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HomeMy WebLinkAbout2812 HOPE AVE; ; CB961904; Permit,B U IL D I N G P, E R MI T Permit No: CB961904 11/18/96 11:01 Project t\Jof A9602718 Page 'I ''of 1 Development No Job Address: 2812 1-COPE AV. Suite: Permit Type SINGLE FAMILY- DWLNG - DETACHED 1037 11/18/96 0001 01 02 Parcel No Lot# c-Pr1T 26800 Valuation 38,610 . Construction Type VN Occupancy Grout Ref erence# Status ISSUED Description: 149,5 SF SECOND DWELLING4 UNIT Applied:.. 10/03/96 Apr/Issue: 11/18/96 * . Entered y: MDP. .-' Appl/Omrr: GAUTHIER,'.RAY 619 438-2888 ,. 280 HOPE AVE 5 "CARLSBADçCA. 92008 . ** Fees Requred ** Fees lected & Credits 2,921. Adjustments:-. .00 To .z: .. 00 .. Total Fees .. 2 TOtjt 223. 00 2,698 00 Fee description J '.Lts F / nit Ext fee Data Bui.ldg Permit / -. 34300:. Plan Che~ck 2213.00' Enter to LtcaJc ( iflr' A? (R5.1 703 00 Y 649.00 (TI 395.00 \TIFCF Un V * BUILDING TOTAfl' \ .. . S 2758.00 - Enter "Y" fo-'Plumbin Issue ee > P.20.00 Y Each Plumbi'r4Fixure.r T >IJCORP0RATED 6 7.00 42.00 Each Install/Repair Wat r •1952 7.00. Each Water, Heater and/o±Ve 4. > 7. 0'. 7. 00- - :Gas Piping System- 0 .00 7,00 Each a Vacuum Breker 7 00 14 00 * PLUMBINGTOTAL .. . 97.00 Enter4Yu for Electric Issue .. 1O,.00Y5 •. - Single Pha?se Per, AMP ., . . . > . 100. 25.00. . *.ELECTRICAL TOTAL .. - 35.00 - -- Enter -'Y''fo MechánicaII-ssue Fed> J5;00 Y lristall.Furh/Ducts/Heat Pumps 1 9.00 -. 3.QO_ •i: Each Exhaust Fan - >- •- . 1- 6.50 . .6.50 MECHANICAL TOTAL 3100 FINAL APPROVAL INSP 3) 41__ DATE_2 p 4 CLEARANCE CITY OF CARLSBAD ' 2075 Las Palmas Dr Carlsbad CA 92009 (619) 438 1161 -. .1. . - S. ,.,-- .1• tr4Do,O 'SEWEJ. .PERMIT 11/18/96 11:01 Permit No:. 5E960129 Page 1 of 1 .. Bldg PlanCk#: CE961904 JobA'ddressi 2812 HOPE AV. Suite: Permit ayp SEWER - RESIDENTIAL Parcel No: 1037 11/18/9 0001 01 02 C-F'RMT 1e1000 Description: 495 SF SECOND DWELLING UNIT Status: ISSUED SEWER PERMIT Applied: 10/22/9.6 Apr/Issue: 11/18/96 Permitee:. GAUT.HiEa, AY - 619 438-2888 Expired: JR 2810-HOPE. AVE . Prepared By: MAM CARLSBAD,CA 92008 $ *** Fees Required ** Fees Collected & Credits **. Fee description : Uni fl ,q Ext fee Data -- - -o- - - - Enter Number of uni:s .. > 1 0 i:o TotalEDUs.. 1.00. Sewer Fee - 1810.00 . Enter Sewer EDUs and. 8 elln e Area 1810 *-SEWER TOTAL 1810.00 It'JCORPORATED . 1952 . ". ---------------- ANAL APPROVAL INSP. DATE CLEARANCE CITY OF CARLSBAD (619) 438-1161 2075 Las Palmas Dr., Carlsbad, CA 92009 . . .. . CjH/(O PERMIT APPLICATION . City of CarLsbad BuiLding Department 2075 Las Patinas Dr., CarLsbad, CA 92009 (619) 438-1161 1. PERMIT 1YPE PLAN CHECK NO. PLAN CK DEPOSIT VALID. BY IA, From List I (see back) give code of Permit-Type: r" ( Ti ( --------------------------------------------------------- For Residential Projects Only: From List 2 (see back) give - - - - - 0148'- 10/03/96 00(1 01 02 Code of Structure-Type: S t-t - ,. :. C-PRMT 223 00 Net Loss/Gain of Dwelling Units - - 2. PROJECF INFORMATION - .. . - FOR OFFICE USE ONLY Hap 12~ E- AYE.. Building or Suite No. - - Nearest Cross Street en VA ,.r.,.,iti LJr_3%_n1r I Millo WI PlO. auuUMblull iNdUi/INUiIiL)[ unit NO. - i'nase No. - . - AN -s-rs No 24 _- - CHECK BELOW IF SUBMIITED: - . .. .• - 21—Energy Caics 'tructural Calcs 02 Soils Report 0 1 Addressed Envelope - DESCRIPTION OF WORK - SQ. FT. S # OF STORIES ' # OF BEDROOMS # OF BATHROOMS. 3. (kiN lAUI PU(UN (it clitlerent from applicant) NAME (last,name first) ADDRESS . . CITY Y - - STATE - ZIP CODE . DAY TELEPHONE - -. F • - AJ'PLIcANr CONTRAG1UR U AGENT FOR CONTRACTOR OWNER U AGENT FOR OWNER -.- NAME (last name first) ( A'A1H I 'B7ADDRESS 10 a-tCPE- v:WL . CITY C4V__L. 513-4C -. STATE C-'A ZIP CODE DAY TELEPHONE( Co q. ) 4 I8 PROPERTY OWNER . . NAME (last name first) - .5>Frt'fl - - ADDRESS - - -. . • - . CITY . STATE ZIP CODE DAY-TELEPHONE . COMITIACTIOR 6 NAME (last name first) - ADDRESS CITY - - STATE. -. ZIP CODE ,, DAY TELEPHONE STATE UC. #.-I I 023 LICENSE CLASS . 13 CITY BUSINESS UC. # DESIGNER NAME (last name first) . ADDRESS ---- - - CITY - STATE . - ZIP CODE ' DAY TELEPHONE STATE UC. # 7. WORKERS' COMPENSATION . . Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to sell-insure issued by the Director of industrial . Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). . INSURANCE COMPANY - POLICY NO. EXPIRATION DATE • -, 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 become subject to thq Workers' Compensation Laws of California. SIGNATIJREl 'DATE ' • -. - . 8. OWNER-BUIt1)tl !1ECLAAON Owner-l3uikler Declaration: I hereby, affirm that I am exempt from the Contractors License Law for the tollowing reason: 1, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure 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 Pr 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 buildiig 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, 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 to the Contractor's License Law). I am exempt under Section Business and Professions Code for this reason: (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 such permit to file a signed statement that he is licensed pursuant to the - provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the 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 [$5001). , - . - '.•• . - SIGNATURE . DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit businss plan, cuteIy hazardous materials registration form br risk management and' prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? .DYES . - 0 N •. . .. - . - . .• -..--- - Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES 0 N Is the facility to be. constructed within 1,000 feet of the outer boundary of a school site? DYES 0 N IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AF1tR JULY.1, 1989 UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DIS1I1ICF. WNSIIIUCI1ON LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work tor which this permit is issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS . .4. APPLICANT tEThIcAflON. . •.- - . - - - I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS 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 permit is required for excavations over 5'O" deep and demolition or construction of structures over 3 stones in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by. -such permit is suspended or abandoned at atiy time aft the work is commenced for a period of 180 days (Section 303(d) Uniform Building Ccxie APPLICANT'S SIGNATURE ____ . - - DATE: _______ 0 JIHaA r d I s)I3vg1Las UN SJINaMMO3 - . I. - l. .. -S. .5 . 5, •- 4I • 5. • -S - • •. 5 I• 5-- 4.. ,1 • c • .•5. 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UlSUl3 do AJIIO -- - _5•__ 5 1 - - r EsGil Corporation Professional Plan Review Engineers DATE: November 14, 1996 U APPLICANT __ U FIRE JURISDICTION: Carlsbad U LA JiEWER- C3 FILE CHEC NO 96-1904 K SET II .,,,,:PLAN PROJECT ADDRESS 2810 Hope Ave PROJECT NAME Gauthier SFD The plans transmitted herewith have been corrected where necessary and substantially comply - with the jurisdiction's *********** codes t 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. j 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 The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person - The applicant's copy of the check list has been sent to '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: : Date contacte (by ) Telephone # REMARKS: tty shall place their "soils notice" stamp on the plans. Applicant shallnoté on shee1t'ithat FAU closet must be 12 inches wider than the furnace being installed. By: Sergio Azuela Enclosures:, Esgil Corporation ..• 0 GA 0 CM 0 EJ 0 PC 11/4 - - !rnsmti.dot 9320 Chesapeake Drive Suite 208 • San Diego, Califorma 92123 • (619) 560-1468 • Fax (619) 560-1576 - - - - EsGil Corporation TrofesszonilTan Review Engineers DATE October 15, 1996 U APPLICANT• rQ R. L3 FIRE -JURlSDlCTlON:. Carlsbad * 0 PLAN REVIEWER El FILE . PLAN CHECK NO.: 96-1904 SET:! PROJECT ADDRESS 281- Hope Ave T..PROJECT NAME: Gauthier SFD LII The plan transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's ***********• codes. • 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. 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 LI The applicant's copy of the check list is e4 nclosed for the jurisdiction to forward to the applicant contact person?. S.- - The applicant's copy of the check list has been sent to Ray Gauthier 2810 Hope Ave,Carlsbad, CA 92008 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 Date contacted (by ) Telephone # REMARKS . By: SergioAzuela Enclosures: - - ' . Esgil Corporation '.-D GA, .DCM 0 E F1 PC 10/7 * trnsmtl.dot ... 5- - - -• - . 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (619) 560-1468 • Fax (619) 560-1576 .* ) - - - S. Carlsbad 96-1904 1. October 15, 1996 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES FOREWORD (PLEASE READ) ...' This plan review is limited to the technical requirements contained in the Uniform 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 residential construction comply with Title 24 and the fdlIdwing model codes: 1994 UBC (effective 12/28/95), 1994 UPC (effective 12/28/95), 1994 .UMC (effective 2/23/96) and 1993 NEC (effective 12/28/95). The above regulations apply to residential construction, regardless of the 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. 106.4.3, 1994 Uniform Building Code, the approval of the plans does not permit the violation of any ' state, countyorcity law. To .speed up the recheck 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 marked up list when you submit the revised plans. 'LIST NO. 1,GENERAL SINGLE FAMILY DWELLINGS AND DUPLEXES WITHOUT SUPPLEMENTS (1994 UBC) r3forw.dot A Carlsbad 96-1904 t October 15, 1996 PLANS 1 • Provide a statement on the Title Sheet of the plans that this project shall comply with Title 24 and the 1994 UBC, UMC and UPC and the 1993 NEC. 2'. NOTE on plans that permanently wired smoke detectors with battery backup shall sound an alarm audible in all sleeping areas of the unit Section 310.9.1. . GENERAL RESIDENTIAL REQUIREMENTS 3 Sleeping rooms shall have a window or exterior door for emergency escape Sill height shall not exceed 44" above the floor. Windows must have an openable area of at least 5.7 square feet with the minimum openable width 20" and the minimum openable height 24" The emergency door or window shall be openable from the inside to provide a full, clear opening without the use of 0. separate tools. Section 310.4. Note on plans that window "D" shall provide the minimum required 20" openable width. . ROOFING : .;-.-. • A A3 - -, 4 •• - Specify roof slope 5 Note on the plans "Attic ventilation openings shall be covered with corrosion-resistant metal mesh with mesh openings of 1/4-inch in dimension" Section 15053 4 . FOUNDATION REQUIREMENTS 4 4 6 The City shall place their "soils notice" stamp on the plans 7 Note on plans that surface water will drain away from building and show drainage pattern and key elevations Section 1804.7. 8 ' Specify size, I C B 0 number and manufacturer of power driven pins and expansion anchors Show edge and end distances and spacing Section 1701.7. For interior walls I - . FRAMING 9 Show nailing will be in compliance with Table 23-I-Q 10 Show location of attic access with a minimum size of 22"x30", unless the - • maximum vertical headroom height in the attic is less than 30". Access must be provided to each separated attic area, shall be located in a hallway or other • readily accessible location and 30" headroom clearance is required above the opening Section 1505.1. •• • Carlsbad 96-1904 October 15, 1996 11. Detail truss layout for 30" x 30" attic access, if required for equipment in the attic and detail 30" x 30" clearance through truss webs. MECHANICAL (UNIFORM MECHANICAL CODE) 12 Show the size, location and type of all heating and cooling appliances or systems. * 13 Show minimum 30" deep unobstructed working space in front of furnace Section . 305.2, UMC. 1 4 14 Show access to the attic containing equipment to be minimum 30 inches by 30 inches. The opening may be 22 inches by 30 inches if the equipment can be removed through such opening. Section 319.3, UMC. 15. Note that passageway to the attic furnace shall be unobstructed and have contiruous solid flooring not less than 24 inches wide, not more than 20 feet in length through the attic. Section 319.4, UMC. •••S - • • - S 16 Show permanent electrical outlet and lighting fixture controlled by a switch for furnace located in attic or underfloor space. Sections 319.6 and 320.1, UMC.. • . • . ELECTRICAL (NATIONAL ELECTRICAL CODE) All wiring shall comply with the National Electrical Code Show on the plan the amperageof the electrical service, the location of the service panel and the location of any sub-panels. If service is over 200 amps, submit single line diagram, panel schedule and load calculations Note on the plans that receptacle outlet locations will comply with 1993 NEC Art. 210-52(a) • Show on the plans that countertop receptacle outlets comply with 1993 NEC Art. 210-52(c), which reads as follows: In kitchens and dining areas of dwelling units a receptacle outlet shall be • • installed at each counter space wider than 12 inches. Receptacles shall be S. • installed so that no point along the wall line is more than 24 inches measured horizontally from a receptacle outlet in that space. Island and peninsular countertops 12 inches by 24" long (or greater) shall have at least one receptacle for each four feet of counter top. Counter top spaces separated by range tops, 4 refrigerators, or sinks shall be considered as separate counter top spaces -I. ' Carlsbad 96-1904 October 15, 1996 Show on the plan that ground-fault circuit-interrupter protection complies with 1993 NEC Art. 210-8, which reads as follows: All 125-volt, single-phase, 15- and 20- ampere receptacles installed in bathrooms, garages, basements, outdoors and within 6 feet of a kitchen sink. . PLUMBING (UNIFORM PLUMBING CODE) & Note on the plans that "combustion air for fuel burning water heaters will be provided in accordance with the Uniform Plumbing Code" FuéI combustion water heater shall not be installed in clothes closets, in a bathroom or bedroom, or in a closet opening into bathroom or bedroom UPC, Section 509.0. 23 Show T and P valve on water heater and show route of discharge line to exterior. UPC, Section 608.5. , - 24 Provide a note on the plans In showers and tub-shower combinations, control valves must be pressure balanced or thermostatic mixing valves UPC Section 410.7 •. 25 New water closets and associated flushometer valves, if any, shall use no more ... - than 1.6 gallons per flush and shall meet performance standards established by the American National Standards Institute Standard Al 12.19.2. H & S Code, : Section 17921.3(b). ENERGY CONSERVATION 1S NOTE Plans submitted after July 1, 1995 must comply with the new energy : •: - standards. '26.'The regulations require a properly completed and properly signed Form CF-lR to be either imprinted on the plans, taped to the plans or "sticky backed" on the plans, to allow the building inspector to readily compare the actual construction with the requirements of the approved energy design 27: . Specify on the building plans all of the mandatory energy conservation requirements as listed on the enclosure titled, "Mandatory Measures Checklist" 4 28..Show the make, model, type and efficiency of the space heating (or cooling) - - system. -•• - ::- ---' •-- - . * Carlsbad 96-1904 October 15, 1996 : . . CARLSBAD S.F.D. & DUPLEX SUPPLEMENT 29. New residential units must be pre-plumbed for future solar water heating. Note that two roof jacks must be installed where the water heater is in the one story garage and directly below the most south facing roof (City Ordinance No. 8093). 30 Note that two 3/4H copper pipes must be installed to the most convenient future solar panel location when the water heater is not in a one story garage and is not directly below the most south facing roof. (City Ordinance No 8093) 31.: All piping for present or future solar water heating must be insulated when in areas that are not heated or cooled by mechanical means (city policy) 32. Please make all corrections on the original tracings, as requested in the correction list.. Submit three sets of plans for commercial/industrial projects (two 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, 2075 Las Palmas Drive, Carlsbad, CA 92009, (619) 438-1161 The City will route the plans to EsGil Corporation and the ' ' :. Carlsbad .Plnning, 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, (619) 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. . MISCELLANEOUS . 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 Please indicate here if any changes have been made to the plans that are not a . • . - result of corrections from this list. If there are other changes, please briefly describe them and where they are located in the plans. - . .. . . . Have changes been made to the plans not resulting from this correction list? Please indicate: Yes El IJo U Carlsbad 96-1904 October 15, 1996 • The jurisdiction has contracted with Esgil Corporation located at 9320 - •• Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of S 619/560-1468, to perform the plan review for your project: If you have any -. questions regarding these plan review items, please contact Sergio Azuela at Esgil Corporation Thank you S - - - 5- -S - , S . -•- - 5• .5-,. 1 . -- .4 • - 3 , S ,. 5, -, -•_ ."5.f',_ ••,• - - 5_ - t5 . - 4 S •'' .5 -• • -S 4S • S , _'__5 5* ''-. 4rb1 •, ' - S/' S f -55, - -*5-S *•_•__/ -• .5-.. :-L-, .5. - -S • - 5 '.5 4S - - -; 5-5-• S - ." - - . - S - S S •. - '5 4 - - - S. 5-5 r,S • - .5\ 55-. - .•. - • S S - •*- • _5* , •5 - 3- • 3.. - 5-' -5_5 5 -• 5- S • * • S - - . .4 • Carfsbad 96-1904 October 15, 1996 4 VALUATION AND PLAN CHECK FEE JURISDICTION Carlsbad PLAN CHECK NO 96-1904 PREPARED BY Sergio Azuela DATE October 15, 1996 BUILDING ADDRESS 2810 Hope Ave - 4 BUILDING OCCUPANCY R3 TYPE OF CONSTRUCTION VN BUILDING PORTION . ; BUILDING AREA (ft VALUATION MULTIPLIER. . VALUE ($) 4 DweI ling , .. - 495 . 78.00 38,610 4 4 - p. .4..•• - Air Conditioning - - Fire Sprinklers - TOTAL VALUE 38,610 '4 4-4 - - 1991 44 UBC Building Permit Fee Bldg Permit Fee by ordinance $ 343.00 44 1991 UBC Plan Check Fee fl Plan Check Fee by ordinance $ 222 95 Type of Review Complete Review Structural Only J Hourly Repetitive Fee Applicable fl Other --- Esgil Plan Review Fee $ 178.36 Comments - Fire Services Review Complete Review Suppression System YV, Fire Alarm Other Esgil Fire Services Review Fee $ - Comments Sheet I of -1, -4 macvalue doc 5196 ' Citv'of Carlsbad DATE: /O BUILDING ADDRESS: PROJECT DESCRIPTION: . ASSESSOR'S PARCEL NUMBER: p3 — /3o -dv- BUILDING PLANCHECK CHECKLIST c) . PLANCHECK NO.: CB 9/9O4 EST. VALUE: tlNtKIN(. L)t'PJ( I IV1N I APPROVAL The item,you have submitted for review has been approved. The approval is based on plans, information and/or specifications provided in your submittal; therefore any changes to these items after this date, including field modifications, must be reviewed by this office to insure continued conformance with applicable codes. Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to build. DENIAL Please se the attached report of deficiencies marked with . Make necessary corrections to plans or specif atio for compliance with applicable codes and standards. Submit corrected plans and/or • specifications to this office for review. - Date: By: Date: By: - Date: .... .... ............................ Bi/I- 772 .. :.. %%% ........ ............. . .. .. . ..... . ..:: ... ........ .• Dté: 9 .: :: .. ATTACHMENTS . .. . ENGINEERING DEPT. CONTACT PERSON Li Dedication Application . . Dedication Checklist . . . Li Improvement Application . Name: Michele Masterson . Improvement Checklist . . O . City of Carlsbad Li . Future lmprovment Agreement Address: 2075 Las Palmas Dr., Carlsbad, CA 92009 Li Grading Permit Application Phone (619)438-1161 ext. 4315 '• :' Li Grading Submittal Checklist . . Li Right-of-Way Permit Application - . Li Right-of-Way Permit Submittal Checklist and Information Sheet ' Li Sewer Fee Information Sheet A-4 - z,eck cd BP1 Form Wdoc R.v. 8121O • . 2075 Las Palmas Dr.. Carlsbad, CA 92009-1576. (619) 438-1161. FAX (619) 438-0894 I' BUILDING PLANCHECK CHECKLIST - SITE PLAN AST ND Z 3RD 1. Provide a fully dimensioned site plan drawn to scale. Show: A. North Arrow D. Property Lines Easements B Existing & Proposed Structures E Easements C. Existing Street Improvements F. Right-of-Way Width & Adjacent Streets Q. 2 Show on site plan PA rainage Patterns Existing & Proposed Slopes C Existing Topography clude note "Surface water to be directed away from the building foundation at a 2% gradient for no less than 5' or 2/3 the distance to the property line (whichever is less)" [Per 1985 UBC 2907(d)5] .- - On graded sites, the top of any exterior foundation shall extend above the elevation of the street gutter at point of discharge or the inlet of an approved drainage device a minimum of 12 inches plus two percent" [Per 1990 UBC 2907(d)5] 4 Include on title sheet A Site address B. Assessor's Parcel Number C Legal Description For commercial/industrial buildings and tenant improvement projects, include: - I •- total building square footage with the square footage for each different use, existing sewer permits showing square footage of different uses (manufacturing, warehouse, office, etc) previously approved EXISTING PERMIT NUMBER DESCRIPTION ' •: Page 1 of 4 -'S I - P.nct,eck CW 8PO1 Fo,m WA.doc Rev. 8121196 - BUILDING PLANCHECK CHECKLIST .. V DISCRETIONARY APPROVAL COMPLIANCE 1S 2ND I 3RDj Li 0 Project does not comply with the following Engineering Conditions of approval• forProject No.________________________________________________ Conditions were complied with by Date DEDICATION REQUIREMENTS Li Li Dedication for all Street Rights-of-Way adjacent to the building site and any storm drain or utility easements on the building site is required for all new buildings and for remodels with a value at or exceeding $______________ pursuant to Code Section 18.40.030. Dedication required as follows c Dedication required Please have a registered Civil Engineer or Land Surveyor prepare the appropriate legal description together with an 8 1/2" x 11" plat map and submit with a title report All easement documents must be approved and signed by owner(s) prior to issuance of Building Permit Attached please find an application form and submittal checklist for the dedication process Provide the completed application form and the requirements on the checklist at the time of resubmittal Dedication completed by Date IMPROVEMENT REQUIREMENTS Li Li Li 7a All needed public improvements upon and adjacent to the building site must be - constructed at time of building construction whenever the value of the construction exceeds $ , pursuant to Code Section 18.40.040. Public improvements required as follows Please have a registered Civil Engineer prepare appropriate improvement plans and submit them together with the requirements on the attached checklist for a separate plancheck process through the Engineering Department Improvement plans must be approved, appropriate securities posted and fees paid prior to issuance of permit Attached please find an application form and submittal checklist for the public improvement requirements Provide the completed application form and the requirements on the checklist at the time of resubmittal Improvement Plans signed by Date Page 2of4 PanCJ,eCk Cldst 8P000I Fom, V.tdoc R.'. 8121IO 1st.i 2" 3rd, VV:p V - V F BUILDING PLANCHECK CHECKLIST 7b. Construction of the public, improvements may be deferred pursuant to Code Section 18.40. Please submit a recent property title report or current grant deed on the property and processing fee of $_________________ so we may prepare the necessary Future Improvement Agreement. This agreement must be signed, notarized and approved by the City prior to issuance of a Building permit. Future public improvements required as follows: Improvement Plans signed by: Date: 7c Enclosed please find your Future Improvement Agreement Please return agreement signed and notarized to the Engineering Department VV+JV ; •VA• Future Improvement Agreement completed by Date: 7d. No Public Improvements required. SPECIAL NOTE: Damaged or defective improvements found adjacent to building site must be repaired to the satisfaction of the City Inspector prior to occupancy. GRADING PERMIT REQUIREMENTS V The conditions that invoke the need for a grading permit are found in Section 11.06.030 of the Municipal Code. 8a Inadequate information available on Site Plan to make a determination on grading requirements. Include accurate grading quantities (cut, fill import, V ,,• export). ci 8b Grading Permit required A separate grading plan prepared by a registered Civil Engineer must be submitted together with the completed application form - attached NOTE The Grading Permit must be issued and rough grading approval obtained prior to issuance of a Building Permit 44 •V V - V - Grading Inspector sign off by ci ci 8c No Grading Permit required V V - V ,• •,•• •Vd V.. V r - Page 3 of 4 V V V G:LtBRARGWORDDOCSHkLSTBiIong Pncfleck Oft BP000I Fm Pl.doc V. V . V - - BUILDING PLANCHECK CHECKLIST MISCELLANEOUS PERMITS 1? 2 3rd,i 1 IJ 9. A. RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or private work adjacent to the public Right-of-Way. Types of work include, but are ' S. not limited to: Street improvements, trees, driveways, tieing into public storm drain, sewer and water utilities. - Right-of-Way permit required for A separate Right-of-Way permit sued by the Engineering Department is required for the following t24L LI LI 10 A SEWER PERMIT is required concurrent with the building permit issuance The fee is noted in the fees section on the following page S . iA LI 11. INDUSTRIAL WASTE PERMIT is required. Applicant must complete Industrial Waste Permit Application Form and submit for City approval prior to issuance of a Permit Industrial Waste permit accepted by Date 1\ - LI LI 12 NPDES PERMIT I- • Complies with the City's requirements of the National Pollutant Discharge Elimination System (NPDES) permit The applicant shall provide best management practices to reduce surface pollutants to an acceptable level prior to discharge to sensitive areas Plans for such improvements shall be approved by the City Engineer prior to issuance of grading or building permit, whichever occurs first Page 4 of 4 Rsv. 8I21I8 ENGINEERING DEPARTMENT ENGINEERING REVIEW SECTION FEE CALCULATION WORKSHEET 0 Estimate based on unconfirmed information from applicant. 0'—'Calculation based on building plancheck plan submittal. Address: 3/O !/ t2.e Bldg. Permit No.L1?J3 /9O 1 Prepared by: Date: Date: Checked by: Date:_____________________ EDU CALCULATIONS: List types and square footages for all uses. Types of Use: /'/ 6q-.ftlunits:I EDU's: I Total EDU's:I ADTCALCULATIONS: List types and square footages for all uses. 'Types of Use:_c.13F'iO - Sq.-R/dnits: / ADTs:I - - , Total ADT's_________________ - FEES REQUIRED: - - PUBLIC FACILITIES FEE REQUIRED 0 YES 0 NO (See Building Department for amount) WITHIN CFD: D YES (no bridge & thoroughfare fee, 0 NO - .- reduced Traffic Impact Fee) , K-IN-LIEU FEE PARK AREA:_________ FEE/UNIT: X . NO. UNITS: - =$_____________ 1LAFFIC IMPACT FEE ADTs/UNITS: I X FEE/ADT: 40 =$S' 4C 46A~BRIDGE AND THOROUGHFARE FEE A • ADT's/UNITS: X FEE/ADT: , FACILITIES MANAGEMENT FEE ZONE:_________ SQ.FT. X FEE/SQ.FT.: =$___________ E1SEWER FEE . PERMIT No . EDUs: / X FEE/EDU:/2/C =$_____________ - BENEFIT AREA: DRAINAGE BASIN: -- EDUs: - X FEE/EDU: =$______________ PI6AINAGE FEES PLDA : HIGH /LOW______ ACRES: X FEE/AC: =$____________ * •- TWER LATERAL ($2,500 DEPOSIT) ATER FEE X FEE/EDU =$ 00 __________ TOTAL OF ABOVE FEES*:$e2, (0SC• *NOTE: This calculation sheet is NOT a complete list of all fees which may be due. Dedications and Improvements may also be required with Building Permits. P:\D0CS\MISF0RMS\BP0002.FRM - REV 01/04/95 f. PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No CB &' I Address '2910 /-O(7e P UQ Planner Van Lynch Phone (619) 438-1161 ext. 4325 (Name) APN '7O3-l3O -3 Type of Project and Use 2 Zone Facilities Management Zone SI CFD (in/out) .'- . circle (If property in, complete SPECIAL TAX CALCULATION WORKSHEET provided by Building Department) Legend, ltem Complete - '3 -- Item Incomplete - Needs your action - - • ç;) - - cc ) -. D LEnvironmental Review Required YES NO TYPE DATE OF COMPLETION - Compliance with conditions of approval? If not, state conditions which require action. -• Conditions of Approval ' /4 IJ"D J Discretionary Action Required YES NO >( TYPE APPROVAL/RESO NO DATE PROJECT NO. _________ • OTHER RELATED CASES: Compliance with conditions or approval? If not, state conditions which require action Conditions of Approval California. CoastalCommission Permit Required: YES NO DATE OF APPROVAL: San Diego Coast District, 3111 Camino Del Rio Noah, Suite 200, San Diego, CA 92108 (619) 521-8036 Compliance with conditions of approval? If not, state conditions which require action Conditions of Approval /D Q Inclusionary Housing Fee required YES ' NO (Effective date of Inclusionary Housing Ordinance May 21, 1993) - Site Plan V 11" 0 0 Provide a fully dimensioned site plan drawn fo sca1e. Show.North arrow, property lines, easements, existing and proposed struàtures,' streets, 'existing street, imprbvements, right-of-way width, dWnensioned setbacks and existing topographical lines V L - El Provide legal description of property, and assessor's parcel number. Zoning .1"•' I1' 0 0 - -' . -. - 1 Setbacks - : Front: Required 20 Shown Z ü Int. Side: Required' Shown 19 Street Side: Required .- /Q' Shown i Rear: Required Shown 1:9 1 0 2. Lot Coverage: - Required iVU ry ia&7 (,QY$hown es -h-rni z 0 Height: Required 35' .Shown . /5•M 4. Parking:. Spaces Required /). Shown 2.- - Guest Spaces Required - Shown ( - El El 0 Additional Comments t..ehiiicate_otLompllance: Reside n t i a l (Page .1 of 2) CF-1 R lee .7- Project Title bate ' 2ci K0 P_ S+ CAgL5A cA- 200 Project Address R'I i4ec- Documentation Author- 1'elephofle Yf&REPA€4by ErcO/np— ii• OTL C.ompliinc.e ethod (Paó.age. point yslem or Computer) Climate Zone GENERAL INFORMATION -Total Conditioned FioorAiea: ZBfl, Buiiding Type: V Single Family Addition (c~*ck one or more) - Mufti-Family Exising-PtuS-Addilion , Front Orientation: •. North / East / South I West I All Orientations - (input otienaon in degrees and cie one.) Nuthber of Dwelling Units: _____ Floor Cohstrion Type: aRaised Floor (circe one or n BUILDING SHELL INSULATION Construction Component, lnsulaton Assembly. LocatiorVCortirnenls : TvDe R-Value U-Value ar.i:, c araoe. vi:al, Gc.) n................ V/aIl ...............R-Y a. FZ_ 19 .:-Roof 4-7 " Fccr............. . N 1 Floor ...... . ...... . Vj4 w_j_ SlaEdge.... p.cCC) __________________________ FENESTRATION ShadingDevices . Fenesjraliori Area Fenestration Interior Exterior Overhang Orientation(sfl ,U-Value roller bnd.etc.) (shadascreen,etc.)I_(yesirto) Front...( - P Front..... o e •jt-fl ..Le1t.......( ) --Rear.....( ., Right ..... _________ • DPcPc-,MIi-T .• _________ __________________ Skylight - I_ro N _J_N . Skylight ........ - .' ThFRMM ).AA Framing Type, (metal wood/vinyl) Field Check/ Date Agency Use Only TypeICovezing Area Thickness I .' (slab/a tile, etc.) (sf) (inches) Location/Descriotion (kitchen. bath. etc.) f cir'gpe.-r oojIj 2crrtJvtI 5Lc e / V '/NA-I' •i . - i- RcriJ4 f3r4b - , .; I • •-• • - - . . - .VIIo4 January 192 . • . L (. erti1iCate or uompuan-ce:. iesioenuai Rest c Proj ~1~t HVACS STEMS No. Input hyronc ire hydnic data under Water Heatir; Sy:er. expt Des;r. earg Load- .8: ".Healing Equipment Minimum Type and Duct or Type (furnace, heat EtliciertCy Location Piping Thermostat etc.) AFUE'HSPF' (ducs.'aticetc) R-Value Tvoe O.4Fu R -L Coölig Equipment Minimum Duct Type (air dhi3ner, Efficiency Location Duct Thermostat heat o. eva. co:lin:) (SEEP (anic. etc.) R -!alue Tvoe Ac5p% IO.005er_'t4L. Confi;uratiofl (slit cr ackac' WATER HEATING SYSTEMS Enerçy1 Exemal TarK actor or I a 71K al ed' 'Water Heater . Distribution . Number tnput (kW Capabr' F.ecovery Standby1 lnsutaticn Tvoe.. Tvoe in System cc Etu!hr) (ca!lor.s ElicienCY Loss %'i R-Vaue 41000 --mall 'z torç ir.e 75.003 Eiir). electri: ar: heat wales he.te3. us: Energy aCT. F= 'ar;a gas storage water 1e.ste' z ed -p ~ OX C ) y Ee' a. Szrc:y ..:ss r.:ntaneou2 ;a water hea tem,!is,, a:e Ipt an'. E SPECIAL FEATURES/REMARKS (Add extra stail necessa,) RIALE R&o5 —O5oA,w. I.FU1- : Spr4k Pc,S-cO 7•.5 C AL- COMPLIANCE STATEMENT Ift5 riuiicate of compartce lists the building features and orarte ec.iicatic'...eded to mply th Title 2, Paris I and 6, of the California Code of Recuiaons, and the adrninistrave reguiaons to implement them. This ceri1icate has been signed by e iflrduaI with overall desigr.responsibiiify; Whin INS certificate c1 rnpfian is sumiited for a single building plan to be built b multiple orientations, any shading feature that is varied is indicated in the Special FeaturesImats secon. Designer or Owner (r Bualnesa& Profe33lon$ Code) Documentation Author .Narne: p'L 6-u4-- Vi tgr Natne: eJTun: ()ui J Addess: Qp Ad±ess: -Teiephse: (i,, '•l .t Telephone: (sinaa.Jre) . . (date) (si;nas.sre) . (dale) 'Enforcement Agency. . - Name:. __ A9en_-y: . . . '1'etepsone: .. (rarura/mp) 7 • . (ate) - .-------- NOTE: Lowrise residential buildings subject to the s:anards must contain these measures ardless of the compIiace approach used. Items marked with an asteisk () may be superseded by rnoreW g •tcomphan requiremen' - listed on the Certificate of Compliance. When this checklist is incorporated 1nt2 'the permit documents, the featurt noted shall be considered by all parties as binding minimum component perf0tmane sped clions for the mandatory measures whether they are shown eIswhere in the documents con this c n e o c i i s t o n l y . DESCRIPTION DESIGNER ENFORCEMEN Euildlng Envelope Measures §15oCa): 411irdnumR-tSiiinginsulaon. . §iSO(b): Lcce fill suiaonmanuacturers la±Ied -Vajue.\ 5b0(c) Minimum R 13 wail su'aon in £raried wails (ds not aoy toexterior mass walls) §50(d): Minimjm R-13 ras.a-d or sutadon Li -ned toots: mirnim in nete raise / §153(I): Stab edoe insulation - water abpon rate no ç6atef -an 0.'., water vapor transmission rate no aater than 2.0 perrrvinth. § 3 IrsJaror saened or ir.s.Jled m- Ciil: a Ene cy C_-- c.anty st.ndaTs -. " Incicate yp'e and form. 6116-17: Fecies on Prdu,s, E:e'ior Doors a;-,"Irf aorr/E:iIt-aor Ccrrtro!s . ' a. Cocms and windows bew€-en condcned and nndidonedspzzes designed to flrrit air Ieaace. Maiutactu;ed fenesaon pmdUCtS have tthe! wth cenifie, U-vaiiue, ar.4 inñlaon rdcac. - Eerior dco.s and windows wsathreroipped; ail joins and peneoaans ulked and sealed. §150(o): Va.or arries rrandatory.in Climate Zones 14 and 16 ory. 53(t) S>-:aJ inñaon saner ir.zJled to -'ply %i.i § 1. 51 r-- Ccrr ssro, quality srcas ,. . ' §1 5De): Installadon of Fire2las, Derave Gas Apolians and Gas xs . 1. Mascnry and lacty-5uilt fiep!as have: a. Cicseate mnetat or iass door , * -, .Crjtside Intake with damper a, F 2.. No -os btninc :as ilo ailcwed. Soaca Conditioning, Water Heating and Plumbing Syern Measures elO - 1-C :-en arhacs s-a: al v the C.,r'-'iss.c / 'J(i) S-_=4-ack thermnas.__, on al ciiIe hearo sq51crs §153(1): FiDe and Tank insulation .,. -•t lndirec hot wale., tanks (e.c., unfired starace tanks or backup solar hot water tanks) have Lisulaort 61anket(R.12 or greater)or mmtiined interior/exterior sulati on(R-15 or greater). / Fs a feet of pipes c1es1 to water heater tank, non recrclano systems ins..slated (i 4 o g eale') All buried or ez ed piping insutated inreth.añngsec5onsof hot water system. Ai/ ,l- Co*systmppingbefowS5Fir.sulated. N/A- J:--r 4.5. Piping insulated between heating source and indirect hot water tank. . ; - §150(m): D and Fans - ,1. D cons, ed,installed and sealed toplywUMCSior.s1oo2 and 1.4; ducts insuIated to a minimum installed value of R-4.2 or duct endcsed endrefy within noioned spa./11 '• • 2. El-.ai..'st Ian systems have backdmaii or automatic dampers -i.. • 3. Gravity ventilating systems serving candiüoned spa have either automatic or readily ac.ssible, - •••.' : uafly operated damper / • .- §114: . LN 1 Ss em :srtfiedvr7° 1rioency on-off swil' weatherar operatingnsuc'onsno elecic r sstars heatgd no pilot lioht.. __ - 2. Systemis installed with* a. At least 36 pipe be me—_ and heater for future solar hean:, b. Cover for outdoor pals utdoo' spa. 3. Pool syslei has and a circulation ptp lime switth. • §115: Gas-flied central turn, pheater, spa heater or household =oWN appliance have no r itrnuous1y busing pao, light. (E.xpon Non eleciJ =oking appliance with paot < 150 Btuku) • ' Llgh[1iig Measures . . ) • •f ' . ; §150(k): 40 lumens.watt or greatedor general fighng in kitchens nd rooms with water dc; a-id - •-'- ressedriling fixtures IC ( sutation ver) approved. Reyl3&d Janus 92 - - - 0}UlIE1N3S I20 ..wl: ~CampuTrus Inc. O.n.."Jkftk woo 00 Z. LOAD 0,JOIJIOl* oCREAf0 • (VI) 4 I Rtqol.*d on Spot. Coot 24'-IO., 5Potj) oi oc I O 1N.d. I. IMlw.l1.00o..q .- 01 IaOp'flp .00 ,s.aw,I.l 01 II 00OU LOADING tL . ON TopC010. 30 PIf CL 01100110101011!). tO p3f• .r.c.0000110 '0' 011011it. It IQTAILOAD. p. . ZoO CCI!STRIJCTLOK (3.130 604-110 50 33' 6" 50.! P3WC15 ?OWION & I.) Ino.t,aot .M..foo•.. * 2*6 55*10130 01 (150 104-nO TO 31'-2* 00(5010 C11000.M!M 01V011001.v. 0 ' ot.000001ll 01pso01A,o,00otV. IIEACTIOM - 0271 01.111.N.o(.u$ll.00. 0(00031! 303100JM TRUSS 000mER100C3.3 7.0.j. 00100000111101. 000111000000010. *00O 10 - 3901 01 - IOU ljj 99 owl wl00 I01'001100500*1001. (0.6) C-40.0 to 33-6' 1.0' 2.0" 52 • 3613 62 • 06.6* VI - 0011 (216) C-40.3 to 291-11 4.0' 2.0' - *3 1049 tLP000I1.I3.RUN00otbotI.cIIl010I0000d01W0S cOwl N.1 6.1.1631001, Jwl corlo N.. LTtRRATh OPtIC! (TO) 6f. III 00114 163o1o. )tI01ø0r1AfuNdNCR.913UPWobl01IHW*0P (ZoO) 044.3 to 36'.4' B".IflAM. 4310 (1*4) 0-1.3*4.3 to 29-LP 3(I.LCI I! Is Tpow1.c6inP 03d..0103gN.pSSC,P01 (2*0) C-00.0 to W.V.L.I. Opp" Woo ftw: olpll.Ip00tI0)c.p .5101.4111(3 11. U 10 SVLLCO (0001 11130'lo 6* ONo' .0104 UI p.00 I.1 I 16 C-2,3 0 t 36'-6' C-1.5.6.0 C-2.304.3 to 21'-V', 2.4 swOt I 1fO '00 0.1401.0 TOP CI 0 2.* C-SolO_i to 26'-6' 31 C-loll .6 to 30-9" C-3.9.6 to 26.-I" sntc AL!UMATT SPLICO (U) to 36'4' tI-3.0cl7.3 to 34'-6" 00 OPtICS r1O C-3n14.9 to 36'-6' C-0.3o11.9 to 36'-O' 04 -0.514.3 to )0'-l" 0-309.4 to 29'-Z' aIf0•3ot3.6 to 31'-lO to 361-6 0-0*11.9 to 25'-9" E--g J C-3a.4 10 26•-l' SY1*ETRICAL ABOUT CEN110LIN6 FILE NO.: OCt44 - 36 -411 - S DATE: 6/I84 REF.: 23-1 DES. BY: Sc BED.: 55000010 I COSO-3.SsI?.9 to 36-4" CO -3.3o(4.) to 34'11" FOR THE SPANS NOTED BELOW; LUMBER SHALL BE OF THE MINIMUM GRADE AND SPECIE INDICATED ObAflO Uvi&nt I O1flflC I 400010 I 101100 I lOcnO I 101(10 I c.qnc I it 0)0 I a9 AV I si.c 7-6 1 P CHORD C ZoO 36'4" ] 134'-O° '•J 1*'-o" 1''-" 29'.I1" 29'-3" 285•I1 21'-i 26-3" 2S'-5° 23'-T" _j 26'-)' 12314 22-10" oo'-o° IiôM CHaRiOt 2*0 1 136'-6" 30-4" 32.-4" )1'.0" Iio.'o' Iio'-o" 26'-3" 31.4" I,p•-i" I .......-. I. I 7SSio - IM ANALYSIS&, \\ I PROJECT:N4ME.G.7?Qc 12f?.....;..... t ESIGN 3 PROJECT NUMBE$ PREPARER f j,j1 ! DA'TE/r17 S71UCTUR4L DESIGNCONSULTA T //7 SHEET......... v - OvA// /f i7?71 : E NAME PLT. AMPS--KW WIRE SIZE BRKR SIZE cu AL SERVICE I Pa FEEDER #1 FEEDER #2 - RANGE OVEN A/C DRYER WATER HEATER COMPACTOR - DISHWASHER S LAUNDRY - (2-2-- 24) Av \A 1 110 REMARKS S S S I ( GFCI LOCATION c-3 -t( ( SERVICE GROUND / BOND . ... Size: No. AL CU Location of Clamp(s) 6 DATE / - JOURNEYMAN ,% 1• I ,2 /2 jMp 'i-v 9 -/9 ' t'ITV flC CAM - Dliii mKin iMCDfTifM DAD Aftir - - CIRCUIT CARD FILL IN APPLICABLE ITEMS BELOW • USE REMARKS AS THIS CARD MUST BE FILLED OUT AND AVAILABLE ON THENECESSARY TO DESCRIBE WORK. JOB SITE FOR THE ROUGH INSPECTION. ELECTRICAL PERM IT NO.44-1SI- JOB ADDRESS ,NUMBER_STREET CIRCUIT NO *ROOMS fimmuff--i CIRCUIT NO. 2 - ROOMS RHIJI -uui *FIUIII -•uui _dI14t UEifli'ULI1 _______••.•• _______ CIRCUIT NO. 5 *ROOMS CIRCUIT NO. 6 ROOMS ___....__-U.... MEN U•UUI_______ - UU•UI_______ UUI U.... U.... UUUUi U.... _•UUUI_______ _-•UUUI -UUUUUI _-...ui ..... *ROOMS I!ROOMS -----••• U.... _1UUUUU_UU•UU mmmmml mommi I.... NAME OF EACH ROOM WHERE OUTLETS ARE LOCATED. LIST OLD AND NE) OUTLETS ON SAME CIRCUIT.- MARKING OLD OUTLETSTHUS (j) USE CIRCUIT SPACES ABOVE FOR GENERAL LIGHTING AND SMALL APPLIANCE CIRCUITS ONLY. . T = TAII. - R = CONVENIENCE RECEPT. OUTLET C' = CEILING LIGHT S = SWITCH B = WALL BRAC(ET LIGHT .4 IN-1779 (REV. 3-81)