plumber .hl , All work done by virtue of this permit must be done in conformity with the application on file in this office and the laws of the Count of San Die o State of California. An y g , y plumbing installation as herein provided may be inspected at any time by a Building Inspector. Violators shall be fined, imprisoned, or both. On new construction, no plumbing in stal I ation sh al I be made unti I a building permit has been issued. Map Name __ ..,,.....,,::'bt)~-'=-------- Poge _______ _:~:i;.....1--~-I----- Coo rd inotes _____ • jj---"''-___ t.? ___ _ ~ II a chec~ tendered for payment of the above lee and the heck is not honored when presented for payment, your Permit will be immediately revoked. Checks will be accepted only on Banks in the State of Calilornia. VALUATION ___________ _ FORM P-0t (6-71) THIS PERMIT EXPIRES ONE (I) YEAR FROM DATE OF ISSUE r ... I: I., INSPECTION RECORD l~j PECi}PR DATE UNDERGROUND PLUMBING ~/,/', /) 1.J UNDERGROUND WATER WATER PRESSURE CARD MIN. MAX. Y.=.> PRESSURE REGULATOR LOCATION HOUSE □ METER □ WATER HEATER PROTECTION P. & T.O PRESS. RELi EF 0 GAS LINES (HOUSE) GAS LINES(YARD) ROUGH PLUMBING (TOP-OUT) -:MYlJJ ' 7/'I I TUB & SHOWER WATER SERVICE HOUSE SEWER SEWER CONNECTION FINAL PLUMBING I L-Vl-1L, ~ ~ v I ' CLEARED TO POWER COMPANY' FORM P-01 (6-71) APPLICATION FOR SEWER SERVICE Owner's Name: Harry Hoffman Receipt No ,15 65 Mailing Address: _________________________ _ Phone No, ____ _ Job Address: Lot 1551 South Unit #1 2420 Badajo & 2420 Sevilla Way SERVICE REQUESTED: COST CONNECTION CHARGE for Duplex (type of building) If a multiple unit building, indicate no. of living units ---'2=--- SERVICE LATERAL If service lateral previously installed -No Fee If service lateral required: Check size lateral required: (4")_ (6")_ Other __ _ Saddle connection required: Yes_ No __ TOTAL CHARGES Amount Rec'd$ 325.00 How Paid Ck. #625 Date Paid March 24 1 1972 Helen C, Wise $ 175. 00 $ 150.00 $ 325.00 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 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 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 rep- resentative, 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 serv- ice charge. The rate will be governed by the use of the property -residential, commercial, or multiple dwelling. 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: ~t!~ff4d~r "<5wrier'sSignature Date