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Home My WebLink About2203 CAMEO RD; ; CB132107; Permit10-04-2013 Job Address' Permit Type Parcel No. Valuation Occupancy Group # Dwelling Units Bedrooms Project Title City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit Permit No: CB 132107 Building Inspection Request Line (760) 602-2725 2203 CAMEO RD CBAD RESDNTL Sub Type RAD Status ISSUED 1670800800 Lot#. 0 Applied 08/30/2013 $22,992 00 Constuction Type 5B Entered By RMA Reference* Plan Approved 10/04/2013 0 Structure Type Issued 10/04/2013 0 Bathrooms 0 Inspect Area Ong PC # Plan Check #. DREAM REALTY LLC- REMODEL KITCHEN, 3 BATHROOMS, CREATE 1 NEW GUEST BATH UPSTAIRS, REMODEL MASTER BEDROOM UPSTAIRS Applicant ROB BALENTINE Owner PASHLEY JOSEPH M REVOCABLE LIVING TRUST 02-08-90 P 0 BOX 910557 SAN DIEGO CA 92191 858 531-5106 2203 CAMEO RD CARLSBADCA 92008 Building Permit $254 27 Meter Size Add'l Building Permit Fee $0 00 Add'l Reel Water Con Fee $0 00 Plan Check $177 99 Meter Fee $0 00 Add'l Plan Check Fee $0 00 SDCWA Fee $0.00 Plan Check Discount $0 00 CFD Payoff Fee $0 00 Strong Motion Fee $2 30 PFF (3105540) $0 00 Park in Lieu Fee $0 00 PFF (4305540) $0 00 Park Fee $0 00 License Tax (3104193) $0 00 LFM Fee $0 00 License Tax (4304193) $0 00 Bndge Fee $0 00 Traffic Impact Fee (3105541) $0 00 Other Bndge Fee $0 00 Traffic Impact Fee (4305541) $0 00 BTD #2 Fee $0 00 Sidewalk Fee $0 00 BTD #3 Fee $0 00 PLUMBING TOTAL $59 00 Renewal Fee $0 00 ELECTRICAL TOTAL $41 00 Add'l Renewal Fee $0 00 MECHANICAL TOTAL $44 36 Other Building Fee $0 00 Housing Impact Fee $0 00 HMP Fee $0 00 Housing InLieu Fee $0 00 Pot Water Con Fee $0 00 Housing Credit Fee $0 00 Meter Size Master Drainage Fee $0 00 Add'l Pot Water Con Fee $0 00 Sewer Fee $0 00 Red Water Con Fee $0 00 Additional Fees $0 00 Green Bldg Stands (SB1473) Fee $1 00 Fire Spnnkler Fees $0 00 Green Bldg Stands Plan Chk Fee $0 00 TOTAL PERMIT FEES $579 92 Total Fees $579 92 Total Payments to Date $579 92 Balance Due: $0.00 Inspector FINALA, Date Ji OVAL is Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this pemiit 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 vou have previously been given a NOTICE similar to this, or as io which the statute of limitations has previously othenA/ise expired APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING DENGINEERING DBUILDING DFIRE nHEALTH O HAZWAT/APCD •4%m> CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave , Carlsbad, CA 92008 Ph: 760-602-2719 Fax. 760-602-8558 email: building@carlsbadca.gov www carisbadca.gov 73 ^/p/ JOBADDRESS ^ • - TS^I CT/PROJECT # -^mS' # BEDIMS SUITE#/SPACE#/UNIT# tt BATHROOMS CONSTR TYPE OCC GROUP DESCRIPTION OF WORK' Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE APPLICANT NAIVIE (Primary Contact) APPLICANT NAIVIE (Secondary Contact) ADDRESS ADDRESS STATE ZIP STATE ZIP FAX FAX EMAIL PROPERTV OWNER NAME ADDRESS lONTRACTOR BUS NAIVIE SO^=>i CTATF ADDRESS CITY 'a^^ STATE ZIP PHONE V^'^ 7 FAX CITY FA i (mcok STATE PHONE FAX EMAIL ,MLi ADDRESS STATE LIC # . , _ ' : ICLASS _ 1 CITY 4iSj.lC # « , . 97^ IB r'TC'i^P^ ARCH/J itywi (Sec 7031 5 Business and Professions Code Any City or County^hich requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law {Chapter 9, commendingwith Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the t)asis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permitsubjects the applicant to a civil penalty of not more than five hundred dollars ($500)) Workers'compensation Declaration I hereby affirm under penaity of perjury one of the following deciarations O i have and will maintain a certificate of consentto self-insure for vnorkers' compensation as provided by Section 3700 of the Labor Code, forthe performance of the work for which this permit is issued O i have and will maintain workers' coinpensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this pemiit is issued My workers' compensation insurance earner and policy numberare InsuranceCo ~ l/i ttJ e:^^— PolicyNo tp^d /CC>3"?^^<y Expiration Date / ) J 13 This section need not be completed if the permit is for one hundred dollars ($100) or less O Certificate of Exemption. 1 certify that in the perfomiance of the wori< for which this pemiit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laviis of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doilars (&100,000), in addition to the cost of compensation, damages as provided for m Section 3706 of the Labor code, interest and attomey's fees. ^ CONTRACTOR SIGNATURE •AGENT DATE 1 hereby affirm that I am exempt from Contractor's bcense Law for the following reason • 1, as owner of the property or my employees with wages as their sole compensation, will do the mrk and the structure is not intended or offered for sale (Sec 7044, Business and Professions Code The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such virork himsert 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) D 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 fo the Contractor's License Law) • 1 am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for construction of Ihe proposed property improvement D Yes O No 2 I (have / have not) signed an application for a building pemiit for the proposed work 3 I have contracted with the following person (fimi) 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 following person to coordinate, supeniise and provide the major work (include name / address / phone / contractors' license number) 5 1 will provide some of (he work, but I have contracted (hired) the following persons lo provide the vnork indicated (include name / address / phone / type of work) ygrPROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or future building occupant required to submit a business pl^nj^jCMtely hazardous matenals registration fomi or nsk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acf CI Yes ^l^ro^^ Is the applicant or future building occupant required to obtain a permit from the air pollution control district or airqualifewnanagement distncP • Yes /QNl. Is the facility to be constnicted within 1,000 feet of the outer boundary of a school site'' • Yes IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESSlTHE APPLICANT HAS l«ET OR iS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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's Address i cem^that I have read the applicabon and state thatthe above infoimation is coirect and thatthe infbrniaton on the pians is accurate. I agree to complywith aii City ordinances and State laws relatingta building construction. I hereby authonze representatve ofthe City of Carlsbad to enter upon the above mentioned property for inspecton puiposes I ALSO AGREE TO SAVE, INDEIVINIFY AND KEEP HARIVILESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH IVIAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA pennit IS required for excavatons over 5'0' deg|>«rra deiflMtai or constmcton of stmctures over 3 stones in height EXPIRATION Every pemit issued by the Building Official un^tie provisions cj te Code shall expire by limitaton and become null and void if the building or wor)< authonzed by such pemnit is not commenced within 180 days from Ihe date of such permit or if the building or vjort( authonzed b^^u^^msitiS^pended or iliinijuiii iliilniiii IIIIII ' lOi'l llll'Will I iniiiiii I for a penod of 180 days (Section 106 4 4 Unilbmi Building Code) ^APPLICANT'S SIGNATURE DATE Inspectiori List Permlt#: CB132107 Type: RESDNTL RAD DREAM REALTY LLC- REMODEL KITCHEN, 3 BATHROOMS, CREATE 1 NE Date Inspection Item Inspector Act Comments 11/15/2013 89 Final Combo -Rl 11/15/2013 89 Final Combo MC Fl 11/14/2013 89 Final Combo -Rl 11/14/2013 89 Final Combo MC CO NOTICE 11/13/2013 89 Final Combo -Rl 11/13/2013 89 Final Combo MC CO SEE CARD 10/29/2013 17 Intenor Lath/Drywall MC AP 10/29/2013 84 Rough Combo MC AP MASTER BATH WALL/FLOOR JOISTS 10/28/2013 14 Frame/Steel/Bolting/Weldin MC PA 10/28/2013 24 Rough/Topout MC PA 10/28/2013 34 Rough Electric MC PA SEE CARD 10/23/2013 84 Rough Combo MC NR PER CONTRACTOR 10/18/2013 14 Frame/Steel/Bolting/Weldin MC CO NOTICE 10/18/2013 24 Rough/Topout MC CO 10/18/2013 34 Rough Electnc MC CO IVlonday, November 18, 2013 Page 1 of 1 EsGil Corporation In (PartnersHip witH government for (Building Safety DATE. 10/01/13 • APPLICANT • JURIS JURISDICTION: Carlsbad • PLAN REVIEWER • FILE PLAN CHECK NO.: 13-2107 SET II PROJECT ADDRESS: 2203 Cameo Road PROJECT NAME: Interior Remodel for CT Dream Realty XI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. I I The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. I I The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. I I The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. I I The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. I I The applicant's copy of the check list has been sent to: IXI EsGil Corporation staff did not advise the applicant that the plan check has been completed. I I EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Email: Mail Telephone Fax In Person • REMARKS: By: Ray Fuller Enclosures: EsGil Corporation • GA • EJ • PC (P) 09/26/13 9320 Chesapeake Drive, Suite 208 • San Diego, Califomia 92123 • (858) 560-1468 • Fax (858) 560-1576 EsGifi Corporation In PartnersHip with government for (Building Safety DATE 09/11/13 ^APPbl€ANT (.•_jysis^~ JURISDICTION Carlsbad • PLAN REVIEWER • FILE PLAN CHECK NO 13-2107 SETI PROJECTADDRESS 2203 Cameo Road PROJECT NAME Interior Remodel for CT Dream Realty rn The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes I I The pians transmitted herewith will substantially comply with the junsdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff I I The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck The check list transmitted herewith is for your information The plans are being held at Esgil Corporation until corrected plans are submitted for recheck r~] The applicant's copy of the check list is enclosed for the junsdiction to forward to the applicant contact person 1^ The applicant's copy of the check list has been sent to Rob Balentine Post Office Box 910557 San Diego, Ca 92191 I I EsGll Corporation staff did not advise the applicant that the plan check has been completed IXI EsGll Corporation staff did advise the applicant that the plan check has been completed Person contacted Rob Balentine 0'^) Telephone # (858) 531-5106 Date contacted (by \<^) Email robmbalentine@gmail com t. Mail ^ Telephone'^ Fax In Person • REMARKS By Ray Fuller Enclosures EsGll Corporation • GA • EJ • PC 09/04/13 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 Carlsbad 13-2107 09/11/13 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK NO 13-2107 JURISDICTION Carlsbad PROJECT ADDRESS 2203 Cameo Road FLOOR AREA Remodel 400 STORIES 2 HEIGHT Existing No Change REMARKS DATE PLANS RECEIVED BY JURISDICTION 08/30/13 DATE PLANS RECEIVED BY ESGIL CORPORATION 09/04/13 DATE INITIAL PLAN REVIEW COMPLETED 09/11/13 PLAN REVIEWER Ray Fuller FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the California version of the International Residential Code, International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electncal Code and state laws regulating energy conservation, noise attenuation and access for the disabled This plan review is based on regulations enforced by the Building Department You may have other corrections based on laws and ordinance by the Planning Department, Engmeenng Department, Fire Department or other departments Clearance from those departments may be required pnor to the issuance of a building permit Present California law mandates that construction comply with the 2010 edition of the California Code of Regulations (Title 24), which adopts the following model codes 2009 IRC, 2009 IBC, 2009 UPC, 2009 UMC and 2008 NEC The above regulations apply, regardless ofthe code editions adopted by ordinance The following items listed need clarification, modification or change All items must be satisfied before the plans will be in conformance with the cited codes and regulations Per Sec 105 4 of the 2009 International Building Code, the approval of the plans does not permit the violation of any state, county or city law To speed up the recheck process, piease note on this list (or a copy) where each correction item has been addressed, i.e.. plan sheet number, specification section, etc. Be sure to enclose the marked up list when vou submit the revised plans. Carlsbad 13-2107 09/11/13 1 Please make all corrections on the ongmal tracings, as requested in the correction list Submit three sets of plans for residential projects For expeditious processing, corrected sets can be submitted in one of two ways 1) Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave , Carlsbad, CA 92009, (760) 602-2700 The City will route the plans to EsGil Corporation and the Carlsbad Plannmg, Engmeenng and Fire Departments 2) Bnng one corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468 Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineenng and Fire Departments NOTE Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineenng and Fire Departments until review by EsGll Corporation is complete 2 All sheets of plans must be signed by the person responsible for their preparation (California Busmess and Professions Code) 3 No header sizes given for new openings See wmdows 33 for example on A2 2 Recheck all locations 4 Where new openings are proposed for existing walls please show on the plans how remaining walls will comply with the Braced Wall provisions of Section R602 10 ofthe California Building Code) or provide an engmeenng analysis for the lateral load resistance of the wall(s) in question Before proposing windows 33 the plans comply with conventional framing as there was 4 ft of stucco shear on either side of existing window 8 at bedroom 4 as shown on A2 1 The proposed plan on sheet A2 2 is reflecting one three section of stucco between windows'? The minimum width would have need to be 4 ft and wood braced wall/shear panels requires a minimum 4 ft width on 2^^ floor 5 Where do details one thru three apply as shown on A4 1 6 Energy calculations are suppose to be provided any time new or replacement glazing provided If glazing removed is more than glazing adding then note this (i e what size is existing bedroom 4 window) and could waive energy calculations if note new glazing to have a 40 U and 40 SHGC or less Nice plans • To speed up the review process, note on this list (or a copy) where each correction item has been addressed, i e , plan sheet, note or detail number, etc • The junsdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123, telephone number of 858/560-1468, to perform the plan review for your project If you have any questions regarding these plan review items, please contact Ray Fuller at Esgil Corporation Thank you Carlsbad 13-2107 09/11/13 [DO NOT PAY- THIS IS NOTAN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION Carlsbad PLAN CHECK NO 13-2107 PREPARED BY Ray Fuller DATE 09/11/13 BUILDING ADDRESS 2203 Cameo Road BUILDING OCCUPANCY R3 TYPE OF CONSTRUCTION VB BUILDING PORTION AREA (Sq Ft) Vaiuation Multiplier Reg Mod VALUE ($) Remodel 400 21,2"00 Air Conditioning Fire Spnnklers TOTAL VALUE Jurisdiction Code cb By Ordinance Bldg Permit Fee by Ordinance Plan Check Fee by Ordinance Type of Review I I Repetitive Fee Repeats 0 Complete Review • Other |—j Hourly EsGil Fee • Structural Only Hr @ $244 47 $158.91 $136 90 Comnnents Sheet 1 of 1 macvalue doc + ^ CITV CARLSBAD O F PLAN CHECK REVIEW TRANSMITTAL Community & Economic Development Department 1635 FaradayAvenue Carlsbad CA 92008 www carlsbadca gov DATE:08/30/13 PROJECT NAME: PASHLEY RESIDENCE PLAN CHECK NO: 1 SET#: ADDRESS: 2103 CAMEO VALUATION: $22,992 INTERIOR REMODEL PROJECT ID: CB13-2107 APN: / This plan check review is complete and has been APPROVED by the ENGINEERING Division. By: KATHLEEN LAWRENCE 08/30/13 A Final Inspection by the Division is required , „Yes ,/!NO This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check Comments have been sent to: You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. For questions or clarifications on the attached checklist please contact the following reviewer as marked PLANNING 760-602-4610 ENGINEERING 760-602-2750 FIRE PREVENTION 760-602-4665 Chris Sexton 760-602-4624 Chns Sexton@carlsbadca gov / Kathleen Lawrence 760-602-2741 Kathleen LawrenceOcarlsbadca gov Greg Ryan - 760-602-4663 Gregory RvanOcarlsbadca gov Gina Ruiz 760-602-4675 Gina RuizOcarlsbadca fiov Linda Ontiveros 760-602-2773 Lmda OntiverosOcarlsbadca gov \ Cindy Wong 760-602-4662 Cvnthia WongOcarlsbadca gov 1 Dominic Fieri - J 760-602-4664 Dommic FienOcarlsbadca gov Remarks: ^ CITY OF CARLSBAD BUILDING PLANCHECK CHECKLIST QUICK-CHECK/APPROVAL Development Services Land Development Engmeering 1635 FaradayAvenue 760-602-2750 www carlsbadca gov ENGINEERING Plan Check for CB13-2107 Date 08/30/13 Project Acidress 2103 CAMEO APN INTERIOR REMODEL Project Description Valuation $22,992 ENGINEERING Contact Kathleen Lawrence Phone 760-602-2741 Email kathleen.lawrence@carlsbadca.gov Fax 760-602-1052 RESIDENTIAL INTERIOR • TENANT IMPROVEMENT fZj RESIDENTIAL ADDITION MINOR (<$20,000.00) INTERIOR • PLAZA CAMINO REAL I CARLSBAD PREMIER OUTLETS COMPLETE OFFICE BUILDING !OTHER: PCR OFFICIAL USE ONLY ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT BY KATHLEEN LAWRENCE REMARKS. NO ENG. FEES- DATE 08/30/13 Notification of Engineering APPROVAL has been sent to via EMAIL on 08/30/13 E-36 Page 1 of 1 REV 4/30/11 CITY OF ARLSBAD PLANNING DIVISION BUILDiNG PLAN CHECK APPROVAL P-29 Development Services Planning Division 1635 FaradayAvenue (760) 602-4610 www carlsbadca eov DATE: 9/4/13 PROJECT NAIVIE: INTERIOR REMODEL PROJECT ID: PLAN CHECK NO: CB132107 SET#: ADDRESS: 2203 CAMEO RD APN: ^ This plan check review is complete and has been APPROVED by the PLANNING Division. By: GINA RUIZ A Final Inspection by the PLANNING Division is required • Yes ^ No You may also have corrections from one or more ofthe divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit Resubmitted plans should include corrections from all divisions. Q This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check APPROVAL has been sent to: robmbalentine@gmail.com For questions or clarifications on the attached checklist please contact the following reviewer as marked. PLANNING 760-602-4610 ENGINEERING 760-602-2750 FIRE PREVENTION 760-602-4665 ' 1 1 Chris Sexton 760-602-4624 Chns SextonOcarlsbadca gov 1 1 Kathleen Lawrence 760-602-2741 Kathleen LawrenceOcarlsbadca gov 1 1 Greg Ryan 760-602-4663 Gregorv RvanOcarlsbadca gov Gma RUIZ 760-602-4675 Gma RuizOcarlsbadca gov 1 1 Linda Ontiveros 760-602-2773 Linda OntiverosOcarlsbadca gov 1 Cindy Wong 760-602-4662 Cvnthia WongOcarlsbadca gov • • 1 1 Dominic Fieri 760-602-4664 Dommic FienOcarlsbadca gov Remarks: ^ PLUMBING, Development Services ELECTRICAL, Building Division ^C\TY OF MECHANICAL I635 Faraday Avenue CARLSBAD "Tis"'' Project Address: Permit No.; 107 Information provided below refers to worb being done on the above mentioned pwmit only This form must be completed and returned to the Buildinq Division before the permit can be issued. Building Dept Fax- (760) 602-8558 Number of nevw or relocated fixtures, traps, or floor drams ^ New building sewer line? Ves No Number of new roof drains? ZI. X Install/alter water line? Number of new water heaters? ^/^^ Number of new, relocated or replaced gas outlets? ^ Number of new hose bibs? Residential Permits: New/expanded service: Number of new amps: . Minor Remodel only. Ves_^^_ No Commercial/Industrial: Tenant Improvement: Number of existing amps involved in this project: - Number of new amps involvedin this project: New Construction: Amps per Panel: Single Phase Number of new amperes Three Phase Number of new amperes Three Phase 480 Number of new amperes Number of new furnaces, A/C, or heat pumps? o New or relocated duct worb? Ves No Number of new fireplaces? _o_ Number of new exhaust fans? / Relocate/install vent? ^ Number of new exhaust hoods? o Number of new boilers or compressors? Number of HP o B-18 Pagel of 1 Rev 03/09