MANAGEMENT DISTRICT. 5 Harris Court, Building G, Monterey, CA P.O. Box 85, Monterey, CA
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1 COpy MANAGEMENT DISTRICT 5 Harris Court, Building G, Monterey, CA P.O. Box 85, Monterey, CA Fax MPWMD WATER PERMIT NO ASSESSOR PARCEL NUMBER: ISSUE DATE: 06/07/2016 EXPIRES: 06/07/2018 OR UPON EXPIRATION OF THE BUILDING PERMIT. CONTACT MPWMD (831) FOR REQUIRED FINAL INSPECTION APPLICANT: RYAN T HOGAN PHONE: (831) AGENT: DAVID PREW PHONE: (831) APPLICANT MAILING ADDRESS : 149 SPRAY AVE, MONTEREY, CA PROPERTY ADDRESS : 149 SPRAY AVE, MONTEREY, CA JURISDICTION: MONTEREY 3411 DEED RESTRICTION REQUIRED APPLIED RULE : RESIDENTIAL CHANGE OF OWNERSHIP AND EXPANSION OF USE WATER EFFICIENCY STANDARDS; MASTER BATHROOM FIXTURE UNIT ACCOUNTING; HIGH EFFICIENCY APPLIANCE CREDITS **IMPORTANT NOTICE- Currently, the Monterey Peninsula Water Management District (District) has authority pursuant to its Rules and Regulations to issue Water Permits and Water Use Permits. However, NOTICE is hereby provided that on October 20, 2009, the State Water Resources Control Board issued a Cease and Desist Order (COO) on California American Water. This COO prohibits California American Water from diverting water from the Carmel River for new service connections or for any increased use at existing service locations after October 20, Water Permits issued after October 20,2009 may be subject to the COO. For more information, please contact the State Water Resources Control Board or California American Water. WATER DISTRIBUTION SYSTEM: CAL-AM ALLOCATION DEBITED: PERMIT TYPE Remodel (Residential) NUMBER OF PROPOSED CONNECTIONS 0 EXISTING LAND USE: SFD PROPOSED LAND USE: MODIFY WATER F IXTURESIREPLA CE WI HE Page 1
2 MONTEREY PENINSULA COpy MANAGEMENT DISTRICT 5 Harris Court, Building G, Monterey, CA P.O. Box 85, Monterey, CA Fax MPWMD WATER PERMIT NO ASSESSOR PARCEL NUMBER: ISSUE DATE: 06/07/2016 EXPIRES: 06/07/2018 OR UPON EXPIRATION OF THE BUILDING PERMIT. CONTACT MPWMD (831) FOR REQUIRED FINAL INSPECTION REMARKS: PROJECT SITE MUST HAVE TWO (2) ULTRAHIGH EFFICIENCY (0.8 GPF MAX) TOILETS, 2.0 GPM SHOWERHEADS, &2.2 GPM FAUCETS. A HIGH EFFICIENCY DISHWASHER (5.8 GLS MAX), HIGH EFFICIENCY CLOTHES WASHER WITH A WATER FACTOR OF 5.0 OR LESS &AN INSTANT ACCESS HOT WATER SYSTEM SHALL BE INSTALLED. AUTOMATIC IRRIGATION SYSTEMS SHALL BE RETROFIT TO INCLUDE A RAIN SENSOR, WITH THE EXCEPTION OF WEATHER-BASED IRRIGATION SYSTEMS. Fixtures No of Existing No of Post Fixture Unit Existing Post Project Fixtures Project Value Capacity Capacity Fixtures Washbasin (lavatory sink) x = Master Bathroom:1 st x = Washbasin of Two Master Bathroom:2nd x = Washbasin of Two Toilet, Ultra Low Flush ( x = gallons-per-fl ush) Toilet, Ultra High Efficiency x = (UHET) (0.8 gallon maximum) Standard Bathtub or x = Shower Stall (One Showerhead) Kitchen Sink (including x = optional adjacent Dishwasher) Kitchen Sink with adjacent x = High Efficiency Dishwasher Clothes Washer x = Clothes Washer, High x = Efficiency (Water Factor of 5.0 or less) Instant Access Hot Water System(Fixture Credit) Total (AF) Page 2
3 COpy MANAGEMENT DISTRICT 5 Harris Court, Building G, Monterey, CA P.O. Box 85, Monterey, CA Fax MPWMD WATER PERMIT NO ASSESSOR PARCEL NUMBER: ISSUE DATE: 06/07/2016 EXPIRES: 06/07/2018 OR UPON EXPIRATION OF THE BUILDING PERMIT. CONTACT MPWMD (831) FOR REQUIRED FINAL INSPECTION Available Jurisdiction (AF): Incentive Credit (AF): Available WUC (AF): Used On-Site (AF): Available WUP (AF): Remaining On-Site (AF): Availab/e On-Site (AFt Credited WUP (AF): Credited WUC (AF): Proposed Water Usage (AF): Fee Description Processing Fee (Residential per Dwelling) Deed Restriction/Recording Fee(1st Page) Deed Restriction/Recording (Addtnl Pages) Courier Fees Recording Copy Page Deed Restriction Prep. Document Image Fee Deed Restriction Notary Page Rebate Surcharge Fee Fixture Rate Quantity Fees Total The Monterey Peninsula Water Management District issues this permit for the above project. This permit constitutes your receipt for the total fees shown. This permit may be revoked or other penalties imposed upon discovery of any substantial inaccuracy with respect to the referenced application or if water fixtures are added or changes in water use occur on this site without amendment of the water permit. Signature of Property Owner / Agent Date Note: Page 3
4 MONTEREY PENINSULA COpy MANAGEMENT DISTRICT 5 Harris Court, Building G, Monterey, CA P.O. Box 85, Monterey, CA Fax MPWMD WATER PERMIT NO ASSESSOR PARCEL NUMBER: ISSUE DATE: 06/07/2016 EXPIRES: 06/07/2018 OR UPON EXPIRATION OF THE BUILDING PERMIT. CONTACT MPWMD (831) FOR REQUIRED FINAL INSPECTION This permit does not guarantee service by any water company, public utility, or municipal water agency. This permit 'I)be cancelled a the request of the jurisdiction following notice to the property owner. b MPWMD Delegated Agent Date ~!7/2rJ!b ( ~ Page 4
5 MONTEJiEY PENINSULA WATER MANAGEMENT DISTRICT RESIDENTIAL WATER RELEASE FORt\1 AND WATER PERMIT APPLICATION NOTE: When approved and signed by the Ijurisdictions, this fonn must be submitted with final and comolete Construction Plans to: Monterey Peninsula Water Management District Pemlit Office 5 Harris Court, Bldg. G + Monterey, CA (831) fax (831) Completing the Water Release Form & Water Permit Application does not guarantee issuance oja Water Permit. ALL SPACES BELOW MUST BE COMPLETED OR THE APPLICATION MAY NOT BE PROCESSED, (Pleasepri I. OWNERSHIP INFORMATION: 2. AGENT/REPRESENTATIVE INFORMATION: Name PA~t' ~"1A1 ft!1'vj'l y (~.JJ- Name: OAytlo t'e,6'vj Daytime telephone:., I,,2../ J If Daytime telephone: ~~ I V Z,o ~ ~60 Mailing Address /51Z. 72t?ClI</.J t9t!\.-::-.j '012.. Mailing Address: J 7 7 ' fj l5'~ 7,1X.- '5 C M obg'9[o, c A q 22'2Ce H-2<J( """Vr-' ns v2 ex' -I 3. PROPERTY INFORMATION: Proposed Square-footage c 14 Assessor Parcel Number ~- 4 ~Z -~ If yes. how many meters are requested? Water company serving parcel : _... C...<.JAk t...l"'~ai<:1... M~'- Account Number: 5. INSTRUCTIONS: Table #1 should listthejixlures on the property as /!tey exist before the project Table #2 should reflect auflx/ures on Ihe property!!lk!.the project is comple/ed. Only one Master Bathroom can he designated per dwelling unit Table No.1 Existing Property Fixture Count Table No. 2 Post Project Fixture Count (All flxlures before project) (All flxlures!!lk!.project) Typf orfixturc. c< Value 1"ypeorFiIlure 3=ixt e Value Washbasin 1.0 Washbasin x 1.0 :zl : Two W3shbasins in the Mastel' Balhroome x. 1.0 Two Wasbbasins in lhe Master Datruoom x \.0 Toilel. Uhra Low-Flush (1.6 gajlods-per-nush) ~ x l.s -'i:u TOilet, Ullra Lcw-Flusb (1.6 ga!1on.s-per-oush) x 1.8 Toilet, Hjgb Efficiency (HEn 1.3 Toilct, High Eniciency (HET) ----r4-- x 1.3 Toilet, Ult ra High Efricicncy (UHEn 0.8 Toilet. Uhra High Efficicncy{UHET) _&,..- x 0.8 ~ Urinal, High Efficiency (HEU) (0.5 galloo-pcr-oush) x Urinal. High Ellieiene), (HEU) (0.5 gallon-~r-nush) ~ x. 0.5 Zero Wilier Consumpllon Urinal - x 0.0 Zero Water Consumption Urinal" x 0.0 '"' Mastcrbalh (om' per Owdlin,): Tub & Scparate Showere x Maste:rbarh (on.: per OW1o:1I in,): Tub & Separate ShOWCf '( 3.0 Large Barhtub (may han! Showerhead above), J 0 Large Balhrub (may have Showerhead nbow) ;II. 3.0 :II Standard B:uhrub or Shower Sial I (one showerhe:r.d) Standard Balhrub or Shower Stall (one showerhead) ~ x ~ Shower, each additional fj"tun; (heads, body spray) ~ ~;~ : ~ Shower, each additional fixture (heads. body spray) x 2.0 Shower sy:~aem. Rain Bars or Cu."tom Shower (specs),,2.0 - Showe:r system, Rain Bars or Custom Shower (spct:s) ;( 2.0 Kitchen Sink (with optional Dishwasher) -=r.,,2.0 ~ Ki tch enslnk{oplio naldi s ~ washtr) --- x ~, Kitchen Sink with High Efficiency Dishwasher x I.S - Kitchen Sink with High Efficiency Dlsh\1t3Sher ~ x 1.5.JJ..::J-. Dishwasher, each additional (with op,ional sink) x 2.0 Dishwasher. each addilional (optional si.n.k) x Dishwasber, High Efficiency (with OpT. sink) ~ Dis~washcr, Higb EffiCiency (with opt. si nk) x I.S.. Laundry SinkllJtiliry Sink (one per Silt), 2.0 Laundry SinklUtiJity Sink (one per Sit~),,2.0 Clothes W &:5h('r Clothes Wuher x ' ~ Clot..b~ Wu ber. (HEW) 5.0 water factor or Ics..-. x 1. 0 ClothesWas.he r,(hew)s.owaterracloror lc~s ~ x 1:0 - ~ Bidet :t Bidet :t 2.0 T- Bac Sink x 1.0 BarSmk x. l.0 Entertainment Sink x \.0 II' Entcnainment SLnk x 1.0 \'cgctable Sink X 1.0 Vcg..:tablc Sink x 1.0 Swimming Pool (each 100 sq-fl orpool surrace) x 1.0 Instanl-Access-Hot-Watcr System (fixture credll) x <OS> ~ g;~:~ New C90ncclion Refer to District Rule 24-AS ~:: " E.1,terior Rl-osidentiai WOler Demund Cak ulolionll" Subtotal propok-d fixrures e Us..: \hi:i fixture count ira previous Pennit was issued undt:r Ordinance: utilize the Master Bathroom Credit. (Tub may be large.) See District staff fo r more information. SWlrnrrung Pool (each 100 sq-ft of pool surface) x 1.0 = ~D~ EXISTING FIXTURE UNIT COUNT TOTAL PROPOSED FIXTURE UNIT COUI'T TOTAL DEED RESTRICTION REQUIRED FOR ALL WATER PERMITS - PERMIT PROCESS MAY TAKE UP TO THREE WEEKS In completing the Water Release FornI, the undersigned acknowledges that any discrepancy or mistake may cause rejection or delay in processing of the application. Additionally, the undersigned is responsible for accurately accounling for all water fixtures. [f Ihe fixrure unit count changes wilhout nolification to the District. or if a difference in fixtures is documented upon official inspeclion, Water Pennits for the property may be canceled. [n addition. water fixtures installcd without a Water Pennit may be cause for interruption of the water service to the Site, additional fees and penalties, the imposi tion of a lien on the property. and deduction of water from the local Jurisdiction's Allocation. The property owner/applicant is required to notify the District and provide Construction Plans as appropriate for each change in Ihe Project made prior to use or occupancy that may affecl the Project's Capacity to use water. 6. [ certify. under penalty of perjury, that the information provided on this Water Release Form & Water Permit Application is to my ledge correct. and rormation accurately renecls water useq;;i'lkd for this property. ~/' Ck '---'~D'" 't7 6ate b" ;, ~ here Signed I Print Name File or Plan Check Number -L.:...x_-',,_~-"-....:.., --'- l v _._----_.._-_.... _._._..._._- -- _.._ --- AUTHORIZATION FOR WA1'ER PERMIT - JURISDICTION USE ONLY AF Para/ta Allocation AF Public Credits.J:) I' "'" ~ -\- r er,,,\ r (, (}If AF Pre Para/ta Credits WDS (Private Well) No water needed Notes: Authorized by"-"'+'---':o;.l-\--t-----tr Date: {p -"-[(4 This form expires one year from date of authorization for this project by the jurlsdlcllon. While copy MPWMD Yellow copy-applicant P;nk copy-jurisdiclion U;\demand\Work\ Fonns\Applicarions\Residcntial Water Release & Permit Applicatio n Revised docx
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