HomeMy WebLinkAbout2641 ACUNA CT; ; CB101185; Permit07-13-2010
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Pool Permit Permit No: CB101185
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
2641 ACUNA CT CBAD
POOL
2154911000 Lot#: 0
$30,400.00 Construction Type: NEW
SW100155
TILL RES- 800 SF POOL/SPA
Status: ISSUED
Applied: 06/28/2010
Entered By: RMA
Plan Approved: 07/13/2010
Issued: 07/13/2010
Inspect Area:
Applicant:
AZURE POOL CONSTRUCTION CO
7423 EL CAJON BLVD
LA MESA CA 91941
Owner:
TILL JAMES L&YAMAUCHI SAHYO K
2641 ACUNA CT
CARLSBAD CA 92009
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Electrical Fee
Plumbing Fee
Strong Motion Fee
Green Bldg Standards (SB1473) Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Additional Fees
$293.73
$0.00
$190.92
$0.00
$20.00
$27.00
$3.04
$1.00
$0.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $535.69
Total Fees:$535.69 Total Payments To Date:$535.69 Balance Due:$0.00
Inspector:
FINAL AP&"ROAL
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 lees/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 Carisbad 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 you have previously been given a NOTICE similar to this, or as to which the statute ot limitations has previously otherwise expired.
07-13-2010
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Storm Water Pollution Prevention Plan (SWPPP) Permit
Permit No:SW100155
Job Address:
Permit Type:
Parcel No:
Reference #:
CB#:
Project Title:
2641 ACUNA CT CBAD
SWPPP
2154911000
101185
TILL RESIDENCE
GUNITE POOL & SPA
Lot#:85
Applicant:
AZURE POOL CONSTRUCTION CO
7423 EL CAJON BLVD
LA MESA CA 91941
Status: ISSUED
Applied: 06/28/2010
Entered By: LO
Issued: 07/13/2010
Inspect Area:
Tier:
Owner:
TILL JAMES L&YAMAUCHI SANYO K
2641 ACUNA CT
CARLSBAD CA 92009
1
Priority:
Emergency Contact:
??
SWPPP Plan Check
SWPPP Inspections
Additional Fees
$45.00
$54.00
$0.00
TOTAL PERMIT FEES $99.00
Total Fees:$99lOO Total Payments To Date:$99.00 Balance Due:$0.00
SIGNATURE
CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carisoad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.carlsbadca.gov
Plan Check No.
Est. Value
PlanCk. Deposit y
JOB ADDRESS
# OF UNITS I ft BEDROOMS
SUITE#/SPACE#/UNIT#
CT/PROJECT*# BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE
YESD #__NOD
AIR CONDITIONING
YES Q NOED
FIRE SPRINKLERS
YES D NOD
CONTACT NAME (If Different Fom Applicant)APPLICANT NAME
ADDRESS ADDRESS d#(sn
J STATICITYSTATEZIPCITY ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME Acun*. OH-CONTRACTOR BUS. NAME
ADDRESS ADDRESS la
STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS
^JuJXTTFtT*"
(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 issufinttsTalso requirfesf theapplicant 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 FOOD of Division 3 of theBusiness 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 acivil penalty of not more than five hundred dollars ($500}).
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
GlHave 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.
^^1 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 workers' compensation ipeuranc/carrier and policy
f flumber are: Insurance Co. /^£*l£&tlC^ Policy No. C&GOTOj&DKl7 Expiration Date JO/PI/ 'Q
•Jhissectionneednotbecompletediflhepermitisforonehundreddollars($100)orless. /
trCertificate of Exemption: I certify that in the performance of the work for which thisjjermit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensat'on Laws of
I CaliBrnia. WARNING: Failure to secure wor/ers%ompensation coverage is unftwful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (4100,000), in
addition to the cost of compensation, damages as provide^ foHB Section 3706 at the LJabou&de, interest and attorney's f
JS*1 CONTRACTOR SIGNATURE
f hereby affirm that I am exempt from Contractor's License Law for the following reason:
O 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 Lawjjoesncrtapply 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, howeverTTIieTjnMBgjirJmprovement 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).
O I, as owner of the property, am exclusivelyc?ntrae8i)oj(ithfensed 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 contracterorsl]HT|wajestswith contractors) licensed!
a I am exempt under Section Business and F
1.1 personally plan to provide the rnajorJaberariaTiiaterials for construction of the propose?prsfierty_improvement. D Yes D No
2.1 (have / have noflsjgDecl^rTapplication for a building permit for the proposed work.
3.1 havgj»n*r3c1edwith the following person (firm) to provide the proposed construction (include name address / phonW«aaJactors' license number):
4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major workflrlHndwiaffl^/ address / phone / contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
PROPERTY OWNER SIGNATURE OAGENT DATE
ispl^n, acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the
Preslay-tanner Hazardous Substance Aecount Act? a Ye!
Is the applicant or future building occupant required to obtain a permit famine £ir pollution control district or air quality man^ejneflWtstficTr Q Yes d No "
Is the facility to be constructed witoiti 1,000 feet of the outer boundary of aschooUite? OYe§_^_a-N<r— \
IF ANY OF THE ANSWERS ABE YES, A FINAL CERTIFICATE OF OCCUPANCYTrwrNOrBETSSUEDUNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I certify that) 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 representative of trie City of Carlsbad to enter upon (he 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'G" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by thefluilding 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 i/th/buiding or work authorized by such parmiht suspended or abandoned at any time after the work is wmmenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
>€$" APPLICANT'S SIGNA1 DATE
City of Carlsbad Bldg Inspection Request
For: 05/18/2011
Permit* CB101185
Title: TILL RES- 800 SF POOL/SPA
Description:
Inspector Assignment: PY
Type: POOL Sub Type:
Job Address: 2641 ACUNA CT
Suite: Lot: 0
Location:
APPLICANT AZURE POOL CONSTRUCTION CO
Owner: TILL JAMES L&YAMAUCHI SAHYO K
Remarks:
Phone: 6197872990
Inspector:
Total Time:Requested By: TILL RES. (JILL, POOL COMP
Entered By: CHRISTINE
CD Description
59 Final Pool
Comments
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Description Act Insp CommentsDate
12/06/2010 55 Fence/Pre-Plaster
12/06/2010 55 Fence/Pre-Plaster
09/02/2010 23 Gas/Test/Repairs
09/02/2010 52 Underground Plumbing
09/02/2010 53 Electric/Conduit/Wiring
07/28/2010 51 Excav/Steel/Bonding/Fence
AP PY INSPECTION TRANSFERRED OVER FROM RETAIN WALL PERMIT,
CB101558
AP PY CONNECT GROUND @ NICHES
AP PY
WC PY
PA PY CONDUIT
AP PY OK TO GUNITE
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB 10-1185 DATE 6/29/10
ADDRESS 2641 Acuna Ct
RESIDENTIAL ADDITION-
MINOR (<17,000.00)
RETAINING WALL
VILLAGE FAIRE
POOL/SPA
TENANT IMPROVEMENT
COMPLETE OFFICE BUILDING
OTHER pool, spa
PLANNER
ENGINEER
.DATE
DATE
H:\ADMIN\COUNTER/PLANNINf,/ENGINEERING APPROVALS
City of Carlsbad
Public Works
BUILDING PLANCHECK CHECKLIST
POOLS
Engineer! no
DATE: 7/g/lP
BUILDING PLAVNCHECK NUMBER: CB
BUILDING ADDRESS:ACUAfA Of
PROJECT DESCRIPTION: Pool/Spa
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:
DENIAL
Please see/tfie~£ttached report of deficiencies
marked with IJ. /Make necessary corrections to
plans or \specifications for compliance with
applicable cooes and standards. Submit corrected
plans and/or specifications to this office for review.
BV:
By:
By:
Date:
Date:
Date:
ATTACHMENTS
'RnalMap
D Grading Permit Application
D Grading Permit Checklist
D Grading Plan
D Right-of-Way Permit Application
D Right-of-Way Permit Submittal
Checklist and Requirements
D Storm Water Compliance Form(s)
ENGINEERING DEPT. CONTACT PERSON
Name: _ Linda Ontiveros
Address: _
Phone:
City of Carlsbad
1635 Faraday Avenue
Carlsbad, CA 92008
(760) 602-2773
LEGAL DESCRIPTION
Reference No(s):
Lot No.: S /
Subdivision/
Carlsbad Tract:
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-272O • FAX (760)
BUILDING PLANCHECK CHECKLIST - POOLS
ND3
n
3RD3
D
D
D
D
SITE PLAN
1. Provide a fully dimensioned site plan drawn to scale. Show:
A. North Arrow CX-Property Lines
B. Existing & Proposed Structures /D. Basements
\ <^ /D D 2. Show on site plan:
A-Drainage Patterns ( D. Vidicate what will happen with
. Existing & Proposed Slopes \V_ysoil excavated from pool area
C. Existing Topography ^~Er '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
3. Include on title sheet:
A. Site Address
B. Assessor's Parcel Number
C. Legal Description
D. Grading Quantities Cut Fill Import/Export
a) If grading is not required, write "No Grading" on plot plan.
4. Project does not comply with the following Engineering Conditions of approval
for Project No.
Conditions were complied with by:
GRADING PERMIT REQUIREMENTS
Date:
The conditions that invoke the need for grading permit are found in Section
15.16.010 of the Municipal code.
5a. Inadequate information available on Site Plan to make a determination on
grading requirements. Include accurate grading quantities (cut, fill, import,
export).
5b. Grading Permit required. A separate grading plan prepared by a registered Civil
Engineer must be submitted together with the completed application form
attached. The Grading Permit must be issued and rough grading approval
obtained prior to issuance of a Building Permit
D D 5d. No Grading Permit required.
Page 2 of3
. f BUILDING PLANCHECK CHECKLIST - POOLS
MISCELLANEOUS PERMITS
..ST3 2ND3 3RD3
J^K D D 6. 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.
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. Right-of-Way Permit and Pool Building Permit will be
issued simultaneously.
STORM WATER REQUIREMENTS
Construction Compliance
n [H CH 7a. Project Threat Assessment Form complete.
n / C] D 7b. Enclosed Project Threat Assessment Form incorrectly completed. Please make
/ the corrections, re-sign a new form and resubmit with next submittal.
C7 C] D 7c. Requires Tier 1 Storm Water Pollution Prevention Plan
* Please complete attached form and return (SW '^^O" )
Post-Development (SUSMP) Compliance
D EH D 7d. Storm Water Standards Questionnaire complete.
D CH D 7e. Stormwater Standards Questionnaire incorrectly completed. Please make the
corrections, re-sign the questionnaire and resubmit with next submittal.
[H CH EH 7f. Project is subject to Standard Stormwater Requirements. See City
Standard Urban Stormwater Management Plan (SUSMP) for reference.
CH CH CD 7g. Disconnect Discharges per SUSMP. Do not connect runoff from impervious
surfaces to storm drains without first discharging water over landscape areas
first. See SUSMP.
D CH D 7h. Minimize use of impervious surfaces per SUSMP. Redesign to reduce the
excessive use of impervious area (pavement) on project. Use a balanced
design of pervious surfaces (landscape area, planters, etc.) and impervious
surfaces. See SUSMP.
D D D 8. Remarks
Page 3 of 3
a.
QJ
I I
*> aC LL-
tu O3 inc. t*~
« ^ TO^sl"Si"o f2 —-s s
u
S!
S
inmS
-CL
UJ ^siIs
O
QT
UJ
CO
UJ
CO
CO
I-WUJUJQXUJUJ
HCO ^2_jO-H»coziuloiiSo?isP^ll
^l§^i§il
?lriS^<|c3S
Waste Management and MaterialsPollution Control BMPsNon-Storm WaterManagement BMPsTrackingControlBMPsSediment Control BMPs!
S£
cS
0 DO
2LU
(u^tuuOeu B|^|
a»SBM sjajouoo
}LmuJ^ui;uBy^
8JSBM SnOpJBZBH
jUtjujtfuuuByy
ajse/w Plios
(UJfUU^
pue uoj)U9A9Jcj ||jds
)U9iuaBeuB|^ 8||di)oojs
9Sn |BM9}BW
0UKIU4S
PUB AJ9AH9Q |BJJ9)B^
DUJUB9JQ
luaiudjnbg pue 9pjg9A
UO|JB6UJ|/J9}BM 9|qBJOd
suonejsao
Bujpuuo PUB BuiABd
saonoeJd
UOj)BAJ8SUOO J8JBM
Xewpeoy
uoiprujsuoo p9Z!|!qB}g
SS9J63/SS9J6U|
uoflorujsuoo psziiiqBis
UOB39lOJd
)9|U| UIBJQ UJJOJS
J9UJBg Beqpueg
6uiLunnoe/\
pus 6u|daaMS )99J)S
uugg BBS ISABJQ
siioy jgqy
OIBQ >|09l|0
dBJi )uaujjpas
90U9-I HIS
SUJBJQ adois
S9|BMS aBBUjBJQ
PUB SajflQ IflJBl
Buigoinw poo/v\
S)B^ ? S9HIX91099
Best Management Practice(BMP) Description -»8-IAIM
9-WM
S-WM
trWAA
E-WM
2-WM
I.-WM
8-SN
/-SN
C-SN
I.-SN
2-yi
i-ai
01.-3S
8-3S
L-3S
9-3S
9-3S „
^-3S
E-3S
1.-3S
U-03
6-03
8-03
^-03
CASQA Designation ->Construction ActivityX
§
I
351s>
9
&
%
5
I
J
3
i
?i
5
z>
J
Q Ooncrete/Asphatt SawcuttingConcrete flatworkPavingConduit/Pipe Installation>
3
|
3
V)
1
|Equipment Maintenanceand FuelingHazardous SubstanceUse/StorageDewateringSite Access Across DirtOther (list):.54 llfl
O .E
Sag-5.a *riillilfllUKi
*<••s
LLJ
CITY OF
CARLSBAD
STORM WATER
COMPLIANCE
ASSESSMENT
B-24
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca .gov
I am applying to the City of Carlsbad for the following type(s) of construction permit:
Q Right-of-Way PermitSI Building Permit
Q My project is categorically EXEMPT from
the requirement to prepare a storm water
pollution prevention plan (SWPPP) because it
only requires issuance of one or more of the
following permit types:
Electrical
Fire Additional
Fire Alarm
Fixed Systems
Mechanical
Mobile Home
Plumbing
Patio/Deck
Re-Roofing
Sign
Spa-Factory
Sprinkler
Water Discharge
Project Storm Water Threat Assessment Criteria*
No Threat Assessment Criteria
Q My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because
it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Constnjcfen SWPPP Tier
Level. My project does not meet any of the High, Moderate or Low Threat criteria described below.
Tierl - Low Threat Assessment Criteria
03 My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project
. Njjieets one or.more of the following criteria:
4 • Results in some soil disturbance; and/or
U|
Tier 2 • Moderate
es (such as saw curling, equipment washing, material stockpiling, vehicle fueling, waste stockpiling).
fCriteria
Q My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria:
• Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or,
• Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement
removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria:
• Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or
• Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or
• Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or
• Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30).
TierS • Significant Threat Assessment Criteria
Q My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or
Q My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, refueling and maintenance areas: or,
D My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant
potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s).
/ certify to the best of my knowledge that the above
checked statements are true and correct. I understand
and acknowledge that even though this project does
not require preparation of a construction SWPP, I must
still adhere to, and at all times during construction
activities for the permit type(s) check above comply
with the storm water best management practices
pursuant to Title 15 of the Carlsbad Municipal Code
and to City Standards.
The City Engineer may authorize minor variances from (tie Storm
Water Threat Assessment Criteria in special circumstances where it
can be shown that a lesser or higher Construction SWPPP Tier Level is
warranted.
Owner/Owner's Authorized Agent Name
B-24 Page 1 of 1 Rev.03/09
Check a License - Contractors State License Board Page 1 of2
'-:'< ^ ...
Contractors License "Board
Contractor's License Detail - License # 502181
£o DISCLAIMER: A license status check provides information taken from the CSLB license database. Before
relying on this information, you should be aware of the following limitations.
» CSLB complaint disclosure is restricted by law (B&P 7124,6) If this entity is subject to public complaint disclosure, a link
for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information.
•» Per JB&P 1071 .,1.7 , only construction related civil judgments reported to the CSLB are 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 onto the Board's license database.
License Number
Business Information
Entity:
Issue Date
ReissueDate
Expire Date
License Status
Additional Status:
Classifications:
Bonding:
Workers' Compensation:
Miscellaneous Information:
502181 Extract Date: 6/28/2010
AZURE CONSTRUCTION INC
7423 EL CAJON BLVD
LA MESA, CA 91941
Business Phone Number:{619) 697-3363
Corporation
12/02/1986 •
04/27/2000 , . _ , ..____
04/30/2012 ^
This license is current and active. All information below should be reviewed.
CLASS
B
C53
DESCRIPTION
GENERAL BUILPING..CQNTRACTQR
SWIMMING EQQL
CONTRACTOR'S BOND
This license filed Contractor's Bond number WCL1188725 in the amount of $12,500 with
the bonding company
(NJE.RNATJ.QNAL BUSINESS MD.MERCMTIl-E.RiA.S&URANCE COMPANY.
Effective Date: 01/01/2007
Corrtract.Q.r"s....B.Qnding. History
BOND OF QUALIFYING INDIVIDUAL
1. The Responsible Managing Officer (RMO) KELLY ROBERT MEEHL certified that
he/she owns 10 percent or more of the voting stock/equity of the corporation. A
bond of qualifying individual is not required.
Effective Date: 04/27/2000
BQI's Bonding. History
This license has workers compensation insurance with the
AMERICAN JNSUBANCECOMPANY
Policy Number:C20070430103
Effective Date: 10/01/2009
Expire Date: 10/01/2010
Workers' Compensation History
DATE DESCRIPTION
04/27/2000 LICENSE REISSUED TO ANOTHER ENTITY
https;//www2.cslb,ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=5... 06/28/2010
*
78 -a•e s
H
«l
!
o
i1
Is
&KV
D
o
Q