HomeMy WebLinkAbout2301 MICA RD; ; CB073243; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-29-2010 Residential Permit Permit No: CB073243
Building Inspection Request Line (760) 602-2725
Job Address: 2301 MICA RD CBAD
Permit Type: RESDNTL Sub Type: SFD
27
VN
Status:
Parcel No: 2132820100 Lot#: Applied:
Valuation: $411,993.00 Construction Type: Entered By:
Occupancy Group:
12/29/2010
# Dwelling Units:
Reference #: CT 04006
Structure Type: SFD Issued:
Bedrooms: 4 Bathrooms: 4.5 Inspect Area:
Project Title: VIRIDIAN-LA COSTA GREENS-PHS 6 Orig PC#:
PLAN 3: 3813 SF LIV-700 SF GAR -231 SF DECK, 78 SF
cov.
Plan Check#
POR.
Applicant:
APRIL TORNILLO
C/O TAYLOR MORRISON
15 CUSHING
IRVINE 92618
949-341-1289
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Plan Check Discount
Strong Motion Fee
Park in Lieu Fee
Park Fee
LFM Fee
Bridge Fee
Other Bridge Fee
BTD #2 Fee
BTD #3 Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
HMP Fee
Pot. Water Con. Fee
Meter Size
Add'I Pot. Water Con. Fee
Reel. Water Con. Fee
Green Bldg Stands (SB1473) Fee
$1,644.57
$0.00
$1,068.97
$0.00
($85.52)
$41.20
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$4,878.00
D3/4
$182.00
$0.00
??
Owner:
TAYLOR MORRISON OF CA, LLC
15 CUSHING
IRVINE
CA 92618
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWA Fee
CFO Payoff Fee
PFF (3105540)
PFF (4305540)
License Tax (3104193)
License Tax (4304193)
Traffic Impact Fee (3105541)
Traffic Impact Fee ( 4305541)
Sidewalk Fee
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Housing Impact Fee
Housing lnlieu Fee
Housing Credit Fee
Master Drainage Fee
Sewer Fee
Additional Fees
Fire Sprinkler Fees
TOTAL PERMIT FEES
ISSUED
12/31/2007
JMA
Plan Approved:
12/29/2010
PCO60023
PC070085
$0.00
$190.00
$4,492.00
$3,122.05
$7,498.27
$0.00
$0.00
$0.00
$2,286.80
$0.00
$0.00
$216.00
$60.00
$116.00
$0.00
$0.00
$0.00
$0.00
$2,018.00
$125.00
??
$27,853.34
Total Fees: $27,853.34 Total Payments To Date: $27,853.34 Balance Due: $0.00
Inspector: Clearance:
NOTICE: Please take NO ICE at approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." ou 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 wtth Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure wm 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
I I whi h h' r hi h fr i i
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-29-2010
Storm Water Pollution Prevention Plan {SWPPP) Permit
Permit No:SW100461
Job Address:
Permit Type:
Parcel No:
Reference #:
CB#:
Project Title:
Applicant:
2301 MICA RD CBAD
SWPPP
2132820100
CB073243
VIRIDIAN: PHS 6
TAYLOR MORRISON OF CA, LLC
15 CUSHING
IRVINE
CA 92618
949-341-1289
Emergency Contact:
GARY BOUCK
949-246-7922
SWPPP Plan Check
SWPPP Inspections
Additional Fees
TOTAL PERMIT FEES
Status:
Lot#: 27 Applied:
Entered By:
Issued:
Inspect Area:
Tier:
Priority:
Owner:
TAYLOR MORRISON OF CA, LLC
15 CUSHING
IRVINE
CA 92618
ISSUED
11/23/2010
JMA
12/29/2010
1
M
$0.00
$208.00
$0.00
$208.00
Total Fees: $208.00 Total Payments To Date: $208.00 Balance Due:
FINAL. APPROVAL
DA'ft _ / z./ J.~J( (;!_EA.HAN
SIGNMURE __ t
$0.00
City of Carlsbad Bldg Inspection Request
For: 11/30/2011
Permit# CB073243 Inspector Assignment: PY ---Title: VIRIDIAN-LA COSTA GREENS-PHS 6
Description: PLAN 3: 3813 SF LIV -700 SF GAR -231 SF DECK, 78 SF
COV. POR.
Type: RESDNTL Sub Type: SFD
Job Address: 2301 MICARD
Suite: Lot: 27
Location:
APPLICANT TAYLOR MORRISON OF CA, LLC
Owner: TAYLOR MORRISON OF CALIFORNIA LL C
Remarks:
Total Time:
CD Description
19 Final Structural
Final Plumbing
Final Electrical
Act Comments
29
39
49 Final Mechanical
Comments/Notices/Holds
Phone: 9492467922
Inspector: -----
Requested By: GARY
Entered By: JH
Associated PCRs/CVs/SWPPPs Original PC# PCO60023
SW100457 FINAL VIRIDIAN: PHS 6;
SW100458 FINAL VIRIDIAN: PHS. 6;
SW100459 FINAL VIRIDIAN: PHS 6;
SW100460 ISSUED VIRIDIAN: PHS. 6;
SW100461 ISSUED VIRIDIAN: PHS 6;
lns12ection Histo[Y
Date Description Act lnsp Comments
09/07/2011 39 Final Electrical WC PY
07/25/2011 39 Final Electrical NR PY
06/02/2011 17 Interior Lath/Drywall AP PY NEED GAS
06/02/2011 18 Exterior Lath/Drywall AP PY
06/01/2011 17 Interior Lath/Drywall PA PY 1ST LAYER
05/25/2011 16 Insulation AP PY
05/23/2011 84 Rough Combo AP PY
05/19/2011 84 Rough Combo NR PY
05/18/2011 84 Rough Combo CA PY
Inspection List
Permit#: CB073243 Type: RESDNTL SFD
Date Inspection lte_rn Inspector
11/30/2011 89 Final Combo
11/30/2011 89 Final Combo PY
09/07/2011 39 Final Electrical PY
07/25/2011 39 Final Electrical PY
06/02/2011 17 Interior Lath/Drywall PY
06/02/2011 18 Exterior Lath/Drywall PY
06/01/2011 17 Interior Lath/Drywall PY
05/25/2011 16 Insulation PY
05/23/2011 84 Rough Combo PY
05/19/2011 84 Rough Combo PY
05/18/2011 84 Rough Combo PY
05/09/2011 13 Shear Panels/HD's PY
04/27/2011 13 Shear Panels/HO'S PD
04/27/2011 15 Roof/Reroof PD
04/27/2011 15 Roof/Reroof PD
03/16/2011 11 Fig/Foundation/Piers PY
03/08/2011 21 Underground/Under Floor PY
03/08/2011 22 Sewer/Water Service PY
03/07/2011 21 Underground/Under Floor PD
Thursday, December 01, 2011
Act
RI
AP
WC
NR
AP
AP
PA
AP
AP
NR
CA
AP
we
AP
AP
AP
AP
AP
co
VIRIDIAN•LA COSTA GREENS-PHS 6
PLAN 3: 3813 SF LIV· 700 SF GAR -231 S
Comments
GMR
NEED GAS
1ST LAYER
NO PLANS, CARDS
Page 1 of 1
ft;1 cnvor Carlsbad
-Final Building lnspacdon
AUG -5 2011
Dept: Buildin
Plan Check#:
anning CMWD St Lite Fire
Permit#:
Project Name:
Address:
Contact Person:
Sewer Dist:
CB073243
VIRIDIAN-LA COSTA GREENS-PHS 6
PLAN 3: 3813 SF LIV -700 SF GAR -231 SF DECK, 78 SF
2301 MICA RD Lot:
Phone:
CA Water Dist: CA
Date: 08/04/2011
Permit Type: RESDNTL
Sub Type: SFD
27
..........................................................................................................................................................
Inspected A Date a/4./n ./ By: ~ z =1nspected: Approved: Disapproved: __
7 1
Inspected Date
By: Inspected: Approved: Disapproved: __
Inspected Date
By: Inspected: Approved: Disapproved: __ .......................................................................................................................................................... ,
Comments: _____________________________ _
INSTALLATION CERTIFICATE CF-6R-ENV-01
Envelo e -Insulation; Roofin · Fenestration (Page 1 of 3)
Enforcement Agency: Permit Number:
C
If more than one person has responsibility for installation of the items on this certificate, each person shall prepare and sign a certificate
applicable to the portion of construction for which they are responsible; alternatively, the person with chief responsibility for construction shall
prepare and sign this certificate for the entire construction. All applicable Mandatory Measures with check boxes require to be checked to ensure
the mandato measures have been met.
1. RAISED FLOOR
Description oflnsulation ~
Material: _________ -,,_ _ _..,-+--Brand Natne: _____________ _
Thickness (inches):-=--c-c---c----c---,----,--,--~-~ Thennal Resistance (R-Value): ______ _
D §150(d): Minimum R-13 insulation in raised wood-frame floor or equivalent U-factor.
2. SLAB FLOOR/PERIMETER
Material:----c----,-,-----------,1--'-'Y--cl-~-
Thickness (inches ): _______ __,'----'__c.
Perimeter Insulation Depth (inches): ------
.Brand Natne:.----,--,--,-----------
Thennal Resistance (R-Value): --------
□ § 150(1): Water absorption rate for the insulation material alone without facings is no greater than 0.3%; water vapor permeance
rate is no greater than 2.0 penn/inch and shall be protected from physical damage and UV light deterioration.
3. EXTERIOR WALL
a. ln~tioq ;rype (e.x. Batt, Loose Fill, Spray Foatn)
~Ol.,:i¼
n_l')
a. Th=al Resistance (R-Value): K <,. -----~--
b .. Insulation Type (e.x. Batt, Loose Fill, Spray Foatn)
-,--Br-a-nd.,--: ====G::'.::~L\-"·AAc..c.__"'~-'-'-'I 0!h,_..c_c_.,.__ ___ _
b. Thennal Resistance (R-Value): ______ _
Spray/Loose fill) Spray/Loose fill) Installed Actual Thickness
(inches): _____ ~ Contractor's min installed weight/ft' __ lb
Manufacturer's installed weight per square foot to achieve Thennal Resistance (R-Value)
D § 150(c): Minimum R-13 insulation in wood-frame wall or equivalent U-factor.
Exterior Foam Sheathing (rigid Insulation)
Material: ---------------Thickness (inches) '--------~-
Brand Natne: _____________ _
Thermal Resistance (R-Value) : ______ _
4. FOUNDATIONWALL It\.) ~
Material: I Zft= Brand Natne: _____________ _
Thickness (inches):__________ Thermal Resistance (R-Value): ______ _
5. CEILING O .lL / 0 '
Batt or Blanket Type: -~'(::,,q_~~--Y-=-J____ Brand Natne: \..J'-L-\M (J,. J ~
Loose Fill Type:____________ Thermal Resistance (R-Value): 1\-~k"
Spray Foam Type:,-----.,,.---------Brand Name:~----,-----,---,-------
Installed Actual Thickness (inches):_____ Contractor's min installed weight/ft' ___ lb
Manufacturer's installed weight per square foot to achieve Thennal Resistance (R-Value):
D §!50(a): Minimum R-19 insulation in wood-frame ceiling or equivalent U-factor.
TIC RADIANT BARRIER
Material: ------------ll'V-~¾...-~ Brand Name: ____________ _
Material: -:::---:-.,---------i-:,----it--t-Brand Name: _____________ _
Thickness (inches):__________ Thermal Resistance (R-Value): ______ _
D §l 18(a): Insulation installed meets Standards for Insulating Material.
D §150(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-ENV-01
Envelope -Insulation; Roofin!!: Fenestration (Page 2 of 3)
Site Address: \ Enforcement Agency: l Permit Number:
Descrintion of Roofin2: Products
CRRC Product ID Manufacturer Product Roof R~y Product Initial Solar Aged Solar Thermal
Numb«' Information Brand/Model Tvne Area / Slo Wefoht 2 Reflectance Reflectance4 Emittance
(\ / / • □'
/ I -~ □'
/ I
□'
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at
ww.coolroofs.orglproductslsearch.php
2. The weight in lbs per square feet of the roofing product being installed.
3. Check box if the Aged Reflectance is a calculated value using the equation below, footnote 4.
4. If the aged reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the initial reflectance value from the
directorv and use the eauation (0.2+0. l(Pinitial-0.2) to obtain a calculated a'f!ed value.
✓ 0 CHECK APPLICABLE BOX BELOW IF EXEMPT FROM THE ROOFING PRODUCT "COOL ROOF" REQUIREMENT:
□ The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempt from the above Cool
Rao f criteria.
□ Roof constructions that have thermal mass over the roof membrane with a weight of at least 25 lb/fr is exempted from the above Cool Roof
criteria.
To apply Liquid Field Applied Coatings, the coating must be applied with a minimum dry mil thickness of 20 mils across the entire roof surface and
meet minimum oerformance reauirements listed in QJ I 8(i)3 and Table I I 8-C. Select the annlicable coatin~
D Aluminum-Pimnented Asphalt Roof Coatin.,g J D Cement-Based Roof Coating I D Other
✓ 0 CRRC-1 Label Attached to CF-6R
(Note ifno CRRC-1 label is available, this compliance method cannot be used and another method is reauired to meet comvliance).
FENESTRATION/GLAZING
Product # Total Quantity Add. Exterior Comments/
Manufacturer/Brand Name U-Product of NFRC of Like Product Area Shading Dev. Location/ Special
Item (GROUP LIKE RODUCTS) factor1 SHGC1 Panes Certified1•2 (Ootional'I ft' or Overhang Features
I /
2 '\ I /
3 'j I ----4 1/ \I . .
5
6
7.
8.
J. Use values from a fenestration product's NFRC Certified Label. For fenestration products without an NFRC label, use the default values from Section 116, Table
116-A and 116-B of the 2008 Energy Efficiency Standards.
2. NFRC Label Certificates shall not be removed until the buildinf! insvector has verified the efficiencv. Enter Yes or No.
D § 116(a) 1: Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
D § l 16(a)2 and 3: Actual fenestration products installed are equivalent to or have a lower U-factor and/or a lower SHGC than that specified on
the Certificate of Compliance (Fonn CF-lR).
D § l 16(a)4: Fenestration products (except field-fabricated windows) have a label listing the certified U-Factor, certified Solar Heat Gain
Coefficient (SHGC), and infiltration that meets the requirements of§ 10-11 l(a)
D § 117: Exterior doors and windows weather-stripped; all joints and penetrations caulked and sealed.
2008 Residential Compliance Forms August 2009
---------~-,,_. __ ,, .,
INSTALLATION CERTIFICATE CF-6R-ENV-0l
Envelope -Insulation: Roofin~: Fenestration (Page 3 of 3)
Site Address: I Enforcement Agency: I Permit Number:
DECLARATION STATEMENT
• I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct.
• I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative
of the person responsible for construction (responsible person).
• I certify that the installed features, materials, components, or manufactured devices identified on this certificate ( the installation) conforms
to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement
agency.
• I reviewed a copy of the Certificate of Compliance (CF-lR) form approved by the enforcement agency that identifies the specific
requirements for the installation. I certify that the requirements detailed on the CF-lR that apply to the installation have been met.
• I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available wtth the building
permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a
signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building
owner at occupancy.
Company Name: (Installin
2008 Residential Compliance Forms August 2009
----·----..
.. ~ ■
.AUG-lIT-2009 WED 12:41 PM CITY OF CARSLBAD FAX NO, 760 602 8558
~ 7 fV',
P, 01
CIRCUIT CARD
B-36
Development Service5
Bulldlng Department
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov LOT 2 7
THIS (;ARD MUST or:. FILLED OUT AND AVAILAllLE /\iTt1a StrflV]Cl,'i J~(" ulrMl!l',IT fOR n-m ROUGH JNSPr.CTION
Address: -z_~(')/ l'vf le) RI Permit Number: rR()7.'32.l.f3 --
Owner: ,Avl 11D IIA "I? OJ C 11 • I Phono: 0 l.J 4 ,-::,4 I I/_ n rJ .
Phone:
Area In Sq. Ft.
Contractor:
llANEl.: ' .• ,. ,, ' A.LC. VOLTS 11) WIRE
LOCATION CKT BKR WIRE MISC RF.C LTG MISC WIRE BKR CKT LOCATION SIZE SIZE T'IPE REC SJJ.8 "fYI'\; SIZE
I,./,, 1 '-/0 'b V,\ I<-(J. ZD z ,.. M2, A1L--
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.4/, / 5 '-10 S' I /7-I 7.<) 6 i'Ab f....('7
IY/r / 7 tfD ~ '11, -'7 '2-IA 7-c, B II\. (_f"-1
FILA 9 /c-I '1 " I 'f ,, I~ 10 S.ti'., n 'l ,
fAIA 11 Jc; /l , .5 5 I'-{ (A /-:, 12 I ,,pf 1
IS---~-"', s (_ l'f J< (,,.41Z--f-,::;; M.JJ...or-, 13 {' • ' . 14 -fl,;:rz.. , 15 IS /t IA 2..----ID /0 I N . ,., 1,;-16 E,.t.,;:>'(
IV\. /l,,>M 17 ,c I' " ii I Jo le (,u ,~ 18 £_,Jfrt.../
U:i .4, I J , 19 1,;-{< A I <.'J I &, 5 /c ~ .. IC 20 L ✓,/4vi.
pe-t,.,, ~-21 IG /l ' (_ 7 /Li v,, /S 22 l:,ab-, rv ''
~ .. 7.--23 ,,;--*·-~ • II 7 "I /. /1, I<;; 24 Yh,./o r, 11
t.. 0 £-'1i 25 /'7 r, 5 7 26
27 28
29 30
31 32
33 34
35 36
37 38
39 I 40
41 42
MAIN:□ zz..~ AMP BRKIFUSE O MLO Computed Load AMPS
BUS; AMP Ses Cafcu/Dtion Worlt".:iliee/ on OOck
Branch circuits required: $Grvioo enlrance or leader corn.luctors: A) Lighting Circuits 220 -3/b), 4(d)
A) Size: No. B)Type: D cu DAL B) Two Small App\lance Circuits 210-11(e)
C) Insulation: D) Conduil Size: __ C) Laundry Circuit 220 -16(b)
Serv!ce. ground/band:
B) Type: \~\]AL
D) Central Healing Equipmeni 422-12
~•No. 7--E) Bathroom 210. 52(d)
C) lamp location(,);
UFER 250 -50(c) RemarKa:
0 Water Pipe 250 -104
~~od 250 -52
GFC~Blions 210--R, 6S0-70:
~chon
/ c9rtffy thar al/ lerminetions have been torqued in accOrdsnce with manufec:1ur9r's
~3throom{s) ins/ructfom: and that the work shown on this circuit card repr0son1s tha full flxtent of
~ar:.igts(:::.) 4, ydromas&age'T ub the work porlormed under !his permit.
Outdoors D '" D Owner
AFCxo\-eded Circ. 210 -12 CJ Controctor }0 5¾fsh7o e/4iC&L I. Bedroom(s) 0 Signed _$ ,o {_ Dale
l'l-36 Paga 1 of 2 Rev. 03/09
I
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I
A AUG~l9-2Q09 WED \2:4\ PM CITY OF CARSLBAD FAX NO, 760 602 8558
'\71...A-,) :) d
P, 0 l
/2f~:,;:-.
~.:·-!•
~·-CITY OF
CARLSBAD
CIRCUIT CARD
8-36
Development 5ervice5
Building Department
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
1'H15 CA.rtDMllST BE FILLEr) OUT AND AVAlU..f!tE ,._TTU». ~lillVlCI:: l~C UlPMm-tT f()R TI-1.U ROUGll INSPI1.CTION
Address: Permlt Number:
owner: I Phone:
I Phone:
Area In Sq. Ft
Contractor:
!lANTIL -A.LC. VOLTS 0 WIRE
LOCATION CKT BKR WIRE MISC REC LTG MISC WIRE BKR CKT SIZE SIZE TYPE REC SIZE 'fY\11.: SIZE LOCATION
wAc.1,,,,_,. 1 U) 12. (I_ '{; (', '--Ju 2 o-J~
&.o. 3 7~ ' z._ "·· )< r .. '-f() 4 o/W\
Dw 5 ?_\ l'l. ' .. I Z.. f'~ Zo 6 te;r--
IV\i / 7 4,) I z_. I,. LJ 12--r .. -Z.u e }(;./ C...t=-i
\.\...-~ 9 £<) /1-l /Z-"u ½ 10 II d· (714
D·,r-JL--11 2(:, I 'L r ., 'I ~ I Z, ',, Z.-0 12 /1-..;+-Gf-i
p I NL--13 -Z.-0 {Z-r,. t./ t ,1-:. Ld 14 k..i t-r ,f',
. ,~-15 It;;° ['f r .... 7 .7 5 5 I, ., I~ 16 r-A-M w,t\
kJ +r LJ A ' 17 l.t:::; / L/ (1, I 7., '1 7 1~ ', I(, 16 0r,A HV'1
19 20
21 22
23 24
25 26
27 28
29 30
31 32
33 34
35 36 ·,, 38 37
39 \ 40
41 42
MAIN: D Z-z.r AMP BRKIFUSE O MLO Computed Load AMPS
BUS; AMP See Cslcula1ion Work,9/iae/ on t:>ack
Branch circuit5 required: Saivica enlra11ce or leader corn.luc1ors: A) Lighting Circuits 220 -3(b), 4(d)
A) Size: No. 8) Type·. D CU O AL B) Two Small App\lance Circuits 210-11(•1
C) Insulation: 0) Conduit Size:·--C) Laundry Circuit 220-16(b)
Servtce grounct1bcnd:
~]AL
D) Central Healing Equipment 422 -12
A) Size: Na. Z,___ 8) Type: E) Bathroom 210 -52(d)
~mp location(,):
UFER 250 -SO(c) R(lmarKs:
D Water Pipe 250 -104
2J'°t."JJad 250 -52
GFC~\ions 210 -· B, 680-70: -/ csrl/fy thEI/ e/1 lerminations have been torqued in accOrchmce with manufacturer's
:lthroom(s) CY-1(\lchen instruc:Hon$ and that the work shown on this circuit card represents tho full £1Xtent of
[t(Garagl'.I(:::;) {'9t<(ydromassuge 'TI.Jb 1/1e work performed under this permit.
[!r'()u1doors 0 . -D Owner
AFC~eded Gire, 210-,2 --0 Cantractor~';f,;'f:.dCh-7'1:. l" edrooin(s) 0 Signed~ Dale
'--·-·
B-36 Page 1 ot 2 Rev. 03/09