HomeMy WebLinkAbout2124 SALIENTE WAY; ; 86-212; PermitCl) z 0 ;:: < IC < ~ (.)
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O I hereby affirm 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. J3, )
lie No /"3{/-~ Closs -
I hereby a1fnm that I am e1temp1 lrom tne Contrac-
tor's L,cense Law lo< the lollowmg reason (Sec 7031 5 Busmess and Proless,oos Code· Any c,ty or county whten re-quires a permit 10 consuuct. alter, improve. demolish or repair any struclure. pnor to_ 1ts issuance also requues !heap-
plaeant kif such perm11 lo hie a signed stalement that he 1s
licensed pursuant 10 lhe prov1SKK1S ol the Conuac101 s license Law (Chapter 9 commencing with sec-1,on 7000 of Ow1s1on 3 of the Business and Professions COde) or !hat ls ex-
empt therefrom and 1he basis lor !he allegea exemp110n Any
v1olat10n of Sec.hon 7031 5 by an apphc.anl for a permit sub-1ec1s the applicant 10 a c1v1I penalty of nol more than hve hun-
dred dollars ($500).
r 1. as owner of the propeny, or my employees w11h wages
as their sole compensation will do the work and the struc-
ture 1s not mlended or ollered IOf sale (Sec 7044 Business
and Profession!» Code The Contractor's license Law does not apply to an owner ot properly who builds Of' improves
thereon and who does such work hImsell or through his own employees. provided that such Improvements are ncl mtend·
ed or ollerecl lor sale If. however !he building or 1mprove-
menl ,s sold wIlhm one year ol compithon the owner-builder will hav-e the burden of proving lhat he did nor build or 1m·
prove for the purpose of sale)
[' 1. as owner of lhe property, am exclus1v-ely c0n1rac11ng
w11t1 hcense<l contractors to construct the pro,ec1 (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who bullds 01 im·
proves thereon. and who conlracts for each proiects w11h a conlractor(s) hcense pursuant to the Contrac1o<'s license
Law)
□ As a hon,eowner I am ImprovIng my home. and the follow
mg cond11tons exist. t. The work ,s bemg pe~..-med pnor lo sale 2 I hav-e hved m my home !or twelve months
prK>r to completion o1 lh1s work 3 I have nol claimed thts exempllon during lhe las! three years
□ lamexemptunderSec ______ ,B&PC lor this reason ____________ _
0 I hereby affirm that I have a cert,hcate ot consent to
self-insure. or a certificate ol Workers· Compensation In•
surance. or a cert11ied copy thereof (Sec. 3800. Lat>Or Code)
POLICY NO.
COM P A.N Y
0 Copy IS hied with the city
NOTICE TO APPU~: l( after making this Certificate
of Exemption. you uld become subJec:t to the Workers·
Compensation pr 1sions of the Labor Code. you must
lorthw1th comply with such provisions or this permit shall
be deemed cevoked.
D I hereby affirm that there is a construc11on lending
agency tor the performance of the work for which this per-
mit is issued (Sec. 3097, Civil Code)
Lender's Name ____________ _
Lender's Addrus ___________ _
USE BALL POINT PEN ONLY & PRESS HARO --.... -·-····· . APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
.. CARLSBAD BUILDING DEPARTMENT APPLICf' TION ~ERMIT Carlsbad, California 92008-1989 (619) 438-5525
,
;oe ADDRESS
5ALIJ=IVTA
AV ST.RO. NEAREST CROSS ST. I Os; 0~7;;N1
ts, r lCENSE r, VALUATION PERMIT NUMBER
:21?. 'I ~A)/ -Ii lno 11o-~, 7--LOT BLOCK f sueo1v1s,0N I ASSESSOR PARCEL;.,~ t/ b CONTRACTOR . C°'I',. TORS,ONE • ZONE
.;,.-11--4 1-4,ep..e.,~ G-1--'S,~~7JZ rJ -~-nwKi? 'J /VI 1 1 /-;I
OWNER"S PHONE .,~222
CONTRACTOR'S ADDRESS LIC~_O PLAN 1,0. # BUILDING SO. FOOTAGE
0 :Z/; ~7 A5;L I BAJ ,-:e
t.;"9P' A4 ~,4/.. ~ ,UL) P~£ i;.,;J / 35~~! -./, "'2.--Y--o
k/,<ty' DESIGNER 5 ~.t:_ . J!S~,4d-,,lj ~~~ DESIGNER'S PHONE
DESCRIPTION OF W0Ri< ~"-,vc;~p-$ E 2=)1..1 ~r / .u.6 ~,t?P"~ 0ESIGNER'S ADDRESS LICENSE NO .
I p~,P ,I pee/<' .;I~~!:;~ ,Up.V,#A)lf.b 5/0B/666465 ~Cl~SJ
I _ F p F LR ELEV NO EDU □00IBt.66 51001 es 30~5 J
E;l/CLv'SV ~E., _;p.x,, ~ "rtJ OCC GP
I STORIES
I v□ NO
I CENSUS TRACl I GP LAND USE I PARK ING SPACE RES UN ITS I I
GRADING PERMIT ISSUED I REDEVELOPMENT TYPE 0CC LOAD FIRE SPP
A REA CONST
I y O N 0 vO NO vO NO Not Valid Unless Machine Cerrtfied
I
I ~t!!-QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
1 ,PTY. PLUMBING PERMIT -ISSUE ~-
I EACH Fl XT URE TRAP
, INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 001·810-00·00·8220 ,i',i -
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001-810·00·00-8221 .,
EACH WA TEA HEA TEA ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810-00-00-8806 1/f--
EACH GAS SYSTEM 1 TO 4 OUTLETS BO I LEA /COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00-00-8222 I ,
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001-810-00·00-8223
EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810·00·00-8224 -~ ---
EACH VACUUM BREAKER MECH EXHAUST H000'0UCTS MOBILEHOME 001-810-00-00·8225
WA TER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (,NSIDE) SOLAR 001-810-00-00-8226
TOH,L MECHANICAL STR0~
1
0N 880-519-92·33 ,.JO
l I
---
I TOTAL PLUMBING FIRE ' ERS 001-810-00-00-8227
I 5'-
Pu.iLW CIUTIES FEE 332-810-00-00-8930
I QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR · ISSUE .....~· \
I
I NEW CONST EA AMP SWl BKR COLLECTORS L , ~SCHOOL F~i~ DISTR1r,,.,.V ,..:,'"''
I I PH 3 PH STORAGE TANKS A L Ca_r~bad ~i~....... ·.-{,
I
1( . •
I EXIST BLOG EA AMP/SWT BKR ROCK STORAGE ( .)"' En°cinitas. ~:..· • • ..::_~•
I 1 PH 3 PH PUMP San rn~,'\i i..;".
I
I REMODEL AL HR PER CIRCUIT PLAN CHECK FEE Sa~arc~-,--·
I TEMP POLE 200 AMPS
. ·'~\_' .
I OVER 200 AMPS \J L!~SETAX 001·810-00-00-8162
I
.
I TEMP OCCUPANCY 130 DAYS) -~F 880-519-92-5 7 . -~
I '-' CREDIT DEPOSIT < f '1 -)
I
I TOTAL ELECTRICAL I TOTAL SOLAR I ' TOTAL FEES PAYABLE ~t),~
I I
I
I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" AND DO HEREBY Expirallon Every permit issued by the Building 011tc1al under the provos1ons of this * AN OSHA PERMlT IS REOU"'ED FOR EXCAVATIONS OVER
I
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by ltmllallon and become null and vo,d II the bu,lding or work S' O" DEEP AND DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhor,zea by such permil 15 not commenced wilhin l80 days from the dale Of such S RUCTI.IAES OVER 3 STOAIES IN HEIGHT /
I permit. or 1t the bulld1nff or \Nork autnonzed by such permit 1s suspe~ ~ ;
ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON• abandonea at anv lime a ter the work ,s commenced for a nRrtod of 180 o s
I STRUCTION WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY A~ 1~ t APPRO'J D BY 01 &,Ii I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND PLI S ~RE ~ ~ OWNER ~CT~
I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFT ~ ~ • -BY O E Q ~o...--J_• ' ~ t I GRANTING OF THIS PERMIT ~ , _ ~t. P1"I N I 'f L
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TYPE ' DATE INSPECTOR I .. (;
BUILDING I
FOUNDATION I
REINFORCED STEEL I
I
MASONRY I
, 8-~ -;;).,/;;).,_ , \ . \ , l
-J ~ FIELD INSPECTION RECORD .
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I
SUB FRAME □ FLOOR □ CEIL;ING
SHEATHING □ ROOF D SHEAR
' INSPECTION REQ IF INSPECTORS DATE ..... , .
CHECKED APPROVAL --
/ ' . ·--~ -. SOILS COMPLIANCE ,
PRIOR TO
FRAME ·' I FOUNDATION INSP
IC
EXTERIOR LATH I
I
STRUCTURAL CONCRETE ' -
OVER 2000 PSI .
INSULATION I
INTERIOR LATH & DRYWALL I
I
I
PRESTRESSED
~~ .
CONCRETE
POST TENSIONED i , ..... .,,_ .. CONCRETE ~.
PLUMBING I . . ' FIELD WELDING -; ' □ SEWER AND BUCO D PVCO
UNDERGROUND D WASTE D WATER
,
HIGH STRENGTH
BOLTS
.,
TOP OUT D WASTE D WATER SPECIAL MASONRY y ., ~·
TUB AND SHOWER PAN ' I
.
GAS TEST I
l
D WATER HEATER D SOLAR WATER
PILES CAISSONS
I
ELECTRICAL ' I
D ELECTRIC UNDERGROUND □, UFFER I . '
ROUGH ELECTRIC ' · .. ~ -
D ELECTRIC SERVICE D TEMPQRARY
D BONDING D POOL I •
·, --. • •.
I
MECHANICAL I
D DUCT & PLEM., D REF. Pl PING
HEAT -AIR COND. SYSTEMS ' ' I , .
VENTILATING SYSTEMS I --.
I
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,,.~ ... -' '
' . r--. -' k--
ITEMS A-Bi:iVE HA-JE BEEN APPROVEb:
FINAL
PLUMBING . ' . . , ' ' ELECTRICAL
MECHANICAL ' f-
GAS
. ,,, .. .. --. .0 ' / -, ) \ ~ -:---
BUILDING ~.:1 .. -·-.
SPECIAL CONDITIONS \
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O I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code. and my license is In
full force ~yff~. p-/ Loe No / ~ Z~m I
I hereby alllrm that I am exempt lrom the Contrac· tor's Ltcense law lor the lollowmg reason (Sec 7031 5
Business and Pro1ess1ons Code. Any c11y or counly which re· quires a perm11 to construct, alter. ,mprove, demohsh, or repa1r any structure. prior to 11s issuance also ,equires !heap· r~:~~'"p~~~:r~11 ,1::e1i1~,~~~~~~ :?'~~~~~! ':
License Law (Chapter 9 commencing with Section 7000 of
0w1s1on 3 ol the Business and ProfesSlons Code} or that ,s u-empl therefrom and the basis !or the allege<I exemphon Any
violation of Sect,on 7031.5 by an applicant lor a permil sub·
Jecls the apphcanl to a c1V1l penalty of llOt more than five hun·
dred dollars ($500)
rJ I. as owner ol lhe property, or my employees with wages
as their sole compensat10n, will do the work. and rhe s1ruc·
ture 1s nol m1ended or ollered !or sale (Sec 7044. Business
and Professions Code The Contractors Lteense Law does :r:gfrn!i0 :;o ~oe~,s~~t="~1::, ~~,:~~~~~r;:~
employees, provided !hat such improvements are not ,ntend• ed or offered lor sale If. however. the bu1kJrng or ,mprove-
menl 1s sold within one year of completion. the owner·bu11der will have the burden of provir-.g lhat he dKf nol bu1ki or im-
prove fo, lhe purpose of sale)
□ I, as owner of the property. am e:11:clus,vely contract109
with hcensed contractors 10 construct the pro1ec11sec. 70-44, Business and Professions Code The Contraclor's lteense Law does not appty to an owner of prQperty who builds Of 1m·
proves thereon, and who contracts lor each proiecls wllh a
contractor(s) lieense pursuanl 10 !he Contractor's license law).
D As a homeowner I am 1mprovmg my home, and lhe follow· 1ng conditions ex,st
I The work 1s bemg pertormed pnor to sale 2. I have lived m my home for twetve monlhs
prlOf to completion of lh,s wOfk I have no1 claimed this exemphon dunng the last three years.
D l amexemptunderSec ______ ,B&PC
for !his reason ____________ _
0 I nereby aftum thal I have a cert1tica1e ol consent to
sell-msure. or a cert,hcate ol Workers Compensation In-
surance. or a cer11hed copy thereof (Sec 3800. Labor Code}
POLICY NO
COMPANY
:J Copy 1s tiled with the city
D Cer11l1ed copy ,s hereby furnished
CERTIFICATE OF EXEMPTION fROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the perm1t
is for one hundred dollars ($100) or less)
lh1s \:r%1,11~s1~s3~~:.;~~s:~o~;a:o,~l~~l:~t:~s!: ~h~~
manner so as lo become sub1ec::t to the Workers Compen•
sat,on Laws ol Cahforn,a.
D I hereby affi~s a construction lending
agency for the performance of the wor'K for which this per-
mit 1s issued (Sec. 3097. C1v1I Code)
Lender's Name ____________ _
Lender's Address ___________ _
r ... ~c DIILL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
I CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525 APPLICATl~N ~AMIT
jo:JZ76( c}. ~L / e U ;v.8Ro. h:+s\7oss sr. !DATE OF APPLICATION! BUSI E CENSE :i V A LUATION PERMIT NUMBER
LOT IBLOCI(
/.tJ .,.
I '""°'"'"'o" I m"'°""'""-'D ~• ...'.'""'-'' '°" 3 / (a
OWNER'S NAME _ I OWNER"SPHONF p~ c:;;a_/~ • ..;:?.5 '<:7-022...:.
DESCRIPTION OF WORo< -c-p ,,c,c= DESIGNER'S ADDRESS LICENSE NO.
!'>r-e>~,Y
F/P F LR ELEV.
.P~ ji! ~..z,,~ ~ . ~"''9 I I
NO I ' OCC GP EDU r
CENSUS TRACT I GP LAND USE I PARl(ING SPACE I RES UNITS I GRADING PERMIT ISSUED
YO N 0
vO NO
REDEVELOPMENT
AREA
vO NO
STORIES
TYPE
CONST
OCC LOAD FIRE SPP
vO NO
PLAN 1.0 . ./t BUILDING SO. FOOTAGE
Nor Valid Unless Machine Cerrified
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER ~ EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100,000 BTU
EACH BUILDING SEWER
EACH WATER HEATER ANO OR VENT
OVER 100,000 BTU I I -·-·· ._ .......
BOILER/COMPRESSOR UP TO 3 HP
BUILDING PERMIT 001-810-00-00-8220 l /(t)
Slr.N PFAMIT 001-810-00·00·8221 I
PLAN CHECK 001·810-00-00-8806
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810-00-00-8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001-810-00-00-8223
I I EACH INSTAl . ALTER, REPAIR WATER PIPE __
EACH VACUUM BREAKER
VENT FAN SINGLE DUCT
MECH EXHAUST HOOOtOUCTS
MECHANICAL 001-810-00-00-8224
MOBILEHOME 001-810-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (l'ISIDE) SOLAR 001-810-00-00-8226
TOT ;;.L MECHANICAL STRONG MOTION 880·519-92-33
TOIAL PLUMBING l FIRE SPRINKLERS 001 ·810-00-00-8227
QTY. I ELECTRICAL PERMIT -ISSUE QTY. I SOLAR -ISSUE
PUBLIC FACILITIES FEE 332-810-00-00-8930
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
) PH 3 PH STORAGE TANKS Carlsbad
EXIST BLOG EA AMPISWT BKR ROCK STORAGE Encinitas
I PH 3 PH PUMP San Oie_g_ullo
REMODEL AL HR PER CIRCUll PLAN CHECK FEE San Marcos
TEMP PO LE 200 AMPS
OVER 200 AMPS LICENSE TAX 001 ·810·00-00-8162
TEMP OCCUPANCY 130 DAYSI MFF 880-519-92·5 7
CREDIT DEPOSIT A
TOTAL ELELlRICAL 1 TOTAL SOLAR TOTAL FEES PAYABLE l /CJ~ -,
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT • ANO DO HEREBY Expiration Every permit issued by the Bu,ldong Off1c1al under theprov1soonsofth1s
CERT;FY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e,pore by lom,1at1on and become null and vo,d If the buoldong or wo,.
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhorized by such perm111s not commenced w11hon t80days from the date of such
ISSUED TO °COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON• permit. or of the building or work aulhorized by such permlf os suspended or
* AN 05HA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5 O" DEEP AND DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND abandoned al an lome after th ork 15 commenced for a riOd of 180 cla
KEEP HARMLESS THE CITY OF CARLSBAD AuAINSl ALL LIABILIT,ES. JUDGMENTS, COSTS AND APPL! NT·s SIG~ATURI:' OWNFR 0
EXPENSES WHICH MAY IN ANY WAY ACGRUE AGAINST SAID CITY IN CONSEQUENCE OF E
GRANTING OF THIS PERMIT ~ ~ IDA~-w~-
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TYPE I DATE INSPECTOR
r L -BUILDING I o.~
FOUNDATION ' ~Z7-~ ll Vff" / FIELD INSPECTION RECORD I
REINFORCED STEEL : I I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY ' I
REO IF INSPECTORS GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE I
SUB FRAME □ FLOOR □ CEIUING
SHEATHING □ ROOF □ SHEAR
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP FRAME I
I
STRUCTURAL CONCRETE EXTERIOR LATH I OVER 2000 PSI
INSULATION l PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL I
POST TENSIONED I
I CONCRETE
PLUMBING I FIELD WELDING I
□ SEWER AND BUCO □ P~/CO HIGH STRENGTH
BOLTS UNDERGROUND □ WASTE □ !WATER
TOP OUT □ WASTE D \-VATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I PILES CAISSO!I.S □ WATER HEATER □ SOLAR W.a,TER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □;UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPG>RARY
□ BONDING □ POOL ' I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIP11'!G
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I ., . . --. ::: .... ·-.,;,. -_, ....... . . ""--.•.4~ I ' I . .,._ ... -~ ~ -CALL FOR FINAL INSPECTTON WHEN ALL APPROPRIATE . . ... -. . .
ITEMS ABOVE HA '/E BEEN AP PROVED. \'
'., .........
-'"" \. f
. ,, FINAL .. ' . \ .. . ·,. -. -·-. ·-.. I , _,._,r1,_ • ~, ~ -·-. ,:-r-PLUMBING I . . ' I . C 0, . ELECTRICAL I .
,._ ..... <-. . --. -~· MECHANICAL I
.;: ... • ' . . , . .
GAS ' .. .. . . ---I . ,._._ " -' . V • BUILDING I
SPECIAL CONDITIONS I
I
llt-~ ""• •.
..
Of, Y \-/ ' Jr/ . · !.<./4-
PLAN CHECK NO. ~ ADDRESS ~ c<-( ;2. ~~ ;t-DA TE S-: b --;l>-6
PLANNING ~~~
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ZONE: ----TYPE Of PROJECT: --------------------
SCHOOL DISTRICT: SAN OIEGUITO ENCINITAS CARLSBAD SAN t-\l\RCOS --
SETBACKS: FRONT SIDE REAR
DISCRETIONARY ACTIONS: ________________________ _
REDEVELOPMENT PERMIT REQUIRED: ----------------------
LANDSCAPE PLAN CO .... ENTS: -------------------------
1-:, L ~ ; ENVIRONMENTAL REQUIRED: ______ .,_ __ .._~+---------------
t: -~ ~· .~ > ~ 0 QI IQ
U CX: Cl
ADDITIONAL COMMENTS: --------------------------
OK TO ISSUE: DATE: -----------------
ENGINEERING
LEGAL DESCRIPTION VERIFIED? APN CHECKED? -----------------
P.F.F.: PARK-IN-LIEU QUADRANT:_ , FEE PER UNIT: -----------------
RIGHT-OF-WAY: TRAFFIC IMPACT FEE PER UNIT: ------------------
EASEMENTS: DRIVEWAY: -------------------------
Cl IMPROVEMENTS: -----------------------------w ex:
::::>
0 w FIELD CHECK DATE: !NIT IALS: ex: -----------------------
(/) z E.D.U.: --------------SEWER: --------------0
I-L u QI w 3 0:: QI
LATERAL: -----------+----INDUSTRIAL WASTE PERMIT: -------
GRADING PERMIT: -----------------------------ex: > QI
0
...,
QI IQ u ex: Cl CERTIFIED:
ADDITIONAL COMMENTS: ------+--...+-.'-+------------------
\
OK TO ISSUE: _____________ DATE: _____________ _
DPD2:DPD6:04/15/86