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HomeMy WebLinkAbout1318 CHUPAROSA WAY; ; CB002329; Permit03 11 2008 Job Address Permit Type Parcel No Valuation Occupancy Group # Dwelling Units Bedrooms Project Title City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit Permit No CB002329 Building Inspection Request Line (760) 602 2725 1318 CHUPAROSA WY CBAD RESDNTL 1561104500 $10731000 0 0 Sub Type Lot# Construction Type Reference # Structure Type Bathrooms RAD 0 VN LARA RES 1095 SF 2ND STRY ADD Applicant VALENTINE CONSTRUCTION STEB 5220 ANNA SAN DIEGO CA 92110 6196889797 Status, Apphe Entered By Plan Approved Issued Inspect Area Orig PC# Plan Check# RMA Owner LARA MARGARET K 1318 CHUPAROSA WY CARLSBAD CA 92008 Building Permit Add I Building Permit Fee Plan Check Add I Plan Check Fee Plan Check Discount Strong Motion Fee Park in Lieu Fee Park Fee LFM Fee Bridge Fee Other Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add I Renewal Fee Other Building Fee HMP Fee Pot Water Con Fee Meter Size Add I Pot Water Con Fee Reel Water Con Fee $649 08 Meter Size $0 00 Add I Reel Water Con Fee $421 90 Meter Fee $0 00 SDCWA Fee $0 00 CFD Payoff Fee $1073 PFF (3105540) $0 00 PFF (4305540) $0 00 License Tax (3104193) $0 00 License Tax (4304193) $0 00 Traffic Impact Fee (3105541) $0 00 Traffic I mpact Fee (4305541) $0 00 Sidewalk Fee $0 00 PLUMBING TOTAL $0 00 ELECTRICAL TOTAL $0 00 MECHANICAL TOTAL $0 00 Housing Impact Fee " Housing InLieu Fee $0 00 Housing Credit Fee Master Drainage Fee $0 00 Sewer Fee $0 00 Additional Fees TOTAL PERMIT FEES $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $1 081 71 Total Fees $1 081 71 Total Payments To Date $421 90 Balance Due $659 81 Inspector FINAL APPROVAL Date Clearance NOTICE 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave Carlsbad CA 92008 PROJECT INFORMATION „ FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated B Datei 52* ZT90 Address (include Bldg/Suite #) Legal Description Lot No £>£C -3) - 1 1 - 4-K^- t)\AJ6? *DOC~ Business Name Subdivision Name/Number %2-^-z^^a Assessor s Parcel # ' Existing Use I 5"0?- IIO~"^T^~£2O tZ-CT'iP^wc^ Description of Wprk SO f^/V\ £Ai 2- /£-•"* f'LJL. -^rD-Di 00*0 2 CONTACTPERSON Of diffe*rentlrom applicant) 1 f" '^WWNiirrie* Address 3 """APPLICANT Q Contractor T3^gent fotContractpr FT . #of Stories io^50 ^y ' ||p ^ City l~1 Ownerff" O Agent for O-wnef (at this address) Unit No Phase No Proposed Use tt of Bedrooms # A ^ ^ State/Zip Telephone , "IliF^ ^Total '# of units of Bathrooms it Fax # "?""fas "* Name Address State/Zip Telephone # Name ' Address ' City State/Zip Telephone # s cMflACTol? COMPANY"NAME IIST" " %f f si^*""' lif" f" g""" (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 commending 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, [$5QO]) D Name ' State License # tr^Cyi? 2- 1 Address ' K> License Class .Ar *l- LJ> City Stale/Zip City Business License tt / *•*boqT&v&rtJ^ Designer Name State License # Address City State/Zip Telephone Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations O I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for the performance of the work for which this permit is issued 5^ I have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is issued My worker s compensation insurance carrier and policy number are Insurance Company JkXL&jOt-'C*^ "T l*^ ^Oq^+J&e Policy No JUG 1&- £>\ <£• I \S& S<T Expiration Date ^'"T TED IF PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR WOW RESIDENTIAL BUILDING PERMITS ONLY** ^af*™ ^^ ff™ f _ *** * *» _•*( 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? fj YES fJ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' l"~l YES l~) NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? O YES fj 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 a^ CONSTRUCTION LENDING^SGENCY v j§*~. *,/"" •>_ r Jr I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S NAME _ LENDER S ADDRESS _ _^ _ 9 "" AfPLICANT CERTIFICAT JON ^"- (^ff— — ^ ^ ^ ^ ~- '^ «. ~°'" •"""" I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the CitV 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 over 5 0 deep and demolition or construction of structures over 3 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 comnneneed within ,1 80 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 comme/c^-for^perjod of -jpe days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE (THIS SECTION NEED NOT BE COMPLETE IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 0 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 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 one hundred thousand dollars ($100jOOO/in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE W/tfMfajMA _ . _ DATE ^ " ^ ^xg7^ 7 * OWNER BUILDXER DECLARATION ~ ~jjf"~ ~ ~ •**• ^ 1 hereby affirm that I am exempt from the Contractor s License Law for the following reason l~l 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 who builds or 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 building 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) l~) 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) l~l I am exempt under Section _ Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement d YES [UNO 2 I (have / 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 construction (include name / address / phone number / contractors license number) 4 I plan to provide portions of the work but I have hired the following person to coordinate supervise and provide the major work (include name / address / phone number / 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 / address / phone number / type of work) _ _ _ _ _ WHITE File YELLOW Applicant PINK Finance City of Carlsbad Building Department 04/02/2001 VALENTINE CONSTRUCTION STEB 5220 ANNA SAN DIEGO CA92110 Re Application Date 06/20/2000 Plan Check # CB002329 Address 1318 CHUPAROSA WY Expiration Date 06/20/2001 Permit Type RESDNTL Description LARA RES 1095 SF 2ND STRY ADD You applied to have your plans checked on the date noted above To date the related building permit has not been obtained The original plan review application will expire as no building permit has been issued Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed The provisions of sections 304 (d) of the Uniform Building Code state Section 304 9d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official In order to renew action on an application after expiration the applicant shall resubmit plans and pay a new plan review fee In order to provide better service please indicate your handling choice for the plans originally submitted and return this letter to the Building Department Project Abandoned - I will pick up plans within 10 days XT Project Abandoned - Plans may be destroyed If you have any questions please contact the Building Department at (760) 602-2718 Raenette Abbey Building Department 1635 Faraday Avenue • Carlsbad CA 92008 7314 • (760) 602 270O • FAX (76O) 6O2 856O Building Counter • (760) 602 2719 • FAX (76O) 602 8558 EsGil Corporation In Partnership with government for 'BmCding Safety DATE June 30, 2000 O APPLICANT JURISDICTION Carlsbad PLAN REVIEWER a FILE PLAN CHECK NO 00-2329 SET I PROJECT ADDRESS 1318 Chuparosa Way PROJECT NAME 2nd floor addition to Lara residence SFD addition | | The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction s building codes 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 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 Valentine Construction Inc 5220 Anna, Ste B San Diego CA 92110 | | Esgil Corporation staff did not advise the applicant that the plan check has been completed XI Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted Valentine Construction Inc (a**»* w) Telephone # (619) 688-9797 Date contacted 1^-°' (by ***-) Fax # Mailx Telephoned Fax In Person ] REMARKS By Sergio Azuela Enclosures Esgil Corporation D GA D MB D EJ D PC 6/22 tmsmtldot 9320 Chesapeake Drive Suite 208 4 San Diego California 92123 + (858)560 1468 + Fax (858) 560 1576 Carlsbad OO-2329 June 30, 2000 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK NO 00-2329 JURISDICTION Carlsbad PROJECT ADDRESS 1318 Chuparosa Way FLOOR AREA Dwelling addition 1,095 SF STORIES 2 Tot dwelling 2,451 SF, Deck 142 SF Existing Garage 400 SF HEIGHT 20 FT REMARKS DATE PLANS RECEIVED BY JURISDICTION 6/20/00 DATE INITIAL PLAN REVIEW COMPLETED June 30, 2000 DATE PLANS RECEIVED BY ESGIL CORPORATION 6/22 PLAN REVIEWER Sergio Azuela 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 the 1998 edition of the California Building Code (Title 24) which adopts the following model codes 1997 UBC 1997 UPC 1997 UMC and 1996 NEC (all effective 7/1/99) 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, 1997 Uniform 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 for 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 OO-2329 June 30, 2000 • PLANS 1 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 1635 Faraday Ave Carlsbad CA 92008 (760) 602-2700 The City will route the plans to EsGil Corporation and the Carlsbad Planning 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 (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 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 2 All sheets of plans must be signed by the person responsible for their preparation (California Business and Professions Code) 3 Plans specifications and calculations shall be signed and sealed by the California state licensed engineer or architect responsible for their preparation for plans deviating from conventional wood frame construction Specify expiration date of license (California Business and Professions Code) 4 Specify on the Title Sheet of the plans the gross floor area of each element of this project including dwelling garage carport patio deck and balcony Section 10633 5 Clearly dimension building setbacks from property lines street centerlines and from all adjacent buildings and structures on the site plan Section 106 3 3 6 On the cover sheet of the plans specify any items requiring special inspection in a format similar to that shown below Section 106 3 2 . REQUIRED SPECIAL INSPECTIONS In addition to the regular inspections the following checked items will also require Special Inspection in accordance with Sec 1701 of the Uniform Building Code ITEM REQUIRED? REMARKS SOILS COMPLIANCE PRIOR TO To be rechecked with the soils report FOUNDATION INSPECTION EXPANSION/EPOXY ANCHORS YES S-PLANS Carlsbad OO-2329 June 3O, 20OO 7 When special inspection is required the architect or engineer of record shall prepare an inspection program which shall be submitted to the building official for approval prior to issuance of the building permit Please review Section 106 3 5 Please complete the attached form • FIRE PROTECTION 8 Show locations of permanently wired smoke detectors with battery backup a) Inside each bedroom All existing bedrooms b) Centrally located in corridor or area giving access to sleeping rooms c) On each story d) In rooms adjacent to hallways serving bedrooms when such rooms have a ceiling height 24 inches or more above the ceiling height in the hallway NOTE Detectors shall sound an alarm audible in all sleeping areas of the unit Section 310 91 9 When the valuation of a room addition or repair exceeds $1 000 or when sleeping rooms are created smoke detectors shall be provided per the above except that smoke detectors added at existing construction need only be battery powered Section 310 9 1 2 • GENERAL RESIDENTIAL REQUIREMENTS 10 Glazing in the following locations should be of safety glazing material in accordance with Section 2406 4 (see exceptions) a) Fixed and sliding panels of sliding door assemblies and panels in swinging doors other than wardrobe doors b) Doors and enclosures for hot tubs whirlpools saunas steam rooms bathtubs and showers and in any portion of a building wall enclosing these compartments where the bottom exposed edge of the glazing is less than 60 inches above a standing surface and dram inlet c) Fixed or operable panels adjacent to a door where the nearest exposed edge of the glazing is within a 24-inch arc of either vertical edge of the door in a closed position and where the bottom exposed edge of the glazing is less than 60 inches above the walking surface d) Walls enclosing stairway landings or within 5 feet of the bottom and top of stairways where the bottom edge of the glass is less than 60 inches above a walking surface • Clearly show on plans each particular window or door that shall be provided with safety glass (general notes are not adequate to resolve this correction) Carlsbad OO-2329 June 30, 2OOO • EXITS, STAIRWAYS, AND RAILINGS 11 Guardrails (Section 509 1) a) Shall have a height of 36" b) Openings between railings shall be less than 4" The triangular openings formed by the riser tread and bottom element of a guardrail at a stair shall be less than 6" • Clearly show on plans all applicable dimensions 12 Provide stairway and landing details Sections 1003 3 3 a) Maximum rise is 7' and minimum run is 11" When the stairs serves less than 10 occupants or serves an unoccupied roof rise may be 8" maximum and run 9" minimum b) Minimum headroom is 6'-8" c) Minimum width is 36" • Clearly show on plans all applicable dimensions 13 Handrails (Section 1003 336) a) Handrails and extensions shall be 34' to 38" above nosing of treads and be continuous b) The handgrip portion of all handrails shall be not less than 1-1/4 inches nor more than 2 inches in cross-sectional dimension Handrails projecting from walls shall have at least 1-1/2 inches between the wall and the handrail c) Ends of handrails shall be returned or shall have rounded terminations or bends • Clearly show on plans all applicable dimensions 14 Provide details of winding stairway complying with Section 1003 3382 a) Minimum tread is 6 inches at any point and minimum 9 inches at a point 12 inches from where the treads are narrowest b) Maximum rise is 8 inches c) Minimum width is 36 inches • Clearly show on plans all applicable dimensions 15 The walls and soffits of the enclosed usable space under interior stairs shall be protected on the enclosed side as required for one hour fire-resistive construction Section 1003 339 • ROOFING 16 Per local ordinance a Class "A" roof is required Carlsbad OO-2329 June 3O, 2OOO 17 Specify on the plans the following information for the roof materials per Section 10633 a) Manufacturer s name b) Product name/number c) ICBO approval number, or equal 18 Show the required ventilation for attics (or enclosed rafter spaces formed where ceilings are applied directly to the underside of roof rafters) The minimum vent area is 1/150 of attic area (or 1/300 of attic area if at least 50% of the required vent is at least 3 feet above eave vents or cornice vents) Show area required and area provided Section 1505 3 19 Where eave vents are installed insulation shall not block the free flow of air A minimum of 1 of air space shall be provided between the insulation and the roof sheathing To accommodate the thickness of insulation plus the required 1 clearance member sizes may have to be increased for rafter-ceiling joists Section 15053 20 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 1505 3 • FOUNDATION REQUIREMENTS 21 Provide a copy of the project soil report prepared by a California licensed architect or civil engineer The report shall include foundation design recommendations based on the engineer's findings and shall comply with UBC Section 1804 22 In Seismic Zone 4 each site shall be assigned a near-source factor Identify this value in the soils report and on the plans Section 1629 4 2 23 Investigate the potential for seismically induced soil liquefaction and soil instability in Seismic Zones 3 and 4 This does not apply to detached single- story dwellings Section 1804 5 24 Note on the plan the soils classification whether or not the soil is expansive and note the allowable bearing value Section 106 3 3 25 Note on plans that surface water will dram away from building and show drainage pattern and key elevations Section 1804 7 • FRAMING 26 Residential exterior balconies (cantilevered from the mam structure) must be designed for a live load of 60 psf residential decks (supported on opposing sides) may be designed for a live load of 40 psf Carlsbad 00-2329 June 30, 200O • MECHANICAL (UNIFORM MECHANICAL CODE) 27 Show the location type and size (BTU s) of all heating and cooling appliances or systems Additional corrections may follow 28 Specify on the plans the following information for the fireplace(s) per Section 10633 a) Manufacturer s name b) Model name/number c) ICBO approval number or equal d) Show height of chimney above roof per I C B O approval or UBC Table 31-B e) Note on the plans that approved spark arresters shall be installed on all chimneys UBC Section 3102 3 8 29 Note on plan Gas vents and noncombustible piping in walls passing through three floors or less shall be effectively draft stopped at each floor or ceiling UBC Section 711 3 • ELECTRICAL (NATIONAL ELECTRICAL CODE) 30 Show on the plan the amperage of 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 31 Show on the plan that ground-fault circuit-interrupter protection complies with NEC Art 210-8 which reads as follows All 125-volt single-phase 15- and 20- ampere receptacles installed in bathrooms garages basements outdoors kitchen counters and at wet bar sinks • PLUMBING (UNIFORM PLUMBING CODE) 32 Show water heater size type and location on plans UPC Section 501 0 33 Note on the plans that' Combustion air for fuel burning water heaters will be provided in accordance with UPC Section 507 and Table 5-1 34 Show T and P valve on water heater and show route of discharge line to exterior UPC, Section 608 5 35 Show that water heater is adequately braced to resist seismic forces Provide two straps (one strap at top 1/3 of the tank and one strap at bottom 1/3 of the tank) UPC Section 5105 Carlsbad 00-2329 June 3O, 200O • ENERGY CONSERVATION 36 The regulations require a properly completed and properly signed Form CF-1R 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 Owner signature is missing 37 Show the make model type and efficiency of the space heating (or cooling) system CARLSBAD SPECIAL CODE REQUIREMENTS 38 All new residential buildings including additions require a soils report 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 Q No a The jurisdiction has contracted with Esgil Corporation 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 Sergio Azuela at Esgil Corporation Thank you \ ' Carlsbad OO-2329 June 30, 2000 SPECIAL INSPECTION PROGRAM ADDRESS OR LEGAL DESCRIPTION PLAN CHECK NUMBER OWNER'S NAME I as the owner or agent of the owner (contractors may not employ the special inspector) certify that I or the architect/engineer of record will be responsible for employing the special mspector(s) as required by Uniform Building Code (UBC) Section 1701 1 for the construction project located at the site listed above UBC Section 106 3 5 Signed I as the engineer/architect of record certify that I have prepared the following special inspection program as required by UBC Section 106 3 5 for the construction project located at the site listed above Eng Deer's/Architect sSe I 4 Sig at re Here Signed 1 List of work requiring special inspection G Soils Compliance Prior to Foundation Inspection G Field Welding G Structural Concrete Over 2500 PSI G High Strength Bolting G Prestressed Concrete G Expansion/Epoxy Anchors G Structural Masonry G Sprayed-On Fireproofmg G Designer Specified G Other 2 Name(s) of mdividual(s) or firm(s) responsible for the special inspections listed above A B C 3 Duties of the special inspectors for the work listed above A B Special inspectors shall check in with the City and present their credentials for approval pnor to beginning work on the job site Carlsbad 00-2329 June 30, 2000 VALUATION AND PLAN CHECK FEE JURISDICTION Carlsbad PREPARED BY Sergio Azuela PLAN CHECK NO 00-2329 DATE June 30, 2000 BUILDING ADDRESS 1318 Chuparosa Way Lara residence addition SFD BUILDING OCCUPANCY R-3&U-1 TYPE OF CONSTRUCTION VN BUILDING PORTION Dwelling addition Air Conditioning Fire Sprinklers TOTAL VALUE BUILDING AREA (Sq Ft) 1 095 1095 VALUATION MULTIPLIER 9840 360 VALUE ($) 107748 3942 111690 n 199 UBC Building Permit Fee £3 Bldg Permit Fee by ordinance $ 66308 D 199 UBC Plan Check Fee £3 Plan Check Fee by ordinance $ 431 00 Type of Review ^ Complete Review fj Structural Only Q Hourly n Repetitive Fee Applicable Q Other Esgil Plan Review Fee $ 344 80 Comments Sheet 1 of 1 macvaluedoc5100 City of Carlsbad Public Works — Engineering DATE BUILDING PLANCHECK CHECKLIST PLANCHECK NO CB BUILDING ADDESS ( 3 (& C&.t in^.fr> PROJECT DESCRIPTION £Z// ASSESSORS / PARCEL NUMBER 7<S£ rt) "' r - ENGINEERING APPROVAL //t> - VS DEPARTMENT EST VALUE DENIAL 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 Ok Right of Way permit is required prior to construction of the following improvements Please see the attached report of deficiencies marked with D Make necessary corrections to plans or specifications for compliance with applicable codes and standards Submit corrected plans and/or specifications to this office for review By Date Date By FOR OFFICIAL USE ONLY ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT Date ATTACHMENTS D Dedication Application D Dedication Checklist D Improvement Application D Improvement Checklist D Future Improvement Agreement D Grading Permit Application D Grading Submittal Checklist D Right of Way Permit Application [] Right of Way Permit Submittal Checklist and Information Sheet U Sewer Fee Information Sheet ENGINEERING PERT CONTACT PERSON Name JOANNE JUCHNIEWICZ City of Carlsbad Address 1635 Faraday Avenue Carlsbad CA 92008 Phone (760) 602 2775 CFD INFORMATION Parcel Map No Lots Recordation Carlsbad Tract A-4 1635 F§radav Avenue • Carlsbad CA 92008 7314 • (760) 602 2720 • FAX (760) 602 8562 I\WORD\OOeS\CRKLSTW langPI *eck CW t BPOOB1F mn JJ d A ^ ' ^ Rev 12/26/96 BUILDING PLANCHECK CHECKLIST Q SITE PLAN 1 Provide a fully dimensioned site plan drawn to scale Show A North Arrow B Existing & Proposed Structures C Existing Street Improvements 2 Show on site plan Property Lines Easements - Right of Way Width & Adjacent Streets Driveway widths A ) Drainage Patterns ( / 1 Building pad surface drainage must maintain a minimum slope of one percent towards an adjoining street or an approved drainage course 2 ADD THE FOLLOWING NOTE Finish grade will provide a minimum positive drainage of 2% to swale 5 away from building B/Existing & Proposed Slopes and Topography 3 Include on title sheet A Site address B Assessors Parcel Number C Legal Description For commercial/industrial buildings and tenant improvement projects include 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 DISCRETIONARY APPROVAL COMPLIANCE Q Q 4a Project does not comply with the following Engineering Conditions of approval for Project No Q Q Q 4b All conditions are in compliance Date H \WORD\DOCS\CHKLST\B Id ng PI ch k Ckl t BP0001 F BUILDING PLANCHECK CHECKLIST DEDICATION REQUIREMENTS 5 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 Carlsbad Municipal Code Section 18 40 030 Dedication required as follows Dedication required Please have a registered Civil Engineer or Land Surveyor prepare the appropriate legal description together with an 8 1/z 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 Submit the completed application form with the required checklist items and fees to the Engineering Department in person Applications will not be accept by mail or fax Dedication completed by Date IMPROVEMENT REQUIREMENTS Q 6a 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 Carlsbad Municipal Code Section 1840040 Public improvements required as follows Attached please find an application form and submittal checklist for the public improvement requirements A registered Civil Engineer must prepare the appropriate improvement plans and submit them together with the requirements on the attached checklist to the Engineering Department through a separate plan check process The completed application form and the requirements on the checklist must be submitted in person Applications by mail or fax are not accepted Improvement plans must be approved appropriate securities posted and fees paid prior to issuance of building permit Improvement Plans signed by Date 6b Construction of the public improvements may be deferred pursuant to Carlsbad Municipal Code Section 1840 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 H \WORD\DOCS\CHKLST\B Id ng PI ch k Ckl t BP0001 F rm JJ d BUILDING PLANCHECK CHECKLIST •j st/ pnd/ 3r<^ Q Q Q 6c Enclosed please find your Future Improvement Agreement Please return agreement signed and notarized to the Engineering Department Future Improvement Agreement completed by Date Q Q Q 6d No Public Improvements required SPECIAL NOTE Damaged or defective improvements found adiacent to building site must be repaired to the satisfaction of the City Inspector prior to occupancy GRADING PERMIT REQUIREMENTS The conditions that invoke the need for a grading permit are found in Section 11 06 030 of the Municipal Code Q Q Q 7a Inadequate information available on Site Plan to make a determination on grading requirements Include accurate grading quantities (cut fill import export) Q Q Q 7b 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 Grading Inspector sign off by Date Q Q 7c Graded Pad Certification required (Note Pad certification may be required even if a grading permit is not required ) Q Q 7d No Grading Permit required Q Q 7e If grading is not required write No Grading on plot plan MISCELLANEOUS PERMITS Q Q 8 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 not limited to street improvements tree trimming driveway construction tiemg into public storm dram sewer and water utilities Right-of Way permit required for BUILDING PLANCHECK CHECKLIST H \WORD\DOCS\CHKLST\B Id tig PI check Cklst BP0001 F rm JJ do A 2nd''' 3rd''' Q Q 9 A SEWER PERMIT is required concurrent with the building permit issuance The fee is noted in the fees section on the following page Q Q 10 INDUSTRIAL WASTE PERMIT If your facility is located in the City of Carlsbad sewer service area you need to contact the Carlsbad Municipal Water District located at 5950 El Camino Real Carlsbad CA 92008 District personnel can provide forms and assistance and will check to see if your business enterprise is on the EWA Exempt List You may telephone (760) 438 2722 extension 153 for assistance Industrial Waste permit accepted by Date Q Q 11 NPDES PERMIT Complies with the Citys 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 Q Q 12 Q Required fees are attached C^No fees required Q Q Q 13 Additional Comments H \WORD\DOCS\CHKLST\B Id ng PI ch k Ckl IBP0001 F rm JJ d XL ,£ £75 "ro »o %<uS I | | | PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No CB 00 Address Planner Greg Fisher APN *& t Type of Project Zoning / CFD fin/niitl # IZ'f?" l/&~ &Use ^ General Date of Phone (760) 602 4629y5" rify-A$fi$kA Plan $ft participation 'Jet Proiect Density Facilities Management Zone Remaining net dev acres DU/AC/ / (For non residential development Type of land used created by this permit ) Legend X Item Complete Environmental Review Required DATE OF COMPLETION YES Item Incomplete Needs your action NO TYPE Compliance with conditions of approval7 If not state conditions which require action Conditions of Approval Discretionary Action Required APPROVAL/RESO NO PROJECT NO YES NO DATE TYPE OTHER RELATED CASES Compliance with conditions or approval7 If not state conditions which require action Conditions of Approval Coastal Zone Assessment/Compliance Project site located in Coastal Zone7 YES_ CA Coastal Commission Authority7 YES_ If California Coastal Commission Authority Contac 200 San Diego CA 921081725 (619)521 803 Determine status (Coastal Permit Requires or Exempt) Coastal Permit Determination Rprm already completed7 If NO complete Coastal Permit Determmatioj/Form now Coastal Permit Determination Loo\# hem at 3111 Cammo Del Rio North Suite YES NO Follow Up, Actions or Coastal Permit Required1) Stamp Building Plans as Exempt Floor Plans) 2) Complete Coastal Permit Determination Log as needed (at minimum H \ADMIN\COUNTER\BldgPlnchkRevChklst Inclusionary Housing Fee required YES (Effective date of Inclusionary Housing Ordinance May 21 1993 NO Data Entry Completed7 YES NO (A/P/Bs Activity Maintenance enter CB# toolbar Screens Housing Fees Construct Housing Y/N Enter Fee UPDATE > Site Plan 1 Provide a fully dimensional site plan jrawn to scale [ Show North arrow property lines easements existing and proposed structures streets existing street improvements right-of way width JdimensionaPsetbacks/ and existing topographical lines I I | I 2 Provide legal description of property and assessor s parcel number Zoning I| 1 Setbacks Front Interior Side Street Side Rear Required Required Required Required I I I I 2 Accessory structure^&etbacks Front Re* Interior Side ^^—-^Requirt Street SigLe-^'^ Required Required Structure separation Required Lj 3 Lot Coverage D 4 Height Required Required I I I I 5 Parking Spaces Required Guest Spaces Required Addjtional Comments ( / / (r<Sf> Shown Shown Shown Shown Shown Shown Shown Shown .Shown £> Shown Shown Shown Shown , . 1fe.ArW OX/ A A/ g c)v l$> OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER H \ADMIN\COUNTER\BldgPlnchkRevChklst DATE ENVISION ENGINEERING 1125 W MORENABLVD STE B SAN DIEGO CA 92110 PHONE 619 275 6726 FAX 619 275 6782 STRUCTURAL CALCULATIONS DATE MAY 26, 2000 PROJECT LARA RESIDENCE ADDITION DESIGNER VALENTINE PROFESSIONAL SERVICES, INC \ ENVISION ENGINEERING 1125 W MORENABIVD STE.B SAN DIEGO CA 92110 PHONE 619 275 6726 FAX 619 275 6782 ANA PROJECT DATE SHEET \ OF SIS TOTA L -287 n Ft oof - 3i8o& Ib3 Roor FLOOO.8 H 804 10 V (r_ ~\0~06 ENVISION ENGINEERING 1 125 W MORENA BLVD STE. B SAN DIEGO CA 921 10 PHONE 6192756726 FAX 619275.6782 UW r V s 10 OS r- PROJECT DATE SHEET 2. OF I W6JT Vs 327 513 = 2045 s 2045 ENVISION ENGINEERING 1125 W MORENABLVD STE.B SAN DIEGO CA 92110 PHONEi 61 9 275 6726 FAXi 619 275.6782 PROJECT DATE SHEET 3 OF M»o SOOTH WAUL V- TOTAL 380H 0) = 231 '-ft = 51? c V 3 5 u r -388 fAu>= 7801 r.fo H18)lfio ENVISION ENGINEERING 11 25 W MORENA BLVD STE B SAN DIEGO CA 921 10 PHON&6192756726 FAX 619275.6782 (10 s) - 5l2> p - 2 PROJECT DATE SHEET 4 OF 70 OT M WO (B) • 15 16 SOUTH V = I H or- Hbo~4 (a") * 7, Wt « UPLIFT * 3fe85fe-8?o imi imiriMT-m-MHiai i mi""" TriMM"""*" 4 30532 UPUFT > 30 53 2 --73^6e. — -- - 6 ENVISION ENGINEERING W MORENABLVD STE. B SAN DIEGO CA 92110 PROJECT PHONB 619275 6726 FAXi 6 1 9 275 6782 DATE SHEET 5 OF M or * UPUFT - |9fc80 ~ 4 So UA- ~»™™™_ r "-Ia !^±^^~ I8i^ 6T • Zfei toto s 12528 UPUFT , M -7' ' n OT- l(o ENVISION ENGINEERING 1125 W MORENABIVD STE. B SAN DIEGO CA 92110 PHONEt 619 275 6726 FAX 619 275.6782 Y\\Q - * SBCK(lto) 3> PROJECT DATE SHEET OF use IT- Ib OT=5111 20) M e 32S -^ 0 OT UPUFT - 2Q600 -jias , 2l(o5 8 H07A 01 -- 3(oHOO H *-+ - I6S& ENVISION ENGINEERING 1125 W MORENA BlVD STE. B SAN DIEGO CA 02110 PHONE 619 275 6726 FAX 619 275.6782 PROJECT DATE SHEET "3- OF IT" 4 V - \ H V' Hl-tBC^ M 8 OT r ENVISION ENGINEERING 1125 W MORENABLVD STE. B SAN DIEGO CA 92110 PHONE 619 275 6726 FAX 619 275 6782 DATE SHEET OF u fcfcH Wt* Rfeb* ENVISION ENGINEERING 1 125 W MORENA BLVD STE. B SAN DIEGO CA 921 10 PHONE 61 9 275 6726 FAX 61 9 275.6782 PROJECT DATE SHEET OF * ZSO - 1\(o - 280 U= Ifo - 87 5 A = s loo ENVISION ENGINEERING 1125 W MORfrlA6LVD STE.B SAN DIEGO CA 03110 PHONE 619 275 6726 FAX 619 275.6782 RS3 PROJECT DATE SHEET OF » 10 = 13 -525 _ n 2S (100) L-5 r ^ 25) A = IS fiozj \ ENVISION ENGINEERING 1125 W MORENABLVD STB, B SAN DIEGO CA 92110 PHONE. 61 9 275 6726 FAX 619275.6782 PROJECT DATE SHEET Of U~ S * - i ZfoQ (to) _ (0 2 i OQ 6 1 22 4 ~~ bO(| L s ~ 2bO X ENVISION ENGINEERING 1125 W MORENABLVD STE.B SAN DIEGO CA 92110 PHON&6192756726 FAX 619275.6782 to PROJECT DATE SHEET OF TO L-to IZ2 S j- " M A- I •* 13 = 1400 m = IHOQ c S -. t|A " i 5 ENVISION ENGINEERING 1125 W MOfttNABLVD STE B SAN DIEGO CA 92110 PHON&6192756726 FAX 619275.4782 SB\ s&r s&s 5&tf Stl' a&io* ENVISION ENGINEERING 1125 W MOftENABlVD STE. B SAN DIEGO CA 93110 PHONE. 619 275 6726 FAX 619 275.6782 Fuon PROJECT DATE SHEET OF * ?\o 8 - H20 A - —^ 61 L- H 1 ^ ^ 33 A- is (qs) m - c^i , B 2) P- A = i s( iios) __ H I IS" 4*10 ENVISION ENGINEERING W MORENABLVB STE. B SAN DIEGO CA 02110 PHONEi 619 2756726 FAX 619275.6782 PROJECT DATE SHEET OF - 3ogo GJ-- H 25 ~ S^XiQ'W) f gsao^YsXms) /JL7..P7 7^ ^ L^' on - CL s X - 8 = I008 A " 8 - 5 ENVISION ENGINEERING 1125 W MORENABLVO STE B SAN DIEGO CA 92110 PHON& 619 275 6726 FAX 619 275 6782 U-8 PROJECT DATE SHEET OF S~ I -- C°soo) A" (9s) " 1018 (s)" - 1626 I ZS m X r = 15 H 15 ENVISION ENGINEERING 1125 W MORHXABLVD STE. B SAN DIEGO CA 92110 PHONE, 619 275 6726 FAX 6192756782 6 zs(qoo) PROJECT DATE SHEET OF A = 7S 6613 B - 3! (00)3 ~- A -" i 5 ( .._ " n A P - !85b o. A - i s ( _J ENVISION ENGINEERING 1125 W MO8ENABLVD STE 8 SAN DIEGO CA 92110 PHONE. 619 275 6726 FAX 6192756782 PROJECT DATE SHEET OF 151 Z°ioo -t - H(o 015 A - )s Sfelts La t- 12 A - 1 5 f J t 85) A 5: Rev 510300 Description Timber Beam & Joist Page 1 SB18 Timber Member Information Calculations are designed to 1997 NDS and 1997 UBC Requirements Timber Section Beam Width Beam Depth Le Unbraced Length Timber Grade Fb Basic Allow Fv Basic Allow Elastic Modulus Load Duration Factor Member Type Repetitive Status in in ft psi psi ksi SB18 Prllm 52 5250 11875 000 jss Joist MacMil 29000 2900 20000 1 000 Manuf/Pme No Center Span Data Span ft 1650 Cantilever Span Span Point #1 DL LL @X Results Mmax @ Center@x= Mmax @ Cantilever fb Actual Fb Allowable fv Actual Fv Allowable ft Ibs Ibs ft 350 411400 4000 Ratio = 05519 in k ft in k psi psi psi psi 000 000 19747 16004 29000 Bending OK 990 2900 Shear OK Reactions @ Left End DL LL Max DL+LL ©Right End DL LL Max DL+LL Ibs Ibs Ibs Ibs Ibs Ibs 99733 000 99733 511133 000 511133 Deflections Center DL Def I L/Defl Ratio Center LL Def I L/Defl Ratio Center Total Defl Location L/Defl Ratio Cantilever DL Defl Cantilever LL Defl Total Cant Defl L/Defl Ratio in in in ft in in in 0339 5842 0000 00 0339 9504 5842 0459 0000 0459 1832 Rev 510300 Description Timber Beam & Joist Page 1 SB19 Timber Member Information Calculations are designed to 1997 NDS and 1997 UBC Requirements Timber Section Beam Width Beam Depth Le Unbraced Length Timber Grade Fb Basic Allow Fv Basic Allow Elastic Modulus Load Duration Factor Member Type Repetitive Status SB19 Prllm 52 in 5250 in 11875 ft 000 jss Joist MacMil psi 2 900 0 psi 290 0 ksi 2 000 0 1000* Manuf/Pme No Center Span Data Span ft 1650 Cantilever Span j Span Point #1 DL LL @x Results Mmax @ Center @x= Mmax @ Cantilever fb Actual Fb Allowable fv Actual Fv Allowable ft 350 Ibs 3 247 00 Ibs ft 4000 Ratio = 0 4356 ] in k 0 00 ft 000 ink 15586 psi 1 263 1 psi 2 900 0 Bending OK psi 781 psi 290 0 Shea^OK Reactions @ Left End DL LL Max DL+LL ©Right End DL LL Max DL+LL Ibs 787 15 Ibs 0 00 Ibs 787 15 Ibs 403415 Ibs 0 00 Ibs 403415 Deflections Center DL Defl L/Defl Ratio Center LL Defl L/Defl Ratio Center Total Defl Location L/Defl Ratio Cantilever DL Defl Cantilever LL Defl Total Cant Defl L/Defl Ratio in 0 268 7402 in 0 000 00 in 0 268 ft 9504 7402 in -0362 in 0 000 in 0362 2321 Title 24 Report for Lara Residence Carlsbad Project Designer Valentine Professional Services Inc 3276 Rosecrans St San Diego Ca 92110 619 225 9797 Report Prepared By Jeanne Fricot CEA Haynal and Company Inc 2171 India Street Suite A San Diego CA 92101 619 531 1122 Contractor s License #649028 Revision 06/19/00 City of Carlsbad Building Department CERTIFICATE OF COMPLIANCE PAYMENT OF SCHOOL FEES OR OTHER MITIGATION This form must be completed by the City the applicant and the appropriate school districts and returned to the City prior to issuing a building permit The City will not issue any building permit without a completed school fee form Project Name Building Permit Plan Check Number Project Address APN Project Applicant (Owner Name) Project Description Building Type Residential Second Dwelling Unit Residential Additions Commercial/Industrial City Certification of Applicant Information Number of New Dwelling Units Square Feet of Living Area in New Dwelling Square Feet of Living Area in SDU Net Square Feet New Area Sqtiate Feet Floor Area Carlsbad Unified School District 801 Pine Ave Carlsbad CA 92009 (729 9291) Date CITY OF CARLSBAD /San Marcos Unified School District 215MataWay San Marcos CA 92069 (736 2200) Encinitas Union School District 101 South Rancho Santa Fe Rd Encinitas CA 92024 (944 4300) San Dieguito Union High School District 710 Encinitas Blvd Encinitas CA 92024 (753 6491) Certification of Applicant/Owners The person executing this declaration ( Owner") certifies under penalty of perjury that (1) the information provided above is correct and true to the best of the Owners knowledge and that the Owner will file an amended certification of payment and pay the additional fee if Owner requests an increase in the number of dwelling units or square footage after the building permit is issued or if the initial determination of units or square footage is found to be incorrect and that (2) the Owner is the owner/developer of the above described project(s) or that the person executing this declaration is authonzed to sign on behalf of the Owner Signature Date 1635 Faraday Avenue • Carlsbad CA 92O08 7314 • (760) 602 27OO • FAX (760) 602 856O Revised 4/20/00 JUN-20-00 02 2T PM ii VALENTINE CONSTRUCTION 1 I c, \jr L-IHDIUI T 619 688 9824 P 04 P 0 Sad 6400 land Iniurance Brokers I Camino Del Rio North #315 Box 85431 Diego CA 92136 5481 (619)564-6423 Valentine Construction Ine 3276 Rosecrans St 3rd Floor San Diego CA 92110 04/19/2000 THI9 OCRTIPICATE IS ISSUED A5 A IViAfTEB OP INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE Evans ton Insurance Company NSUR6RS Safttco Insurance Companies Argonaut Insurance Company INSURfcR D- INSURER 8 COVERAGES THS SSi," IS^^™ AN" USTE° 8ELOW HAVE 8EEN ISBUeD T0 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY RCQUIRCMENT TERM OR CONDITION OP ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED 9Y THB POLICIES DESCRIBED HfiRBlN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OP SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HA v£ BEEN REDUCED BY PAJO CLAIMS LIB. A B C TYP6 0» IN$URANG« X COMMERCIAL GENERAL LIABILITY "~1 CLAIMS MA06 ["it] OCCUR X Per Project Agg OENl AQUftEOATE UMIT APPLIES Pfift AUTQMQOll.8 UIA01LJTY X ANY AUTO ALL OWNED AOTCS SCHEDULED AUTOS X HIR60AUTC3 OAKAQE LIABILITY EXCESS LIABILITY _J 0<*5JR [ | CLAIMS MADfi ~j DEDUCTIBLE WORKERS COMPSNSA7ION ANC OTHER POLICY NUMBER 30GLP1004S81 SAfllSSSSSC WC2S 614-115635 DAT! luitmarfm 04/15/2000 04/15/2000 09/03/1999 p8i'f'BYiSiiiCffi/vviN 04/15/2001 04/15/2001 09/03/2000 LIMITS EACH occ RRS ic FIRS OAMACS A v f 1 MEO EXP [Any Odi p« ian| PERSONAL t ADV INJUflY GENERAL AGGREGATE PRODUCTS COMP'CPAOG COMBINED SINGLE -nrr (Ei acddinll BODiLY IMJURY (Per Parian) 90DILY iNjURV PROPERTY OAMAG? (P»f o dtnO AUTO ONLY £A iC. CENT OT) AUT <gf? THAN , f4 *C.- rO OKLV AC(J =ACM OCCtRRSNCS AOORSOAT5 X TORY L M(TS eS s L EACH Acaoeyr EL DISEASE eAeVPLOYf! «u ni»ft*« oLCvuMrr i 1,000 000 i 300,000 t 5 000 i 1,000,000 f 2,000 000 s 1,000.000 * 1 000 000 ' i s s 5 1 S i > S s > 1 000,000 $ 1 000,000 t i 000,000 IS NAMED AS ADDITIONAL INSURED AMED INSURED «»-o.TVrtue nCTUrERAL LIABILITY AND THE OPERATIONS Off THE 10 DAYS NOTICE OF CANCELLATION FOR NON PAYMENT OF PREMIUM :ERTIFICATB HOLDER ADDITIONAL INSURED INSURER LETTER CANCELLATION IHOULD ANY of TM« ABOVE DESCRIBED POLICES BE UANCSLLSO BEFORE THE IXplRATlOri 0*T( TH»RIO(i THI HSWINd COMPANY WILL eNOBAVOR TO MAIL _*30 OAYS WRtHEN NOTICE TO THE CERTIFICATE HCLCSR NAMED TO THE Lif T tur filLURB To M»H. SUCH i^aTICI SHALU lMP(5«e NO CiLlOAflON OR LIABILITY Of «NV HINP UPON TMi COMPAN IT» A01NT* AuTHflRIZID RIPRIHNTATlve T i * /<^- a ACORO JS-S (7197} iiACORDCDPPORATIOl