HomeMy WebLinkAbout2702 UNICORNIO ST; ; 80-6; 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•
slons Code, and my license Is in full force and ef-
fect.
OWNER-BUILDER DECLARATION
DI 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 lo 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
civil penalty of not more than five hundred dollars
($500).
DI, as owner of the property, or my employees
with wages as !heir 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).
Cll, as owner of the property, am exclusively con•
tracting with licensed contractors to construct
the project (Sec. 7044, Business 2nd 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 Lai. -
I am exempt under S -j;JlL , B. & P.C.
for this reas<>nJ. _ • r.l ,
Date -WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate ol con-
sent to sell-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.
D Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed II the per•
mil Is for one hundred dollars ($100) or less).
I certify fhat In the performance of the work for
which this permit Is Issued, I shall not employ any
pers~n In any manner so as to become subject to
the Workers' Compensation Laws of Califomla .
• NOTICE TO APPLICANT: II, after making this Cer·
tlficate•of Exemption, you should become subject
to ~e Workers' Compensation provisions of the
Lg!)or €ode, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
,CONSTRUCTION LENDING AGENCY
1 hereby affirm that there Is a construction len•
'--ency for the performance of the work for
"-rmlt Is Issued (Sec. 3097. Civil Cod•l
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
lt?t21D~, ,u,N,1 ,<-lJ/2,NJ ,a
OWNER
~fil_
JOB ADDRESS AV. ST. !DATE Of APPLICATION' BUS. LICENSE
~, , , , I I I I I , R~ , ,#, -7'1 nRo_~
. N'f 'TH <fi:,-OiN6~~T~//1 -_13116(/SE
OWNER'S MAILING 1:ESS
10TH
PERMIT NUMBER
80-?
7JD9 D~-APt=..1€ AVE /.A v<JLL_A--rJ}j)I~ i>>-,
0~//v 1,-tJ ~1.£F'
CONTRACTOR'S
PHONE
ST ATE LICENSE ooMgssr-·6fo, an r •· ::.-.., ,i~~tnn l rE
DESIGNER'S ADDRESS DESIGNER'S PHONE -loL/9C;:;tt, 7J~L 11A~ .. IN/-()1,(J(J I RES. UNI/ 1 PARKI~(?~() ,,UMBER 0:£:_RIES ~~
11.,, --3!_
~~ CENSUS TRACT GP LAg:SE / 9 a, ZONIR-/
Not V•lid Unllss Mlchin, fMtifi«f
5Gll70 BS~D RC/P l"TANOARD PLAN II
tA7'Y-~ :i-1 I TYPEv:T#
I occ. LOAD j
QTY., PLUMBING PERMIT
~J
it' (d EACH FIXTURE TRAP 7 1 EACH BUILDING SEWER
/ I EACH WATER HEATER ANO/OR VENT
/ I EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
AMT. II QTY. MECHANICAL PERMIT
INSTALL FURN. DUCTS UP T 00 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
BOILER/COMPRESSOR 16-30 HP
AMT.
A...--,
/JJjCj St= D
,n,/4 ~ / ~ 9 7 I. r~ 1,-1-71
VENT FAN SmGLE EACH INSTAL., ALTER. REPAIR WATER PIPE VENT FAN SmGLE OUCT 11 ~ ~ .,,/_ _,, _ -.J
~ .. , __ ., _,.., ....... -HOOO/OUCTSM, p. EACH LAWN SPRINKLER SYSTEM MECH EXHAUST .................. ----10 . ~11 , • r :i_ ~..,. -.
WATER SOFTNEA
TOTAL PLUMBING
CONTRACTOR
QTY. ELECTRICAL PERMIT
7__
7
NEW CONST EA AMP/SWT/BKA
1 PH .25
EXIST BLOG EA AMP/SWT/BKR
1 PH .25
REMODEL/ALTER PEA CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
TOTAL ELECTRICAL
CONTRACTOR
/Sf./
3 PH
3 PH
RELOCATION OF EA FURNACE/HEATER
;J.-
TOTAL MECHANICAL
4(;, -11 CONTRACTOR
AMT. QTY.
~/5-C...
~ -
MOBILE HOME PERMIT
AWNING
POACH
SET-UP
RAMADA, CABANA
FENCE OVER 6'
TOTAL MOBILE HOME
i
.:Z.: . ---11 I f,
_fts-tJI '
BUILDING PERMIT
?---ti--SIGN PERMIT ~-
AMT.
I
PLAN CHECK
ALL INCLUSIVE PERMIT
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILE HOME
SOLAR
MICO·FI LM
\
TOTAL FEES PA.YABLE l
J
J
l
J
I
J
J
I
J
144.n
I ;It/ 14 cf7
I I · I
_LJ J
I I I
, l I J
..Ll l
, I I I
• _l_J J
I , I I I
· I I .~7Z r' I
I HAVE CAREFULLY EXAMI NED THE COMPLETED "APPLICATION AND PERMIT, ANO OD
HEREBV CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITV,
COUNT Y AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-
LESS THE CITY OF C ARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITV IN CONSEQUENCE
•AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS~VE ~.
STRUCTURES OVER 3 STORIES IN HEIG~ ~ ~ r~ ,, . · 0
,._, .. om'"" "'""'"''" o, rn•nsocrm• o "1 ,I _ ,-;, ~
C -C: A fl -L/M--:).,, . -.... //~~•;, .]/V
OF THE GRANTING OF THIS PERMIT. APPLICANT'S SIGNATURE-
! ~ ~
~
j:::
~ 0... V)
~
OWN~ CONTRACI oR~Y
AGli.'JT O BV PHONEQ""'--"'I
DA~ t~~w
-
SITE ·-. -~o -~ ,
ADDRESS: --OWNER: .. , PERMIT NO:
\ FIELD INSPECTION RECORD
1,------. .. ..__..)..
,.. -' . -. -.
INSPECTION DATE INSPECTOR INSPECTOR'S N,OTES
WOOD FLOOR
FOUNDATION • FORMS• SET BACK • TOILET .
' ~ I -
UNDER FLOOR P L UMBING ~ . (\ '-~ .. !I... : ~ l ·---.. ' "-.. ..,;~-~-·------~ -........ -.--~--
UNDER FLOOR H EATING , ·-u ·• '\ ~ ' • -----OK TO INSTALL SUB FLOOR .
.-'· \.. r. '\ J ·t....; ' ' \.:" . .• ' . . . -. . . -. ~ . ...
SLAB FLOOR •· ' ' ' -..,_.\ \, "-. ' '
UNDER SLAB PLUMBING ! .. • • \-~r-~--
~
FOOT! NG • FORMS • SETBACK • TOILET \\ ' \ . . . ,. \ ... ~l. ~ ,.-. .
\ l~e ... ,._ ~ -.. : ("-,_ ',
OK TO POUR CONCRETE I --.. -,....,---~ ~ ,. -\
''· ' . .
FRAME -\-=-. .
ROUGH ELECTRICAL ' ,,.., .· -... ,.
ROUGH PLUMB1 NG . , ___ ,. t. ' ROUGH HEATING/VENTILATING ..
' ·-FRAME OK • PLACE INSULATION ~ .
INSULATION OK • PLACE WALL BOARD .
' ' --~ ~~1-., ---~-WALLBOARD OK • PLACE TAPE ' . "' ' \ 1:...·i'l -. ..
EX;rE;RIOR LATH OK • PLACE STUCCO : . ---..
. , r_
FIREPLACE
DAMPER .&STEEL .. --. ,,\'-..
PLATE Tl Es/HEIGHT OF C HIMNEY . • I r .... '.'>
OTHER -~ ~-~ ,--:-~:_/ r, , .._
TEMP POWER (POLE) '-' .i> 0
' ' " ' .
SEWER
GAS TEST -
SWIM POOL • STEEL BONDING
• PRE DECK ---' • FENCE PREPLASTER I \ -
SHOWN • FRAME II I ( I
• PAN JI ./ \.. / i. ... lfrMIH ~
-
FINAL INSP BY BLDG DEPT -
OTHER DliPT'S.REQ COMPL ETED I' 7v, '-' . ... ~. ,
' ELEC METER-PERM-TEMP .
GAS METER-PERM-TEMP ., -_:-,. "'~ ~
,-, ';. ~ +.
' ' .~ ~--, . :··--~-~ ~\ ' , .:J•., ' ......... ~ f" • . . ~
-C
CERT OF OCCUPANCY ISSUED ' . .... ----
.... ,,--
' ..
' ' ·-·-!-
r"' I ,,
I
,I
't
REQUEST FOR INSPECTION TIME-· -~--
INSPECTOR ___ ~r;;P~~------PERMIT NO ________ DATE: ¢,/cl
OWNER _________________________________ _
ADDRESS--~~7.~'0=t,-~IA~~~'-~~,e._N_l~D~--------------
BUILDING
D FOUNDATION
D REINFORCING STEEL
D MASONRY
D GROUT -GUN I TE
D FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
D EXTERIOR LATH
D INSULATION
D INTERIOR LATH OR DRYWALL
FINAL
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 WATER HEATER
~ FINAL
READY FOR INSPECTION: □MONDAY □TUESDAY
DA.M.
DP.M.
ELECTRICAL
D TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
D CEILING HEAT
D G.F.1.
~SMOKE DETECTOR
..,,-V FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
r-/--,-'h-,ONDITIONED AIR SYSTEMS
D REFER PIPING
~ FINAL
□WEDNESDA'-f THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY __________________ ,PHONE NO._--:!~_..__ '---PERSON TAKING REPORT _______ _
REOJJEST FOR INSPECTION TIME:_· ----~---
., -:erJ IN~l"ECTOR._ __ _,,=.,=------PERMIT NO, ________ DATE: ~ /k
OWNER _________________________________ _
ADDREss _ _..,..::....~"",;1'----""'"'_:_N_,,_fC.12~ .... µJ-=-----=-'..::.0 __ 9_r.,__ _________ _
BUILDING
D FOUNDATION
l~ REINFORCING STEEL
L'J MASONRY
C GROUT -GUN I TE
D FLOOR AND CEILING FRAME
~-:J SHEATHING
C, FRAME
1)11 EXTERIOR LATH
b INSULATION
jil: INTERIOR LATH OR I'□ FINAL
PLUMBING
DRYWALL
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 WATER HEATER
D FINAL
ELECTRICAL
D TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
D CEILING HEAT
0 G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: ')!'MONDAY D TUESDAY D WEDNESDAY D THURSDAY D FRIDAY
DA,M.
DP.M.
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY __________________ PHONE NO._...cC)..,..,,._,,_ ___ _
PERSON TAKING REPORT _ _,,4<=-::::,0,,.., ___ _
-----.. -~-,,.,....···--~· .. ,,,., _____ , ... ···~·-··-·-----
RE.QUEST FOR INSPECTION TIME:...· ______ _
1 NSPECTOR __ ....<f;.1)::..-=------PERM IT NO.,-'-'Si'""o'-~-'d'-'t,"-----DATE, __.~.,_-....,N,__-_Yic....C>=---
owN E R ___ -,;;,.LJLLrv~----'/4c...:t?:_+:....:1-,--'------------------
ADDRESS-----'===-.L7--'t?'--'Y."-------"'0-'-M~r_c_{)IJ~; t,J..c..._0 __________________ _
BUILDING
D FOUNDATION
L:::J REINFORCING STEEL
LJ MASONRY
C GROUT· GUN I TE
□ FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
D EXTERIOR LATH
D{ INSULATION
6. INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
0 UNDERGROUND WATER
D ROUGH PLUMBING
D TOP OUT PLUMBING
0 SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
' t ~1
'I
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
0 ELECTRIC SERVICE
D CEILING HEAT
D G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: □MONDAY □TUESDAY XwEDNESDAY □THURSDAY □ FRIDAY
"j,A.M. /'
DP.M.
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY _ __,_, /).o<o<1~"""~""w;"-'~e:.,,;=-__________ ,PHONE NO. 75"':i"-S7 7 }
PERSON TAKING REPORT _______ _
REQUEST FOR INSPECTION TIMEc.· ______ _ 6/ -t?, / ,-,( ,_,,
llllSPEC;fOR • ~= PERMIT NO.~U~'#_-_6 ____ DATE:....<...L _____ _
OWNER _________________________________ _
ADDRESS;---=-;;;1-----'-/ tf,::__,:Z.:........,£e,:;&::...~="""--•=::,,·=-. ____________ _
( BUILDING')
□ FOUNDATION
□ REINFORCING STEEL
□ MASONRY
D GROUT -GUNITE
□ FLOOR AND CEILING FRAME
□ SHEATHING
~:=~::IOR LATH JI/
ELECTRICAL
□ TEMPORARY SERVICE
□ ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
□ ELECTRIC SERVICE
□ CEILING HEAT
D G.F.1.
D SMOKE DETECTOR
D FINAL
D INSULATION I
4 □ INTERIOR LATH OR DRYWALL \_, 1
D FINAL .j1 ~::~~~~~~~~~~~~~~~~~~~~~~~~:
PLUMBING •, MISCELLANEOUS
D UNDERGROUNO PLUMBING
□ UNDERGROUND WATER
□ ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
□ WATER HEATER
D FINAL
□ PLENUM AND DUCTS
□ COMBUSTION AIR
□ PATIO
D SIGN
□ GRADING
□ DRIVEWAY
□ CONDITIONED AIR SYSTEMS
□ REFER PIPING
D FINAL
READY FOR INSPECTION: □MONDAY □TUESDAY □WEDNESDAY
DA.M.
DP.M.
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY~~ PHONE NO. ? )j-5 77,Z ~ PERSON TAKING REPORT--.<d'-.\-<a'.U-"""-'-'='-----
REO.UEST FOR INSPECTION TIMEc.· ______ _
' . INS~ECTOR,_;;___,,.-9-----?r----flc.+-~-++---PERMIT NO. _______ DATE:
OWNER _ _;V:....__~_~_....::..._-=-------'------------------
ADDRESS-~2~7~0~C.::__ _ ___},,~~:::::S:~~~~•~-------
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
D MASONRY
0 GROUT -GUNITE
□~FLOOR AND CEILING
0 SH HINGL),, •
FRAME ~v
0 EXTERIOR LATH
D INSULATION
FRAME
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING ~
0 U~ROUND WATER (}, •
~UGH PLUMBING ~Ii, ~
D TOP OUT PLUMBING A, "1' ,r
D SEWER AND PL/CO \ k
D TUB OR SHOWER PAN (.} ·
D GAS TEST
D WATER HEATER
D FINAL
READY FOR INSPECTION: oMOHDAY
r6'JCM.
DP.M.
~y
ELECTRICAL
0 TEMPORARY SERVICE
0 E~C UNDERGROUND
,\f3"ROUGH ELECTRIC
~ POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
D FINAL
LANEOUS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
□WEDNESDAY □THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY_--1~..,</'-~-"----=:'-~""'"""x'-'-=:...._--------PHONE NO, ~
PERSON TAKING REPORU~~'---'-'~~~----
REQYEST FOR INSPECTION TIMEc_· ----
INSPECTOtt_ ___ c«..,,...:c..c=-------PERMIT NO ________ DATF· #r,#'b
OWNER _________________________________ _
ADDRESS;_,:::d.:.......;;7_,t1::c...:::_..'.<"--..::~.J.<2"""'~""-='°""'·"----------------
BUILDING
0 FOUNDATION
D REINFORCING STEEL
0 MASONRY
0 GROUT-GUNITE \, \f
D FLOOR AND CE~\~ "\!~
~SHEATHING A(\
D FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
\. PLUMBING)
0 UNDERGROUND PLUMBING
D UNDERGROUND WATER
~OUGH PLUMBING
------2i. TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY
DA.M.
DP.M.
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
D ELECTRIC SERVICE
D CEILING HEAT
D G.F.1.
D SMOKE DETECTOR
D FINAL
D PLENUM AND DUCTS
D COMBUSTION AIR
□PATIOM~
D SIGN('.'.11/
D GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
D THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY~/~ PHONE NO. / ~,.. ._;-~ ')'/ /?
PERSON TAKING REPORT 1~
------,,.·--~-·--··-
REQUEST FOR INSPECTION TIME-·-----
PERMIT NO.-==~_;'tfl::.._---'6"'-__ DATE: ¼dr INS~EC~OR . ~ /'7
OWNER _________________________________ _
ADDRESs _ _:o<:....:....:....7.::tl~-<~~~~~::;21:,~2'1-="'""'eae!.d:<-"4z._ ______________ _
FOUNDATION
i::::J REINFORCING STEEL
LJ MASONRY
C GROUT -GUNITE
0 FLOOR AND CEILING FRAME
l-:::J SHEATHING
Cl FRAME
D EXTERIOR LATH
D INSULATION
D INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
D ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
~\ 0
')~~I
READY FOR INSPECTION: □MONDAY □TUESDAY
DA.M.
SPECIAL
DP.M.
INSTRUCTIONS /;:r;;,e -7'
ELECTRICAL
D TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
0 CEILING HEAT
I~
D G.F.1.
0 SMOKE DETECTOR
,...._ D FINAL
~-
(/
J
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
0 GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
e;;~ -:,~
REQUESTED BY~Lfl.~-~~~:__i::~~~~~~--------IPHONE NO.,:;, :_y---_s-? 7 )
PERSON TAKING REPORT---""~'---~----
----~----·-·•-~----· .
OWNER ___ .L.J.LJ<J_.1---------------------------
AODRESS-.n-:)::..._1µ0~2-~J--Ll.L...011-f--1.-1 .'-"CD,lvn""-"'J...!....1.'--'=.D"----------------
BUILDING ELECTRICAL
l5J, FOUNDATION )
0 REINFORCING STEEL O TEMPORARY SERVICE
0 MASONRY O ELECTRIC UNDERGROUND
0 GROUT· GUN I TE O ROUGH ELECTRIC
0 FLOOR AND CEILING FRAME O POOL BONDING
D SHEATHING O ELECTRIC SERVICE
0 FRAME O CEILING HEAT
D EXTERIOR LATH k □ G.F.I.
0 INSULATION O SMOKE DETECTOR
L
___ □::;_1_N-TE_R_1_o_R_L_A_T_H_o_R_D_RY_w_A_L_L _ _, 911ArL1::~:: __ F_1_N_A_L ________ __J D FINAL ,111 ·1
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY
~ DP.M.
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
~ □FRIDAY
SPECIAL INSTRUCTIONS ________ .=~=-..;c......,.....,,--::,::__S_,_,,_.oc..< -'±'--'-· -'Re,.__· ______ _
REQUESTED BY __ ~_._,,,L.>.ua,,,.,,_c.:hl...!J,a,l,IIJ\'.:..1.\-----------PHONE NO. ' PERSON TAKING REPORT _______ _
-------. -· -~~---·
REO_UES~ FOR JNSP~CTION O _ /
111is~EcioR· 6 6J. PERMIT No,.,,O"---' (0:c__.c:b=---___ oATE:
-__/ s:..::::
TIME:_·----~--
,3 -13
OWNER r~
ADDRESS 2;1;0,;;... ~ , ~
BUILDING
0 FOUNDATION
l.-::J REINFORCING STEEL
L~J MASONRY
C GROUT -GUN I TE
D FLOOR AND CEILING FRAME
~-:J SHEATHING
LI FRAME
~----------------, ELECTRICAL
D TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
D CEILING HEAT
D G.F.1. D EXTERIOR LATH
D INSULATION
0 INTERIOR LATH OR
D FINAL
ok
DRYWALL ~ rih ~ D SMOKE DETECTOR
D FINAL
PLUMBING
D ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
0 TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
READY FOR INSPECTION: □MONDAY
DA.M.
DP.M.
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
□TUESDAY □WEDNESDAY □THURSDAY 8
J,,co
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY __ _._(28==.,.?e.,.""'-___.C_.,&.~"'---'-=-..:,c_ __ , ____ PHONE NO.
PERSON TAKING REPORT _______ _
. '~ \,/'\ ~ /("1/?!.)/o°'-' INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
RECEIVED
DATE: __ ~N~O~\~' -1~1~1~1~9-
CITY OF CARLSBAD
~ .#" 3 Buildin1 Department
PLANNING DEPARTMENT
ZONE _____ {L...__-1'--__ LOT SIZE LOT WIDTH
UNITS ALLOWED -----------UNITS PROVIDED )
£
/// PROVIDED z qo PROVIDED V ":>'7 PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED -------~----
BU IL DING HEIGHT ALLOWED ____ ,;__:,_ ____ _
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED 1D
PROVIDED
,7
V
-------
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
OK TO ISSUE: DATE 10K TO FINAL DATE Id -)-).-~o
ENGINEERING DEPARTMENT
('' I
R.O.W. t. l ~ IMPROVEMENTS
SEWER CONNECTION _!£-F--lr-=-"F:?.lo,£_--DRIVEWA} ~OCATI ONS
GRADING PERMIT tASEMENTS f\.J)--r '-, DRAINAGE Sl-fou .. J
LEGAL DESCRIPTION I t . 1< )}
ADDITIONAL COMMENTS SM:&J $l.{J~ ~-bbv-l l ..ti1: w\ L..(_____ _\&A.l t.1
OK TO ISSUE:Jtt; DATE J'J--.;)2-7/ PW(J):11-..::JIC!I....--OK TO FINAL ~ »ATE j ()-.;;;}-:;)/'
FIRE DEPARTMENT
~PRI~KLING SYSTEM ___________ FIRE PROTECTION EQUIP. ______ _
FI,RE ALARM S EXITS _______________ _
... PIRE HY DRANTS LOCATION _________________ _
ADDITIONAL COMMENTS
OK TO ISSUE~J.. DATE }/-Jt/-?'l OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET __
7'!-~Z/
/
Mr. J. Dushon
13 155 Portofl no D rl ve
Del Mor, Col lfornla 92014
BENTON ENGINEERING, INC.
Al"P'LIICD SOIL MICCHANICS -l'OUNOATIONS
BDAO .. U l'l"IN .. OAD
■AN D 111:GO, CALll"O .. NIA t:ll Z:I
February 28, 1980
Subject: Proj ect No. 80-2-15M
Lot In spe ction and Moisture C ontents in Subgrade Soli s
Lot 476 of Lo Costa Meadows Unit No. 3
Carlsbad, Californ ia
Dear Mr. Dushan:
This ls to report the results of our Inspection of the subj ect lot and a lso to present the re11Jlta
of tests to determine the moi sture contents of the soils ln th e uppe r three feet below fJnJshed
grade ln the proposed building area a t the subjec t site In Carlsbad, Callfornlo.
An Inspection was made by a re presentative of our organization on February 22, 1980 and
It ls concluded that the soll conditions a re e ssentially the same as presented in our report
on the grading of this subdivision dated O ctober 19, 1972. The soi ls In the upper thtee feet
below finished grade were class ified as Type A (cr!tlcally expansive) and therefore, the
recommendations for special desig n and precautions presented In the above dated report should
be incorporated In the plans and specifications for any proposed construction on this lot.
Soll samples were also obtained on February 22, 1980, and the results of the moisture
determinations a·re prese nted a s follows:
Approximate
Location of Samples
Southwesterly portion of proposed bu ilding area
Northeasterly portion of proposed building area
,,
Depth Be low
Existing Grade
In Feet
1. 0
2. 0
3.0
1. 0
2. 0
3. 0
Moisture Content
f/o dry "':'t)
26.9
25.6
17. 0
20"3
18. 8
18. 3
It ls concluded from the field observa tions of th e various soi l types and the final results of the
moisture determlnotlons that the soil s in the uppe r three feet below finished grade at the locations
sample s have been sufficiently moistened to mini mize the potentia l expansion of the soils, as
recommended in our report under Project No. 71-7-17D, doted October 19, 1972.
• ~roject No. 80-2-15M
Mr:. J; Dushan
Respectfully submitted ,
BENTON ENGINEER ING , INC.
By~~~ R. C. Reme r
-2-
Reviewed by @fu 1?/ ~
Phili p~; vii Eng inee r
RC E No. 10332
Distribution : (3) .A.ddressee
RCR/PHB/c
■l[NTON 11:NOINICICIUNO, INC .
February 28, 1980
•
LEUCADIA COUNTY WATER DISTRICT
APPI.ICATION FOR SEWER SERVICE
Owner 's Name O & J Amoroso Phone No. 968-9259
20882 Shell Harbor Cr Mailing Address -Hrru-n~t-,-n-g .... to-n~B.-e-a~ch'-,_,..C.-a ..... 1-, t...-T~,.,..i:'.'.rrb...,..4...-b ____ SEWER PERMIT ISSUED UPON
Service Address: ...._ C, / . -:: Y:RECEIPT OF BUILDING PERMIT. 27~~ ~~~c_:__-· lot 4 76 La Cos ta Meados 3 BUI LDI NG PERMIT MUST BE Tract Description: -------·----------? J
Assessor I s Parcel No. 215 -350-52 APPLIED FOR BY -.3'/ -
0
Type of Buildi ng __ s_. f_. ______ No. Units _l __ Connection Fee$ 600.00
pre-pd 200.00 Lateral Size: 4" 6" 8" Saddl e Easement Connection 400.00
Extra Footage: __ @$ ___ _ Extra Depth: ---@ $ ---
Lateral Fee
Amount Rec 'd$ 400.00
Ck. No/Cash 273 Date · 9-6-7~9---
Rec 'd By g.franR l1n
Prorated Sewer
Service Fee
Total $ 600.00
The application must be signea by the owner (or hi s authorized representative) of
the property to be served. The total charges must be paid to the Dis trict at the
time the application is submitted.
If a service lateral is required, it will be installed by the Leucad ia County Water
District. The service lateral is that pa rt of the sewer system that extends from
the main col lection line in the street (or easement) to the point in the street (at
or near the applicant's property line) wh ere the service lateral is connected to
the app licant's building sewer. The applicant is responsible for the construction,
at the applicant's expense, of the sewer pipeline (bui ld ing sewer) from the appli-
cant's plumbing to the point in the stre·e·~ (or easement) where a connection is made
to the service l ateral.
The co nnectton of the applicant's buil ding 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 AU+.HORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT THE
TIME IN SPECTION 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 servi ce fee i s based upon the date the District es timates that
service will begin and covers the balance of the f iscal year. There will be no ·
additional fee or refund if service actual ly conrnences on a different date. For
succeeding f isca l years, the sewer service fee will be coll ected on the tax roll
in the same manner as property taxes.
The undersigned hereby agrees that the
to the co;di 7 i~~s stated . /L .WzJ ?tyf',,-' j}~ '
F~ &!. Cfn 4-n.
Owner's Signature
above informat i on given is correct and agrees
9-6-79 10185
Date Account No.