HomeMy WebLinkAbout1890 Rutherford Rd; ; CBC2018-0637; Permit(City of
Carlsbad
Commercial Permit
Print Date: 05/06/2019 Permit No: CBC2018-0637
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title;
Description:
BUILDING INSPECTION FEE
1890 Rutherford Rd
BLDG-Commercial
2121203500
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig, Plan Check#:
Plan Check#:
CHANGE OUT 1800 AMP MAIN BREAKER
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $643.00 Total Payments To Date:
P/M/E
$643.00
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Co-Applicant:
5ASS ELECTRIC INC
1672 Main St, E-167
RAMONA, CA 92065-5257
619-456-4500
Balance Due:
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 which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Closed -Finaled
11/15/2018
11/16/2018
PBurn
11/17/2018 12:00:00AM
$0.00
$468.00
$175.00
1635 Faraday Avenoe, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
('City of
Carlsbad
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
Plan Check (6(2e.)8 • o,s
Est. Value
PC De p OS it ---,--,,--.---...,...---
Date ~'~I r ..... l \_5-+-(~fi __
Job Address 1890 Rutherford Rd., Carlsbad, CA 92008 Suite: ---APN: 212-120-29
Tenant Name: Navigate BioPharma CT/Project#: _________ Lot#: ___ _
S 1 III-B Occupancy: __ -_______ Construction Type: ___ _ Fire Sprlnklers: yes Air Conditioning: yes
BRIEF DESCRIPTION OF WORK: Replace existing 1800amp main electrical breaker with same
D Addition/New: ___________ New SF and Use, ___________ New SF and Use,
___ Deck SF, Patio Cover SF (not including flatwork)
D Tenant Improvement: _____ SF,
_____ SF,
Existing Use ______ Proposed Use ______ _
Existing Use Proposed Use ______ _
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _
D Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No
IBl Plumbing/Mechanical/Electrical Only: Replace ~xi sting lB00amp breaker with same
D Other: -------------------------------------
DESIGN PROFESSIONAL
Name: 8r-1f{' We,1-,,11e., l'.E., LUO A. P.
Address: 5!11 A,.[#!(A.'Dr,, $fe,. /(X)
City: Lt NI'-¼ State:_CA_Zlp: 'ftf'()..
Phone: ,~-65'f • 1J,3'f A><f, .,l.
Email: bn@hw,~r. ~
.0,...,1:itffl 7ate License: _JEa..1..,3'-'0 ___ i~k ..... ____ _
PROPERTY OWNER
Name: Navigate BioPharma
Address: 1890 Rutherford Rd
City: _c_a_r_l_s_b_a_d _____ State:~Zlp: 9 20 0 8
Phone: (619) 455-7602
Email: brett.st cyr@navigatebp.com
Phone: ...J1<=..:;..~= ...... c.Ll:;,::-..,,.....--------
Email:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to lts
Issuance, also requires the appllcant for such permit to flle a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law
{Chapter 9, commending with Section 7000 of Olvislon 3 of the Business and Professions Code) or that he/she Is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the appltcant to a civil penalty of not more than five hLindred dollars {$500}).
1635 Faraday Ave Carlsbad, CA 92008
B-2
Ph: 760-602-2719 Fax: 760-602-8558
Page 1 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby ajfirm under penalty of pe,jury QM cf the following declarations:
□ I 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 ls Issued.
£ have and wm maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for
My workers' com~nsatlon insurance carrier and policy number are: lnsuran0 mpany Name;
Polley No. IA/ J) SDOfi'fq !i'Q 7 Expiration Date: 3 /;c I 'f
□ 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 be come
subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverqe Is unlawful, and shall subject an employer to
crlmlnal penalties and clvll fines up to $100,000,00, In addltio to th t of compensation, d1ma1es as provided for In Section 3706 of the labor Code,
Interest and attorney's fees,
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby aJfirm that I am exempt from Contractor's license law for the following reason:
□ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the strncture 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 bullds or Improves thereon, and who does such work
hlmselfor through his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the bulldtng or Improvement Is sold within
one year of completion, the owner•bullder wlll have the burden of proving that he did not build or Improve for the purpose of sale).
□ I, as owner of the property, am exduslvely 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).
□ I am exempt under Section -------~--Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property Improvement. j Yes '."] No
2. I (have / have not) signed an application for a bultdlng permit for the proposed work.
3. I have contracted wlth the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number):
4. I plan to provide portions of the work, but I have hired the followlng person to coordinate, supervise and provide the major work (Include name/ address/ phone/
contractors' license number):
S. 1 wlll provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (Include name/ address/ phone/ type of work):
OWNER SIGNATURE: □AGENT --------------------DATE: _____ _
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there ts a construction lending agency for the performance of the work this permit Is issued (Sec. 3097 (I) Clvil Code).
Lender's Name: n/ a Lender's Addrtss: _____ n_/_a _____________ _
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applkant or future bulldlng occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 2SSOS, 25533 or 25534 of the Presley·Tanner Hazardous Substance Account Act? □ Yes □ No
Is the appllcantor future building occupant required to obtain a permit from the air pollution control district or air quallty management district? :'.".1 Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? :, Yes □ No
IF ANY OF THE ANSWERS ARE VfS, A FINALCfRTIFICATE OF OCCUPANCY MAV NOT BE ISSUED UNLESS THE ApPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DtSTRICT,
APPLICANT CERTIFICATION:
I certify that! have read the appllcatlon and state that the above Information ls correct and that the Information on the plans IS accurate. I agree to comply with all
City ordinances and State laws relating to building construction.
I hereby authorize representative of the Oty of Carlsbad to enter upon the above mentioned property for Inspection purposes. 1 AlSO AGREE TO SAVE, INDEMNIFY ANO KEEP
HARMLESS THE CITY OF CARLSBAOAGA!NST All LIABILIT15, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF
THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for ex ations over S'O' deep and demolition or construction of structure5 over 3 stories In height.
EXPIRATION: Every permit Issued by the Building Dffielal und the rovl ns of this Code shall expire by llmltatlon and become null and void 1fthe bulldtng or work authorized
by such permit Is not commenced within 180 da ro da sue permit or If the building or work authorized by such permit Is suspended or abandoned at any time
after the work Is commenced for a period of da 106.4. Uniform BuHdlng_Code).
1635 Faraday Ave Carlsbad, CA 92008
B-2
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
Permit Type:
Work Class:
Status:
Scheduled
Date
May 06, 2019
PERMIT INSPECTION HISTORY REPORT (CBC2018-0637)
BLDG-Commercial Application Date: 11/15/2018 Owner:
P/M/E lssuo Date: 11/16/2018 Subdivision:
Closed -Finaled Expiration Date: 05/16/2019 Address:
IVR Number: 15416
Actual
Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
11/17/2018 BLDG-Final
Inspection
091130-2019
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed Paul Burnette
COMMENTS
CARLSBAD TCT#85-24 UNIT#03
1890 Ruthertord Rd
Carlsbad, CA 92008-7344
Reinspection
Passed
No
No
No
No
No
Complete
Complete
Page 1 of 1
,~' . ~ C.tTY Of
CARLSBAD
Building DlvlJlon INSPECTION RECORD
li!l INSPECTION RECORD CARD Wlffl APPROVED
Pl.ANS MUST BE KEPT ON fflE JOB
Iii! CALL BEFORE 3:00 pm FOR NEXT WORK DAY INSPECTION
0 FOR BUILDING INSPECTION CALL: 760-602•2725
OR GO TO: www,ea,,sbadca.goy/ByQdlng AND CLICK ON
"Request Inspection"
DATE:
CBC2018--0637
1890 RUTHERFORD RD
CHANGE OUT 1800 AMP MI\IN BREAKER
2121203500
11/15/2018
CBC2018-0637
If "YEs·• is check~d below ttiat Division·s approval is require(! priot tQ __ r_Q.{HJC:?~in~ a Final Building Inspection. If you have any <1uestions
ph~aS{! c,11/ the applica/J/c divisions at the phone numbers providccl below. After all required approvals are signcc1 off fax. to
760 602 85GO. cnwil to hldginspections@c;irlshadci1,g~!..Y. or bring in ;1 COPY of this card to: 1635 Faraday Ave., Carlshnd.
;\< ; {' Iii iii
YES NO IF MARKED "YES", IT fS REQUIRED PRIOR TO ANY CONSTRUCTION Date Inspector
STORM WATER PRECON MEETING REQUIRED 760-602-2725 Allow 24 hours
IF MARKED "YES", APPROVAL REQUIRED PRIOR TO REQUESTING BUILDING FINAL
Fire Prevention
Pfannlng/Landscape
#11 FOUNDATION
#12 REINFORCED STEEL
#88 MASONRY PRE GROUT
□GROUT □WAlLDRAINS
#10 TILT PANELS
#11 POUR STRIPS
#11 COLUMN FOOTINGS
.. !!£.!!!!fRAME □ FLOOR □ CEILING
#15 RO0FSHEATIIIN0
#13 EXT. SHEAR PANELS
760-602-4660
760-944-8463
760-438-389 I
Date Inspector
#16 INSUIATI0N ~~==='---------1-----t---·"• fil EXTERIOR IATH
Allow 48 hours
Allow 48 hours
Call before 2 pm
ROUGH ELECTRIC EV CHARGER
#33 □ ELEC SERVICE #32OTEMPORARY
#35 PHOTOVOLTAIC
Date
Date
Notes
COPVOfCAffD
REQUIRED
Ins
In•
r
#17 INTERIOR IATll&DRYWA=LL~----+----+-----+-=~=======~--+-----1------
BLDG-FINAL
coor: 11 PLUMBING
#21 UNDER~R0UND □WASTE □ Wl'R
#24 TOP OUT □ WASTE □ WIR
#27 TUB & SHOWER PAN
Date __ Ins ctor t-~=-;
~#2~3~□~CIAS=~'~ES~T~□=OAS=P~IP~IN=0~--+-----+-----r-AltUNDERGROUNDVISUAl
_!!5 WATER HEATER A S UNDERGROUND HYD~~
#28 SOIAR WATER
BLD0•RNAL
COP£# POOLS Date S OVERHEAD HYDROSTATIC
#53 ELEC CONDUIT WIRING
#54 E UIPOT£N11ALB0ND AXEO EXTINGUISHING SYfflM ROUGH-IN
#55 PREP LASTER/ FENC:_ELA~M~ FIXED EXTING SYSTEM HYDROSTATIC TEST
#57 GUNITE FIXED EXTINGUISHING SYfflM ANAL
Date Ins
:.BL::D""G'-'·R'-"NA=l---------+-----+-----+MEDICAl~PRESS""U"'R'--ETES=T'------+----+------
MEDICAL GAS FINAl
Sl[ &ACK FOR SPECIAL NOTES
soqf
A~ Sempra Energy utility"
October 30, 2018
Dear Stan Lipka:
Subject:
Location:
Navigate Biopharma Outage
1890 Rutherford Road, Carlsbad
Project # 300000234857
SDG&E has scheduled a crew to disconnect electric service at the above referenced location
on Saturday, November 17, 2018. The outage will begin at approximately 5:00am and end at
about 8:00am, if your work has been completed and SDG&E has received the necessary
inspection clearances from the City of Carlsbad.
The cost for performing the outage at that time is $2,212.00. Any change in schedule, or delay
may result in additional charges. Also, cancellation must be made a minimum of 3 business
days prior to the scheduled outage, if cancelled within 3 business days; a portion of your
payment will be withheld. Please note that any cancellation due to inclement weather or
emergency work would not be charged to you and would be rescheduled at the earliest
available opening.
If the work is scheduled to be performed during normal business hours, confirmation is required
that the municipality inspector will be on-site at the time of the outage to release the inspection
to SDG&E's New Service Section no later than 1 P.M. that same day. Service can not be
re-energized without receiving an inspection release from the municipality. If the work is
scheduled for non-business hours, and the inspector will not be on site, a Prearranged Outage
Inspection Release may be submitted by 1 P.M., a minimum of one (1) working day prior to the
scheduled outage.
Customer shall indemnify, defend and hold harmless SDG&E from, and against, any and all
liability of every kind and nature resulting from, or in any manner arising out of or in connection
with, the performance of the work excepting only those liabilities arising from the sole
negligence or willful misconduct of SDG&E or its agents compared to any other person.
Customer shall indemnify, defend and hold SDG&E harmless from and against any and all
liability arising out of, or in connection with, the violation or compliance with any local, state or
federal environmental law or regulation as a result of pre-existing conditions at the job address.
Customer agrees to accept full responsibility for, and bear all costs associated with, pre-existing
environmental liability. Customer agrees that SDG&E may stop work, terminate the work,
redesign or take other action reasonably necessary to complete the work without incurring any
pre-existing environmental liability.
If you cancel your request without giving the utility 3 business days notice, you will be charged a
two-hour minimum fee. The fee must be paid to the utility before another outage will be
scheduled. The remaining amount will be refunded to you.
300000234857 2 October 30, 2018
Please be advised that your payment must be received no later than the end of business
day Friday, November 9, 2018 to firmly schedule your outage.
Please hand carry your check payable to SDG&E and the Customer Remittance Form to
one of the branch offices attached. Please also reference the SDG&E project number on
your check.
In the interim, if you have any questions, please give me a call.
Sincerely,
Mike Sciortino
Senior Customer Project Planner
760-739-7406
MS3:lmm2
PCRRemittance Ver 1.0 J:'age I ot I
ail .w~pra~ utility'"
CUSTOMER PAYMENT REMITTANCE
Invoice/CR # 1302366 I
Project# I 234857 I
Date I Qctober 30, 201a I
Preparer I Esoouta, Katrina I
Cuttomer{Project Name: I NAVIGATE BIOPHARMA OUTAGE•PM NORTH I
Project Loclltlon: I 1890 IWTHERFORD ROAD, CARLSBAD I
SDG&E Contact: I Sdortlno, Michael J Telephone: j 7to•739•7406 I
PAYMENT DUE: I $2,212.00 I
• Make check$ PB'i'i!lble to SDG&E •
MAIL TO:
Customer Payment Services • CP61C
San Diego Gu & Electric
PO Box 129831
San Diego, CA 92112·9831
THIS Rl:MITTANCE MUST BE RETURNED WITH PAYMENT
http://infoweb.sdge.com/departrnents/cac/cac _remittance.cfin 10/30/2018
._ffevv. 11 31 !Ofa .....
~,E~C
:t=i::Nft MOLDED CASE CIRCUIT BREAKERS
PAGE:
TEST DATE: 11/1/201{1 JOB SITE: MANY CIRCUIT 8REAKERS1 INC.
FILE NUMBER: 18.JQ!W-B:F-ATS CAO: MMIY.Cl.8C.V_I_I_~ INC.
Cl.ENT: t.4ANY CIRCUIT BREAKERS, INC, SAN DIEGO CA 92111
LOCA110N: MANY CIRCUTT BREAKERS, JNC. SUB.IBOARD 1800A BREAKER POSITJON: __________ _
TEST EQUIPIIINT: ASSET NO. I CM.&CATION DUE DATE
CURRENT INJECTION. 2013-04 12/28/2018 CONTACT RESISTANCE· 2015-02 4/1312019 INSULATtONRESISTANCE: 2015-06 411312019 AMBIENTTEMP.;_A_ •c RElATIVEHUMIDITY~ %
INSULATION RESISTANCE ( MO
BREAKER 1,;s--·-1 -···-I TR .. TIMEINSEC.@ IINSTANTANEOUSTRIPS 1"5TANTANEOUS
BREAKER ID
PECT ,.._ .... , ,..,..., ..-~ a ~ 300% RATED CURRENT (AMPS) SETTINGS
, rllNG TEST ... I I TESTVOLTAGE= 1.000 voe INOTEs
I I I ----! I I I I I TEST I ... I •· I •· I C-I I I ' •·• C·C MFR. TYPE (A) MECH A B C
1800A BREAKER I SIEME I RX06 I 1800 A 41.2 52.3 45.4
TOLEWtCE 1, I LONG TIME I INST I BY LONGTIME
TYPE RX06 I 45 -380 I 3.500 -6.500 I MFR
NO SETTINGS PROVIDED AT TIME OF TESTM3. SETTINGS LEFT AS-FOUND.
RECOMtiENDATIONS: • ACCEPTABLE
IT-
By. Name
MICHAEL KAIN
A B C A B C AT
168 172 179 4.520 4.528 5.340 5000
INST LONGTIME
r QUESTKllW!LE -By: ~ ...... ---------
LEFT
5000
INST
8.C.G C.AG A.B.G A-A
o.999 I 9.999 I o.999 I 9.999 I 9,999 I o.999
Applied Engf_.,.,g Concepta
Electrlcal TNttng Laboratory
:aoo1391-3052
■ i"<'·,;:.•EC~ED !.,. <f'-..1[0 ■Ct-1!.!flfli\TFU
>uu•<•r,1FN1at.:-:;i., _ .. T :"\".', _._
r_-! ; (,Ir J.::: F n -I 111 '~
r.,,J 1· ... _.~-~I n,;n llf&rit••
8f,ll Sl DUE ji,J.f.,_ ...
BY ICONTACTTOL£RANCE( 14. RES. TOLERANCE
:t: 50 % BY NETA I 100 MO: BY NETA
r UNACCEPTABLE -By •Name=,---------
.... *STATUS· A-ACCEPTABLE C-CORRECTEO NIS-NOT IN SCOPE NA-NOT APPI..JCA8LE NAC-NOT ACCESSIBLE R-REP~. REPLACE. OR ADJUST
~ ELECTRICAL TERTt...,.0 &
'• I I 1 ' /1. .., /\ I • t t-, ,\
E,....a, ..... EEFIING -pc,..,,.,,ER 'ISVSTEf\.4 STUDIES ., ,'\ l"J ! 'I; 't' I H " t ' • 'Ip ! " .~. \,/\ ...... CC>,....SULTIN'l~
'' ,__<!:
A.-E•·c
. ... ~-
....... ::.;:":"'
TEST DATE
FILE NUMBER
CLIENT.
LOCATION:
11/112016
_18J08j-B-F-ATS
MANY CIRCUIT BREAKERS~ INC
MANY CfRCLJrr BREAKERS, INC.
CR#.
SUB.IBOARD 1800A BREAKER
J)wv fl 31/0yJ
MOLDED CASE CIRCUIT BREAKERS
JOB SITE: MANY CIRCUIT BREAKERS. INC
_fµNY GIRCUIT ~R_g/«ERS~ INC
§!1,N 0IEG_O CA 92111
PAGE·
POSITION: __________ _
TEST EQUIPMENT: ASSET NO. I CALIBRATION DUE DATE
CURRENT INJECTION 2013-04 12n8/201B CONTACT RESISTANCE: 2015-02 4/1312019 INSULATION RESISTANCE: 2015-06 411312019 AMBIENT TEW :_2L •c RELATIVE HUMIDITY -11._ %
VISUAL CONJ~~m~i~CE BREAKER NSPECT r MILLIVOLTS IS µO BREAKER ID I
MFR. I TYPE t<ATING MEC>< A I (A) B C
1800A BREAKER I S!EME I RX06 1800 A ◄1.2 I s2.J 45.4
TOLERANCE 1 LONG TIME I INST I BY
TYPE RX06 <15 380 I 3.500 • 6,500 I MFR
NO SETTINGS PROVIDED AT TIME OF TESTING SETTINGS LEFT AS-FOUND.
RECOMMENDATIONS· ~ ACCEPTABLE
I Te.i"'
By.
Ml~HAEL KAI~
Name
INSPECTION AND TESTINQ
TRIP TIME IN SEC. @ INSTANTANEOUS TRIPS INSTANTANEOUS
300% RATED CURRENT (AMPS) SETTINGS
A I B I C A B TEST AS C AT LEFT
166 I 112 1 119 4,520 4.526 5.340 5000 5000
INST BY I TOLERANCE 3: I LONG TIME 1NST
TYPE
r OUESTIONABtE
Witnessed By: 0N~am=,---------
INSULATION RESISTANCE C MO
TEST VOLTAGE= 1.000 voe I NOTES
A-•-C-
B,C.G C.A.G A.8. G A-A I 8-8 C-C
9.999 9.999 9.999 9.999 I 9.m 9.999
~ Applied Engineering Concepts
Elactrlcal TMUng Laboratory
(800) 398-3052
■ IN~PECTED L. fESH O ■ CAI !fH~AlEIJ
f <JUif'MFNTa\,\•:-;J .... -•-r :'\":'.-" _ ...
ENC,lf✓EER 1»1"
1 llf r✓O l"!l~l,il DATE llfHJt••
RUEST DUE 11, ... , ....
BY I CONTACT TOLERANCE I tN RES. TOLERANCE
± 50 % BY NETA I 100 MU BY NETA
r UNACCEPTABLE
Rev.---:::::--------By Name,
"'""' ~ 'STATUS A-ACCEPTABLE C-CORRECTED NIS-NOT IN SCOPE NA-NOT APP\..ICABLE NACNOT ACCESSIBLE R-REPAlR. REPLACE. OR ADJUST
~ EL l.~ C..::TAICAL TES TINO 6. IE Nc:.,;,tNE EAl"40
•' I , ! 1, .~
i:.<.>VVF."A :f;J.V~TE"""" S T't.Jl>ll:.S c;.l·.>r-.,StJl. f 1r,,.1,1,
'f'