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HomeMy WebLinkAbout2815 JEFFERSON ST; 302; CB053455; Permit12-19-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB053455 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2815 JEFFERSON ST CBAD St: 302 Tl Sub Type: INDUST 2031102900 Lot#: 0 $37,905.00 Construction Type: NEW Reference #: KENT JESSEE-1083 SF SHELL TO OFFICE Applicant: SMITH CONSULTING 868 793-4777 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check*: Owner: BICAJESSEE ADVENTURES L L C 2075 CORTE DEL NOGAL #S CARLSBAD CA 92011 ISSUED 09/30/2005 RMA 12/19/2005 12/19/2005 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 $287.47 Meter Size $0.00 Add'l Reel. Water Con. Fee $186.86 Meter Fee $0.00 SDCWA Fee $0.00 CFD Payoff Fee $7.96 PFF (3105540) $0.00 PFF (4305540) $0.00 License Tax (3104193) $0.00 License Tax (4304193) $0.00 Traffic Impact Fee (3105541) $0.00 Traffic Impact Fee (4305541) $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 $689.87 $636.80 $0.00 $0.00 $0.00 $0.00 $41.00 $60.00 $24.00 $0.00 $0.00 $0.00 $0.00 $1,933.96 Total Fees:$1,933.96 Total Payments To Date:$1,933.96 Balance Due:$0.00 BUILDING PLANS _ IN STORAGE .ATTACHED Inspector: FINAL APPROVAL Date: b/#/*<*Clearance: NOTICE: Please take NOTICE t$1 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. 0527301-1 0073 09/30/2005 001 11 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA9200IB PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By. Date ST.• » trtm*r*f__*q| * _ • A * A t rf for VW fly Busine; Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units " SO. FT.#of Stories # of Bedrooms # of Bathrooms ftdtH«i»iiPfium«B>floaLn:) Name 13. ABBtlCAWT QComwotor Address City State/Zip Telephone #Fax # (Sec. 7031.5 Business and Professions Code: Any Cfty 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 [$BOO]). t? vr €i c Name State License # Designer Name State License # Address License Class City State/Zip City Business License # Telephone # V-3-3 U CM flrJAddress N City Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Q I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: _ Insurance Company ^>f^+T^ /-Lf^PQ Policy No. /"7 ) 3~(j O% Expiration Date j & r9 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1C 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 s*cun workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and dvH fines up to one hundred thousand dollar* (*100,000), In addition to the coat of compensation, damages as provided for in Section 3706 of th« Labor coda. Interest and attorney's fees. SIGNATURE_ DATE 7. OTCTETOeCrttDeffiDBCCABA'TlON 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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 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 Is the applicant or future building occupant reqyina to submit e business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26505, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES G NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O 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. 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 . ( certify that I have reed the application and state that the above information is correct and that tha 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 CftV 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 end demolition or construction of structures over 3 stories in height. EXPIRATION: Every permtt/ssutod 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 isJhot cdmrnaoced wlthlrylSO tm/s 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 \acortnwnjfnot a npnt* of JKb^days^ectUfn 106.4.4 Uniform Building Code). APPLICANT'S SIGNATUR,DATE WHITE: Fill YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/13/2006 Permit* CB053455 Title: KENT JESSEE-1083 SF SHELL TO Description: OFFICE Type:TI Sub Type: INDUST Job Address: 2815 JEFFERSON ST Suite: 302 Lot 0 Location: APPLICANT SMITH CONSULTING Owner: BICAJESSEE ADVENTURES L L C Remarks: Total Time: Inspector Assignment: TP Phone: 6194381962 Inspector: Requested By: DAVE Entered By: CHRISTINE CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Act Comment \V Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date 05/23/2006 05/23/2006 05/23/2006 05/22/2006 05/22/2006 05/05/2006 05/05/2006 04/18/2006 04/17/2006 04/1 1/2006 04/1 1/2006 04/1 1/2006 04/1 1/2006 Description 14 34 44 34 84 17 18 17 17 14 24 34 44 Frame/Steel/Bolting/Welding Rough Electric Rough/Ducts/Dampers Rough Electric Rough Combo Interior Lath/Drywall Exterior Lath/Drywall Interior Lath/Drywall Interior Lath/Drywall Frame/Steel/Bolting/Welding Rough/Topout Rough Electric Rough/Ducts/Dampers Act AP AP AP AP CO AP we PA CO AP we AP NR Insp TP TP TP TP TP PY PY TP TP PY PY PY PY Comments T-CEIL CEIL LITES DUCTS SUB PNLS T-CEIL N/INCL CORR. WALLS EsGil Corporation In (Partnerskip with government for Quitting Safety DATE: 11/16/05 O_ APPLICANT JURISDICTION: City of Carlsbad Q PLAN REVIEWER a FILE PLAN CHECK NO.: 05-3455 SET: II PROJECT ADDRESS: 2815 Jefferson Street Suite 302 PROJECT NAME: W. Kent Jessee and Associates Suite 302 - TI XI 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: Xj 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: By: Doug Moody Enclosures: Esgil Corporation D GA D MB D EJ ' D PC 11/8/05 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 4 (858)560-1468 + Fax (858) 560-1576 EsGil Corporation In <Partnersfiip with government for (Ruining Safety DATE: 10/15/O5 a APPLICANT JURISDICTION: City of Carlsbad Q FILE PLAN CHECK NO.: 05-3455 SET: I PROJECT ADDRESS: 2815 Jefferson Street Suite 302 PROJECT NAME: W. Kent Jessee and Associates Suite 302 - 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. < XI The check list transmitted herewith is for your information. The plans are being held at: Esgil Corporation until corrected plans are submitted for recheck. . •-•-r. •.••• . The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. .; X| The applicant's copy of the check list has been sent to: Smith Consulting Architects / Andrew Tarango 12220 El Camino Real Suite 200, San Diego, CA 92130 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: Andrew Tarango Telephone #: 858-793-4777 Date contacted: h-n-^r (by:£u/) Fax #: 858-793-4787 Mail Telephone Fax *S In Person REMARKS: By: Doug Moody Enclosures: Esgil Corporation D GA D MB D EJ D PC 10/4/05 tmsmtl.dot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 4 (858)560-1468 * Fax (858) 560-1576 City of Carlsbad 05-3455 10/15/05 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: 05-3455 OCCUPANCY: B TYPE OF CONSTRUCTION: V1H ALLOWABLE FLOOR AREA: SPRINKLERS?: Unknown REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 9/30/05 DATE INITIAL PLAN REVIEW COMPLETED: 10/15/05 JURISDICTION: City of Carlsbad USE: Office ACTUAL AREA: 1125sf STORIES: 3 HEIGHT: OCCUPANT LOAD: 18 DATE PLANS RECEIVED BY - ESGIL CORPORATION: 10/4/05 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 05-3455 10/15/05 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. Provide a statement on the Title Sheet of the plans stating that this project shall comply with the 2001 edition of the California Building Code (Title 24), which adopts the 1997 UBC, 2000 UMC, 2000 UPC and the 2002 NEC. 2. Provide a fully dimensioned floor plan showing the size and use of all rooms or areas within the space being improved or altered. Draw the plans to scale and indicate the scale on the plan. Section 106.3.3. 3. Please revise the section view of the new interior partitions wall types 2 and 3. Show: a) Please show for wall types 2 and 3, type, size and spacing of studs. Indicate gauge for metal studs. Specify manufacturer and approval number or indicate "to be ICBO approved". b) Please show for wall types 3 the method of attaching top plates to structure. (Please revise the spacing of the studs used for lateral bracing to 4' or provide calculations to show the 8' spacing adequate). c) Show height of partition and suspended ceiling, and height from floor to roof framing or floor framing. 4. Please imprint on the plans the City of Carlsbad Policies and Procedures for Roof Mounted Equipment to the plans. 5. 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", 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. City of Carlsbad 05-3455 1O/15/O5 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 POLICIES AND PROCEDURE NUMBER: 80-6 EFFECTIVE: 5/1/92 SUPERSEDES:80-6(9/10/80} 80-6(5/01/81) SUBJECT: ROOF MOUNTED EQUIPMENT SECTION: BUILDING DEPARTMENT PURPOSE: INTENT: PROVIDE INSTALLATION STANDARDS FOR ALL ROOF MOUNTED EQUIPMENT AND PENETRATIONS ON COMMERCIAL AND INDUSTRIAL BUILDINGS. A. Maintain roof integrity. B. Prevent hazardous condition to firemen who must fight fire on the roof. C. Provide an installation that is aesthetically sensitive to the building and the adjoining properties. POLICY: 1, All equipment shall be concealed from view and the design* shall meet the approval of the Planning Department. 2. All equipment shall be'specifically designed and approved for exterior use and shall be approved by the City of Carlsbad Building Department. 3. All roof mounted equipment shall be on a platform which shall be an integral part of the roof-flashed and waterproofed. When a screen is approved, it shall have as few roof connections as possible and be structurally adequate. 4. All electrical, plumbing, mechanical duct work and related piping shall be inside the building and not on the roof. All connections related to equipment shall be made in the same roof opening on the platform or have the prior approval from the building official. 5. Sewer vents shall be brought to one main vent below the roof and have one penetration where restrooms or other plumbing fixtures are back to back or in the general proximity. Air exhaust fans and other equipment shall be within the building and use the same roof opening where restrooms and other equipment are back to back or in general proximity. 6. Existing buildings and equipment, remodel or replacement, shall meet the above regulations or shall have the prior approval from the building official. 7. Where new equipment is installed, unused or abandoned equipment, including all roof mounted piping, electrical, mechanical, duct, and other related appurtenances shall be removed from roof and unused openings properly sealed to maintain roof integrity. *The architect should, through design, conceal the heating/AC unit and other equipment whether they are on the roof or elsewhere. (iated By:Approved B PLANNlNC/ENCINf ERINC APPROVALS PERMIT NUMBER CB DATE ADDRESS RESIDENTIAL TENANT IMPROVEMENT «$10,000.00) PLAZA CAJtUNOKCAC CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE.BUILOING OTHER PLANNER DATE ENGINEE DATE >/S765 (X October 4, 2005 TO: BUILDING DEPARTMENT FROM: Assistant Planner, Redevelopment Department TENANT IMPROVEMENTS TO AN OFFICE SUITE LOCATED AT 2815 JEFFERSON STREET - KENT JESSE OFFICE BUILDING - RP 02-02 PLAN CHECK NO. CB053455 I have reviewed the building plans for the above referenced project. The office suite at the subject property received approval through Major Redevelopment Permit (RP 02-02) on April 1, 2003. The proposed work qualifies as an interior improvement to the approved structure. Therefore, the Housing & Redevelopment Department supports the issuance of building permit. This information has been entered into Permits Plus. If you have any questions, please contact me at x2813. CLIFF JONES Carlsbad Fire Department Plan Review Requirements Category: TI, INDUST Date of Report: 10-05-2005 Reviewed by: Name: SMITH CONSULTING Address: Permit #: CB053455 Job Name: KENT JESSEE-1083 SF SHELL TO Job Address: 2815 JEFFERSON ST CBAD St: 302 INCOMPLETE Tho itom you havo oubmittod for roviow io incomplete. At this time, this office cannot adequately conduct a roviow to determine oomplianoo with tho applicable oodoo and/or otondordo. Ploaoo roviow carefully all commento attached. Please recubmit the nececcary piano and/or specification^ with changes "clouded", to this office for review mid approval. Conditions: Cond: CON0000776 [MET] APPROVED: THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUANCE OF BUILDING PERMIT. THIS APPROVAL IS SUBJECT TO FIELD INSPECTION AND REQUIRED TEST, NOTATIONS HEREON, CONDITIONS IN CORRESPONDENCE AND CONFORMANCE WITH ALL APPLICABLE REGULATIONS. THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE THE VIOLATION OF ANY LAW. Entry: 10/05/2005 By: GR Action: AP TITLE 24 REPORT Title 24 Report for: W. Kent Jesse Tl - Suite 302 2815 Jefferson St Carlsbad, CA 92008 Project Designer: Smith Consulting Architects 12220 El Camino Real San Diego, CA92130 858-793-4777 Report Prepared By: Mark E. Richards PE Emery Mechanical Engineering 6653 Cowles Mtn. Blvd. San Diego, CA92119 (619)464-5348 Job Number: 0518 Date: 9/27/2005 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: J)518 User Number: 5944 _ From: Christina Lowman At Altenbrooke Insurance Sen/leas FaxlD: ABenbrooke Insuranc To: Starratt Construction, Inc. Date: 1/19/2005 03:25 PM Page: 2 of 2 ACORD. CERTIFICATE OF LIABILITY INSURANCE ,,££/= PRODUCER AllenbrooJce Insurance Services CA License #0372740 1322 Scott St. , Suite #201 san Diego CA 92106 Phone:619-641-7450 Fax:619-641-7455 INSURED starrett Construction Inc.1941-B fi c Friendship DriveEl Cajon CA 92020 DATE (MM/DD/YYYY) 01/19/05 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. Jh»Eioui Xaf «ty nwtainty CD INSURER B: it»t« CoBpmuition HMUTHK* INSURER C INSURER D: INSURER E XAIC# COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OB MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AIL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. UTOFT ITR A B NSRC TYPE Of INSURANCE GENERAL LIABlfTY X COMMERCIAL GENERAL LIABILITY j CLAIMS MADE [x] OCCUR GEWL AGGREGATE LIMIT APPLIES PER "H POLICY) I^ECT fx~]i-oc AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY _] ANY AUTO EXCESSAJMBRELLA LIABILITY [ OCCUR j _~j CLAIMS MADE J DEDUCTIBLE | RETENTION J WORKERS COMPENSATION AND EMPLOYERS1 LIABILITY ANY PROPRIETORJPARTNeR/eXECUnVE OFFICER/MEMBER EXCLUDED? i If yis, describe undwSPECIAL PROVISIONS brfow OTHER POLICY NUMBER ESL001429Q4Q2 1712608 DATE (MMJDD/YY) 04/21/04 '!, 01/01/05 DATE (MMfDD/YY) 04/21/05 01/01/06 LIMITS EACH OCCURRENCE uwiwMt lUHtNItUPREMISES (Ea otojrsncel MED EXP (Any orw pirson) PERSONAL A ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT[Ea accident) BODILY INJURY(Per person) BODILY WJURY(Pv Bcdd»rt) PROPERTY DAMftGE[Par tedder*) AUTO ONLY • EA ACCIDENT OTHER THANAUTO ONLY: EAACC AGG EACH OCCURRENCE AGGREGATE X (TORY LIMITS ER El. EACH ACCIDENT El. DISEASE- EA EMPLOYEE E L. DISEASE - POLICY LIMIT 11,000,000 150,000 * Excluded $1,000,000 12,000,000 $1,000,000 $ $ $ $ $ $ $ $ $ $ $ s $1,000,000 J 1,000,000 (1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Proof of Insurance CERTIFICATE HOLDER CANCELLATION EVIOF-1 EVIDENCE OF INSURANCE ONLX SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30J^ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS QR REPRESENTATIVES. •tORlZED! ACORD 25 (2001/OS)6 ACORD CORPORATION 1988 City of Carlsbad 05-3455 1O/15/05 VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: 05-3455 PREPARED BY: Doug Moody DATE: 10/15/05 BUILDING ADDRESS: 2815 Jefferson Street Suite 302 BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: V1H BUILDING PORTION Tl Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code AREA ( Sq. Ft.) 1125 cb Valuation Multiplier City Valuation By Ordinance ' Reg. Mod. VALUE ($) 37,905 37,905 $287.47 Plan Check Fee by Ordinance Type of Review: C] Repetitive Fee Repeats Complete Review D Other i-i Hourly Structural Only Hour* Esgll Plan Review Fee $186.86 $160.98 Comments: Sheet 1 of 1 rnacvalue.doc