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Home My WebLink About1925 CALLE BARCELONA; 160; CB033602; Permit0 1 -22-2004 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: MICHAEL KlNOSHlTA City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Commercial/lndustrial Permit Permit No: CB033602 1925 CALLE BARCELONA CBAD St: 160 TI Sub Type: Lot #: $22,440.00 Construction Type: Reference #: BRAD LARSEN FLORAL - Tl-748 SF TO SHELL (RETAIL SPACE) COMM 0 Status: ISSUED NEW Applied: 12/23/2003 Plan Approved: 01/22/2004 Issued: 01/22/2004 Entered By: KMT Inspect Area: Plan Check#: Owner: 791 8 CONVOY CT 921 11 858-268-81 76 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 Recl. Water Con. Fee $199.79 $0.00 $129.86 $0.00 $0.00 $4.71 $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 Recl. Water Con. Fee Meter Fee SDCWA Fee CFD Payoif 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 $41 .OO $35.00 $24.00 $0.00 $0.00 $0.00 $0.00 $434.36 Total Fees: $434.36 Total Payments To Date: $129.86 Balance Due: $304.50 Inspector: Clearance: 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, PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHEFK NO. (?!,!']033b& EST. VAL. 3 qqoz - Plan Ck. Deposit , 5. CONTRACTOR - COMPANY NAME (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 violaty,of Section 7031 5 by any applicant for a permit subjects the of not more than five hundred dollars [$5001) &,,/,./= pvlc/3ap5/ q$-9 &V5u~S/J r;F 91~i'.f ?/,cBJz- %CV Address State License # License Class i Designer Name Address City StatelZip Telephone State License # 6. WORKERS' COMPENSATION Workers' Compensation Declaration 0 of the work for which this permit IS issued issued. My worker's compensation insurance carrier and policy number are (THIS SECTION NEED NOT BE COMPLETE6 IF THE PERMIT IS FOR ONE HUNbRED DOLLARS I$1001 OR LESS) 0 CERTIFICATE OF EXEMPTION. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become Subject to the W WARNING Failure to s[arker&&pe&&hyerage is unlawful, and shall subject an employg to criminal penalties and civil fines up to one hundred I hereby affirm under penalty of perjury one of the following declarations I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance c] I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, ,x Insurance Company Srb*rcJL e 'Aft7 -)(Policy No /Am% 3 ' Compensation Laws of California co%ensation, damages as provided for in b ,$usand dollars ($100, GNATURE \< - License Law for the following reason: -. 0 I, as owner of the property or mwloyees 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 0 1. 2. 3. ._ pursuant to the Contractor's License Law). I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 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: UNO 4. number / 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 COMPLETE THIS SECTION FOR NON-R€S/D€NT/AL BUlLDlNG PERMITS ONLY 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 Act7 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 district7 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. 8. CONSTRUCTION FENDING AGENCY 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 Codel LENDER'S NAME LENDER'S ADDRESS 9. APPLICANT CERTIFICATION 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 Citt. 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 authorized by such permit is at any time after the work is APPLICANT'S SIGNATURE 0 YES 0 NO the provisions of this Code shall expire by limitation and become null and void if the building or work the date of such permit or if the building or work authorized by such permit is suspended or abandoned (Section 106 4 4 Uniform Building Code) DATE /z'L$g$ File YELLOW Applicant PINK: Finance Inspection List Permit#: CB033602 Type: TI Date . Inspection Item 05/06/2004 89 05/06/2004 89 04/29/2004 89 04/29/2004 89 03/19/2004 17 0311 8/2004 17 0311 212004 14 0311 212004 24 0311 212004 34 0311 2/2004 44 0311 012004 84 03/09/2004 84 03/08/2004 84 02/13/2004 1 1 02/13/2004 21 02/12/2004 21 0211 112004 24 02/02/2004 21 Final Combo Final Combo Final Combo Final Combo Interior LathIDrywall Interior LathIDrywall Frame/SteeVBoltingNVeldin Roughflopout Rough Electric Rough/Ducts/Dampers Rough Combo Rough Combo Rough Combo FtgIFoundationlPiers Underground/Under Floor Underground/Under Floor Roug hflopout Underground/Under Floor COMM Inspector Act PY NR RI RI PS co PD AP PY NR PY AP PY NR PY NR PY NR PY co PS co PS NR PS AP PS wc PS AP PS co PS co BRAD LARSEN FLORAL - TI-748 SF TO SHELL (RETAIL SPACE) ~ ~~ Comments LOCKED OUT CO HAVE BEEN MADE. LOCK BOX COMB00714 KEY CODE 1941. CARDJPERMT ON TOP OF COUN EMR CHECK COUNTER HEIGHT DOOR LOCKED WALL FRMG SEE NOTICE ATTACHED INSULATED W/O APPROVAL PATCH BACK NO TEST NOT PER PLAN Monday, May 10,2004 Page 1 of 1 . UNSCHEDULED BUI ,DING INSPECTION INSPECTOR f% PERMIT # 0 3 3 b0 L . PLAN CHECK,# CODE DESCNPTION ACT COMMENTS City of Carlsbad Bldg Inspection Request For: 03/10/2004 Permit# CB033602 Inspector Assignment: PS Title: BRAD LARSEN FLORAL - TI-748 SF Description: TO SHELL (RETAIL SPACE) Type: TI Sub Type: COMM Job Address: 1925 CALLE BARCELONA Suite: 1 60 Lot 0 Location: APPLICANT MICHAEL KlNOSHlTA Owner: Remarks: Total Time: Phone: 76071 61 477 Requested By: PAUL Entered By: CHRISTINE CD Description Act Comment 14 Frame/Steel/Bolting/Weld~ng 24 Rough/Topout 34 Rough Electric 44 Rough/Ducts/Dampers 2 / __c I - v Associated PCRs/CVs Date 03/09/2004 03/08/2004 0211 312004 02/13/2004 0211 a2004 02/11/2004 02/02/2004 Inspection History Description 84 Rough Combo 84 Rough Combo 11 Ftg/Foundation/Piers 21 UndergroundlUnder Floor 21 UndergroundIUnder Floor 24 RougWTopout 21 UndergroundIUnder Floor Act lnsp Comments CO PS INSULATED WIO APPROVAL NR PS AP PS PATCHBACK wc PS AP PS CO PS NOTEST CO PS NOTPERPLAN N CITY OF CARLSBAD BUILDING DEPARTMENT OTICE (760) 602-2700 1635 FARADAY AVENUE PERMIT NO. 2 2-2725 RE-INSPECTION FEE DUE? 1- YES PHONE d CODE ENFORCEMENT OFFICER City of Carlsbad Bldg Inspection Request For: 03/09/2004 Permit# CB033602 Inspector Assignment: PS Title: BRAD LARSEN FLORAL - TI-748 SF Description: TO SHELL (RETAIL SPACE) Type: TI Sub Type: COMM Job Address: 1925 CALLE BARCELONA Suite: 160 Lot 0 Location: APPLICANT MICHAEL KlNOSHlTA Owner: Remarks: Total Time: Phone: 7607161477 Inspector: .;igs Requested By: PAUL Entered By: ROBIN CD Description 14 Frame/Steel/Bolting/Welding f 24 Rough/Topout 34 Rough Electric 44 R ou g h/Du cts/Da m pers Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 03/08/2004 84 Rough Combo NR PS 02/13/2004 1 1 Ftg/Foundation/Piers AP PS PATCHBACK 02/12/2004 21 Undergroundunder Floor AP PS 02/11/2004 24 RougtVTopout CO PS NOTEST 02/02/2004 21 UndergroundNnder Floor CO PS NOTPERPLAN 02/13/2004 21 Undergroundunder Floor wc PS CITY OF CARLSBAD NOTICE (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE FOR INSPECTION CALL (760) 602-2725. ..' ~ RE-INSPECTION FEE DUE? L I YES __- - JWRFUBTHE~ I~~FORMATION, c i -2- -;+/f & , j -. PHONE /f /;." I @ ' EUILDI~GINSPEC~OR. ' ' CODE ENFORCEMENT OFFICER N CITY OF CARLSBAD BUILDING DEPARTMENT OTICE (760) 602-2700 1635 FARADAY AVENUE PERMIT NO. FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? YES PHONE @ CODE ENFORCEMENT OFFICER City of Carlsbad Bldg Inspection Request For: 02/1 1/2004 Permit# CB033602 Title: BRAD LARSEN FLORAL - TI-748 SF Description: TO SHELL (RETAIL SPACE) Type: TI Sub Type: COMM Job Address: 1925 CALLE BARCELONA Suite: 160 Lot 0 Location: APPLICANT MICHAEL KlNOSHlTA Owner: Remarks: Total Time: CD Description 24 Roughnopout Inspector Assignment: PS Phone: 0000000000 Inspector: f3S t Requested By: SHAWN Entered By: ROBIN Act Comment Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 02/02/2004 21 UndergroundNnder Floor CO PS NOTPERPLAN BUILDING DEPARTMENT OTICE (760) 602-2700 1635 FARADAY AVENUE TIME FOR INSPECTION 602-2725. RE-INSPECTION FEE DUE? -1 I__ YES PHONE @ CODE ENFORCEMENT OFFICER City of Carlsbad Bldg Inspection Request For 02/02/2004 Permit# CEO33602 Inspector Assignment: Title: BRAD LARSEN FLORAL - Ti-748 SF Description: TO SHELL (RETAIL SPACE) Type: TI Sub Type: COMM Job Address: 1925 CALLE BARCELONA Suite: 160 Lot 0 Location: APPLICANT MICHAEL KiNOSHlTA Owner: Remarks: Total Time: Phone: 76071 61 477 Inspector: a Requested By: PAUL Entered By: CHRISTINE CD Description 21 UndergroundNnder Floor Associated PCRs/CVs Date InsDection History Description Act lnsp Comments BUILDING DEPARTMENT OTICE (760) 602-2700 1635 FARADA? AVENUE FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? r1 i __ YES PHONE 8 CODE ENFORCEMENT OFFICER CITY OF CARLSBAD NOTICE (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE DATE z-z-oy TIME FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? -1 YES PHONE @ BUILDING INSPECT~R CODE ENFORCEMENT OFFICER EsGil Comoration m In Tartnership with ~overnment for guilding Safety DATE: 1/6/04 JURIS D I CTlO N: Carlsbad PLAN CHECK NO.: 03-3602 SET: I 0 PLAN REVIEWER 0 FILE PROJECT ADDRESS: 1925 Calle Barcellona, Suite 160 PROJECT NAME: Larson Floral TI 0 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. 0 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. c] The applicant’s copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. 0 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. 0 Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: Mail Telephone Fax In Person REMARKS: The item clouded in red on the city set of plans to make an from EsGil must be made to By: Chuck Mendenhall Enclosures: Esgil Corporation GA 0 MB EJ PC 12/26/03 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 San Diego, California 92123 + (858) 560-1468 + Fax (855) 560-1576 Carlsbad 03-3602 1/6/04 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: 03-3602 OCCUPANCY: M USE: florist shop TYPE OF CONSTRUCTION: VN ACTUAL AREA: 768 ALLOWABLE FLOOR AREA: no change J U Rl SDl CTl ON : Carlsbad STORIES: no change HEIGHT: no change SPRINKLERS?: Yes OCCUPANT LOAD: 7 REMARKS: DATE PLANS RECEIVED BY JURISDICTION: ESGIL CORPORATION: 12/26/03 DATE INITIAL PLAN REVIEW COMPLETED: 1/6/04 DATE PLANS RECEIVED BY PLAN REVIEWER: Chuck Mendenhall 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 ordinances enforced 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. Code sections cited are based on the 1997 UBC. 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. Fer 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 (or 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. TENANT IMPROVEMENTS WITHOUT SPECIFIC ENERGY DATA OR POLICY SUPPLEMENTS (1997UBC) tifowdot Carlsbad 03-3602 1/6/04 ~ALUATION AND PLAN CHECK FEE J U RIS DICTION: Carlsbad PLAN CHECK NO.: 03-3602 PREPARED BY: Chuck Mendenhall DATE: 1/6/04 BUILDING ADDRESS: 1925 Cde Barcellona, Suite 160 BUILDING OCCUPANCY: M TYPE OF CONSTRUCTION: VN I $1 99.791 Plan Check Fee by Ordinance I I Type of Review: El Complete Review 0 Repetitive Fee Repeats 17 0 0 Structural Only Other Hourly -1 Hour * Esgil Plan Review Fee I $129.861 I $1 11.881 Comments: Sheet 1 of 1 macvalue.doc PLANNING/ENCINEERlNC APPROVALS __I"- - RESIDENTIAL flNANT IMPROVEMENT 1 RESIDENTIAL ADDITION MINOR ( < $1 0,000.00) PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE ENGINEER DATE I a/9//03 PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. Planner Chris Sexton Phone /7601602-4624 Type of Project & Use: Zoning: General Plan: Facilities Management Zone: CFD (idout) #-Date of participation: Address 14 a5 Ccal le % r ce I (3nL APN: 355 .-ala -0Lf DU/AC Net Project Density: Remaining net dev acres: QWQ --- (For non-residential development: Type of land used created by this permit: 1 Circle One ggg SSqC Leaend: Item Complete c] Item Incomplete - Needs your action hho 000 Environmental Review Required: YES - NO - TYPE DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: I700 Discretionary Action Required: YES J NO - TYPE APPROVAURESO. NO. DATE PROJECT NO. OTHER RELATED CASES: Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: ~- ~ 000 Coastal Zone AssessmenWompliance Project site located in Coastal Zone? YES- NO- CA Coastal Commission Authority? YES- NO- If California Coastal Commission Authority: Contact them at - 7575 Metropolitan Drive, Suite 103, San Diego CA 921 08402; (61 9) 767-2370 Determine status (Coastal Permit Required or Exempt): If NO, complete Coastal Permit Determination Form now. Coastal Permit Determination Log #: Coastal Permit Determination Form already completed? YES- NO___ Follow-Up Actions: 1) 2) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans). Complete Coastal Permit Determination Log as needed. lnclusionary Housing Fee required: Data Entry Completed? YES - NO - YES - NO - (Effective date of lnclusionary Housing Ordinance - May 21 , 1993.) (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing YM, Enter Fee, UPDATE!) on0 Site Plan: H:\ADMIMCOUNTER\BldgPlnchkRevChklst Rev 9101 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 (including all side and rear yard slopes). 2. Provide legal description of properly and assessor's parcel number. Policy 44 - Neighborhood Architectural Design Guidelines 1. Applicability: YES NO 2. Project complies YES NO Zoning: 1. Setbacks: Front: Required Shown Interior Side: Required Shown Street Side: Required Shown Rear: Required Shown Top of slope: Required Shown 2. Accessory structure setbacks: Front: Required Shown Interior Side: Required Shown Street Side: Required Shown Rear: Required Shown Structure separation: Required Shown 3. Lot Coverage: Required Shown 4. Height: Required Shown 5. Parking: Spaces Required Shown Residential Guest Spaces Required Shown (breakdown by uses for commercial and industrial projects required) OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE 6\/ a 4 H:\ADMIMCOUNTER\BldgPlnchkRevChklst Rev 9/01 Carlsbad Fire Department 033602 1635 Faraday Ave. Fire Prevention Carlsbad, CA 92008 (760) 602-4660 Plan Review Requirements Category: Building Plan 4 Date of Report: 12/29/2003 Reviewed by: L4&.&-- 1 Name: MKA Architect Plan Checker: Address: 791 8 Convoy Court City, State: San Diego CA 921 11 Job #: 033602 Job Name: Brad Larsen Floral Blda #: Cb033602 Job Address: 1925 Calle Barcelona Ste. or Bldg. No. 160 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. 0 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 # 033602 FD File # TITLE 24 REPORT Title 24 Report for: Brad Larsen Floral TI Carlsbad, CA 92009 I& Calle Barcelona - Suite* 1 &e Project Designer: MKA Inc. 7918 Convoy ct San Diego, Ca 858-268-81 76 Report Prepared By: Brian Bannock- GM PACIFIC COAST DESIGNS 27306 Rowel Court Valley Center, CA 92082-6837 (760) 751 -9060 Job Number: PCD#: 2 k334 1 Date: 12/19/2003 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report This program has approval and is authorued by the California Energy Commission for use with both the Residential and Nonresidential 2001 Building Energy Efficiency Standards -6 This program developed by EnergySoft, LLC (415) 883-5900 k EnergyPro 3.1 By EnergySofl Job Number. PCD#:2k3341 .. User Number: 2314 __~____ __ __ - SD POLICYHOLDER COPY II STATE P.O BOX 807. SAN FRANCISCO.CA 94142-0807 COMPENSATiON INSURANCE F u N I> CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 04-01-2003 GROUP: POLICY NUMBER: 1583097-2003 CERTlf ICATE ID: 3 CERTIFICATE EXPIRES. 04-01 -2004 04-01-2003/04-01-2004 CONTRACTORS STATE LICENSE BOARD SD LICENSE NUMBER: LIC #777499 ATTN: WORKERS' COMP. UNIT INCEPTION DATE: 04-01-2003 BOX 26000 0.0.: SD SACRAMENTO CA 95826 This is to certify that we have issued a vali California Insurance Commissioner to the employer named below for the policy period indicated. rance policy in a form approved by the This policy is not subject to cancellation by the Fund except upon lodays' advance written notice to the employer. We will also give you 10 days' advance notice shsuld this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend# extend or alter the coverage afforded by the policies listed herein Notwithstanding any requirement, term, or condttion of any contract or other document with respect to which this certificate of insurance may be issuea or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000.00 PER OCCURRENCE. - /= EMPLOYER LEGAL NAME ONLINE BUILDERS U S 959 CORNISH DR ENCiNlTAS CA 92024 K- ( A CORP )AND/OR WJKB BUILDERS INC (A CORP) 03- 17-2003 po409 PRINTED