HomeMy WebLinkAbout2223 CAMINO ROBLEDO; ; CB150214; Permit04-17-2015
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: CB150214
Building Inspection Request Line (760) 602-2725
2223 CAMINO ROBLEDO CBAD
RESDNTL Sub Type: RAD
2552615300 Lot#: 0
$15,176.00 Constuction Type:
Reference #:
0 Structure Type:
0 Bathrooms:
Orig PC #:
IYER RES- NEW 220 SF LOFT FOR
BEDROOM
5B
0
Status: ISSUED
Applied: 01/22/2015
RMA
04/17/2015
04/17/2015
Entered By:
Plan Approved:
Issued:
Inspect Area:
Plan Check #:
Applicant:
WILLIAM BUCHER
Owner:
IYER SATISH&VICTORIA G
629 CASSOU RD
SAN MARCOS CA
619 316-3563
92069
2223 CAMINO ROBLEDO
CARLSBAD CA 92009
Building Permit $167.11 Meter Size
Add'l Building Permit Fee $0.00 Add'l Red. Water Con. Fee $0.00
Plan Check $116.98 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 $1.97 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
Bridge Fee $0.00 Traffic Impact Fee (3105541) $0.00
Other Bridge 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 $0.00
Renewal Fee $0.00 ELECTRICAL TOTAL $45.00
Add'l Renewal Fee $0.00 MECHANICAL TOTAL $44.59
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
Reel. Water Con. Fee $0.00 Additional Fees $0.00
Green BIdg Stands (SB1473) Fee $1.00 Fire Sprinkler Fees $0.00
Green BIdg Stands Plan Chk Fee $0.00 Green BIdg Stands Plan Chk Fee
TOTAL PERMIT FEES $376.65
Total Fees: $376.65 Total Payments to Date" $376.65 Balance Due: $0.00
Inspector:
FINAL APPROVAL
Date: 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 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 attacl<,
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 areviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othero/ise expired.
•THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMITISSUANCE: OPLANNING nENGINEERING OBUILDING QFIRE nHEALTH •HAZMAT/APCD
C City of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: building@carlsbadca.gov /
www.carlsbadca.gov
Plan Check No.
Est. Value
Plan Ck. Deposit
Date SWPPP
JOBADDRESS ^ y \ SUITE#/SPACE#/UNfT# | APN. _ ' _ ^
- ^3 -
CT/PROJECT # L0T# PHASE# #"0F UNITS # BEDROOMS tt BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OFWORK: /nc/udeSQuareFeetofAffectedArears; j ^
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES|~|* NOj I
AIR CONDITIONING
YES QNO I I
FIRE SPRINKLERS
YES I |NO| I
APPLICANT NAME
Prfma
;ANT NAME ,111, V , I
ry Contact lAl<>^USm 1SbU^^^€l^
PROPERTY OWNER
ADDRESS
* CTATC
ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE
EMAIL EMAIL
DESIGN PROFESSU CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
CITY BUS. LIC.#
(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 its issuance, also requires the applicant for sucti permitto file a signed statement ttiat he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
WORKERS' COMPENSATION
Workers' Compensation Doclawtion: / hereby affinn under penalty of perjury one ofthe following declaratbns:
• I have and will maintain a certificate of consent to self-insure for wori<ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
• i have and wiil maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
Policy No. number are: Insurance Co.
This section need not be completed if the permit is for one hundred dollars ($100) or less.
Expiration Date.
This seaion need not be compietea n me permii is lor one nunareo doners (»i uu) or less.
I I Certificate of Exemption: I certify that in the perfomiance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Califomia. 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 dollars (&1D0,D00), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees.
CONTRACTOR SIGNATURE • AGENT DATE
OWNeR-BttitOER OBCLARATION
/ hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture 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 builds or improves thereon, and who does such work himself 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).
I I I, as owner of the property, am exclusively contracting with licensed contractors to constnjct the project (Sec. 7044, Business and Professions Code: The Contractor's Ucense 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 Ucense Law).
am exempt under Section, .Business and Prafessions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvemenl QYes j iNo
2.1 (have / have not) signed an application for a building pemiit for the proposed work.
3.1 have contracted with the following person (firni) to provide the proposed constniction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (Include name / address / phone / type of wori():
QAGENT DATE
Is the applicant or future building occupant required to submit a business pl;
Presley-Tanner Hazardous Substance Account Act? Yes
Is the applicant or future building occupant required to obtain a permit from^tlle air pollution control district or air quality management district?
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 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
ii^jsly hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the
Yes
I hereby affirm tfiat ttiere is a construction lending agency for the perfonnance of the work this permit Is Issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
^A C A NT C,1B Tl F IC AT*<?'iN!,
I certily that I have read the applicatnn and state that the above infonnation is conect and that the infomiation on the plans is accurate. I agree to comply with all Oily oidinances and State laws relating to building constnjctnn.
I hereby authorize reptesentative ofthe City of Caiisbad to enter upon the above mentbned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIRT AND KEEP HAFiMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: An OSHA pemnit is required for excavations over 5'0' deep and demolition or constmction of stmctures over 3 stories in height.
EXPIRATION: Every pemiit issued by the Building Oflicial under the provisions of this Code shall expire by limitatfon and become null and void if the building or work authorized by such permit is not commenced within
180 days from the date of such permit or if thqmullding or vw)ri< authorized by such pemiit is suspended or abandoned at any time after the «ork is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code).
>€S'APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email buil(jina(a>cai1sbadca.aOV or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
IVIAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
APPLICANT'S SIGNATURE DATE
Inspection List
Permit*: CB150214 Type: RESDNTL RAD IYER RES-NEW 220 SF LOFT FOR
BEDROOM
Date Inspection Item Inspector Act Comments
05/26/2015 19 Final Structural - Rl CALL W/ETA
05/26/2015 89 Final Combo PD AP
05/01/2015 17 Interior Lath/Drywall PB AP
04/29/2015 84 Rough Combo PD AP
Tfiursday, May 28,2015 Page 1 of 1
EsGil Corporation
In Partnership with government for (Building Safety
DATE: 04/02/2015 • APPLICANT
• JURIS.
JURISDICTION: Carlsbad • PLAN REVIEWER
• FILE
PLAN CHECK NO.: 15-0214 SET: II
PROJECT ADDRESS: 2223 Camino Robledo
PROJECT NAME: Convert Existing Loft to Bed Room
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
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 fonward 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: Chuck Mendenhall (DA) Enclosures:
EsGil Corporation
• GA • EJ • MB • PC 03/31/2015
9320 Chesapeake Drive, Suite 208 • San Diego, Califomia 92123 • (858)560-1468 • Fax (858) 560-1576
EsGil Corporation
In Partnership with government for (Building Safety
DATE: 1/29/15 D >|»PLICANT
^^i^JURIS.
JURISDICTION: Carlsbad • PLAN REVIEWER
• FILE
PLAN CHECK NO.: 15-0214 SET: I
PROJECT ADDRESS: 2223 Camino Robledo
PROJECT NAME: Convert Existing Loft to Bed Room
I I The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
I I The plans transmitted herewith will substantially comply with the jurisdiction's
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.
XI 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.
X The applicant's copy of the check list has been sent to:
William Bucher _ ^ , .
I I EsGil Corporation staff did not advise the applicant that the plan check has been completed.
EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: William Bucher Telephone #: (619) 316-3563
Datgcontacted: / '3^ iWQ^) Email: 1dooign_homoG(gatt.not •
^Wlail^ Telephone\/4/| Fax In Person
• REMARKS:
By: Chuck Mendenhall Enclosures:
EsGil Corporation
• GA • EJ • MB • PC 1/26/15
9320 Chesapeake Drive, Suite 208 • San Diego, Califomia 92123 • (858) 560-1468 • Fax (858) 560-1576
Carlsbad 15-0214
1/29/15
PLAN REVIEW CORRECTION LIST
SINGLE FAMILY DWELLINGS AND DUPLEXES
PLAN CHECK NO.: 15-0214 JURISDICTION: Carlsbad
PROJECT ADDRESS: 2223 Camino Robledo
FLOOR AREA: 210 sf STORIES: 2
HEIGHT: no change
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION:
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 1/26/15
DATE INITIAL PLAN REVIEW
COMPLETED: 1/29/15
PLAN REVIEWER: Chuck Mendenhall
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 Electrical 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, Engineering Department, Fire Department or
other departments. Clearance from those departments may be required prior to the issuance of
a building permit.
Present California law mandates that construction comply with the 2013 edition ofthe California
Code of Regulations (Title 24), which adopts the following model codes: 2012 IRC, 2012 IBC,
2012 UPC, 2012 UMC and 2011 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 2012 International Building Code, the approval ofthe plans does not permit the violation of
any state, county or city law.
To speed up the rechecl< process, please 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 marl<ed up list when you submit the revised plans.
Carlsbad 15-0214
1/29/15
Please make all corrections, as requested in the correction list. Submit FOUR new complete
sets of plans for commercial/industrial projects (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 92008, (760) 602-2700. The City will
route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire
Departments.
2. Bring 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, Engineering and Fire Departments.
NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by the
City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete.
1. Provide a statement on the Title Sheet of the plans stating that this project shall comply with
the 2013 California Residential Code, which adopts the 2012 IRC, 2012 UMC, 2012 UPC and
the 2011 NEC. Section R106.1.
• FRAIVIING
2. The max span ofthe TJ 11-7/8 210 is 17'-1" per the TJ span table. The TJ 210 X 11-7/8 is
shown spanning 18ft.
3. Specify the size of the header over the new 50X36 window in the bearing wall.
. ELECTRICAL
4. Include on the plans the following specifications for electrical devices installed in dwellings:
CEC Article 210 & 406
a) Tamper resistant receptacles for all locations described in 210.52 (i.e., all receptacles in
a dwelling).
b) Arc-fault protection for all outlets (not just receptacles) located in rooms described in
NEC 210.8(A): Family, living, bedrooms, dining, halls, etc.
• PLUMBING
5. Specify on the plans whether the existing house was built before or after 1994. For additions
or improvements to a residence built before 1994, note on the plans that existing
"noncompliant" fixtures (toilets that use more than 1.6 gallons of water per flush, urinals that
use more than one gallon of water per flush, showerheads that have a flow capacity of more
than 2.5 gallons of water per minute, and interior faucets that emit more than 2.2 gallons of
water per minute) shall be replaced. Certification of compliance shall be given to the building
inspector prior to final permit approval. California SB407.
• RESIDENTIAL GREEN BUILDING STANDARDS
Carlsbad 15-0214
1/29/15
The California Building Standards Commission has adopted the Green Building Standards Code
which became effective January 1, 2011 and must be enforced by the local building official. The
following mandatory requirements for residential construction must be included on your plans. CGC
Section 101.3. The Standards apply to newly constructed residential buildings, along with
additions/alterations that increase the building's conditioned area, volume or size. CGC Section
303.1.1. Provide a sheet on the plans labeled "Green Building Code Requirements" and
include the following notes as applicable.
6. Recycling. Note on the plans that a minimum of 50% of construction waste is to be recycled.
CGC 4.408.1.
7. Pollutant control. Note on the plans that during construction, ends of duct openings are to
be sealed, and mechanical equipment is to be covered. CGC 4.504.1.
8. Pollutant control. Note on the plans that VOC's must comply with the limitations listed in
Section 4.504.3 and Tables 4.504.1, 4.504.2, 4.504.3 and 4.504.5 for: Adhesives, Paints and
Coatings, Carpet and Composition Wood Products. CGC 4.504.2.
9. Interior moisture control. Note on the plans that the moisture content of wood shall not
exceed 19% before it is enclosed in construction. The moisture content needs to be certified
by one of 3 methods specified in Section 4.505.3. Building materials with visible signs of
water damage should not be used in construction. The moisture content must be determined
by the contractor by one of the methods listed in CGC 4.505.3.
10. Note on the plans that prior to final inspection the licensed contractor, architect or engineer in
responsible charge of the overall construction must provide to the building department official
written verification that all applicable provisions from the Green Building Standards Code
have been implemented as part ofthe construction. CGC 102.3.
• ENERGY CONSERVATION
11. Residential energy lighting requirements: ES 150.0(k)
a) High efficacy fixtures are required for bed rooms or low efficacy fixtures are allowed if
controlled by a dimmer or a vacancy sensor.
ADDITIONS & ALTERATIONS (ENERGY):
Additions (Prescriptive):
12. Additions under 300 square feet and alternations (such as water heater or window
replacement) that do not require HERS testing do not require energy documentation. Energy
design compliance is required however. ES 10-103.(a)1.C
13. Fenestration:
• Additions <.400 sq. /ft.: Total glazing up to 75 sq. /ft. or 30% of conditioned floor area
(whichever is greater) and up to 60 sq./ft. of west-facing glazing and R13 is acceptable for
exterior wall insulation.
Carlsbad 15-0214
1/29/15
• Fenestration alterations must meet all requirements of ES 150.1 and Table 150.1-A except:
75 sq. /ft. square feet may be added and not be required to meet the total fenestration or
west facing fenestration maximum areas.
• Replacement of existing fenestration up to 75 sq. /ft. only needs to meet the U-factor of .40
and SHGC of .35 specifications, not the Table 150.1-A specification values.
END OF REVIEW
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, calculation page, etc.
The jurisdiction 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 Chuck Mendenhall at Esgil Corporation. Thank you.
Carlsbad 15-0214
1/29/15
[DO NOT PAY- THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad PLAN CHECK NO.: 15-0214
PREPARED BY: Chuck Mendenhall DATE: 1/29/15
BUILDING ADDRESS: 2223 Camino Robledo
BUILDING OCCUPANCY: R3
BUILDING
PORTION
AREA
( Sq. Ft.)
Valuation
Multiplier
Reg.
Mod.
VALUE ($)
New Bed Rm 210 City Est 15,176
Air Conditioning
Fire Sprinklers
TOTAL VALUE 15,176
Jurisdictbn Code cb By Ordinance
BIdg. Permit Fee by Ordinance •
Plan Check Fee by Ordinance •
Type of Review: H Complete Review • Structural Only
• Repetitive Fee
^ Repeats
• Other
I Hourly
EsGil Fee
Hr. @
$167.81
$109.08
$93.97
Comments: In addition to the above fee, an additional fee of $43.00 is due (1/2 hours
@ $86/hr.) for the CalGreen review.
Sheet 1 of 1
macvalue.doc +
^ PLUMBING, Development Services
<J C ELECTRICAL, Building Department
riTv r.c MECHANICAL 1635 Faraday Avenue
^Ani CDAr^ WORKSHEET 760-602-2719
V^AKLODAU B.I8 ww«^carlsbadcagov
Project Address: Permit No» G[))| 5 0^ f ^
Information provided betow refers to worli being done on tfie above mentioned permit only.
This form must be completed and rttanwd to the BulMlna DBiwrtiiWBt brfbra the pwmit ain be issmd.
Building Dept FCDC (760) 602-S5S8
Number of new or relocated fixtures, traps, or floor drains
New building sewer line? Ves No^
Number of new roof drains? . ............ /!P
Install/alter water line? „ c>
Number of new water heaters?—............ ........... . ......... .................... ('^
Number of new, relocated or replaced gas outlets? ~_ ....
Number of new hose bibs? . „ „.
Upgrade existing panel? ..—........ ......... . . „ . Ves Nc^O
From Amps to Amps
Number of new panels or subpanels? .......... ... . .......... . ............ . .
Single Phase ...» Number of new amperes
Three Phase™.... ........... ~ Number of new amperes
Three Phase 480 . Number of new amperes
Remodel (relocate existing outlets/switches or add outlets/switches)?
Ves ^ No
Number of new fumaces, A/C or heat pumps? »,.....„....„.„„..„„„„..„„..„..„....„....„.„„ .. C?
New or relocated duct worh?»......... .... . . . . Ves }p No
Number of new fireplaces? .............. ........... .„..„........„» ................................
Number of new exhaust far»?—................................... . .......................... ................. CP
Relocate/install wwit? « . „ Cp
Number of new e)dKHJSt hoods? .... ..............
Number of n«« boilers or compressors? ..... . .... Number of HP ^
B-18 Page 1 of 1 Rev. 03/09
CB150214 2223 CAMINO ROBLEDO
IYER RES- NEW 220 SF LOFT FOR
BEDROOM
^ I Pinal lncr\t»r+ior» Final Inspection required by:
• Plan a CiVI&l • Fire •
SW OissuEo acv.
Approved Date By
BUILDING
PLANNING
ENGINEERING
RRE Expedite? Y N
DIGfTAL FILES Required? Y N
HazMat
APCD
Healtti
Forms/Fees sent Reed Due? By
Encina V N
Fire Y N
HazHealthAPCD Y N
PE&M \ \-h^ K Y N
School Y N
Sewer Y N
Stormwater Y N
Special Inspection Y N
CFD: Y N
LandUse: Density: ImpArea: FY: Annex: Fattor:
PFF: Y N
Comments Date Date Date Date
Building
Planning
Engineering
Fire
( /A,Sf4yl9-^f^ .AAA >kkk^ a Done
-0^"^' r ^ ^^^^
• Done
• Done