HomeMy WebLinkAbout2404 SACADA CIR; A | B; 80-140; PermitLICENSED 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 Protas·
slons Code, and my license is In full force and ef•
feet.
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 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 penally of not more than five hundred dollars
($500).
0 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•
slons 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).
~s owner of the property, am exclusively con·
~~~ting 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!?!'! ,-,e; .. g7 Owner,Ma~~~
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con·
sent to self-insure, o, 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•
mil Is for one hundred dollars ($1Cl0) or less).
I certify that In the performance of the work for
which this permlUs issued, I shall not employ any
person in any manner so as to become subject to
the W7,-\-• Compensation Laws of California.
N9'T I\ TO APPLICANT: If, after making this Cer·
Iii~ ,f Exemption, you should become subject
" I _j!'.o"f.rs' Compensation provisions of the
Laj.vr L~db, youinust forthwith comply with such
provisions orJhls permit shall be deemed revoked.
,I
\, COitdfRtJc!':-10N LENDING AGENCY
I he•11by 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).
CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT
1200 ELM AVENUE (71 4) 438-5525
D~~N'A
DESIGNER'S ADDRESS
CENSUS TRACT GP LANO USE ZONING A I RES. UNITS
:i_
APPLICANT TO FILL IN lNFOR -
MATlON WITHIN RED LINES.
PERMIT NUMBER
1&✓110/r
2/1 9/81 SLiO~
0001!:i'uO;i". 2/f~/ 8 I
• it• ... ,... -1,-
Not V•lid Unlttn Ahchin, c.rtifi«J
PLAN ID #
BLDG so. FT. ?'7-C:t V /V .. £A . tJ:" ~, 4iL ~~Z~ = AMT. QTY. PLUMBING PERMIT AMT. II QTY .I MECHANICAL PERMIT
~;J 6~Eto ~36,5tl
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
INSTALL FURN. DUCTS UP TD 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
~ r~
\' EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT
EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT WATER SOFTNER
e 3 .• 00 iss~ 3.00 SIGN PERMIT
TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT
QTY. ELECTRICAL PERM IT AMT. QTY. MOBILE HOME PERMIT AMT. TOTAL PLUMBING
ELECTRICAL
NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL
1 PH .25 3 PH PORCH MOBILE HOME
EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR
1 PH .25 3 PH RAMADA, CABANA
REMODEL/ALTER PER CIRCUIT FENCE OVER 6'
TEMP PO LE 200 AMPS TOTAL MOBILE HOME MICO-FI LM
OVER 200 AMPS
TEMP OCCUPANCY (30 OAYS)
issue 2-.0
TOTALFEESPAYABLE
CONTRACTOR
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND 00
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH A LL CITY,
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCT IO N. WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM•
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CIT Y IN CONSEQ U ENCE
•AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS O VER
5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF
STRU.CTURE~',liJI 3 STO.IIIES IN HEIGHT
School Fe~/~
!APPROVED BY
OF THE GRANTING OF THIS PERMIT.
AGENT 0 BY PHONE 0
! ~ ~
~ j:::
~ Q. V,
?;
SITE -_'80-}Lf-0 k ADDRESS: -. ... ~· OWNER: .. PERMIT NO: . .. FIELD INSPECTION RECORD -
INSPECTION DATE INSPECTOR . .. INSPECTOR'S NOTES
WOOD FLOOR
FOUNDATION• FORMS• SET BACK • T OILET '
' , \. . ' UNDER FLOOR PLUMBING s-t':O-\ ,, ,. \ . -•' -" : . --' UNDER FLOOR HEATING .. ' ~ ·' . ~ _;, \. ' . -;'. t.;~,~.,. . ' -· _,• _.,..I_..;, • OK TO INSTALL SUB FLOOR , . ' l -. . . , .. ·.;· .... -.. ---SLAB FLOOR ,. . ' , ..... ' .... \ .: ~ d~--'· -UNDER SLAB PLUMBING --' -....
FOOTING• FORMS• SETBACK • TOILET .• •. ,, -y ..,_ ,., ~, l l. •. 'l,; .... , ' OK TO POUR CONCRETE . ' . " ., .-. , ., .J ' ... --..,1 __ , ... ....._ ,.,_'
::-.. --t -\ ,c
FRAME
ROUGH ELECTRICAL . ~
ROUGH PLUMBING -
ROUGH HEATING/VENTIL ATING .
FRAME OK• PLACE INSULAT ION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK• PLACE TAPE
EXTERIOR LATH OK • PLACE STUCCO .
FIREPLACE
DAMPER 8c STEEL
PLATE TIES/HEIGHT OF CHIMNEY
OTHER T '
T EMP POWER (POLE)
SEWER
GAS TEST '
SWIM POOL • STEEL BONDING , -,.
• PRE DECK
• FENCE PREPLASTER .
SHOWN • FRAME
• PAN
F INAL INSP BY BLDG DEPT 17-?7-~ I "'-f
OTH_ER DEPT'S REQ COMPLETED I . ELEC METER-PERM-TEMP . . . ' • .
GAS METER-PERM-TEMP
' .
' \. i
~ ' CERT OF OCCUPANCY ISSUED -,,,
' ' ·'-... _ "'J' )
I
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
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 to its Issuance also requires the
applicant for such permit to Ille a signed state-
ment that he Is licensed pursuant to the provl•
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•
pllcant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars
($500).
Of, 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·
slons 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-
~ent Is sold within one year of completion, the
owner•bullder will have the burden of proving that
he did not build or improve for the purpose of
sal'l):
,..':JI, as owner of the property, am exclusively con-
'/iacting 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 c• 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 t"ttP-
-. ,.,2-/'2-?o owner ~
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con-
sent to self-Insure, o, 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·
mil is for one hundred dollars ($10!)) or less).
I certify that In the performance of the work for
which this permit is Issued, i shall not employ any
person lnJltlY manner so as to become subject to
the Worler'i'~Compensation Laws of California.
NOTICE TO APPLICANT: If, after making this Cer•
tlflcate QI ~~mption, you should become subject
to the V,,Qrk"ers' (;ompensatlon provisions of the
Labor Code, you must forthwith comply with such
p,avlslons orlhis permit shall be deemed revoked . •
CONSTRUC~ION LENDING AGENCY
I heu:by affirm that there is a construction len·
dir• agency for the performance of the work for
vhlch this permit Is Issued (Sec. 3097, Civil Code).
CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT
1200 ELM AVENUE (~~ citiO llffl.
CENSUS TRACT GP LAND USE
ZONIR-~
~7/;~ ,~GbS~p,e-x f{. GP STANDARD PL AN #
QTY.I PLUMBING PERMIT
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/OR VENT
.EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL.. ALTER, REPAIR WATER PIPE
EACH LAWN SPRINKLER SYSTEM
WATER SOFTNER
TOTAL PLUMBING
CONTRACTOR AJ~f~
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 POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
AMT.
-_,,
AMT.
~-
QTY. MECHANICAL PERMIT
INSTALL FURN. DUCTS UP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3·15 HP
BOILER/COMPRESSOR 16·30 HP
VENT FAN SINGLE DUCT
MECH EXHAUST -HOOD/DUCTS
RELOCATION OF EA FURNACE/HEAT
TOTAL MECHANICAL
CONTRACTOR N QT C,J-ft,fc.,,J
QTY. MOBILE HOME PERMIT
AWNING
PORCH
SET-UP
AMT.
::>.
AMT.
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
PERM IT NUMBER
I c
Not V•lid Unfllss M•chin, c.rtifi«J
r~.
---'
1
w/2HR. A-~EA se-P. !AWL'-
~ /)(1:lfJS'
BUILDING PERMIT -SIGN PERMIT .,, PLAN CHE
ELECTRICAL
MECHANICAL
MOBILE HOME
SOLAR -
-
MICO·FILM
-!
-y'"Y ,J~ ~ JI >
5 ~ ~ a.
V)
~
TOTAL ELECTRICAL
CONTRACTOR AJ ()T Cl-fo V It---+------------+----~, TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION ANO PERMIT, ANO DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY,
COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TD SAVE INDEMNIFY ANO KEEP 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. DATE
'
SITE . go':,, i-<..KJ , B
ADDRESS: ~:.----~ -.... ~"-... -, ...... '· OWNER: L • \ '. PERMIT NOr
'FIELD INSPECTION RECORD
.. . . ~ ' ...
·•.
--.::.~SPE'C.fOR' S;;J•JOT ES --:· ,;-•, ... t" Ii.'' . ~ • ·-. ... .. ....... .
INSPECTION DATE INSPECTOR 't • 't '> ..... ..
WOOD FLOOR
.. ' r " .. -...
' .. ',I ...... ..... ,.,''J.. ,, ,,,.. • ~-_.,._ .-•
FOUNDATION• FORMS• SET BACK • TOILET ----,,. '-· ...,. ,6 ... 4. --' .. ~"' \ ,. .,. ....
\ '' I \, ,It, ,. I: -.
UNDER FLOOR PLUMBING ;.:.::~ ....... ~-., ._ .
... .:;•.,. . ' ~ ---\ ............:~· '; ... \ .,,.._ •C , "' ,.,_r -, I: •-" 'f' :., .
UNDER FLOOR HEATING ., ·---< . '· ~ > --OK TO INSTALL SUB FLOOR
' .... ' --
SLAB FLOOR .... , '· .,,. • ,~ <:~ --; \ i'--~, l, I ....
UNDER SLAB PLUMBING -~-~,
-!'-"
FOOTING• FORMS• SETBACK• TOILET I ' ·• . . ' ,, IL.~,. ... ,. ... ~-' ' ....... t:"" .. h .... , ': ~ · . ... }~. ~~-r .. t .,
' . " . L .+ ._
OK TO POUR CONCRETE . ~-...... --..: -. -.. .. . -' . . \ ... . , . ~-r I -, . . r • FRAME ·, ~-
ROUGH ELECTRICAL . ROUGH PLUMBING . '
ROUGH HEATING/VENTILATING
FRAME OK• PLACE INSULATION , ,
INSULATION OK • PLACE WALLBOARD -
WALLBOARD OK• PLACE TAPE ~ '. ~ '
~ .. . .
EXTER'l'9R LATH OK• PLACE STUCCO,; " ' ,·
~·.
FIREPLACE -_,...,....
•-.
DAMPER· 8: S.TEEL
. .. ( ... ·-' ' •.
PLATE Tl Es/HEIGHT OF CHIMNEY . -.
-'--'l '
OTHER -'· ~ I •
TEMP fllOWER (POLE) 1 •,} ... '
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK
• FENCE PREPLASTER
SHOWN • FRAME . PAN "
FINAL INSP BY BLDG DEPT I'?. ?'(-ft .~
OTHE~ DEPT'S REQ COMPLETED I
ELEC METER-PERM-TEMP ~,
GAS METER-PERM-TEMP '
• 't I('. _,
' \ ...
,-c_ ·~ .. '). ~ ;-' .. ~ ... . .. , ~~-,► I•
. . .,,.
<. .. ' ,.
CERT OF OCCUPANCY ISSUED ' t -. '" ....
~
"
. ..
.
'
Subd ivision Name
FILL IN
R.C.E.
Im ort
PERMIT NO.
Application for Grading Permi
CITY OF CARLSBAD
(letter co~d_e_+_n_u_m-berl
L=lot
PUBLIC WORKS & BU ILDING DEPARTMENT
1200 Elm Avenue
729-1181
$=subdivision
2/ 19/8@::;C:Jvty contrcrmt (l B►
Phone
Phone
Phone
Waste
Surety Bond Bond No.
Surety Company
Surety Address
Date Fi led Rec'd by
Cash deposit
$
Rec'd by Date f i I ed
The fol lowing documents are required and s hal I
become a part of the grading permit when they
are approved.
__ Grading plans
__ So I I report
__ Drainage structures
__ Compaction report
__ Specifications
__ Vicinity map
__ Retaining wal Is
Other
SPEC IAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
I. Authorized hours of o eration: 7:00 AM to
5:00 PM, Monday-Friday.
2. Haul routes are to be a
Engineer.
3. Ade uate revisions shal I be made for
erosion and siltation control.
4. Al I sloes shal I be I anted er direction
of Parks & Recreation Director.
f i I Is (yes or no)
Proposed Schedule of
0 erations (dates )
Start Fin ish
I here by acknowledge that I have read the appl ica-1----------------------INSPECTOR'S
SIGNATURE
tion and state that the info rmation I have provide
is correct and agree t o comply with all City INSPECTION DATE
ordinances and State laws regulating excavating an Ground preparation grading, and the provi s ions and conditions of any 1-~R-
0
-u-gh_g_r_a_d_i_n_g ______________ _
permit issued pursuant to this aP,p li cation.
C mpaction report rec 'd.
Signatur e of Permittee•tfA~"-~~~~(.it:~~~~::'t~ij"';-;:;'.+T';;-;~t"-;:i;;:r-;;-;;:;-;;----------------~ Planting & drainage
Owner or authorized agent _________ _.___ Fi na l certification rec'd.
Grading permit fee$ Work completed
Surety bond released
Permit
by_--f-;;;,L:::.::::::..Ji~~s..::::=::&.e:::~-:;:=:===:---~Date ____ -----1
Permit Exp iration Date /(/-3 j-g,-"0
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THI S PERMIT IS VAL ID FOR A SIX (6) MONTH PERIOD
{ . )
' REcE\Vf--•
vtsi oi980
c\i'l Of cA.RLSBAO
uuHdina oepartment
\
' i.; ..
'
I • ' . ..... ----.. '
• I
., .. ; , • . '
•
' '
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
438-5588
N'!
2/19/81640~
04201
10.ao BL:
PERMIT FOR WORK ON CITY RIG
BUILDING
ADDRESS
CITY
ADDRESS
CIT Y
Emergency TEL. NO.
DESCRIPTION OF WORK
STARTING DATE
EST. DATE OF COMPLETION
I hereby acknowledge that I have read th Is application and state
that the Information given Is correct.
I agree to comply with all applicable City Ordinances and State
Laws and with the requirements of this permit.
I
SIGNATURE OF
PERMITTEE_.LU~~~l7-l,.-tl5~6~:._ _____ __.
ADDRESS
AUTHORIZED AGENT
ENDORSEMENT OF COMPLIANCE
I have examined this applicatlon and have found that it complies
with all requirements of the Carlsbad env onmental protection
ordinance.
~-fi-f I
PERMITTEE CALL CITY ENGINEERING
DEPARTMENT FOR INSPECTIONS
CHECKED BELOW:
24 Hours Notice Required.
0 EXCAVATION
B"FoRMS
0 BACKFILL
0 PAVEMENT
0 PRIOR TO BACKFILL
~IOR TO CURB CUT
DATE
SPECIAL CONDITIONS
INSPECTOR
(Al ALL WORK MUST CONFORM TO REQUIREMENTS OF
CITY OF CARLSBAD STANDARDS, PLANS AND
A.P .W .A. SPECIFICATIONS.
(Bl INTERFERENCE WITH TRAFFIC MUST BE KEPT TO A
MINIMUM.
(Cl PERMIT EXPIRES SIX (61 MONTHS FROM DATE OF
ISSUANCE UNLESS EXTENDED BY CITY ENGINEER.
(DI OTHER
PERMIT FEE
INSPECTOR'S
SIGNATURE
APPROVAL FOR RELEASE
DATE
COPIES: BLUE-OFFICE YELLOW-INSPECTOR GREEN-FINANCE PINK.PERMITTEE MANILA CARD MUST BE POSTED ON JOB
; 7 ,!
ll , ·.: • • • ' , •' c:,.!.:...N T.:..;E::..:R:.:.:D::..:E::.,:P __ A_R_T_Mc..;,;:E_N_T_A L,.---::I;rN __ F;....;0:...:R.:.:..M:.:..:\A:..::.T...:;:.I..:..O.::..:.N--=..S H:..:..;E::..:E~T~ EC E \ \l ED
i .· . f"t:\o ·. . n
·:,unoING ~ DATE : tHl\l 1 6 ]919
,.?(f~BU::...:I:...:::.L~DI~N~G-=-=::..::..=.:..;~~ ~ L/ l73/ s:~~/7 _ ~,_',A C:n"-D
'
~-6 \1'{ OF CARloe~ \. ~-·· l . -~~--_,_.,. t1 ✓ at 11/ 1 ~ r', .r; pt_:;::::-C Ot1\\tl,ng nepart_ ment ,; \ \ 1· u
, ' fl I i '
l
l
t ,I ;
j
I i
j
1 1 ! ;
i
I •
I ' ; . ' l
\
✓ •
PLANNING DEPARTMENT
____ {L_._l _,'y~i_· ___ LOT SIZE _________ LOT WIDTH ________ _
•. < '
.. ALLOWEo_i>t...:;~~~~\_._~.,,_-_______ uNi:fs PRovrnEn ___ __,JcF-,---------·t1 t;;b ,· ,) · ,i: ;I
P
1
~RKI NG SP ACE ~ttR~Q UI RED PROV' DED ___ .......,,...y+-/ ______ _
% .. f COVERAGE ALL19WED ). PROV:&DED ;f ; _,,,. ----.-),-,--------. -~
tu¾LDING H.71:GH~ ALLOWED ·;l: ·• 'PROVIDED
,' . !j \ '1
FRONT SETBACK !!-' SIDE SETBACK: i
. I\ . ·\ ALLOWED . :·i j
PROVIDED " ). ---~---
INTROS IONS \:_ 1'{ ··, .,...;.:
LANDSCAPE & ·. IRRIGATION PLAN C.OMMENTS:
·-i. •, '·
v , ;.
ENGINEERING:.-DEPARTMENT -/,.;,-26✓ t1---t:1-tf---
1 •: ,':
REAR SETBACK:
.. I
J
. -• ~ . 'T !_.;_; ... _., .... > ii>
/ ... , .
R.O.W.:-' .· ·.::,:·· .. · -~ INDUSTRIAL W~TE ,t)/i:-· IMPROVEMENTs_t:_x_.•_;,_-_-_·_-_..-__ . __
SEWER CONNECTION t,,,,,~ J DRIVEWAY LOCATIONS ,_.
GRADING PERMIT -~~:.:;·-... :~~ :,,.·EASEMENTS ~f./.~·;.; I f ----D-RA-IN_A_G_E--r'-,--c_---
LEGAL DESCRIPTION ---------A--,,-·-_,.+--'.,-,-\.----. --------. '., r""\). _,,,,,,,, .. ~ : . ADDITIONAL COMMENTS ~~· .. -:? ; ·,I ~' ------------------"-'----------
, . ' ..
'·
OK TO ISSUE: a'/kr/ DATE 0:-'?J-71 PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRI~KLING SYSTEM FIRE PROTECTION EQUIP. -------------------
FIRE ALARMS EXITS ----------------
FIRE HYDRANTS LOCATION -------------------
ADD IT ION AL COMMENTS
OK TO FINAL DATE ----------
WATER DEPARTMENT
REQUI RE MENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _
.,
1' J. A } -.' " '\ /.I. I\ ~ .\ I' f. l, J.. \ A 1\ A A /\ !\ I ,A, ,\ -!-. /I ,\ /\ .I\. /, J /., / /, r /1, /' /\ ,:,, ,,, , {J,.,V/'1-...1A\h,\J, .. VAVA,,, .,l,\,.A.1, ··-•,,.•\1'A\J.,\,l,~/.,,.!.J,VF,.J,-~/},.\,, "J.,,,.,"\\//i.d,,~1, .• ,/; .\,.'-.,,/\V;~ 11,>J1 .• ,~vi\.-. A ... ., , ... /\u-,,v~,\.,,1.~, •~•:A.1. ''"
6 ~ ~ <trrttfi r a 1 r rrf (0 r r uµu unJ ~ ~ ~ ~
j CITY OF CARLSBAD ~ ~ p 4 Tltis Certificate issued p11rsuat11 to the requirement s of Section 306 ......._ ... -,.-t
~ of the Uniform Building Code certifies that at the time of issuance ~
~ this structure comp I ies with app Ii cab I e ordinances of the City ~
"j regulating building construction use. ~
~ Duplex 80-140 i j Use Classification _________________ Bldg. Permit No._______ ~ ~ Group _____ Type Con struction _____ Fire Zone ______ Use Zone______ ?
~ Occupant Load______________________________ ~
~ Owner of Building _ .DcIDiel Shafer · Address 2121 Pintoresco Ct. ~ ~ Building Address'. 1:-2~04· Sacada Circle " Locality 92008 L ~
4 t" -I '-£-' ~
4 i ~ -----------------~--1-1-"---l----~-4-.:c_=---~ ~ --------------------=--=,_,_,,=-----+------~ ~ -. ~ ~ NOT[: Altorullon1, c ho11g•i., oJd.1,on, o, chongoa of OC(;vi,,011cy n Idles thi .. ,er1if1cut . ~ ~ (Post in coup,cuous ploce) ~
)( wwww wwwwwww~wwwwwwwww www~' ~ M w~rr;wwwwwww~wwx
l•
\
\
G N "-'E.C.T D(c;TA\(..
I I "
t;;''
•• I
,,
-
,.
(OF I
7 -ro -e l
1 zc;.A . .,.. z '' c.Lu .. v, c , T~"' c
(? 3z•,.e,
D '2..1 LC... I 0G. f) 4>
Fqt.. 5/JJ "'d 11'· ~.
DIE. TAIL
•
: •.' ....
'
PHILIP HENKING BENTON
PIIESIOCNT CIVIL llNGINCEA
Mr. Richard Annstr~
7690 El Camino Real
Suite 210
Carlsbad, California 92008
BENTON ENGINEERING. INC.
A,.PLIEO 901L MECHANIC9 -FOUNDATIONS
1111•0 RUFFIN ROAO
SAN Ol~GO, CALll'"ORNIA 112123
December 7, 1979
Subfect: Project No. 79~
Inspection of L 14 , 148 and 149
La Costa South Un, o. 1
Carlsbad, California
Dear Mr. Armstrong:
TEL& .. HOHE (714 ) aell-111115
In accordance with the request of the Building Inspection Department of the City of Carlsbad,
we hove made an inspection of the soil conditions existing on the subject lots.
An inspection was made by a representative of our organization on December 5, 1979, and
it is concluded that the soil conditions are essentially the same as presented in our reports on
the grading of this subdivision dated June 23, 1969 and November 30, 1970. Several erosion
gullies up to 2 feet in depth were observed on the rear portion of Lots 148 and 149, probably
beyond the proposed building areas. The soils in the upper three feet below finished grade
were classified as non-expansive with respect to volumetric change with change in moisture
content. Therefore, special design for expansive soil conditions will not be required for
buildings constructed on these lots.
If there are any further questions concerni'l} the soil ccnditions on these lots, please contact us.
Respectfully submitted,
BENTON ENGINEERING, lf\C.
By-;tk?c?~
R. C. Remer
Reviewed by ~ ~-Phitip.80, civi Tneer
RCE No. 10332
Distribution: (7) .Addressee
RCR/PHB/c
•
7 /25/7
LEUC AD IA COUNTY WAT ER DISTRICT
APPI.ICATION FOR SEHER SERVICE
Ovmer's Name ___ Daniel____l._ Shafe.r_ ______ _
Mailing Addr ess 2121-P.in.t.o.r.e.s.c..o.._CillJ.~------
Carl sbad ► CA 92008_____ ____ _
Service Address: c}. l/ot/ Sacada_Cir.c]J....._ _____ _
Tra ct Descripti on:_ lot 147. South _#~) _______ _
Asse ssor's Parcel rJo. _ _._2...._1..._6-_,J._.9,..,.0_-=41,.___ _______ _
Phone No. 436-2095
:,•· ., -: i'c'lJv!IT I:: 'J!:.J UrON
tHJ.L•.!'. ,:_. PI:RMIT ~1IUST :3 f.:
/\PPL1ED FOR r-JY_ 9/3/80
Type of Building
Lateral Size: 4"
.~d ..... u.,_pJ ..... e....,x,.__ ____ No. Uni ts 2 Connection Fee $ J2DD no
6" 8"
Ext ra Footage: ___ @ $ ___ _
Amount Rec'd
Ck. No/Cash
Date
Rec'd By
Saddle Easement Connection (pre-pd 400.00)
Extra Depth : __ @$___ 800 00
Latera 1 Fee
Prorated Sewer
Service Fee
Total $ 1200 00
The app'! ication must be signed by the m-1ner (or his authorized representati ve) 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 wi _ll 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 se\-1er pipeline (building sewer) from the appli-•
cant's plumbing to the point in the street (or easement) where a connectio~ is made
to the service lateral.
The ~onnection 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 ftPPROVED 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 ACKNOWLEDS:D.
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 corrmences 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.
\ c o q ,5'
Account No.
Vendor No .. ________ _
CITY o r-CARLSBAD
1200 Elm Avenue
Carlsbad, CA 92008
(7i4) 438-5601
REQUEST FOR WARRANT
Purchasing No. _______ _
Dept. No. ____ 4_1 _____ _
The Director of Finance is hereby requested to draw a warrant payable
To: Daniel L. Shafer
2121 Piotor....e..~c-o~C-o-uH~---------
Carlsbad
California (92008)
IN PAYMENT OF THE FOLLOWING: ACCOU NT NO.
Refund/Overpayment of Schoo l Fees :
Pai d/San Diegu ito School District $2,962 ., 65-625-0519
' should be $1,280.=$1,682.
. -
Paid/Enci nitas Schoo l Di strirt t? a.o o fi~-fi?4-()5j 9
should be $L600.=$800.
(See a ttachF>d)
.·
AMOUNT
$1,682.00
AOO 00
Authorized By:
TOTAL __ $2_,;_.4_8_2._0_0 ___ _
City Manager
Approved By:
Purchasing Agent
. . . . . '
\
f~~
~)
1Yo-1fp -If 1/7,
19 P. M.
~~ '
f J)lJ 1-v ·<lo 't-A:C--IJ--' I
f (,,, t)D
~De) f_~ ~l). -i,.<{ <i/v
~ ,t}--gl t:A. ~V Vfb--i/ !
-rt-J-o t:) i af-tJ c
l ~:~~"~ y ,:~~~H IS SHEET G-rLY ~~ ~~ ~ -pggo = Es-v V ~ i
t
J ti IE 5 ~A Fe le_ ?,-1/-g .,,_,.~
.. F €-€---;;>. f2 tJ e:ll. f A-, J> .
-