HomeMy WebLinkAbout1375 BUENA VISTA WAY; ; CBR2021-3165; PermitBuilding Permit Finaled
Residential Permit
Print Date: 04/02/2025
Job Address:
Permit Type:
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
1375 BUENA VISTA WAY, CARLSBAD, CA 92008-1536
BLDG-Residential
1562312100
$34,053.50
Work Class:
Track#:
Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check #:
Pool
Description: NEW POOL AND SPA (650 SF) WITH GROTTO SLIDE/GAS FOR BBQ:
Applica nt: Property Owner:
CARRIE JONES HOLLY REED
9921 CARMEL MOUNTAIN RD, # STE 189
SAN DIEGO, CA 92129-2898
(619) 343-5908
FEE
1375 BUENA VISTA WAY
CARLSBAD, CA 92008-1S36
BUILDING PLAN REVIEW-MINOR PROJECTS (LDE)
BUILDING PLAN REVIEW-MINOR PROJECTS (PLN)
SB1473 -GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION -RESIDENTIAL (SMIP)
SWPPP INSPECTION FEE TIER 1-Medium BLDG
SWPPP PLAN REVIEW FEE TIER 1 -Medium
Total Fees: $633.43 Total Payments To Date: $633.43
Permit No:
Status:
C cityof
Carlsbad
CBR2021-3165
Closed -Finaled
Applied: 10/25/2021
Issued: 11/10/2021
Finaled Close Out: 04/02/2025
Final Inspection: 11/27/2024
INSPECTOR: Alvarado, Tony
Balance Due:
AMOUNT
$194.00
$98.00
$2.00
$4.43
$271.00
$64.00
$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
co llectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information w ith the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Building Division Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
♦
CCityof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check
Est. Value
PC Deposit
Date
Job Address _____ ! ~""'----7_'1'_.......,_. ___ ___.._...___ _ ___,., __ ,. __ unit: _____ APN: l ~(,f • -Z-~ I • 'Z--f • fl)
CT/Project #:. ________________ .Lot#: ftt,V • I Year Built: ________ _
Fire Sprinklers:{)yE0o Air Conditioning:QYESQNo Electrical Panel UpgradeQvEsQNo
BRIEF DEscR1PnoN oF woRK: (Avvi~+-..t,, ~l fr11
0 New SF : _____ Living SF,__,,,.,----Deck SF, ___ Patio SF, ____ Garage SF __ _
Is this to create an Accessory Dwelling Unit? QvQN New Fireplace? QvQN, if yes how many? __
D Remodel: SF of affected area ----Is the area a conversion or change of use?Qv QN
□ Pool/Spa: (J'il} SF Additional Gas or Electrica l Features? __________ _
0 Solar: ___ KW, ___ Modules, MountedOoofOround, TiltO vO N, RMA:OvQN,
Battery: CJ( Q,J, Panel Upgrade: Or 0-J
D Re roof: ________________________________ _
D Plumbing/Mechanical/Electrical
□ Only:Other: w/ ~(@~ ·, ~t?IL ,tf¼twu-r.
PRIMARY A~~CA['H ('>~,/1 _ J .. .,, _ PROPERTY o~~R.. -' ['! I
Name: e;: V' lRt '.LwvrCIVlc.-'-Name: fl,U£11, _fo[ j •
Address: _____________ .Address: ,~1s lfCII.VlJ!t. UtC;.t;\ Lt' ·
City: ___ __, __ state: __ .Zip: ____ City: (aY-k-b;;;;;{ · State: lit Zip: 4-z,ooe,
Phone: {J I~ • 4'i!:J.. • LtLI 1..-v Phone:
Email: e.,v i (t'l ~p¢-YVJ1 l-f4 l pe_...'M,~10/dtrriail: ~==============================
CONTRACTOR OF RECORf' _ _ / ..... _J
Name: _____________ Business Name: r ,.,-rvr.{$1JLL tptl/fP\. >Ct<£_<:...
Address: Address: Z44f t 7.a-t-1 ~bn t e_ fnl,l_~
DESIGN PROFESSIONAL
City:. _______ State: ___ .Zip: ____ City: {Jt~-f-"'l State: ?fl Zip: Of'UJ~
Phone: ______________ Phone:(1<1tJ} 7Z-'t-,· q I :{:0
Email: ________________ Email: _________________ _
Architect State License: __________ CSLB License #: JC¾L-/ i,S I Class: {_ Cj ?
Carlsbad Business License# (Required):_'?_. _____ _
APPLICANT CERTIFICATION: I certify that I have read the application and state that the above information is correct and thart:he
construction. ,
information on the plans is accurate. I a tocoip y with all Cito· nces Sta l ws relating to building
NAME (PRINT): ( ( { vi "11 tls1GN: • . DATE: q • Vv/ ·
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
REV. 07/21
THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _
A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON
SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO
PERMIT ISSUANCE.
(OPTION A): LICENSED CONTRACTOR DECLARATION:
lherebyaffirmunderpenaltyofperjurythatlamlicensedunderprovisionsofChapter9(commencingwithSection7000)ofDivision3
of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the
following declarations(CHOOSE ONE):
Q1 have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued. Policy No .. _____________________________________ _
-OR-
QI have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued.
y workers' compensation insurance carrier and policy number are: lnsuranceCompany Name: ____________________ _
Policy No. __________________________ Expiration Date: _______________ _
Y°r'I.-OR-
\l,J Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become
subject to the workers' compensation Laws of California. WARNING: Fallure to secure workers compensation coverage is unlawful and shall subject an employer to
criminal penalties and civil flnes up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,
interest and attorney's fees.
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: ____________________ Lender'sAddress: ___________________ _
CONTRACTOR CERTIFICATION: I certify that I have read the application and state that the above information is correct and that
the information on the plans is ace rate. I agree to comply with all City ordinances and ate laws relating to bui l i ng
construction. w
NAME {PRINT): ,e"Vi(I{ Z-SIGNATURE: . ✓------DATE: ~v( ,
Note: If the person signing above Is an authorized agent for the contractor provide a letter of authorization on contractor letterhead.
-OR -
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason: Q 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 offered for sale (Sec.
7044, Business and Professions 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 offered for sale. If, however, the building or improvement 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).
-OR-O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
-OR-O I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND,
D FORM B-61 "Owner Bullder Acknowledgement and Verification Form" is required for any permit issued to a property owner.
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the
improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed
contractors./ understand that a copy of the applicable law, Section 7044of the Business and Professions Code, is available upon request when this application is
submitted or at the following Web site: http: I I www.leginfo.ca.gov/ ca/aw. html.
OWNER CERT/FICA T/ON: I certify that I have read the application and state that the above information is correct and that the
information on the plans is accurate. I agree to comply with all Oty ordinances and State laws relating to building
construction.
NAME (PRINT): SIGN: DATE: ----------------------Note: If the person signing above Is an authorized agent for the property owner include form B-62 signed by property owner.
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
2 REV. 07/21
PERMIT INSPECTION HISTORY for (CBR2021-3165)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential Application Date:
Pool Issue Date:
Closed -Finaled Expiration Date:
IVR Number:
Actual Inspection Type
Start Date
Inspection No.
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
BLDG-SW-Inspection
Checklist Item
269540-2024
COMMENTS
Are erosion control BMPs
functioning properly?
Are perimeter control BMPs
maintained?
Is the entrance stabilized to
prevent tracking?
Have sediments been tracked
on to the street?
Has trash/debris accumulated
throughout the site?
Are portable restrooms
properly positioned?
Do portable restrooms have
secondary containment?
Wednesday, April 2, 2025
10/25/2021 Owner: HOLLY REED
11/10/2021 Subdivision: PARCEL MAP NO 17159
01/24/2023 Address: 1375 BUENA VISTA WAY
36616 CARLSBAD, CA 92008-1536
Inspection Primary Inspector Reinspection Inspection
Status
Passed Tony Alvarado
Passed
Yes
Yes
Yes
Yes
Yes
Passed
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Complete
Page 3 of 3
PERMIT INSPECTION HISTORY for (CBR2021-3165)
Permit Type: BLDG-Residential
Work Class: Pool
Status: Closed -Finaled
Application Date: 10/25/2021
Issue Date: 11/10/2021
Expiration Date: 01/24/2023
IVR Number: 36616
Owner: HOLLY REED
Subdivision: PARCEL MAP NO 17159
Address: 1375 BUENA VISTA WAY
CARLSBAD, CA 92008-1536
Scheduled
Date
Actual Inspection Type
Start Date
Inspection No. Inspection
Status
Primary Inspector Reinspection Inspection
07/28/2022
11/27/2024
BLDG-53
Elec/Conduit/Wiring(Po
ols}
Checklist Item
177994-2022
COMMENTS
Passed Tony Alvarado
BLDG-Building Deficiency March 8, 2022:
BLDG-54 Equipotential
Bond(Pools)
Checklist Item
1. Swimming Pool and spa steel
reinforcement per Todd Loucher engineer's
plans and approved.
2. Partial pass -equipotential pool bond
wire, located at six locations
perimeter-partially approved.
3. Gas plumbing line, under air pressure
leak test-approved.
4. Underground swimming pool and spa
plumbing and electrical conduit under leak
test -approved.
177993-2022 Partial Pass Tony Alvarado
COMMENTS
BLDG-Building Deficiency March 8, 2022:
07/28/2022 BLDG-54 Equipotential
Bond(Pools}
Checklist Item
1. Swimming Pool and spa steel
reinforcement per Todd Loucher engineer's
plans and approved.
2. Partial pass -equipotential pool bond
wire, located at six locations
perimeter-partially approved.
3. Gas plumbing line, under air pressure
leak test-approved.
4. Underground swimming pool and spa
plumbing and electrical conduit under leak
test -approved.
187926-2022 Passed Tony Alvarado
COMMENTS
BLDG-Building Deficiency March 8, 2022:
11/27/2024 BLDG-Final Inspection
1. Swimming Pool and spa steel
reinforcement per Todd Loucher engineer's
plans and approved.
2. Partial pass -equipotential pool bond
wire, located at six locations
perimeter-partially approved.
3. Gas plumbing line, under air pressure
leak test-approved.
4. Underground swimming pool and spa
plumbing and electrical conduit under leak
test -approved.
269537-2024 Passed Tony Alvarado
Wednesday, April 2, 2025
Complete
Passed
Yes
Reinspection Incomplete
Passed
Yes
Complete
Passed
Yes
Complete
Page 2 of 3
Building Permit Inspection History Finaled
(city of
Carlsbad
Permit Type:
Work Class:
Status:
Scheduled
Date
03/08/2022
PERMIT INSPECTION HISTORY for (CBR2021-3165)
BLDG-Residential Application Date: 10/25/2021 Owner: HOLLY REED
Pool Issue Date: 11/10/2021 Subdivision: PARCEL MAP NO 17159
Closed -Finaled Expiration Date: 01/24/2023 Address: 1375 BUENA VISTA WAY
IVR Number: 36616 CARLSBAD, CA 92008-1536
Actual Inspection Type
Start Date
Inspection No. Inspection
Status
Primary Inspector Reinspection Inspection
03/08/2022 BLDG-23 177992-2022 Passed Tony Alvarado
GasfTest/Repalrs
Checklist Item
BLDG-Building Deficiency
COMMENTS
March 8, 2022:
1. Swimming Pool and spa steel
reinforcement per Todd Loucher engineer's
plans and approved.
2. Partial pass -equipotential pool bond
wire, located at six locations
perimeter-partially approved.
3. Gas plumbing line, under air pressure
leak test-approved.
4. Underground swimming pool and spa
plumbing and electrical conduit under leak
test -approved.
BLDG-51
Excav/Steel(Pools)
177922-2022 Passed Tony Alvarado
Checklist Item
BLDG-Building Deficiency
COMMENTS
March 8, 2022:
1. Swimming Pool and spa steel
reinforcement per Todd Loucher engineer's
plans and approved.
2. Partial pass -equipotential pool bond
wire, located at six locations
perimeter-partially approved.
3. Gas plumbing line, under air pressure
leak test-approved.
4. Underground swimming pool and spa
plumbing and electrical conduit under leak
test -approved.
BLDG-52 Pool Plumbing 177923-2022 Passed Tony Alvarado
Checklist Item
BLDG-Building Deficiency
COMMENTS
March 8, 2022:
1. Swimming Pool and spa steel
reinforcement per Todd Loucher engineer's
plans and approved.
2. Partial pass -equipotential pool bond
wire, located at six locations
perimeter-partially approved.
3. Gas plumbing line, under air pressure
leak test-approved.
4. Underground swimming pool and spa
plumbing and electrical conduit under leak
test -approved.
Complete
Passed
Yes
Complete
Passed
Yes
Complete
Passed
Yes
Wednesday, April 2, 2025 Page 1 of 3
STORM WATER POLLUTION PREVENTION NOTES
1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE
AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION
OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN
IS EMINENT.
2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION
CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION
OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING
RAINFALL.
3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION
CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY
INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR
UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE.
4. ALL REMOVABLE PROTECTIVE DEVlCES SHALL BE IN PLACE
AT THE END OF EACH WORKING DAY WHEN THE FIVE (5)
DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT
( 40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER
EACH RAINFALL.
5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM
AGGREGATE.
6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER
PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST
BE INSTALLED AND MAINTAINED.
7. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER
THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED
TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY
REGULATIONS.
OWNER'S CERTIFICATE:
I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT
BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION
ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID
THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO
AVOID THE EXPOSURE OF STORM WATER TO CONSTRUCTION
RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES,
COMPLY WITH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP
THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES
UNTIL THE CONSTRUCJlON WORK IS COMPLETE AND APPROVED
BY THE CITY OF C~SBAD.
6i{tA .z_
OWNER(S)/OWNER'S AGENT NAME {SIGNATURE)
E-29
0(.i:u
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
E-29
CB ___ _
SW_
BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE
Erosion Control Sediment Control BMPs Tracking Non-Storm Water Waste Management and Materials
BMPs Control BMPs Management BMPs Pollution Control BMPs
C: _, C: C: 0 _, 0 .2 :;::; C: C -0 :;::; Q) -0
C
_, Cl 0 E C: Q) -0 (/) 0 0 C C: Cl E C _, 0 :, :, 0 '6 ·c a. 0 0 0 _, Q) E Q) ... ... :;::; ... '5 ::::::i;; -0 (/) Cl ... _, _,
§! C: "->, Cl C: Q) ... C Q) c (/) (/) (/) ·c CT ... 0 C Cl ., a. Q) ~ Best Management Practice* «Id Oc ·o.. ·c -C C/1 C: ... (.'.) ... w C: 0 C: 0 CD ... 0 Q) 0 Q) :;::; (/) 31: (/) f!: Q) 0 C Q) _, Q) 0 ..., .£: C (.) ... (.) (/) -0 "ii (/) ::::::i;; C: Q) C (BMP) Description ➔ (/) 0 Q) (/) ·e Q) E (/) Cl Ql Cl CD 'c C Cl C: -0 (/) ~ C 0 :::, Q) _, Q) .S! -s ~ Q) _, 0 0 31: C: ... 0 -g~ -0 >, 0 (/) CC 0 Cl > :3 E :;::; 0 C: 0 0 CD (/) ·-Cl O:;::; (.) Q) 0 0 Q) Q)
X :::::::i;; 0 Cl 0 C: Q) a:: E 0 N C/1 l!:lo 0 °':;:; Q) Q) C: :-§ :g, c 'a. ,.__ 3: Q)
Q) 0 ~ E .>tt. 1 _, :, .0 E g ,= ~ = 31: ,._•-:n u ·c ·c a.. e O> -0 .£: C Q) Q) :, ·--0 ~o C 0 ... 0 .>tt. -0 0 _, 0 ... -0 ... _, ·-... 0 Q) ... Q) u _ _, 0 0 t:'. ·-a. '6 Q) Q) Q) u C: .0 ... .0 0 > Q) _, ·-0 _, 0 _, = C: ~§ 0 _, 0 00 0 Cl 00 .£: Q) 0 Q) 0 oe Q) .£: .0 ... .!::o 0 _, ... .B 0 0~ 0 Q) -0 _, 0 _, a. 0 C 3: WO vi vi (/) (.) Li: C VJ> (/) (/) 0.. V) C (/) a:: 3:ct 0..0 Cl.. >U :::::::i;; (/) :::::::i;; (/) (/) (.) (/) :::::::i;;
CASQA Designation ➔ r--co 0) ~ l'1 -.t-L(') <D r--co 0 N ~ l'1 r--co ~ N l'1 -.t-LO ' ~ ~ ~ I I I I I I I I I I I I I I I I I I I I I I
(.) (.) (.) (.) w w w w w w w w g: g: (/) (/) (/) (/) i i i i i Construction Activity w w w w (/) (/) (/) (/) (/) (/) (/) (/) z z z z
Grading/Soil Disturbance
Trenching/Excavation v
Stockpiling
Drillina/Borina
Concrete/Asphalt Sawcutting
Concrete Flatwork
Paving
Conduit/Pipe Installation
Stucco/Mortar Work
Waste Disposal V
Stoaing/Loy Down Area v
Eauipment Maintenance and Fuelina
Hazardous Substance Use/Storaae
Dewatering
Site Access Across Dirt V
Other (list):
Instructions:
1. Check the box to the left of all applicable construction activity ( first column) expected to occur during construction.
2. Located along the top of the BMP Table is a list of BMP's with it's corresponding California Stormwater Quality Association (CASQA) designation number. Choose one
or more BMPs you intend to use during construction from the list. Check the box where the chosen activity row intersects with the BMP column.
3. Refer to the CASQA construction handbook for information and details of the chosen BMPs and how to apply them to the project.
Q) ...,
(/)
0 3:...,
C (/) Q) :, E 0 Q) -0 0, 5o
N C: oo :c :::::::i;;
<D I
i
SHOW THE LOCATIONS OF ALL CHOSEN BMPs ABOVE
PROJECT INFORMATION
Site Address: 1 :?77 11JtllMR u,,.h., wJ;
ON THE PROJECTS SITE PLAN/EROSION CONTROL PLAN.
SEE THE REVERSE SIDE OF THIS SHEET FOR A SAMPLE
EROSION CONTROL PLAN.
-BM P's are subject to field inspection-
Assessor's Parcel Number: llzW· ~f .-z,..J-6' •
Emergency Co~act:J 1 L _ A~ ~
Name: ( I YIDYrtA< £ ff~• --41
24 Hour Phone: I , -• t ., -~ , • • -
Construction Threat to Storm Water Quality
(Check Box) /
0 MEDIUM (!( LOW
Q) _,
(/) o ..... 3: C Q)
Q) E _, Q)
Q) Cl bo
C C: oo u:::::::i;;
co I
i
v
Page 1 of 1 REV 02/16