HomeMy WebLinkAbout2150 CORTE MORAL; ; CB011775; Permit06/04/2001
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Pool Permit Permit No CB011775
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
2150 CORTE MORAL CBAD
POOL
2552610200 Lot#
$10,97125 Construction Type
SOTOMEYER RES/335 SF GUNITE
POOL & SPA W/ GAS LINE
0
NEW
Status ISSUED
Applied 05/16/2001
Entered By CB
Plan Approved 06/04/2001
Issued 06/04/2001
Inspect Area
Applicant
AZURE POOL CONSTRUCTION CO
7423 EL CAJON BLVD
LA MESA CA 91941
Owner
SOTOMAYOR HERMAN
21 50 CORTE MORAL
CARLSBAD CA 92009
CGP
02
155.49
Total Fees $225 29 Total Payments To Date $6980 Balance Due $15549
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Electrical Fee
Plumbing Fee
Strong Motion Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
$10739
$000
$6980
$000
$2000
$2700
$1 10
$000
$000
$000
$000
$225 29
Inspector
FINAL APPROVAL
Date Clearance
NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and 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
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
V ; PROJECT INFORMATION
" (
FOR OFFICE USE ONLY
PLAN CHECK HI 5
EST VAL
Plan Ck Deposit
Validated By
Date
^i >
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description
- QT-
Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor's Parcel #., Existing Use Proposed Use
Description of Work
2. CdjRjf ACT PERSON
Name
J J SQ FT #of Stories
(if different from applicant) jp- '/ft; '• '.^
I Address City
ft of Bedrooms # of Bathrooms
-9565WW01 OOOiPOi*' 02
nOF-' *9,
State/Zip Telephone ft Fax #
3 , APPLICANT [U Contractor Tin Agent for Contractor D Owner 3;i|T] Agent for Owner
Kimsta ^
Name Address City State/Zip Telephone ft
PROPERTY OWNER IflYrwftv fci/"1Xfft XA.
Name
5. CONTRACTOR -" COMPANY NAME
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 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 ($5001)
Vfl \l\AKd (A
Name
State License ft \)O\^\Y)\
Address
License Class teAf-City State/Zip
City Business License #
one #
Designer Name Address City State/Zip Telephone
State License # _
6 WORKERS' COMPENSATION .,,; „ '..;.; "'"""' ... ' "*" ;
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
n 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
Q» I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued My worker s compensation insurance carrier and policy number are — TT~5 -N. r\ r^ \ /~\ I
* 'C?\,s _ Expiration Date \O 'O V \J 'Insurance Company Policy No
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
l~l CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California
WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollacsV$1yOO,000),jfradditionito the/ftost of dompensation, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees
SIGNATURE V/C^MUiAj ^ ^ DATE
7 OWNER-BUIuDER DECLARATION
I hereby affirm that I am exempt from the Contractor's Vrfense Law for the following reason
l~l I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale
(Sec 7044, Business and Professions Code The Contractor s License Law does not apply to an owner of property who builds or improves thereon, and who does
such work himself or through his own employees, provided that such improvements are not intended or offered for sale If, however the building or improvement is
sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale)
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)
n 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 QNO
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 FOB\NON-RESIDENTIAL BUILDING PERMITS ONLY :S| ", ;j I
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 d NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' d YES Q NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? d 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,., CONSTRyCti6N LENDING AGENCY -f?' ... i^'V "'.,. '*.""
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code)
LENDER'S NAME LENDER'S ADDRESS
9 APPLICANT CERTIFICATION ::i: '' 3° • __^,; Jlpif .'... I : :v- • ' ' .jp*"' ' ;'"::':ii :;°'
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 is corrrrnenced for a/period of 180 days (Section 106 4 4 Uniform Building Code) ^ . >
APPLICANT S SIGNATURE ^V^lVSlM M5 \[PV\ DATE D \\'0\
PINK Finance
City of Carlsbad Bldg Inspection Request
For 01/30/2002
Permit# CB011775
Title SOTOMEYER RES/335 SF GUNITE
Description POOL & SPA W/ GAS LINE
Inspector Assignment JC
2150 CORTE MORAL
Lot 0
Type POOL Sub Type
Job Address
Suite fjt'
Location
APPLICANT AZURE POOL CONSTRUCTION CO
Owner SOTOMAYOR HERMAN A&TAMMY R
Remarks
Phone 6196973365
Inspector
Total Time Requested By OSCAR
CHRISTINE
CD Description
59 Final Pool
Associated PCRs
Insoection History
Date
01/23/2002
08/23/2001
08/20/2001
07/10/2001
07/10/2001
07/06/2001
07/06/2001
07/03/2001
07/03/2001
07/03/2001
07/03/2001
Description
59 Final Pool
55 Fence/Pre-Plaster
55 Fence/Pre-Plaster
52 Underground Plumbing
53 Electric/Conduit/Wiring
21 Underground/Under Floor
51 Excav/Steel/Bondmg/Fence
23 Gas/Test/Repairs
51 Excav/Steel/Bondmg/Fence
52 Underground Plumbing
53 Electric/Conduit/Wiring
Act
CO
AP
CA
AP
AP
CO
we
AP
AP
CO
AP
Insp
JC
JC
JC
JC
JC
JC
JC
JC
JC
JC
JC
Comments
SEE NOTICE ATTACHED
PLUMBING TEST
NEED PSI TEST
City of Carlsbad Bldg Inspection Request
For 01/23/2002
Permit# CB011775
Title SOTOMEYER RES/335 SF GUNITE
Description POOL & SPA W/ GAS LINE
Inspector Assignment JC
2150 CORTE MORAL
Lot 0
Type POOL Sub Type
Job Address
Suite
Location
APPLICANT AZURE POOL CONSTRUCTION CO
Owner SOTOMAYOR HERMAN A&TAMMY R
Remarks
Phone 6196973363
Inspector
Total Time Requested By OSCAR
Entered By CHRISTINE
CD Description
59 Final Pool
Act Comments
00
Associated PCRs
Inspection History
Date Description
08/23/2001 55 Fence/Pre-Plaster
08/20/2001 55 Fence/Pre-Plaster
07/10/2001 52 Underground Plumbing
07/10/2001 53 Electric/Conduit/Wiring
07/06/2001 21 Underground/Under Floor
07/06/2001 51 Excav/Steel/Bondmg/Fence
07/03/2001 23 Gas/Test/Repairs
07/03/2001 51 Excav/Steel/Bondmg/Fence
07/03/2001 52 Underground Plumbing
07/03/2001 53 Electric/Conduit/Wiring
Act Insp Comments
AP JC
CA JC
AP JC
AP JC
CO JC PLUMBING TEST
WC JC
AP JC
AP JC
CO JC NEED PSI TEST
AP JC
CITY OF CARLSBAD
BUILDING DEPARTMENT
DATE
NOTICE
(760) 602-2700
1635 FARADAY AVENUE
LOCATION
PERMIT NO
FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE?
FOR FURJU^R INFORMATION, CONTACT.
YES
PW PHONE
BUILDING INSPECTOR CODE ENFORCEMENT OFFICER ®
City of Carlsbad Bldg Inspection Request
For 07/03/2001
Permit# CB011775
Title SOTOMEYER RES/335 SF GUNITE
Description POOL & SPA W/ GAS LINE
Inspector Assignment
2150 CORTE MORAL
Lot 0
Type POOL Sub Type
Job Address
Suite
Location 0 $,
APPLICANT AZURE POOL CONSTRUCTION CO
Owner SOTOMAYOR HERMAN A&TAMMY R
Remarks
Phone
Inspector J. £
Total Time
CD Description
23 Gas/Test/Repairs
51 Excav/Steel/Bondmg/Fence
52 Underground Plumbing C O
53 Electnc/Conduit/Wirmg ft /
Act Comments
Requested By N/A
Entered By ROBIN
Associated PCRs
,s,/, //*&/
Inspection History
Date Description Act Insp Comments
NOTICE
CITY OF CARLSBAD (760) 602-2700
BUILDING DEPARTMENT 1635 FARADAY AVENUE
DATE 7/3/0/ TIME.
LOCATION
PERMIT NO Cff 0//
FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? I i YES
FOR FURTHER INFORMATION, CONTACT .
PHONE
A7 BuiLfet^S INSPECTOR"" CODE ENFORCEMENT OFFICER
City of Carlsbad
Public Works — Engineering
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER CB O \ -
BUILDING ADDRESS
PROJECT DESCRIPTION Pool
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
By Date
(7
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
ATTACHMENTS
D Grading Permit Application
D Grading Permit Checklist
0 Right-of-Way Permit Application
D Right-of-Way Permit Submittal
Checklist and Information Sheet
ENGINEERING DEPT. CONTACT PERSON
NAME TANIYAWADE
City of Carlsbad
ADDRESS 1635 Faraday Avenue
Carlsbad, CA 92008
PHONE (760) 602-2773
H \WORD\DQCSVCHKLST\Pool Building Planaieck Cklisl CHK24 Foim OMH doc
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 6O2-8562
BUILDING PLANCHECK CHECKLIST - POOLS
SITE PLAN
•j ST/ 2NCV 3RD/
Q Q 1 Provide a fully dimensioned site plan drawn to scale Show
<& North Arrow ^ Property Lines
-B* Existing & Proposed Structures JS$ Easements ~ Ylam*. f*r
for Q Q 2 Show on site plan
Drainage Patterns ^ Indicate what will happen with
Existing & Proposed Slopes ^^soil excavated from pool area
Existing Topography /^ Retaining Walls
(location and height)
Note: If excavated soil is not to be removed from property but regraded on
site, show proposed elevations and slopes.
If any portion of retaining walls are over 4' in height, a separate permit is required
Retaining Wall Permit CB _ Applied for _ Approved _
G 3 Include on title sheet.
Af Site Address
^ Assessor's Parcel Number
(f£ Legal Description
D. Grading Quantities Cut _ Fill _ Import/Export _
Q Q Q 4 Project does not comply with the following Engineering Conditions of approval
for Project No
Conditions were complied with by Date
GRADING PERMIT REQUIREMENTS
The conditions that invoke the need for grading permit are found in Section 11 06 030
of the Municipal code
Q Q Q 5a. Inadequate information available on Site Plan to make a determination on
grading requirements Include accurate grading quantities (cut, fill, import,
export)
Q Q Q 5b Grading Permit required A separate grading plan prepared by a registered Civil
Engineer must be submitted together with the completed application form
attached
Note: The Grading Permit must be issued and rough grading approval
obtained prior to issuance of a Building Permit
Page 1 of 2
Q Q Q 5c A Grading Permit has been applied for
PE2 : --- -DWG-
Grading Inspector sign off by Date
Q Q 5d No Grading Permit required
MISCELLANEOUS PERMITS
Q Q 6 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
Engineering Department together with the requirements on the attached Right-
of-Way checklist, at the time of resubmittal.
Right-of-Way Permit and Pool Building Permit will be issued simultaneously
7 Remarks
Page 2 of 2
$
s
I6
E
PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST
Plan Check No. CB £)/ / 7 7
Planner Greg Fisher
APN
Address
Phone (760) 602-4629_
Type of Project & Use
Zoning
Net Project Density
Facilities Management Zone
DU/AC
CFD fin/nut) #
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
Item Incomplete - Needs your action
YES 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 TYPE
DATE
OTHER RELATED CASES
Compliance with conditions or approval7 If not, state conditions which require action
Conditions of Approval
|_AP\[_] I 1 Coastal Zone Assessment/Compliance
NO_
NO
Project site located in Coastal Zone? YES
CA Coastal Commission Authority7 YES
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
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) Complete Coastal Permit Determination Log as needed
H \ADMIN\COUNTER\BldgPlnchkRevChklst
Inclusionary Housing Fee required: YES NO
(Effective date of Inclusionary Housing Ordinance - May 21, 1993 )
Data Entry Completed? YES NO
(A/P/Ds, Activity Maintenance, enter CBff, toolbar. Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE'}
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_imDrovernents. righft-of-way width, .dimensional setbacks and existing
Provide logol doscrfptibn of property and assessor's parcel number
n n L
Zoning:
1 Setbacks-
Front-
Interior Side:
Street Side
Rear
1 | 1 1 1 | 2 Accessory structure
Front.
Interior Side
Street Side-
Rear
Structure separation
n n J 3 Lot Coverage
Required
Required
Required
Required
setbacks:
Required
Required
Required
Required
Required
Required
Shown
Shown
Shown
Shown
Shown
Shown
Shown
Shown
Shown
Shown
D 4. Height-Required Shown
LJ 5. Parking. Spaces Required
Guest Spaces Required
/^Additional Comments/I /
Shown
Shown
/ c
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER
H \ADMIN\COUNTER\BldgPlnchkRevChklst
DATE
FROM UPT.ERIDGE INS PHONE no 858 452 6004 Oct 02 2000 11 O7flM P2
ACQRQ, CERTIFICATE OF LIABILITY INSURANCE*!*
f\tu!\j
PRODUCER
Wateridge insurance Services
10525 Vista Sorrento Pkwy #300
San Diego CA 92121
Michael S. Galloway
858-452-2200 858-452-6DD4
INSUPED
Sob Sally-
US A. ASvire Pool Cons true tion
7423 El Canon Blvd
La Meaa CA
10/02/OQ
"THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION' —
ONLY' Ar>ID CONFERS isO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES M0r AMEND EXTEND OR
ALTER THE COVERAGE AFFORDEDJ3Y THE POLICIES BELOW
COMPANIES AFFORDING COVERAGE
COMPANY
A IKSCORP - Ins Coxp of
COMPANY
9 State Ccstpc«3atJ.Ga Fund
COMPANY
C
COMKSNY
D
COVERAGES .
THIS IS TO CERTIFY THAT THE POlXlGS 0*= INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A6OVS FOR THE POL ICV PPftiOn
INDICATED NOTWITHSTANDING ANY ft£O.UIREMENT TERM OR CONDITION Of ANY CONTRACT OK OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CE^f !Ci»TE '!AY BE ISSUEO OR HAV PEDTA.M -'tis. J^SwRAKCE AFFORDED SY T^E POLtC'ES DESCRIBED hcnEi™ iS SuSjECT TO Ai.L Tf»E TeRlUS
EXCLUSIONS AND CONOlTfONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLWMS
DATE (MM/DO/YY)LIMfTS
I GENERAL LIABILITY I
A j X I COMMERCIAL GENERAL LIABILITY I CAIC10017209
[ j | CLAIMS MADE [_xj OCCUR j
X I OWNER'S £ CONTWACTOR'S PftOT
X|$1,000 PD DBD.
09/01/00 09/01/01
<56MPI»AL AGGREGATEi
PRODUCTS - COMP/OP ASG
PERSONAL & ADV INJURY
I EACH OCCURRENCE
s2,000,000
$ 2,000,000
»1,000,000
151,000,000
! FIRE DAMAGE (Anyone (Ire) |t 100,00 0
I&ER OCCURSSKCK MEOEXP (Any on« cereon)50,000
AUTOMOBILE LIABILITY
MA«V «U'7O
cEO «i/ros
SCHEOULED AUTOS_x
JJL -
! X I NON-OWNED AUTOS
05/01/00 09/01/01 COMBINED SINGLC LIMIT $1.000.000
BOOILY INJURY
BODILY INJUftv
PROPERTY DAMAGE
GARAGE LIABILITY
1 ANY AUTO
!
I
AUTO ONLY . EA ACCIDSNT
OTHER THAN AUTO ONLY
EACH ACCIDENT I S
EXCESS LIABILITY
1 UMBRELLA FORM
I
' OTHER THAN UMBRELLA FORM
f-ACH OCCURRENCE
AGGREGATE
i WORKERS COMPENSATION AND1 CMPLOYERS
•TIE ?ROr^ STCR,'
V 1 WC BTATU- I IOTHX | TORY LIMITS I ! PR
INCL TBD
A ! E*CL
10/01/00 t 10/01/01
EL EACH ACCIDENT s1,000,000
EL DISEASE PQLICVL1MIT It 1,000,000
ELOISEASE EAB^PLQVEE |$ l,QQOf
DESCRIPTION OF OPGRATIONSfl-OCATlONSA/EHICLeS/SPSCIAI. ITewS
*BXCBPT 10 DAYS NOTICE FOR MOK-PAYMEKT OF PREMIUM. CERTIFICATE HOLDER IS
MAKES AS AUDITIOHAL IKSUSm PSS AXTACHBC ?OEM CS2124 WITS KB3PECT TO SSBEftAi
LIABILITY OMLY. RE: ALL OPERATIONS PERFORMED BY OR ON BEHALF 'OF THE NAMED
IKSTTRHD (xxxj
CERTIFICATE HOLDER
COFSAND
Ceiinty of San Diego
Attn: Bldg. Permits Dept
5201 Ruffin Road, Suite B
San Diao CA 32123
SHOULD AMV OF TH£ ABOVE DESCRIBED POLICIES BE CANC6U.6O B6FORE THE
EXPIRATION DATE THEREOF iffe, ISSUING COMPANY WILL ^•••^•MAIL
/ \
30* DAYS WRTTTEN NOTJCE TC THE CERTIFICATE HOLDER NAMED TO TH£ LEFT
1 ! '
CB011775 2150CORTEMORALCBi
SOTOMEYER RES/335 SF GUNITE
POOL & SPA W/ GAS LINE
LOW AZURE POOL CONSTRl
/0