HomeMy WebLinkAbout2375 CAMINO VIDA ROBLE; BLDG 6; CB043754; Permit11-04-2004
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Permit No: CB043754
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
2375 CAMINO VIDA ROBLE CBAD
Tl Sub Type: COMM
2130502700 Lot#: 0
$36,150.00 Construction Type: NEW
Reference #:
SPEC SUITE 1205 SF Tl
Applicant:
RICHARD AND RICHARD
4305 VIA TERCERO
OCEANSIDE, CA 92056
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
Owner:
WELLS FARGO BANK TR
P O BOX 63700
SAN FRANCISCO CA 94163
ISSUED
10/01/2004
SB
11/04/2004
11/04/2004
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
Reel. Water Con. Fee
$281.91 Meter Size
$0.00 Add'l Reel. Water Con. Fee
$183.24 Meter Fee
$0.00 SDCWA Fee
$0.00 CFD Payoff Fee
$7.59 PFF
$0.00 PFF (CFD Fund)
$0.00 License Tax
$0.00 License Tax {CFD Fund)
$0.00 Traffic Impact Fee
$0.00 Traffic Impact (CFD Fund)
$0.00 PLUMBING TOTAL
$0.00 ELECTRICAL TOTAL
$0.00 MECHANICAL TOTAL
$0.00 Master Drainage Fee
Sewer Fee
$0.00 Redev Parking Fee
$0.00 Additional Fees
TOTAL PERMIT FEES
$0.00
$0.00
$0.00
$0.00
$657.93
$607.32
$0.00
$0.00
$383.76
$354.24
$41.00
$20.00
$24.00
$0.00
$443.76
$0.00
$0.00
$3,004.75
Total Fees:$3,004.75 Total Payments To Date:$183.24 Balance Due:$2,821.51
R
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
tees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statufeoLlimilations has previously otherwise expired.
PERMIT APPLICA
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE O
PLAN CHECK
. VAL.
Plan Ck. Deposit
Validated
Date
10/01/04 0002 01 02
Address (include Bldg/Suite #)Business Name (at this address)C'f-Tf 1.-GF
Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units
Assessor's Parcel #Existing Use Proposed Use
of Bathrooms
Name —t Address / City -/ ' State/Zip Telephone #
& >!CQNTrlACTQR^eOMPANYNAME '"•'• = .-• -! •; '. • ' •' •••.-..•'•••••• ••,-. ••• ' • •'• . / .. =• • •.;• •—=, '.-'. . '/ '•'•'••; s-J-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
.emption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of notrnore than five hundred dollars [$500]).
Name
State License #/ ify 031?
*-+Address
License ClassSt Business
esigner Name
State License #
Address City State/Zip Telephone
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
fj 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.
(~( 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 earlier and policy number ara^^
/>lnsurance Company <"V2?7S^ /~2/JVS*/ s\. PolkPolicy N Expiration Date—'/ ss - *~- f s • tr- *- - " i(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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: 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 (SlW^OOl.ii'additKJp-if the cost of compensation, damages as provided for in Sectiorl 3706 of the Labor code, interest and^attomey's fees.
DATE
I hereby a/fiwl that I am exempt froidxne 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).
Q 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).
Q 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 ONO
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
SECTION FOR WOtf-BfS/pfllCTMI BUItDINQiPERMiTSIONfcY ; : i : ; ; : r ; :
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? Q YES Q 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.
^ .':.: ; ' "r " V-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(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the wofk is comni«icgdjo*a^ieriod of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE J^^ I f [dSI Ustf^/ DATE
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 01/19/2005
Permit* CB043754
Title: SPEC SUITE 1205 SFTI
Description:
Type:TI Sub Type: COMM
Job Address: 2375 CAMINO VIDA ROBLE
Suite: Lot 0
Location:
OWNER WELLS FARGO BANK TR
Owner:
Remarks:
Inspector Assignment: TP
Phone: 7604972695
Inspector:
Total Time:
CD Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Requested By: DOMINICK
Entered By: KAREN
Act Comment
Associated PCRs/CVs
Inspection History
Date
01/14/2005
01/13/2005
12/29/2004
12/14/2004
1 1/23/2004
11/18/2004
11/18/2004
11/18/2004
1 1/08/2004
1 1/08/2004
1 1/08/2004
11/08/2004
11/08/2004
11/08/2004
Description
89 Final Combo
89 Final Combo
89 Final Combo
84 Rough Combo
17 Interior Lath/Drywall
11 Ftg/Foundation/Piers
16 Insulation
17 Interior Lath/Drywall
14 Frame/Steel/Bolting/Welding
21 Underground/Under Floor
22 Sewer/Water Service
24 Rough/Topout
34 Rough Electric
44 Rough/Ducts/Dampers
Act
NR
NS
NR
CO
AP
AP
AP
NR
AP
AP
AP
AP
AP
we
Ins
TP
TP
TP
TP
TP
TP
TP
TP
TP
TP
TP
TP
TP
TP
Comments
BLDG LOCKED
T-CEIL CORR NOT COMP.
T-CEIL
SLAB PREP @ PLUMB TRNCH
walls
walls
EsGil Corporation
In Partnership -witfi government for Quitting Safety
DATE: 10/29/04 a APPLICANT
ff JURIS.
JURISDICTION: City of Carlsbad a PLAN REVIEWER
a FILE
PLAN CHECK NO.: O4-3754 SET: II
PROJECT ADDRESS: 2375 Camino Vida Roble
PROJECT NAME: Spec Suite - TI
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff.
The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
The applicant's copy of the check list has been sent to:
X] Esgil Corporation staff did not advise the applicant that the plan check has been completed.
Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone #:
Date contacted: (by: ) Fax #:
Mail Telephone Fax In Person
REMARKS: gary (760)759-2260x25
By: Doug Moody Enclosures:
Esgil Corporation
n GA D MB n EJ D PC 10/22/05 trnsmtl.dot
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858)560-1468 * Fax (858) 560-1576
EsGil Corporation
In (partnership witR government for (RuiCtfing Safety
DATE: 10/15/04 • a ABSUCANT
JURISDICTION: City of Carlsbad a PLAN REVIEWER
a FILE
PLAN CHECK NO.: 04-3754 SET: I
PROJECT ADDRESS: 2375 Camino Vida Roble
PROJECT NAME: Spec Suite - TI
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff.
The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
XJ The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
XI The applicant's copy of the check list has been sent to:
Richard & Richard / Gary Seward
234 Venture Street Suite 100, San Marcos, CA 92078
Esgil Corporation staff did not advise the applicant that the plan check has been completed.
Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Gary Seward Telephone #: 760-759-2260
Date contacted:fD/fsfoH(by:f^y) Fax #: 760-759-2269
Mail^x Telephone Faxtx In Person
REMARKS:
By: Doug Moody Enclosures:
Esgil Corporation
D GA D MB D EJ n PC 10/5/05 tmsmfl-dot
9320 Chesapeake Drive, Suite 208 + San Diego, California 92 323 * (858)560-1468 + Fax (858) 560-1576
City of Carlsbad 04-3754
10/15/04
PLAN REVIEW CORRECTION LIST
TENANT IMPROVEMENTS
PLAN CHECK NO.: 04-3754
OCCUPANCY: B/S1
TYPE OF CONSTRUCTION: VN
ALLOWABLE FLOOR AREA:
SPRINKLERS?: YES
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION: 10/1/04
DATE INITIAL PLAN REVIEW
COMPLETED: 10/15/04
JURISDICTION: City of Carlsbad
USE: Office /Warehouse
ACTUAL AREA: 1357sf
STORIES: 1
HEIGHT:
OCCUPANT LOAD: 13
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 10/5/05
PLAN REVIEWER: Doug Moody
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. Per 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)tiforw.dot
City of Carlsbad O4-3754
1O/15/04
Please make all corrections on the original tracings, as requested in the correction
list. Submit three sets of plans for commercial/industrial projects (two sets of plans
for residential projects). For expeditious processing, corrected sets can be
submitted in one of two ways:
1. Deliver all corrected sets of plans and calculations/reports directly to the City of
Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760)
602-2700. The City will route the plans to EsGil Corporation and the Carlsbad
Planning, Engineering and Fire Departments.
2. Bring one corrected set of plans and calculations/reports to EsGil Corporation,
9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468.
Deliver all remaining sets of plans and calculations/reports directly to the City of
Carlsbad Building Department for routing to their Planning, Engineering and Fire
Departments.
NOTE: Plans that are submitted directly to EsGil Corporation only will not be
reviewed by the City Planning, Engineering and Fire Departments until review by
EsGil Corporation is complete.
1. Each sheet of the plans must be signed by the person responsible for their
preparation, even though there are no structural changes. Business and
Professions Code.
2. Please note on the plans "AC Cable is not allowed in A, B, E, H, and I
occupancies. NM cable is restricted (without City approval) to one and two
family dwellings. Note on plans that an equipment ground conductor is to be
installed in all flexible conduits".
3. Please revise the electrical plans to show the HVAC circuits.
4. Please provide a roof plan showing the new roof mounted equipment and a
service receptacle located less than 25' from the new equipment and GFCI
protected.
5. Show on the plan that ground-fault circuit-interrupter protection complies with
NEC Art. 210-8 All 125-volt, single-phase, 15- and 20- ampere receptacles
installed in bathrooms shall be protected.
6. Please imprint on the plans the City of Carlsbad Policies and Procedures for
Roof Mounted Equipment to the plans,
7. Indicate the location on the plans of the approved fixture to receive the main
condensate discharge from air conditioning units. (UMC Section 309)
8. Please revise the plans to show the restroom to be equipped with an
environmental air exhaust fan sized to provide a minimum of 4 air changes per
hour. Section 1202.2.2.1 of the UBC.
City of Carlsbad O4-3754
1O/15/04
9. Please have the document author complete the mandatory measures checklists
for the LTG and the Mech energy compliance forms.
10. Please revise detail 1 on Tl-4.0 to show the required 28" clearance between the
lavatory and the water closet.
To speed up the review process, note on this list (or a copy) where each
correction item has been addressed, i.e., plan sheet, note or detail number,
calculation page, etc.
Please indicate here if any changes have been made to the plans that are not a
result of corrections from this list. If there are other changes, please briefly
describe them and where they are located in the plans.
Have changes been made to the plans not resulting from this correction list?
Please indicate:
Yes Q No Q
The jurisdiction has contracted with Esgil Corporation located at 9320
Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of
858/560-1468, to perform the plan review for your project. If you have any
questions regarding these plan review items, please contact Doug Moody at
Esgil Corporation. Thank you.
City of Carlsbad 04-3754
10/15/04
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Carlsbad . PLAN CHECK NO.: 04-3754
PREPARED BY: Doug Moody DATE: 10/15/04
BUILDING ADDRESS: 2375 Camino Vida Roble
BUILDING OCCUPANCY: B/S1 TYPE OF CONSTRUCTION: VN
BUILDING
PORTION
Tl
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code
AREA
(Sq.Ft.)
1357
cb
Valuation
Multiplier
City Valuation
By Ordinance
Reg.
Mod.
VALUE ($)
36,150
36,150
$281.91
1994 UBC Plan Check Fee
Type of Review:
Repetitive Fee
Repeats
Complete Review
D Other
D Hourly
Structural Only
Hour*
Esgll Plan Review Fee
$183.24
$157.87
Comments:
Sheet 1 of 1
macvalue.doc
Carlsbad Fire Department 043754
1635 Faraday Ave.
Carlsbad, CA 92008
Plan Review Requirements Category:
Date of Report: 1Q/21/2QQ4
Fire Prevention
(760) 602-4660
Building Plan
Reviewed by:x /P
Name:
Address:
Richard & Richard Co
234 Venture St.Suite A
City, State: San Marcos CA 92078
Plan Checker:
Job Name: Spec Suite
Job#: 043754
Job Address: 2375 Camino Vida Roble
Bldg #: CB043754
Ste. or Bldg. No.
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.
D 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.
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
FD Job #
1st ?nrl 3rd
043754 FD File #
,.., , , Othfir Agfinny ID
PLANNING/ENGINEERING APPROVALS
PEPMIT MtlMBEP CB O T ^ 7 S
ADDRESS
DATE fQ*
RESIDENTIAL
RESIDENTIAL ADDITION MINOR
« $10,000.00)
OTHER
ENT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
PLANNER
ENGINEER
DATE
DATE
I I
D .^s
IT C£
Address:
ENGINEERING DEPARTMENT
FEE CALCULATION WORKSHEET
stimate based on unconfirmed information from applicant.
Calculation based on building plancheck plan submittal.
\rdk-Bldg. Permit No.
Prepared bv: \\ \
EDU CALCULATIONS:
[$&£ V**-<
Types of Use:
Types of Use:
APT CALCULATIONS:
I f(sPU^ b^-*~4Types of use:
Types of Use:
FEES REQUIRED:
Date: /&/¥/&? Checked by:
(
List types and sauareJfootajpes for all uses,
^ Sa. FtAlnlts: '
Sq. Ft./Units:
List types and square footages for all uses-
So. Ft/Units:
Date:
EDU's: ' 7-?
EDU's:
ADT's: /&
ADT's:
^
WITHIN CFD: D YES (no bridge & thoroughfare fee in District #1, reduced Traffic Impact Fee)alio
(t.PARK-IN-LIEUFEE
FEE/UNIT:
PARK AREA & #:
X NO. UNITS:=$.
j^B
tikt.
2. TRAFFIC IMPACT FEE
ADPs/UNITS: JU FEE/ADT:736
ADTs/UNITS:
^5
UNIT/SQ.FT.:
5. SEWER FEE
EDU's:
UGHFARE FEE
WENT FEE
(DIST. #1 DIST. #2
X FEE/ADT:
ZONE:
X FEE/SQ.FT./UNIT:
DIST. #3 )
=s 0r
=$ J&
. ^i *FEE/EDU:
BENEFIT AREA
EDU's:
: G\
FEE/EDU:
6. SEWER LATERAL ($2,500)
". DRAINAGE FEES PLDA :
ACRES: X
8. POTABLE WATER FEES
UNITS CODE CONNECTION FEE
=$
HIGH
FEE/AC:
/LOW
=$.
METER FEE SDCWA FEE IRRIGATION
F:\FEE CALCULATION WORKSHEET.doc
1 Of 2
Rev. 7/14/00
["TITLE 24 REPORT
Title 24 Report for:
Tenant Improvement
2375 Camino Vida Roble
Carlsbad, CA 92008
Project Designer:
Report Prepared By:
Steve Balderrama
Stueven Engineering Consultants
326 Kalmia Street
Escondido, CA 92025
(760) 735-8577
Job Number:
Date:
9/30/2004
The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is
authorized by the California Energy Commission for use with both the Residential and Nonresidential 2001 Building Energy Efficiency Standards.
This program developed by EnergySoft, LLC (415) 897-6400.
EnergyPro 3,1 By EnergySoft Job Number: User Number: 3429
THIS DOCUMENT HAS A TRUE DEFENSA™ WATERMARK AND VISIBLE FIBERS DISCERNIBLE FROM BOTH SIDES
Thf ptixin.'fym at iatfartven liariiHi Mow IS jranlaaibto ^ai
c«tyon-'or:c9rxticl'lheW^iWBi*l<'^i^O. |^»^ri'^certmc*(6n or Ojmplu™;*with olh« ordUww « MNA .Thi* liconw h UW«<J wiifWUt'
THIS DOCUMENT IS ALTERATION PROTECTED AND REFLECTS FLUORESCENT FIBERS UNDER UV LIGHT
CERTIFICATE HOLDER COPY
STATE p'°- BOX 420807, SAN FRANCISCO, CA 94142-0807
COMPENSATION
INSURANCE
FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
MAY 18, 2004
RICHARD '£ RICHARD CONSTRUCTION CO;
234 VENTURE : ST STB 100
SAN MARCOS CA 92078
INC.
GROUP:
POLICY NUMBER; i6isiis-2004
CERTIFICATE ID: 64
.CERTIFICATE EXPIRES: 01-01-2005
•01-01-2004/01-01-2005
PROOF OF INSURANCE
This Is to certify that we have issued a valid Worker's Compensation insurance policy in a form approved by the California
Insurance Commissioner to the; employer named-below for the policy-period, indicated;
This policy is not subject to cancellation bytheF.und except upon 30 days, advance written, .notice to the employer.
We will also gjye you.30 days,adyance notice should this, policy..be,cancelle.d .prior to its,normal expiration.
This certificate coinsurance^ is not an insurance ^policy and does, notameno^ extend Draper the coverage afforded by the
policies listed herein. Notwithstanding any requirement, term of condition of any contract or other document withrespect to which this certificate of insurance 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.
AUTHORIZED REPRESENTATIVE PRESIDENT..
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE
ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS'. :NOT.I:CE. EFFECTIVE 01-01-2004 IS
ATTACHED TO. AND FORMS A PART OF.. THIS POLICY..; ... ...,,; - -:: ....
RICHARD & RICHARD CONSTRUCTION" CO.
234 VENTURE ST STE 100
SAN MARCOS CA 92078
INC.
SCIF10262E FEPF-UI: B01