The City Of San Diego
Development Services Department
Inspection Services Division
9601 Ridgehaven Court, Suite 220
San Diego, CA 92123 • (858) 492-5070
Call (858) 581-7111 for Inspection
Circuit Card
(Primary)
Page 1 of
PERMIT/APPROVAL NO. PLAN FILE/PROJECT NO.
JOB ADDRESS (Print Number, Street Name, Unit No.)
EXAMPLE
CIRCUIT NO. 1 CIRCUIT NO. 2
Breaker Size: 15 A Wire Size: 14 G Breaker Size: 20 A Wire Size: 12 G
*ROOMS
T C W R S *ROOMS TCWRS
Bedroom #1 1 2 2 Kitchen
â
Hall 2 1 1 Kitchen 1
Bedroom #2 1 4 1 Dining Room 1
Bedroom #3
ãâ
Breakfast Nook 1
Garage 1 11
1. * Name of each Room where devices are located.
2. List old and new devices on same circuit-marking old devices thus
â
3. Use circuit spaces below for general light and small appliance circuits only.
4. San Diego Electrical Policy limits current consuming devices to a maximum
of 15 per general use circuit and 4 per small appliance (20 amp.) circuit.
5. All circuit breakers to be permanently labeled at all service and feeder panel
dead fronts.
T = Device Tail C = Ceiling Light W = Wall Bracket Light
R = Convenience Receptacle S = Switch
(Use actual numbers 1,2,3... to identify amounts of each device type).
CIRCUIT NO.
CIRCUIT NO.
Breaker Size: A Wire Size: G Breaker Size: A Wire Size: G
*ROOMS T C W R S *ROOMS TCWRS
CIRCUIT NO. CIRCUIT NO.
Breaker Size: A Wire Size: G Breaker Size: A Wire Size: G
*ROOMS T C W R S *ROOMS TCWRS
CIRCUIT NO. CIRCUIT NO.
Breaker Size: A Wire Size: G Breaker Size: A Wire Size: G
*ROOMS T C W R S *ROOMS TCWRS
CIRCUIT NO. CIRCUIT NO.
Breaker Size: A Wire Size: G Breaker Size: A Wire Size: G
*ROOMS T C W R S *ROOMS TCWRS
Fill in applicable items below
Use remarks as necessary to describe work
NAME
PLATE
AMPS-KW
WIRE SIZE
BREAKER
SIZE
(AMPS)
AL CU
SERVICE (Main)
FEEDER #1 (Subpanel)
FEEDER #2 (Subpanel)
COMPACTOR
COOKTOP
DISHWASHER
DISPOSAL
MICROWAVE
OVEN
RANGE
DRYER
LAUNDRY
WATER HEATER
A/C
HEATING
REMARKS:
Computed Load: AMPS
AFCI Protected Circuits (list locations):
GFCI Protected Circuits (list locations):
Service Bond/Ground information
:
(a)
G New (T) OR G Existing (T)
(b) Bond/Ground Wire(s): Size(s) __________ Type (
T) G AL OR G CU
(c) Location of Cold Water Bond Clamp: _______________________________
(d) Location of Ground Clamp: ______________________________________
I certify that the above information is accurate and complete
and that all terminations are properly torqued.
Company Name (Print): ____________________________________________
Electrician/Owner Name(Print): ______________________________________
Electrician/Owner Signature: ________________________________________
California Electrician Certification Number: _____________________________
Date: __________________________________________________________
DS-1779 (Rev. 2-03)
THIS CARD MUST BE FILLED OUT AND AVAILABLE ON THE JOB SITE FOR THE
ROUGH INSPECTION. USE ‘SUPPLEMENTAL’ CIRCUIT CARD(S) FOR MORE
THAN EIGHT (8) GENERAL USE CIRCUITS TOTAL - SEE REVERSE SIDE.
This information is available in alternative formats upon request.
The City Of San Diego
Development Services Department
Inspection Services Division
9601 Ridgehaven Court, Suite 220
San Diego, CA 92123 • (858) 492-5070
Call (858) 581-7111 for Inspection
Circuit Card
(Supplemental)
Page _______ of _______
PERMIT/APPROVAL NO. PLAN FILE/PROJECT NO.
JOB ADDRESS (Print Number, Street Name, Unit No.)
CIRCUIT NO. CIRCUIT NO.
Breaker Size: A Wire Size: G Breaker Size A Wire Size: G
*ROOMS T C W R S *ROOMS TCWRS
CIRCUIT NO. CIRCUIT NO.
Breaker Size: A Wire Size: G Breaker Size: A Wire Size: G
*ROOMS T C W R S *ROOMS TCWRS
CIRCUIT NO. CIRCUIT NO.
Breaker Size: A Wire Size: G Breaker Size: A Wire Size: G
*ROOMS T C W R S *ROOMS TCWRS
CIRCUIT NO. CIRCUIT NO.
Breaker Size: A Wire Size: G Breaker Size: A Wire Size: G
*ROOMS T C W R S *ROOMS TCWRS
CIRCUIT NO. CIRCUIT NO.
Breaker Size: A Wire Size: G Breaker Size: A Wire Size: G
*ROOMS T C W R S *ROOMS TCWRS
CIRCUIT NO. CIRCUIT NO.
Breaker Size: A Wire Size: G Breaker Size: A Wire Size: G
*ROOMS T C W R S *ROOMS TCWRS
CIRCUIT NO. CIRCUIT NO.
Breaker Size: A Wire Size: G Breaker Size: A Wire Size: G
*ROOMS T C W R S *ROOMS TCWRS
CIRCUIT NO. CIRCUIT NO.
Breaker Size: A Wire Size: G Breaker Size: A Wire Size: G
*ROOMS T C W R S *ROOMS TCWRS
CIRCUIT NO. CIRCUIT NO.
Breaker Size: A Wire Size: G Breaker Size: A Wire Size: G
*ROOMS T C W R S *ROOMS TCWRS
CIRCUIT NO. CIRCUIT NO.
Breaker Size: A Wire Size: G Breaker Size: A Wire Size: G
*ROOMS T C W R S *ROOMS TCWRS
CIRCUIT NO. CIRCUIT NO.
Breaker Size: A Wire Size: G Breaker Size: A Wire Size: G
*ROOMS T C W R S *ROOMS TCWRS
CIRCUIT NO. CIRCUIT NO.
Breaker Size: A Wire Size: G Breaker Size: A Wire Size: G
*ROOMS T C W R S *ROOMS TCWRS
I certify that the above information is accurate and complete
and that all terminations are properly torqued.
Company Name (Print): ____________________________________________
Electrician/Owner Name (Print): _____________________________________
Electrician/Owner Signature: ________________________________________
California Electrician Certification Number: _____________________________
Date: __________________________________________________________
THIS CARD MUST BE FILLED OUT AND AVAILABLE ON THE JOB SITE FOR
THE ROUGH INSPECTION. THE USE OF THIS ‘SUPPLEMENTAL’ CIRCUIT
CARD REQUIRES THE USE OF THE ‘PRIMARY’ CIRCUIT CARD AS PAGE 1.
