HomeMy WebLinkAbout2547 LUCIERNAGA ST; ; 80-556; PermitL''-'"''""'c:u vuN ! HA{;fOR'S DECLARATION I hereby affirm that I am licensed under provi·
sions of Chapter 9 (commencing with Section
7000) of DiVision 3 of the Business and Profes-
sions Code, and my license is in full force and el·
feet.
OWNER-BUILDER DECLARATION
DI hereby affirm that I am exempt from the Con-
tractor's License law for the following reason
(Sec. 7031.5 Business and Professions Code), Any
city or county which requires a permit to con-
struct, alter, improve, demolish, or repair any
structure, prior to its issuance also requires the
applicant for such permit to file a signed state-
ment that he is licensed pursuant to the provi-
sions of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that is ex-
empt therefrom and the basis for the alleged ex-
emption. Any violation of Section 7031.5 by an ap-
plicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars
($500).
C":' 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 ot-
tered 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
himse!f or through his own employees, provided
that such improvements are not ·intended or of-
fered for sale. If, however, the building or improve-
ment ·1s 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).
-::-I, as owner of the property, am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business and Professions
Code: The Contractor'a License Law does not ap-
ply to an owner of property '•ho builds or im-
proves thereon, and who contracts for such pro-
jects with a contractor(s) license pursuant to the
contractor's License Law)
I am exempt under Sec _____ B. & P.C
for this reaso, ~------
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con-
sent to self-insure, or a certificate of Workers'
Compensation Insurance, or a certified copy
thereof (Sec 3800. Labor Code)
POLICY NO. COMPANY __________ _
'.:!Copy is filed with the city.
CJ Certified copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the per-
mit is for one hundred dollars ($100) or less).
I cert1•y that in ltle performance of Iha work for
wh;..:i-, i'l'(s rJerm;i is issued, I shall not employ any
person• .. manner so as to become subject to
the Wo,.','<'1 '}ompensation Laws of California
NOTICE 1 0 APPLICANT: If, after making this Cer-
tificate•::.f Ev.emption, you should become subject
to the Vvorke,s' Compensation provisions of the
Labor q_-,.d~!, you must forthwith comply with such
provis,uns or this permit shall be deemed revoked
COJ\ISTAUCTION LENDING AGENCY
I hereby ao'tfirm that there is a construction Ian·
ding agency for the performance of the work for
which this permit is issued (Sec. 3097, Civil Code).
USE BALL POiNT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525
,o. JOB ADDRESS AV,1~~DATE OF APPLICATIO_N
2 ,S ~~S,ef,Z,:i,4,7, I LI" ,c, (' L:', 12., N, A ,<,' A, ' ' ' I ' ' ' ' ~'. ~; -13 -,t:?,c,
OWNER . . l / (Z/J.J"(C/.lt? :5<l>.IUTA FC. ( 0-w .... s,·c . . -RIME CONTRACTOR
i..~ ✓llki'-'t..l 01.l\lwC'vCv(.1..J...lT 75,G~~ • ) ~,~ ~_;
OWNER'S MAILING ADOR'l::SS CONTRACTOR'S ADDRESS
PA-s "'-0 ()(;:L-(ClA ~, f?,:µ,Cuo 'SAuTo Ff:;, 9,.;n; T
198 BLOCK : SUBDIVISION -~.,.fri ASSESSOR'S PARCEL NO. DESIGNER µ.. a,s,A MEA ~ , 2, i ,S ,-,3,0,0,·•,e,,,S,
DESCRIPTION OF WORK V V, , , .........
Ct"'M~te..,.rc:---rt~ ...._, C {=' A a.-c.1ulT DESIGNER'S ADDRESS
cc~L-(iUiu '1
CENSUS TRACT GP LAND USE ZONING
APPLICANT TO FILL IN INFOR-MATION WITHIN RED LINES.
BUS. LICENSE PERMIT NUMBER
:!o 7'~ '!
STATE LICENSE fc,1 s-~(,
CONTRACTOR'S
PHONE
STATE LICENSE -: iZ I J[J.2 7. f'~ -
DESIGNER'S PHONE
I RES. UNITS : P;RKING SPACE 5 f I NUMBER OF STORIES
Not Valid Un/est Machine fArtified
!!LOG SQ. FT, BLOG USE OCC. GP ! STANDARD PLAN H I p~~ 5' ~L ! TYPE CONST
! OCC. LOAD
I
OTY. PLUMBING PERMIT AMT. OTY. MECHANICAL PERMIT AMT.
-I. EACH FIXTURE TRAP ,CJ .~~ ·1, INSTALL FURN. DUCTS UP TO 100,000 BTU v ,,,.,
// EACH BUILDING SEWER . • (/_!, ., OVER 100,000 BTU \,.,-'. I U ,., EACH WATER HEATER ANO/OR VENT /. ~0'1,, BOILER/COMPRESSOR UP TO 3 HP "
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP
✓-EACH GAS SYSTEM 5 OR MORE .. 11.._l:' V" .L BOILER/COMPRESSOR 16-30 HP
VALUATION: if; )S-2 1 7t_re .c:t.. EACH JNSTAL., ALTER, REPAIR WATER PIPE I ::.,..._r,,J/-I VENT FAN SINGLE DUCT • •-"'1,1
EACH LAWN SPRINKLER SYSTEM -, MECH EXHAUST -HOOO/OUCTS ~~ I l.l
I WATER SOFTNER .,-;I-, --RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I ,-(1/4 (A, ~
T --•• -.5.. o, lssue :S .• U l SIGN PERMIT . I I , I I
1 uTAL PLUMBING ;J. fY-TOTAL MECHANICAL J,7 _!Y PLAN CHECK -< I/ f. 7 J-Y/311'1 71JNJ .f.4>o. I I ,;: ' :,
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT , l<'h TH~ I :lit.: J, . "'J
ELECTRICAL PERMIT AMT. TOTAL PLUMBING I A •. = OTY. AMT. OTY. MOBILE HOME PERMIT ELECTRICAL 1• 71"'. Di
TEA AMP/SWT/BKR AWNING MECHANICAL 11 ,1-1. ~
1 PH .25j ~(} /t..,.,,.___C, 3PH ,£/\ ·-~ PORCH MOBILE HOME I v. I
txlSI BLDG EA AMP/SWTMKR SET-UP SOLAR I I I . I
!PH .25 3 PH RAMADA, CABANA I I I , I
REMODEL/ALTER PER CIRCUIT FENCE OVER 6' I I I . I
--f EMP 'p(J [t 200 AMPS r?.,v,-vc , lw:.. .,fl) TOTAL MOBILE HOME MIC □ Fl LM I I I
.v OVER 200 AMPS -;l£'."-m,,o. Pfl1)"-"2....... .. /i~ ~ I I I
TEMP OCCUPANCY (30 DAYS) I I j . ; /'
issue 2,00 STRONG MOTION: I , 1,n_i;;r
TOTAL ELECTRICAL 7J..[/J TOTAL FEES PAYABLE
I (i,s{yi.3_~ CONTRACTOR
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 401 FEES: f~ HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY W!TH ALL CITY, STRUCTURES OVER 3STORIES IN HEIGHT ~M~ Ir;;-? COUNTY AND STATE LAWS GOVERNING BUILDihJG CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO . EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT APPLICAq;4 REdcu OWNE,¥ CONTRACTOR□ z;.;VEOpQ,,_,,..._.t.,,.. DATE
r-I '-1..d/ AGENT BY PHONE O t..-, -,;,--1.?·J.C . c:"NG, . . -7d9 9d' I
.....
I ~
b ;::
~ 0.. V, ~
~
-
SITE
ADDRESS: CiWNER: PERMIT NO:
FIELD INSPECTION RECORD 80, "/,,J(,,
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR
FOUNOAT\ON • FORMS• SET BACK • TOILET
UNDER FLOOR PLUMBING
UNDER FLOOR HEAT\NG
OK TO INSTALL SUB FLOOR I
SLAB FLOOR
UNDER SLAB PLUMBING
FOOTING• FORMS• SETBACK• TOILET
OK TO POUR CONCRETE
FRAME
ROUGH ELECTRICAL
ROUGH PLUMBING
ROUGH HEATING/VENTILATING
FRAME OK• PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK• PLACE TAPE
EXTERIOR LATH OK• PLACE STUCCO
Fl REPLACE
DAMPER: & STEEL
PLATE TIES/HEIGHT OF" CHIMNEY
OTHER
TEMP POWER (POLE)
SEWER
GAS TEST
! SWIM POOL • STEEL BONDING
• PRE DECK
' • FENCE PREP LASTER
SHOWN • FRAME OK
• PAN Ii 1..,.. ...+' .s-r'e£ c ,t7f C?llt £ &' Cl/tJJ-1>
'FINAL INSP BY BLDG DEPT &-4'-Y, ,,..,. ---i OTHER DEPT'S REQ COMPLETED
Gi!....~C METER-PERM-TEMP
[GAS METER-PERM-TEMP
i
\-!
! ~
t i CERl OF OCCUPA.NCY ISSUED
'"'
,_
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi-
sions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes-
sions Code, and my license is in full force and ef-
fect
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
NO. JOB ADDRESS
21':i(f1,-1 1L1U1C1/ f1£1½.ti-C-i-+1 1l-11t-1 1Cit>?-1/1/t[ 1
OWNER-BUILDER DECLARATION OWNER
i~r _:fJ.,,,_.,t;,l..l
OWNER'S PHONE
OWNER'S MAILING ADDRESS ?c_1 Bot _ tt8<:{ i2,1-1.;(/jt S..,11V7A-?IF
co,
/
BLOCK I SUBDIVISION I ASSESSOR'S PARCEL NO.
I I I I I I I I I I I
C! I hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 7031.5 Business and Professions Code), Any
city or county which requires a permit to con-
struct, alter, improve, demolish, or repair any
structure, prior to its issuance also requires the
applicant for such permit to file a signed state-
ment that he is licensed pursuant to the provi-
sions of. the Contractor's Lic.ense Law (_Chaptee9 I! WORK 7 '
commencing with Section 7000 of Division 3 of -"'' lf---''.:'!-l<~.L...J..Lo~r.~v,c_ __ l.'..L=--L.1.. _ _,'l,,, _ __;~ __ ...J.L=:..~...l.:::C::c_ ______ ~
the Business and Professions Code) or that ·s •
empt_therefrom and the basis for the l x-.. (-)..,1/::;?1,,,..:
I I I I
AV.ST. [DATE OF APPLICATION
I ',' i-J~-~/
PRIME CONTRACTOR
/)(.)/ 1,,15/?
CONTRACTOR'S ADDRESS
DESIGNER
DESIGNER'S ADDRESS
emption. Any v!olatlon of Section 70 ap-plicant for a permit subjects the to CENSUS TRACT GP LANO USE ZONING RES. UNITS PARKING SPACE
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
eus. LICENSE
STATE LICENSE
CONTRACTOR'S
PHONE
STATE LICENSE
PERMIT NUMBER
~/-II
I/ i Jib I ~\~<if
DESIGNER'S PHONE or-I 2~J5 Ud!
~. ·-
~ .. -
civ!I penalty of not more than five h
($500)
l """"' °' "°''" Not Va.id Unless Machine Cartifi«J
l-, 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 sate (Sec. 7044, Business and Profes-
sions Code: The Contractor's License Law does
not apply to an owner of property who builds or
improves thereon and who does such work
himself or through his own employees, provided
that such improvements are not intended or of-
fered for sale. If, however, the building or improve-
ment is sold within one year of completion, the
owner-builder will have the burden of proving that
he did not build or improve for the purpose of
sale).
= I, as owner of the property, am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044. Business <!nd Professions
Code: The Contractor's License Law does not ap-
ply to an owner of property ·•ho builds or im-
proves thereon. and who contracts for such pro-
jects with a contractor(s) license pursuant to the
contractor's License Law).
I am exempt under Sec. _____ , B. & P.C.
for this reason ____ _
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con-
sent to self•insure. or a certificate of Workers'
Compensation Insurance, or a certified copy
thereof (Sec. 3800, Labor Code).
POLICY NO. COMPANY ____________ _
L.:Copy is filed with the city.
:JCertified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the per-
mit 1s for one hundred dollars ($100) or less).
I certify that in th·. performance of the work for
which tt">is permit i_; issued, I shall not employ any
person i~ G.ny ml'nner so as to become subject to
the War '",· Compensation Laws of California.
NOTICf v APPLICANT: If, after making this Cer-
tificate ol Ex-emption, you should become subject
to the 1;;0rkers' Compensation provisions of the
Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
CONSTRUCTION Lc"t-,/DING AGENCY
I hereby affirm that there Is a construction len-
ding agency for the performance of the work for
which this permit is issued (Sec. 3097, Civil Code).
BLDG SQ. f"T. BLDG USE occ. GP I STANDARD PLAN ,I I 'g-'Y-11 l ""
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU
EACH BUILDING SEWER OVER 100,000 BTU
EACH WATER HEATER ANO/DR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL., ALTER. REPAIR WATER PIPE
EACH LAWN SPRINKLER SYSTEM
WATER SOFTNER ~-,~
TOTAL PLUMBING
CONTRACTOR
QTY. ELECTRICAL PERMIT
NEW CONST EA AMP/SWT/BKR
1 PH .25
EXIST BLOG EA AMP/SWT/BKR
1 PH .25
REMODEL/ALTER PER CIRCUIT
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
.,/,.-1J"} ~~
TOTAL ELECTRICAL
CONTRACTOR
3 PH
3 PH
BOILER/COMPRESSOR UPTO 3 HP
BOILER/COMPRESSOR 3-15 HP
BOILER/COMPRESSOR 16-30 HP
VENT FAN Sl~~GLE DUCT
MECH EXHAUST -HOOO/OUCTS
RELOCATION OF EA FURNACE/HEATER
,,?qe/ ~
TOTAL MECHANICAL
CONTRACTOR
AMT. QTY. MOBILE HOME PERMIT
AWNING
PORCH
SET-UP
RAMADA, CABANA
FENCE OVER 6'
TOTAL MOBILE HOME
,<___.oo
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT, AND DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY,
COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY 1N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
AfLICANT'S SIG~URE• OF THE GRANTING OF THIS PERMIT.
•
CONST l acc. LOAD I
AMT.
v~~);;J,-
if,,, 0
AMT.
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
ALL INCLUSIVE PERMIT
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILE HOME
SOLAR
•
A ~ .,,..,._ ),,.., ,.✓, ~
fr
MICO-fl LM
TOTAL FEES PAYABLE J </~r~
l
OWNER~
AGENT D
CONTRACTOR □
1
APPr BY
BY _!"HONE Q ...._
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DATE
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•
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5 >= V = 0.. V1 ~
\
SITE
ADDRESS: OWNER: PERMIT NO;
FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR
FOUNDATION• FORMS• SET BACK• TOILET
UNDER FLOOR PLUMBING .
UNDER FLOOR HEATING
OK TO INSTALL SUB FLOOR
SLAB FLOOR
UNDER SLAB PLUMBING
FOOT] NG • FORMS• SETBACK • TOILET
OK TO POUR CONCRETE
FRAME
ROUGH ELECTRICAL
ROUGH PLUMB! NG
ROUGH HEATING/VENTILATING
FRAME OK• PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK• PLACE TAPE
EXTERIOR LATH OK• PLACE STUCCO
FIREPLACE
DAMPER & STEEL
PLATE TIES/HEIGHT OF CHIMNEY
OTHER
TEMP POWER {POLE)
SEWER
GAS. TEST
SWIM PbOL • STEEL BONDING
• PRE DECK
• FENCE PREPLASTER
SHOWN • FRAME
• PAN
FINA;_ INSP BY BLDG DEPT
OTHER DEPT'S REQ COMPLETED
/ ELEC METER-PERM-TEMP
iGASMETER-PERM-TEMP
'
CERT OF OCCUPANCY ISSUED -•
REOUE~T i=:O,ft JNSPECTION ~ ✓5{,Z TIME·
INSPECTOR• ~ PERMIT NO ______ DATE: ~4/a
OWNER _________ ~----------------------
ADDRESS Y <)--r ~
BUILDING
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
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: D MONDAY D TUESDAY
DA.M. _xM.
SPECIAL INSTRUCTIONS /'7 ..e <AL 7
.----------------. ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.I.
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
0 REFER PIPING
D FINAL
□WEDNESDAY 9~URSDAY
)
D FRIDAY
t.t:rrl/PJ?
REQUESTED BY~,, -.<Rd PHONE NO. __ (--r.-tt;p¢1--,..-,,,.---
PERSON TAKING REPORT_--'{ _____ _
)CORRECTION NOTICE
CITY OF CARLSBAD
lfa2 -· -. BUILDING INSPECTION DEPARTMENT TIME:
INSPECTOR PHONE -438-5525 -~-,~-+-r_~---
BUILDING
D FOUNDATION
D REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
D EXTERIOR LATH
D INSULATION
D INTERIOR LATH OR DRYWALL
PLUMBING
o UNDERGROUND PLUMBING
□ UNDERGROUND WATER
□ ROUGHT PLUMBING
□ TOP OUT PLUMBING
□ SEWER AND PL/CO
o TUB OR SHOWER PAN
□ GAS TEST
□ WATER HEATER
ELECTRICAL
□ TEMPORARY SERVICE ,.J.!
□ ELECTRIC UNDERGRO<,
□ ROUGH ELECTRIC • " □ POOL BONDING ~
□ ELECTRIC SERVICE £
o UPPER GROUND ~
D G.F.1.
o SMOKE DETECTOR
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D CONDITIONED AIR SYSTEMS
D SOLAR
D GRADING
D POOL
D PATIO
D SIGN
D OTHER
;;;;;z,:;ection:;;~;::E: v~
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'
•
ENGINEERING, INC.
476 W. Vermont Ave., Suite 102
Escondido, California 92025
714-743-1214/727-1818
Job #1131-80
August 26, 1980
Mr. Lee Julien
P. O. Box 485
Rancho Santa Fe, CA 92067
SUBJECT: Moisture Test :0-r-Lot .192, T_~ Cc3"ta Meadows #1
In accordance with your request, this letter is written
to verify that the moisture content of the soil on subject
property is from one to three percent (1% -3%} over the
optimum moisture content as required by Benton Engineering
soil report.
The field sample was taken and tested August 25, 1980.
The results are as follows:
Optimum Moisture Content
Field Moisture Content
15.0%
16. 6%
If you have any questions, please contact this office.
MV ENG,NEER~~
Ralp M. Vinje ~
RCE #25115 j/'
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INTERDEPARTMENTAL INFORMATION SHEET RECEIVED • -,
~UILDING DEPARTMENT
BUILDING ADDRESS:
DATE:
;/? S-t/ s-Js';I~ --JU_N_t 3~198~0-
/
1
CITY OF. CARLSBAD
Bulldlng Department
• PLANNING DEPARTMENT
,zONE e.., J/ LOT SIZE ________ LOT WIDTH ________ _
'UN ITS ALLOWED UNITS PROVIDED ------------------------
PARKING SPACES REQUIRED PROVIDED -----------% COVERAGE ALLOWED PROVIDED ----------------------BU IL DING HEIGHT ALLOWED PROVIDED
FRONT SETBACK:
ALLOWED
PROVIDED -------
INTRUSIONS
SIDE SETBACK:
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTEC
LllS /Pl
REAR SETBACK:
,. ,. ms:. ~ m
.,,,DATE ~K TO FINAL ,_N-t-i-]d-~G~,l-1 ......... __ DATE 6:1-BJ
ENGINEERING DEPARTMENT ~4 ~al' 7':0 /S.:?, 7<J.S ~ J#.1,, C /{,
'v£:=. '2fa\ rr ~
R.O.W. ,1£Q1D. INDUSTRIAL WASTE J.IA--IMPROVEMENTS ~lC/5T
SEWER CONNECTION ~ DRIVEW~ LOCATI,.S!iS: 5 1 .4~ HIN.
RADING PERMIT ~ EASEMENTs ,JD Ne DRAINAGE_o=-.,...,<___,,e._ __
EGAL DESCRIPTION !lfit/tf? ~~ /(#44('. #~
DDITIONAL COMMENTS~-:-.-..,.,..,,,--------------------------
/.m DEPARTMENT ltTAIDANT onnr~ l0 PRI!iKLING SYSTEM !ff¥ lrill"NliTl£1fJ,f ig,u P •-------
FIR\: ALARMS otB .... f.cltl85t-~==J2D3~(.JLJh):....uU.A.B,.1r,C.,--
0
--------
FIRE HYDRANTS __________ LOCATION _________________ _ • ADDITIONAL COMMENTS
-OK TO ISSUE: DATE OK O FINAL ______ DATE __ _ ------------
WATE
REQU
INTERDEPARTMENTAL INFORMATION SHEET ..
BUILDING DEPARTMENT
BUILDING ADDRESS:
PLANNING DEPARTMENT
CITY OF CARLSBAD
Bulldlns Department
ZONE _________ LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED UNITS PROVIDED
PARKING SPACE_S_R_E_Q_U_I_R_E_D __ (}_-~..,-~ PROVI_D_E_D ____ f\--u-r-------
% COVERAGE ALLOWED 1 PROVIDED---+u--H~-------------------------'------
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK:
ALLOWED -b2
PROVIDED __ +f'.3-~.,;:.,___,..---
INTRUSIONS V
SIDE SETBACK:
ot-
LANDSCAPE. & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ENGINEERING DEPARTMENT
-----------
REAR SETBACK:
ot:
V~·. ?J-3
R.O.W. ______ INDUSTJIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ei)t,1._r DRIVEWAY LOCATIONS ___________ _
_______ EASEMENTS _________ DRAINAGE ____ _ GRADING PERMIT
LEGAL DESCRIPTION -----------------------------
FIRE DEPARTMENT
SPRI~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 ________ _
~ ,.,1
•
BRIAN SMITH ENGINEERS, INC.
2656 State Street
Carlsbad, CA 92008
E. Brian Smith RCE 13,817
EBS:gh
Client: Lee Julien
Rancho Santa Fe
Dev. Co.
P. o. Box 485
Rancho Santa Fe,CA
92067
Job No. 5027-1
July 22, 1980
Structural calculations for a proposed
2-unit condominium on Lot 198,
La Costa Meadows Unit No. 1
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OF Z,J
.f 2/22/78 SEWER PERMIT ISSUED UPON
RECEIPT OF BlJILD:NG PERMIT.
BUILDING PERMIT MUST s-L EU CAD I A COUNTY WATER DISTRICT c
APPLICATION FOR SEWER SERVICE APPLIED FOR BY q -7 -00,
Owner's Name Lee Juli en
Mailing Add re: P. 0. Box 485
Rancho Sa ta Fe, CA 92067
Phone No. _ x;~:;;n;ox_
. -~UNl~~-~~t~X
756-4009 . ~xx~~x o2Sft.£ ',ZS-!/7 Se1·vice Address: Luciefna a Str,c,ee~t,,____ ____ _
Tract Description: Lot 198, La Costa Meadows #1
Assessor's Parcel No. 215-300-05 -==--=<"--""'----------
Type of Building __,D=u"'-p~le=x,_ ____ No. Units 2 Connection Fee $J~200.0P
l.ateral Si.ze: 4" 611 811 .Saddle Easement Connection pre-pd( 400.00)
Extra Footage: __ @ $ Extra Depth: ___ @ $ ___ 80D nn
Amount Rec 'd $8':P.. op
Ck. No/Cash~
Date --9.:::l=-C(
Rec'd By a>i P:::'.
Lateral Fee
Prorated Sewer
Service Fee
Total $t,QQQ.O')
The application must be signed by the owner (or his authorized representative) of
the property to be served. The total charges must be paid to the District at the
time the application is submitted.
If a service lateral is required, it 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 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 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 DR 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 service actually corrmences on a different date. For
succeeding fiscal years, the sewer service fee will be collected on the tax roll
in the same manner as property taxes.
The undersigned hereby agrees that the above information given is correct and agrees
to the conditions as stated.
~~~ · -owiiersSignatmi
) Q\QJ..\ Acc,,unt No.
..
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92003 Building Department
Es() --s s(, .
TELEPHONE:
(7141 729-1181
..
QCitP. of G:adzf.Ja?:i
RESIDENTll\.L(N.E&iY DESIGN CERTI.EiffiTION
Perm-it No. __ , ______ _
Issue Date. -----~-
CERTIFirATE .OF.W.1~LINlCE \-/DH ENERGY COUSERVITIION DESIGU REGlUIPJ:Ji:GffS
CONTAINffi IN ARTICLE L PART 6, TITLE 24, CALIFORNIA AU'1. CODE
. I• E, !?~Au · ':JH.1xri, hereby certify that I am familiar
with the state energy.conservation standards mandated in
CAC Tit1e 24, Section T20-l40l through 120-1406, and that the
plans and other documents submitted in support of the application
for a bu i 1 di n g permit at __ z_5_4_S~-_z_s_4--'-i~L_u_c_t1c_12-_t-_1 A_<:_1>., __ 5_-._~ ___ _
Address·
v5-Wei .;...-oS 7-, 2-z·-g-v ~-----'-------·---------,-----------.Assessor's Parcel No. Dated
comply with all current requirements of these regulations.
Signc.ture _£7 __ /4_.'4. _____ . ---'--~----·!
Title. _____ e_-_~_;c,_,_...,_·~_._!Z_ _______________ _
( Architect, Engineer, Contractor, Other.}
. State License or Certificate No. ___ ec __ ~ __ 1.;_7_~_1_7_· _____ _
Date. ____ 7_-_z_·> __ -_f_._0 __
Submit to the Building Department with permit application.
'. I'
form 78-101
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~-it This Certificate issued pursuant to the requirements of Section 306
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5, of the Uniform Building Gode ·certifies that at the time of issuance
;::J this J;tructure complies with applicable ordinances of the · City ~
t ~, ...
~
~ . ~> :2 regulating building construction use. f> ,,_ ~ ~· ~ UseClassificaHon Duplex 2 unit Condo Bldg. Pe,mitNo. 80-556 ;::> « ~ J Grovp _____ Type Construction _____ fire Zone _____ Use Zone______ t">
...... j Occupant Load_____________________________ ?>
~~ Owne, of Building . Lee Julien . Add,es, Paseo Delicias, Rancho Santa ;'.Fe ◄ .. . . V 4, BuildingAdd,ess' '2545/2547 Luciernc>ga Locality C_trlsbad, CA. ;>
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~ '"'\ ,•• '"' ,, \• •r ~•,·\,'. j ):('.'.J \/ \' \ V -/ ,,· ".-./\, ~i1--'-T:,:
(Post in conspiccc.us p!oc11)
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