HomeMy WebLinkAbout2328 VIA SANTOS; BLDG 2; 83-271-LDRY; PermitCl) z 0 .:: <I(
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.. 0 I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 ol the Business
and Proleaalons Code, and my license Is In
full force and effect.
Loe No ______ Class
I hereby athrm that I am exempt from the Contrac-
tor's License Uw !Of the lollowmg reason (Sec 7031 5 Business and Professions Code Any city or county wt11ch re-quires a permit to cons1ruc1, alter, wnprove. demohsh, °' repair any structure. pr,or to its issuance also requnes ?heap-
phcan1 fDf such permit to file a signed statement Iha! he 1s hcensed pursuant to the provisions of the Contrac1o(s License Law (Chapter 9 commencing wnh Secuon 7000 of Otv1s1on 3 ot the Business and Protessions Code) or !hat 1s ex-empt lherelrom and Ille baS<S tor Ille allege<I exemphOn Any
vIoia110n ot Sect10n 7031.5 by an apphcanl IOf a 0ermIt sub-tects the applicant lo a CIVIi penatty of not more than ftve hun-
i dollars ($500)
. as owner al !he property. or my employees with wages
eIr sole compensahon, wIH do the work. and the struc-
rure 1s not mlendecl or ot1ered tor sale (Sec 7044. Business and Protess,ons Code The ContractOl''s t,cense Law does
not apply to an owner ot property who builds Of improves thereon and whO does such wOfk hamsell or through his own emptoyees, prOYIded th.II such improvements are not intend-
ed or ottered tor sale. It, however. lhe building or ,mpfOve-ment is sold within one year ot complehon. the owner-bu1kler will llavo Ille burden ol provmg tllal he dHI not bu1k! or Im·
~
e lor Ille purpose ot sale),
, as owner ol the property, am exclusively con1ract1ng
t licensed contractors 10 construct the Pfr>JeCI (Sec. 70,14,
Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or im· proves thereon, and who contracts tor each projects with a
contractor(sJ license pursuanl 10 the Contractor's License Law).
D As a homeowner I am improving my home, and the follow· Ing condIhons exist:
1. The work is being pe~ormed Pf"" to sale
2. I have lived in my home lor twelve months
3. rr:v: =~::t 1
1~,i: =~pt10n during the
last three years.
D lamexemptunderSec ______ ,B&PC. tor this reason ____________ _
□ 1 ne,eby athrm that I na-..e a cert1hca.1e of consen1
to self-insure. o, a cer11hcate of Wor-.ers
Gompensat,on Insurance. or a cert1t1ed copy 1ne,eol
!Sec 3800. Ul>Of Cooe)
POLICY NO
COMPANY
□ Copy IS filed with the city
0 Cet11hed copy ,s hereby furmshe<J
CEATIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section nee<! not be completed ,t lhe perm,1
,s fOf one hundred dollars (S 100) or less)
O I certify that m !he performance or the wo"'-to, which ttus permit ,s issued. I shall not employ any
person in any manner so as to beeome sub1ect 10
the WOf'ke,s· Compensation Laws of Caltlorn,a
NOTICE TO APPLICANT If. at1er makinJ ttos Cer1, hcate ot Exemption. you shOuJd t>ecome sub1ec1 r?
1ne Wor1ilers· Compensat,on prO'tl1s1ons of 1ne Ulbot
Code, you must lorth-.1th comply w11h such p1ov1s,ons or lh1s perm11 shall be cieemed re"'Okeo
0 I hereby iit11rm Iha.I there 1s a cons1tuc11on
lending agency !Of the peno,mance ol !he wo~ tor
wtuch this permit 1s issued 1Sec J097 C,v,1 Cooe1
Lenders Name ___________ _
Lender s Aaoress ...
--. I -CARLSBAD BUILDING DEPARTMENT r --APPLICATION & PERMIT .
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS .
c'?.uTD~
AV. ST.RO NEAREST CROSS ST.
I1~i°,tla~IONI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
;>--;2.~ v,~ \4c!;.P e2J..too-~ \ LOT BLOCK I SUBD~~S,, I ASSESSOR PARCEL NO CONTRACTOR CONTRACT~$ PHONE • ZONE J t~ .. 1r "~ I n:ER''.SNAME .~ Om 11-l~iW:E~~ M~u~"ICo\ ~~-~0 ~ lP CONTRACTOR'S ADDRESS LICENSE NO PLAN 1.0. # BLOG use CODE .,
~~f~:Az rESS
A'1e-. ~.J D,lll<'.O &.C\;l.lc ,,.... ffESIGNEA LICENSE• STANDARO PLAN # BUILDING SO. FOOTAGE
-Z-00 OESCAIPT 10 .. OF WORK ' • DESIGNER'S ADDRESS DESIGNER'S PHONE .
LA&),-.JJ)O..,.. . B~ c--_ ~-.i__ , . -
---------F/P FLA ELEV. NO OCC GP EDU Q vO NO --
ST\RIES I tll Jtal~7tu,i G3~-SE ~. -· .. ---.. ·-
CENSUS TRACl I GP LANO use I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED
I
REOEVELOPMENT TYPE OCC LOAO FIRE SPA
AREA '~ CONST
vO Nb( y D ND v 0 N Not Valid Unl~s Machine C~rcified
QTY. PLUMBING PERMIT· ISSUE 7f!!--QTY. MECHANICAL PERMIT· ISSUE s-SUMMARY/ACCOUNT NUMBER --EACH FIXTURE TRAP , INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·00·00·8220 .:JP\~~
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·00·00·8221 -
EACH WATER HEATER ANO/DR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 -;J_.,~C>~
EACH GAS SYSTEM 1 TO 4 OUTLETS 80ILEA/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00·00·8223 -
EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST • HOOOIOUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER I RELOCATION OF EA FURNACE /HEATER .. MOBILEHOME PARK INSP
EACH ROOF DRAIN ( INSIDE) SOLAR n1-nn.nn.o??~
TOTJ;l MECHANICAL STRONG MOTION 80·92·33·0519
TOT Al PLUMBING I FIRE SPRINKLERS 01 ·00·00·8227
QTY. ELECTRICAL PERMIT · ISSUE 5--QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32·00·00·8933
NEW CONST EA AMP/SWl tBK R COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80·92·21·0519
EXIST BLOG EA AMP/SWT /BKR ROCK STORAGE -Encinitas 80·92·22·0519
I PH 3 PH PUMP San Oieguito 80·92·23·0519
REMOOEL'ALHR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TE MP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL ELEClRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I fn~,.r-f
t HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO ~MIT" AND DO HEREBY Expj,___ Ew,ry permtt -bytlM8ulldlngOlficiel undar lhe pro,tllltOIII of thla * AN OSHA P£JlillT IS IIEQUlflEO FOR EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code allell axpire by llmIta11on and ~ 'ftull -void If the building or work s· o~ DEEP ANO DEM0ll110N OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND COARECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ~Zf ,; permit 18 not commenced•-180 days from the dateol sucll STRUC1\IRES. OIIER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUtLDING CON• =~ tt,eWC:,.. au::~ SU:.':~~~ or
STRUCT!ON. WHETHER SPE. CIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ,..._ ... ,..rt:TURE If ,~ CONTRACTOR 0 ~ D,,,,,,,, KEEP HARML.ESS TWE CITY OF CARLS8AO AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AN:y ~ J OWNE EXPENSES WHICH MAY IN ANY WAY;ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH ~ BY PHONE 0 I i-v/~ . GRANTING OF THIS PERMIT. • . • ~
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' TYPE I DATE INSPECTOR I
BUILDING I L
'I __ ...,._ i:.::~ ~ . , -. ·-, -"\. ' fJ?,-;}7/"' L.Ory ' . -.
FOUNDATION ,.,,~, ,,
I ....... .,r~
. -FIELD INSPECTION RECORD ...
REINFORCED STEEL I / J I I V ~
I
MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT l
I INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL . ' FLOOR & CEILING SUB FRAME I
I
SHEATHING D ROOF □ SHEAR
SOILS COMPLIANCE
PRIOR TO
FRAME I
FOUNDATION INSP
EXTERIOR LATH I
I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRES TRESSED
INTERIOR LATH & DRYWALL I
I
CONCRETE " POST TENSIONED
CONCRETE
PLUMBING I FIELD WELDING ' SEWER AND BUCO D IPUCO I ,
UNDERGROUND □ WASTE □ 'f-/ATER
TOP OUT □ WASTE □ WATER
.
HIGH STRENGTH
BOLTS ·-. ' SPECIAL MASONRY I
TUB AND SHOWER PAN I
I
•'
' GAS TEST I PILES CAISSONS
□ WATER HEATER □ SOLAR WATER
I
I I
ELECTRICAL I ' •
□ ELECTRIC UNDERGROUND □ UFFER "
ROUGH ELECTRIC I
I -
.,
t •. J _· .
t -·
□ ELECTRIC SERVICE □ TEMPO~ARY ,,,.. ~
'-''11i., ·~ -~"
□ BONDING D POOL I -~--:---.;, ·-,-I
I , ,._,.
MECHANICAL I
□ DUCT & PLEM., □REF.PIPING
HEAT -AIR COND. SYSTEMS I
I
. . ....... ~--~ __ ____,. ' -... -I t,,_.---, •• _i II,, __ .,,;,·.,,c •
VENTILATING SYSTEMS ! t-.. \;--: ,i-;11i-· l-I
-I
CALL FOR FINAL INSPECT~~N WHEN ALL APPROPRIATE
ITEMS ABOVE HAV BEEN"APPROVED. . ' .-, • •
... . '· .. • J • '
FINAL I I
PLUMBING I ' , .. , ,.; , , t \'nl ~ I I ~; ~ .. -.i..
ELECTRICAL I .-' ,, ~~ I ,A u.,, ...
~
MECHANICAL I -/ ..-J!J:;, ~v r • . -.
GAS I u ~\.c ') :t -.. :_-:-·,, ~-c .-. • f -I
BUILDING l ,_/, 1-·".?1 ' .... -'
... SPECIAL CONDITIONS I I
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reby affirm that I am licensed under
,Iona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleaalona Code, and my license is In
lull force and effect.
Lie No ______ Class
I hereby all1rm that I am exempt lrom the Conlrac·
tofs bcense Law tor lhe 1oUowmg reason (Sec 7031.5
Business and Protes.s,ons Code Any city°' coonty wt11cfi re· qu,res a permit to construct, alter, ,mprove. demohsh, or repair any structure. prior to IIs issuance also requires !heap-
phcant !Of such permit to file a signed statement that he .Is
hcensed pursuant to the P,0YIsions ot the ConIractor s
~~~;,: j~l~~f~~e;s ~~~~~,~~~~h~~ i!
empt lherefrom and the basis tor the allegeo exemption Any vlOlat,on of SectlOfl 7031.5 by an applic.ant lor a perm,t sub-iec;ts the applteanl to a Ctvll penalty of not more than hve hun•
dred dollars ($500)
□ t, as owner of tne p!operty, or my employees with wage,
as their sole compensation. Wjlf do the work, and !he struc·
ture is not intended or olfered IDf sale {Sec 7044, Bus111ess and Professions Code: The Contraclor's l.JC:ense Law does not apply to an owner ol property who builds or improves
thereon and who does such work himself or through h,s own employees, provided lhal such improvements are not intend·
ed Of ottered for sale. If, however. the buIldIng 0< improve-ment 1s sold within one year of complet.1on, the owner-builder
will have the burden of proving tbal he did not build or Im· prove for the purpose of sale).
D I. as owner ol the property, am exclusively contracting with licensed contracto,s to conslruct thl projec1 (Sec 7044,
Business and ProtesStOns Code: The Contraclor's license Law does not apply to an owner of property who builds or im-proves thereon, and who conlracls f« each prOftCls with a contractor(s) license pursuant lo the Contractor's l.Jcense Law).
D As a homeowner I am improving my home. and the f~low·
ing condiUons exisl:. t. The work Is being per1ormed priof to sale. 2. I have lived In my home for twelve monlhs prtOr lo compJeoon ol this work. 3. I have not clatmed this exemptlOfl during the
last three years.
□ lamex.emptunderSec. ______ , B&P.C.
fOf this reasew1 ____________ _
□ I hereby affirm that I ha"e a certificate of consent
to self-insure. or a cert1hcate of Workers·
Compensation Insurance. Of a cert1f1ed copy thereof
(Sec Jl!OO. Labor Codel
POLICYNO (
COMPANY
□ Copy IS filed Wllh the City
0 Cert1fted copy Is hereby turn, hed
CERTJFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(Tn,s sec1Ion need no1 be completed 11 tne oerm,1
Is lor one hundred ootla,s (S 1001 o, less)
D I certify tl"lat In the per1ormance of the work tor wh1cl"I th,s pemul ,s ,ssued, I shall not employ any
person m any manner so as to become sub1ec1 to the Workers· CompensaI1on Uws ot Gahtorn,a
NOTICE TO APPLICANT II, alter malunJ ltltS Cert,
hcate o l Exemphon. you should t>ecome subIecI I'>
the Wor1'ers· Compens.hon pt"OVISIOOS of Ille L..tx:>r
Code. you must forthwith comply with such
provisions Of Ih1s perm1I sna11 De deemed revoked
D I hereby atl1rm !hat Ihere ,s a cons1rue1Ion
Iend1ng aoency tor the perlormance ol Ille wort,; !or wtucn th•s pe,m,I ,s ,ssved ISec .l097 c,.,..,I CooeI
Lenoer s Name ___________ _
Lenoe,·s Address __________ _
vv~ -••~--•._..,no , ~•• v,,._, -• ••---••••••-
t CARLSBAD BUILDING DEPARTMENT APPLICATION) PERMIT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOBAOOR2 3~ J/4:,, _k; -j_ REST CROSS ST. I DATE Of Al'PLICATIONI 8US~ICENSE # VALUATION PERMIT NUMBER
f,J.-r?I L LOT BLOCK I SUBDIVISION I 'ASSESSOR PARCEL NO CONTRACTOR CONltlACTOAS PHONE • ZONE
VJl/1,.,y,,~ ~L -~ .L . ,✓✓9?'1'-¥7?/ -0 I , r C'f'-.. OWNERR~SNA . /4--A~-~ ,~~~NE _,,,,_J CONTRACTOR'S ADDRESS -L~NSENO. PLAN 1.0. # BLOG USE COOE
_, -, .?!~A d ~~l/dm,-,,/4 OWNER'S MAILING ADDRESS
DESIGNER LICENSE • STAN DARO PLAN# BUILDING SO. FOOTAGE
DESCRIPTION Of WORK
J -DESIGNER'S AOOftESS DESIGNER'S PHONE
/2-1 ~/ ~,1,1 _4 __ /~ L~ '_ --l_ , ------~. ~-71 ... (I -F/P F LR ELEV. NO OCCGP EDU 4/l3/B49b7b ?.6.:: STORIES
vO NO --
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR
AREA CONST
YO ND vO NO vO NO Not Valid Unkn Machine Ctutifird
QTY. PLUMBING PERMIT -ISSUE
t"1I .,,~ QTY. MECHANICAL PERMIT-ISSUE 3-SUMMARY/ACCOUNT NUMBER
~ EACH FI XTURE TRAP ,...., :-1...-INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 ,-, EACH BUILDING SEWER & _.)_ OVER 100,000 BTU SIGN PERMIT 01·00·00-8221 ,, EACH WATER HEATER AND/OR VENT ,,;._.l:-. --BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 /77
J EACH GAS SYSTEM 1 TO 4 OUTLETS -1 .rv.. _,. BOILER/COMPRESSOR 3·15 HP TOTAL PLUMBING 01-00-00-8222 ~-----
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223
EACH INSTA~ .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00·8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS M0BILEH0ME 01-00-00-8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER M0BILEH0ME PARK INSP .
EACH ROOF DRAIN (INSIDE) SOLAR n1-nn.nn-A??t;
. ('l TOT I.L MECHANICAL STRONG MOTION 80-92-33-0519 -
TOTAL PLUMBING I ,:,/ V, • --FIRE SPRINKLERS 01-00-00-8227
b./ QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32•00·00·8933 QTY. ELECTRICAL PERMIT -ISSUE -BRIDGE FEE
NEW CONST EA AMP/SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92-21-0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92-22-0519
I PH 3 PH PUMP San Dieguito 80-92-23-0519
REM00EL'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92· 24·0519
TEMP POLE 200 AMPS frJFF-
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS)
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I /JAi~
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" ANO DO HEREBY Elqllndloft. E-.y pefllllt -11¥1he8uildlngOlllciltl-lhe prov,a,ons of lllie * AN 08HA PEAMIT IS IIEQUNO FOR EXCAVATIONS OVSI
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code 111111 ellplre 11¥ kmltlllOn IIICI ~ nulf Ilk! WC11C1 n Ille buitcliftg or wotll s· O" DHP ANO DEM0UTlON OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS autllorizecl llY' aucll permit. not -ICM .... ,.,clay."°"' Ille -of IUCh STAUC~ OVER 3 STORIES IN HEIGHT pennll. or If Ille bu~or -llldllClr.illMI lllr-" pern111 os .....,.,._ or ISSUEfr TO COMPLY WITH ALL CITY. CO\JNlY AND STATE LAWS GOIIEANING BUILDING CON· abandoll9d • -1illw the-" IS tar a_,,,., of 11111 --STRIJCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
Alci:T"SSIGNAT~ OWNER□ CONTRACT~ -APPROVED BY l
1~h
KEEP HARMLESS THE Cll'.Y OF CARLSSAO AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND -~~ ~ /-EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE BYPHONE 0 GRANTING OF THIS PERMIT. ,n,.,.-,#--
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TYPE I DATE INSPECTOR -
BUILDING I
I
,, n ,~71. ~ ()u_,-,,_ "'· -
FOUNDATION '· FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL ~
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SH~R
FRAME I
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
'
EXTERIOR LA TH I STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION !
I
INTERIOR LATH & DRYWALL I
PRESTRESSED
CONCRETE
POST TENSIONED
I
. CONCRETE
PLUMBING I
I
I FIELD WELDING
SEWER AND BUCO DIPUCO I
UNDERGROUND □ WASTE □ WATER
HIGH STRENGTH ' BOLTS I'
TOP OUT □ WASTE □ \-VATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
I PILES CAISSONS
□ WATER HEATER □ SOLAR W,+.TER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND oiuFFER
-' ~ '
I' I
ROUGH ELECTRIC I
.,
--' □ ELECTRIC SERVICE D TEMPdRARY .
□ BONDING D POOL I
I
~
-c..o '.
I -. . ·_,
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPlt'JG
HEAT -AIR COND. SYSTEMS I .
VENTILATING SYSTEMS .' .... ' _,
I C ,. '
I .
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA \.fE BEEN APPROVED.
FINAL I ·-.. --' --
PLUMBING ~ ' ' ' '·
ELECTRICAL "f. r', . '-. ,-,· -, ~ -.. • 'l'' I
MECHANICAL -
GAS
BUILDING " ~ • • ,-.
''SPECIAL CONDITIONS
' .. " ' •. I
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