HomeMy WebLinkAbout2628 La Costa Ave; ; 77-9010; PermitMO~EL NO.~•~---------
BU I LD I NG PERMIT APPLICAT ION .. " City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No -,7-9o/ C)
JOB ADDA c,s X {J_J('I A J-t>. G--trL ASSESSOR'S 2~ .sl--% PARCEL NUMBER
.J
LOT NO. 9 L~ -tTAACT euuK
PA~E I PAR.
LtGAL I , -· S' otJT"H tOscc • TTACHEO SHE[ fl 1 OCSCA. ~ ...., I ' ---
2ow;_\LL.G"l.) MAIL ADDRESS z,. 1bw PHON( ~-s -°13(Jh.1) s -~.o C. k'~,J --' ~ , -/ ~ >
CONTA.t.CTOA MAIL ADDRESS PHOM E STATE LIC. NO. C ITV LIC. NO.
3 t. .._ l . ~\)L'l)~\ ~.,4 \Q (..\1.ov-1.J --,,
~ -<; i) I -...._ .. ---
ARCHITECT OR OESICNEIII MAIL ADDR£5 5
uJ • ,J1.:r1 ~f;~o~: c.f-~ -z.... I
LIC [N5C NO,
4 L 1:. ~~J,~, ... ~ r S,t;J /0/.L---,. ,
ENGfNEC.A MAIL AOORE55 PHONE LICENSE NO.
5 -· \
6
COMPENSATION I NS. CARRIER . MAIL AOORC5S \=~ -_£ BRANCH
£ ·--~ (;h.. Jg i) ;r✓ -
use o,-8;JILOING 4-z_ ~-7 :<:, i,,..:-,..,_ . .._::: NO. BDRMS NO. BATHS -
8 Class of work: ~EW 0 AD DITION □A LTERATI O N 0 REPAIR □MOVE 0 REMOVE I
9 Describe work: tJ 5FO (U,~ ~/-rlkA~
/ "~_fl, (I ;-JY:, ' 10 Change of use from ~\ lY ~' . .,\l
Change of use to v J \' __,.
11 Valuation of work: $ g'/, 6:J JIU. vii /dr. ..... I .., 7. t/1) ---PLAN CHECK FEES PERMIT FEE $
SPECIAL CONDITIONS: ',, /M MICRO FILM FEE Type of , Occupancy I Const Group
-
Size OI Bldg. -~ No. of /). Max
(Total! Sq. Ft Stories 0cc. Load --Fore use -' Fire Sprinklers
APPLICATION ACCEPTED av PLANS CHECKED av APPROVED /\OR l!l!iUANCE av Zone J Zone Required OYes ONo
DATE, 1/ /o /,,;• No. of OFFSTREET PARKING SPACES: . · ( I No, Dwelling Units I No. -Sq. Ft. I,-DATE Covered Open
N OTICE l Spi,cial Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FIRE DEPT
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY T IME AFTER WORK IS COM
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ-AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ENGINEERING DEPT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SlGNATu•u: o,-CONTJtACTON 011 AU THOJtll[O AG[NT (OAT[ I
SIGHATUII.£ o, OWN[" 11,. 0WN£llt IIUIL0£") OAT[)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
-~ .::J It:,, • :.--" TOTAL FEES$ _______ _
INSPECTOR
INSPECTION RECORD 77 ✓ C/010
• l
" -DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL /Ye-' ~c/.
EXT. LATHING
MASONRY ✓
/4r.S O'-T vv;/2/\~~
-
FINAL
USE SPACE BELOW FOR NOTES, FOL
-------7, ~
~--
... .... -.-
PLUMBING PERMIT APPLICATION • l
City of CARLSBAD, CALIFORNIA 9 2008
Phone 729-1181 Apphcant to comp ete numbered spaces only Permit No. 7i·<JO//
Joa ADO .. ,ss
I LOT NO.
LEGAL l ouc•. -;i,~ 4-cosr
OWN[. .. MAIL ADD .. CSS tip P..f'tONC
2 L.,L( l~O ..,2. ~ ..
CON TlltAC TO" MAIL o\DD .. t.SS PttOH[ STATE LIC. NO.
3 ,~,( \).ff,~ --:3J9Z 12-
A"CH I T[CT ·0 111 DE.SI GNtlllf MAil. A0011t[SS PHONE. LICtNSC HO.
4 1 J.i r.= ~ 2. ,r-Gu J ,.JQJ
E.N G lfHKN -' MAIL ADOfl[SS PHOM£ LICENSE NO,
5
COMPENSATION (NS. CARRIER MAIL ADO .. CSS l fllANCH
6
use OP' BUILDING
1 r Ir-ii ... 1
8 Class of work· ~NEW O ADD ITION O ALTERATION 0 REPAIR
9 Describe work ·
No.
SPECIAL CONDITIONS )
J
J' --,,
·'
.APPLICATION ACC~PTEO ev PL.ANS CHEC~EO ev APPROVE O FO~ ISSUANCE. 8V )
DATE /
NOTICE
I
PERMIT FEES
Type of Fixture or Item
WATE R CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
K IT CHEN SINK & OISP.
OISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
F-t.66-SINK OR DRAIN
SLOP SINK
CITY LIC. NO.
Fee
/ -;-.,)
I :so
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCED.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
I GAS SYSTEMS. _N_o_. _o_:u_T_L_E_T_S-======----1--=-/_,f..u.-;,_ ... l:..j
WATER PIPING & TREATING EQUIP. -----,>----------------------+---+-----1 WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINK LER SYSTEM
/ SEWER NUMBER CLEAN0UTS
CESSPOOL
SEPTIC TANK a. PIT
ROOF DRAINS
SIGNATUfllt. 0,. CONT .. ACTOfl Ollt AUTHO .. IZC.0 AC.tNT IOAT[ >
ISSUANCE FEE $ j
C.IGNAT .. r 01' nwN[ .. ,,. OWN[" •~n .. oc .. , (OAT CJ TOTAL FEES $ \ >
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
'"; i "'~ -ll',_. ._ geD*
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
7) -901
JOB ADDRESS -~ -:, ' ,;.' -&-c.-<-·b LI-; > I v~ ....
LEGAL I LO~ ,4 Iv ~ TRACT ~o (OSEE ATTACHED SHEET)
1 DESCR, Jv'IT: ,.:. cosm .,,
OWNi-MAIL ADDRESS z,p y<:,./v I PHONE .
2 ' . E"O -t:.,..., i"-'t-C-.. ,~ ) ."5410 C~ ,,..,0 ?r SfJ .27')-0S-t~
CONTRACTOR Jee_ MAIL ADDRESS PHONE STATE LIC, NO. CITY LIC. NO,
3 r 3/97/-/ (.J _.,
ARCHITECT OR DESIGNER MAIL ADORES!-, w,Jcr, -:fJfONE;;' 2'4t\9Z.(
LICENSE NO,
4 :') L. G . fl.A~~ ~~1 <:_/),J 1.)1 !.~~t-:i.
ENG !NEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRI ER MAIL ADDRESS BRANCH
6
USE OF BUILDING e,,J s~'D 7
8 Class of work: ~NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: f.J &iu sc:.o
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
1ft NEW CONSTRUCTION, FOR EACH
"""LICATION ACCE,TED ev 'LANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, ;,S 3? FUSE OR BREAKER /5"
DATE NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
NOTICE IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
OR BREAKER
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE~ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP.
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
TEMP. SERVICE OVER 200 AMP.
PER 100
SIGNATURE OF CONTRACTOR OR AUTHOR I ZED AGENT (DATE) ";)
,
ISSUANCE FEE -
TOTAL FEES
_),
c:;1r.NATURE OF' nWNE:R If OWNER BUI DER 1DATEI
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, M.O. CASH
L
INSPECTOR
MECHANICAL PERMIT APPLICATION
A /" t t pp ,can o comp e enum ere a n erm1 o. I t
City of CARLSBAD, CALIFORNIA 92008
b dsp ceso /y Phone 729-1181 p ·t N 77-9tY3
JOI ADDIIII tSS ·zc, 2a ,t.. II '-OSY--A A t.J t?""
LOT NO,
I 01,,r~sr;~ v;u, r .<fl~j;:;;t0 $HttTI Lt~AL I ::5~4-1 DUCN. COSU-A
OWNtfl MAIL ADOIIIIE5!5 t,P ,t.p~IOl PHONE
2 AL l.. l ·e-Tl ... t'5VIL0t " ), 3'4'(.) ce~"0 p,-si, ;2 7'\ <':0( 1.\ ~
CONTIIIIAC TOIIII MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO.
3 ,/' ) I lj i' J ~ f_ ~/9,Z./Z
AfllCHITCCT Ofl OC51CNEft ""'4AIL A00fl[SS "=:Jlt LICENSE NO,
4 1·)LE. ':i)flAA"t1l.kn ~2.c-:< WNth 2Z.'-I07 ZI ,5'1.,.I .OJB:t 0
tNGINCCIII: "'4AIL ADO"CSS PMON[ LICCNSf NO.
5
LCNou, MAIL A0011t[!5S BIIIIANCM
6
use 0,. BUILDING "1eu 7 ) <:F'D
8 Class of work: j;lJIEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ,J~\1} SF-0
Type of Fuel. Oil D Nat. Gas D LPG. D
PERMIT FEES
SPECIAL CONDITIONS. No. Type of Equipment Fee
Air Cond. Un,ts-H.P. Ea. s
Refrigeration Units-H .P Ea.
Boilers-H.P. Ea.
/ Gas Fired A.C. Units Tonnage Ea.
.I Forced Air Systems-B.T.U. ,J5tll)t l>M Ea . .-.,.> c~ ' APPLICATION ACCEPTEO BY PLANS CHECKEO BY APPROVED FOR ISSUANCE BY . Gravity Systems-B.T.U. ,
M Ea.
Floor Furnaces-B.T.U. M
Wall Heater~ B T .U. M
NOTICE Unit He&ters-B.T.U. M
THIS PERMIT BECOMES N ULL AND VOID IF WORK OR CONSTRUC· Evaporative Coolers
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF I Clothes Dryers ~ .t:Jd CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM• / Ventilation Fan ?-C..)
MENCED. I Range Hood d ( ...,
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO 8E TRUE AND CORRECT. Air Handling Unit-C.F.M . ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Incinerator HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATUJltE o, CONT"ACTOfll 0111 AUTHOflllZCD AGENT (OATEI
ISSUANCE FEE s .I ...
• t:N.&.TU11tr o, OWNUI IP' OWH[Jlt IVILDC" DATE.) TOTAL FEES s Ji.,· ~
WHEN PROPERLY VALIDATED UN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
MODEL NO:----------,• BUILD NG PERMIT APPLIC TION
City of CARLSBAD, CALIFORNIA 92008 _ ....
Applicant to complete numbered spaces only Phone 7 29-1181
JOB ADD,t C!~ k .A'~ ASSESSOR'S ,, ~ ~~~ PARCEL NUMBER
COT N3 >¥ I UK A .f•:c , ~ ff r Bvv" PAGE I PAR.
ccm I tQscc ATTACM[O SMCCTI 1 Dtst••
2 ow~~ d1 G~ ~00•.:r., ,,, C(Pt-,. ZIP PMONlt
'(I;(. ~ 'f>. q_,, 'r -, -:;~ {.'," 'i
CON TlltAC TOIII: MAIL AOORCSS PHONC STATE LIC. NO. CITY LIC. NO.
3 ~ ~ I'? -I --,I -· .,· ~
AlltCMIT[CT Ollt 0£.S•GNC.llt MAIL AOOft[SS OHONt LIC[N5£ NO.
4
CNGINCCllt MAIL AOOIICSS PMONC LICCNS[ NO.
5
~ -
6~o~SAHON IN~ MAIL A OD,.CSS l fU,NCl1
7 UH o, 0015~" f)
NO. BDRMS NO. BATHS ~
8 Class of work: □NEW ~OOITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 0 escribe work: ~'(""'~~~ -41'? ~30.,,~
V
10 Change of use from
Change of use to
11 Valuation of work $ qqtf oc) ,e:--S"""O I PERMIT FEE $
CJI
PLAN CHECK FEE$ .,, -
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const. Group
Sile of Bld9. ~ No. of Max.
(fotal)SQ Fl Stories 0cc Load
~~ F,re use Fire Sprtnklers
APPLICATION ACCEPTED BY PLANS CHE CKE O ev w:•§,.." .. Zone Zone Requ1red OYes ONo
No. of OFFSTREET PARKING SPACES
Dwelling Units No. !No. DATE ~ T Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM ,_
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ENGINEERING DEPT
ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WATER DEPT.
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER Sl ATE OR LOCAL LAW lilf.?UU>.TIN,-1.
cKSTRucT10N oR THE PERFCMANcE oF coN • R.uc;rro .1
' \ -'' l ( :A-\l1; ""t-, ..,,,_, ·~ \
SIGNATU .. t 0,-CONT,tACTON OJII AUTMO•l~AGlNT t\\•\: -, ~DA Tl) .I
'ICNATUIU n, OWNI'" (1,. OWN[Jt ■UILDl9'J (OAT()
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $_~_& ___ --_tii __
INSPECTOR
REQUEST
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT· GUNITE
0 FLOOR AND CEILING
0 SHEATHING
D FRAME
0 EXTERIOR LATH
0 INSULATION
INTERIOR LATH OR DRYWALL
FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
D 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
0A.M.
0P.M.
TRICAL
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
0 FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
0 FINAL
0 TUESDAY AEDNESDAY D THURSDAY D FRIDAY
REQUESTED BY' __ ...J...ok:-~:::L......!.4'..--------PHONE NO., __ --=dd=='c.+---
PERSON TAKING REPORT ___ _J__,_ ___ _
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°') This Certificate issued pursuant to the requirements of Section 306 <.,.,.
~ .. ,,, -•· r ~,
<1: of the Uniform Building Code certifies that at the time <:.: < this structure complies with applicable ordinances
j regulating building construction use.
' \ ?~J.}·:·
--~. ~/ ;.}
of issuance
of the City
.. ~
~ <'!
UseClcss;\;cct;on 2628 La Co 5ta Ave. Bldg.Pe,mHNo. 77-9010
" ~>c .... ~
Group R 3/M Type Construation VN Fire Zone 3 Use Zone R-1
<"2 Occupant Load ____________________________ _
'1 Owne,cfBuild;n!fe .. Allied Builder.s.
~ Bu;ld;ng Md,es/>Zt28 La C~sta Ave. « ,-~:-·•-'< ..• •· •. ·.
· Md,ess 3410 Crown Pt. , San Diego
Carlsbad2 CA. 92008 .·ft
/4
<3 ____________________ By( ' "'"_.. -/ /,C
7
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/"·., .... i '°:' V ·., ; ... ~.,.·.tr\;r:;·"':;t--l·,~r~.-.,. ·.,_,... ,, "' N _._ •. "\•·/.._,_,,.._':.. ,-'.; 'f\\ ._.,, ...... ,.-.,-..yn,.vr·'/f'.V-"',Vr\/.l\\,/f\\ 'f\Vf'{,ff\V'\.Vf'--,.-{
-1 ·/ \· ·, -, ./ .;-V ·/ " \," ·/ ·, '-'/ ·: / \/ ·;/ -..; ·• '/ -✓ V V ,;. V V ·/ Y ,.;...._
THIS IS TO CERTIFY THAT INSULATION HAS BEEN """'mo IN CONFORMANCE WITH THE CURRENT ENERGY REGU·
LATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT,
.;/.Co.aR ... :zR.a.. ..... ~ ... ~ ... d.~ ... ~-b··~······
Street Lot Number Tract
EXTERIOR WAUS:
JOHNS•MANVIU.E 5 ..t I I Manufacturer .......................................................... Thickness/Type ............... ~ ....................... R Value ....................... .
CEILINGS:
JOHNS•MANVll.£.E • / .J. I '1 Batts: Manufacturer ------------------------------------------------Thickness _______________ c..,,._ __ ~?.,: _________________________ R Value _______________________ _
Blown, Manufacturer ...... 7.l,.!J..,.6-., ....................... Thickness ...... £ .............. No. Bags .. J..'B. ....... Wt./Bag ... 'f.O. .... .
Sq. Ft. Covered ....•.. JJ .. °f_ ................ R Value ... l..o/............... •
FLOORS:
Manufacturer .......................................................... Thickness/Type ............................................ R Value ..................... .
GENERAL CONTRACTOR .................................................................................................. LICENSE NUMBER .......................... .
BY .............................................................•.................... TITLE ................................ Date ....................................................... .
SPRING VALLEY INSULATION CONTRACTORS ( .
Licens~ ~ ·
By .jf2.C::,1;,!,.'~
1
••••••••••••••• , President
Date .... 7).::: ... ?:c'J.~ .. z.i. ......................... .
INTERDEPARTMENTAL INFORMATION SHEET
\
RECEIVED
/ BUILDING DEPARTMENT
ADDRESS: db~8 cla. (!tJ~ Qm DA TE : -s~~'ftp➔ei----,,...,9""77-
CITY OF: CARLSBAD Bnlldlng Department
-" BUILDING
/
-,. PLANNING DEPARTMENT
ZONE R-1 LOT SI ZE_--'c&""""_..,..,~ ___ LOT WIDTH __ 7 _ _,.5"'--------
UNITS ALLOWED ___________ UNITS PROVIDED __ ~---------
PARKING SPACES REQUIRED PROVIDED __ J~·----------
% COVERAGE ALLOWED -----'-fµ..0""-_____ PROVIDED --1~-'7'-+"-=,<-----
BUILDING HEIGHT ALLOWED 3 $ PROVIDED _________ _
FRONT SETBACK:
!LOWED :'.l,Q
OVIDED ___ (!/j:1-+-~k~-
TRUSIONS
SIDE SETBACV: z'G REAR SETBACK}/ ; I 7 ::2
j ./ ()R.
\.
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ: ___________________ _
a 7-72
, ·• ADDITIONAL COMMENJ~---=~___,.__c?_Jt::._►,.__ ______
1
_~---.---i---,-A_--_rr1
OR ,o mu,,~ • m& ,-;p. ·)"' ,0 F'filL 44 ~ DATE [f flit,
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. ______ _
FIRE ALARMS EXITS ______________ _
FIRE HYDRANTS LOCATION _________ ;.___ ______ _
f ADDITIONAL COMMENTS
'---------------------------------------
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
-< .,
• ' cc
BENTON ENG1NEER~NG.
" s-· 7 c.0 .... "C" co•Jr.i·~
SA.1"<1 n1F.GO -:'.•\L'"''..)~."IIA q:?IJI
P,...IC..IP ... S:M:<1:-tC: A!!:N'l"ON
!'."" 1•~t-.T. C1..,n. Z:>-iV1~1P'.:~
Ci:c-o's Cust= ,,o-,,es 8"! '-l ~!..\ )S
S<02 forc~wccd Grcie
\.'-/es~'ins~er, Caiifo:-nio }?C:~~3
Gent! et~en:
Prujec~ F'lo .. 77-1-1.JF
fv\oistu,.e Con""enl"s-in
SuSgrcCe Soi,s
Loi-< 33,1 .:-"'_-II!--....,
La Cos ~a Sc-u~:i Un;~ ~~ c. c,
Cci-~sbad, Cc· i ,=c.rni~
IMC.
T~is is ~o repcr~ ttie re~uits c-~ tet;:-5 tc deter--inf" ;.'--:e r:!Ci'=t1Jr-9 ·-:-!"\"r:r-,h:·o.:. f~!':' ~o'ri".: ,:, ~···e _, .... e ..
t~:-ee fee~ b~!cw :inhi-1ed gr:::!e in :·he pri)po,e-:4 b.ui!::7in3 '=reo5 ~--e :u,. ;e-=t-·.::-e'i in (~.-, .ad,
Cc1 i:crnic.
7' • 1 I ' ~ • d j 1 -; ·:e s::>1: sor.ip-es we~e c.-::, a 1ne en anucn·y .: ,
tions are cressn~ed as :"oPcws:
r • cc-ring
Let f',.: C •
334 i
2
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Reviewed by
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ArtenriC'n: /.'·. "ay 'ref>n
OE':NTCN €~•G•NEERl~JG. INC,
C LEUCADIA COUNTY WATER DISTRI""""
APPLICATION FOR SEWER SERVI_,
Ow~er's Nam·e: _ _,S,,,a:::m::.....::C:.,i.:t.:..ro=-------------------Phone No. 714 894-3415
Mailing Address: _ __:84:..:..:0~2:......:.T~o~rc~h~w~p~o~d'--------------
Westminister. CA
Service Address: -~2~6~2~8:o-.:L~a,_,C~o~s~t~a~A=ve~n~u~e,.__ _________ _
TrRct Description: La Costa South Unit #5 Lot'334
Type of Building: Single Family No. Units __ _ Connection Charge $600.00
Lateral Size: 4" 6". 8" . Saddle: -·--
Extra footage: ___ @$ __ _ Easement Connection __ _
Extra depth: ____ @$ __ _
,. ,· ,,
Amount Rec'd $ 600.00
How Paid ck#lOl
Date P aid-'8"'t1""1 a.:..:Ci'-'7=7---1
Rec'd bv S. Deibert
Lateral Charge
The underslf/?li::11 .has b3en ne~~R.W ·BP the
District's expirat:0:1 po!icy as outlined , •
in Resolution No. -&42. ss7
~ O.u.~ • Signature of Applicant
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 tha-t · extends_ froin 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 eo the applicant's
building sewer •. The applicanb is responsible for the construction, at the applicant,s
expense, of"~he sewer pipeline (building sewer) from the applicant's pltDDbing 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 :,..:m APPRO\'Eil
BY THE DISTRICT BEFORE THE SEWER SYSTEM MAY BE USED BY THE APPLICANT. THE APPLICANT, OR
HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT THE TIME INSPECTION IS DESIRED.
ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLECTION LINE WITHOUT PRIOR APPROVAL AND
INSPECTION BY THE DISTRICT WILL BE CONSIDERED INVALID AND WILL NOT BE ACKNOWLEDGED.
After connection is complete, the property described above is subject to a monthly
sewer service charge, billed bi-monthly in advance. The rate will be governed by the
use of the property, single family, multiple dwelling·or commercial •. Non-payment of
tht! sewer service charge is subject to a 5% penalty per month, plus disconnection if
necessary.
the above information given is correct and agrees to
8/18/77 7981
Signature C Date Account No.
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