HomeMy WebLinkAbout2630 VISTOSA PL; ; CBR2018-2563; Permit>
Building Permit Finaled
Residential Permit
Print Date: 03/26/2020
Job Address:
Permit Type:
2630 Vistosa Pl
BLDG-Residential
2162506300
$29,076.45
Work Class: Pool
Parcel No: Lot#:
Valuation: Reference #:
Occupancy Group: Construction Type
# Dwelling Units: Bathrooms:
Bedrooms: Orig. Plan Check #:
Plan Check#:
Project Title:
Description: KENNY: 555 SF POOL & SPA// GAS STUB FOR BBQ
Applicant: Owner:
SUE MONGOVEN
197 Woodland Pkwy, Suite 104
SAN MARCOS, CA 92069-3021
760-271-1618
COOWNER GERRY AND LIZ KENNY
2630 Vistosa Pl
FEE
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
CARLSBAD,CA 92009
ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
MANUAL BUILDING PERMIT FEE
PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
SWPPP INSPECTION FEE TIER 1 -Medium BLDG
SWPPP PLAN REVIEW FEE TIER 1 -MEDIUM
Total Fees: $1,024.38 Total Payments To Date: $1,024.38
(city of
Carlsbad
Permit No: CBR2018-2563
Status:
Applied:
Issued:
PermitFinal
Close Out:
Inspector:
Final
Inspection:
Closed -Finaled
09/24/2018
05/15/2019
CRenf
03/26/2020
AMOUNT
$278.00
$194.60
$41.00
$139.00
$62.00
$2.00
$3.78
$246.00
$58.00
Balance Due: $0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively 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 with 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 w hich you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Building Division
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov Page 1 of 1
THE FOL1.0l'IING A ROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING
( Cicyof
Carlsbad
JOB ADDRESS 2-G:, ? /)
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@car1sbadca.gov
www.carlsbadca.gov
SUITt:#/SPACEf/UNITf
□BUILDING □FIRE
Plan Check No.
Est. Value
Plan Ck. Deposit
Date SWPPP
# OF UNl'TS # BEDROOMS # eAIBROOMS TENANT BUSINESS NAME CONSTR TYPE OCC. GROUP
DECKS (SF)
SFR
APPLICANT NAME Sue Mongoven
ADDRESS 321 Sunbird Ct.
ADDRESS
CITY STATE ZIP CITY
San Marcos Ca 92069
PHONE FAX
7602711618
EMAIL EMAIL
sumo223@cox.net
DESIGN PROFESSIONAL Pool Engineering Inc. CONTRACTOR BUS. NAME Zier Pools Inc.
ADDRESS 1201 Tustin Ave
ADDRESS 321 Sunbird Ct
CITY STATE ZIP CITY STATE ZIP
Anaheim Ca 92807 San Marcos Ca 92069
PHONE FAX PHONE FAX
7146306100 7146306114 7606729850
EMAIL EMAIL
STATE LIC. # STATE UC.# CLASS CITY BUS. LIC.f
C67656 996589 C53 1240695
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alte,, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to Ille a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9. commending with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exemgt the,efrom. and the basis for the alleged exemption. Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)).
Workere' Compensation Declaration: I heteby affirm under penany of peljury one of the fol/owing declarat/ons:
B I have and will maintain a certificate of consent to ulf-lnaura for wor1(ers' compensation as provided l:r)' Section 3700 of the Labor Code, for the p81formance of the wor1< for which lhis permit is issued.
I have and will maintain workers' compensation. as reQuired bv Section 3700 of lhe Labor Code. for the performance of the work for which this permit is issued My wor1<ers· compensation insurance carrier and policy
null"berare: Insurance Co ____________________ Pdicy No. _____________ Expiration Date ________ _
~section need not be competed if the permit is for one hunaed dollars ($100) or less. l!'.J Certificate of Exemption: I certify that in the performance of the work fa which this permit is issued, I shall not empoy any person in any manner so as lo become sut:ject to the Workers' Co~nsation Laws cf
California. WARNING: Failure to ucure workers' compenntion coverage Is unlawful, and shall subject an amployar to criminal penalties and civil fints up to one hundred thousand dollar. (&100,000), In
addition to Iha coat of companution, d d d for In ection of the Labor coda, lnter11t and attorney's fees.
_6$ CONTRACTOR SIGNATURE
I hereby affirm that I am exempf from Contractor's Ucense Law for the fol/owing mason:
□
□
□
I, as owner of the prope<ty or my empoyees 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 Contraclor's
License Law does not appy to an owner cf property who buids or improves thereon, and v.ilo does such work himself a through his own empoyees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sdd within one yeer of competion, the owner-ouider wil have the burden of proving that he did not buid or improve for the purpose of sale).
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 v.ilo buids or improves thereon, and contracts for such projects llith contractor(s) licensed pursuant to the Contractor's License Law).
I am exell'i)t under Section ____ Business and Professions Code for this reason:
1. I personally pan to provide the major labor and matertals for construction of the proposed property improvement. O ves []No
2. I (have/ have not) signed an application for a bulding permit for the proposed work.
3. I have contracted with the fdlowing person (firm) to provide the proposed construction (indude name address I phone I contractors' license number):
4. I pan to provide portions of the work, but I have hired the fdlowing person to coordinate, supervise and provide the major work (indude name I address I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the fdlowing persons to provide the work indicaled (indude name I address I phone I type of WOfk):
,,1$ PROPERTY OWNER SIGNATURE (aAGENT DATE
Is the appicant or fullre buildng occupant required to submit a business plan, acutay hazardous malarias registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes O No
Is the appicant or full.-e buildng occupant required lo obtain a permit from the air pollution conb"d district or air quality management district? □ Yes □ No
Is the faciity lo be constructed wlhin 1,000 feel of the outer boundary a a schod site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certifythatl have reedtheapptlaition and statethattheabollelnfonnation lsconectandthattheinfonnation on the plans Is accurate. I agreeto comptywtth all City ordinances and State laws relatingto buildlngoonstruction.
I herooy autharze ~ntative of the City c:A Garlsbad to enter l4)0ll the above mentioned pmperty for inspection purposes. I .ALSO AffiEE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAALSBAD
/>GA/NST .ALL LIABILITIES, JUDGAENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY .ACCRUE PGAINST SAID CITY IN CONSEOJENCE OF THE ffiANTINGcr THIS PERMIT.
OSHA AA OSHA pem1d is requred !cl' excavations ovr,; 5'0' deep and demolhln a constructon c:A struchxes ovr,; 3 staies in height.
EXPIRATION: El/8ry pem,rt issued by the Buikling afcial undfl: the provisions of this Code shall ~re by Imitation and becoole nun and \l'.ld t the buikli,g a \\01< authaized by such pem,rt is not ccmnenced 'Mthil
180 days Iran the date of such pem,rt ~~ ~~i,g \\01< authorized by StJCh pem,rt is suspended a abanoooed at any tme aftr,; the \\01< is carmenced !cl' a period c:A 180 days (Section 100.4.4 Unifam Buikling Code).
,A!S' APPLICANT'S SIGNATURE • ~ DATE %
Building Permit I~spection History Finaled
{city of
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2018-2563)
Permit Type: BLDG-Residential Application Date: 09/24/2018 Owner: COOWNER GERRY AND LIZ KENNY
Work Class: Pool Issue Date: 05/15/2019 Subdivision: LA COSTA SOUTH #6
Status: Closed -Finaled Expiration Date: 08/17/2020 Address: 2630 VISTOSA PL
IVR Number: 14148 CARLSBAD, CA 92009
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
05/16/2019 05/16/2019 BLDG-SW-Pre-Con 092106-2019 Passed Chris Renfro Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
05/20/2019 05/20/2019 BLDG-51 092367-2019 Passed Paul York Complete
Excav/Steel(Pools)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-52 Pool Plumbing 092368-2019 Passed Paul York Complete
BLDG-54 Equipotenti11I 092369-2019 Passed Paul York Complete
Bond(Pools)
01/23/2020 01/23/2020 BLDG-21 117244-2020 Passed Chris Renfro Complete
Underground/Underflo
or Plumbing
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
02/12/2020 02/12/2020 BLDG-54 Equipotential 119107-2020 Passed Chris Renfro Complete
Bond(Pools)
02/19/2020 02/19/2020 BLDG-55 119707-2020 Passed Chris Renfro Complete
Fence/Preplaster
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
03/26/2020 03/26/2020 BLOG-Final Inspection 123324-2020 Passed Paul Burnette Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
Thursday, March 26, 2020 Page 1 of 1
.
CARLSBAD
Building Division
RE CORD COPY
INSPECTION RECORD
lJ INSPECTION RECORD CARO WITH APPnOVEO
PLANS Mt/ST B£ KEPT ON THE JOB
Fl CAU BEFORE l_:00 p m FOR NE.XT WORK DAY INSPECTION
CBR2018-2563
2630 VISTOSA PL
7162506300
11221202 0
t~I FOR BUILDING INSPECTION CALL; 7 60-60 2-2 725
OR GO TO: www.C r b~dCil,goYJB~ifgfng AND CLICK ON
Request lnspc-ctlon CBR2018-2563
OA TE: ,,. 2 "2 /. (. ,7
If .,YES" Is ehecked below that DM1lon'a approval 11 required prlott0JIQUtttlna I Fln1I Bulldlna Inspection. If you have any quostlons
PIHH call the eppllcabl• dlvl1lon11t the phone numbers provided bolow. After 111 required 1pprov1l1 are 11en1d off-faa to
760-602-8560, emall to bl\1&Int.,.Q1!on.di:■rltbndca,aoi or brln(l In a COPY of this card to: 1635 Faraday Ave., Carlsbad •
. -'·j.
-II Ml\l~k.lO Vt \ 11 I\ n 1 O lllfll O l'UIOII 10 ANY (CJN ',lfllJ( r,o rJ
~lORM WAl I R PRHON MrntNG l'll OlJll'lt0 7(,0 607 JI}',
I r•r
ts,, ,1_~,14
11 r.1Ar111.1 n , ! \ 1\1 ·1·11\.l VAL m o urHt ri Pmrn~ 10 r·1 <JUI •, 11~r, 11u11 oi~,,. r'A
f ,rr r,r vrnth,n ll,D t,01 ll,40 Alln w48 no,.,, ~
Allow ..JB h r11~n ---i---------1
CMb l lfngu'K'rnng lntl)('<UOrH
I ll FOUNDATION -+-,: 12 REJNFORCED SITEl
1166 MASONRY PRE GROUT
D GROUT 0 WALL 0RAJNS
•10 _llLT PANELS
1111 POUR STRIPS
#ll COLUMN FOOTINGS
•14 SUBFRAME O FlOOR O CEILING
/1 15 ROOF SHEATHING
#13 EXT.SHEAR PANELS
It I 6 INSULATION
#18 EXTERIOR LATH
11 17 INTERIOR LATH & DRYWALL
,2 1~D£RGR0UND □WASTE owm_
124 TOP OUT O WASTE O WTR
112 7 ~SHOWER~
,23 c:iGAs TEST CXAs PIPING
1125 WATER HEATER
ir28 SOLAR WATER
BLDG•FlNAL -
CON• POOLS
I
760 438 389 1
D ale lnlp«!C1or
I --
7
.
Date ( Inspector
C,111 11.-for<' 'l pm
Type ot ln1pcct1on -
CODS. ELECTRICAL
1131 0 El.ECTRIC UNDERGROUND O UF£R
1134 ROUGH ELECTRIC i EV CHARGER
lt33 Ll ElEC SERVICE •32 EMPORARY
1 1135 PHOTO VOLTAIC
. •38 SIGNS
BLDG· FINAL
CDDll • MECHANICAL
ir4 I UNDERGROUND DUCTS & PIPING
1144 ' ] DUCI & PLENUM REF PIPING
1143 HEAT AIR COHO SYSTEMS
BLDG FINAL
c-• COMIIOINSPEC110N
•81 UNDERGROUND I I I. 12.21.31)
ug2 0R't'WAll,00 lAIH, GAS TES t l7 \S..Zll
•83 ROOF SHEAllNG, EXT SHEAR l ll.151
j ~81$ FRAME ROUGH COMBO t ·~ 24,3-l 4-IJ
1185 T-Bar I 14.24.l -t 4-il
BLDG· nNAL OCCUPANCY
FIRE
I A/S UNDERGROUN0 VISUAL
, A/S UN0ER0R0UN0 HYDRO
A/S UNDERGROUND FLUSH
1 -1 A/S OVERllEA0 VISUAL
Date . Inspector I A/S OVERHEAD HYDROSTATIC
1151 POOL EXCAV / STEEL ~ , A/S nNAl
lr62 PLUMBING _..r_gp Of~ ·t ] _ _ FJ AROUGH-IN
1153 Elfil C0NDUI!/ WIRING ii ~ l f/A FINAL
1154 EQUIPOTENTIAL BONO (L ~! ~/ FlXE0 EXllNGUISltlNG SYSTEM ROUGH-IN
#55 PREPLASTER / fENCE/ ALARM S 11 '2...fP ~ c.J:-FIXED EXllNC SYSrEM HYDR0STATIC_JEST
#S7 GUNITE -f __ FIXED !XJINGUlSIIIHG S't'JTEM FINAL
BLDO. FlNAL ----I ME0lCAl GAS PRESSURElEST
. MEDICAL GAS FINAL
O.ite ln1pector
Date Inspector
O~tc Inspector
fB
Da ce lnJ_pcctOf'
,-
1
..1
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 DEVICES 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 CONSTRUCTION WORK IS COMPLETE AND APPROVED
BY THE CITY OF CARLSBAD.
S~IUotdffP6~ OWNER(S)/0~ AGENT N~RINT)
OWNER(S_
E-29
14ft'
STORM WATER COMPLIAf\JCE FORM
TIER 1 CONSTRUCTION SWPPP ~JJ/0 -2_505
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 0 :;:; C C -0 :;:; :;:; C'l C Cl) -0 Cl) -0 en C u u C C C'l E C E C ..... C ..... ::, ::, 0 'c ·;;:: .Q-C C C E Cl) .... .... :;:; .... Cl)
::::;;: -o en C'l .... ..... ..... C "-::, >, C'l
C'l C Cl) .... C Cl) c en en en C ·;;:: 0-.... C C Cc 0.. Cl) ·a. ·;;:: -C en C > .... w Cl) 0 Best Management Practice* ~ C C co .... 0 Cl) 0 .... (.!) Cl) > C :;:; en 31:: en .... Cl) C C (..) Cl) ..... Cl) C ..... .c C I-E (..) .... en C -0 ""ijj en ::::;;: C Cl) C
(BMP) Description ➔ en u Cl) (/) .E en C'l Cl) C'l aJ •o C C'l C -o en 3:: C ~ ...... Cl) Cl) Cl) C 31:: C CC Cl ::::> -s ~ Cl) u ..... C 0 .... 0 -ow -0 >, o en C C'l ~ E :;:; C Cl aJ (/] ·-C'l Cl ·-v-....... Co Cl) Cl)
::::;;: Cl C'l Cl C Cl) 0::: E C ...... N en ~ C (..) Cl)
CJl:;:; Cl) 0 Cl) 0 ,.__ 3:: Cl) X u Cl) C
Cl) C Cl) E ~ a, ...... ::, .I:J E~ = en = 31:: ._:;:; J5 u ·c ·-C'l ·;;:: 0.. c.. 0 C'l
..... -0 .C C Cl) LL. u .... Cl) ::, -0 ·-Cl) ·--0 Cl) u cC ,._ C Cl) ~ .... -0 C 0
...., __ 0.. 'c Cl) > Cl) u ......... .I:J .... .I:J C ·-.... C •-C Cl) .... u _ ......
0 ,._ C 0 ..... Cl) C C 00 C C'l .Bo _. C ;; ~ ..... .c Cl) ..... 0 ..... 0 = C •-C
Cl) ~ C ,._ Cl) .c .I:J .... .!:;c C ..... .... Vl C
C .._ 0 ~u c...,. C ..... o..o QC (!) WC) (/) u'i (/) (..) Li: (!) (/]> (/) (/) c.. (/] 0::: 3:: c.. C..0 c.. ::::;;: (/] ::::;;: (/] (/] (..) (/] ::::;;:
CASQA Designation ➔ r--<X) Ol ~ I"") v ll1 co r--<X) 0 N I"") r--<X) N I"") v ll1 ~ 'T I I I I I I I I I I I I I I I I I I I I I I
u u u (..) w w w w w w w w 0::: ~ (/] (/] (/] (/] i i i i i Construction Activity w w w w (/] (/] (/) (/) C/) C/) C/) C/) I-z z z z
Gradina/Soil Disturbance 'f..... ;>l..... ~ ~ '>< ~ ')(_ ~
Trenchina/Excavation
Stockoilina
Drill in a /Borina
Concrete/ Asphalt Sawcuttina
Concrete Flatwork
Pavina
Conduit/Pioe Installation
Stucco/Mortar Work
Waste Disoosal
Staaina/Lav Down Area
Eauioment Maintenance and Fuelina
Hazardous Substance Use/Storaae
Dewaterina
Site Access Across Dirt
Other (iisfr
Instructions: .
1. Check the box to the left of all applicable construct.ion 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 Storm water 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 informa tion and details of the chosen BMPs and how to apply them to the project.
PROJECT INFORMATION
Site Address: }..h ? 0 Vf 5[{))/1 ft,.
Cl) ..... en C 3:: .....
C en v ::, E 0 Cl) ~ C'l cc NC cc I::::;;:
co I i
X
Assessor's Parcel Number: 'Z./ b-J.J;; D--h-3-00
Emergency Con~ l/1?ll-lt!A?,IP £::: ?-:-:
Nome,6. --!lffS7)
24 Hour Phone: -ZftltJ-h7k
Construction Threat to Storm Water Quality
{Check Box)
□ MEDIUM ISv{.OW
Cl) ..... en c ...... 3:: C Cl)
v E ...... Cl)
Cl) C'l be cc oc o::::;;:
<X)
I i
/'-.
Page 1 of 1 REV 02/16