HomeMy WebLinkAbout2454 TORREJON PL | 2456 TORREJON PL; ; 77-8148; PermitG PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 } ,f/il p
Applicantto complete numbered spaces only Phone 7 29-1181 Perm,! No 7 ,y"
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ASSESSOR'S
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PHONE l STAT!'.''\'.I~. NO. CITY LIC. NO.
AftCHITECT OR OCSIC:.NCl'I MAIL AOOA[S5 PHON E LICCN5£ NO.
4 -rt , o.. 881 .. , ,. -CNGINCCIII MAIL AOORCSS PMON C L ICCNSE NO.
5
COMP ENSATION INS, CARRIER MAI L AOOIIIESS
6
use OF BUIL DING
7
NO. BDRMS _! & _rt •'A_j NO. BATHS 2
8 Class of work: ~NEW 0 ADDITION 0 ALTERATION □ REPAIR · 0 MOVE □ REMOVE n
9 Describe work : ho ono atoey resl·dence
10 Change of use from
Change of use to -
11 Valuation of work: $
PLAN CHECK FEE$ PERMIT FEE $ /tt:_ ~ I
SPECIAL CONDITIONS: Type of I
Const. _l_
Occupancy ,;, J MICRO FILM FEE
t------------------------------t Size of Bldg. ) /
(Total) Sq. Ft . ../ ,
I-~-~,----=~--~--,----------.----------~ Fire
APPLICATION ACCEPTED BY PLANS CHECKED SY APPROV:; :;S1,A::E r ;:~:f ::S
DATE OAT~~ .. , J/ _pwell,ng U nits
NOTICE I r
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMS-
ING, HEATING, VENTILATING OR AIR CONDlTIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V IOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATUlltC o, CONTIIU,CTOJI OJI AUTMOIIUZtO AGCNT (DATE)
SIGNATVPtt 01" OWNCJI 1, OWNCllt BUILDE.ftl OAT CJ
Special Approvals
PLANNING DEPT.
HEAL TH DEPT.
FIRE DEPT.
SOI L REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT,
Group 1 ~/, J_
No. ot
Stories I Max.
0cc. Load
Use r -"), Fire Sprinklers
Zone f '< Re,quired □Yes D No
OFFSTREfT PARK17G SPACES:
No. ._ I { !No. Covered Sq. Ft. Open
Required Received Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK . M.O . CASH
TOTAL FEES$
INSPECTOR
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 . 7-¥ , ) ~ > !;tj.,
Permit No
JOB ADDRESS f t-7 Lf s-1 -2 '1-Sb /Ofl f Fjcn/tf tfl CDS7fJ
I LOT NO, LEGAL 1 DESCR. .,) 5 "2..
rLK, I TRACT (Q SEE ATTACHED SHEET)
OWNER _ / MAIL EtJRESS 9'4-1 ('1t?!~p#d 4J6-4 0S-</ 2 . D P I2L-1 JJG I .D. i\
CONTRACTOR MAIL ADDRESS I , ((i/. ,./HONE j~}s i 02. CITY LIC, NO,
3 -Pt:=-tvfJA,l Corv s7 f t, '38 t ~{.,l. f ~,.;,., S' 3.0fKo .I ,; ? ~
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
/
COMPENSATION INS CAIZ R :; /'/ MAIL ADDRESS BRANCH
6 ,, )-.. ---C ~
USE OF BUILDING (/ 7
8 Class of work: □NEW 0 ADDITION 0 AL TE RATION 0 REPAIR
9 Describe work :
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
AnLICATION ACce,no IV 'LAN$ CHECl(EO BY APPROIIEO FOR ISSUANCE BV AMPERES OF MAIN SERVICE, SWITCH, ,3i 5\ .. FUSE OR BREAKER /$0 ;? <> -I 'I iY .
' 7 DATE NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCE~ GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO ANO INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
. v~ £1(£_ TEMP. SERVICE OVER 200 AMP.
PER 100
1 • ► SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) --ISSUANCE FEE :,-
TOTAL FEES ;;;1 i ~
SIGNATURE o oWNEK II" OWNER BUI DER (DATEI
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 -1
Permit No
J08 ADD" [SS fL 245~ -~4S6 1o(l fZ. ~-o 11.J L-IJ C e>.S1+t
LOT NO. I OLK
TJIU,CT
tO st.c ATTACHco sHccT, LCGAL I 2~2. 1 DUC~.
OWNt.fll MAIL AOOlt[SS
?! 4 c; , / :;;K l b 1J4
PHONE.
2 -vA1l '-I >J l, .fu. gOA 36-1-ost_
CONT .. ACTOfl MAIL ADO,-C.55 PHONE l]flp~/; ;tµ· /i~~;;_L) :1<1~ 7 3 -Oe-1v&A1l co AJS..T 76?51 ("ALt.E-
ARCHITECT O" DCSIGNCll9 MAIL A00"CSS PMON [ LICC.NSC NO,
4
ltNGINtU, MAIL AOOfltSS P'MONC LICENSC NO,
5
(
LlNOUt
£~(
MAIL A00flC55 IIIIANCH
6 ' .
U1't'iO~ IUILOING
7
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
'
Type of Fuel: Oil D Nat. Gas D LPG. D
PERMIT FEES
~
SPECIAL CONDITIONS: No. Type of Equipment Fee
Air Cond. Units H.P. Ea. $
/ ~ -· Refrigeration Units-H .P. Ea. ~
Boilers-H.P. Ea.
-Gas Fired A .C. Units-Tonnage Ea.
tJlt'. ~ Forced Air Systems-B.T .U. /{}(' r .,,, Ea. .,, ' t.-'
APPLICATION ACCEPTED BY PLANS CHECKED av APPROVED FOR ISSUANCE BY Gravity Systems-B.T.U . M Ea.
d 1 ,I /Y Floor Furnaces-B.T.U. M
,,I Wall Heater~-B.T.U . M
I NOTICE Unit He&ters-B.T.U. ' M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-Evaporative Coolers
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,OR IF vlothes Dryers ..-.i:: --CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A -PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-Ventilation Fan ..:.,,,0 :-
MENCED. ~ Range Hood I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS -~ APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS Air Handling Unit-C.F.M. vi,
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Incinerator HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE I
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ,.
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
... L1~ .... ft.~~~ .
. (OATCI , >
ISSUANCE FEE s _,J v<,... ~
TU911t o, OWNl:R o, OWNUI aUILOl:111) DATE.) TOTAL FEES ., s I~ (
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
,
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH o 'fr-/7 _/
INSPECTOR
PLUMBING PERMIT APPLICATION
;t / j /, City of CARLSBAD, CALIFORNIA 92008
ip'Jant to complete numbered spaces only Phone 729-1181 Permit No
-I L.OT NO.
L.CGAL z 1 DESC~. 2 7
■LK -I TUCT
-
2
OWNER
-DA fl 1_11../£
MAIL AOOR[.SS .Pn Sox
CONT"AC 1"011 MAIL A0011£55
3 -n Fl, 1,1~11 tDA.IST 7t?,f C.t1Lt E
ARCHITECT 011 OCSIGN[fl MAIL A00"ES 5
4
MAIL ADDA£$$
5 1
MAIL AOOJ11£$5 COMPENSATION (NS, CARR'fR
6 '"'I / c/_-(
use o, !WILDING
7 /I
8 Class of work: \j NEW 0 ADDITION □ ALTERATION
9 Describe work:
SPECIAL CONDITIONS: .
APPLICATION ACCEPTED BY PLANS CHECKED BY APPIIOVED FOIi ISSUANCE BY
ti · Jf
DATE
I NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
.
PHONE LICENSE NO.
IIIANCH
0 REPAIR
PERMIT FE~S
No. Type of Fixture or Item
//!? WATER CLOSET (TOILET)
N BATHTUB
~ LAVATORY (WASH BASIN)
') SHOWER.
J K ITCHEN SINK & DISP.
:!} DISHWASHER
LAUNDRY TRA Y
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FL OOR-SINK OR DRAIN
SLOP SINK
GAS SYSTEMS: NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
...)., SEWER NUMBER CLEAN0UTS
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
.
CITY LIC, NO.
/ J 9V;
.
Fee --$ ,,, ICt,
E:::: :; <
/:)I C"f.J
~ ) ( r:,
-=-----: lD --. ') CZ ---:: <, ~
~~ -;; L> t.: J
ISSUANCE FE:e .. -J. ~ -:;'0
SICNAT ,u 0,-OWNIE.fl 1r OWN [ .. 9UILOC,-TOTAL FEES $ .S'J 'SO
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O . CASH
INSPECTOR
I I
-,
j
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,'J
j
I
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""': .. ........... ... ~ ... --:-•--~ -..... , ... ---·-·
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• '------: ~· ~ ... ·,-..,,1.,·,,~·
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;-,,'"'J;~~~ ~,,. •• .: ~,-:1'< ' ... -~\,,, ~ -·, . ......,... ~-
~!-· : ~~-·~.. --· -·l:~~
~ ,~' .~--:.-., •l>1'f~?~~:
);( ~~/A/AMMAIAIAM/A/AM/AA/A~MIAAM:rl
/4 ~~~ ~ l illrrtifira tr of ®r nq.rnn ry i: ~ ~
j CITY OF CARLSBAD ~
/4 V.2~~~ ~ ~ This Certificate issued pursuant to the requirements of Section 306 -..a..~-t
j of the Uniform Building Code certifies that at the time of issuance t
~ this structure complies with applicable ordinances of the City ~ 3 regulating build'.ng con~truction use. E
3 Use Classification Srng le Fam, 1 y Bldg. Permit Na. 77-8148 ~
• R ► Graup-2/M-] Type Construction V-N Fire Zone __ ......J-___ Use Zone R-? ~
~ Occupant Load______________________________ ►
~ A
. . . . . ~
OwnerofBuildin!fi;u•Odrew R . Dar],ng-,, •. "·Actdress P.O. :::,.._ _.,. . . \ ;i::,
/4 Bu i lding Address ~,:,§4-56-·J:or-rejon PJ, ,. Ji ....;:,~,,_,___,~~~~Pr!__.__~~~---► /4 t .,-:.-4 .. /; !--~.' :..,:t, ... • ►
/4 ~ /4 -----------------..l..--+--,----+---+--+-4'\--t'---1--1--~
~ A,,----
j NOTE: Alterations, changes, additions or ch~n~ ~··Cupancy nullifies this certificate. ,..,._ •• ~-~ : '· . :;;; ~ (Post in conspicuous plo. ~JR::CTOR DUILDING AND HOUSING :,;
P(WVWW M M M y M y. M " :v. I(. M M M M M M ~ WW~W~WW'W~WW)(
~lf .. ·-..r,• .-.,,_e:;·.1~~.:.
HEOUEST FOR INSPECTION TIME:----;7-+---
INSPECTOR ___________ PERMIT NO ________ DATE: f;JJ7 7
owNER __ _,_,l?Af-__,_,_,~L-__,l .... /\2-=---· ~w-·~----------------
ADDREss->4=,-,nt-+. --+-j_____,.Yf'_---+-s~,..._(c,,,_, --~?P~t:..,..ft~G=,_,,._}~0~,.U _______ _
BUILDING
0 FOUNDATION
CJ REINFORCING STEEL
CJ MASONRY
0 GROUT· GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
D INSULATION
0 INTERIOR LATH OR DRYWALL
~ FINAL
PLUMBING
l~J UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER ,,6.. FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS \
D COMBUSTION AIR c)\ '\
0 PATIO 1 J 1 \ □ SIGN &-• r1_ s✓ 0 GRADIN /\
0 DRIVEW Y (1,
0 CONDITIONED AIR/sYSTEMS
0 REFER PIPING
J<f-. FINAL
READY FOR INSPECTION: □MONDAY □TUESDAY □WEDNESDAY ')({'THURSDAY □FRIDAY
DA.M.
DP.M.
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY ___________________ PHONE No. _ _hl-<!.-1--t-----
PERSON TAKING REPORT ~
TIME· KEOUEST F~ l~PECTION
INSPECTOR t=c ~ ~MIT NO ____ ...._ ___ DATE:
OWNER i..J.O A=I!. 1-. ~7-·
ADDRESS ,,,.2 V c_5 ? / . ~
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT-GUNITE
D FLOOR AND CEILING FRAME
0 SHEATHING
Cl FRAME
~EXTERIOR LATH
0 INSULATION
~_INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
[J UNDERGROUND PLUMBING
D UNDERGROUND WATER
0 ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
0 TUB OR SHOWER PAN
D GAS TEST
Cl WATER HEATER
D FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
(7 □ ROUGH ELECTRIC
'f) 0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
, SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
0 COMBUSTION AIR
D PATIO
0 SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY "\ TUESDAY □WEDNESDAY D THURSDAY D FRIDAY
0A.M. r---_
0P.M.
SPECIAL INSTRUCTIONS_,~--------------------------
REQUESTED BY ___ +--1-....,;f--~--l~_µ_. --Co_-1-'-·_-.___ _____ PHONE No. __ C"~_.,../ __ _ \~ I PERSON TAKING REPORT ___ -4c_,.. __ _
I
INSPECTION TIME_· ______ _ Kt:UUEST FOR
.o ! INSPECTOR , , 1 ' PERMIT NO. _______ DATE:_,__/_•~·_'/_/_',_,•.._::,'-•--
OWNER _________________________________ _
fl"'-r· 1 J l
ADDRESS _ __,/"-•• '--. _<_...{_,,'-("-'J~•---c_· --'---'-"----l-•_· •-~· ------------------
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUNITE
L7 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
DJXTERIOR LATH
~INSULATION
'-0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 JUB OR SHOWER PAN
~gAS TEST "
• 0 WATER HEATER
D FINAL
ELECTRICAL
D TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
□ PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
READY FOR INSPECTION: □MONDAY □TUESDAY □WEDNESDAY □THURSDAY )(FRIDAY
DA.M.
)(,.r-M.
' SPECIAL INSTRUCTIONS--------'''----------------------
REQUESTED BY ___________________ PHONE NO. _______ _
PERSON TAKING REPORT _______ _
FOR/ INSPECTION TIME:. _______ _
INSPECTOR--~•--'::=·~of,__·_,_, ___ ~_ PERMIT NO ________ DATE:--'--~-·-"--··--:...--
OWNER _________________________________ _
ADDRESS _________________________________ _
BUILDING
CJ FOUNDATION
CJ REINFORCING STEEL
Cl MASONRY
[] GROUT· GUNITE
CJ FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
[J EXTERIOR LATH
D INSULAT,ON
CJ INTERIOR LATH OR DRYWALL
D FINAU
PLUMBING
[] UNDERGROUND PLUMBING
D UNDERGROUND WATER
C:J ROUGH PLUMBING
cr.rfop OUT PLUMBING
0 SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
[~] CEILING HEAT
D G.F.1.
Cl SMOKE DETECTOR
Cl FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
D COMBUSTION AIR
Cl PATIO
Jt-.1.:.-----;-_::l SIGN
Cl GRADING
Cl DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: □MONDAY ~TUESDAY DWEDNESDAj □THURSDAY D FRIDAY
DA.M. (
DP.M.
SPECIAL INSTRUCTIONS----------------------------
REQUESTED BY ___________________ ,PHONE NO. _______ _
/ PERSON TAKING REPORT---'---
REQUEST -:, c.,s TIME_· __ l ____ _ F9~ INSPECTION
INSPECTOR ____ ~--~-----PERMIT NO ________ DATE:
OWNER _________________________________ _
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUN I TE
0 FLOOR AND CEILING FRAME
0 SHEATHING
D FRAME
D EXTERIOR LATH
D INSULATION
D INTERIOR LATH OR DRYWALL
D FINAL
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
□ ROUGH PLUMBING
0 TOP OUT PLUl\'!!!ING
~EWER AND PL/C5D
0 TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
ELECTRICAL
0 TEMPORARY SERVICE
ELECTRIC UNDERGROUND
OUGH ELECTRIC
ICE
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
0 SIGN
D GRADING
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY D WEDNESDAY
DA.M.
oTHURSDA~.
oP.M.
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY ___ ~~'.,M=cN,,,,~~· ___________ PHONE NO. _______ _
PERSON TAKING REPORT _ _..,.,_ ____ _
REQUEST FOR INSPECTION TIME_-______ _
INSPECTOR eJ PERMIT NO, _______ DATE: ,)--:;_ y-')<:['
OWNE.R _______________ _.,._a.,·,..
1
'14c.e,,C.<cYl=ic..oL-<?aa=<........_,,~.,-=L1.-l'?-=.-""''------''--'1....>=-----
ADDRESS---------~•.)-.~-_(/~J_--=1e~~f~~~~'\.-R~17"'.¢::~--~::J.~-~-----
BUILDING
D FOUNDATION
□ REINFORCING STEEL
□ MASONRY
D GROUT. GUNITE
□ FLOOR AND CEILING FRAME
D SHEATHING
□ FRAME
□ EXTERIOR LATH
□ INSULATION
□ INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
□ UNDERGROUND PLUMBING
□ UNDERGROUND WATER
□ ROUGH PLUMBING
□ TOP OUT PLUMBING
□ SEWER AND PL/CO
□ TUB OR SHOWER PAN
D GAS TEST
□ WATER HEATER
D FINAL
READY FOR INSPECTION: ')£MONDAY
6-A.M.
DP.M.
¥,TUESDAY
ELECTRICAL
□ TEMPORARY SERVICE
ELECTRIC UNDERGROUND
SERVICE
,-.,,-""E-n ING HEAT
□ SMOKE DETECTOR
D FINAL
MISCELLANEOUS
□ PLENUM AND DUCTS
□ COMBUSTION AIR
D PATIO
D SIGN
□ GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
□WEDNESDAY □THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS _____ .-{,__c_;~--'--'---~-'-~--------------
REQUESTED BY __________________ PHONE NO. __ ~rl------rt-9---,;'---
PERSON TAKING REPORT __ ,?::_. _=5~,_tl __ ' __ _
REQUEST FOR INSPECTION TIME·'--------
INSPECTOR _ ___.?__.J ......... ______ PERMIT NO. _______ DATE: / • L<-/ · Z K
OWNER------------,--..----------------------0 <
ADDRESS __ ..f~-#,~,!!11:~ __ _:J~~-~·~ -~~•:C:! ....-.~=------------------
(\
BUILDING
D FOUNDATION
□ REINFORCING STEEL
□ MASONRY
□ GROUT -GUN I TE
□ FLOOR AND CEILING FRAME
□ SHEATHING
□ FRAME
□ EXTERIOR LATH
□ INSULATION
□ INTERIOR LATK OR DRYWALL
D FINAL
PLUMBING
□ UNDERGROUND PLUMBING
□ UNDERGROUND WATER
~ROUGH PLUMBING
□ TOP OUT PLUMBING
□ SEWER AND PL/CO
0 TUB OR SHOWER PAN
□ GAS TEST
□ WATER HEATER
D FINAL
ELECTRICAL
□ TEMPORARY SERVICE
□ ELECTRIC UNDERGROUND
□ ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
□ CEILING HEAT
D G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
□ PLENUM AND DUCTS
D COMBUSTION AIR
□ PATIO
D SIGN
GRADING
DRIVEWAY
ITIONED i~JR SYSTEMS A:.4-.r=,--;;,;;;;.;;;-·
READY FOR INSPECTION: □ MONDAY p(TUESDAY □ WEDNESDAY □ THURSDAY □ FRIDAY
DA.M.
DP.M.
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY __________________ PHONE NO. _______ _
PERSON TAKING REPORT _______ _
REQUEST FO~ECTION
INSPECTOR ___________ PERMIT
TIME: _____ 7-+-
J /g_~/79 NO. ________ OATE: 1
OWNER __ _,7)"---'t?.'-'AJ-=....cUC-<IS~_ffl?~~ffaJ~-=~------------
BUILDING
□ FOUNDATION
□ REINFORCING STEEL
□ MASONRY
0 GROUT -GUNITE
re'ii}ooR AND CEILING
'-cisHEATHING
□ FRAME
0 EXTERIOR LATH
□ INSULATION
FRAME
□ INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
□ UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUBORSHOWERPAN
0 GAS TEST
0 WATER HEATER
□ FINAL
READY FOR INSPECTION
DP.M,
□TUESDAY
ELECTRICAL
□ TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
□ SMOKE DETECTOR
D FINAL
MISCELLANEOUS
□ PLENUM AND DUCTS
□ COMBUSTION AIR
D PATIO
D SIGN
0 GRADING
D DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
□ FINAL
□WEDNESDAY A /l/1 .
REQUESTED BY __________________ PHONE NO._,i::~~~=---
PERS0N TAKING REPORT _______ _
7?-1/)9
CORRECTION LIST (7 14) 729-1181
♦ • CITY O F CARLSBAD
BUILDING DEPARTMENT
SINGLE FAMILY AND MU LTIPLE FAMILY RESIDENTIAL PLAN
0 v
"\J
*WARNING: PLAN CHECK FEES: Where no action is taken by the applicant in 120 days,
and no building permit is issued, all~ check fees are forfeited to the city.
. <fi'o-1. ;;)3:;l ;;(. {'__ d-c i=.3
Job Address: @l/S(J -c).(/5{p T~ Owner ___________ _
Contractor: ________________ Engineer ______________ _
Occupancy ________ _ Type of Construction _____ _ Valuation _____ _
Basic allowable bldg. area 1st Floor __________ _ 2nd Floor _________ _
3rd Floor JY/c~1'doJ ----------4th Floor _________ _
Allowable Increase Due to ___________ _
REQUIRED PLANS
1. Plot Plan 6. Structural Details
2.
3.
4 .
5.
Foundation Plan
Floor Plan
General Framing
Foundation Details
7. Elevation Plans
8. Roof Plan
9. Index Sheet
TO THE APPLICANT
A. Correct Plans where corrections has been circled. Flag
Corrections.
B. Incomplete, Indefinite or Faded Drawings or Calcu-
lations not acceptable.
C. Required Engineer's or Surveyor's Calculations or
Plans shall be signed in ink.
D. Reverse Plans may not be used. Provide correct Plot
Plan, Foundation Plan, Floor Plan and Elevations.
E. The approval of plans and specifications does not
permit the violation of any section of the Building
Code ·or other City, County or State Law.
GENERAL
1. Submit fully dimensioned Plot Plan, drawn to scale,
including all easements on property.
2. Show all existing and proposed buildings on Plot Plan.
3. Show correct legal description on Plan.
4. Show all Off Site Improvements, Driveway Approach,
Light Standards, Fire Hydrants, Water Meters, Sub
Structures, Trees, etc.
5. Correct Lot Dimensions.
ow existing and finish contour lines. /)
rvey of Is,et rcq,:i:,eaYhc,..A..,~ {e .h-(.. ~0-Q....t..d/,
dicate all grading to be done.
~icate Elevations of Garage Floor, and Street and
nveway.
dicate Centerline and Edge Profile of Driveway.
ope of driveway not to exceed 15%.
ndicate flow lines for disposal of surface water.7¾
13. La Costa approval required.
13aSan Diego County Health Dept. approval required.
13bShow all requirements for handicapped. U .B.C.
Section 1711.
13cL.C.W.D. sewer receipt required. ~
13dCoastal approval letter required. ~ \
14. Carry ______ water from J -
under sidewalk thr ug curb 'nto...,.s.tre~ with cast
iron pipe.
15. Provide engin ri
rovide enginee s moisture report.
rading permit required.
18. Fire Dept. approval required.
19. Specify concrete mix @ 2000 P.S.I. minimum.
20. Dimension footing sizes and clearance from grade.
21. Show depth of footings below natural or undisturbed
grade.
22. Indicate pressure treated foundation still, or equal.
23. Show foundation bolt size, spacing and penetration
in to concrete. ½" x 1 7" for masonry.
24. Indicate clearance from grade to bottom of floor joists
and girders.
25. Show pier size, spacing and depth, into undisturbed
oil.
,__..,how girder size, spacing and direction.
ow all conditions of soils report on plans. _,,,-
how positive drainage away from footings on site
plan. 5" fall in 6 feet.
Specify minimum 18;' x 24" access opening.
. Where expansive soils exist, planters adjacent to found-
ations are not recommended.
31. Specify underfloor ventilation equal to 2 square feet
for each 25 lineal feet of foundation plus one opening
within 3' of each corner.
32. Step footings when slope exceeds 1: 10.
FRAMING
33. Provide typical framing details.
34. Specify all lumber grades.
35. Specify fire blocking at floor, ceiling cove and mid-
height of walls over 10' in height.
36. Show diagonal bracing at each corner and every 25
feet of wall.
37. Clarify bracing of ________ wall.
38. Show size, direction and spacing of floor Joists in
-------------"re overspanned.
39. Double floor joists or ____________ _
beam under parallel partitions.
40. Specify header size for openings over 4'. Show double
headers on edge.
41. Insufficient beam size at
42. Provide rafter ties where ceiling joists and rafters are
not .parallel. 4' O.C.
43. Indicate rafter size, span, spacing and direction.
44. Show purlins on edge and indicate size. Same size as
rafters minimum.
45. Brace roof framing to partitions.
46. Indicate solid sheathing and 2 x 6 or 3 x 4 studs on
first floor of three story construction.
4 7. Show section through ____________ _
/48. Show planter box details and water proofing, Sec~
2517 C7.
51 . Provide typical chimney details.
52. Specify 2" minimum clearance between chimney and
framing.
53. Specify post protection when bearing on concrete.
54. Provide parapet details.
56. Specify inspection class. ___________ _
required for _______________ _
58. Provide drip screed 2" below mud sill.
59. Indicate how required structural and fire res1st1ve
integrity will be maintained. Where penetration will
be made fo r electrical, mechanical, plumbing and
communications conduits, pipes and similar systems.
Section 301 D.
60. Clarify dimensions at ____________ _
61. Show window type, sizes and locations.
62. Light and/or ventilation inadequate in ______ _
(1/10 floor area -12 square feet min. except bath-
room).
I **Nn'T''R TN MA RGTN WHERE CORRECTIONS HAVE BEEN MADE I
63. Prdvide. ______ vertical clearance and ___ _
~orizontal clearance from range top to combustibles.
~ndicate attic scuttle (22" x 30" min.)
65. Provide draft separation for attic area in excess of
2500 sq. ft.
66. Separate area between dropped ceiling and floor above
to 1000 sq. ft. max.
67. Specify stall shower min. width 30" minimum floor
area 900 sq. inches.
68. Specify wall finish in shower area not to be adversely
affected by moisture to 6' above the floor, and provide
shatterproof doors.
69. Water closet area minimum width to be 30".
70. Show material to be used under tile.
71. Openings closer than ____________ _
. to property line shall be of ____ hour construction.
72. Show ___________ ceiling height.
73 .. Show lateral cross bracing at garage plate line.
74. Show bedroom window as exit, section 1304.
110. Indicate material to be used and location of sewer
line. (If V.C.P. use flexible compression joints only.)
111. Show two way clean out in yard box with 5' of build-
ing.
ELECTRICAL
112. Provide minimum 100 Amp. service. Condos require
100 Amp. panel for each unit.
113. Show meter and panel location.
l 13aShow fire warnings systems centered over stairs.
Section 1310.
.B/lndicate ~i.0 :,:c~::~:,L& «gistecs and ceturn
air. (Size)
115. Indicate heating equipment in accordance with chapter
7 of Uniform Housing Code.
116. Specify heating, air conditioning and ventilating
ELEVATIONS J-
dicate attic ventilation per ses,tion 3205 (c). ~
ow all eave overhangs and construction deta'tls.
equipment. Installations to comply with the uniform
g
{,)_ : mechanical code.
A,1fTl.0 A. Access F. Ducts
B. Location G. Ladder & Light
77. Dimension chimney height above roof. (2 '0" above
roof withing 10'0").
78. Indicate finish and natural grade to property line.
ow exterior wall finishes.
dicate 15# felt or equal on exterior walls.
ROOF
ote roof pitch. ✓. ./
ndicate roofing materia.f length & weather exposure
n wood shingles.
83. Show type, size and spacing of roof sheathing.
84. Fire retardant roof required due to location in __ _
fire zone.
GARAGES
86. Garages not permitted to open into sleeping room.
87. Provide __________ separation on all walls
and ceilings adjacent to living quarters.
88. Specify, __________ door/window opening
from garage/carport into ___________ _
STAIRWAYS AND EXITS
90. Provide handrails as required in Section 3305 (i).
92. Provide. _____ hour walls for stairwell.
93. Indicate _______ maximum rise and minimum
run on _______ stair.
95. Provide balcony railing at 42" minimum height. 36"
O.K. for single family units.
96. Provide intermediate rails @ 9" O.C. or equivalent
for open type balcony & stair rails.
97. Indicate 6' 6" minimum headroom clearance above
______ stairway.
98. Show stairway construction details.
100. Occupant load _____ require.,_ ____ exits
from ________ _
101. Provide lights over stairways and public corridors.
102. Show change in floor level at doors l" max. Sec.
3303h.
102aShow handrail extending 6" beyond the top & bottom
risers & terminating in a post or safety terminal Sec.
3305 (i).
D~~ ~¥JING () Dpt-,/ ().G"
ndicate locatioVrw~, heatr
how temperature and pressure relief valves on water
heaters with discharge lines to outside. Sec. 1007.
105. Water heater not to be located in bathroom or under
stairway or landing.
106. Provide. ____ square inches of ventilation at top and
bottom of water heater.
107. Show water heater on 18 inch platform.
108. Provide water pressure rygulator. Section 1007 (B).
/o?.~~~;Pa--..~/4
C. Combustion Air H. Engineer's
D. Venting Cales for
E. Return Air Roof Loads
117. Indicate location & type of fire dampers.
ELECTRIC
1975 N.E.C.
round-fault protection required for outdoor and
bathroom receptacles 210·8. ---.
-,,:-.u-.c1.t least one receptical shall be installed outdoors
d garages. 2 10-25b
orrect electric as shown on floor plan.
Un~;ou~service is re uired. Show on plans.
7/ ~ -.:l"l) ~n1S
MISCELLAN OUS I EMS
1. Bored holes and notching, show details as per Section
.~ 2518, (F), 10, 11.
.-l./ Provide Sq. Ft. areas of the followi
., Living -
.;carage
T5orches --------------#--,f-~~-
.A> at i o s ~~
Balconies ,~~
Glass d;ot e, K r;, ✓A_tnsulatfon requirements: /
(_/ A. Show 6" insulation in ceiling. (R-19~ ,'~;.• Cl
~hli>w 1 x block for insulation stop eta Yi'S A-1.(
~ow 4" insulation in walls (R-11) 7
D'. Show exterior doors weatherstriped.
~ Place the following note on plans:
These plans comply with the requirements of the
.,/ California noise insulation standards.
SIGNED _____________ _
DATE ________________ I
LE
ow details of party wall and floor system and
S.T.C. or I.C.C. rating of each. _
RECHECKED ____________ _
(DATE)
THE FOREGOING CORRECTIONS HAVE BEEN MADE
AND ARE UNDERSTOOD BY THE UNDERSIGNED:
OWNER -OR HIS AUTHORIZED AGENT
)
INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
I .
BUILDING DEPARTMENT DATE: AUG 5 1977 --------
''"tlU ILDING ADDRESS:
~ I
'd-,l{S(f i-avs <.e \~) CITY OF. CARLSBAD
Bulldlng Department
PLANNING DEPARTMENT
,/ 1, f
Z ONE_--iR,-...::,..~---__:d---:...._ ___ LO T SI Z E ___ ((....,-~Jf------LO T WI DTH._1Q.L..-_.:.._k--+--XR-ll-=''-l--
UN ITS ALLOWED ()_ UNITS PROVIDED I")_ -----------___ ___::__--r---------
P ARKING SPACES REQUIRED _1:--.,~'---«'fit'=--~<Ac:..:__._ ___ PROVIDED_h;?_._ ________ _
z covERAGE ALLOWED ----S~v~ _______ PRovIDED -~«kc....:.::... _______ _
~UILDING HEIGHT ALLOWED ----b~S,;._ ____ PROVIDED --=&:~--------
FRONT SETBACK: • ALLOWED-~?&.,._;:;:'-----
PROVIDED __ Q.,_J---(---
INTRUSIONS
SIDE SETBACK:
LANDSCAPE & IRRIGATION PLAN COMMENTS:
REAR SETBACK:
ENVIRONMENTAL PROTECTION REQ: --¥-~➔'f-r:+-:tAN-,-1~J~,----------------
ADDITIONAL COMMENTS: ~,)V\.l_ ~cit;, W\.~ N,Of
OK TO ISSUE:~ DATEfi <SJ-77
--.
-ENGINEERING DEPARTMENT 8-?:: 5'-77
-R . 0. W -~~z= INDUSTf;;.f-WASTE A.)/,(
SEWER CONNECTION C:c;r0D DR~I~;~EW~A~Y~.---
c RAD I NG PE RM IT~;/ .t(g;oa:f. EASEMENTS-~~~::._-~~-~
LEGAL DESCRIPTION ~z:_ , ,;;;SR-
ADDITIONAL COMMENTS.~»~e◄~e=--#~a__~~'........1::...C::~~.::::...-t==.~~~=-~~~c:::.~-=-~=---
.5 ~0 ~vQ ~ --t;,e,k,)
OK TO ISSUE: F}IL DATE e,-14-72
FIF.,E DEPARTMENT
SPFI~KLING SYSTEM ___________ FIRE PROTECTION EQUIP. ______ _
• FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION ------------------
~DD IT ION AL COMMENTS ___________________________ _
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE __ _
WATER DEPARTMENT
~EQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _
I
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
March 27, 1978
Andrew and Jessi e Dari ing
2408 B Torrejon Place
Carlsbad, CA 92008
<ttitp of <ttarlsbab
Sub j ect : Proposed Mi nor Subdiv ision No. 374
Lot 232 , La Costa South, Unit No. 3
TELEPHONE:
(714) 729-1181
Whe reas the requirements of the Ca l iforn i a Environmenta l Quality Act and
the City of Ca rl sbad Env i ronmenta l Protection Ordinance of 1973 re lating
to the subject proposed parcel map have been exam ined by the Planning Di-
rect or and dec lared to ha.ve a non s ign i f icant impact upon the environment;
and wher eas negative f i ndings delineated by Section 20.24. 130 of the Car ls-
bad Municipa l Code have not been made; and whereas t his minor subdivis ion
is found to be i n conformity with t he General Plan of the City of Carlsbad;
therefore, a fina l decis ion has been made t o approve the subject tei:rtative
parcel map subject to t he fo l low ing cond itions:
I. Al I structures withi n thi s subdiv is ion sha l I be constructed to meet
Bui I di ng Department requirements for condominium deve lopments.
2. The subdiv ide r s ha l I provide separate sewe r latera ls and separate
water, gas and e lectric servi ces with meters to each of the units.
3. The subdivider shall sign a written statement to the effect that he/she
has read Section 66427.1 of the Subdi v ision Map Act and that he/she
shal I make the required notificat ions to any tenants occupy ing the uni ts
at the time the final parcel map is recorded.
4. Al I required fees and depos its shall be paid prior to f ina l pa rce l map
reco rdation. See attached l i st.
5. The tentative parce l map approva l shal I expire one year from the date
of the le tte r containing the f i na l declslon for tentative map approva l .
v1'~
Tim Flanagan
City Engineer
TCF:FNL:veb
C: Bui l ding Department
Klema Eng i neers
FEES AND DEPOSI TS
MINOR SUBD IVISION NO . 374
LOT 232
LA COST SOUTH, UNIT NO. 3
FINAL MAP CHECK FEE
PARK-I N-L IEU FEE
DUPL ICATE TRAC INGS DEPOS IT
$ 100.00
1,288 .91
50 .00
$ I ,438. 91 *
*Does not inc lud e any fees which may be required by pub I ic utility
agencies purs uant to Cond ition No. 2 .
..... ~---• ---•~--.. --~ ____ ,. r __ __,,_,,_ _____ _
Owner's Name:
Mailing Address:
Service Address:
LEUCADIA COUNTY WATER DISTRICT
APPLICATION FOR SEWER SERVICE
Jesse Darling
2408 Torrejon Place
Carlsbad, Ca 92008
2454 & 2456 Torrejon Place
Phone No. 436-4054
Tr~ct Description: La Costa South #3 Lot 232
Type of Building: Duplex No , Units 2 ---Connection Charge $1,200.00
Lateral Size: 4" 6" 8" Saddle:
Extra footage: ___ @ $ __ _ Easement Connection ---
Extra depth: @ $ __ _ Lateral Charge
$1,200.00
Amount Re'
Th ~ Total e un .er:,;/;F)"~ •-~" ,-.,,.,,..,_, r,--1-:.r.,,.,,; of the
Distrir.t 's r --• • ·--• • ~ -· ·•-_,._ r.-:. ci..: .. n::d
How Paid _,,,-UJL__._::U,:.,_ __ ---,1 m Resolut:c.·1 • • • • I , _::, -:--::'.'. 55 C,
Date Pa·
Rec'd b . -~Lil4
The application must be signed by the owner ~is authorized rfJ~~~tYi.'ettq_t~;~Cctll\~ •••
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 applicanb. 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 REPRESENTATIVE, 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 service charge, billed bi-monthly in advance. The rate will be governed by the
use of the property, single family, multiple dwelling or connnercial •. 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
~n:2~
Owner's 1 Sign ur~'j.
8/5/77 7922
Date Account No.