HomeMy WebLinkAbout2120 LAS PALMAS DR; D; 81-487; Permit.* -, .L .
ti hereby affirm that I am licensed under 1
.o P!0V!50fl8 of.:chapter-g (cómmenclng lih'i. •,Section 7000) of Division -3 of the Business
3 :1111:)and Professions Code, and my license is in
4 full force and effect. —• -
[Ic. No. ' _Class -
- 0.
.v0 -
4 I hereby affirm thai I am exempt from the Con-
:tractO's License Law for the tot lowing reason (Sec.
,-7031 i Business and Professions Code: Any city or
county which requires a permit to construct
'alter: improve, demolish, or iépair .any structure, ?
prior to its issuance also requires the applicantfor
- - - Such permit -to -file a signed statement that he is - k licensed pursuant,to the provisions of the Con- - tractor's License Law (Chapter 9 commencing with -Jr ,
- Section 7000 of Division 3 of the Business and Pro-
fessions Code) or that is exerrupi-Iheretrom and the. -
basis for the alleged exemption. 'Any violation of -
Section 7031.5 by an applicant for a permit subjects.
- -"-• trve applicant to a civil penalty of not more than tine
-LU ' hun5reqdolf)s,)S9.' ! u:,,•,._.
I 1 0 I as ow Of the propertor my emploees tj
5 - _willr wages as their sote.compensation, will do the
'u • work and the structure is not intended or of tered for
sate (Sec. 7044, Business and Professiots Code:, 4,
'The Contractor's License Law does not apply -to an
Z owner of property-who builds or improves thereon -
and who does such work himself or through his own
0 - employees' provided that such improvements are
- not intended or offered for sale."lt, however, the
. ,,,._ building or iñprovement is sold within one year of
- - . completion, the owner-builder will have the burden
. -Y '.4,' of proving that he did not build or improve for the
- - purpose of sale).,.
f' • - x' - 'kQ as owner- 01 the property, am' exclusively
contracting -with licensed contractors to-construct -,!I
'
2 , " ,'3 the project (Sec,,-704-4, Businessand Professions
'Code: The Contractors License Law does not apply
v -to an owner, of'property who builds or improvesv: ,thereon, and who contracts for each projects with a - I Contractor(s) license pursuant.to the,Contractoy's.
() -!:- Licen La.).- ' - - O '.0- lam exempt jnder Sec. .......: -- B. 6 PC:--
forth sreasO
, v
.
- 0 thereby affirm that I have a certificate dl consent - -
- • Lto:sebf-in5ure or, at certificate of Workers' -
-. - CompensatIon Insurance, or a certified copy thereof' 'r- 1!c:; Labor Code) - '•'''rk -j. - -i..x - -
z ' POLICY NO.. -_-
COANY
94 Cop, is filed ~ith"Ihe.cityA e
[],Certified copy is hereby furvkshed.'
-g .CERTIFICATE OF EXEMPTION FROM
WORKERS-COMPENSATION INSURANCE -
- - - (This section need not be completed lIne permit
LAJ
,
is for one hundred dollars 161001 or less)
0-I certify that in the performance of the worfu torI. - 0 1which this permit is issued. I shall not employ any
39 person in any manner so as to become subject to
the Workers Compensation Laws 01 California.'
. -NOTICE TO APPLICANT: It, after makiv3this Cerl, bicate of Exemption, you should become subject to
* - the Workers' Compensation provisions of the Labor
•' - Code.—you must, forthwith comply- with-. such
provisions or this permit shall be deemed revoked
' if •
.41.
,- •— ' 4'v-- - ' •--,—, -
f.v 0 I ,-h'e'reby abbirm that there is a construction
I •lending agency brIne perlormavceoI the work to, - -
which this permit is issued ISec 3097. 0,70 Code)'
- I
wl - Lenders Name -- .
L Lender's Address
USE BALL POINT PEN ONLY. & 'PRESS HARD APPLICANT MILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.'
CARLSBA UILDING DEPARTMENT - •-• " -
1200 Carlsbad California 92008 (714) 438-5525 I , •J*.
JOB ADDRESS AV. ST. DATE OF APPLICATION BUSINESS LICENSE #
1 "_
VALUATION- - PERMIT NUMBER
1. S b"I
OWNER'S NAME ' ' WER'S PHONE PRIME CONTRACTOR CONTRACTORS PHONE #
'X(4" I
.
. 1-- ZONE •, -- • ' -
-fle/ 439 -.3 - .. -
OWNER'S MAILING ADDRESS * CONTRACTOR'S ADDRESS LICENSE NO, PLAN I.D. # • • BLDG USE CODE
LOT SUBDIVISION ASSESSOR PARCEL NO. DESIGNER , . - STATE LICENSE # STANDARD PLAN'# - BUILDING SQ. FOOTAGE BLOCK
-
-
DESCRI 0
DESIGNER'S ADDRESS DESIGNER *S PHONE - - - -
-I2/O,6Ie6 -' 16' .'F/PFLRLEV.• NO '
STORIES
OCCGP EDU
-tj 00013864 I2/081
t • CENSU TRACT. GP, LANb USE P SPACE RES UNITS' - GRADINPERMIT ISSUED 'REDEVELOPMENT, . TYPE - -, O CC'L:OAD FIRE SPA J.PARKING I - AREA CONST - v- -
V 0 N 0 V 0 ND V 0 ND Not Valid Unless Machine Certified
—
QTY QTY MECHANICAL PERMrr 1 ISSUE - SUMMARY/ACCOUNT NUMBER PLUMBING PERMIT.-4ISSUE
-
4 EACH FIXTURE TRAP INSTALL FURN DUCTS uP TO 100 000 BTU BUILDING PERMIT JC
EACH BUILDING SEWER' -r 'r I- t - --' OVER 100 000 BTU ' - SIGN PERMIT -
EACH WATER HEAR AND/OR VENT ] ,,,,,/_
BOILER/COMPRESSOR UP TO 3 HP - PLAN CHECK
t EACH GAS SYSTEf 1 TO 4 OUTLETS " BOILER/COMPRESSOR 315 HP q ' TOTAL PLUMBING
_b EACH GAS SYSTEM15 OR MORE - ' METAL FIREPLACE u-- -'s- - ELECTRICAL
EACH INSTAL AL TE REPAI - VENT FAN SINGLE DUCT v' MECHANICAL /0
-EACH VACUUMpRR -' -.
MECH EXHAUST - HOOD/DUCTS - MOBILEHOME .
- , WATER OFTNJ RELOCATION OF EA FURNACE/HEATER , ___. MOBILEHOME PARK INSP
EACH ROOF ORAI (INSIDE) r SOLAR
- '".: '-
'TOTAL MECHANICAL-
-- - - .- • '•
-
U/fr'.
STRONG MOTION ' V'' k
- --''- ---'--. TOTAL PLUMBING •'- .v FIRE SPRINKLERS'
QTY
- .' -' - -
ELECTRICAL PERMIT ISSUE,,-'.
, '
,t
'
QTY
- - . - - •
. SOLAR ISSUE
, - - PUBLIC FACILITIES FEE
BRIDGE FEE
NEW CON EA AMP/SWT/BKR - COLLECTORS I SCHOOL FEE DISTRICT
1 PH - , 3 PH STORAGE TANKS Carlsbad -
EXIST BLDG EA AMP/SWTIBKR $ ROCK STORAGE Encinitas
1 PH 3 PH . PUMP San Dlegulto
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos
TEMPPOLE 200AMS
1OVER200AMPS
--S TEMP OCCUPANCY (30 DAYS) -___________ - ___________ --
TOTAL ELECTRICAL
-
'TOTAL SOLAR
- - TOTAL FEES PAYABLE [
- 'I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND 00 HEREBY_ - Expiration. Every permit issued by the Building Official under the provisions oft his - * AN OSHA pn- IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void. If the building or work .5'0" DEEP AND DEMOLITION OR CONSTRUCTION OF authorized by Such permit is not commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the building or work authorized by such permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT
GOVERNING BUILDING CON-- 1 ISSUED: TO COMPLY WITH ALL CITY, COUNT'/ AND STATE LAWS abandoned at any time after the work is commenced for a period of 180 clay-
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE OWNER 0 APPROV - BY.
INSPECTION TYPE DATE INSPECTOR
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
-
REQ. IF INSPECTORS INSPECTION
CHECKED APPROVAL DATE .5-.-.
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE •-
UVH 2000 PSI, -
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS --
SPECIAL MASONRY
PILES'CAISSONS .
CALL FOR FINAL INSPECT/ON WHEN ALL APPROPRIATE .• . V .
- . - - .
ITEMS ABOVE HAVE BEEN APPROVED.-
JOB SITE FINAL
PLUMBING.
ELECTRICAL
GAS
BUILDING
SPECIAL CONDITIONS
2L2 OCCUPANCY ISSUED
- S . s .,.:,_____T_______
-
- _•_i
, - -. -. .
--.5-
- ._•;,'.-'' ;.
BUILDING
FOUNDATION
REINFORCED STEEL
-
MASONRY .
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME I
SHEATHING
FRAME
EXTERIOR LATH NSyLJION -.
INTERIOR LATH &RYWA
PLUMB'TM ..
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND . .
RdUGH ELECTRIC.
ELECTRIC SERVICE
BONDING - -
G. F. I. - SMOKE DETECTOR.
MECHANICAL:
DUCT S PLEM., REF. PIPING
HEAT AIR COND. - SOLAR SYSTEMS
VENTILATINGSYSTEMS
ESGIL4 CORPORATION c/ TO 1 9320 CHESAPEAKE DR. SUITE 122
r' / I SAN DIEGO, CA 92128 ( . I (714) 60146S • 'f /
L'J 212
-
-- _-------; --
-- _! 77 Iq
VJ71I-r7O)/ /,t.)
P72. 5Z
1•- -----•----- --____________ - - - __________________________________________- _________ _________________
_ ii = __-
Dates Jurisdiction 'VrL2
Prepared byt Bldg. Dept
VALUATION AND PLAN CHECK FEE
b
PLAN CHECK NO-
BUILDING ADDRESS 2i __k!))__,j
- . APPLICANT/CONTACT//...I' _'/i __)PHONE NO
BUILDING OCCUPANCY DESIGNER PHONE____________
TYPE OF CONSTRUCTION CONTRACTOR PHONE___________
BUILDING PORTION
-.
BUILDING AREA
-.
VALUATION
MULTIPLIER
VALUE
/1), 7
/9ø( _
Air Conditioning
___________
—__ Commercial
Residential
Fire Sprinklers
Total Value
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT DATE:
BUILDING ADD RE s s
ECEIVED
N0V22 1QL1
PLANNING DEPARTMENT
ZONE LOT SIZE LOT WIDTH____________________
UNITS ALLOWED UNITS PROVIDED___________________________
PARKING SPACES REQUIRED PROVIDED S
% COVERAGE ALLOWED PROVIDED
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK:' SIDE SETBACK: REAR SETBACK:
ALLOWED S
PROVIDED_____________
INTRUSIONS
LANDSCAPE& IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
*tiDITIONAL COMMENTS:
(29
S -
- S I
kTO ISSUE: 31'oK TO FINAL
5-
/ S ENGINEERING DEPARTMENT -
R.O.W. INDUSTR WA E IMPROVEMENTS_______________
SEWER CONNECTION DRIVEWAY LOCATIONS__________________________
GRADING PERMIT EASEMENTS DRAINAGE___________
LEGAL DESCRIPTION -
ADDITIONAL COMMENTS . t 424AJr. &-2241'
OK TO IS.SUF DATE /6t$ Iwi OK TO FINAL DATE
FIRE DEPARTMENT
SPRINKLING SYSTEM _FIRE PROTECTION EQUIP.
FIRE ALARMS EXITS__________________
FIRE HYDRANTS LOCATION______________________
ADDITIONAL COMMENTS
OK TO ISSUE: DATE OK TO FINAL DATE_______
I. WATER DEPARTMENT
-QUIREMENTS OF APPROPRIATE DISTRICTS MET DATE
8!. Y
_DATE___________
oLe
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V PLANNING V ENGEERING V
.2120A, Las FakT1aS Dr, Car1sbactCA. 92006,- 43 V
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L 'DOCUMENTATION Form 6 FORM &
HVAC EQUIPMENT COMPLIANCE V
Atferences giving the specification page ot drawing sheet number or manufacturer's data must be suImtted to demonstrate com-
pliance with Division 6 of the stat Urds.
A ELECTRICALLY OPERATED COOLING Standard rating capacity. Btu/hr
SYSTEM EQUIPMENT - Minimum EER (COP)
- Reference
ABSORPTION WATER CHILLING Heat source (check one)
COOLING SYSTEM EQUIPMENT Diiectfired (gas-oil)
Indirect fired (steam-hot water)
-
V Minimum EE (COP) -
• Reference - V
COMBUSTION HEATING EQUIPMENT Minimum combustion efficiency at -.
V
(Oil and gas-tired cornfuit V maximum rated output
heating equipment— Reference - V
ELECTRICALLY OPERATED HEATING MininnumEER (CbP)
HEAT PUMPS Reference' - V MrZIA
Snipplemeuary Heater Control • 'A.
V
Reference
- ELECTRICAL RESISTANCE SPACE •. REFERENCEFORFULL:LOADENERGY /• V
HEATING EQUIPMENT V
V
V INPUT AND OUTPUT.,
- V
REQUIREMENT FORMAINTENANCE FOR MANUFACTURER'S MAINTENANCE AND,
V
V V FULL AND PARTIAL CAPACITY AND STAND-BY INPUT(S) AND OUTPUT(S)
SPECIFICATION REFERENCE ••V
V
V
V
-
V
• V
• V J_j •
V V
-j
Physical data and -dimensions
OPERATING-WI (lb)
REFRIGERANT
Oper Chg (lb(
Ref rig Control
COMPRESSOR
Cylinders
Rpm (60-Hz)
OUTDOOR FAN
Air Discharge
Cim
Motor Hp
Motor Rpm
- - -
OUTDOOR COIL.
Rows... Fins -' iii.
Face Area (s(I It)
INDOOR FAN
Air Discharge
ARICfm
Range Cfrn
Motor Hp
Motor Rpm
INDOOR COIL
Rows.. - Fins/in.
Total Face Area (sit It)
DIMENSIONS (ft in
- 38 . .1
R-22
5.4 5.7 5.15 6 7 7 3 8.6
Act: Ha let
Her nielically Sc,rled
2
3500
Propeller - Dii ccl Drive
Ve tic a I y
2500 2500 2500 I 2700 3200 3600
1/5. 1.5 1.4 1 4 - 1/4 14
1050- 1125
Plate Fin
2.19. 2 19 - tO 2 19 2.19 2.19
9.17 . 9 I? 9.17 10.83 125 15.00
Cent riliiqal --- Direct Drive
Horizontal
938 1125 1350 1575 1800 2150
833-1040 10001250 11831480 13671708 1633-2040 1/50-2250
1/5 1 5 1.3 I 12 1-2 3/4
800i925.-1075 . - 960/1035/1100
-
- Plate Fur
2.13 3 .13 3 .13 3 13 3. 13 3..13
A '1(3/ lb
B 3614
Cl- 1-11-5/S 2 3 5 8 27 5 -8 . 3 I-5'8
D 1- 7-3/4
--
1 11.3 4
1
233.4 2.93-4
LIQUID LINE PRESSURE SWITCH
Cutout (tsiy) 5
- Cut-in (psig)
'
20
DEFROST THERMOSTAT
Opens 80 F
Closes . 27 F
FILTER SIZE (iii.) .
I
20x25l 25x25& Disposable 20x25 15x20(2) 15
x
20
20x2O 20x20(21 20x20 20x25
Permanent I6x20 20x2O .L .2n°--.. . - I 20x20(2
Factory rcfrugerarrt char go.
Dimension C' includes 1-itt built-ut base $rutiflorl citairriels.
Recoriinrerrcled held-supplied tillers are I iii. thick
Space required for service tin front, rear and left side is 3 It. 0 inches. Space required for service err right side of unit us.1 ft. 0 inches.
4
MODEL
ff8 EJ VOLTS "PH
OOSOMAOO
0075 MAOO
O100MAOO 0150MAOO 208 1 240'1
O200MAOO
0270MA00
O100EAOO I
O15OEAOO I 208 3 240/3 O200EAOO
0250EA00 I
O100FAOO
O15OFAOO I 480 3 O200FAOO I
0250FA0gj
MIN. AIR FOR USE WITH HEATERS
UNIT MIN CFM
024 833
030 1000
036 1183
042 1366
048 1633
060 933
J
Electrical data
UNIT ELECTRICAL DATA (60-1-iz)
COMPRESSOR IFM OFM BRANCH CIRCUIT
OPER Min Pwr Min Gnd VOLTAGE* Max . Max Mill
IRA RLA BCSC FLA FLA "Ire
Size Ft Mire
Sizet Fuse Circuit
Mm
15.4
(AWG)l Wire (AWG) Amps" Amps
66 - 2.4 1.~3 10 48 10 35' 23.0
72 16.1 - 2.4 1.3 10 46 10 35 23.8
207 99 182 - 3.6 2.1 10 38 10 45 285
94 21.0 21.2 4.9 1.9 8 52 10 50 33.3
106 250 27.9 4.9 2.2 6 71 10 60 42.0
187 150 334,
29 2 35.3 6.4 2.2 6 41 10 60 52.5
18 0 79 14.6 16.6 4.9 2.0 10 55 10 40 276 87 169 18.3 4.9 2.2 10 .48. 10 45 30.0
180 87 12.5/
- 3.6 2.1 10 63/ 10 - - 30 21.3/
74 1 20.3
S> 1 1) 1 in A O I O 1r C71 23O/3 .253207 70 14 8 16.4 4.9 22 10 1*0 40 27.6
60YaO42$1 35 63 7.2 4.9 1.9 14 104 14 15 12.4
54B / 41 35 75 88 4.9 2.2 14 90 12 20 14.6
50.VQO411 - 27 49 68 4.9 1.9 14 164' 14 15 11.2 5'5'3
,
632 518 30 60 6.4 4.9 2.2 14 141 14' 15 10.9
BCSC Branch Circuit Selection Ciii ienr 'Permissible limits of the voltage range at which units will operate satisfactorily. FLA -- Fill[ Load Aiir1>s Model 50Y0060 not suitable for operation between 187 and 197 volts if outdoor IFM - Indoor Fan Motor temper attire exceeds 105 F, LHA . - Locked Rotor Amps I Copper wire size in table based on 60 C It cntrticr'clSd alnmninurrr or greater lengths OFM -- Outdoor lair Muir are required. consult latest National Electric Code for wire sizing.
R1.A - Flared l_u>iif Airips I Required wl'ierr using nonmetallic r.uiriiiiit.
Maxirrioni dual elernenr fuse size
MQDEJ V/PH
Max
.253
208/'230,'l 1 253
200/ 3 220
- L08
i~ll
['
- '6V3 I200/230.3 253
IM
1-:I1--C1'RIC I'IEA'I'LR DATA
[ RANCH..c___L
KW Heater CAPACITY Pwr Gnd
pS MCA OCA Stages' Elements Wi(4 Wire (1000 Muhl
Sizet Size
25 30 1 1 10 10 10 10 12.8 17.1 375 50 180 20.8 225 26.0
5.6 7.5 27.0 31.3 338 39.1 35 40 1 2 8 8 10 10 19.2 25.6
7 5 10.0 36 1 4.16 45 1 52.0 50 60 1 2 6 6 10 10 25.6 134.1 11 3 15.0 54 1 62.5 67.6 78.1 70 80 2 3 4 3 8 8 38.5 51.2
150 20.0 72 1 83.3 901 104.2 100 110 2 4 31 2t 8 6 51.2 68.2
22.25 27.0 974 112.5
208 24.0
121.8 140.6 125 150 3 5
3
11 0* 6 6 76.0-1 92.1
75 100 260 30.0 30 30 1 10 10 10 10 25.6 34.1
113 150 31 1 36.0 389 45.0 40 45 2 ' 3 8 6' 10 10 38.5 151.2 (5.0 20.0 415 480 519 60.0 60 60 2 6 6 4 10 10 51.2 168.2 18.75 250 520 60.1 1 651 75.2 70 80 2 ' 6 4 3 8 8 64.0 85.4
- iooT 120 150 15 1 34.1 150 180 225 25 2 3 10 10 512 200 240 300 30 2 3 10
6 .
..14 14
10 682 251) 30 1 37.6 40 2 8 10 854
Vali us are Lii 240 wilt
MCA -.. Minimum Ciii:iiit Airi1r,iciiy l&:imiirtrlrrs vviih Section '130 24
of NEC)
O(2A -.- C)veicnirrerit t.iirreiil Piotectl(,nrr ll'nses is (lrr:>rnl tlri;ikris)
VA draw per stage is 2.
1 Wire size based on 60 C copper conductors unless otherwise rmnleil
Wire size based on 75 C r;r)plren conductor,
NO1'E. Power snprplyelcctricuil cl lag LILAC[ islics for unit and heatei nim.1
he Idefilical.
HEATER USAGE
OOSOMAOo 1 024,030.036.042.048,060
0075MA00 024,030,036.042.048.060
0100MAOO 024,030,036.04 2.048.060
0150MAOO 030,036,042,048,060
0200MAOO 036.042.048.060
0270MA00 048.060
0100EAOO 036,042,048
OISOEAOO 036,042,048 0200EAOO 042,048
0250EA00 048
0100FA00 042.048
0150FAOO 042,048
0200FAOO 042,048
0250FA00 048
MIN. OU'I'DOoH OIiERA'I'ING 'I'E'1I
WITHOUT WITH
ACCESSORY I ACCESSORY
MO'fORMASTER I MOTORMASTER
45F •20F
- Rrrqiiir es replacement of capacitor vvitfr 5
rrrli,f, 440-volt capacitor. Carrier Part No.
HC90BB005, air(] replacement of fair molor
with Carrier Part No. HC40VL701. For Winter
start control on single-phase units, install
defrr,rt thermostat (Carrier Part No.
50813900001 or 8822VA025( to the indoor
coil, and wire it in series with the coil of tire
coirractor For winier start control on 3 phase units. Imoper low-pressure Switch and add a
defrost ifiei'riiostat (Carrier Part No.
50138900001 or l'I1-122VA025) to evapui ilium
Form 5 DOCUMF:NTATION FORM
UILbING LIGHTING COMPLIANCE . .
.
Project Title . 4Ofi u
111A'JtETf. Documented by
Location !2O.LA A( '-_c42
II,
jJt Date U U €1
Project Designer Checked by__________
.
. . . . . . . .. Date '
Room Room RCR Task Aru46 Note Sq. Ft. . No. Sq. Ft. Total Watts Allotted Design
- Nn Sü Ft - . . . .AinI /Crr. (r /Tk qrl Ft /qrl Pi W;ttt
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4)'7
s,iA'2 247.
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CA L-c TRAIT - I N 4"P / I N 1 C.I1 C I c.Li P-N A, FILED IN fl4E. -k -i-He rr1' ,A, FI ' -11 - cIAL- F(!D,
.10
/
1200 ELM AVENUE TELEPHONE
CARLSBAD CALIFORNIA 92008 (714) 729-1181
Building Department
CLtp of Qtarlbab -
NONRESJ1EITIAL ENERGY DESIGN CERTIFICATION
,
Permit.No.._____________
Issue Date______________
WTIFICATE OF COMPLIANCE WITH ENERGY NSEF/ATION DESIGN REQUIRE1E'ffS
CONTAINED I ARTICLE 2 PART 6 TI11.E 24 CALIFORNIA AD'1I CODES
I, 7 hereby certify that I
Designer . . . . • .. . •
am familiar with the itate energy conervation standards mandated:
in CAC Title 24, Section 320-1451 through •T?O-1542, andthat the
plans and' other documents submitted in support of the application
for a Building permit at
Address Assessor's Parcel No _Dated
comply with all current requirements of these regulat{ons.
Indicate method of compliance
AJ Component Performance (Standard1Dsign)
• S
B Energy Budget Analysis (Alternative Design)
C. Noni.-depletable Energy: Analysis (Alternative Design)
0:. •7 _
Other (spcify)
-• • / ' •. • . •,• • •
Signature iT
Title
Architect, Engineer; Contractor. . • •. .• • .
State License or Certificate No
a t e 2-2 /) -
Submit t.o.:the BUilding .Department with permit applicatio'n.
S
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REVISIONS BY
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NOV 231981
CITY OF CARLSBAD 1 •—j Building Department "1
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