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HomeMy WebLinkAbout2215 CALLE BARCELONA; ; CB063198; Permit01-09-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mobile Home Building Permit Permit No Building Inspection Request Line (760) 602-2725 CB063198 Job Address Permit Type Parcel No Valuation Occupancy Group # Dwelling Units Bedrooms Project Title 2215 CALLE BARCELONA CBAD MOHO 2552730700 $000 0 0 Sub Type Lot# Construction Type Reference # Structure Type Bathrooms INSTALL 0 NEW COASTLINE CHURCH-TEMP MODULARS COMBINE UNITS TOTAL 9,192 SF-CLASSROOMS/OFFICE Status Applied Entered By Plan Approved Issued Inspect Area Applicant DWIGHT PATTERSON 2150 W WASHINGTON 92110 619692-9393 Owner COASTLINE COMMUNITY CHURCH 511 ENCINITASBLVD#104 ENCINITAS CA 92024 ISSUED 11/08/2006 RMA 01/09/2007 01/09/2007 Mobile Home Issuance Fee Earthquake Bracing Fee Coach Setup Fee Cabana/Ranada Fee Private Garage Fee Awning/Carport Fee Porch Fee Fence Over 6ft Other Building Fee Building Permit Plan Check Park in Lieu Fee Bridge Fee Pot Water Con Fee Meter Size Add'l Pot Water Con Fee Reel Water Con Fee Meter Size Add'l Reel Water Con Fee $20 00 Meter Fee $0 00 SDCWA Fee $1,30000 CFD Payoff Fee $000 PFF (3105540) $0 00 PFF (4305540) $000 License Tax (3104193) $0 00 License Tax (4304193) $000 Traffic Impact Fee (3105541) $000 Traffic Impact Fee (4305541) $0 00 Plumbing Fee $0 00 Electrical Fee $0 00 Mechanical Fee $0 00 Housing Impact Fee $0 00 Housing InLieu Fee Housing Credit Fee $0 00 Master Drainage Fee $0 00 Sewer Fee Additional Fees $0 00 TOTAL PERMIT FEES $000 $000 $000 $000 $000 $000 $000 $4,002 00 $000 $4200 $300 00 $000 $000 $000 $000 $000 $000 $000 $5,664 00 Total Fees $5,664 00 Total Payments To Date I $5,664 00 Balance Due Bj TIT r^TXT/^ 1TMI $000 .IN STORAGE .ATTACHED 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 capacity 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION SOP OZ- I & 5532: PC &*•*) Z4 mos. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORi FOR OFFICE USE O PLAN CHECK NO EST VAL Plan Ck Deposit Validated/Bj Date Address (include Bldg/Suite #)Business Name (at this address) Lot No Subdivisign Name/Number Unit No xPnase No Total # of units Assessor's Parcel #V^y-foy-^ TZl'fcn FT ' / i '* Proposed Use Description of Work I /A/i #of Stories # of Bedrooms tt of Bathrooms . different from applicant) .. ti Trft rr&z-fo ^ ^i fo /A Name Address NQontractor Q Agent for Contractor Fax # Address City State/Zip Telephone # I Name 5 CONTRACTOR... COMPANY NAME • '•* - / i = % (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 [$500]) SOSt Name State License # Address License Class City State/Zip City Business License # 12.1b Telephone # \ / J\ Designer Name Address City State/Zip Telephone State License tt 6"" WORKERS' COMPENSATIONS^;: :^;-h; -r-^;-; ^3f .. ^ . '..'..' ••...'.•"..""."'. • . •. -i'*^ °-fi? '•*•'"• Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations O 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 f~l 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 ,- Insurance Company TH-fr (j^e&DlTC-H <2o ~Et/£ IV Policy No {iD£)ll-£>l '003^3^ ")y Expiration Date /D // J& ~7 (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 dollars ($100,000), iivaddition to the cost of compensation, damages as provided for in Section 3706 of the Labor code interest and attorney s fees -/.Q'ATE / / <9/D~7'SIGNATURE f" ' OWNER-GUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License 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) 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) l~l 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 ICOMpLEf EjfHiSL SECTION fQR NON-RESIDENTIAL BUILDING PERMITS ONLY ^ ;/;:;:; •'"•' i '<aS^ • ...... ik., 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? O 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? l~l YES l~l NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? Q YES CD 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 .a^S^p'NSIRU CTION LENDING AGENCY7 i',,. i^C'i. '•'•'. :' ..Z*T:: ^ : : ' ' " F'' .,..'• •. ..... • •> : 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 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 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~cornmenced for a period of 18Q-dav»-(Sui;llUli 106-4-4-Uniform Building Code) / 8 A/6- *APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 08/19/2008 Permit* CB063198 Title COASTLINE CHURCH-TEMP MODULARS Description COMBINE UNITS TOTAL 9,192 SF-CLASSROOMS/OFFICE Inspector Assignment TP 2215 CALLE BARCELONA Lot 0 Type MOHO Sub Type INSTALL Job Address Suite Location APPLICANT DWIGHT PATTERSON Owner COASTLINE COMMUNITY CHURCH Remarks p m please Phone 7604451279 Inspector Total Time Requested By DAVID Entered By CHRISTINE CD Description 79 Final Mobile Home Act Comments ! Notice Comments/Notices/Holds FIRE has asked applicant to revise the exiting from assembly room 114 This will require the addition of one door one-half the diagonal from the current proposed door The double door leading into room 116 shall not be considered an exit because it discharges into an intervening room Associated PCRs/CVs Original PC# Inspection Historv Date 08/14/2008 08/16/2007 08/08/2007 02/08/2007 02/08/2007 01/31/2007 01/31/2007 01/26/2007 01/25/2007 01/25/2007 01/23/2007 01/23/2007 01/22/2007 01/12/2007 01/12/2007 01/12/2007 01/11/2007 Description 79 Final Mobile Home 79 Final Mobile Home 79 Final Mobile Home 34 Rough Electric 79 Final Mobile Home 22 Sewer/Water Service 34 Rough Electric 22 Sewer/Water Service 14 Frame/Steel/Bolting/Welding 22 Sewer/Water Service 14 Frame/Steel/Bolting/Welding 21 Underground/Under Floor 22 Sewer/Water Service 1 1 Ftg/Foundation/Piers 31 Underground/Conduit-Wiring 98 BMP Inspection 21 Underground/Under Floor Act PA PA CO AP CO AP NR CO CO AP PA CO CA AP AP AP AP Ins TP TP TP TP TP TP TP TP TP TP TP TP JM TP TP TP TP Comments need temp windows CORR REMAIN - WAITING ON TEMPERED WINDOWS NEED TEMP WINDOWS MSB/DSB MAIN WATER LN TEST MSB FOR MOD BLDGS NEED WATER LINE PSI TEST CONNECTION TO MOD BLDG DECKS WATER LN BLDG MAIN NO TEST DAVID SPRD FTGS FOR DECKS UFFER TO UNIT City of Carlsbad Bldg Inspection Request For 08/16/2007 Permit# CB063198 Title COASTLINE CHURCH-TEMP MODULARS Description COMBINE UNITS TOTAL 9,192 SF-CLASSROOMS/OFFICE Inspector Assignment TP 2215 CALLE BARCELONA Lot 0 Type MOHO Sub Type INSTALL Job Address Suite Location OWNER COASTLINE COMMUNITY CHURCH Owner COASTLINE COMMUNITY CHURCH Remarks can you final this? Phone 7606022701 Inspect Total Time Requested By CHRISTINE Entered By CHRISTINE CD Description 79 Final Mobile Home Act Comment Comments/Notices/Holds Notice FIRE has asked applicant to revise the exiting from assembly room 114 This will require the addition of one door one-half the diagonal from the current proposed door The double door leading into room 116 shall not be considered an exit because it discharges into an intervening room Associated PCRs/CVs Original PC# Inspection History Date 08/08/2007 02/08/2007 02/08/2007 01/31/2007 01/31/2007 01/26/2007 01/25/2007 01/25/2007 01/23/2007 01/23/2007 01/22/2007 01/12/2007 01/12/2007 01/12/2007 01/11/2007 01/11/2007 01/11/2007 Description 79 34 79 22 34 22 14 22 14 21 22 11 31 98 21 22 71 Final Mobile Home Rough Electric Final Mobile Home Sewer/Water Service Rough Electric Sewer/Water Service Frame/Steel/Bolting/Weldmg Sewer/Water Service Frame/Steel/Bol ting/Welding Underground/Under Floor Sewer/Water Service Ftg/Foundation/Piers Underground/Conduit-Wiring BMP Inspection Underground/Under Floor Sewer/Water Service Set Ups Act CO AP CO AP NR CO CO AP PA CO CA AP AP AP AP AP AP Insp TP TP TP TP TP TP TP TP TP TP JM TP TP TP TP TP TP Comments NEED TEMP WINDOWS MSB/DSB MAIN WATER LN TEST MSB FOR MOD BLDGS NEED WATER LINE PSI TEST CONNECTION TO MOD BLDG DECKS WATER LN BLDG MAIN NO TEST DAVID SPRD FTGS FOR DECKS UFFER TO UNIT DATE BUILDING^DDRESS _ PROJECT DESCRIPTION ASSESSOR'S PARCEL NUMBER City of Carlsbad Public Works .- Engineering BUILDING PLANCHECK CHECKLIST PLANCHECK NO CB Ofc - - EST VALUE 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 D A Right-of-Way permit is required prior to construction'of the following improvements z DENIAL Please seethe attached report of deficiencies marked wftn D Make necessary corrections to plans or specffcatiens for compliance with applicable codes ancKstandards Submit corrected plans and/or specifications to tt)j»-t3ffice for review Only the applicable sheets-'nave been sent Date Date By Date By FOR OFFICIAL USE ONLY IGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT. Date Q7 ATTACHMENTS D Dedication Application D Dedication Checklist D Improvement Application D Improvement Checklist D Neighborhood Improvement Agreement D Grading Permit Application D Grading Submittal Checklist n Right-of-Way Permit Application Q Right-of-Way Permit Submittal Checklist and Information Sheet ENGINEERING DEPT CONTACT PERSON Name KATHLEEN M. FARMER City of Carlsbad Address 1635 Faraday Avenue, Carlsbad. CA 92008 Phone (760) 602-2741 NOTE: If there are retaining walls associated with your project, please check with the Building Department if these walls need to be pulled by separate RETAINING WALL PERMIT. A-4 , CA 9200)8-7314 • (760) 602-2720 • FAX (760) 6O@»8&62 ITE PLAN BUILDING PLANCHECK CHECKLIST Provide a fully dimensioned site plan drawn to scale Show '^ "'" North Arrow F Existing & Proposed Structures G Existing Street Improvements H Property Lines (show all dimensions) I Easements J Right-of-Way Width & Adjacent Streets Driveway widths Existing or proposed sewer lateral Existing or proposed water service Existing or proposed irrigation service D D D 2 Show on site plan D D D A Drainage Patterns 1 Building pad surface drainage must maintain a minimum slope of one percent towards an adjoining street or an approved drainage course 2 ADD THE FOLLOWING NOTE "Finish grade will provide a minimum positive drainage of 2% to swale 5' away from building " B Existing & Proposed Slopes and Topography C Size, type, location, alignment of existing or proposed sewer and water service (s) that serves the project Each unit requires a separate service, however, second dwelling units and apartment complexes are an exception D Sewer and water laterals should not be located within proposed driveways, per standards 3 Include on title sheet A Site address B Assessor's Parcel Number C Legal Description For commercial/industrial buildings and tenant improvement projects, include total building square footage with the square footage for each different use, existing sewer permits showing square footage of different uses (manufacturing, warehouse, office, etc ) previously approved EXISTING PERMIT NUMBER DESCRIPTION Show all existing use of SF and new proposed use of SF. Example: Tenant Improvement for 3500 SF of warehouse to 3500 SF of office. f" -.i'-armer.\amy\MA3TER3\BuildiMg Plancheck Cklst Form (Generic) doc BUILDING PLANCHECK CHECKLIST 1ST 2ND 3RD DISCRETIONARY APPROVAL COMPLIANCE D D D 4a Project does not comply with the following Engineering Conditions of approval for Project No L~3 CD 4b All conditions are in compliance Date , DEDICATION REQUIREMENTS Df D D 5 Dedication for all street Rights-of-Way adjacent to the building site and any storm is dram or utility easements on the building site is required for all new buildings and for remodels with a value at or exceeding $ 17,000 . pursuant to Carlsbad Municipal Code Section 18 40 030 Dedication required as follows Dedication required Please have a registered Civil Engineer or Land Surveyor prepare the appropriate legal description together with an 8 Yz" x 11" plat map and submit with a title report All easement documents must be approved and signed by owner(s) prior to issuance of Building Permit Attached please find an application form and submittal checklist for the dedication process Submit the completed application form with the required checklist items and fees to the Engineering Department in person Applications will not be accept by mail or fax Dedication completed by Date IMPROVEMENT REQUIREMENTS CD 6a All needed public improvements upon and adjacent to the building site must be constructed at time of building construction whenever the value of the construction exceeds $ 82.000 . pursuant to Carlsbad Municipal Code Section 1840040 Public improvements required as follows Attached please find an application form and submittal checklist for the public improvement requirements A registered Civil Engineer must prepare the appropriate improvement plans and submit them together with the requirements on the attached checklist to the Engineering Department through a separate plan check process The completed application form and the requirements on the F \Farmer\KATHY\MASTERS\Buildins Plancheck Cklst Font! (Generic) doc BUILDING PLANCHECK CHECKLIST ,ST RD3' D D checklist must be submitted in person Applications by mail or fax are not accepted Improvement plans must be approved, appropriate securities posted and fees paid prior to issuance of building permit Improvement Plans signed by Date 6b Construction of the public improvements may be deferred pursuant to Carlsbad Municipal Code Section 1840 Please submit a recent property title report or current grant deed on the property and processing fee of $ 400 00 so we may prepare the necessary Neighborhood Improvement Agreement This agreement must be signed, notarized and approved by the City prior to issuance of a Building permit D D D Future public improvements required as follows 6c Enclosed please find your Neighborhood Improvement Agreement Please return agreement signed and notarized to the Engineering Department Neighborhood Improvement Agreement completed by Date 6d No Public Improvements required SPECIAL NOTE Damaged or defective improvements found adiacent to building site must be repaired to the satisfaction of the City Inspector prior to occupancy n n a a GRADING PERMIT REQUIREMENTS The conditions that invoke the need for a grading permit are found in Section 11 06 030 of the Municipal Code 7a Inadequate information available on Site Plan to make a determination on grading requirements Include accurate grading quantities in cubic yards (cut, fill import, export and remedial) This information must be included on the plans. 7b 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 Grading Inspector sign off by Date 7c Graded Pad Certification required (Note Pad certification may be required even if a grading permit is not required ) >TERS\Buildmg Planctieck Cklst Form (Generic) doc BUILDING PLANCHECK CHECKLIST ,ST ND2 D D -,RD D D D D 7d No Grading Permit required 7e If grading is not required, write "No Grading" on plot plan MISCELLANEOUS PERMITS 8 A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or private work adjacent to the public Right-of-Way Types of work include, but are not limited to street improvements, tree trimming, driveway construction, tying into public storm dram, sewer and water utilities Right-of-Way permit required for D D D INDUSTRIAL WASTE PERMIT If your facility is located in the City of Carlsbad sewer service area, you need to contact the Carlsbad Municipal Water District, located at 5950 El Cammo Real, Carlsbad, CA 92008 District personnel can provide forms and assistance, and will check to see if your business enterprise is on the EWA Exempt List You may telephone (760) 438-2722, extension 7153, for assistance Industrial Waste permit accepted by Date NPDES PERMIT D D D D D 10a Storm Water Requirements Applicability Checklist Completed 10b Priority Determination and compliance D Priority Project D Subject to Standard Permanent Storm Water BMP's D Exempt 11 Required fees are attached D No fees required WATER METER REVIEW nan 12a Domestic (potable) Use Ensure that the meter proposed by the owner/developer is not oversized Oversized meters are inaccurate during low-flow conditions If it is oversized, for the life of the meter, the City will not accurately bill the owner for the water used • All single family dwelling units received "standard" 1" service with 5/8" service F \Farmer\KATHYWASTERS\Buikilng Plancheck CWst Form (Generic) doc iST ,ND •>RD D D 12b BUILDING PLANCHECK CHECKLIST • If owner/developer proposes a size other than the "standard", then owner/developer must provide potable water demand calculations, which include total fixture counts and maximum water demand in gallons per minute (gpm) A typical fixture count and water demand worksheet is attached Once the gpm is provided, check against the "meter sizing schedule" to verify the anticipated meter size for the unit • Maximum service and meter size is a 2" service with a 2" meter • If a developer is proposing a meter greater than 2", suggest the installation of multiple 2" services as needed to provide the anticipated demand (manifolds are considered on case by case basis to limit multiple trenching into the street) Irrigation Use (where recycled water is not available) All irrigation meters must be sized via irrigation calculations (in gpm) prior to approval The developer must provide these calculations Please follow these guidelines 1 If the project is a newer development (newer than 1998), check the recent improvement plans and observe if the new irrigation service is reflected on the improvement sheets If so, at the water meter station, the demand in gpm may be listed there Irrigation services are listed with a circled "I", and potable water is typically a circled "W" The irrigation service should look like STA 1+00 Install 2" service and 5 meter (estimated 100 gpm) 2 If the improvement plans do not list the irrigation meter and the service/meter will be installed via another instrument such as the building plans or grading plans (w/ a right of way permit of course), then the applicant must provide irrigation calculations for estimated worst-case irrigation demand (largest zone with the farthest reach) Typically, Larry Black has already reviewed this if landscape plans have been prepared, but the applicant must provide the calculations to you for your use Once you have received a good example of irrigation calculations, keep a set for your reference In general the calculations will include • Hydraulic grade line • Elevation at point of connection (POC) • Pressure at POC in pounds per square inch (PSI) • Worse case zone (largest, farthest away from valve • Total Sprinkler heads listed (with gpm use per head) • Include a 10% residual pressure at point of connection 3 In general, all major sloped areas of a subdivision/project are to be irrigated via separate irrigation meters (unless the project is only SFD with no HOA) As long as the project is located within the City recycled water \rarmfir\Kiiihv\MAS"! ERSXRuiiaing Flanclicck Cklst Form (Generic! doc ..si BUILDING PLANCHECK CHECKLIST service boundary, the City intends on switching these irrigation services/meters to a new recycled water line in the future 12c Irrigation Use (where recycled water is available) 1 Recycled water meters are sized the same as the irrigation meter above 2 If a project fronts a street with recycled water, then they should be connecting to this line to irrigate slopes within the development For subdivisions, this should have been identified, and implemented on the improvement plans Installing recycled water meters is a benefit for the applicant since they are exempt from paying the San Diego County Water Capacity fees However, if they front a street which the recycled water is there, but is not live (sometimes they are charged with potable water until recycled water is available), then the applicant must pay the San Diego Water Capacity Charge If within three years, the recycled water line is charged with recycled water by CMWD, then the applicant can apply for a refund to the San Diego County Water Authority (SDCWA) for a refund However, let the applicant know that we cannot guarantee the refund, and they must deal with the SDCWA for this D D D 13 Additional Comments: F 'FaniiertKaihy'iMASTtHSiBuisdng rNancneck Ckist r'orm iGeneric) doc a D ENGINEERING DEPARTMENT FEE CALCULATION WORKSHEET Estimate based on unconfirmed information from applicant Calculation based on building plancheck plan submittal Address Prepared by Bldg Permit No // -» r\ (^.Date /( ( L/(0 ^Ch ecked by Date EDU CALCULATIONS List types and square footages for all uses Types of Use ( A UAL/L. Sq Ft /Units ^ M ^ Types of Use Sq Ft /Units APT CALCULATIONS List types and square footage^ for^al^ uses Types of Use O(jU~ ^" Sq Ft /Units Types of Use Sq Ft /Units 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 PARK AREA & # X NO UNITS D 1 PARK-IN-LIEU FEE FEE/UNIT D 2 TRAFFICJMgSTSJ FEE 3TWUNITS D 3 BRIDGE AND THOROUGHFARE FEE (DIST #1 ADT's/UNITS X FEE/ADT D 4 FACILITIES MANAGEMENT FEE UNIT/SO FT D 5 SEWER FEE EDU's BENEFIT AREA EDU's ZONE. X FEE/SO FT /UNIT FEE/EDU D 6 SEWER LATERAL ($2,500) D 7 DRAINAGE FEES PLDA ACRES D 8 POTABLE WATER FEES UNITS CODE CONNECTION FEE X FEE/EDU HIGH /LOW FEE/AC = $ METER FEE SDCWA FEE IRRIGATION Word\Docs\Mlsforms\Fee Calculation Worksheet 1 of 2 RPV 7/14/nn CITY OF CARLSBAD GRADING INSPECTION CHECKLIST FOR PARTIAL SITE RELEASE PROJECT PROJECT in s-t DATE- C//UACH GRADING PERMIT NO LOTS REQUESTED FOR RPt-FAfiP- N/A = NOT APPLICABLE •J = COMPLETE 0 - Incomplete or unacceptable Site access to requested lots adequate and logically grouped Site erosion control measures adequate. Overall site adequate for health, safety and welfare of public. Letter from Owncr/Dev. requesting partial release of specific lots, pads orbldg. 8%" x 11" site plan (attachment) showing requested lots submitted. Compaction report from soils engineer submitted. (If soils report has been submitted with a previous partial release, a letter from soils engineer referencing the soils report and identifying specific lots for release shall accompany subsequent partial releases). EOW certification of work done with finish pad elevations of specific lots to be released. Letter must state lot (s) is graded to within a tenth (.1) of the approved grading plan. Geologic engineer's letter if unusual geologic or subsurface conditions exist Fully functional fire hydrants within 500 feet of building combustibles and an all weather roads access to site is required. Partial release of grading for the above stated lots is approved for the purpose of building permit issuance. Issuance of building permits is still subject to all normal City requirements required pursuant to the building permit process. Partial release of the site is denied for the following reasons: 1st / • S / S / S */4 y 2nd.« ., r 1. 2. 3 4, 5 6. 7 8 9 Project Inspector Date ' s>L£?'.ASTEK.FC?-MarARTSlTS FRM 100 d NOU03JSNIM3 JtV 6t 80 NOI £OOZ-80-NVf £ & PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. ££? OCp "^rlfo Planner Christer Westman APN: dCfo Address Phone (760) 602-4614 -0 Net Project Density:Type of Project & Use: _ Zoning: fr- \ General Plan: £-- UsA Facilities Management Zone: CF0 (in%ut) # I Date of participation;^/'?/^? / Remaining.net dev acres: DU/AC (F-or non-residential-development-:-Type-of land-used created by— this permit; £>u*^h ^cW»»6L V h ) D Legend; X ltem Complete Environmental Review Required: DATE OF COMPLETION: YES Item Incomplete - Needs your action NO TYPE Compliance with conditions of approval7 If not, state conditions which require action. Conditions of Approval: • • '• - - Discretionary Action Required: APPROVAL/RESO. NO PROJECT NO. YES NO DATE TYPE OTHER RELATED CASES: Compliance with conditions or approval' If not, state conditions which require action. Conditions of Approval: Coastal Zone Assessment/Compliance Project site located in Coastal Zone7 YES NO >c CA Coastal Commission Authority7 YES NO If California Coastal Commission Authority Contact them at - 3111 Camino 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 completed? 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 I Inclusionary Housing Fee required: YES NO Y (Effective date of Inclusionary Housing Ordinance • May 21, 1993 ) Data Entry Completed7 YES NO (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens Housing Fees, Construct Housing Y/N, Enter Fee UPDATE'1 Site Plan: | | | | | | 1. Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines. [~~[ | | [~~] 2. Provide legal description of property and assessor's parcel number. Zoning: ODD !• Setbacks: Front: Interior Side: Street Side: Rear: Required Required Required Required [ | | | | 1 2. Accessory structure setbacks: Front: Required Interior Side: Street Side: Rear: Structure separation: O O CH 3. Lot Coverage: n n n 4- He|9ht: n r n i | | 5. Parking: Spaces Guest Spaces :( | Additional Comments Required Required Required Required Required Required Required Required Shown Shown Shown Shown Shown Shown Shown Shown Shown Shown Shown Shown Shown OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER H \ADMIN\COUNTER\BldgPlnchkRevChklst < Gregory Ryan - CB 063198 - Coastline Cojrim J3hurch, Modularjuilding _ Page 1 From Gregory Ryan To Peterson, Mike, Raenette Abbey Date 11 28 06 11 58 25 AM Subject CB 063198 - Coastline Comm Church, Modular Building I was not able to make an entry other than in the L/H/N folder Below is the comment I gave to Dwight at Dominy today FIRE has asked applicant to revise the exiting from assembly room 114 This will require the addition of one door one-half the diagonal from the current proposed door The double door leading into room 116 shall not be considered an exit because it discharges into an intervening room Have a safe day Gregory L Ryan Deputy Fire Marshal Carlsbad Fire Department 1635 Faraday Av Carlsbad CA 92008 760 602 4663 DESIGN CALCULATIONS FOR 156' x 60' COMMERCIAL COACH PAD/PIER/ANCHOR SYSTEM (TEMPORARY FOUNDATION SYSTEM) PROJECT MODULAR ASSEMBLY BUILDING COASTLINE COMMUNITY CHURCH 2215 CALLE BARCELONA CARLSBAD, CALIFORNIA PREPARED FOR DESIGN SPACE MODULAR BUILDINGS, INC 10631 BANANA AVENUE FONTANA, CA 92337 PREPARED BY ACUMEN ENGINEERING, INC 12808 SOUTH 600 EAST DRAPER, UTAH 84020 15 Title to these calculations remains with ACUMEN ENGINEERING, INC The information herein is for the sole use of DESIGN SPACE MODULAR BUILDING, INC and shall be held confidential Re-use or reproduction in whole or in part is prohibited TABLE OF CONTENTS ITEM DESIGN LOADS PAD/PIER DESIGN Pad/Pier Spacing Column Supports GROUND ANCHOR DESIGN APPENDIX 156x60 Factory-Built Structure Pad/Pier/Anchor Design SHEET 4 5 6 A 01 DESIGN LOADS A ) Dead Loads 1 )Roof 2 )Floor 3 )Extenor Walls B ) Live Loads 1 )Roof 2 )Floor 3 )Wmd 70 mph, Exp 'C1 Primary Frame Uplift Wall Elements 4 )Seismic Zone 4 Maximum Earthquake Force 7 psf 8 psf 7 psf 20 psf 100 psf/2000# Concentrated Load Ce Cq Qs Design Pressure (psf) P=(Ce)(Cq)(qs)(l) 1 06 1 06 1 06 Ca 044 1 3 07 1 2 Na 1 30 126 126 126 R 56 1 00 1 00 1 00 I 1 00 174 93 160 Design Base Shear V=((3 0)(Ca)/R)(Na)(W)(l) 0306 Em= Qo(Eh) (Eq 30-2) Overstrength Factor (Do) = 2 2 (Table 16-N) Earthquake Load Due to Base Shear (Eh) = V Em = 0 674 W Maximum Load on Elements E= p(Eh) + Ev (Eq 30-1) Redundancy Factor (p) = 1 5 Earthquake Load Due to Base Shear (Eh) = V Load Effect for Vertical Component (Ev) = 0 (ASD) E =0460 W Governing Earthquake Load E = 0 674 W Allowable Stress Design (E/1 4) (Eq 12-16) Earthquake Load Used in Lateral Design 0 482 W PAD/PIER SPACING Input Data Roof Live Load (Rl) 20 psf Roof Dead Load (Rd) 7 psf Exterior Wall Dead Load (Wd) 8 psf Floor Live Load (Fl) 100 psf Floor Partition Load (Fp) 0 psf Floor Dead Load (Fd) 7 psf Module Width (W) 11 83 feet [ Sidewall Height (H) 9 feet Pad/Pier Capacity (P) 2667 Ibs —-*» Calculations Weight of Exterior Wall We = (Wd x H) 72 plf Load Acting on Outside Chassis Mam Rails Wo = ((RI+Rd+FI+Fp+Fd)(W/2))+We 865 plf Maximum Spacing of Piers on Outside Mam Rails S = PAA/o 3 08 feet Load Acting on Inside Chassis Main Rails Wo = ((FI+Fp+Fd)(W/2))+We 633 plf Maximum Spacing of Piers on Inside Mam Rails S = P/Wi 4 21 feet M" •=- 1 *"!i j i , i , i / 1 . i i i jz. f^p- ANCHOR DESIGN Input Data Design Wind Pressure (P) Seismic Load Factor (SI) Roof Dead Load (Rd) Floor Dead Load (Fd) Exterior Wall Dead Load (Wd) Roof Live Load used in Seismic Calculation (Rl) Partition / Fixture Load used in Seismic Calculation (Pd) Floor Live Load used in Seismic Calculations (Fl) Building Length (L) Building Depth (D) Building Area (A) Exterior Wall Height (H) Roof Depth (R) Floor Depth (F) Skirting / Foundation Height (S) Miscellaneous Loads (Ml) 174 psf 0482 W 6 psf 8 psf 6 psf 0 psf 5 psf 0 psf 60 feet 15383 feet 9229 8 sq ft 8 feet 3 feet 0 67 feet 2 33 feet 0 Ibs Calculations Transverse Load Base Shear Due to Wind Base Shear Due to Seismic Vs = (SI)(((A)(Rd+Fd+RI+Pd+FI))+ ((L+D)x2xHxWd))+MI) Governing Transverse Base Shear (V) Longitudinal Load Base Shear Due to Wind Vw = Px(R + F + H + S/2) x D Base Shear Due to Seismic (Vs) Governing Longitudinal Base Shear (VI) 13400 Ibs 94421 Ibs 94421 Ibs 34355 Ibs 94421 Ibs 94421 Ibs (cont 7 ANCHOR DESIGN (cont) Anchor Capacity Lateral Load Resistance of Anchor/Strap Assembly VL 2962 Ibs Ground Anchor Quantity In Each Transverse Direction Nt = V/VL 31 88 say 32 In Each Longitudinal Direction Nt = VI/VL 31 88 say 32 Total Quantity of Anchors Required 128 Anchors 0} SIN3LE WIDE toe n. now - SEE awr <£ DOUBLE WIDE not v com - KT ova • CO Titcom DO rc ^ CUVKI T=F1 TR'JLE WIDE EARTH AUGERS MAX.LEKI1HOF MFCTOHOME MAX. NO Of SGG TIEDOWN3 361 2 54' 3 72 4 CROSS DRIVE ANCHORS UAXIENDTWOF MFQ-DHOME MAX NO OF acereoowa 321 3 A2 4 5? 5 52 6 ?y 7 CONCRETE SLAQ ANCHORS UAX LENGTH Of MFQ-D HOME WAX NO of see TIEDOWN3 34 4 42 5 SO 6 591 7 68' a lie Down Location IMPERIAL STAMPING PROGI'CIS LISTED BY TRI STATE TESTING SERVICES. INC 5101 W1LFONG ROAt LISTING NUMBER AT IS-0 TIE DOWN SYSTEM TO OE IDENTIHED BY STICKER PLACED ON THE STEEL STRAPS (MHA-24 OR MHA-39) STICKER TC CONTAJN THE FOLLOWING IMPERIAL STAMPING CORP ETS-118 TRI-STATE TESTING SERVICE LISTING NO AT IS-01 _ Design &c Genereal Notes DESIGN LOADS SOIL BEARING • TIE DOWN STRAP - • SEISMIC ZONE - IS PSF (70 MPH EXPOSURE ~CT> -1000PSF -3150* WORKING LOAD 4 TIE DOWN STRAPS TO BE MM 1 V4" WIDE x 0 035 THICKNESS BNC PLAJED MEET ASTM D-385331 EARTH AUGERS - CROSS DRIVES - • CONCRETE SLAB ANCHORS - -2S62#MIN (TESTED TO X750HMIN) - 1777* (CALCULATED) -1380» (CALCULATED) GENERAL NOTES t nc own SHOTW HOVM xf ran me flcauna tuocx or reon nc ma or nc WMUTAOUKO Hour. i -re oowj w« icouoro XT pen ov«t» (6*1, t«H oo or EACH tWrtPCKTMU; KOXM OF tVC UWUTACIWU] WMt «<9 CAM KAW or THE rrra MOW MUCH. x couMwnoa or DC trraon rrm or ne DCWI CM K uscx «. H IHC tvcxr M mnw Knot oxer >e MTKUD ouc n wpesmjcron. u« or cxoa one unxfa a roMmn. rnewcma) enow am «« »«T*aro ron K« K«TM K»CT Wrt ». FW *aTie ocw »<muj«iie»i». me wrtt HOK otxaa «« 90M M 'l" tCMO. KK LUJsmutX njRf>O«< CUTKwi CM KM K'c'uMiu cnm ovmx «. OO W COM O*4 «t lOCntD WHH V Of CTHCR 9CC . SHOW HDOM >« . UTTLO »T ITAVPHO CDTV MAT K UMO A IX MX BVOHO « UJCATCK Installation Instructions FIRST CHECK FOR UNDERGROUND UTILITY LOCATIONS EARTH AUGERS * XTO tOS. T7" CCMr*ftr CC*t~vpo PTT^UK T!c LCAWO ttrmx. if or IK»T twooox - OPK: max KTH OKOUND suww. un. -uzn re/a L t-in*xtMX. no igr CROSS DRIVE ANCHORS CONCRETE SLAB ANCHORS 1 COrtCfCH PU« TO Ot tMAU J I/I' WKK *MO « 0000 COHOmOH. i. UHWM JLW «»A KSOMD rcn t>cH AHOion a a« so. nu 3. <3(»1. (HOPDI Id HOU M «U» WMUUU ir no* Xff tOOt ALL APPLICATIONS t OTKH tnvn v> av<cs% KM M UWHDI IMCHM L MKKT >m*P THROUM mJT HUT CUT OT7 CXCC9* TOflW UflV OUS. Imperial Tie Downs ENGINEER APPROVAL REVISED 9/17/05 STATE APPROVAL ilDOwN SYSTEM APPROVED SUUtCT TO COR8ECT10HS HOTEO _rr ts not air&oma or spptovo any omission or oV/iban flora requirements of applicable Stats laws and npiitxxa Slate ol California Department of Housing and Community Development DIVISION OF CODES AND STANDARDS SPA NO This Plan Approval Expires _< IMPERIAL STAMPING CORP. ENGINEERED TIE DOWNS IMPERlAl "I BpU JHCTW. SSI• * Earth Auger Tie Down Concrete Tie Down CROSS DRIVE W/ STABILIZER PLATE DETAIL Cross Drive Tie Down u, i £ t S IMPERIAL STAMPING t USTED BY TRl STATt TeSTl 5101 WLFONG MLMrtilS, TN . UST1NG NUMBER AT TIE DOWN SYSTEM Tl OR MHA-39) smCKl IMPERIAL ' TRI-5TATE LISTING N( SCC. I'KM CKW3CJ "C" BEAM CHASSIS . •/'»' HOUUQ H(>3<T Of 5E I «>« CtVCTS FM IX OOM WK>Kn RFC BEAM CHASSIS C Beam Chassis A&9RD- CERTIFICATE OF LIABILITY INSURANCE 2GffiiAC PRODUCER The Wooditch Company Insurance Services , Inc 1 Park Plaza, #400 -vine CA 92614 one 949-553-9800 Fax . 949-553-0670 INSURED J B . Grant General Contractors Inc dba Grant General Contractors 5051 Avenida Enemas Carlsbad CA 92008 DATE (MM/DDA'YYY) 09/29/06 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, INSURERS AFFORDING COVERAGE INSURER A Praetorian Insurance Company INSURER B INSURER C INSURER D INSURER E NAIC# COVERAGES TH AN Mt PC INSR" LTR J A EPOL YREC iYPER LICIE! ADDT NSRC ICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PO UIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICh TAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM 5 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS TYPE OF INSURANCE GEhJERAL LIABILITY COMMERCIAL GENERAL LIABILITY | CLAIMS MADE | | OCCUR GEN L AGGREGATE LIMIT APPLIES PER | POLICY | |5?<?f | ]LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY ~^J OCCUR I | CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes describe under SPECIAL PROVISIONS below OTHER POLICY NUMBER P0011-01-0034369 POLICY EFFECTIVE DATE (MM/DD/YY) 10/01/06 JCY PERIOD INDICATE THIS CERTIFICATE M S EXCLUSIONS AND C -pSnCY-EXPiRATiOKri DATE (MM/DD/YY) 10/01/07 "D NOTWITHSTANDING AY BE ISSUED OR ONDITIONS OF SUCH LIMITS EACH OCCURRENCE LJAMAbh 1 U KhN 1 hL) PREMISES (Ea occurence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS COMP/OPAGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY EAACC AGG EACH OCCURRENCE AGGREGATE $ $ $ $ $ $ S $ $ $ $ $ $ S S $ $ : $ X EL EL EL WC S 1 A 1 U TORY LIMITS |OTH ER EACH ACCIDENT DISEASE - EA EMPLOYEE DISEASE - POLICY LIMIT $1,000,000 $1,000,000 $1,000,000 *Except 10 days notice of cancellation for non-payment of premium. RE . All operations of the Named Insured performed during the policy period JE DBA GRANT - WC ONLY CERTIFICATE HOLDER CANCELLATION CITYCA5 City of Carlsbad P O Box 9009 Carlsbad CA 92018 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES AUTHQjfaHfBEPRESEN.TATIVE tiFffl&tofr, ACORD 25 (2001/08)© ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing msurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon ACORD 25 (2001/08) gH o-n O CD O O O Ooo CD O O O . o ro ^M 0oo> 0>-tm im D CO§ zo w o> 8-p*. 03 S zm 8 > 3)m0 0! TJ H O 33 3]moo 3) D<n License Detail Page 1 of 2 California Home I Welcome to tfrniioT License Detail Contractor License # 573265 CALIFORNIA CONTRACTORS STATE LICEN \ DISCLAIMER i A license status check provides information taken from the CSLB license data base Before on this information, you should be aware of the following limitations • CSLB complaint disclosure is restricted by law (B&P 71246) If this entity is subject tc : complaint disclosure, a link for complaint disclosure will appear below Click on the lin button to obtain complaint and/or legal action information \ • Per B&P 70/1 .17, only construction related civil judgments reported to the CSLB are j disclosed ! • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base * * * Extract Date 01/09/2007 Business Information * * * J E GRANT GENERAL CONTRACTORS INC DBA GRANT GENERAL CONTRACTORS 5051 AVENIDA ENCINAS CARLSBAD, CA 92008 Business Phone Number (760) 438-7500 Entity Corporation Issue Date 07/19/1989 Expire Date 07/31/2007 * * *License Status This license is current and active All information below should be reviewed. * * * Classifications * * * Class Description : IB GENERAL BUILDING CONTRACTOR; * * ** * *Bonding Information CONTRACTOR'S BOND: This license filed Contractor's Bond number 81234682 in the ar http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 01/09/2007 License Detail Page 2 of 2 $12,500 with the bonding company FEDERAL INSURANCE COMPANY. Effective Date 01/01/2007 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer (RMO) Jf EDWARD GRANT certified that he/she owns 10 percent or more of the voting stock/equit corporation A bond of qualifying individual is not required Effective Date 09/20/1991 * * * Workers Compensation Information * * * This license has workers compensation insurance with the PRAETORIAN INSURANCE COMPANY Policy Number P00121010034369 Effective Date 10/01/2006 Expire Date 10/01/20 Workers Compensation History Personnel listed on this license (current or disassociated) are listed on other licet Personnel List Other.Licenses License Number Request I Contractor Name Request I Personnel Name Request Salesperson Request Salesperson Name Request © 2006 State of California Conditions of Use Privacy Policy http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 01709/2007 Jd idtar^ *) & -£> !• 3\ (s € o r -s; ?t ^ vo P ? ^O ^> ^x j:rN 2jnm'gwioooo (T ili mzi m* a a),^01 m 73 O)O £^% K) ^ Q