HomeMy WebLinkAbout2446 TORREJON PL; ; 80-226; Permit[~SO <OON-C,M'S O<CUAA>""
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
D I hereby affirm lhat 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 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 applicanl to a
civil penalty of not more than live hundred dollars
($500).
□ I, as owner of the property, or my employees
with wages as their sole compensation, will do
the work, and the structure Is not intended or of-
fered for 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. II, however, the building or Improve-
ment Is sold within one year of completlon, the
owner-builder will have the burden of proving that
he did not build or improve for the purpose of
sale).
'.JI, as owner of the property, am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not ap-
ply to an owner of property 1• ho builds or Im·
proves thereon, and who contracts for such pro-
jects with a contractor(s) license pursuant to the
contractor's License Law).
I am exempt under Sec _____ B. & P.C.
for this reason ____________ _
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm hat I l}av a certificate of con-
sent to sell-Insur o, c II ate of Workers'
Compensa Ion In uran a certlll~ copy
thereof ( 38(lQIIUJbof Code). " U
POLICY N /I>
COMPANY __ ...,........,_~-..,..__ ____ _
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed II the per-
mit 15..ifor one hundred dollars ($100) or less).
I C"11ify that In the performance of the work for
whl, his pc-rmlt Is issued, I shall not employ any
pers Jn any manner so as to become subject to
the ~ers' Compensation Laws of California.
N< TO APPLICANT: il, alter making this Cer-
of Ex~mptlon, you shbuld become subject
Nr ,· Compensation provisions of the
must forthwith comply with such
oermlt shall !!9 deemed revoked.
CTION LENDING AGENCY
m that there Is a construction len-
~ -----
CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT
I~••-ft" ----------
APPLICANT TO FILL IN INFOR -
-
NO. ~7 /-/ -•---c,-..,.Tl Jl!B'ADDRESS
tRr IDA; 7 t;};~Tlm ll'!l'S. LICENSE PERMIT NUMSER
R.1u11it+1 ,t...\1,~1t,N1S1 I I I I I I I ,7,~,~r 171Cf1''fi I I I .;2.<J17/
?t!-P. y' OWNER OWNER'S PHONE PRIME CONTRACTOR ST ATE LICENSE
t 2ss, 'S,ttn: sr. 1-fe,wio,it-ij,v'5°I N(. B {'t</ ri'I-
OWNER'S MAICNG ADDRESS CONTRACTOR'S ADDRESS CONTR ..
C.o-vt.s J I C. A-• 2.S~I 'S-k:k. <; \-. ~ '7h--(y -7'i l.C,C D ~I 1r'.Li~. :,t~ .~ / ao.;1cbi.~ -~I 81 BO
LOT BLOCK u.:J SUBOIVISION I ASSESSOR'S PARCEL NO. DESIGNER '---STATE LICENS~ "2.°3b 'SoVTH U.., IT °3. ,._ ii it: I -I 2.1 '-f I (:) 1 -i l I 2-r ¥0 --.
DESCRIPTION or WORK
~cs 11:>E'lvc ~ '5 INC.LE° "f:l't#,f I l"( DESIGNER'S ADDRESS DESIGNER'S PHONE ' --CENSUS TRACT GP LAND USE ZONING I RES, UNl'S I PARKING SPACE # I NUMBER or STORIES 1---z..-. so . ft . ..f'l'v -2--Not V•lid Unltlss Machin. c.rtifiad 8,r¼ B'p;j/M sfO a~ l sTA;DARO PLAN II
I R;:_1),, ITYii;o;;
I occ. LOAD
I ~~~ ,
/ AMT. QTY. PLUMBING PERMIT QTY. MECHANICAL PERMIT AMT . ~~
/II' EACH FIXTURE TRAP ~•-DO . INSTALL FURN. DUCTS UP TO 100,000 BTU .-)~ , EACH BUILDING SEWER .,_,. ------I OVER 100,000 BTU r .e,t) I • ~.,I
EACH WATER HEATER AND/OR VENT ,, .,,./l . BOILER/COMPRESSOR UP TO 3 HP ' / EACH GAS SYSTEM 1 TO 4 OUTLETS --~ BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE -BOILER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE "" VENT FAN SINGLE DUCT ~-DO ' /J.t!-I &-fl,. EACH LAWN SPRINKLER SYSTEM I MECH EXHAUST -HOOD/DUCTS ~_a:, VALUATION
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I .~1,.ri0
ISSUE 3 .. 00 ISSUE 3-. 00 SIGN PERMIT ~ .J• I . I I I
TOTAL PLUMBING
4f1¥J
TOTAL MECHANICAL PLAN CHECK/ ,:1 ~,A• /:?.71/3 I I I I /9 .~ .
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I
ELECTRICAL PERMIT AMT. AMT. TOTAL PLUMBING ~lJ~
QTY. QTY. MOBILE HOME PER MIT ELECTRICAL I -~~ ~O
/NJ NEW CONST EA AMP/SWT/BKR !J..(".IJD AWNING MECHANICAL 1/Q.~
1 PH .25 3 PH PORCH MOBILE HOME I ,S . I
EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR I . I I I
1 PH .25 3 PH RAMADA, CABANA C:ry10r'll\1~ Mr'l.,-,Tr'll\1 I I ,I .l it;.
REMODEL/ALTER PER CIRCUIT FENCE OVER 6' I . I I I
I TEMP POLE 200 AMPS ,/' .UV TOTAL MOBILE HOME MICO-FI LM I . I I I
OVER 200 AMPS I I I ; I
TEMP OCCUPANCY (30 DAYSI l l ~ I . I I I
ISSUE 2.00 ISSUE ~-~ I . ... -~...-
TOTAL ELECTRICAL ~~.~ TOTAL FEES PAYABLE I ~
CONTRACTOR I I -~-~,.~.,;, .
SCHOOL FEES ftp~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO 00 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I 5'-0" DEEP ANO DEMOLITION OR CONSTRUCTION OF f!J ~ c, t.AJI Ti"f:S J ); D rJ FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT SIO.> Olf!Gj)I 'Pl -l'f-r' COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER -SPECIFIED HEREIN OR NOT. l,ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-/c)...,1, .. n . Jl'ilBI LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO
h
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT. APPLICANT,SIGNATURE • OWNER□ CONTRACTOR□ IAPPRO~Y ~ u A ::), ..
AGENT1Z BY PHONE □ --~ ,IIA r1
• I.U ~ 0 ~
~ j:::
~ 0.. V) ~
~~ ~ l'"c,..1.
. -~"'-~ ~
SITE 80-'J_-:J-{ A ADDRESS: OWNER: ' -PERMIT NO:
FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR
FOUNDATION• FORMS • SET BACK • TOILET
UNDER FLOOR PLUMBING . \ ' \ : r ' " ---
UNDER FLOOR HEATING -... ., "' ,. _ .... 7 • c· ·\ I .OJ • ,-,
OK TO INSTALL SUB FLOOR -
.
SLAB FLOOR ,, l • . ·-.'., -.. --~ -·'i UNDER SLAB PLUMBING ~-..... -IA. I'• •
FOOTING• FORMS • SETBACK• TOILET •. .\ ·-~ . \ • . \..t '" -.. ~ I',-, • . ...... ,, -~
OK TO POUR CONCRETE .. -... -f .-'\ ... • I -~ . . .
I
FRAME '
ROUGH ELECTRIC AL .;. .... , •• i.
ROUGH PLUMBING '1-,1 " ~.-, -· -ROUGH HEATING/VENTILATING ;"· ...
a
FRAME OK• PLACE INSULATION '~~ . " .
INSULATION OK • PLACE WALLBOARD
WALLBOA~D O~ • FILACE TAPE ~ ~ ' •· ., .. ,
EXTl;:RIOR LATH OK• PL~CE SiUCCO -
\
'--
FIREPLACE
' .• '!· DAMPER Be STEEL ' ... ,:·~ ·--,. \::. PLATE Tl Es/HEIGHT OF CHIMNEY
~
OTHER . .
TEMP POWER (POLE) , ' .. "l.-·. y
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK ',':,---· .
• FENCE PREPLASTER -.
SHOWN • FRAME ( )
• PAN I \/ -,
FINAt: 1NSP av0BLDG DEPT 'V ( !ffl 7A ..
OTHER DEPT'$ Ri:,O COMPLETED 1--\t ,) .. •.
EL EC METER-PERM-TEMP
G ASMETER-PERM-TEf'¥' ~•
~-. ,. ,'_,.;\ ---.~-.,1 ... .•. -. --. .
CERT OF occuF'>:ii.No '( ISSUED --~--.,., ~
•_-·. '
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provl•
slons of Cha~r 9 (l:o~mencing with Section
7000) of Division 3 of the Business and Profes-
sions Code, and my license is In full force and ef-
fect.
OWNER-BUILDER DECLARATION
D I hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 7031.5 Business and Professions Code), Any
city or couiity 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 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 live hundred dollars
($500).
DI, as owner of the property, or my employees
with wages as their sole compensation, will do
the work, and the structure is not intended or of-
fered for sale (Sec. 7044, Business and Profes-
sions Code: The Contractor's License Law does
not apply to an owner of property who builds or
improves thereon and who does such work
himself or through his own employees, provided
that such improvements are not intended or of-
fered for sale. II, however, the building or improve-
ment is sold within one year of completion, the
owner-builder will have the burden of proving that
he did not build or improve for the purpose of
sale).
'.JI, as owner of the property, am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not ap-
ply to an owner of property 1•ho builds or im-
proves thereon, and who contracts for such pro-
jects with a contractor(s) license pursuant to the
contractor's License Law).
I am exempt under Sec. B. & P.C.
for this reason, ____________ _
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con-
sent to self-insure, o< a certificate of Workers'
Compensation Insurance, or a certified copy
thereof (Sec. 3800, Labor Code).
6g~~1:-?------------
□Copy is filad with the city.
D Certified copy Is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKijRS' COMPENSATION INSURANCE
(This section need not be completed if the per-
mit Is for one hundred dollars ($100) or less).
I certify that in the performance of the work for
which this permit is Issued, I shall not employ any
person in any manner so as to become subject to
the Workers' Compensation Laws of California.
NOTICE TO APPLICANT: If, after making this Cer-
tllicate•of Exemption, you should become subject
to the Workers' Compensation provisions of the
Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction len-
ding agency for the performance of the work for
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (7 14) 438-5525
NO. JOB ADDRESS ~~; rn~osp:g;;N ~14 14-161 ~1t")i_&RJ£-;l ,O,IJ, I I I I I I I I l I I I I I I I OWNER OWNER'S PHONE PRIME CONTRACTOR R. \!Vt NA ,-.JS 1~Cf-'1qb4 -l-+~RmOS/\ 31:'v' C.0RP
OWNER'S MAIL ING ADDRESS
&f<LS@@
CONTRACTOR'S ADDRESS 1~55( 5,A"i-£ -S.--r f1A q~cB ~5!;)( STPtTE:-ST LOT BLOCK L C. ,ISU8DIVISION
I
ASSESSOR'S PARCEL NO. DESIGNER ~~D , , I I I I I I I I f1mNTY --SA,-/ j)IEG. ~ _J _J I of.
~
.PTION OF WORKW 1..J-.D Bv 3,¼ +, H1~t1 A-1 ..J '"''-~LL L. i:. DESIGNER'S ADDRESS
CENSUS TRACT GP LANO USE ZONING
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
8 US. LICENSE PERMIT NUMBER
a.0771 io-STATE LICENSE ~ 1,6 B-!!#o99
CONTRACToR•s
1'3_q-7q btJ., U',L,I j _, .
ST ATE LICENSE .
OQ-IJ I 769-4
OESIGNER•s PHONE
~~·· ..
/'jb/ ~'J ...
r
L·1 l ;:-•r-'
I RES. UNITS I PARKING SPACE I NUMBER OF STORIES
Not Valid Unlllss Machin• c.rtifi«J
BLDG SQ. FT, BLDG USE occ. GP I ST AND ARD PLAN II I PLAN ID II I TYPE CONST I occ. LOAD
I
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT.
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU
EACH BUILDING SEWER OVER 100,000 BTU . EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN Sl~!GLE DUCT 1/~?-ruJ EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS -WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I ' I IJ . ..-j"'"'"' ,,,,_,.,,,,.,,,.~~~., d _dd ./.A.AJ~I L-3' ,() C) SIGN PERMIT I ' I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I I I CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I
ELECTRICAL PERMIT AMT. AMT. TOTAL PLUMBING I I I QTY. QTY. MOBILE HOME PERMIT ELECTRICAL I I I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I I 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR , I I I I 1 PH .25 3 PH RAMADA, CABANA ,rZ./.A~ ... ;>;>, /1.,/✓A..i I I I .d) '-REMODEL/ALTER PER CIRCUIT FENCE OVER 6' I./ I . I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FI LM ! I I I OVER 200 AMPS I . I I ; I TEMP OCCUPANCY (30 DAYSI I . I I I !/_ ..,_.... J a ~ .A..,,_J
I I I I -----.
TOTAL ELECTRICAL TOTAL FEES PAYABLE
I ~,c_ CONTRACTOR
I I I
/LL~--'7~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER-..,
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I 5' 0" DEEP ANO DEMOLITION OR CONSTRUCTION OF
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO
EXPENSES WHICH MAl' IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT.
tt:N;s;~~~L/vf/
OWNERQ CONTRACTO:~PPli:E~BY
I~ --AGENT D BY PHONF n .__, .. -~
• w ~
~
~ i== ~ n.
VI ~
"" " ~ I A /\ " " A A ,\ "-,; " " '" ~. '\ "' ,1,. ~ 1:. " ;.. A k !'. I.\ 1;.. /\ ,-. r, -~ ,~ A r.,. A " '\J.~ I.\ I}.. ,~ A ,}, A /• ~ ;,.. .._ .,-, · ,,,~, .• ,.'.,·v.1 ,.! V/\\./A\//-,V,·~ ~\\,~·~•.h"\, J. .. '~•,./1\\h\"'~t.\l,\\.,l.,, \:,1J VI\J.\VI~\,.' ... \-.,AvA\//\· .• 'I"' /.\'--"-•"l''Jl\\1AVi\\ I. :•fA r;.;,vf:..ll:V."'JJM,,\ I/\V1M\\IA\ A
<{ . p-~ ./-· ~t", ~> ~ (C I) t t ·if t. ,<, ~ t ·o r:i f (:~) ,<, r .. 11 11 ~~ 11 r 11 .. 1 ·~ ·, ... i:";-• •• '1: ~
<~ ,,,.;,, .. ._,. "'" " JI,. t ~ ~ ~ ~i ~:.-\_, .,.,. ~ ,i. .. "~ 4-4 r. •. , . .d?-.. P' ... ?,_ j ~,__, ff~~-✓~ p ~ .-:~ r Ii -_,;-~( ,f , r-.. -,.,.... t ,, "'; r .-•.. ...,. . f.) ;,'""' 1 ~ 1., ('7 .~ 1 i ~ ""' fl 111,-l' _,t,",.,,., r-';, .~ '-•~t•',.•..J ~ ·.\ -~.'-.%.' ,, if -~ ~ ._,_~ ~ . .....,n -,,1 i., ,., . .,. ..... , __ ?1 1,.;..,.;f \ \':···•T/,,.J)r• / ~ « ." ,:--';;:;-•··,, >' ~ ~ This Certificate issued pursuant to the requirements of SectiJn 306 '\,. -~\;~ -_; ~
<>'§ of the Uniform Building Code certifies that at the time of issu ance P--« ~
<i this structure complies with applicable ordinances of the City ~ ~ regulating building construct ion use. t
~, .. . Single Family Residence 80 -226 J 1 Use Class1f1cat1cn . Bldg. Perrr.it Na.________ ~ < Group R 3 /MT '/Po? Construation VN Fire Zone 3 :_ Use Zc.-.e R 3 /M ~
"'< Occupant Load • ~ '§ OwnerofBui!din~ Ruth-Winans __ ,.;-.·. .. "M.:lress Hermosa Housing 2551 State ~ 2 Building Addr-:s/-'.2446 To,r~ej on J'lac~ Carlsbad , CA. 92008 ~
~ ,., -.... ~·-; !~ \ -~ .:-• . • • ;••· -E~
~ --------------------+::.=...:_-1--==--#-..µ~=.:.______ ~ ~ ~'OT" II • h dd' • h f ~ .,;. .. ...~ ... ferat1ons, c angos, a 1hon5 or c an·ge.s o o ~
<·. ~ ~ • ~ " •\' ,._ ... \; .. ' ,v· \\'f\Vr-.-.,'f',VN' ,•r· 'f'\'.'f\'l/'~'\'y "-..,Yf\V,~'.!f/\Vr,._,.,,. 'l'l.\.'."\,:r• T-•• •· \' ,r~ .:· ''\VIV,'f\\l!'\V/' •~y,~Y/\V/\VAV/\Vr&/\V/\.V/\V/\V/\Y/\V/':./r..,f .. •, 1 -.t ••. • v >1 ,, v c; .. v " v v \1 v '1 '>'i , v v 'l \ ., -; ,. ~· "1 :.-•i v -1 v r/ v -v v v v v v v v v v v v v ;,....,
4
:;---,-· -. .. _. ... ... --• .. ·-·
.,
INSULATION CERTIFICATI ON
This is to certify that insulation -has b e e n installed in conformance
with the curre nt e n e rgy regulations ,· California Administrative Code,
Title 2 5, State ~ ~ifornia , in t he b uild ing l ocated a t : .....
SITE ADDRESS • f; fJ Torrej on, La Costa, CA
XTERIOR WALLS Owens-Corning and
Manufacturer J ohns-Mansville ------------
Owens-Corning and
Thickness/Type 3½" Friction R-Value 11
Batts : Manufacture r J ohns -Mansville Thic kness/Type 61•1 Kraft R-Valu e 19 ---------
Blown: Manufactur e r ---------Thickness/Type ---------R-Value ---
Wt./Bag ______ _ Sq. Ft. Covered ------------R-Value
FLOORS
Manufacturer _.:.....;=----------Thickness/Type ________ _ R-Value ---
GE NERA L CONTR ACTOR LICENSE# --------
DATE TITLE
INC. LICENSE # 22 1 517 C-2
TITLE President DATE
REQUEST FOR INSPECTION TIME:....· --~s-_,~--
INSPECT.<¥1---------PERMIT NO.~~ ,&:/'t DATE: //~ o?Z-£0
OWNER _______________________________ _
ADDRES-S ?-'It/(
0 FOU,~....._=~-~
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME ~ 0 EXTERIOR LATH
0 INSULATION (
0 INTERIOR LATH OR DRYWALL '-
'--rl.,---F~IN~A~L _____ ----Jo J
PLUMBING
0 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
D 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
' D FINAL
~~
'fl-MISCELLANEOUS
V
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
□ SIGN
□ GRADING
0 DRIVEWAY
□ CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
READY FOR INSPECTION: D TUESDAY D WEDNESDAY D THURSDAY o FRIDAY
0A.M.
,Ar~/~
SPECIAL INSTRUCTIONS __ ,,,,.~~=-~----------------------
REQUESTED BY Q~ ~
tH:OUEST FOR INSPECTION
l~SPEC1:0R • ,:::= PERMIT NO.
0\/VNER ~'10~
A[?DRess -Z-.f:<1-' f e ~~ o,J.....-------------.
BUILDING
~
UNDATION
INFORCING STEEL
0 MASONRY
0 GROUT -GUNITE
0 FLOOR AND CEILING
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
FRAME
ELECTRICAL
0 TEMPORARY SERVICE .
D ELECTRIC UNDERGRou✓-J
D ROUGH ELECTRIC (;_jJf:Y
0 POOL BONDING £})
D ELECTRIC SERVICE w V
0 CEILING HEAT 1/ ?,J:•
D G.F.1. V
0 SMOKE DETECTOR
0 INTERIOR LATH OR DRYWALL □ FINAL
D FINAL /l
.k' ('...-r w
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
-' f.,,u..-~...--1 ,..J 6.-?
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY D WEDNESDAY (THURSDAY D FRIDAY
"fi.A.M.
OP.M.
SPECIAL INSTRUCTIONS _________________________ _
ncu.UEST FOR INSPECTION , TIME·e-______ _
INSPECTOR--~•-·::..~· ... /'I_{_' •• ~_~_· ___ PERMIT NO _______ DATE: /:-.,.J-(5-d{Q
OWNER ________________ __..c.,..Jc..1
..cc•··-"-'-'-'-~..,Y._,__,_• _,_..,l,~·--------
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
D GROUT· GUNITE
0 FLOOR AND CEILING FRAME
D SHEATHING
D FRAME ~ EXTER}OR LATH
,7, INSULATION
l:}, INTERIOR LATH OR
D FINAL
PLUMBING
DRYWALL
0 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
D FINAL
READY FOR INSPECTION: □MONDAY
DA.M.
OP,M.
f,
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
D CEILING HEAT
D G.F.1.
D SMOKE DETECTOR
D FINAL
' MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
D FRIDAY
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY ___________________ PHONE NO. _______ _
PERSON TAKING REPORT-~-----
ncUUEST FOR INSPECTION TIME: ______ _
INSPECTQR ___ c.~~~-"'~"-----PERMIT NO J::v-,J'o< c:;. DATE:
OWNER ____________ )~·~'-"--?~•-··~-~·L~-·'7~.-·~1~-'-···~~--~'----------
ADDRESS ____ _c:::c2:__..:..t/......:....Y__::··~""· .c:_· __ LZ~·-· ..;........:._: _,_?-+-/_,_,-_· -=-' -'--<-< _;_1•1-L,::...?_'~ ___ _ 7
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT· GUN I TE
0 FLOOR AND CEILING FRAME
0 SHEATHING
l)i(FRAME
'6 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
□ ROUGH PLUMBING
o(TOP OUT PLUMBING
6 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: □MONDAY
DA.M.
DP.M.
'j/ruESDAY
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
~ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.L
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
N-,~__, REFER PIPING
D FINAL
jj~EDNESDAY
.I( f}M-D THURSDAY D FRIDAY
I
SPECIAL INSTRUCTIONS_~-'--"!_" _____________________ _
REQUESTED BY_-f1-t\r1-f,\j-,1_
11~3it---~· _____________ PHONE NO. ../ 7 : LI= -----~-
PERSON TAKING REPORT ___ _
REQUEST FOfll\ INSPECTION ? ..
,f.JJ PERMIT NO . ..{)._6 ~ d,-k INSPECTOR DATE: ' ,1t ..A,)"..,
OWNER ___ -+''-:--n~t,t,,'--:;:,1----.---------------------
ADDRESS _ __.:;L._J.....Ll<---+...l.·L..;-'=C...t)-'=:::+-'c..:,._:L..... ________________ _
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT· GUNITE
□ FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 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 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: ~AV
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
□ POOL BONDING
□ ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
LENUM AND DUCTS
COMBUSTION AIR
PATIO
IGN
D GRADING
D DRIVEWAY
0 CONDITIONED AIR SYSTEMS
□ REFER PIPING
D FINAL
JUESDAY. □WEDNESDAY □THURSDAY D FRIDAY
~
SPECIAL INSTRUCTIONS ___ .M_._~......c..cQ.c.cC.co.1'_\.c.cC=t"-'(/1''-'---·~......_\--'--"(:)~C,,.,_·'X...:.:)~yj_i__.ct!=-'-""'-Q_-"' ____ _
REQUESTED BY __ ~c&v~~J:\~:~~-~~~\_,,(C'\-'-'-_____ PHONE NO. 1L\( ,.-\L\,C)
PERSON TAKING REPORT_--<~..-~-----
REQUEST FOR INSPECTION
INSPECTOl'l----~------PERMIT NO.
OWNER • l:V' i' -YI C01.{2
TIME-· _"'3~--_: ~~~-
DATE:_1~-d_5"~-~~()-
ADDRESS~, ~d~-_L(_,__C-+-!~fe~· _;~;0,~/]_,_t~rrr---__________ _
I
BUILDING
['$J_ FOUNDATION 0 ~
'.:J REINFORCING STEEL
L-~ MASONRY
C GROUT -GUN I TE
0 FLOOR AND CEILING FRAME
L-::J SHEATHING
C, FRAME
0 EXTERIOR LATH
0 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
D TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
-----
ELECTR
()• -~EMPORARY SERVICE 'tf ~~ECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
D CEILING HEAT
OG.F.L
0 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:( ~□TUESDAY □WEDNESDAY D THURSDAY D FRIDAY
/~ • DP.M.
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY---( DY,A C.Vl (\ , .';, \-I i'\. 0 \ '& PHONE N0._~7_'-1_/-_)_t/ l=::z~
PERSON TAKING REPORT----L-f+----
0 FOUNDATION
.:J REINFORCING STEEL
:__:-; MASONRY
C, GROUT -GUNITE
U FLOOR AND CEILING FRAME
~~ SHEATHING
C1 FRAME
C_1 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
0 UNDERGROUND WATER
D ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
,,.-
READY FOR INSPECTION: a ____ 0.AY ,,. ~ A.M . .)
\ DP.M.
TU
ELECTRICAL
!lief TEMPORARY SERV~
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
D CEILING HEAT
D G_F.L
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
0 COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
ESDAY □WEDNESDAY D THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY __ y--{,..__(..,,R..LJhi-· -=--'--k-.---"R-=MJ---"'f{)-\>"-t'----f---1----PHONE NO. __ q_-__ _
<S PERSON TAKING REPORT _______ _
REQUEST FOR INSPECTION~ TIME· -.
INSPECTOR. ~L PERMIT No.~fi-3.;;.(, DATE: 6 Ii
OWNER·_· _7,v,c.·_;_.l,~~11.Li.-=-"'~~•=~------._c-----------------
ADDRESS _____ #',...__/_:_LJ4:_ ___ _:_~_!::(}-,,'....!:...~~!.l::1L _________ _
BUILDING
□ FOUNDATION
0 REINFORCING STEEL
□ MASONRY
□ GROUT -GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
□ INSULATION
□ INTERIOR LATH OR DRYWALL
ELECTRICAL
□ TEMPORARY SERVICE
□ ELECTRIC UNDERGROUND
□ ROUGH ELECTRIC
□ POOL BONDING
□ ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
□ SMOKE DETECTOR
□ FINAL
D FINAL \,
r--------,<9-·~·,~------,
PLUMBING
0 UNDERGROUND PLUMBING
□ UNDERGROUND WATER
□ ROUGH PLUMBING
0 TOP OUT PLUMBING
□ SEWER AND PL/CO
□ TUB OR SHOWER PAN
0 GAS TEST
□ WATcR HEATER
□ FINAL
t.\\t MISCELLANEOUS
□ PLENUM AND DUCTS
□ COMBUSTION AIR
□ PATIO
□ SIGN
□ GRADING
□ DRIVEWAY
□ CONDITIONED AIR SYSTEMS
□ REFER PIPING
□ FINAL
READY FOR INSPECTION8i~A_yl □TUESDAY □WEDNESDAY □THURSDAY D FRIDAY
DP.M.
SPECIAL INSTRUCTIONS _________________________ _
REQUESTED BY __ r_/!.'--'z,'-.· ~.c........e,.,..=:..z£-=-:..,<--,<=--,:....:·c..::·'-' _______ PHONE No.,µ,/~ 2/£',Y
PERSON TAKING REPORT _______ _
REQUEST FOR !'NSPECTION TIME·
INSPECTOR • L. ,Q__ PERMIT NO-"Jt:...._,::;i_-_J-4 ___ 0ATE: /;"-/'O
/ .: .2.-o
OWNER._---,.,_,-;'-· iJu_•_~ ___ ,, __ /4_~'----'·-,,.-=-'-<.--d-"'~=·c.:....,,.---------------
ADDRESS _ _,,d-c._:• :....,'-/c_'l.c...__(. __ ···.1-7_,,,(a,"'-,1,"'-.1-<_-=,:.·:J.,c<F.::....'-.-=..·_~ ______________ _
0
BUILDING
□ FOUNDATION
□ REINFORCING STEEL
□ MASONRY
□ GROUT· GUNITE
0 FLOOR AND CEILING FRAME
□ SHEATHING
□ FRAME
D EXTERIOR LATH
D INSULATION \l
0 INTERIOR LATH OR DRYWALL
D FINAL D· ....__ ____ ___, 1,,\\\~
PLUMBING w\ ''~l
•
~ UN RGR0 PLUMBING
□ UNDERGROUND WATER
~ ROUGH PLUMBING
D TOP OUT PLUMBING
□ SEWER AND PL/CO
□ TUB OR SHOWER PAN
D GAS TEST
□ WATER HEATER
D FINAL
ELECTRICAL
□ TEMPORARY SERVICE
□ ELECTRIC UNDERGROUND
□ ROUGH ELECTRIC
D POOL BONDING
□ ELECTRIC SERVICE
D CEILING HEAT
□ G.F.1.
□ SMOKE DETECTOR
D FINAL
MISCELLANEOUS
□ PLENUM AND DUCTS
□ COMBUSTION AIR
D PATIO
□ SIGN
D GRADING
□ DRIVEWAY
□ CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTI0N~~.ll!Qf Y D TUESDAY ~ D THURSDAY D FRIDAY ~ ~
SPECIAL INSTRUCTIONS _________________________ _
//_/ '?/'
REQUESTED B~ r:r-,,q~ PHONE NO.»/'-c,L J /cP
PERSON TAKING REPORT __ _,<:~----
INTERDEPARTMENTAL INFORMATION SHEET
DATE: --------
RECEIVED
7
MAR 1 0 1Gfl.--
PLANNI»G DEPARTMENT
IP -'J-l(ll 0()17 t/ CITY ..pf-"CARLSBAD z oN:i;, __ ____;_ _____ L o T s I z E__,_t--+7 ______ Lo T w ID TH/ BHildfng Department
UNIT\ ALLOWED ___________ UNITS PROVIDED ___________ _
PARKTIG SPACES REQUIRED /}__ PROVIDED ?--------~~--
% COV,RAGE ALLOWED ~ 'lo ,0 PROVIDED /e.s.s fA"Jt) tr 0 7b -------.e...----'-<-5---=-.J£..,lr-----.,__ _ _____.c ______ _
BU IL ING HEIGHT ALLOWED J PROVIDED ----------
FRON1SETBACK:
") /} // ALLOWD __ _.:......r_v__,~---0 7 PRO VIE D __ __.J._ ___ _
INTRl[ONS ____ _
LA:::PE & IRRIGATION
) ~( i' r: ;t&iw:
SIDE SETBACK:
7 I b ,
PLAN COMMENTS: 111/t
ENVT~MENTAL PROTECTION REQ: /I) It
.n: •✓'.QNAL COMMENTS:
~" 1~.-/~ ~; f'-'Ci'1il11f -1/).00 Sct.v
;';_' TO ISSUE: (M, ~ DATE /?'¥W:. OK TO FINAL
ENGINEERING DEPARTMENT /~t., ~9 t
REAR SE'l;BACK:
15 /
53
R.O.W. _____ INDUSTRIAL WASTE ___ ' ____ IMPROVEMENTS ______ _
SEWER CONNECTION DRIVEWAY LOCATIONS ___ --'--------
GP,ADING PERMIT __ :_;_:...;:::_c.._ __ EASEMENTS I ) -DRAINAGE ____ _
LEGAL DESCRIPTION ___________________________ _
AIWITIONAL COMMENTS _________________________ _
DATE 12.;:, 80
FIRf DEPARTMENT
SPR KLING SYSTEM ___________ FIRE PROTECTION EQUIP. ______ _
FIRE ALARMS ______________ EXITS ___ ~------------
FIRE HYDRANTS __________ LOCATION _________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE. _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _
. /
~------:;------:::-:-, ___ ,.,.., ....... ~--~-~ ... =-----:::=~-:--:-::-.. ,. ,.....,.._ ~=~
1200 ELM AVENUE
GAALSBAD, CALIFORNIA 92008
'Building Department
~itp of <lrarl~bab
RESIDOOIAL ENERGY DESIGN CERTIF_ICATIOM
TELEPHONE:
(714) 729-1181
Permit No. f tJ -2 "Z_.(:;
Issue Date. S -2-~ -&-u
CERTIFICATE .OF .. W.11P.UNJCE W.I.lli a.JERGY COtlSERVAIION DESI.GU 8EQUIP8'1ENTS
CONTAINED IN ARTICLE 1, PART 6, Tlfil 24, CALIFORNIA AIT-1. CODE
, hereby certify that I am familiar
with the state energy-conservation ~~andard~ mandated in
. .
CAC Title 24, Section 120-1401 through T20-l406, and that the
plans and other docume nts submitted in support of the application
for a building· permit at ~~q G:, ,· ---~
/fLu • -.>
d-1 l . -J-<-/ b ..: / -z_,.,
Assessor's Parcel No. , -~--...4=---d:--=-. _g'_..,,_l .,..a.. /_q_·g-;:;,.__cJ __ -----~ Dated
compl.y witr urrent requirements of these regulations .
.Signature /~ 1/4( .:
Title Vt P. ~ ~ '--""''-""VJ ~
Architect, Engineer,
State License or Certificate No. __ /_4 _____ 4 ___ o_9_<j_· ______ _
Oa te ~ ~ Y,, 14 yV.
Submit to the Building Department with permit application.
' t .)
Form 78-101
\
5/23/78
\
LEUCADIA COUNTY WATER DISTRICT
APPLICATION FOR SEWER SERVICE
Phone No . Owner 's Name Ann Leslie Rus hee n __ .:..;.:_;..~c..=;..:;.--'--'-~-'-=~~--------877-7308
M ailing Address 12520 Magnolia AVenue
No. Ho l lywood, CA 91507
SEWER PERMIT ISSUED UPON /
RECEIPT OF BUILDING PER~
Service Address: ~¥( Torrej_on--.£.J..~~ ----BUILDING PERMIT MUST BE
Tract Descr i ption: lot 230, South #3 APPLIED FOR sv F -rQ3-EO.
Assessor's Parcel No. 216-240-12 ~
r/ G,c,c•.CD Type of Build ·ing ··dtip-lex -~L I No. Units LI Connectio ee $-1,200.00
Lateral S·ize: 4" 6" 8" 9addle Easement Connectiorr·(pre-pd ~00.00)
Extra Footage: __ @$ ___ _
Amount Rec'd $QC:O CD
Ck. No/Cash -\;\".==----=--
Date Q.= 1J-C l
Rec'd By cf:).~; 0
Extra Depth: @ $ ------
Lateral Fee
Prorated Sewer
Service Fee
Total $\cCO er-()
The application must be signed by the owner (or his authori zed representative) of
the property to be served . The total charges must be paid to the District at the
time the application is subm i t t ed.
If a service lateral is required, it wi l l be i nstalled by the Le ucadia County Water
District. The service lateral is that part of the sewer system that extends from
the main collecti on line in the street (or easement) to the point in the street (at
or near the appl icant's property line) where the serv i ce lateral is connected to
the applicant's building sewer. The applicant is responsible for the construction,
at the applicant's expense, of the sewer pipeline (building sewer) from the appli-
cant's plumbing to the po i nt in the street (or easement) where a connection is made
to the service lateral.
The connection of the applicant's building sewer to the servi ce lateral shall be
made by the applicant at his expense. The connection must be made in conformity
with the District's specifications, rules and r egu lations; and IT MUST BE INSPECTED
AND APPROVED BY THE DISTRICT BEFORE THE SEWER SYSTEM MAY BE USED BY THE APPLICANT.
THE APPLICANT, OR HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT THE
TIME INSPECTION IS DESIRED. ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLEC-
TION LINE WITHOUT PRIOR APPROVAL AND INSPECTION BY THE DISTRICT WILL BE CONSIDERED
INVALID AND WILL NOT BE ACKNOWLEDGED.
The prorated sewer service fee is based upon the date the District estimates that
service will begin and covers the balance of the fiscal year. There will be no
additional fee or refund if serv~ce actua l l y coITTTiences on a different date. For
succeeding fiscal years, the sewer service fee wi l l be collected on the tax roll
in the same manner as property taxes.
I
The undersigned hereby agrees that the above information given is correct and agrees
to the conditions as stated.
09}er's Signature Date
\C:),057
Account No.