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Home My WebLink About2519 UNICORNIO ST; ; 82-02; Permitell z 0 ~ 'f -.~ •..,._,J u "' D a: I[ 0 u a: "' D ... 5 I "' z j: 0 z 0 .:: C ell z "' IL :IE 0 u ell a: w " a: 0 j: 0 I hereby atfl ,.am ij!:~nlllld un~er provisions of Ch._ (commencing with Section 7000) of Dlv1s1on 3 of the Business and Professions Code, and my license Is In full force and effect. Lie No _______ Class _____ _ I hereby atf,rm that I am exempt from the Con-~~o;··~~~;:;sS: ~ ~f~~:~~~~ county which requires a permit to construct alter, improve, demohsh. Of repair any structure, pn0< to its issuance also requires the appficant for such perm,t to hie a signed statement that he Is lteensed pursuant to lhe provisions of the Con· tractor's License Law (Chapte< 9 commencing with Sec1ton 7000 of Oiv1st0tl 3 ot the Business and Pro-tesst0ns Code) or that Is exempt therefrom and the t>asIs for the atleged exempt10n. Any vtot.a.tton of Section 1031.5 by an applicant tor a permit subjects tne applicant to a civil penalty of not more than five hundred dollars ($500). □ I, as owner ot the property, 0< my smployees ,.ilh wages as their sole compenSilt!on, will do the wOl'k, ~ the structure is not intended 0< ottered to, sale (Sec 70&4, Business and Protess,oos Code The Conlractor·s lteense Law does not apply to an owner of property who builds or improves thereon and who does such w()f1i( himself or through his own employees. provided that such 1mproveme;,ts Me not Intende1 Of offered tor sale. It, however, the building or improvement Is soki within one year of complehon, the owner-bvrlder will have the burden of proving that he dtd not build or improve for the P<Jrpose of sale). lli, I. a.s owner of the pro,perty. am exclusively conlracl10iJ with licensed contr~tors to construct the p<o,ect (Sec. 7044, Business and Professions Code: Thct Contractor's License Law does not apply to an owner of pro,perty who builds Of Impr0Yes ~':~i~ 7.~n~"~~!~ ~~t!'~~~~::-! License Law). D I am exempt under Sec _____ B & PC forth1s reason ___________ _ D I hereby affirm that I hai'e a certificate of consent to sett-insure. or a certificate of Workers' Compensation Insurance. or a cert1f1ed copy thereof (Sec. 3800. Labo< Code) POLICY NO ___ _ COMPANY □ Copy IS hied with the city 0 Cert1hed copy ,s hereby lurnIshed CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This section need not be completed 11 the permit 1s to, one hundred dollars (S100) or less) a I certify that In the per1ormance ot the wOf'k fOJ which this perm11 Is issued. I shall not employ any person in any manner so as to bee~ subIec.t 10 the Work.ers' Compensation Laws of Cahto<ma NOTICE TO APPLICANT It, after makm11h1s Cert, hcate of Exemption. you should become subIect t,:, the Wol1(.ers· Compensation p,ovIsIons of the labor Cooe. you must forthwith comply with such IvIsIons or lh1s permt1 sl)dffjbe deemed revOked ,eby athrm that there Is a cons1rucIIon te"nd1nVagency tor the performance ot the wOB. tor wn1ch this perm,t ,s ,ssued (Sec 3097. C1v1I Code) Lenders Name ___________ _ Lender·s Address __________ _ APPLICANT TO FILL IN INFORMATION WITHIN SHADED J.. USE BALL POINT PEN ONLY & PRESS HARD CARf \D BUILDING DEPARTMENT ~ JJ APPLICATION & PERMIT 1200 Elm ..>ad, California 92008 (714) 438-5525 JOB ADDRESS ~51q U•1i c..om, -o S:f-. J ea.,t~ba.J A~iT·t o~,;j;~CATIONI BUSINESS LICENSE # VALUATION J14 .. 3lr✓, 01t:·sR;ralcl· L~tr 1 OWNER'S f'HONE Ll-~-7508 PRIME CONTIIACTOR OtNl\e1'"' CONTRACTORS PHONE • ZONE'..., OWNER'S MAILING AODIIESS U ~• corn·•o S., CA.r(~~cl CONTIIACTOA'S ADDRESS LICENSE NO. PLAN 1.0. # , 1.11:.CLARATIONS PERMIT NUMBER Bt,,-oz._ I BLOG USE CODE 1~,F.D_L_ :JJf11 t;Jt 12.1:Kllf;.;;u_~·r•ON l~f.!:~2J-!5q ,0 rES~~•ONO~lt 'J 1 DESIGNEII STATE LICENSE • STANDARD PLAN# . I _:i1LOING ~~it~ I /2?/8272(,'+ ~~€,Jlr~t'4M2.-1 I /22/~2~28 I '171'h ,o DESIGNER'S PHONE "'!)i (,ll 1 '1 yt:,l (N)c.A-DESIGNEll'S ADORESS I ace GP I 000172e I I12c1 sa 2012.sr I-----~ F/P FLA ELEV. vO NO REDEVELOPMENT AREA NO EDU STORIES ~-1 TYPE FIRE SPA CONST CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING ~ERMIT ISSUED YO ND vO NO \J,ll I OCC LOAD .-it.ED v0 Nf!/. Nor Valid Unlffs Machin, wrrifi«I QTY. PLUMBING PERMIT . 1ssu_V I I QTY.I MECHANICAL PERMIT )SSUE SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP / I I { INSTALL FU-RN. oucTs uP TO lijt.ooo BTU BUILDING PERMIT 0Hl00·4220 EACH BUI LO ING SEWER I OVE 00,000 BTU SIGN PERMIT EACH WATER HEATER AN -BOILER/COMPRESSOR UP 3 HP PLAN CHECK ~Z,,Jl!, ·4806 EACH GAS SYSTEM 1;;ef4 OUTLETS j I j BOILER/COM~RESSORjh HP I I TOTAL PLUMBING ~ 01·000·4222 OR MORE ----+---------+-----···-··-ELECTRICAL 01 ·000·4223 - MECHANICAL 01 ·000·4224 EACH INSTA VENT FAN SIN EACH V UUM BREAKER I I I MECH EXH~T -HOOD/DUCTS WA SOFTNER RELOC_¢oHOF EA FURNACE/HEATER I ftCH ROOF _DRAIN (INSIDE) TOTAL PLUMBING I QTY. I .. ELECTRICAL PERMI~ NEW CONST EA AMP/SWT/BKR ~ 1 PH --:;:;? PH EXIST BLOG EA AMP¥JBKR 1 PH / 3PH REMODEL/AL~ PER CIRCUIT TEMP POLJ/"200 AMPS OVER~ AMPS TEi,i?'occUPANCY (30 DAYS) TOTAL ELECTRICAL 1 TOTl<L MECHANICAL QTY. I SOLAR -,ssu0 COLLECTORS r STORAGE TANKS ROCK STORAGE PUMP PLAN CHECK FEV 7 7 TOTAL SOLAR / MOBILEHOME 01-000-4225 MOBILEHOME PARK INSP SOLAR 01·000·4226 STRONG MOTION 65·640·0519 FIRE SPRINKLERS 01 ·000·422Z PUBLIC FACILITIES FEE 25·000-4933 BRIDGE FEE SCHOOL FEE • DISTRICT Carlsbad 65·623-0519 Encinitas 65·624·0519 San Oieguito 65-625·0519 San Marcos 65·626·0519 TOTAL FEES PAYABLE T A-'70.r=;t') ~ .. o-z, i_t:;B4:~ //LJ~-t ,so I HAVE CAfl:IEFULL Y EXAMINC:O :fHE COMPlETB> .. M'PUCATION ANO PSIMIT" .AND DO HEREBY CERTIFY UNDER PENALTY OF PERIURY THAT AU INFORMATION HERl!OII lilClUDING THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERYIFY AND MIEE IF A PEIIMIT IS ~ e..r....---1111111e8uildlng()fficial under the provI1Ion1 o(th11 011111 INII ....... -1111111111M and become null and void ti the budding or worlt ........,.. _-" Pllflllll ii 11111-acl wttllin 180 days trom the date of such ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANDSTATEUWS~IIUIUlll!flGCON-=.:.'!a.. ar-' ~-;: 1111 ded or * AN 06HA P£MIIT IS AEOUIRED FOfl EXCAVATIONS 0IIER S' O" DEEP AND DEMOllTl0N OR CONSTRUCTION OF STIIUC1UIIES 0YEII 3 STONES IN HEIGHT ---. . STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO MIIIEE TO AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UAalffl!S, Jl. . OWNE OR 0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN •• or,' GRANTING OF THIS PERMIT. •• _-• • '< 'f -----" ~ BY PHONE 0 w;;;;aUr DATE 1 1~8Z -;,-Tl ~ ii: >, (U 0 a. E ~ I "O 0 C, "' c !ti .2 Q., a. <( I -"" C a: 0 <I) <I) Q) <I) <I) <( I ~ .2 Q) >- <I) <I) Q) 0 0 a: !ti al 0 §: Q) 0 C !ti C u.. ::::.. C Q) Cl> (5 0 u Q) a. <I) C ~ .c ~ INSPECTION TYPE i DATE INSPECTOR '-. . BUILDING 1 ' .I II .,.,f V .. Al~ FIELD INSPECTION RECORD FOUNDATION -REINFORCED STEEL i:' -. • ' ;-IV " ,, RE QUIRED SPECIAL INSPECTIONS i REQ IF INSPECTORS MASONRY INSPECTION CHECKED APPROVAL I GUNITE OR GROUT I SOILS COMPLIANCE FLOOR & CEILING SUB FRAME I PRIOR TO I I FOUNDATION INSP SHEATHING STRUCTURAL CONCRETE I ~ FRAME I OVER 2000 PSI EXTERIOR LATH lNSULATION I I , PRESTRESSED I CONCRETE ! -POST TENSIONED INTERIOR LATH & DRYWA LL CONCRETE PLUMBING I FIELD WELDING SEWER AND BL/CO I I ' -1--fHGH STRENGTH PLUMBING UNDERGROUND ! ·,..,-,,,\'/ ~ BOLTS I . SPECIAL MASONRY PLUMBING TOP OUT I I TUB AND ~HOWER PAN I - GAS TEST I ' ~ . PILES CAISSONS ELECTRICAL I 1 TEMPORARY POWER ' ELECTRIC UNDERGROUND I . ~ ROUGH ELECTRIC I ~ ELECl"RIC SERVICE I ' I ~ I BONDING I G. F. I. -SMOKE DETECTOR I MECHANICAL I DUCT & PLEM., REF. PIPING /} / HEAT -AIR COND. -SOLAR SYSTEMS 111·1- VENTILATING SYSTEMS ~ CA LL FOR FINAL INSPECTION WHEN ALL APPRi!,OPRIA TE I TEMS ABO VE HAVE BEEN APPROVE. , I ..,__ t ~ ~-.._,,,,_ -' ~,~ -.....~ -:_'Cl JOB SITE FINAL / I ~ .. • • ~ f'" l r PLUMBING I / A ,1r1 ELECTRICAL / .( 1\/0 \ - t ·,, I • / • -~I\ _. MECHANICAL GAS I . L .If" "' '' •• j • ., BUILDING tvV -I SPECIAL CONDITI""'<; I \ --,..· ' CERT OF OCCUPA SUED • I I ' y INSPECTOR'S NOTES DATE - , ""~· .. ~ 'i~,-Ln . . • I } - - J, ' ' 1."I;" ....,11..~ I t t , -r "' ..... ' I ,--" . -' a 9:;2-C>~ - ·-· t ' --~ I ~-t ' I, .. ·~ ..--- • i::: .. .. -- ---- \ -- ~.t..\ -·· -__, ,...:,, ' .. -· - - ---:-,\. -~ . ~ ~ -""' --"II ' ► .. L~~ 0 - ~ :-, •VONtt b'.,. .. CII z 0 ~ a:: C _, 0 w 0 l! I hereby affirm licensed under ~ o.lalona' of Chap?_ ,.mmo..,,lng .-Ith t [ tlon 7000) of Divis,.,,, J of the Business < and ProfHslons Code, and my license Is In ~ full force and effect. z Ltt No _____ Cl•ss ------ 8 a: w 0 _, 5 ~ w z Jc 0 z 0 ~ CII z w a.. :lE 0 0 CII ic w " a:: 0 3 -il I hereby atf1"" lhal I wn exempt from the Con-~:o;·~!~::: ~ ~~t~':.:~~ ~.~ county whH:h requires a permit to construc-1 alter. 1mproye, demohsh. o, repa,r any structure, pnor to its issuance also requires the apphcant to, such pemul to Me a s,gned statement that he 1s hcensed pursuont lo the prov,s,ons ol the Con-trac:to,'s Lteense Law (Chapte, 9 commenc,ng with Sechon 7000 of O,v1St00 3 of the Business and Pro- fessK>ns Code) or that 1s exempl thetefrom and the butS for the alleged exemphon Any •IOlahon ol Sect,on 7031 5 by an applocant tor a pem,1t sulljec1s 1ne applteant to a cIvII penalty of not more than """ hundred dollars ($500) O I, as owner of the property, or my employees .. ,1h wages as their sote compensatt0n, will do the wo,k, and the structure 1s not intended Of offered f0t sale (Sec ~. Business and ProfesslO/ls Code The Contractor's License Law does not apply to an owner or property who builds or 1mproYeS thereOn and who does such work himself o, through his own empk,yees, provided that such 1mproyttme;its are not 1ntende1 °' ottered tor saJe u, however, the t,u1ld1ng or ,mprOYement Is 50kt within one year of compk!hon. the 0Wnet-bu1ldef wlll haYe the burden of proving that he dtd not build or lfflprove: lor the purpose of sale) C I, as owner of lhe property. am excluswety contracting with l.censed contractors to construct the proiecl (Sec ~. Business and ProleSStOOs Code: The Contractor's Lteense uw does not apply to an owner of pre>perty whO builds or improves ~=1~ 7:nC:~!~ ~~t!'~~~;::.: L.cense Law) D I am exempt undef Sec .B & PC tor this ,uson __ _ 0 1 hereby atftrm lhat I ha·.ie a certificate of consent to selt,,nsure. or a certificate of W~ers· Compensahon Insurance, or a cert1t1ed cooy lhereot (Sec. 3800, ubor Code) POUCYNO __ COMPANY □ Copy 1$ hied With the City □ Cen1tied copy Is hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ,t the permit ,s tor one hundred dollMS {$100) or tess) I certify that in the perfonnance ot the wOf'k tor :n this permit •s issued. I shfll nol employ any 1 .. ,'?'_'_}_n_anJ.."_'a_J_neyttJ_as_tor~. ~bte<;t/~ -. . .. it::------,-;tl? lhe Wortters' Compensatt<>n pr KW'IS of the l.abot Code, yOu must 10f1hwtth c ply With sucti p,ovIs.ons or 1n,s permit sl'\illl be deemed revoked O I hereby affirm lhat there 1s a construction Iend1ng agency t()f the performance ot lhe wo,1( to, wruch lhIs permit 1s issued {Sec 3097 C1vtl Code) Lende.ls Name ___________ _ lendef s Address __________ _ USE BALL POINT PEN ONLY & PRE~S HARD 11.f PLICANT TO FILL IN INFORMATION WITHI~ SHADED~,-~ LJECLARATIONS. -~ CARLS BUILDING n~oA aTuENT \ APPLICATION & PERMIT 1200 Elm, C&. .,, Callfornla 92008 pt(" 438-5525 J y ' -ADORE~ 579 /IJ ,.. (' , ~ N ,' 0 -AV. ST.IDA ~t'GCATIONI BUSINESS LICENSE it VALUATION PE11MIT NUMBER RD. ii f--4£85 -81...-(Yl, f OWNER'S fllAME , 14-3;;;;;:E PRIME CONTRACTOR I CONTRACTORS PHONE t ZONE K. t?n'-"11,\r.1 L~ .rvr-Schn e~ df'..r --0! \A.1/h }, I~ -, . .:;3-/ q7:~- 0-Efl'S MAILING ADDRESS f -CONTRACTOR'S ADDRESS ✓ UCENSENO. PLAN t.D. # BLOG USE COOE d'/--1 I U YI 1t.t,rrt /o 4-l,,q ·A-V-Yr"\l-n \Jr. E"lc..-V f' t-V mE:lf.-6 ,fer I BLOCK I SUBOll~SflO"t + I ASSESSOR PARCEL NO. DESIGNER I , l STATE LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE Mf.12 ,..,c. ( .::JI!; -::Jrin _sq ~ 321 ~ri:./.. 0£SCRIPTION OF WORK 21nu1=i::in .... DESIGIIIER'S ADDRESS DESIGNER'S PHONE 001 !Sito 2/04/ 82 I,. I> l~_;~""-1,--Sr-Jf2 --F/P FLR ELEV. NO EDU ' . . OCC GP STORIES vO NO -- CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST YO ND vO NO vO NO Not Valid Unlt!ss Machine Certifi«J QTY. PLUMBING PERMIT -ISSUE 1,so QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER 11,, EACH FIXTURE TRAP {~ r/ ~f;j 0 ~o ,oo INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-nnn.4nn • EACH BUILDING SEWER ' { .A-Z::f) OVER 100,000 BTU SIGN PERMIT 01-()00·4221 EACH WATER HEATER ANO/OR VENT l'J .,.r: BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·000·4806 EACH GAS SYSTEM 1 TO 4 OUTLETS ~-~i;-r BOI LER/COMPRESSOR 3-15 HP TOTAL PLUMBING OHl00-4222 ,i;,q, 00 EACH GAS SYSTEM 5 OR MORE .. METAL FIREPLACE ELECTRICAL 01 ·000·4223 ------EACH INSTAl .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·000·4224 EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS .J,461fiLEHOME 01 ·000-4225 WATER SOFTN ER RELOCATION OF EA FURNACE/HEATER . ./ MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) / ./'. SOLAR 01 ·000-4226 TOTJ:.L MECHANICAL -~ STRONG MOTION 65·640·0519 ~ ------. TOTAL PLUMBING I i;,'1 , ()C FIRE SPRINKLERS 01-mn-4n7 QTY. SOLAR -ISSUE .r-Y PUBLIC FACILITIES FEE 25·000·4933 QTY. ELECTRICAL PERMIT -ISSUE BRIDGE FEE NEW CONST EA AMP/SWT/BKR COLLECTORS I J.JJ./ SCHOOL FEE • DISTRICT 1 PH 3 PH STORAGE TANKS _A/ 1/ Carlsbad 65·623·0519 EXIST BLDG EA AMP/SWT/BKR ROCK STO~Gt\-v _/ Encinitas 65-624·0519 1 PH 3 PH PUMP\ /V~ San Dieguilo 65·625-0519 REMODEL/ALTER PER CIRCUIT PLAN c\i].Q(' FEE San Marcos 65·626·0519 TEMP POLE 200 AMPS ./\ OVER 200 AMPS V \ TEMP OCCUPANCY (30 DAYS) ./ --/ TOTAL ELECTR ICAL 1 -· ., / TOTAL SOLAR TOTAL FEES PAYABLE I 5tj,oo I HAVE CAAEFUU.Y EXAMINED THE 00MPlET£O hAPPI.JCATION AND PERMIT'" AND DO HEREBY Eaprai-. E--, permit ....._. by Ille Builcllftg Olllclel under a. prov,...,,,. of thla * AN 06HA PERMIT 1$ AE0U1AED FOR EXCAVATIONS OVER Cl!RnFY UNDER PENALTY OF PERJUR'f' THAT AU. INFORMATION HEREON INCLUDING THE Code thall exp.re by Hlllotatlon and become null and void If Ille butfd~ or worfl 's· o· DEEP ANO DEM0UTlOH OR CONSTRUCTION cw OECURATION8 AAE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit ia IIOl conim.-willlin 1.,day9 from Ille e of auch STAUCl\lflES OVEA 3 STORIES IN HEIGHT permit. or II the builcll~o, wort, ..,.__ bf auc:11 permit is ....,,.,_ or ISSUED: TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON· -.ioned at anv bme Ille wort, II _,.iced lor a_.,,., al 111D "-• STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND (IAIIIT'S SfGNAT'.~ ~ CONTRACTOR 0 APPROVED BY ~~~~ ,DfJs)i/ KEEP HANILESS THE CITY OF CAALSBAO AGAINST ALL LIABIUTIES. JUDGMENTS, COSTS AND . 0 ElCPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE µ'.(If. / BY PHONE 0 GRANTING OF THIS PERMIT. ( '-• J:U_ ~ , 17 0 _7 \ ~ u:: ~ "' 0 C. E Q) I- I 'O 0 (!) iF ~ a. C. < I .><: C ii: 0 rt) rt) Q) rt) rt) < I ~ .2 Qi >- rti rt) Q) 0 0 a: "' <ii 0 §: Q) 0 C "' C u:: :::. C Q) ~ (!) 0 0 Q) C. rt) C ~ .t::. 3: . INSPECTION TYPE ' DATE -···-INSPECTOR ···-· --• -· BUILDING . FOUNDATION I . ' REINFORCED STEEL MASONRY I I GUNITE OR GROUT I FLOOR & CEILING SUB FRAME Ll ! '' SHE.l\W"!ING I ~ _ -:t,.,. 11 rf FRAM6 I I EXTERIOR LATH lNSULATION . I INTERIOR LATH & DRYWALL I I PLUMBING I --' SEWER AND BL/CO I PLUMBING UNDERGROUND I I PLUMBING TOP OUT I -r TUB AND ~HOWER PAN I GAS TEST I I ELECTRICAL ! TEMPORARY POWER ' ELECTRIC UNDERGROUND I I ROUGH ELECTRIC I ELECTRIC SERVICE I BONDING ~ I I G. F. I. -SMOKE DETECTOR I I MECHANICAL i DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTl;MS \ "' ), VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN • .APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIO' CERl' OF OCCUPANC ED --~ . <,<~~~ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES I==============~=--~=~~-==~:===~===! INSPECTION REQ IF INSPECTOR'S DA TE -CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRES TRESSED ·' CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS ' ,. ~- ' . ''f • .) ,._~ ' I i ' , l •-. ~ ,_} ~- ' -_ Ii --• ~-----------~-"'-' -----------------·-----------; .. ·--I -t'I I L- • ... t ' ... ' , • . .-. -~ • , r'. ~ ._ C ,,• • ,_ ' -"~ , 't L; J ,., I,.. fl, _ I_ ■ ..._ - -~ -~ -·- ~-\ __ ___.. __ _._ __ _._ _ __, , __ J \ t \_> __ ___, ....__ .., z 0 ~ IC ~ u "' 0 ~ I[ u IC "' 0 .., 5 I "' z • 0 z 0 s z w ... :I 0 u .., a: w " IC 0 ~ O I hereby attlrm llcenaed under ~ltlona of Chap mmenclng with Section 7000) of Div,_ .J or 1he Business and Proleaslons Code, and my license la In lull force and effect. Loe No _____ cI,ss ------ 1 hereby affirm lhat I am exempt lrom the Con· ~«';'~~:::: ~w~,~~i~~~r~1~ county whteh requires a permit to construct alter, improve. demolish, or rep.air any structure. p,,or to its issuance also requires the applicant for such pennIt to Ille a signed statement that he Is licensed pursuant to the provIst0ns of the Con· tractor's License Uw (Chapter 9 commencing wllh SectM>n 70)0 of Otv1st0n 3 of the Business and Pro- fes.sfOt'IS Code) or that ,s exempt therefrom and the basis for the alleged exempt,on. Any v10latIon of 5.cttOn 7031 5 by an applicant tor a pemut subjects tne apphcant to I conl penalty of not more than frve hundreo Ooll= ($500) 0 I, as owner ol the prope,ty, 0< my employees ,..,th wages as their sole compensahon, will do the w~. and the structure ,s not intended or offered for sale (Sec 70M, Business and Professions Code The Contracto,'s Lacense Law does not apply to an owner of propeny who builds or Impr0Yfl thereon and who does such wont himself or through his own employees. pt'O'tlded that such ,mprovements are not Intende1 or offered tor sale U, however, the building or ,mpro~t ,s sok:t w1thm one yN.r of comp~ttOn, the owner-builder w,11 nave the burden of proving that he dtd not build or improve tor the purpose of salel C I, ~ OWnef of the property, ~ exclusively cootracltni with hcensed contractors to construct the proiect (Sec 70U, Business and Protess,ons Code· The Contractor·s Lteense Law does not apply to an owner of property who builds or improves ~~~-~ ~:,c:'~!~ ~~c~,!'~~~;::-: License Law) D I am e,empt undef Sec ____ , B & PC tor tn,s reason □ I hereby affirm tt\at I ha'le a cert1ftcate of consent to self-insure, or a cert1t,caIe of Workers' Compensahon Insurance. or a certified copy !hereof (Sec 3800, LibOf Code) POLICY NO _ COMPANY □ Copy IS It~ with lhe city 0 Certified capy Is hereby furnished CERTIFICATl OF EXEMPTION FROM ORKERS' COMPENSATION INSURANCE Is section need not be completed 1f the permII Is tor one hun<'re<I dollars ($100) or less) l cert1ty that in the perlor~nce ot the work tor lh•s permit Is ,ssued, I shall nol employ any In ~Y ma.nner so a.s to become subIect 10 ' ,ers Compensa.tton Laws of Cahlo,n.a Lenders Name ___________ _ . Lenoer s A.ddtess __________ _ USE BALL POI_NT PEN ONLY & PRE~S HARD -----------. -----·••---- CARL~" 7 BUILDING DEPARTMENT .,,.. I\ \1 APPLICATION & PERMIT 1200 Elm, ( , Calllornla 92008 (714) 438-5525 \ JOB ADDRESS --AV. ST. ,0.~AT o OF APPLICATtONII {()s(~L1?<' VALUATION ~-PERMIT NUMBER ,~5/<:/ Un~ C..O"n Io St-) Cc--rls6J RD. I q ,r:i. j!J-a~E OWNER'S NAME I 43i:;~tNE PRIME CONTRACTOR CONTRACTORS PHOIIIE • ZONE k'. Qt'n£t ld L~e..p-vr ~~ ... Cl&~ E:/echr ; c. 14-7-014 I OWNER'S MAILING ADDRESS CONTRAc-·s ADDRESS LICENSE NO. PLAN 1.0. # BLDG use cooe !Jt.(7 I U ni'LOYV11 o .sf. /518 c~ Pe"--l 3G,708/ 12.~ I BLOCK 1141,p I SuBo.1v•~10N I ASSE~7 PARCE~NO. . &:jq DESIGNER STATE LICENSE• STANDARS.t., L ,.., LDtNG SO. FOO!f19~ 0 b8CO Hli't1 w.-,.::ir/ 5 -• 00-~ ~l. 7D'8I 000 18640 P' 11 / 82 OESCRIPTIO;.N.J:; OF,, WORri --~ .r>~j) pn '° l"' . ,,..,.,, DESIGNER'S ADDRESS OESIGNE,.'S PHONE I --·-----·· ---·------·----F/P FLA ELEV. NO OCCGP EDU STORIES vO NO CENSUS TRACT I GP LANO use I PARKING SPACE l RES UNITS l GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAO FIRE SPR AREA CONST YO N D vO NO vO NO Not Valid Unless Machint Ctrtifi«t QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT · ISSUE SUMMARYMCCOUNTNUMBER EACH FIXTURE TRAP INSTA LL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT OH)00-4220 EACH BUILDING SEWER DVE R 100,000 BTU SIGN PERMIT 01-000-4221 EACH WATER HEATER AN D/DR VENT BOILER/COMPRESSOR UP TD 3 HP PLAN CHECK 01 ·000-4806 EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·000-4222 - EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·000·4223 h,5l.:_;.....,--EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 01-000-4224 EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-000·4225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER // MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) // SOLAR 01-000-4226 TOTI.L MECHANICAL V' STRurrn MOTION 65-640·0519 --I TOTAL PLUMBING FIRE SPRINKLERS 01-000·4227 QTY. d\&y QTY. SOLAR · ISSUE A /1/ PUBLIC FACILITIES FEE 25-000·4933 ELECTRICAL PERMIT -ISSUE BRIDGE FEE / NEW CONST EA AMP/SWT BK R.2M A tw?:S ~~ -COLLECTORS ~/r/ SCHOOL FEE -DISTRICT 1 PH 3 PH STORAGE TANKS I// carlsbad 65-623-0519 EXIST BLDG EA AMP/SWTIBKR ROCK STORAGE W / Encinitas 65·624·0519 1 PH 3 PH PUMP alY San Dieguito 65-625-0519 REMOOE UAL TEA PER CIRCUIT .. PLAN CH ~ San Marcos 65-626-0519 / TEMP POLE 200 AMPS /A .tr~, v OVER 200 AMPS -/\ TEMP OCCUPANCY 130 DAYS) / J . . 7 TOTAL ELECTRICAL I (;;..~ -7 TOTAL SOLAR TOTAL FEES PAYABLE t,;i..~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PER ,. AND DO HEREBY ExpiraliOII. Every perm,t llaued by the BuHdlng Offlcoet under Ille prov,a,ona ol th1• * AN OSHA PERMIT IS AE0U1AED FOR EXCAVATIONS OYER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HE ON INCLUDING THE Code ahatl expire by limrtatlon and become null and void II the building or work s· o· DUP ANO DElil0UTI0N OR CONSTIIUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY A AGREE IF A PERMIT IS autlloriZed by auch permit la noc comrnanced w,thon 180 day• from the date ol auch STIU::l\lMS OYER 3 STONES IN HEIGHT permit. or of the buildl~or wort, 1u11>orozed by auch perm,t IS '{ J ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS ERNING BUILDING CON· --at anv tune a the work ,. commenced for • "'"""" nf itili --· STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AG E TO SAVE INDEMNIFY AND A~;:;:• a. OWNER O CONTRACT~ APPROVED BY ~ IDAi/J,(y✓ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE J../~ _ BY PHONE 0 GRANTING OF THIS PERMIT. I / -~ "T . "T 2 u: ~ "' 0 a. E ~ I 'O 0 (!)~ C: "' -~ a. a. ,ct I -" C a: 0 rJl rJl Q) rJl rJl ,ct I :t .Q ai >- vi rJl Q) 0 e a. "' 'lo 0 ~ Q) 0 C <C C u: C Q) ~ (!) 0 0 Q) a. rJl C ~ :c ~ VI z 0 ;:: C a: C _, 0 "' 0 IE i[ 8 a: "' 0 ... 5 ~ "' z ~ 0 z 0 ;:: C VI z "' 0.. 2 0 0 VI er "' >o: a: 0 ~ i[ O I hereby attlrm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. lie No ---Clm t hereby affirm that I am exempt from the Con· ~~«>;;·e~i,::: ~ ~,~':1:~~'~,'~ county which requires a permit to construct alter. improve, ctemollsh, or repair any structure. pn0f to its issuance also requires the applicant for such permit to hie a signed statement that he ,s hcensed pursuant to the Pf'0YIstons of the Con tractor's License Law (Chapter 9 commencing with SectlOf"I 7000 of OIv1st0n 3 of the Business and Pro-- fesst0ns Code) or that ,s exempt therefrom and the basis tor the alleged Iucemphon Any vk>lat1on of Section 7031 5 by an applicant tor a pem,I1 subjects tne applteant to a c1vII penalty of not more than five hun<lred dollan (S500). □ I, as owner of the property, or my employees ••th wages as their sole compensa.1100. will do the w~. the strucl1Jre 1s not intended or offered for sate . Business and Professions Code The tor's License Ulw dOes not apply to an owner~operty who builds or improves thereon and w such WOO himself 0< througt1 his own emplo s. provided lhal such 1mproveme:its are not inlende1 Of ottered tor sale It. however. the building or Improvement ,s sold within one year ol compietton, the owner-builder will have the burden of proving that he dtet not build Of" improve fo, tf'\e purpose ol sale) □ I, as owner of the pre>perty, am exclusively contracllni with hcense<I contractors to construct the prOJftCI (Sec 70,,U. Business ancs Professions Code The Contractors License Law does not apply to an owner of property whO builds o, ImprO\leS ~~~i;~ 7.~c:'~~!~!t ~~~ir~\~;:~.: License Law) □ I am exempt under Sec fo, this reason _ .B &PC D I hereby affirm mat I ha-.e a cert1hcale ol consent to self-•nsure. or a cer11t1cate of Worke,s Compensation Insurance. or a cer11fled copy thereof (Sec 3800. Labor Code) POLICY NO COMPANY □ Copy IS hied with the c,ty D Certified copy ,s hereby lurn,shed CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sec1ton need not be completed 11 the permit ,s 10< one hundred dOllars (1100) or less) 0 I cer11fy tha.t in the performance ol the wo"" IOf which this permit Is is.sued. I shall not emplOy any person In any ma,nner so as to become subIect to the Wortii.ers· Compensation Laws of California NOTICE TO APPLICANT If. after makm, this Cert• lteale of hemption. you shOutd become subject t? the Wo~ers· Compensation provisions ol Ihe Lat>or Code you must fottnw1Ih comply w1Ih sucn provisions or this permit shall be deemed revoked 0 I hereby affurn that there Is a consIruct10n lending agency tor the performance ol the work !or wn1ch this permII ,s issued tSec 3097 C1v1I Code) Lenders Name ___________ _ Lenders Address __________ _ USE BALL POINT PEN ONLY & PRESS HARO At't'LU.,"'-rt I IV ' , ............. - CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 JOB ADDRESS //4 ~: .. A~i.Tr7 _:F ;;~I;}, BUSINESS LICENSE # VALUATION PERMIT NUMBER .:2'/1'1 -r ,_ ,A 8J.~,IJ - OWNEcn · ... M'l A I OWNER'S PHONE PRIME CONTRACTOR CONTRACTORS PHONE• ZONE -l'2 •• L _J , r ----OWNER'S MAILING AOORESS CONTRA"-'9' ~ A0ORESS LICENSE NO. PLAN 1.0. # BLOG use COOE - LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESIGNER STATE LICENSE ,r STANOARO PLAN # BUILDING SO. FOOTAGE DESCRIPTION OF WORK _ 9/.f.f/81'~0 1 ' .. DESIGNER'S ADDRESS DESIGNER'S PHONE UU~'l'+U::lC 1/l'leE /fl&J.i.: ~~-~~-·I ·-.... ,.,."I. ~· __ ., ------F/P F LR ELEV. NO EDU OCCGP STORIES vO NO -- CENSUS TRACT I GP LANO use I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST Y O ND vO NO vO NO Not Valid Unwss Machine Certifi~ QTY. PLUMBING PERMIT -ISSUE /45o QTY. MECHANICAL PERMIT -ISSUE 3oiJ SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU -BUILDING PERMIT 01-Mll-4?20 EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01-000-4221 EACH WATER HEATER ANO/OR VENT ---= L BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-000-4806 EACH GAS SYSTEM I TO 4 0 UT LETS BOILER/COMPRESSOR 3·15 HP TOTAL PLUMBING 01-000-4222 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-000·4223 -~ --____ ._ ------//,=------EACH INSTAl.. ALTER. REPAIR \\'ATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-000·4224 EACH VACUUM BREA KE A MECH EXHAUST HOOO/OUCTS MOBILEH0ME 01-000-4225 r -------r-------M0BILEHOME PARK INSP WATER SOFTNER RELOCATION OF EA FURNACE/HEATER EACH ROOF DRAIN (INSIDE) SOLAR 01-000·4226 --TOTI.L MECHANICAL STRONG MOTION 65·640-0519 ----r --·-- TOTAL PLUMBING FIRE SPRINKLERS 01-nnn.4227 J.da PUBLIC FACILITIES FEE 25-000-4933 . QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE BRIDGE FEE NEW CONST EA AMP'SWT BKR COLLECTORS SCHOOL FEE • DISTRICT -I PH 3 PH STORAGE TANKS Carlsbad 65-623-0519 EXIST BLOG EA AMP/SWT SKA ROCK STORAGE . Encinitas 65-624-0519 1 PH 3 PH PUMP San Dieguito 65-625-0519 REMOOELIALTER PER CIRCUIT PLAN CHECK FEE San Marcos 65-626-0519 TEMP POLE 200 AMPS --OVER 200 AMPS -- TEMP OCCUPANCY 130 DAYS) ------ --r-. -" TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE I /6~ I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY E•ptrll1on Every permit -by the Bulld1 ng Off1c1al under the prov,s1ons o( th11 * AN OSHA P£MIIT IS 11EOU1AED FOR EXCAVATIONS OVEII CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall ••Pf•• by hm1lat1on and become null and vo,d II the bu<ld1ng or worlt S' O" DEEP ANO DEMOLITION OR CONSTMJCTION OF authorized by such permit 11 not commenced w,ttun 180 d1y1 from the date ot such DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS ::;;;,.:, 1~1 ':, i:'.:1~;' U:~~,:':!h~~~~ ~i;:;:,,'~t"~~~ or STIIUCl\JAES OYER 3 STONES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· ~ ii: >, :0 0 a. E ~ I 'O 0 (!) j - i -.~ a. a. ~ I -"' C ii: 0 1/) 1/) Ql 1/) 1/) ~ I ~ .2 a3 >- ui VI Ql 0 0 a: "' co 0 ~ Ql 0 C "' C ii: ::::. C Ql ~ (!) 0 ti Ql a. 1/) C STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APP7i1SlrE • OWNER li--"'cONTRACTOR 0 APPROVED BY /b/J-I DATE L°/t1hv KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT ~ -,----c- <ltitp of <lCarlsbab +fr~13 t- REQUEST FOR INSPECTION RECORD rr.. n. ) , 0 /~ ✓ r v\?v ,> ✓ TIME:~ INSPECTOR __________ PERMIT NO. __ ti' __ ,Y,_l) ______ DATE: ~ OWNER----------,&,--...5.....----.,------------------------ ADDRESS __ ~Lb,L..t..-7-_!:::.~~~2:::z~~(L._----------------=•-,------- REQUESTED BY _..,=-=::...;,;,;,~::,.,,c;..---------PHONE NO. BUILDING D FOUNDATION 0 REINFORCING STEEL D MASONRY D GROUT· GUNITE D FLOOR AND CEILING SUB FRAME D SHEATHING D ROOF D SHEAR 0 FRAME D EXTERIOR LATH 0 INSULATION D INTERIOR LATH OR D FINAL PLUMBING D UNDERGROUND PLUMBING □ SEWER AND PL/CO □ TOP OUT PLUMBING D TUB OR SHOWER PAN D GAS TEST □ WATER HEATER D SOLAR WATER D FINAL ELECTRICAL 0 TEMPORARY SERVICE □ UFFER GROUND □ ELECTRIC UNDERGROUND D ROUGH ELECTRIC D POOL BONDING D ELECTRIC SERVICE D FINAL MI SC ELLAN EOUS D CONDITIONED AIR SYSTEMS D SOLAR HEAT D PATIO D POOL D SPA □ SIGN D GRADING D DRIVEWAY D FINAL SPECIAL INSTRUCTIONS _ _.,.~-=:...J£.>=-=--'=---;t_.__U..:.....:...-_.,.____----=5::..-;.F_✓ ...... ;P'---_. ----------- D Tuesday D Wednesday D Thursday D Friday ..._,J .~ !.\ /;\ /\ /,~ ,\ 1 A t, /\ _/\ /\ ,'\ t.,,. A /, ,..._ I-I\ 1~ /, /;• i,. ~' .~, "' ~ ~, 1' f, :, ·\ .:•. 1\ '\ ~\ 1,\ , ;.;.. / ..... IJ .. ·~, \,,/\\ ~ 11-Vt\\.11\\l.~V1\vr,\f1,.\/,":.\U\:..JA\l1-.vi'\v✓\\il\.\.1/-~\.:\\.,l\\/A\'. ,\,.-\ •.. ,\\Ii\\, ,J.\,,I., ,. '.\l/'\J, ... J/"l/\.ll...,.n .. 1, ·' ·• .\f1~,J::.i \ . ~ \_,A".J/,\,.l~-\ ~ '~ ...::~ <.i ~ ~ ~1 ~{ (fr-rt iftrnt1~ CI TY t)~- rt ..,:· I I ·~ t ("' 1 ') 1 t '1'· 1 t , .. p· .... t \! ./ ~--4 -,,.J t ♦• ., :;:~ (· A#., t? a c.: ~{ !.t D. _, • •• i.. .. ..., ,...? r ~ ·1 \ :,. -~·,.... ,.,;,..,_ . \'. I ~ This Certificate issued pursuant to the re quirements of Section 306 "· •. ~ --- ~ of the Uniform Building Code certifies that at the time of issuance ~ this structure complies with applicable ordinances of the City <.:.? regulating buildi ng construction use. j 3~ u Cl ·f· . Single Family Dwelling Bid P . N 8 2-0 2 se ass, 1cot1on __________ _c. ______ ;;;,.,_____ g. erm1t o, ________ _ Group _______ Type Construction ______ Fire Zone _______ Use Zone ______ _ ~ Occupant Load-------------------------------------- ~ ~ « Ownerof Buildin9 ,K. Ronald Leeper 'Address 2471 Unicornio St. 8 ·td· Add •• 2-519 Unicornio St. L 1., Carlsbad, CA. 92008 u, ong ress • oco I y _________________ _ ❖ ·---,;., ~ ~ .. • ?>· ;;--/ ~> '~ ..... -,:" ~ !!~ ~ ~ ~~ ~~ ,· ~ ~ « ... ) --1-t ------~ ~ NOTE: Alterations, chonges, odditions or changes of occupcncy vilifies this rtif1cote. ~.> ~ (Post in conspic-uous ploce) ; -• ~o/''f/WW WWWWWWWV~''\f'❖fW1'VW•1 '-'!/'o/"-'1''1'-:1/V '·i 'V~' ·-:?W V"Y V v ~/\~\f l \'j W ·1~rnw W 'f :U. -_ ..... -----: • ,,_ ... _:_ ~- ... ~ • ',..r,,. • (" .... -.;;-,"."1111o-....... o/4.,.""' -~ . .--;;'~~~ .. _ ...... .: ... q'--...::!.·-_: :~ ~~'-•~·:;.J:;; __..,.., ..,.I._.!!,,.,,_;;,..,,c-,,.,..,.:. .r, --. ...... INSULATION CERTIFICATION COMPLETE, SIGN AND POST AT A CONSPICUOUS LOCATION WITHIN THE BUILDING WITH THE INSPECTION RECORD CARD AT THE TIME OF FINAL INSPECTION. This is to certify that, in accordance with the current energy regulations (California Adminis- trative Code, Title 25, State of California) and approved plans, insulation has been installed in the building located at: SITE ADDRESS ;i s , 7 Uf-1 ,"wguio Number Street City EXTERIOR WALLS Manufacturer (E-fZW t-..1 T£[,,!) ?-!:;· Thickness/Type --~--.£_--R Value {( CEILINGS Batts: Manufacturer Jobn r -fh~ t,Jv;//e, ~~ /9 Thickness/Type --~-b---R Value Blown: Manufacturer ___________ T hickness/T ype ______ No. Bags __ _ Wt./Bag ___________ Sq. Ft. Covered ______ R Value __ FLOORS Manufacturer ______________ Thickness/Type ______ R Value __ SLAB ON GRADE Manufacturer ______________ Thickness/Type ______ R Value __ _ Width of Insulation ___ Inches FOUI\JDATION 1NALLS Manufacturer ______________ Thickness/Type ______ R Value __ _ GENERAL CONTRACTOR ___________ _ LICENSE NUMBER _____ _ BY _____________ TITLE _________ DATE _____ _ INSULATION CO0JTR"?: f~, 'I-N s-ul 11Tr~t1. 1.1CENSE NUMBER BY Y)IJCVIA ~fa TITLE ~ DATE i<l1/760 LUER No. 121 Rev,sod 11/9.'76 JI~ {) /VI u;;e/l)/() /,;2 0-/<j ? ) '(dV7!?) ytw_ -f;;-+lo ~ Date.I ny z_ Jurisdiction CA 1<L .SBA D Prepared by, 'SJ c:;, VALUATION AND PLAN CHECK FEE PLAN CHECK NO, B 2 -D ~ BUILDING ADDRESS --~?_t_/~/~l __ tl~--v-;~c=--o~Ru....c..~~'~l_o _________ _ APPLICANT/CONTACT __ /IJ_,_IJ-_, ____ PHONE NO. _______ _ BUILDING OCCUPANCY R-3 DESIGNER PHONE ----------------TYPE OF CONSTRUCTION V -,v CONTRACTOR PHONE BUILDING PORTION i. J V IA. ~ ,,,~,'4 GA.t!>6.5' Dell< Air Cond i tionin~ Commercial Residential Fire Sprinklers Total Value BUILDING AREA VALUATION MULTIPLIER -';cs:, ,ti C)• 1/2. - JI-; L I I, !:_O ,·, G;,, 8,.3 Bui lding Permit Fee Plan Check Fee ----- VALUE I o 6'., ~ L/ Lf, - 5, I 'j 2., - ~80. - /IJ./~ 3/fA~ - 1/ 7 0 .so - COMMENTS 1 ____________ f _S_, _I _L ____.P._.. __ c, ___ ,._.J...,r ____ --"2"--'f__._i/-. __ • _§.fl ____ _ I INTERDEPARTMENTAL INFORMATION SHEET BUtLDIN~ DEPARTMENT ' )_ECEIVED DATE: ________ _ BUILDING ADDRESS: ~ s-, r t&u:c,I)~ PLANNING DEPARTMENT (} ( I /('\ c,.}, • .\ANO 41992 CITY OF CARLSBAD eulldlog Department -7tONE __ __,_.,f\4 ,_,_ _____ LOT SIZE __ ~--~--------LOT WIDTH UN }TS ALLOWED _____ / _______ UNITS PROVIDED ___ _,_ ________ _ PARKING SPACES REQUIRED % COVERAGE ALLOWED BUILDING HEIGHT ALLOWED FRONT SETBACK: ALLOWED --\)~L1----- PROVIDED :t-----",J...---- INTRUSIONS ~ PROVIDED ----------- Lf O 7 o PROVIDED _________ _ 35 PROVIDED _________ _ SIDE SETBACK: REA R SETBACK: LANDSCAPE & IRRIGATION PLAN COMMENTS : ENVIRONMENTAL PROTECTION REQ: ADDITIONAL COMMENTS: ENGINEERING DEPARTMENT 3FO R.O.W . ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _ SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _ GRADING PERMIT --~----EASEMEN~ _________ DRAINAGE ____ _ LEGAL DESCRIPTION:::e;..;6 f J_r ~ C-~ ' f+ / ADDITIONAL COMMENTS ____________________________ _ OK TO ISSUE6\k:,-DATE/---"~-g2-PWI ____ OK TO FINAL ____ DATE ___ _ FIRE DEPARTMENT SPRINKLING 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 ________ _ torrey pines consulting Civil & Geotechnlcal Engineering February 4 , 1982 Mr . & Mrs . Ronald and Joyce Leeper 24 7 1 Unicornio Street Carlsbad , CA 92008 Project No . 20000 Subject: Moistu re Content Verification Reference: Vacant Lot 2519 Unicornio Street Carlsbad , CA 92008 Dear Mr. and Mrs. Leeper: In accordance with your request, we have performed two moisture content tests on the existing on-site soil material where the proposed footings and slabs-on-grade will be located. It is also our unde rstanding that thi s lot is a fill lot. Moisture tests were performed on February 3 , 1982, and yielded moisture contents of 16 .5 % and 18 .2%. In the opinion of this offi ce, this represents a moisture content of at l east 1 .0% above optimum moisture content. Depths of tests were taken 18 and 6 inches below existing grade, re- spectfu lly. Please be advised that the soil material will continue to loose moisture . Therefore , this office should be consulted 24 to 48 hours prior to the placement of reinforcing steel and/or concrete i nto either foundations or slabs-on-grade . Sincerely , TORREY PINES CONSULTING Dennis E . Zimmerman , P .E . C26676 c : ( 3 ) Addressee DZ/mh P.O.Box 38 •Cardiff-By-The-Sea • California, 92007 • (714) 436-3555 • (714) 453-6663 BENTON ENGINEERING. INC. A PPLIED SOIL M ECHANICS -FOUNDATIONS 6 7 4 1 EL CAJON BOULEVARD SAN DIEGO. CALIFORNIA 92115 PHIL IP H ENKIN G BENTON PRE:SIO<NT • CIVIL r:NCINEUt June 28, 1972 La Costa Land Company Costa Del M,ar Road Rancho La Costa, California 92008 Subject: Gentlemen; Project No. 70-10-28D (Grading Permit L 3785) Final Report on Compacted Filled Ground Lots 92 and 185 of la Costa Meadows Unit No. 1 San Diego, Califomio .... SAN 01ECO. 5 8 3 •5654 L A M £S4: 469-56 54 Th is is to report the final results of tests and observations made ir:i order to inspect the compaction of filled ground placed on certain areas of lots 92 and 185 in La Costa N.eodows Unit No. 1. The results of tests and observations made _ta_ inspect the compaction of filled ground placed during the major grading of this subdivision and special recommendations for construction on expansive soils were included in our interim report on this project dated October 12, 1971 . This report includes the results of test Nos. 1377 to 1380, inclusive, taken in compacted filled ground placed on lots 92 and 185. These fills were pl;ced on April 24, 1972 and June 13, 1972. This report includes all test data and information not previously reported and completes our final report on La Costa Nieodows Unit No. 1. • The approxi'incite areas and depths of filled ground placed under our inspection in a~cordance with the approved specifications ore shown on the attached Drawing No. 1, entitled "location of Compacted Filled Ground." The grading plan used for the placement of filled ground was pre- pared by Rick Engineering Company and last revised January 29, 1971. The approximate locations at which test Nos. 1377 to 1380, incli.J~ive, were token· end the final · test results were presented on page T-44, under the "Tobie of Test Results. 11 Test Nos. T to 1376, inclusive, were presented on pages T-1 to T-43, inclusive, of-our previous. report. The laboratory determinations_ of the maximum dry densities and optimum moisture contents of the major fill mal'eriols ploced during this recent grading period are pre·sented on page L-1 under the "Labora- tory Test Results." Test Nos. 1377 to 1380, inclusive, reported herein, were taken on the dates indicated below: Test Number 13Tl and 1378 1379 and 1380 Date April 24, 1972 June 13, 1972 ,,. .:--~-01e.cr l~O. 1 v-1 V-LOU Lo.--Costa Meadows Unit No. l June ~o, l't/~ The final results of tests and observations indicate that the compacted filled ground hos been placed at 90 percent of maximum dry density or greater. It hos been determined that the fill materials, compacted to 90 percent of the maximum dry density, hove a safe bearing value of 1930 pounds per square foot for one foot wide continuous footings founded at a minimum depth and placed 5 feet or more inside the top of the compacted filled ground slopes. If footings are placed closer to -the exposed slopes than 5 feet Inside the top of compacted filled ground slopes, these should be deepened one -foot bel_ow a 1 1/2 horizontal to l vertical line projected outward and downward from a point 5 feet horizontally hulde the top of compacted filled ground slopes. Tests indicate that the compacted filled ground ls ·adequate to support the proposed wood frame dwellings without detrimental settlements. C riti col I y expansive soils exist in the upper three feet below finished grade on Lots 92 and 185. Therefore the special design and precautions presented for Type II A11 Ion in our previous interim report dated October 12, 1971 are recommended for buildings constructed on these two lots. Respectfully submitted, BENTON ENGINEERING, INC. By£d:~ R. C .. Remer • '!;.:.· ... Reviewed by C~½l63~ . Dlstr: Philip H. Benton, Civil Engineer . • (4) Addressee (1) La Costa Land Company Attention: Mr. Burton L. Kromer (1) Rick Engineering· Company (2) San Diego County Building Inspection, Vista Office ( 1) Son Diego County Engineering Department Attention: Mr. Joe Sovella • BENTON ENGINEERING, INC. RCP/PHB/ew • .-· ,~/\~-:ji-;.i,·~, ;.J11it : • , y-. ~c,;,J •• -s-.~.;.":>,.__~--... •• _., ~ !),"'t '"' ~-~~,~-... ,.~ v ~. ::.-.. ·...,;:. ·,.;"'"~•r.:.r·. . .. ~--~. • :.n"'1..:-•• -~-, {i}r:3/" \tf' , -,:-~{~:-;; , • -~]} ...... :, ·<\:· ·,. ~---·· .. -/27L: .. -.-...~:.:·: .. J1l~-:,;~~ . :~_~;-~~-~'::~··;:i~ .. ,~(' ...... ;~-x-,.~:r .. c-. :-• ~--:~ .:JJi~'l';,·/~,f • ,t~f:~':!~,±~;;: :!:,:~.,...,~:.\• ._--:,.• ;\~:;.... V :. "0;-~~--=,-i;~-~~i-.. ;:·,,·,:~..:. -:-'u~J:-G .. ~-11 , ·•':• .. =;- •• ~-~~--JI~~-~~-;-·,,,_~{~'. ~_} t)~'t'~:~~J! ~,;..'f~:;.~ :·. -J .. -~j ~~ ,'0 ~'Sf ... '6'•81~'"'•• • • o• •••A••••• ··~~~~-.:_,~.,_ .. ,? J.,_, ..... • • .~.;;;..;---:::;::,--:;;, \_;_.:J.-c---:::::"~ ,,........... ;_ -{~1f:; ... :. ·-·· ~ ·_;~_ l~ _-/}#... ;_·:·_ .. ,·1:·,~,t-f-i:-,; • I • -•• ·..,,.,:,:-1 -/..~.11. · ..... , .. ·:'"··•~ .. • .. 'i~-.. ·: ·-:~-~ ·~~ l ·--<· {" '·. :'. ::--1·-=f::+-:;. ._,~;;-.-.,k"!_'. _;.;l, ~l}f,} t~5~l!t~~ -;t I ,_.. ~~ ··_;',.'l,I ~--'-:::,,'I -- --~--~ • 2 . :-. ~~~::·=t" -,, .. /3 ·-t"1 •. :.. .. T~j~} t!J::: ~-..... .1 ✓ t'rofect No. 70-10-280 -T-44 June 28, 1972 Lo Costa iVeadows Unit No. 1 TABLE OF TEST RESULTS e Approx-Depth Maximum imate of Fi II Field Dry Dry Test location at Test tv\olsture Density Density Percent No. Lot No. in Feet % dry wt lb/cu ft lb/cu ft Compaction 1377 185 30.0 14.5 102.3 111.3 92.0 1378 185 32 .5 * 14.6 104. 1 111.3 93.5 1379 92 1.0 14.3 103.6 115 .0 90. 1 1380 92 2.3 * 14.4 107. 7 117.4 91.8 • Finished grade .. I BENTO N ENGINEERING. INC. .• • Project Nt>. 70-10-28 ·o Lo Costa Meadows No. 1 L-1 LABORATORY TEST RESULTS October 12,. 1971 June 28, 1972 The maximum dry densities and optimum moisture contents of the major fill materials as deter- mined by the A. S. T. M. D 1557-66T method, that uses 25 blows of a 10 pound rommer falling from a height of 18 inches on each of 5 layers in a 4 inch d iameter 1/30 cubic foot compaction cylinder, ore presented as follows: Soil Type Light gray-brown silty fine sand with mica Medium brown fine to medium sandy clay with scattered grovel light brown fine sandy silt Light gray silty fine sand Yellow silty cloy with light gray streaks Dork gray-block fine sandy cloy with flecks of lime light yellow-brown srlty fine sand with streaks of lime Light gray silt (lightly cemented limestone) Medium brown clayey silt ... Medium brown silty fine to medium sand Gray-brown silty fine sand with clay binder Brown fine sandy clay (topsoil) Light brown-yellow clayey fine sand , ;;.;.·,,. Light olive-green silty clay Brown silty cloy Medium brown fine sandy cloy Brown fine sandy clay with scattered grovel light yellow-gray silty fine sand light ol ive-groy clayey slit Gray-yellow slightly silty fine sand Light yellow-brown silty clay with fine.to medium sand Yellow-brown slightly clayey fine-sand with lime streaks Olive-gray clayey silt with siltstone Light gray clayey silt with streaks of rust _Red-brown si I ty clay Brown fine to medium sandy cloy Gray-brown clayey fine to medium sand Light yellow-brown fine sandy silt Medium brown fine to medium sandy cloy with flecks of rust Gray-brown silty fine to medium sand with siltstone light olive silty clay with siltstone Dork gray cloy {topsoil) Ught olive silty fine sand Brown silty fine to coarse sand with 30 to 40 percent grovel BENTON ENGINtcER ,NG. INC. Mox-imum Dry Density lb/cu ft 109.6 . 126. 5 115.0 116. 1 110. 7 115. 6 113. 3 96 .5 106 . 7 121.4 117.8 118. 9 116. 9 116. 9 110 .6 119 .o 119 .0 117.0 ,· 109.0 / 115. 3 109.3 113. 7 106.4 111.3 111. 9 120 .2 123·. 3 115. 6 118 .0 117. 4 117.0 114.0 118. 3 137.8 Optimum Moist- ture· Content % dry wt .. 12.4 9.4 13.5 13.2 15. 1 13.8 14.2 21.6 17.4 11. 3 13.1 13.0 12.4 13.0 16.7 13.2 11.5 1.1.7 16.2. 13.7 14.0 13.8 13.8 16.0 15.3 · 11.5 11.7 14.4 12.4 13. l 13.7 16. 1 12.2 8.4 BENTON ENGINEERING. INC. APPLI CO SOIL MECliANICS -f"OUNOI-TIO NS 6741 CL CAJON BOULt::VARD SAN OIIZGO, C ALIFORNIA 0211:; PHILIP IH'.N KiNG DENTON PR(Slt>f'NT • CIVIL CtlCIN"-Crt , · October 12, 1971 Rancho La Costa Route 1, Box 2550 Encinitas, Californta 92024 SubJect: G{,n t I e.men ! Project No. 70-10-28D Counly Permit No. L3785 Interim Report on Compacted FIiied Ground And Class ification of Soil Condltlons Lol·s 1 to 184, inclusive, 186 to 189, inclusive 192 to 253, inclusive, and Certain Street Areos ;. la Costa ·Meadows Un it No. t ~ ~ ss1; ;g~_gs cso. iif, etmmw;w- SAN o,cc.o. 5&3°!iGS6 LA M,;o,., 4G9,!H!54 • This is lo report !he results of l·ests and observations made in orde r lo Tnspect the compac tion of fill ed ground placed on certain a reas of Lots l lo~, inclusive, 9 to 15, in clusive, 23 lo, 53, incr~sive, 55 to 59, inclusive, 61, 64, 67 to 72, inclusive, 75 to 91, inclusiv01 104 lo l 08, Inclusive, 112 to 119, Inclusive, 121 to 154, inclusive, 160, 173 to 184, inc lt!sive, 186 lo 189,. inclusiv0, 192 to 218, inclusive, 220, 221, 222, .224, 231 , 232, 233, 237 to 247, inclusive, and porlfons of Untcom io _Strcet, Alga Road, Luciemaga Sl'reat, luciernogo Place, Alisma Street, P.ni-i lopo Street, Abe forro Sl-rce t, Grulla Street, Pe rs'.1 Sh-eel', Unicornio Way, Unicornio Place, Un icornJo Court, Unicornio Street, Ave Dt1I Paraiso Streat, A6edlJI Strcot, Abcdut Place, and Zodiac Street In La Cost·a /·i.cadows Unit No, 1, San Dkgo Counl-y, Cali forn ia . Tests were also taken fn solls placed as backfill over utilit)' lines in Unit No. T and in compacted fi lled ground placed on Lots 466, 467, 460, 469, and 470 of La Cosl·a Moadows Unit No. 3. Compac·- Hng of filled ground has not been completed on Lot 185 and the resuhs of final ·tests and inspec- tions on this !ot wlll oo included in our ftno! report on this uni,t. Tha fi lls on Unit No. l reported .-heie in were plac'3d during lhe perfod between November 9, 1970 and Sepf-ember 20, 1971. _ .. The cipproximctc areas and depths of fil led ground placed under our inspection In acco1 doncc with . • .the approved specificotions are shown on the atl'achcd Drawing No. l, cntitl\?d II Loca tic,n of Compacted Filled Ground ." The grading pion used fo r the placornent of filled ground was preparo_d by Rick Engineering Cornpcmy and last revised January 29 1 1971 . Tho oppro~dmote locations at which tho tests were taken and t·hc final t·cst results are prcsen~ecJ on pages T-1 to T-43, tn clu:;ivo, under the "Tobie of T<:st Rcsull-s.1' A g~oup of 9 tests lakcn . . during !·he lnltlol grading of ,\Igel f\Oud are included on pogo T~/i3 of ti)o· "Tab.lo of Test RestJlls," Tlw laboratory de t01mlnatlons of tho rnmdmum dry donslties and optirn:Jm -moisture conton l-s of . . ·, P.roject No. 70-:-10-20D R.:.m~llO. La~.Costo ucrooer ILi I YI 1 The final results of tests and observations indicate lhat the compacted fill ed ground has been placed at 90 percent of the rnoxlmum dry dcn!iity or greater. It has been dorormined that the fill ma'tE!rial:, compocted to 90 percent of tho maxfmum dry density, hove a safe bearing volue of 1930 pounds per square foot for one foot wide continuous footings. founded at a minimum depth of one foot bolow finish grade and placed five feet or more inside tho top of compactcc.I fl I led ground slopes. If footing? are placed closer to tho exposoo slc1s~ than 5 feet Inside the top of compa·cted filled ground slopes, th~e should ba deepened one foot below a 1 1/2 horizontal to • 1 vertical line pro}ected out\vard and dovmward from a point 5 feet horizo:,tally inslda th0 top . of compacted filled ground slopes. Tests indicate that the compoctecl fiiled ground is adoquate to satisfactorily support the proposod wood frame dwellings wil-hout de trimental settlements. • Expansive day, silty clay, and sandy clay soils were pf aced tn tho upper three feet ln certain compacted fill areas and also exist in the upper threo fee ~ berow finished grodo in certain cut areas. The final classifications of the soil conditions existing on each lot. are presented as follows: --• ype Critlcolly· Expansive So lis Lots Lots -~nclust~e 134 to 111-9, inclusive ~nclusive 152, 153, 154- 34 to· 50, inclusive 158 f-o 161, inclusive 52 and 53 167 to 176,, inclusive 58 to 64, inclusive .179 to '182, inc lusive 66, 67, and 68 d :184, 186 l·o 189, Tn c lusive 70 to~J.u~ 20 194 to 230,, fnclusive 07 to 92, inclusive 234r 237 . 105, 106 107 239 to 243, tncfusive 117 to i~l, Inclusive 2.6.-6 and 247 , •~rginally Expanslvc, Soils ~b ~~ lb) 51~55, ·56, 57 • ~ 69,"83~ M, as, 86 93, 22, 104, 108, 109, 110 112 to 115, inclusivo • _ 132/1-;;)50, 151 1ss,-::.·.1s6,'l57, 162 177 and 170 183, 192, 193, 238, 244 encl 248 ----Type C -Nonexponsive Soils Lots -Lois 33 94 lo 98, Inclusive 100 to 103:--1nclustvo .111, 116 163 t~, lnclus.ive 231,~ 233, 7.35, 236, 245 249 to z5j, Jncluslvo DENTON Et~OINCERINC.. INC.· . . f;rof£ct 1'-1~. 70-10-28D ~ Ranclio La ·cos ta -4-. Oct-ober 12, 1971 It •ts .-o'commended that the fol lowing spocial design and precautions be _take n for th~ houses to. b& cpn,s trucl·ed on the above lots: • • Type A Lots ' 1. Avold the use of isolated interior piers . Use coni-Jnuous footings t·hrougho ut ,. 2. and placo these at a minimum depth of two feet below the lowest adjacent exterior final ground surface. ·· Reinforce and interconnect continuously wit-h steel bars o il interior and exterior footings with one f 5 bar at 3 inches above tho bottom of t·he footings and one l/5 bar placed 1 1/2 inches below the top ~f the ste ms of the fooi-ings . 3. Exercise every effort l·o assure that the soil under the foundations and slobs has o uniform moistvre content, l percent to 3 parcent greater t·han optimum through- out the top 3 foet below finished grode at tho time of placing foundations. and slabs. 4. Uso raised wooden floors that span between contfnuous footings, or use all concrete slabs with 6 x 6 -10/10 welded wiro fabric and provido a min fmum of 4 inches of clean sa.nd beneath al I concrete slabs. A moistvre ba rrier sh"ould 6e provided in tha sand IO)'er 2 inches below sf obs. undor living orecis ~ 5. Separat·e garage slabs from perimeter fooHnqs by a 1/2 ind1 thickness of con- struction felt or equivalont, to allow independent movemenl of garage slabs relaHve t-o perimeter footings. Assure complete s0parai-ion by e>d·ending th e felt over the fu ll depth of the ·front thickened edge o f the· garuge slab. Also, cut off the garoge door stops al· least 1/2 inch obo.ve th c1 sfob. 6. Provide po$itive dralnC?gc away from _ o ll perimeter foo li ngs 1·0 a horizont-al distanco of at least 6 feet outside the house wafl s. Type B Lots Those lots listed as Type B lots should follow all the above:..lisl·ed recommendations with the two ·following e:,ceptions: l. The continuou:; foot-ings may 63 placed_at a minimum dcpl·h of 18 inc hes balow tha lowost od!acent e>dorior flna l ground surf-ace ral·her than lhe two feet • --·--recommended for Type A lols. . . 2. Stngfe D4 bars placed as dirocted (above) noor tops and bottoms of all interior · and oxtertor footings may be substituted for the (/5 bars recommended for Type A lots . • Rocommondot-lons 3 to 6, lnclustvc, as flstccl for Typo A lots, a re also applicoblo to t·ho T)1)e B lots. • • lll-'IJTO l'NGINt:.lcJIHJO INC. 6/2/80 LEUCADIA COUNT~ WATER DISTRI CT APPLICATION FOR SHIER SFRVICE Ovm er I s Na me ----"--A~l a=n B. C,,,__l=-=a,.,_r.,,,_k ________ _ Phone 11:o. Mailing Address 28182 Calle San Rem , ______ _ San Juan CaQ.]strano, CA 92675 Service Address: ___ ...._Un.._1,.,,·c...,.ou...Jrruo Street Tract Description: Jot 129, ~eadows U Assessor's Parcel No. 215-280-59 ________ _ 494 -33~R 496-9594 Type of Building single family No . Units J Connection Fee $1,500.00 Lateral Size: 4" 611 8 11 Saddle Easement Connection iE_~e-pd 200.00) Extra Footage: __ @ $ • · Extra Depth: ___ ·@ $ ___ 130~). CJ -lateral Fee Amount Rec'd $1,300.00 6A-6/2/88 1'118tfo a Ck. No/Cash #5143 ~a:yme,1! tifi: $4@0 ~r~~~~~~e s~::r Date • 8-22-80 fer~,~ un,ts. ~eftindrotal • $l ,500 _00 Rec'd By s. Will,iamson ~~,g=noo. -/ ,p~,'-/,V r-vt/ ~,,_-k"' The application must be si_gned by the owner (or his authorize&-representati.ve) of · V the property to be served. The total charges must be paid to the District at t he time the application is submitted. If a service lateral is required, it will be installed by the Leucadia Count; Water District. The service lateral 1s that part of the sewer system that extends fro~ the main collection line in therstreet (or easement) to the point in the street (2t or near the applicant's property line) where the service lateral is connected t o the applicant's building sewer. The applicant is responsible for the co ns truction , at the applicant's expense, of the,~~wer pipeline (building sewer) from the appli- cant's -plumbing to the point in-'the str·ee·~ (or ea s~ment) where a connection i s r-·2de to the service lateral. . . T-he conne-ction of the applicant's building sev-1er to the service l ateral shall be made_ by the applicant at his expense. The connection must be made in confori:lity with the District's specifications, rules and regulations; and IT MUST BE 1r;SPE CTEu AND APPROVED BY THE DISTRICT BEFORE THE SEHER SYSTEM MAY BE USED BY THE APPLI CA!F. TH E APPL ICANT, OR HIS AUTHORI ZED REPRESENTATIV E, MUST NOTIFY TH E DISTRI CT AT TH~ 1IME INSPECTION IS DESIRED. ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLEC- tION LINE WITHOUT PRIOR APPROVAL AND INSPECTION BY THE DISTRICT WILL BE CONSIDE R=D 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 f i scal year. There will be no additional fee or refund if service actually corrmences on a different date . Fo r succeeding fiscal years, the sewer service fee wil l 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 Owner1 s Signature 12874 Acco unt fio .