HomeMy WebLinkAbout2407 SONORA CT; ; CB140807; PermitCity of Carlsbad
• 1635 Faraday Av Carlsbad, CA 92008
05-06-2014 Residential Permit Permit No: CB140807
Job Address:
Building Inspection Request Line (760) 602-2725
2407 SONORA CT CBAD
Permit Type:
Parcel No:
Valuation:
RESDNTL
1673811800
$2,874.00
Sub Type: RAD
Lot#: 0
Constuction Type: 58
Reference #:
Status: ISSUED
Applied: 04/09/2014
Entered By: SKS
Occupancy Group:
# Owelling Units: 1
0
Structure Type:
Plan Approved: 05/06/2014
Issued: 05/06/2014
Bedrooms: Bathrooms: 0
Orig PC#:
Inspect Area:
Plan Check #:
Project Title: MASON RES -50 SF REMODEL
JACK&JILL BATH INTO 2 SEPARATE BATHROOMS// UPGRADE
ELECTRICAL PANEL FROM 100 TO 125 AMPS
Applicant:
LUPTON STEPHANIE/URUCHURTU CARMEN
PO BOX 2216
SAN MARCOS CA 92079-2216
760-224-9704
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
STD #2 Fee
STD #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
Green Bldg Stands Plan Chk Fee
$58.27
$0.00
$40.79
$0.00
$0.00
$1.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1.00
$0.00
Owner:
MASON WENDEE S LIVING TRUST 01-01-04
2407 SONORA CT
CARLSBAD CA 92010
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWA Fee
CFD 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
Total Fees: $286.22 Total Payments to Date: $286.22 Balance Due:
Inspector:
INAL APPROVAL 7-J-(l/ Clearance:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$89.00
$49.50
$46.66
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$286.22
$0.00
NOT/CE: 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 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
f /xa fwhih hav revi I b n iv N IE imilr h·1 r st whichh at flimi tin has rvi sl therwieexir
(
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: ,.e;;J,.PLAJ'NlNG ~N<lJHEERING \ef BUl!,DING □FIRE □HEALTH 0 HAZMA T/APCD
' Plan Check N{_,,{)_;; /C( 0,'5()7--~ Building Permit Application I------" .,, .,.. },: 1635 Faraday Ave", Carlsbad, CA 92008 Est. Value 7 A< 7 Lf -CI r Y 0 1-Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. D1Jp9slt , l/o 7c, CARLSBAD email"" building@carlsbadca"gov SlP' www.carlsbadca.gov Date U l'l /fYlswPPP -
JOB ADDRESS Z"fi, 7 C-1-
I SUITE#/SPACE#/UNIT#
IAPN /6 7 3~/ So..,,o't"A --It -co
WPROJECT # I LOT II ~ry---T# OF u7rs I II BEDROOMS II BATHROOMS I TENANT BUSINESS NAME
1
co~~TYPE Toc;;:o; 76-2. / g!,81 zg
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
-I "t, fe,rlo .,. ('tlM<Od,I . .( ~o ~,-ff. -Ii, c.,,,,.,M,rf o.. j ,._J: -j ,·tr J-..-11,, ;..,f,, -Ava r.. ... ~t...r
. c d s( 'i: cm icA.L 171\JL,'~ L I ;L5 -Up JrZ/1 f ,
i/"1ZCJi, I /CO Tb co·cr A/l1;1s-
EXISTING USE I PROPOSED USE !GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDff10NING )FIRE SPRINKLERS S'F,e S'l'?e YES0, NcQ ves0No0 YESONoO
APPLICANT NAME $-{c~ ,
_ftlti~l!_t@rt_____ A""' I e. l,., / f!A ILM-EIJ ',:>1"e>V\ U,t.UUh.>--ILT'..._
PROPERTY OWNER NAME
\rJ t "'"' ~ e Mit, .. .,.,
ADDRESS • , ADDRESS f". o. Sox 2-Z. 11.. 2"'1-o'7 So~•.,.,..,,,_ ct
CITY STATE ZIP CITY c..,.-lsl.u..o/ STATE ZIP
cA "/2e>7"'I cA -"--$Ak ~ .. _Gos __ ------T'"' -"" ----" "---~HOt,iE-----"-""--F -------""
<j 2C~/t)
--" PHONE -;r. 0 -Z.. 7.~-'17 04\-1,0 -m-n>,
EMAIL ~j\.,(.,..._f+-...,, @.9""""'-'I· EMAIL d111.fs..,.ar+eaol-c-..._ ~-
DESIGN PROFESSIONAL
~A-,.., -ti' t,u .. -1 l CONTRACTOR BUS, NAME .,.., .. e.-_le,..,,/{ Je..-_
-----------. ---------------------.. -"-" -----------------------ADDRESS ADDRESS
-------------------------" -------------"----" ---------------" -----------"-----------------
CITY STATE ZIP CITY STATE ZIP
PHONE lAX PHONE tAX
~-" ---------" "--------. ------------" ------------"----" "-EMAIL EMAIL
--" -I STATE UC.# STATE LIC.# I CLASS l CITY BUS. LIC.#
(Sec. 7031.5 Business and Professions Code. Any CrtY or Coun_ty which requires a permit to_construct. alter, improve, demohsh or repair an):': structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he is hcensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Sectron /031.5 by any applicant for a permit subjects the applicant to a c1v1I penalty of not more than five hundred dollars {$500}}.
Workers' Compensation Declaration, / hereby affinn under penalty of perjury one of the following declarations
I have and will maintain a e of consent to self-insure for workers' compensatio ided by Section 3700 of the Labor for the performance of the
Section 3700 of the La e performance of the wo rmit is issued. My nier and policy
numberare:lnsuran ____________ _____ " · vNo. _____ _,~--+.------~ p _____ ;
Th' 10n need not be mrt is for one ~un red doll ) or ~ss. . ; /
iflcate of Exe the ich this ued, employ any p o become ubjec s of /
a ion unlaw all su mployer to c I fines u o one o)(fu
additi r in de, in rest an fees. --
1 hereby affirm that I am exempt from Contractor's License Law for the to/lowing reason:
IZl
□
D
I, 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 .vtio bu!ds or ·improves thereon, and who does such work h'1mself or through his own em~oyees, provided that such improvements are not intended or offered tor
sale. If, however, the building or improvement is s(]d 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 sa~)
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 trte Contractor's License Law)
I am exempt under Section ---------·~---Business and Professions Code for this reason
1. I personally ptan to prov"1de the major labor and materials for construction of the proposed property improvement. 0Yes Oo
2. I (have I have not) signed an application for a building permit for the proposed work
3. I have contracted with the following person (firm) to provide the proposed construct'1on (include name address I phone I contractors' ncense number):
4. I plan to provide JX)rtions of the work, but I have hired the following person to coordinate. supervise and provide the major work (include name I address I phone/ contractors' license number)·
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
~ PROPERTY OWNER SIGNATURE ~GENT
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
ts the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes O No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance of the wort this permit is issued (Sec. 3097 (i) Civil Code).
Lende(s Name Lender's Address
I certify that I have read the application and state that the above lnfonnation is correct and that the information on the plans Is accurate. l agree to comply with all City ordinances and State laws relating to building coostruction.
I hereby authorize rep-esentative of the City ct Carlsbad to enter upon the atove mentklned property for inspection purp::,ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAIO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERM~
OSHA: An OSHA pem71t is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION. Every permit "issued by the Bui!d'rng Offcial under the provisions of this Code shall expire by limitation and become nun and void W the buik:ling Of ',',0/1(: authorized by such pennit is not commenced within
180 days from the date of such permit or 1fthe bui or w:irk aulhonzed by such perm~ is suspended or abanOOned al any time after !he v.ork iS ronmenced for a period of 180 days (Section 106.4.4 Uniform Budding Code).
,8$ APPUCANT'S SIGNATURE DATE
Inspection List
Permit#: CB140807 Type: RESDNTL RAD
Date Inspection Item Inspector
07/02/2014 19 Final Structural
07/02/2014 89 Final Combo PB
06/17/2014 33 Service Change/Upgrade PB
06/04/2014 17 Interior Lath/Drywall PB
05/30/2014 27 Shower Pan/Roman Tubs PB
05/28/2014 84 Rough Combo PB
05/22/2014 21 Underground/Under Floor PB
Thursday, July 03, 2014
Act
RI
AP
AP
AP
AP
AP
AP
MASON RES -50 SF REMODEL
JACK&JILL BATH INTO 2 SEPARATE BAT
Comments
AFTER 2PM. SHE DID NOT KNOW
WHAT TYPE Fl
Page 1 of 1
EsGil Corporation
In <Partnership with government for '13uifain9 Safety
DATE: 04/16/2014
JURISDICTION: City of Carlsbad
PLAN CHECK NO.: 14-0807
PROJECT ADDRESS: 2407 Sonora Ct.
PROJECT NAME: Mason Bath Remodel
SETI
□ APPLICANT
□ JURIS
□ PLAN REVIEWER
□ FILE
~ 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
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
Corporation 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:
~ EsGil Corporation staff did not advise the applicant that the plan check has been completed.
D 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
0 REMARKS:
By: Aaron Goodman
EsGil Corporation
0 GA O EJ O MB O PC
Enclosures:
04/14/2014
Fax#:
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
City of Carlsbad 14-0807
04/16/2014
[DO NOT PAY -THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Carlsbad
PREPARED BY: Aaron Goodman
BUILDING ADDRESS: 2407 Sonora Ct.
PLAN CHECK NO.: 14-0807
DATE: 04/16/2014
Set I
BUILDING OCCUPANCY: R-3 TYPE OF CONSTRUCTION: V-B
BUILDING AREA Valuation
PORTION ( Sq. Ft.) Multiplier
Remodel
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code cb By Ordinance
Bldg. Permit Fee by Ordinance •
Plan Check Fee by Ordinance ~J
Type of Review: Complete Review
D Repetitive Fee :~J Repeats
Comments:
D Other
D Hourly
EsGil Fee
Reg. VALUE
Mod.
D Structural Only
($)
2,874
2,874
$58.271
$37.aal
$32.63j
Sheet 1 of 1
macvalue.doc +
.~
4.
~ CITY OF
CARLSBAD
PLAN CHECK
REVIEW
TRANSMITTAL
DATE:04/22/14 PROJECT NAME: MASON RESIDENCE
PLAN CHECK NO: 1
VALUATION: $2874
SET#: ADDRESS: 2407 SONORA CT
INTERIOR REMODEL
Community & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www .carlsbadca.gov
PROJECT ID: CB14-0807
APN: 167-381-18
✓ This plan check review is complete and has been APPROVED by the ENGINEERING
Division.
By: KATHLEEN LAWRENCE 04/22/14
A Final Inspection by the Division is required Yes ✓ No
This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check Comments have been sent to: SJLDRAFTING@GMAIL.COM
You may have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit.
Resubmitted plans should include corrections from all divisions.
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
PLANNING ENGINEERING FIRE PREVENTION
760-602-4610 760-602-2750 760-602-4665
✓ Kathleen Lawrence
760-602-2741
_ Ch ris.Sexton@ca rlsbadca .gov Kathleen.Lawrence@carlsbad.c.a...gg_'t Gregory.Ryan@carlsbadca.gov
Gina.Rulz@carlsbadca.gov Linda.O_ntiveros@carlsbadc~.gov Cynthia. Wong@ca rlsbadca ,gov
Dominic.Fieri@carlsbadca.gov
Remarks:
NO ENG FEES
~ ., ...
·~ CI TY OF
CARLSBAD
BUILDING PLANCHECK
CHECKLIST
QUICK-CHECK/APPROVAL
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
ENGINEERING Plan Check for C814-0807
Project Address 2407 SONORA CT
INTERIOR REMODEL
ProJect Description:
ENGINEERING Contact: Kathleen Lawrence
Phone 760-602-27 41
RESIDENTIAL INTERIOR
✓ RESIDENTIAL ADDITION
<$20,000>
CARLSBAD PREMIER OUTLETS
OTHER: --PLANCK REVISIONS
Date 04122114
APN 167-381-18
Valuation: $287 4
Email kathleen.lawrence@carlsbadca.gov
Fax 760-602-1052
TENANT IMPROVEMENT
PLAZA CAMINO REAL
COMPLETE OFFICE BUILDING
r .. -.. -.. -.. -.. -.. -.. -.. -.. -.. -.. -.. -" -.. -.. -.. -.. -" -.. l
OFFICIAL USE ONLY .
ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT
BY: KATHLEEN LAWRENCE
REMARKS: ·· NO ADDTL ENG FEES--
DA TE: 04/22/14
Notification of Engineering APPROVAL has been sent to SJLDRAFTING@GMAIL.COM
via EMAIL on 04/22/14
-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-·
E-36 Page 1 of 1 REV 4/30/11
~ .,-...
~ CITY OF
CARLSBAD
PLAN CHECK
REVIEW
TRAN SM ITT AL
DATE:04/22/14 PROJECT NAME: MASON RESIDENCE
PLAN CHECK NO: 1
VALUATION: $2874
SET#: ADDRESS: 2407 SONORA CT
INTERIOR REMODEL
Community & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www.carJsbadca.gov
PROJECT ID: CB14-0807
APN: 167-381-18
✓ This plan check review is complete and has been APPROVED by the ENGINEERING
Division.
By: KATHLEEN LAWRENCE 04/22/14
A Final Inspection by the Division is required Yes ✓ No
This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check Comments have been sent to: SJLDRAFTING@GMAIL.COM
may corrections from one or more the divisions listed below. Approval
these divisions may be required prior to the issuance of a building permit.
Resubmitted plans should include corrections from all divisions.
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
PLANNING ENGINEERING FIRE PREVENTION
760-602-4610 760-602-2750 760-602-4665
✓ Kathleen Lawrence
760-602-2741
Chris.Sex.ton@carlsbadca.gov Kathleen.Lawrence@carlsbadca.gov Gregory:.Ryan@carlsbadca.gov
Qjna.Ruiz@carlsbadca.gov Unda.Qntiveros@carlsbadca.gox Cynthia.Wong@carlsbadca.gov
Dominic.Fieri@carlsbadca.gov
Remarks:
NO ENG FEES
~ .,
-"' ~ CITY OF
CARLSBAD
BUILDING PLANCHECK
CHECKLIST
QUICK-CHECK/APPROVAL
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www .carlsbadca.gov
ENGINEERING Plan Check for CB14-0807 Date 04/22/14
Project Address 2407 SONORA CT
INTERIOR REMODEL
Project Description:
ENGINEERING Contact: Kathleen Lawrence
Phone 760-602-27 41
RESIDENTIAL INTERIOR
✓ RESIDENTIAL ADDITION
<$20,000>
CARLSBAD PREMIER OUTLETS
OTHER: --PLANCK REVISIONS
APN 167-381-18
Valuation: $2874
Email kathleen.lawrence@carlsbadca.gov
Fax 760-602-1052
TENANT IMPROVEMENT
PLAZA CAMINO REAL
COMPLETE OFFICE BUILDING
r .. -.. -.. -.. -.. -.. -.. -.. -.. -.. -.. -.. -.. -.. -.. -.. -.. -.. -.. l
OFFICIAL USE ONLY
ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT
BY: KATHLEEN LAWRENCE
REMARKS: --NO ADDTL ENG FEES--
DATE:04/22/14
Notification of Engineering APPROVAL has been sent to SJLDRAFTING@GMAIL.COM
via EMAIL on 04/22/14 -··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-·
E-36 Page 1 of 1 REV 4/30/11
PLANNING DIVISION
BUILDING PLAN CHECK
APPROVAL
P-29
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www .carlsbadca.eov
DATE: 4/10/14 PROJECT NAME: INTERIOR REMODEL PROJECT ID:
PLAN CHECK NO: CB140807 SET#: ADDRESS: 2407 SONORA CT APN:
~ This plan check review is complete and has been APPROVED by the PLANNING
Division.
By: GINA RUIZ
A Final Inspection by the PLANNING Division is required □ Yes [',<'.] No
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit.
Resubmitted plans should include corrections from all divisions.
D This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check APPROVAL has been sent to: SJLDRAFTING@GMAIL.COM
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
PLANNING ENGINEERING FIRE PREVENTION
760-602-4610 760-602-2750 760-602-4665
□ Chris Sexton □ Kathleen Lawrence □ Greg Ryan
760-602-4624 760-602-27 41 760-602-4663
Chris.Sexton@carlsbgQca.gov Kathleen.Lawrenc:e:@c:arlsbadca.gov Gregory.R~gn@carlsbadca.gov
□ Gina Ruiz □ Linda Ontiveros □ Cindy Wong
760-602-4675 760-602-2773 760-602-4662
Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carlsbad~a.gov Cynthia.Wong@carlsbadca.gov
□ □ □ Dominic Fieri
760-602-4664
Dominic.Fieri@carlsbadca.gov
Remarks:
~ ...
~ CITY Of
PLUMBING,
ELECTRICAL,
MECHANICAL
WORKSHEET
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www .carlsbadca.gov
Buildlng@carlsbadca.gov CARLSBAD 8-18
Project Address: 2"fo7 Permit No.:
Information provided below refers to worR being done on the above mentioned permit only.
This form must be completed and returned to the Building Division before the permit can be issued.
Building Dept. Fax: {760) 602-8558
Number of new or relocated fixtures, traps, or floor drains ....................................................... __1:_
New building sewer line? ......................................................................................... Ves __ No _L
Number of new roof drains? ............................................................................................................... _L
Install/alter water line1......................................................................................................................... +
Number of new water heaters? ......................................................................................................... _!e_
Number of new, relocated or replaced gas outlets? ............................................. ____ _:f__
Number of new hose bibs? .................................................................................................................. _r/J_
Residential Permits:
New/expanded service: Number of new amps: /00
Minor Remodel only: Ves_:/_ No
Commercial/Industrial:
Tenant Improvement: Number of existing amps involved in this proiect:
Number of new amps involved in this proied:
New Construdion: Amps per Panel:
Single Phase ............................................................... Number of new amperes _______ _
Three Phase ................................................................. Number of new amperes _______ _
Three Phase 480 ··············-----·················· Number of new amperes _______ _
Number of new furnaces, A/C, or heat pumps?··························---············ .. ··•·· .. ·············· _.!Ji_
New or relocated duct worn? .... ________ ........................... Ves ____ No szS
Number of new fireplaces? ........................................................................ ____ _ __ _sf_
Number of new exhaust fans? ........................................................................................................... .
Relocate/install vent' .......................................................................................................................... ..
Number of new exhaust hoods? ........................................................................................................ 1_
Number of new boilers or compressors? ______ ............................ Number of HP ¢
B-18 Page 1 of 1 Rev. 03/09
•