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Home My WebLink About1320 CORVIDAE ST; ; CB962055; Permit.1 BUILDING PER MI 11;. 01/96 16 11 Page 1 of 1 Job Address 1320 CORVIDAE ST Suite Permit Type RETAINING WALL Parcel No 215-690-09-00 Lot# Valuation 1,188 Occupancy Group Referenced Description 88 SF RETAIN WALL PER SPEC 222 GAS TO BBO & ELECT TO FOUNTAINS Permit No CB962055 Project No A9602926 Development. No 0733 11/01/96 OC-01 01 0? 77 00 MEW ISSUED Applied 10/24/96 Apr/Issue 11/01/96 RMA Construction Type Status Appl/Ownr STERK, MARK 1562 PEARL HEIGHTS RD VISTA CA 92083 *** Fees Required Fees Adjustments Total Fees Fee description _. __ _ — — ^ ^ ,^ ^t^ Building Permit R:;$;<^,, - <••• Plan Check :1 •'"" '' •'**' Strong Motion Fee Other * BUILDING TOTAL 619 598-3600 Entered By lected & Credits * * A 00 19 00 77 00 Ext fee Data 29 00 19 00 1 00 47 00 GAS & ELEC 96 00 CLEARANCE. CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 T PERMIT "1"YPE From List 1 (see back) give code of Permit-Type For Residential Proiects Only From List 2 (see back) give Code of Structure-Type Net Loss/Gam of Dwelling Units PLAN CHECK NO.C^D ^> O EST VAL PLAN CK DEPOSIT. VALID BY ,_' DATE (A-77/1/07; 2. PROJECT INFORMATION 0558 lG/24/% 0001 01 02 C-FFKT 19. FOR OFFICE USE ONLY Address Building or Suite No Nearest Cross Street ^ W" LX<- i >pjp | LEGAL DESCRIPTION Lot No 44 Su /ision Name/Number Unit No Phase No CHECK BELOW IF SUBMITTED D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE*. , i \l/H ^ ROPOSED USEED USE • f> I !#% "VD ft/lA^ <, # OF BATHROOMS DESCRIPTION OF WORK SQ FT OX-> <X) 1\|- # OF STORIES # OF BEDROOMS_ **~ i.— i-^ \Srm I «UlLS \t>o£-l-CW\ U%3 CJUNlACITfcHiilJNT.it different tron^qpplicantj NAME (last name first) <^J CITY ADDRESS STATE (y\_ ZIP CODE DAY TELEPHONE \^\f\ 4 APPLICANT ^CONTRACTOR LJ ACJENT FOR CONTRACT UR U OWNER U AGHNT FOR OWNElt NAME (last name first) <—. J ^f? ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 5PROPERTY OWNER NAME Jlast name first) CITY ADDRESS PAP STATE ZIP CODE DAY TELEPHONE 6 CONTRACTOR NAME (last name first) CITY STATE STATE LIC # IJESIGNERNAME (last name first) CITY \$A \JVvtlt1s STATE (U ZIP CODE LICENSE CLASS DAY TELEPHONE CITY BUSINESS LIC # AJJUHKSS ZIP CODE DAY TELEPHONE fT^fi 1,477. STATE LIC # . Workers Compensation Declaration I hereby altirm that 1 nave a certiticate or consent to selt-msure issued by me Director ot Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, lab C) . INSURANCE COMPANY ueuc NOT EXPIRATION DATE l\Certificate of Exemption I certity that in the performance ot the work tor whicl so as to become subject to the Workers' Compensation Laws of California this-jfermit is issued, 1 shall not employ any person in any manner SIGNATURE DATE BtJWNER-BDlLDER DECLARATION Owner-uuilder Declaration l hereby artirm that i am exempt trom the contractors License Law lor tne following reason 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 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 ) D 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) Q I am exempt under Section Business and Professions Code for this reason (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDF.NTIAI. BU11J31NG PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act' D YES O NO Js the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMF.RGF.NCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 9 CXJNSTRUCnON LENDING AGKNCTY 1 hereby allirm that there is a construction lending agency tor Uie performance ol the work tor which this permit is issued (Sec 30y/lO Civil code) LENDER'S NAME LENDER'S ADDRESS Arl'UCANl 1 certify that I have read the application and state that the above intormation is correct i agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMIJ-SS 11 IE CITY OF CARLSBAD AGAINST All. IJABI1JTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF HIE GRANTING OF THIS PERMIT OSIIA. An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones in height Expiration Every permit issued by Ihe Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by suenlpermit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or aianj|dAedffi^lny<flTfiOftar the work is commenced for a period of 180 days (Section 303(d) Uniform Build APPLICANTS SIGNATURE >JV U 1 I ~---J^-- DATEI' <i MTE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB962055 FOR 02/20/97 DESCRIPTION: 88 SF RETAIN WALL PER SPEC 222 GAS TO BBQ & ELECT TO FOUNTAINS TYPE: RETAIN JOB ADDRESS: 1320 CORVIDAE ST APPLICANT: STERK, MARK PHONE: CONTRACTOR: PHONE: OWNER: PHONE: INSPECTOR AREA PD PLANCKtf CB962055 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 598-3600 REMARKS: MW/MARK/PG 999-7705/598-3600 SPECIAL INSTRUCT: GATE NORTH SIDE INSPECT TOTAL TIME: CD LVL DESCRIPTION 29 39 69 ACT COMMENTS PL Final Plumbing EL Final Electrical MA Final Masonry ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 110796 Grout AP PD 110596 Underground/Conduit-Wiring CO PD 110596 Footing AP PD COMMENTS NO CONDUIT WALL TO MATCH EXISTING City of Carlsbad B' •^•^^^^^•••^•^H^Bi^H^'^iHMH^M^HIHMiEngineering Department BUILDING PLANCHECK CHECKLIST RETAINING WALL BUILDING PLANCHECK NUMBER CB BUILDING ADDRESS PROJECT DESCRIPTION Retaining Wall ASSESSOR'S PARCEL NUMBER ENGINEERING DEPARTMENT APPROVAL The item you have submitted for review has been approved The approval is based on plans, information and/or specifications provided in your submittal therefore, any changes to these items after this date, including field modifications, must be reviewed by this office to insure continued conformance with applicable codes Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to build Date DENIAL 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 By By Date Date Date 1*1 ATTACHMENTS D Right-of-Way Permit Application ENGINEERING DEPT CONTACT PERSON NAME DAVID RICK City of Carlsbad ADDRESS 2075 Las Palmas Drive Carlsbad. CA 92009 PHONE (619) 438-1161, ext 4324 G \LIBRARY\ENS\WORD\DOCaCHKLSTmrtllnng Wai BuUng PbndMCk CM* Forni OR doc 2O75 Las Palmas Dr • Carlsbad CA 92OO9-1 576 • (619) 438-1161 - FAX (619) 438 O894 RD/ BUILDING PLANCHECK CHECKLIST RETAINING WALLS 1 Provide a fully dimensioned site plan drawn to scale Show A North Arrow Existing & Proposed Structures (dimensioned from street) (J2? Property Lines 2 Show on site plan Drainage Patterns Existing & Proposed Slopes Existing Topography 3 Include on title sheet °^ B •^ Site Address Assessor's Parcel Number Legal Descnption Grading Quantities Cut _ Easements Retaining Wall (location and height) Fill Import/Export. (Grading Permit and Haul Route Permit may be required) 4 Project does not comply with the following Engmeenng Conditions of approval for Project No Conditions were complied with by Date MISCELLANEOUS PERMITS 5 A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or private work adjacent tot he public Right-of-Way A separate Right-of-Way issued by the Engineering Department is required for the following Please complete attached Right-of-Way application form and return to the Engmeenng Department together with the requirements on the attached Right-of-Way checklist, at the time of resubmittal Page 1 G U.IBRARY\£3IG\WORD\DOCS\CHKLSTVRrtainm) Wai Bulling Ptancfwck CM It Forni DR doc R«v BIT2196 sS [^n D n PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No CB 9(0 - *- Planner -S+eue. •*"' />•? /-*? . i APN Address / 3 3.Q dof i/< c/a. Phone (61 9) 438-1 1 61, extension 2i.r .. Sfec+rlC. -h>_ , _ ... /f-\ reType of Project and Use C-* l~t) ) /? Zone (tf(sn ) /C Facilities Management Zone CFD c? Circle One (If property in complete SPECIAL TAX CALCULATION WORKSHEET provided by Building Department ) Legend X Item Complete Item Incomplete - Needs your action Environmental Review Required YES DATE OF COMPLETION 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 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 NO If NO, proceed with checklist, if YES, proceed below Determine status (Exempt or Coastal Permit Required) If Exempt, proceed with checklist, if Coastal Permit required, hold building permit xuntil Coastal Permit issued Coastal Permit Determination Form already completed7 If NO, complete Coastal Permit Determination Form now Coastal Permit Determination Log # YES NO Follow-Up Actions 1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans) 2) Attach completed Coastal Permit Determination Form to this Checklist 3) Complete Coastal Permit Determination Log as needed I I I I Inclusionary Housing Fee required YES NO (Effective date of Inclusionary Housing Ordinance - May 21, 1993 ) Site Plan 1 Provide a fully dimensional site plan drawn to scale Show North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines 2 Provide legal description of property and assessor's parcel number Zoning LZD O 1 Setbacks Front Int Side Street Side Rear 2 Lot Coverage 3 Height 4 Parking Spaces Guest Spaces Additional Comments t Required Aj/l Required — Required Reouired Required Required Required X//£ Required /1//4- ~ 1- •" /> c ' U onown Shown Shown Shown _ Shown Shown Shown • Shown -- GC^TC / <P ^ S / OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE COASTAL PERMIT DETERMINATION FORM (TO BE COMPLETED BY PLANNING STAFF) This form is used to identify and record those projects which either require a Coastal Development Permit or which are exempt from the requirement for a Coastal Development Permit Note' This is not a building permit, or a determination under the California Environmental Quality Act COASTAL PERMIT DETERMINATION NUMBER: ASSESSOR'S PARCEL NUMBER: 2 if - C9O - 0 9 OO NAME: ADDRESS AT6^ Pear/ HJJ LOCATION OF PROJECT (IF DIFFERENT FROM ABOVE): / 3 20 .0 Cq PROJECT DESCRIPTION: J ff COASTAL PERMIT DETERMINATION:/ 1 This development is exempt from the requirement for a coastal permit | | 2 This development requires a coastal development permit from the City of Carlsbad | | 3 This development is in the State of California Coastal Commission area of jurisdiction ?7>y /O-29- 96 Planner's Signature -^ 7/7/s determination relates only to the project described above and shown on the attached plans Any change to the project may change the determination status If the information contained in this submrttal (including plans) is changed, found to be incorrect or incomplete this determination shall be invalid c Applicant, Project File, Building Permit File (when applicable) H \ADMIN\COUNTER\DETERMINATION FORM (CDP) AVIARA MASTFR ASSOCIATION August 20, 1996 Ellie Dahl 1320 Corvidae Street Carlsbad CA 92009 RE LOT #44/MAR FIORE AVIARA MASTER ASSOCIATION/ARCHITECTURAL IMPROVEMENTS Dear Ms Dahl This letter is written on behalf of the Aviara Master Association Architectural Review Committee Your landscape/construction plans for installation of front, back and side yard landscaping have been APPROVED by the Architectural Review Committee with the following conditions • It appears that the wall of the spa may contact the existing fence There shall be a minimum gap of 4" between the existing fence and any improvement to facilitate maintenance of the fence • The ARC is not responsible for the review of proper drainage The installation is thu sole responsibility of the owner and/or his landscape contractor The existing drainage pattern at the time when overall grading was completed by the Builder is designed without consideiation of proposed landscape improvements All existing walls and fences should be protected and not filled against or altered in any way Patios, walks, mow strips, planter walls, etc will entrap surface water All surface water must have positive drainage away from the building and be collected in a landscape drainage system The irrigation system should be reviewed routinely to avoid over spray The acceptance of this application was based on aesthetics and community continuity and do« s not consider structural integrity or approval of the methods of construction It is the homeowners' responsibility to obtain all required City permits If improvements are within the overall fire suppression zone, plants are allowed in zone one as set forth by the requirements of the City of Carlsbad Fire Marshall This approval is valid for a period of six (6) months Construction is to commence within 120 days and be completed within six months of the date of approval If you are unable to complete the improvements within six (6) months, please notify oui office AM-M f'HI \V\mroMA.Nv\Gl-MLNTU\\in\t •->! s\\T'!U,0 AVIXHI M.HTl M^) v\\ PIK.O f AIIFORMA < [(•I1-1) 2°'.Mv2-> KAX (61") :;blV27 Page 2 Ms Dahl August 20, 1996 Upon completion of the improvements, please notify The Walters Management Company, via the enclosed postcard, that the improvements are complete and ready for final inspection A review and conformance report will be completed within thirty (30) days If you should have any questions, please contact me at your convenience at 497-6556 Thank you for your cooperation Sincerely, O<lanet Wagner Architectural Control Administrator AVIARA MASTER ASSOCIATION cc Board of Directors ARC Committee 'JU 1-CC.-OU IUC, I i 01 1 1 ur i; OOTIH L-T.TMA 40011084 r u; Pag* 2 of 4 San Diego Area Chapter • ICBQ • Chapter Pollciy 222 November 13S2 other acceptable equivalent method Backfill behind wall drains or open head joints muse be loose nibble or gravel 12 mcnes wide and extendiig from the top of the wail so che top of the footing VIL SOIL Wall design, footing siaes and reinforcing steel are ail based e>n an active earth pressure with an equiva- lent fluid weight of 30 pounds per cubic foot All footings must extend at least 12 Arches into undis- turbed natural soil or compacted fill which has been compacted to at least 90 percent density Soil should be dampened prior to plaong concrete m footings A soilsrepon.compiledby a licensed civil engineer may be required Ammimutn of 7 feet must be provided horizon tally from the toe of the footing to daylight where the ground slopes away from the base of the wall Footing sues given in Taole A are based on a 1,000 psf maximum soil bearing value' use of a larger bearing value will require design by a licensed archi tect or civil engineer specifically for the existing conditions A soils report, compiled by a licensed civil engineer, may be required VIIL REINFORCING STEEL Reinforcing steel must be deformed and comply wiih ASTM specification A615 85, Grade 4f> or 60 When one continuous bar cannot be used, a lap or splice of 40-bar diameters is required Two #3 bars must be placed longitudinally m the footing &s shown sn Figures 1 and 3 For 6*mch or 8-inch blocks one 83 re^forc ng bar must be placedlongitudinally in the center of t",e wall in a mortar joint every 16 inches as the blocks arc laia uo For 12 inch blocks one #4 reinforcing bar must be placed longitudinally in the center of the wall TI a mortar joint every 16 inches as the blocks are! aid up IX. USE OF TABLES Determine height of wall to be constructed as described aoove and the slope of retained earth Using Table A with the appropriate wall height and slope of retained earth, read T, R, K and W designations Then proceed to Table B ents for Various Stopes of Retained Earth (Horizontal Run to/Vertical Rise) Taofe 5 '•"'* / values for T R and K I Wail Typ« and Thtekn«m«, T i ! A — Type 1, 6« Mock ; 8 — Type). 8'bteck | C*— Ty pe U. 8" and 1 r Nock j i i Reinforcing Sie«i, R 1 — #3 bars <|> 24' a e 2— *4 bars @ 3<T a c 3 — *3&ars<S> 16'oc 4 — #4bars@24-oe 5 — f4bars@ 16" oc S — *Sbars<|> l€'o« 7— 96 bars® 16' a e Key *>ze, K (Width by depth) 0 — S' x e- E — 8*xS- f— irtia- G— 12* x 18' N — Nona Footnotes Foo&ng £120$ are based on t .000 psf maximum soil bearing value The resultant is within the middle third o» me 2 Walts not shown in the tables above must be designed specifically for the actual eendrbon 3 All construction must comply with the specifications shown in this information bulletin 4 All blocks must be grade *N* grouted solid «ith an fm = i 500 pst 5 For Wall Type tl the first 32 ir«he$ of bl*«k regardless of wall height, must && 12-ineh-wids masonry units me.i i ur ounn rt-iA r uo San Diago Area Chapter«IC8O • Chapter Polled Novambar 13S2 other acceptable equivalent method Backfill behind wall drains or open head joints must be loose nibble or gravel i2mcies wide and extending from the top of The wajl 50 the top of the footing VII SOIL Wall design, rootinysiaea and reinforcing steel are ail based on an active earth pressure with an equiva- lent fluid weigm of 30 pounds per cubic foot All footings must extend at least 12 inches into undis- turbed natural soil or compacted fill which has been compacted to at least 90 percent density Soil should be dampened pnor to placing concrete m footings A soils report, com piled by a licensed civil engineer, may be required A mmmum of 7 feet must be provided horizontally from the toe of the footing to daylight where the ground slopes away from the base of the wall Footing sues given in Taole A are based on a 1,000 psf maximum soil bearing value' use of a larger Deanng value will require design by a licensed archi tect or civil engineer sptsaficilly for the existing conditions A sons report, compiled by a licensed civil engineer, may be required. VIIL REINFORCING STEEL Reinforcing steel must be defonr-ed and comply with ASTM specification A615-85, Grade 40 or 60 When one continuous bar cannot be used, & lap or splice of 40-bar diameters is required Two #3 bars must be placed longitudinally m the footing as shown in Figures 1 and 2 For 6.mch or 8-inch blocks one #3 re-iforcing bar must be placedlongitudjnally in the center of the wall in a mortar joint every 16 inches as the blocks arc laia up For 12 mchblocksoneMreinforcingbarmustbe placed longitudinally in the center of the wall ^ a mortar joint every 16 inches as the blocks are laid up IX. USE OF TABLES Determine height of wah to be constructed as described above and the slope of retained earth Using Table A with the appropriate wall height and slope of retained earth, read T, R, K and W designations Then proceed to Table B. Tabl erits for Various Slopes of Retained Earth (Horizontal Run to,Verticai Rise). _ ** . - •""_?•••* / Ta&ie B '*»• / values for T R and K | Wall Typa tnd Thtekn«««, T i ; A — Type 1. S" Mock B — Type! 8'btock | C*- 7y pelf. 3- and 12" block ; i i Reinforcing SlerifFT 1 — *3 bars <§> 24' o e 2 — M bars @ 32" o e 3 — *3hars<S> 16'ac 4 — *4 bars @ 24' o c 5 — $4 bars @ 16"oc 6 — *Sbars<§> 16* ee 7 — «6bars@ 16* o 6 Key »ize K (Width by depth) 0 — S-*6* E — 8*x8' P— 12** 12' (3— 12' x 18' N — Nona Footnotes Fooang SIMS are based on 1,000 psf maximum soil bearing value The resultant is withm the middle tiilrd of: foebng Walls not shown in the tables above must be designed specifically for the actual condition All construction must comply with the specifications shown m this information bulletin All blocks must bs grade 'N* grouted solid with an fm = i SCO pst For Wall Type II the first 32 trtfthes o' bl««k, regardless of wall height must &e 12-inch-widw masonry units City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION hereby 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 as provided by section 3700 of the Labor Code, for the performance of the work for which this permit is issued /* i\ I have and will maintain workers' compensation, as required by section 3700 ( •" B I of the Labor Code, for the performance of the work for which this permit is V J issued My workers' compensation insurance carrier and policy number are INSURANCE COMPANY POLICY NO EXPIRATION DATE (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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 •• C workers compensationjaws of California Signature Date ID Warning Failure to secure workers' compensation coverage is unlawful, and shall be subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, Interest and attorney's fees March 3, 1995 2075 Las Palmas Dr • Carlsbad CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894 ACORD. CERTIFICATE OF LIABILITY INSURANCE COLDMB2 DATE (MM/DD/VY) JO/23/96 Wateridga Insurance Services 10525 Vista Sorrento Pkwy #300 San Diego CA 92121 THIS CERTIUCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BEIOW COMPANIES AFFORDING COVbRAGl: Al £ locum ph.cn.N9 619-451-2200 F». NO 619 -452_-6Q04 American Eagle Insurance Co. Mercury Casualty insurance Co COMPANYc Indem Co of America Marfc Sterk & Nlcolette Sterk DBA Colwobina Landscape Company 1562 Pearl Heights Rd. Vista CA 92083 I D '. tju> | JB • _•,,,•.. •in ., • •«•,,.,. ,-__^_ "COVERAGES *Hii ib TC CESTiFY THAT THE PXiL'ES OF INSURANCe LISTED 3ELOW HAVE BEEN ISSUCP TO THE INSURED N^McD -^2V = (-•.-« T.-E POLICE ?£RIOO INDICATED f-OTWlTHSTAND'.IMG ANY HEQulRhMENT TERM OR rONHITlQN OF ANY CCNTRACV OR OTHER DQCUWfcN . VvlT i RlJ LCT lO 'AilCH THIS CERTIFICATE MAY BE .ssuto OR MA/ PERTASN, THt INSURANCE A.=?cncE3 SY THE POL c.^ES DESCRIBED HERE N m SUBJECT TO A.L. THE EXCLUSIONS AND CONDITIONS QF SUO' "QLlClES L MH'S SHn\VN_s'Av HAVE St=N RbDl^LED BC PAIJ CLAIMS_ _ | "0,TH TYPE OF iMSUHANCt POLJCY NUMBER PO'JCY EFFECTIVE DATE (MM/DDiYY! POLICY tXPlRATlON 1 DATF IMM.'DP'YYI UMiTg SayEaAl UAaiLTTY A HTj CQM.ME.^CiAL jCNCnAL LIAEILITi' CAEF10002606 i J i CLAIMS MA3F I X I OCCUR : X_j CWNER s i CON'^ACTCP 0' ' ' J250/OCCTJRR j»D 1 DEDUCTIBLB B U AUTOMOBILE LIABILITY ANV ALJTQ ALL OWNEC AUTOS1 X 5CHE3UI.CD AUTOS rl.REO AUTOS NOW OVVviEO AUT05 < QARACE UABIUTY 1 _ 11/11/95 AC11001529 • excess U*BIUTY ! UMBRELLA FORM OThCR THAN UWBFIE1^* FORM • e [ ! WORKERS COMPENSATION AND UASIUTY THE -•RGPRIETQR/ PART>'Efl& 5> ECUTIVF CfPICERS ARE 0TH6R 03/08/96 .1,000, 11/01/96 [rscDucrs _-OMr_OPAGG _»1_/_00^, , 4C3V IN I BY ! 1, 000 / 'fT^'oo"o7 7. -56; EAC.i OCCulRENuE , n-iE ^^M4yE (Any on« 'i 03/03/97 C='BINED5^EU'1 .._. 5_'_ 300, 0^0 000 i.'Jj'JHV 5C-LY NJUHY CAMAuE AUTO ONLY EA ACCCENT ; t OTwfHT 'MN AUTO CM Y ! E,~CH ire . A'J' Vj j 9 J X wr j'""j I_J.""51Y_iVIT5L|_ F^ ^i^i- a C DENT 1,000,000 TED 11/01/96 SXCL i 11/01/97 EL 0'S=*e= PCUC'JVIT ;» 1,000, 000 '! 1,0 00, 000 DESCRIPTION OF OP£flATiONb/LOCATIONS,'VEHICLE5/5PtCIAl. HtM$ *EXCEPT 10 DAYS NOT1CB ?OR NON-PA^WBNT 0? PREMIUM RE OPERATIONS PERFORMED BY OR ON BEHALF OF TH NAMED INSURED CERTIFICATE HOLDER CANCELLATION CCARLSB City of Carlsbad 30" 5 Lag TAlmaa Drive Carlsbad CA 92008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DAFE THERtOF THE IS5UINIJ COMPANY win, 6ND6AVOH Tt! MAIL *3Q DAYS WRITTEN .MOTlCL TO THE CCBTIKICATt HOLOCR NAMEO TO TMc L*FT BUT FAILURE TO MAIl SUCH NOTICE fcHALL IMPOSL NO OBLIGATION OR LIABILITY Of ANY KIND UfON FHt CwVPANY ITS AiicNTs Oft ft£J-H£iiMTATIV«S AJTMCPJZE ACORQ 253(1/351 SACORD CORPORATION • -I kl u ^i r< C u T ^3 «n IT T L'l +r 13