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Home My WebLink About1923 CALLE BARCELONA; 138; CB032912; PermitCity of Carlsbad b 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 1 1-02-2004 Commercial/lndustriaI Permit Permit No: CB032912 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: EDWARD CUEVAS 1923 CALLE BARCELONA CBAD St: 138 TI Sub Type: COMM 2550120400 Lot #: 0 Status: 62~~ $12,000.00 Construction Type: NEW Applied: Reference #: Entered By: RMA BOMBAY-STORAGE/DI SPLAY RACKS Plan Approved: 11/14/2003 Issued: 11/14/2003 Inspect Area: Plan Check#: Owner: 1327 POST AV 90501 31 0 328-6300 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'l Pot. Water Con. Fee Red. Water Con. Fee $1 15.09 $0.00 $74.81 $0.00 $0.00 $2.52 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Meter Size Add'l Red. Water Con. Fee Meter Fee SDCWA Fee CFD Payoff Fee PFF PFF (CFD Fund) License Tax License Tax (CFD Fund) Traffic Impact Fee Traffic Impact (CFD Fund) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees TOTAL PERMIT FEES $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 $0.00 $0.00 $0.00 $1 92.42 Total Fees: $1 92.42 Total Payments To Date: $74.81 Balance Due: $1 17.61 I FINAL APPROVAL Inspector: 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 "feedexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions. 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 feedexactions DOES NOT APPLY to water and sewer connection fees and capacity changes, mr planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any feedexactions of which vou have Dreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has Dreviouslv othewise exoired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY EST. VAL. Plan Ck. Deposit Validated By Date Total # of units Unit No. Phase No. Legal Description Lot No. Subdivision NamelNumber Assessor's Parcel # Existing Use ws-/%3 0002 33. 02 SQ. FT. #of Stories # of Bedrooms 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 Codel or that he is exempt therefrom, and the basis for the alleged violation of Section 7031.5 by any ap ant for a pe it subjects the applicant to a civil malty of not more tha five hundred dollars [$5001). E mrZTR \s= ryo &l+-wrpj 5-we-€1 T2-U 4 .bc4-sdz-2'30Lf Name Address City State/Zip Telephone # State License I 3 b T b S- U Designer Name Address city Statelzip Telephone License Class City Business License # 0 of the work for which this permit is issued. issued. My worker's compensation insurance carrier and policy number are: Insurance Company (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is m/,/oY CAW 4EMXQnJ I& Fd$gNo. 713 .- 00 ovbf Expiration Date attorney's fees. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 1, 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). 0 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). 0 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): Business and Professions Code for this reason: ON0 ~ 4. number I contractors license number): 5. 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 I address I phone 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 number I type of work): PROPERTY OWNER SIGNATURE DATE 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? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. 0 YES 0 NO I hereby affirm that there IS a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 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 City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations 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 commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work APPLICANT'S SIGNATUR DATE / 1 WHITE: File YELLOW: Applicant PINK: Finance - City of Carlsbad 07/30/2004 EDWARD CUEVAS 1327 POST AV90501 Re: Application Date: 10/22/2003 0:OO:OO Plan Check #: CB032912 Address: 1923 CALLE BARCELONA #I 38 Expiration Date: 10/21/2004 0:OO:OO Permit Type: TI Description: BOMBAY-STORAGE/DISPLAY RACKS 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 destroved. 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 Project Abandoned - Plans may be destroyed. If you have any questions, please contact the Building Department at (760) 602-2702. Robin Nuschy Building Depattment 1635 Faraday Avenue Carlsbad, CA 92008-7314 (760) 602-2710 - FAX (760) 602-8560 @ EsGil Comoration In PartnersKip with Government for Buif&ng Safety DATE: 11/3/03 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 03-2912 SET: I PROJECT ADDRESS: 1923 Calle Barcelona Suite 140 PROJECT NAME: Shelving for Bombay Company 0 w 0 0 0 0 w 0 w 0 FILE 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: Esgil Corporation staff did not advise the applicant that the plan check has been completed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: 1 Fax #: REMARKS: 1. The inked clouded change on sheet 1 of the owner set shall be made on city set.(at building department. Eliminate using ICBO #5890. (special inspection is required for this anchor)). 2. Fire Department approval is required. Mail Telephone Fax In Person By: DavidYao Enclosures: Esgil Corporation 0 GA 0 MB 0 EJ 0 PC 10127 tmsmtl.dot 9320 Chesapeake Drive, Suite 208 4 San Diego, California 92123 4 (858) 560-1468 4 Fax (858) 560-1576 City of Carlsbad 03-2912 ii/3/03 VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: 03-2912 PREPARED BY: David Yao DATE: 11/3/03 BUILDING ADDRESS: 1923 Calle Barcelona Suite 140 BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: Type of Review. ORepetitiveFee Repeats H Complete Review 0 Other I $115.091 I $74.81 I Hourly I I Hour * Esgil Plan Review Fee 0 I $64.451 Comments: Sheet 1 of I macvalue.doc Carlsbad Fire Department 032912 16% Faraday Ave. Fire Prevention Carlsbad, CA 92008 (760) 602-4660 Plan Review Requirements Category: Building Plan Date of Report: 10’26’2003 Reviewed by: Name: Edward Cuevas Address: 1327 Post Avenue City, State: Torrance CA 90501 Plan Checker: Job Name: Job Address: Job #: 032912 Bombay Bldg #: CB032912 1923 Calle Barcelona Ste. or Bldg. No. 140 0 Approved 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 and standards. Please review carefully all comments attached as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements. @ Approved Subject to The item you have submitted for review has been approved subject to the attached conditions. The approval is based on plans, information and/or specifications provided in your submittal. Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements. Please resubmit to this office the necessary plans and / or specifications required to indicate compliance with applicable codes and standards. 0 Incomplete The item you have submitted for review is incomplete. At this time, this office cannot adequately conduct a review to determine compliance with the applicable codes and / or standards. Please review carefully all comments attached. Please resubmit the necessary plans and / or specifications to this office for review and approval. Review 1 st 2nd 3rd Other Agency ID FD Job # 032912 FD File # Requirements Category: Building Plan ~ ~ ~ ~ ~~ ~~ ~ ' Repi;ernent: Pending 05.29 High Piled Combustible Storage Storage in closely packed piles shall not exceed 15 feet in height, 12 feet on pallets or in racks and 6 feet for tires, plastics and some flammable liquids. If high piled stock piling is to be done, submit a complete storage plan and description of the commodoties to be stored. Show compliance with Article 81 of the Uniform Fire Code. A SIX-INCH (6) TRANSVERSE FLUE SPACE REQUIRED BETWEEN MOVABLE RACKS. Page 1 10/26/03 ........ ... .... SHEET NO 1 BY G, !?!!!!!AN RACK DE$IGN & ENGINEERING CO. .......................... DATE ...... 8 -5-03 ......................... 3786 LA CRESCENTA Am., gUITE 204 dLENDALE, CA. 91208 RD-8022 JOB NO. .............................. SUBJECT .......................... TEL:(818)957-2980 FAX:(818)957-8603 SEISMIC ANALYSIS OF STORAGE SHELVING SYSTEM FOR: BOMBAY COMPANY 1923 CALLE BARCELONA, SUITE 140 CARLSBAD. CA. 92009 PER CBC 2001 EDITION STORAGE SHELVING CAPACITY: 150 # / LEVEL CALCS. 1 THRU 4 DRAWINGS: RD-8022 SH. 1 ....................................... SHEET NO .?: BY G. OHANIAN RACK DESIGN & ENGINEERING CO. ........... ............ . - .................................. '8-5-03 3786 LA C'REBC'ENTA AVE., dUITE 204 EA1 E SUBJECT. TEL( 81 8)957-2980 FAX:( 8 18)957-8603 RD-8022 dLENDALE, CA. 91208 JOB NO ............................... .......................... UNIT "A" (FIXED) * SIDE VIEW r"r""r UNIT "E" (FIXED) UNIT "F" (MOBILE) DOUBLE RI VET BEAM t=14 GA. -x sx=.12 u) c ). 7 KSI. N Fy =36 SIDE VIEW t=14 GA. x Sx=.1l F = 3 6 KS'* SIDE VIEW 150 # / LEVEL 75 # / BEAM K 84"x.075 = .7iK 8 M= SR=$= .04<.12 & .I1 ...................................... SHEET NO. 3 BY. G. OHANIAN RACK DESIGN & ENGINEERING CO. ......................... . ................................... * '8-5-03 3786 LA dREadENTA AVE., BUITE 204 RD-8022 dLENDALE, dA. 91208 JOB NO ............................... DATE SUBJECT ........................... TEL: (8 18)957- 2980 FAX: (8 18)957-8603 SEISMIC DESIGN CBC 2001 SEC. 2222 2.5xCaxl V= Rx1'4WORKlNG STRESS - I= 1 R=5.6 MOM. CONN. Na=l Ca=.44xNa Ca=.44xl=.44 W=D.L. +L.L. 4 -/_ w) IOAD PER COIUMN 150 # / LEVEL p= 4x.15K=*3K 2 K W=.05 +.3 =.35 0.L LL. v= 2.5x.44x.35 = .05 K 5.6x1.4 UNIT "F" 3x 15K K p= -=.22 2 K Wz.05 +- *22 z.16 D.L. 2 L.L v= 2.5x.44x.16 = -02 K 5.6x1.4 COLUMN ANA LYSIS /31 COMBINED STRESS RATIO -+-- p M --++'- *35 85 - .54<1.33 Pa Ma, 5 1.8 - T= 0 ANCHOR SHEAR =&= .03 K K 2 ..02 ..Ol .01 .Ol .35 -K .35 .K .5 .5 'K .65 .65 'K .85'K - .05K KSI KSI Fy=36 F,= 12.8 A=.40 K Pa =Fa XA = 5 I .08 S,,,=.08 Ma =SxFb = 1.8"K rmln=.54 Q=.75 3 3/4" 1 I I t= 14GA. USE (2)-1/4"0 HILT1 ANCH. (ICBO #4627) 2" EMB. (NO INSPECTION REQ'D) 0 . ...................................... SHEET NO. 4 BY. G. OHANIAN RACK DE$IdN & ENGINEERING CO. ......................... . .................................. * 8-5-03 3786 LA dREadENTA AVE., BUITE 204 DATE SUBJECT TEL(818)957-2980 FAX:(818)957-8603 RD-8022 dLENDALE, dA. 91208 JOB NO ............................... ........................... MOMFNT AT BFAM CONNECTlOr\l .85+.65 = -75 “K Mc0~N.z K ’K Ma = 1.5 XI .5”x1.33=3.0 CONN OVERTURN I N G K ‘K MOT= .05 ~2~144”~.5~1.15 = 8.3 MR = .35Kx24’9= 8.4”K NO UPLIFT TWO 1/4”$ ANCHOR BOLTS PER BASE PLATE OK. ALL 12’ FIXED UNITS (”A” &”E”) TO BE CONNECTED TO THE BUILDING WALL PER DETAIL DRAWING MOBILE SHELVING MOBILE TRACK ANCHOR0 TO FLOOR W/ 1/4”$ ANCHORS @D 24” O.C. ANTI-TIP BOLTED TO MOBILE CARRIAGE W/ (2) SHELVING POST CONNECTED TO CARRIAGE W/ (2) 1/4”6 TEK SCREWS PER POST 1/4”% BOLTS MOBILE SIORAGE sysTouS. INC ma mua~ m. wv - Y 49w THE BOMBAY MODIFIED 'IF" UNITS INSTALLATION INSTRUCTIUNS msrLm+emMhmm pH (Mx)) 234-7477 FAX: (6t6) 791-9916 SHELVING IS 10' HIGH WITH 3 SHELVES/2 OPENINGS WIRE GRID SHELVES, 8 @ 8 4' UNITS - 1 0 PER SHELF LML 5' UNITS - 1 D PER SHELF LML 6' UNITS = 2 0 PER SHELF LEML +EACH LEVEL *EACH LEVEL APPROX. 81' OPEN ?SEE EACH NOTE LEVEL MOBILE STORACE SYSTEMS, INC ZSM ILsQ( tK NW lyKFR MI 4OOW DMBAY "A" UNIT PH: (800) 234-7477 FM (8ta) 791--9916 INSTALLATION INSTRUCTIONS um 01E: -*. NOTE: "A" UNIT TO BE SECURED TU SHELVING 1s 12' HIGH WITH WALL STUDS USING A MINIMUM UF 5 SHELVES / 4 UPENINGS WIRE GRID SHELVES 8 .L- UPRIGW 2 BEAM LOW PROFILE EACH YP. EACH YP. EACH APPRO%. 34 \ SHELF MATERIAL WIRE GRID 4 #12 TEK SCREWS OR EQUIVALENT. LOCATION OF SCREWS SHOULD BE UPPER 2 LEVELS OF UPRIGHT UR CORRESPONDING SHELF FLANGE ONLY IF UPRIGHTS ARE NOT IN-LINE WITH STUDS, DRILL THROUGH Z-BEAM FLANGE TU WALL STUD, KEEP VERY TOP HOLE OF UPRIGHT OPEN TO ENSURE WIRE GRID IS HELD IN PLACE. CORNER EACH LEVEL EACH LEVEL LEVEL 1 REV: 4/16/02 MOBILE STOWE SYSTEMS. INC 1ow UQI OR M -, Y 4es4 PH: (800) 234-7477 FM (616) 791-0916 INSTALLATION INSTRUCTIONS u€n mE: .r"&pmbawm SHELVING IS 12' HIGH WI 4 SHELVES/3 OPENINGS WIRE GRID SHELVES. 0 EACH LEVEL@- I EACH LEVEL@- APPROX. 36' OPEN APPROX. !36* OPEN EACH LEVEL- - 4' UNITS = 1 D PER SHELF LML 5' UNITS = 1 D PER SHELF LEVEL 6' UNITS = 2 D PER SHELF LEVEL H 7' or 8' UNrS = 3 D PER SHELF LEVEL L- "pRGm DOUBLE SHELF LUTERIAL SHELF SUPPORT RMT WIRE GRID EACH CORNER EACH LEVEL EACH LEVEL EACH LEVEL EACH LEVEL IO I a@-+ 111111 MOBILE STORAGE mi SYSTEMS. 1 INC \ ZSM *Luw LIL m -. tu 4e5u 5UMBAY MODIFIED "A" UNIT PH: (600) 234-7477 FAX: (616) 791-9916 INSTALLATION INSTRUCTIUNS mm m-iscm NOTE: "A' UNIT TU BE SECURED TO SHELVING 1s 12' HIGH WITH WALL STUDS USING A MINIMUM OF 3 SHELVES / 2 OPENINGS WIRE GRID SHELVES .Lm UPRIGHT SHELF MATERIAL BEAM LOW PROFILE 'IRE 4 #12 TEK SCREWS OR EQUIVALENT, LOCATION OF SCREWS SHOULD BE UPPER 2 LEVELS OF UPRIGHT UR CORRESPONDING SHELF FLANGE ONLY IF UPRIGHTS ARE NOT IN-LINE WITH STUDS, DRILL THROUGH Z-BEAM FLANGE TO WALL STUD, @EACH CORNER KEEP VERY TOP HOLE OF UPRIGHT OPEN TO ENSURE WIRE GRID IS HELD IN PLACE. EACH LEVEL EACH LEVEL EACH LEVEL EACH LEVEL EACH LEVEL EACH LEVEL EACH LEVEL EACH LEVEL EACH LEVEL License Detail Page 1 of2 California Home Friday, Ncwember 14, 2003 CALIFORNIA CONTRACTORS STATE LICENSE BOARD License Detail Contractor License # 765650 DISCLAIMER A license status check provides information taken from the CSLB license data base. Before relying on this information, you should be aware of the following limitations: CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint andlor legal action information. are disclosed. the arbitration. onto the Board's license data base. Per B&P 7071.17, only construction related civil judgments known to the CSLB Arbitrations are not listed unless the contractor fails to comply with the terms of Due to workload, there may be relevant information that has not yet been entered Extract Date: 11/14/2003 * * * Business Information * * * KALIN ENTERPRISES INC 9540 PATHWAY STREET #201 SANTEE, CA 92071 Business Phone Number: (619) 562-2304 Entity: Corporation Issue Date: 0711 311 999 Expire Date: 07/31 12005 * * * License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * [Class] Description GENERAL BUILDING CONTRACTOR * * * Certifications * * * pzll Description I ni ... . http://www2.cslb.ca.gov/CSLB - LIBRARY/License+Detail.asp 11/14/2003 License Detail ~~HIC HOME IMPROVEMENT CERTIFICATION^^ Page 2 of 2 .' . * * * Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 9014374 in the amount of $7,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 03/20/1999 BOND OF QUALIFYING INDIVIDUAL(1): The Responsible Managing Officer (RMO) DANIEL ANDREW BARANOWSKI certified that he/she owns 10 percent or more of the voting stocklequity of the corporation. A bond of qualifying individual is not required. Effective Date: 0711 311 999 * * * Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number: 71 3-0005963 Effective Date: 09/26/2000 Expire Date: 10/01/2004 Workers Compensation History Personnel List License Number Request entractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request 0 2003 State of California. Conditions of Use Privacy Policy http ://www2 .cslb . ca.gov/C SLB-LIBRARY/License+Det ail. asp ____~ ~~ ~~ ~ 11/14/2003