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Home My WebLink About2821 FOREST VIEW WAY; ; CBR2018-1861; Permit(city of Carlsbad Print Date: 01/16/2019 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2821 Forest View Way BLDG-Residential 1563203500 $10,185.69 Residential Permit Work Class: Alteration Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: LE5GOLD: 219 SF REMODEL -KITCHN, LIVING ROOM & MASTER BATH Applicant: Owner: Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Contractor: Permit No: CBR2018-1861 Closed -Finaled 08/01/2018 08/29/2018 PBurn 1/16/2019 ll:06:28AM LYDIA PATERSON COOWNER HARRY AND ANTONIA LESGOLD 2821 Forest View Way SUPERIOR KITCHEN AND BATH INC 8752 Buena Valley Dr Santee, CA 92071-4434 619-7S5-9523 BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) CARLSBAD, CA 92008 ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL MECHANICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL 581473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $341.83 Total Payments To Date: 619-631-8200 $341.83 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $123.83 $86.68 $41.00 $39.00 $49.00 $1.00 $1.32 ,,. {cicyof Carlsbad ReSt'CeXlTt 142-- &iMME~b\b- BUILDING PERMIT APPLICATION 8-•1 Plan Chec~C6R.;l0r F: ~ I KG, f Est. Value PC De po sit ---,---,----- Date _,([1.J-+-f_._l ,_} '-"lg~- JobAddress ~21 forY-t"st:Vrw V/y. Suite: ___ APN: IS--h-3:2/J-3£---01) Tenant Name: Hal'TJ./ $ (/J,,ruw,a: j.,_.eJ{l'd CT/Project#:. ________ Lot#:. __ _ Fire Sprinklers: yes ;Q Air Conditioning: yes/ no BRIEF DESCRIPTION oF woRK: K, ¼tn (2M,wJ.ej ( Jin. fu: o t2WI D Addition/New: ___________ New SF and Use, ___________ New SF and Use, ____ Deck SF, Patio Cover SF (not including flatwork) ~Tenant Improvement: 1, I q SF, _____ SF, Existing Use S-F R, Proposed Use SFR, Existing Use ______ Proposed Use ______ _ 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ D Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No D Plumbing/Mechanical/Electrical Only: _________________________ _ D Other: __________________________________ _ Name: _/.~'l:!!.Y:'!-,µ~~~2.,.-,------ Address: ..._;r,...1.~1-,v.~=ILlc.L,,l,,-Z:.C.<".L.;_;i,,."""',.._ City: _ _,,,_,..._~:.:,,.=- Phone: _(J~'-Jb0i.!t:..::::1J:!:LL _____ _ Email: ae S ign-t' 11A I 'j;) y'1@ · too Architect State License: -~../~-=====--- City: _z_;,tc.--::l,;~1fd':'!-c-- Phone: ~!'.!....t..L~~~-===~-------- Email: ---=r--=---=-",<""-------,----=----,- State License: .ift,,,,2l/l?{) Bus. License: (l:ff'(..L>cl (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/she is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he/she is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). 1635 Faraday Ave Carlsbad, CA 92008 B-2 Ph: 760-602-2719 Fax: 760-602-8558 Page 1 of 2 Email: Building@carlsbadca.gov Rev. 06/18 lllc. ,. ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the following declarations: □ I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. )l{i have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for My _wo,kers~r,a~nsurance ca~:nd polky nu~be'. ace, lnsur•~;:1me: ~ ct,r W/(/41/. lruJ. • ( .fl· Polley No. ~ / 2,v; Q Expiratron Date: / □ Certificate of Exemption: I certify that in the periormance of the work for which this permit is issued, I shall not employ any person in any manner so as to be come subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 ofthe"Labor Code, interest and attorney's fees. --- CONTRACTOR SIGNATURE: .., /2-;;><''>,;_ -~ENT DATE: &-1--:/6'' ( OPTION B ): OWNER-BUILDER DECLARATI I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ I, as o ner 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, Busin sand 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 thro h 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 comp ion, 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 pr~ty, am exclusively contracting with licensed contractors to construct th ·ect (Sec. 7044, Business and Professions Code: The Contractor's License La~_d_,~ not apply to an owner of property who builds or improve reon, and con ts for such projects with contractor(s) licensed pursuant to the Contractor's[, □ I am exempt under Section ::---~...,...,..--,-Business and Professions Co 1. I personally plan to provide the majo bar and materials for construction of the sed property impr ement. □ Yes □ No 2. 1 (have/ have not) signed an application building permit for the proposed work. 3. I have contracted with the following person {f o provide the proposed construction (include e address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hire wing person to coordi ervise and provide the major work (include name/ address/ phone/ contractors' license number): s. I will provide some of the work, b acted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): OWNER SIGNATUR. □AGENT DATE: _____ _ CONSTRUCTION LENDING AGENCY, IF ANY: 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: ______________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No 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. APPLICANT CERTIFICATION: I certify that 1 have read the application and state that the above information is correct and that the information on the plans is accurate. t agree to comply with all City ordinances and State Jaws relating to building construction. I hereby authorize representative of the City of carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO 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 overS'O' deep and demolition or construction of structures over3 stories 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 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days~ 106~m Building Code). APPLICANT SIGNATUR~~ = 2,1/ ........ _:::....>- 1635 Faraday Ave Carlsbad, CA 92008 B-2 Page 2 of 2 DATE: K',/. ;f Email: Building@carlsbadca.gov Rev. 06/18 Permit 1· y po BLDG-Residential Application Dato: 06/01/2016 Owner: COOWNER HARRY AND ANTONIA LESGOLD Work Class· Alteration Issue Date: 06/29/2016 Subdivision: CARLSBAD TCT#77-02 Status· Closed -Finaled Expiration Dc1te: 07/06/2019 Address: 2621 Forest View Way Carlsbad, CA 92006-6845 IVR Number: 12919 Scheduled Actual Inspection Type Date Start Date Inspection No. Inspection Status Primary Inspector Reinspection Complete 1010512018 10/05/2018 BLDG-16 Insulation 072131-2018 Passed Paul Burnette Complete Checklist !tern COMMENTS Passed BLDG-Building Deficiency No BLDG-84 Rough 072000-2018 Passed Paul Burnette Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-14 No Frame-Steel-Bolting-Welding {Decks) BLDG-24 Rough-Topout No BLDG-34 Rough Electrical No BLDG-44 No Rough-Ducts-Dampers 10/09/2018 10/09/2018 BLDG-17 Interior 072319-2018 Passed Chris Renfro Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 01/09/2019 01109/2019 BLDG-Final 080768-2019 Cancelled Chris Renfro Reinspection Complete Inspection Checklist !tom COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No 01/16/2019 01116/2019 BLDG-Final 081404-2019 Passed Chris Renfro Complete Inspection Checklist Item COMMENTS Passed BLOG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes ·-----·--------- January 16, 2019 Page 1 of 1 DATE 08/27/18 JURISDICTION: Carlsbad PLAN CHECK#. CBR2018-1861 ✓• EsG1I SET II PROJECT ADDRESS: 2821 Forrest View Way PROJECT NAME: Interior Remodel for the Lesgold Residence ::J_,1-PPLICANT _.,'A'JURIS ~ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D 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 D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: Lydia Paterson ~ EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contactqg: ==o Telephone#: 619 755 9523 Date contacted: _ (bylj_?) Email: patersonpermits@gmail.com Mail Telephone Fax In Person 0 REMARKS By: Javier Snider EsGil 08/20/18 Enclosures: 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 DATE: 08/09/18 JURISDICTION: Carlsbad PLAN CHECK#.: CBR2018-1861 ✓• EsG1I A '.->AFE::bui!t Cornpat,y SET: I PROJECT ADDRESS: 2821 Forrest View Way PROJECT NAME: Interior Remodel for the Lesgold Residence D APPLICANT D JURIS. D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D 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. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. IZJ The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. IZJ The applicant's copy of the check list has been sent to: Lydia Paterson D EsGil staff did not advise the applicant that the plan check has been completed. IZJ EsGil staff did advise the c!PPlicant that the plan check has been completed. Person contacted: lJl(1t:t'.A, Telephone#: 619 755 9523 Date co . l':9 (by:~) Email: patersonpermits@gmail.com M Telephone In Person □ By: Javier Snider Enclosures: EsGil 08/02/18 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Carlsbad CBR2018-1861 08/09/18 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK#.: CBR2018-1861 JURISDICTION: Carlsbad PROJECT ADDRESS: 2821 Forrest View Way FLOOR AREA: Remodel=2 l 9sf REMARKS: DATE PLANS RECEIVED BY JURISDICTION: DATE INITIAL PLAN REVIEW COMPLETED: 08/09/18 FOREWORD (PLEASE READ): STORIES: HEIGHT: DATE PLANS RECEIVED BY ESGIL CORPORATION: 08/02/18 PLAN REVIEWER: Javier Snider 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 2016 edition of the California Code of Regulations (Title 24), which adopts the following model codes: 2015 IRC, 2015 IBC, 2015 UPC, 2015 UMC and 2014 NEC. The above regulations apply, 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. 105.4 of the 2015 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, 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. Carlsbad CBR2018-1861 08/09/18 PLANS 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 and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring TWO corrected set of plans and calculations/reports to EsGil, 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. 1. All sheets of plans must be signed by the person responsible for their preparation. (California Business and Professions Code). FIRE PROTECTION 2. Show locations of permanently wired smoke alarms with battery backup, per Section R314: See master bedroom. a) Inside each bedroom. b) Outside each separate sleeping area in the immediate vicinity of the bedrooms. c) On each story, including basements. d) Such smoke alarm locations shall comply with the following: i) They shall be not less than 3' from the door opening of a bathroom. ii) They shall be at least 20' from a cooking appliance. iii) They shall be at least 3' from supply registers of heating/cooling systems. iv) They shall be at least 3' from the tip of the blade of a ceiling- mounted fan. • NOTE: When more than one smoke alarm is required to be installed, the alarm devices shall be interconnected in such a manner that the actuation of one alarm will activate all of the alarms in the unit. 3. In dwelling units within which fuel-burning appliances are installed (and in dwelling units having attached garages), show the locations of permanently wired carbon monoxide alarms with battery backup, per Section R315: Outside master bedroom. a) Outside each separate sleeping area in the immediate vicinity of the bedrooms. b) On each story, including basements. Carlsbad CBR2018-1861 08/09/18 • NOTE: When more than one carbon monoxide alarm is required to be installed, the alarm devices shall be interconnected in such a manner that the actuation of one alarm will activate all of the alarms in the unit. EXITS, STAIRWAYS, AND RAILINGS 4. Guards (Section R312): a) Shall be detailed to show capability to resist a concentrated load of 200 pounds in any direction along the top rail. Table R301.5. Provide deck joist size and show distance between bolts on guard rail detail. Also provide wood type and grade. STRUCTURAL 5. Provide locations of all drag trusses. Also provide foundation layout. Based on the layout it appears that the living room walls being removed are likely providing structural support. ELECTRICAL 6. Show on the plan the amperage of the electrical service, the location of the service panel and the location of any sub-panels. If the service is over 200 amperes, submit a single line diagram, panel schedules, and provide service load calculations. 7. Note on the plans that receptacle outlet locations will comply with CEC Article 210.52. 8. Include on the plans the following specifications for electrical devices installed in dwellings: CEC Article 210 & 406. Looks like there is a doorbell on deck that is only accessible from the residence. Is it supposed to be an outlet, or is it misplaced (not against code). a) Tamper resistant receptacles for all locations described in 210.52 (i.e., all receptacles in a dwelling). b) Weather resistant type for receptacles installed in damp or wet locations (outside). c) Arc-fault protection for all outlets (not just receptacles) located in rooms described in NEC 210.12(A): Kitchens, laundry areas, family, living, bedrooms, dining, halls, etc. d) GFCI protected outlets for locations described in NEC 210.8(A): Laundry areas, kitchen dishwashers, kitchens, garages, bathrooms, outdoors, within 6' of a sink, etc. Carlsbad CBR2018-1861 08/09/18 9. A balcony, deck, or porch that is accessible from the interior of the dwelling will require a minimum of one receptacle outlet. CEC 210.52(E) (3). This receptacle must be GFCI protected. Please show even if there is an existing outlet. 10. Per CEC Article 210.11 {C)3, note on the plans that bathroom circuiting shall be either: a) A 20 ampere circuit dedicated to each bathroom, or b) At least one 20 ampere circuit supplying only bathroom receptacle outlets. MISCELLANEOUS 11. 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. 12. 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 □ No □ 13. The jurisdiction has contracted with EsGil, 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 Javier Snider at EsGil. Thank you. Carlsbad CBR2018-1861 08/09/18 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Javier Snider PLAN CHECK#.: CBR2018-1861 DATE: 08/09/18 BUILDING ADDRESS: 2821 Forrest View Way BUILDING OCCUPANCY: R-3 BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier 219 46.51 Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance ----------------------- 1997 UBC Buildin Permit Fee ... g ___ 3 ----· ---------·-=-i 19_97 ~~_C _Plan ~-he_ck _Fee_ _ _ _!_I Type of Review: 0 Complete Review □ Other Reg. VALUE Mod. □ Structural Only □ Repetitive Fee = _·••] Repeats 0 Hourly EsGil Fee 1-------<1 Hr. @ • Comments: In addition to the above fee, an additional fee of $ $ /hr.) for the CalGreen review. ($) 10,186 10,186 I $75.31 J is due ( hour@ Sheet of Ccityof Carlsbad CIRCUIT CARD B-36 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov THIS CARD MUST BE FILLED OUT AND AV All.ABLE AT THE SERVICE 111 UlPMENT FOR THE ROUGH INSPECTION Address: "2.fP \ "fi -• \)\~ wrrv1 Penni! Number. C0P'2,0t<P. -IC&,/ OWner. r -~\I uiS.'io J Phone: lvea In Sq. Ft. Contractor. iL,Ae_lf,r,{ Phone: /,, I C( S-2-6 os I PANEL: l"i', A.LC. -l.L{ D VOLTS A Ill ~ WIRE BKR WIRE MISC REC REC LTG MISC WIRE BKR CKT LOCATION LOCATION CKT SIZE SIZE TYPE SIZE TYPE SIZE (\.-;, 1 1-D I 'l w L /.I ., ~ \) '2,C 2 1,.. ' Ml I 7_r.. \1, II::!~ ••• 3 LV -7. \1 fl\) .,,0 4 l(.~•14f, Lu n,,.,_,. 5 'Lo I • (' -~ \1, /LU "] 0 6 0a.-u hfl! . . L-~ 7 ,i ' , . c,, I c.., ' -l '1 CIA I c. 8 L1t.U. D•~• J -•• 9. 15, JL l,l In I t I '-I' I' _v I~ 10 ft\.liOtV tN. I¼ 11 -, 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 i 40 41 42 MAIN:□ lt-0 AMP BRK/FUSE □ MLO Computed Load '.:i'.3 AMPS BUS: 11]; AMP Sea Calculation Wolk.sheet on back Service entrance or feeder conductors: Branch circuits required: A) Size: No. B) Type: 0 CU O AL A) Lighting Circuits 220 -3(b), 4(d) B) Two Small Appliance Circuits 210-11(e) C) Insulation: 0) Conduit Size: __ C) Laundry Circuit 220-16(b) Service ground/bond: 0) Central Heating Equipment 422 -12 A) Size: No. B) Type: 0 CU O AL E) Bathroom 210 -5~i. ~ Clamp location(s): ~-rks: -04.\/\e l e..-~-,.\..; .•• II.. a l (! I r C. ll ,-1--s. UFER 250 -50(c) □ Water Pipe 250-104 ;·;1 -J", __ ,,,.. '~-, • '-• □ Ground Rod 250-52 u •• ,, ., . □ GFCI locations 210-8, 680-70: I certify that all tenninations have been torqued In accordance with manufacturer's □ Bathroom(s) □ Kitchen instructions and that the work shown on this circuit card ·represents the full extent of □ Garage(s) □Hydromassage Tub the work petformed under this porm/l □ Outdoors □ ~er AFCI Protected Clrc. 210-12 ContractoaYN-V ,~ ¼'.,c,«A :nfli □ Bedroom(s) □ Signed _ Date /( % B-36 Page 1 of2 Rev. 03/09