HomeMy WebLinkAbout2042 CORTE DEL NOGAL; C; CB001871; Permit06/19/2000
City of Carlsbad
Commercial/Industrial Permit Permit No
Building Inspection Request Line (760) 602-2725
CB001871
Job Address
Permit Type
Parcel No
Valuation
Occupancy Group
Project Title
2042 CORTE DEL NOGAL CBAD St C
Tl Sub Type COMM
2130610500 Lot# 0
$109,50800 Construction Type
28 Reference #
SPEC SUITE Tl-3911 SF
Applicant
COOPER ROBERTS & BENNETT
C203
1010 UNIVERSITY AVE
SAN DIEGO CA 92103
619-297-1011
Status ISSUED
NEW Applied 05/10/2000
Entered By JM
Plan Approved 06/09/2000
Issued 06/19/2000
Inspect Area
Owner
QUINCE ASSOCIATES LTD
C/O SPECTRUM.PROPERTY MANAGEMENT
8^99 BALBOA AVE #260
SAN DIEGOCA92123X 0515 06/19/00 02
1565.43
Total Fees $1,991 88 .-Total Payments'Tb Date ; $426N45 ^-;:>'o'Balance Due $1,565 43
n
Building Permit \
Add'l Building Permit Fee I
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
Reel Water Con Fee
$656*08
$0 00\x
,$42645"
":~': Meter Size'' ^ r- -_ ~}
WatefCbri^eej
rPFF-(CFD Fund)
(Tax/ '
\^icense Tax .
'traffic ImpacVFeV
"\,\ f.CFD Payoff;Fee'" /
\ $23-00rV v>s-'-- *' ^" ''
\$q/op
,'-;r;\ $d;ob i
^, "/SOOO--,
" <.<; $0'00 ,
\ ^'$6^bp:'// j—1 /Traffip'ImpaQt (CFD^Fund)
., $0 Ob / r •'' i LFMZ Transportation Fee
'"$000 " >LUMBING.TOTAL
$0 00"~
$000
$000
$000
DATE
$000
$000
$000
$000
$000
$000
$208 00
$000
$14030
$000
$000
$10400
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 "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 capactiy
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
CITY OF CARLSBAD
2075 Las PalmasDr, Carlsbad, CA 92009 (760)438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr, Carlsbad CA 92009
1760)438-1161
ROJECt INFORMATION
FOR OFFICE USE ONL
PLAN CHECK NO
EST VAL tofyft //.
Plan Ck Deposr
Validated By.
Date
r-r-
Address (include Bldg/Suite #) I
Cork- dol KJoaai
X") J
O
Business Name (at this address)
SQ FTDescription of Work
f|Ji, CQNTACT,PERSON (if differentjfrom'applicant)',.
Name Address
3' •"'" APPLiCANT i? n^Contractor C] Agent for Contractor* * O Owner,
lot 6
#of Stories # of Bedrooms'
^prve^
# of Bathrooms
Name
\p&r
City
XVgent for'Owner •£,
State/Zip Telephone #Fax *
City State/Zip Telephone #
PROPERTV.OWNER
Name Address City State/Zip Telephone #
(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 Codel 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])
JJ Cortshrxjia-hoo .^7^// 1//3TA
Name
"v cry "~»-State License # .JJn^s
Designer Name
State License #
Address
' Oj License Class o
Address
City f State/Zip
City Business License # /I C-a
City State/Zip
\\Telephone #
"v
Telephone 1
.
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
n I nave 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
Q^T 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^Up , ^A/T)6>1 A?7"7 Policy No /V J> &£> 7 ^'° ^ Expiration Date 7~£
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [SI00] OR LESS)
Q 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 FaiKueto secure/toorkprsxlonjpensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollar ($190 OOOJv in addition toAhs cost qj-eempensation, damages as provided for in Section 3706 of the Labor code interest and attorney s fees
SIGNATURE ^~—L")J. / //}' ) DATE £> "^ ^ ^
lSi^ '- ~"^"::^r ;t:':>Tr~!F' •:';!;?" "";:'": ~ -" ... '. "" B :NS|™"^.::- '"':"J -.-. '",",,•
I hereby affirm that I acrexempt from the Contractor's/ticense Law for the following reason
[] 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~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)
[3 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 Q YES DNO
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)
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ,„ ,^s ih : :
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? Q YES Q NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' Q YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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.-i;WCC]NSTRUCfION LENDING AGENCY • ". ' .^jf ..,. ,,:ff .^.f.' . ., .--,.. ,.^..ff ••-• \'.'• ,,>• . ":-. "• , j!!- '• '"
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) 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 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 commenced within 365 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 commencedJor a period of 180 days (Section 106 4 4 Uniform Building Code)
MAAPPLICANT S SIGNATURE DATE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 02/06/2001
Permit# CB001871
Title SPEC SUITE Tl - 3911 SF
Description
Inspector Assignment TP
2042 CORTE DEL NOGAL
C Lot 0
Type Tl Sub Type COMM
Job Address
Suite
Location
APPLICANT COOPER ROBERTS & BENNETT
Owner QUINCE ASSOCIATES LTD
Remarks PERMIT,PLANS & CARD WILL BE THERE DR OPE
Phone
Inspector
Total Time Requested By
CD Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Associated PCRs
Inspection History
Date Description
01/30/2001 89 Final Combo
01/26/2001 89 Final Combo
07/28/2000 14 Frame/Steel/Bolting/Welding
07/28/2000 34 Rough Electric
07/28/2000 44 Rough/Ducts/Dampers
07/1 0/2000 1 7 Interior Lath/Drywall
07/06/2000 14 Frame/Steel/Bolting/Welding
07/06/2000 24 Rough/Topout
07/06/2000 34 Rough Electric
07/06/2000 44 Rough/Ducts/Dampers
06/30/2000 14 Frame/Steel/Bolting/Welding
06/30/2000 24 Rough/Topout
06/30/2000 34 Rough Electric
06/20/2000 21 Underground/Under Floor
Act
6<o
I
I
Act
CA
CA
AP
AP
AP
AP
AP
AP
AP
we
NR
NR
NR
CO
Entered By CHRISTINE
Comments
^tf^ Jstf £/0A4? T^Z^
Insp Comments
TP
TP PER CONT
TP CEIL SEISMIC UPGRADE
TP CEIL LIGHTS
TP DUCTS
RB NOTED DEMISING WALL DRYWALLED ON ONE
TP
TP
TP WALLS
TP
PD
PD
PD
TP SEE CARD
-A . KOJ
AV I^MP
V-,^*^e'$JT»°*^r-\
\stff^
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\<& r\pyv$
W\ J^if-
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-^ill&v T 7*-L
/•ntt (*,*-•'
SIDE ONLY^^^ '•-""IX
WccSiJ* ffteV, c
TCv«— S^Jijl. -^
Inspection List
Permit* CB001871 Type Tl COMM SPEC SUITE Tl - 3911 SF
Date Inspection Item _ Inspector Act
02/06/2001 89 Final Combo TP CO
01/30/2001 89 Final Combo TP CA
01/26/2001 89 Final Combo TP CA
07/28/2000 14 Frame/Steel/Boltmg/Weldm TP AP
07/28/2000 34 Rough Electric TP AP
07/28/2000 44 Rough/Ducts/Dampers TP AP
07/10/200017 Interior Lath/Drywall RB AP
07/06/2000 14 Frame/Steel/Boltmg/Weldm TP AP
07/06/2000 24 Rough/Topout TP AP
07/06/2000 34 Rough Electric TP AP
07/06/200044 Rough/Ducts/Dampers TP WC
06/30/2000 14 Frame/Steel/Bolting/Weldm PD NR
06/30/2000 24 Rough/Topout PD NR
06/30/2000 34 Rough Electric PD NR
06/20/2000 21 Underground/Under Floor TP CO
SEE JOB CARD T-24
PER CONT
CEIL SEISMIC UPGRADE
CEIL LIGHTS
DUCTS
NOTED DEMISING WALL DRYWALLED
ON ONE SIDE ONLY
WALLS
SEE CARD
Wednesday, May 09, 2001 Page 1 of 1
1L
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB
ADDRESS
DATE
T>P
RESIDENTIAL
RESIDENTIAL ADDITION MINOR
(<$10,000.00)
TENANT IMPROVEMENT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
OTHER
PLANNER
ENGINEER
DATE
DATE
Docs/Mlsforms/Planning Engineering Approvals
D
D
ENGINEERING DEPARTMENT
FEE CALCULATION WORKSHEET
Estimate based on unconfirmed information from applicant: ,Calculation based on building plancheck plan submittal
Address Perm,t No
Prepared by ^ ^/^ Date 4/// ' Checked by
EDU CALCULATIONsLj/ist types and square footages for all uses
Types of Use Q \ M^U-^O Sq Ft /Units ~^P) \ / cr~r~J
Types of Use Sq Ft /Units .. ,
Date
APT CALCULATIONS List types and square footages for all usejs
_ Sq Ft /Units
Sq Ft /Units
Types of Use
Types of Use
EDU's
EDU's
ADT's
ADT's
/.
FEES REQUIRED
WITHIN CFD D YES (no bridge & thoroughfare fee in District #1, reduced Traffic Impact Fee) D NO
D 1 PARK-IN-LIEU FEE
FEE/UNIT
PARK AREA & #
X NO UNITS = $
D 2 TRAFFIC IMPACT FEE
ADT's/UNITS
ZONE TRANSPORTATION ADT'S X $10
D 3
D 4
BRIDGE AND THOROUGHFARE FEE
ADT's/UNITS
FACILITIES MANAGEMENT FEE
UNIT/SQ FT
(DIST #1 ' DIST #2
X FEE/ADT
ZONE
X FEE/SO FT /UNIT
= $ ^-~~
DIST #3 )
= $ ^^^
-, ^
S SEWER FEE
PERMIT No
EDU's
BENEFIT AREA
EDU's
X FEE/EDU IV ^1
DRAINAGE BASIN
X FEE/EDU .
D 6 SEWER LATERAL ($2 500)
D 7 DRAINAGE FEES PLDA
ACRES
= $.
= $_
^
= $
z> 56
HIGH /LOW
X FEE/AC = $_
TOTAL OF ABOVE FEES* §
* NOTE This calculation sheet is NOT a complete list of all fees which may be due
Dedications and Improvements may also be required with Building Permits
'££__
/ 4-4-1 £5"
ti
o
O-
6
I
o
IQ.
Ivf
PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST
Plan Check No CB OO 1%71
Planner Paul Godwin
APN
Address
Phone (760) 602-4625
Cork Je ( )JOj « |"cM
~ Q5-QQ
ILXType of Project & Use
Zoning P TT\ General Plan
Net Project Density DU/AC
P ^T Facilities Management Zone O
CFD fm/niit)
Circle One
.Date of participation Remaining net dev acres
(For non-residential development Type of land used created by
this permit )
Legend Item Complete
Environmental Review Required
DATE OF COMPLETION
YES
Item Incomplete - Needs your action
_ NO X TYPE
Compliance with conditions of approval? If not, state conditions which require action
Conditions of Approval
I I Discretionary Action Required
APPROVAL/RESO NO
PROJECT NO
YES NO TYPE
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
CA Coastal Commission Authority7 YES
NO
NO
If California Coastal Commission Authority Contact them at - 3111 Cammo Del Rio North, Suite
200, San Diego CA 92108-1725, (619) 521-8036
Determine status (Coastal Permit Required or Exempt)
Coastal Permit Determination Form already completed7 YES NO
If NO, complete Coastal Permit Determination Form now
Coastal Permit Determination Log #
Follow-Up Actions
1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum
Floor Plans)
2) Complete Coastal Permit Determination Log as needed
H \ADMIN\COUNTER\BldgPlnchkRevChklst
\ I Inclusionary Housing Fee required YES NO
(Effective date of Inclusionary Housing Ordinance May 21 1993)
Data Entry Completed? YES NO
D
D
(A/P/Ds Activity Maintenance enter CB# toolbar Screens Housing Fees Construct Housing Y/N Enter Fee UPD-ATE1)
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
I I I
n n
n n
Zoning
I | 1 Setbacks
Front
Interior Side
Street Side
Rear
| 2 Accessory structure
Front
Interior Side
Street Side
Rear
Structure separation
| 3 Lot Coverage
Required
Required
Required
Required
setbacks
Required
Required
Required
Required
Required
Required
Shown
Shown
Shown
Shown
Shown
Shown
Shown
Shown
Shown
Shown
4 Height Required
I I Additional Comments
21 '
2C-T
nr\1 an 5
Shown
[ | | | 5 Parking Spaces Required \ 0 p Shown 1^ °<
Guest Spaces Required Shown
O "f fV\ C C
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER
H \ADMIN\COUNTER\BldgPlnchkRevChklst
DATE
Carlsbad Fire Department 000132
1635 Faraday Ave
Carlsbad, CA 92008
Plan Review Requirements Category
Date of Report 05/24/2000
Fire Prevention
(760) 602-4660
Building Plan
Reviewed by
Name
Address
COOPER ROBERTS & CO
1010 UNIVERSITY AV C203
City, State SAN DIEGO CA 92103
Plan Checker
Job Name Spec Suite
job# 000132
Job Address 2042 Corte Del Nogal
Bldg # CB001871
Ste or Bldg No C
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 The item you have submitted for review has been approved subject to the
Subject to 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
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
FDJob*
1st 2nd 3rd
000132 FDFile#
Other Aqencv ID
f-**-^
Requirements Category Building Plan
Requirement Pending 05 32 Additional Requirements or Comments
Provide information on the plans as to how the smoke fire dampers are to be activated If they are to
be activated by single station smoke detectors provide the locations on the electrical plans Also
provide the state fire marshals listing sheets and the manufacturers cut sheets on the detector
Requirement Pending 05 33 Plan Revisions
Please submit 3 sets of corrected plans directly to the Building Department for routing to the
appropriate departments
Page 1 05/24/00
Carlsbad Fire Department 000132
1635 Faraday Ave
Carlsbad, CA 92008
Plan Review Requirements Category
Date of Report 06/16/2000
Fire Prevention
(760) 602-4660
Building Plan
Reviewed by
Name
Address
COOPER ROBERTS & CO
1010 UNIVERSITY AV C203
0
City, State SAN DIEGO CA 92103
Plan Checker
Job Name Spec Suite
Job# 000132
Job Address 2042 Corte Del Nogal
Bldg # CB001871
Ste or Bldg No C
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 The item you have submitted for review has been approved subject to the
Subject to 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
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
FDJob#
1st 2nd 3rd
000132 FDFile#
Other Agency ID
FROM BUftN NIKRWESH PHONE NO 6193867793 Tun 23 2000 05 4?PM Pi
Energy Consulting Group
80 T Balboa Avenue
San Diego, Ca 9211]
Jum 23 2000
Re Plumbing
Dear sir/madam
X
Use of 3" for sanitary usage is approved for up to 35 fixture unit per Uniform Plumbing Code
additional plumbing fixture that makes the fixture count exceed 35 should use 4" size
Fixture unit count tor this space only
(4) Lavatory x I 0 f u =40
(l)Unnal *40fu =40
(3) Water Closet x50fu =150
Toi al Fixture units 23 0 f u
Should you have any questions, please do uot hesitate to call
Sincerely
En-irgy Consulting Group
Soheih, P E
C
ACQBQ- CERTIFICATE OF LIABILITY'lNSURANCEaRaJJCONSl
DATE (MM/DO/YY)
06/05/00
PRODUCE!*
Wateridge Insurance Services
10525 Vista Sorrento Pkwy #300
San Diego CA 92121
Beth Billstein
Phone NO 858-452-2200 FaxNo 858-452-6004
THIS CERTIFICATE IS lfc>- ..ED 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 BELOW
COMPANIES AFFORDING COVERAGE
COMPANY
A California Indemnity Ins Co
INSURED COMPANY
B
J J Construction
Seabreeze Construction DBA
2741 Vista Way #201
Oceanside CA 92054
COMPANYc
COMPANY
D
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
CO
LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MMTOD/YY)LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
"~] CLAIMS MADE | | OCCUR
OWNER s & CONTRACTOR s PROT
GENERAL AGGREGATE
PRODUCTS COMP/OPAGG
PERSONAL & ADV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Any one (ire)
MED EXP (Any one person)
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON OWNED AUTOS
COMBINED SINGLE LIMIT
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
GARAGE LIABILITY
ANY AUTO
AUTO ONLY EA ACCIDENT
OTHER THAN AUTO ONLY
EACH ACCIDENT
AGGREGATE
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
AGGREGATE
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
OTHJJ|R
EL EACH ACCIDENT
THE PROPRIETOR/
PARTNERS/EXECUTIVE
OFFICERS ARE
INCL
EXCL
N3059916A 07/05/99 07/05/00
$ 1,000,000
EL DISEASE POLICY LIMIT t1,000,000
EL DISEASE EA EMPLOYEE t1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
*10 Day Notice of Cancellation for Non-Payment of Premium
CERTIFICATE HOLDER
BYCORG3
Bycor General Contractors Inc
6490 Mar Industry PI
San Diego CA 92121
ACORD 25-5(1/95)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KINO UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES
AUTHORIZED REPRESENTATIVE
Beth Billstein
ACORD CORPORATION 1988
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