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HomeMy WebLinkAbout2902 AUSTIN TR; ; CB002607; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 08/25/2000 Mobile Home Building Permit Permit No: CB002607 ZCE PleaseEe LOT relerrea IO as 'lees exm o lo w be protest pmcea.res set lonn .n Governrnenl Cooe Seclon 66020(a) an0 f e the proIesI ana any omer req. rw nformalon h In me C ty Manager lo, process ng n accomance *In Cansoaa M.n.c pal Cooe Senon 3 32 030 Fa .re IO me y Io ON mal proceo.re h bar any s.bs€q.enI lqla anion Io anacr. reveu,seiasoe mo.orann, 1ne.r rnposion. Yo. are hereby FLRThER hOTtF ED mal yodr rgnl m prolesl lne speclfea fees exactans DOES NOT APPLY to water ana lwei mnnm.m fees and wpacly manges. nor p.annmg. zon ng. graamg or omer sirm ar app'wlmn process rq or sewice lees in mnneCUon em b s pm,ecl hOR DOES T APP-V m any lees exactor8 of yn ch yo. hare piev o~sly oeen g ven a NOT CE s m at Io In s or as m whscn me stal.le 01 lim tations nas previ0.s y olnern se exp rw malapprova olyo.rpro~en.ncl.oesme'rnpos1on'ollees deocaoons. reservalons orolnerelanons nereafterm ecnref Yo. nave 90 oaks from me dale tn s perm I *as %eo m protest impos ton of lnese lees exanans f yo. prolesl mem you rnsl $ Job Address: Permit Type: MOHO Sub Type: INSTALL Status: ISSUED Parcel No: 1675804500 Lot#: 27 Applied: 07/13/2000 Valuation: $0.00 Construction Type: NEW Entered By: JM Occupancy Group: Reference #: Plan Approved: 08/1 6/2000 #Dwelling Units: 0 Structure Type: Issued: 08/16/2000 Bedrooms: 0 Bathrooms: 0 Inspect Area: Project Title: PACIFIC VIEW 2902 AUSTIN TR CBAD INSTALL TEMP SALES TRAILOR Applicant: AQUIRRE CATHY 200 7130 AVENIDA ENCINAS CARLSBAD CA 92008 760-804-1 576 Owner: Total Fees: $140.00 Total Payments To Date: $140.00 Balance Due: $0.00 Mobile Home Issuance Fee Earthquake Bracing Fee Coach Setup Fee CabanalRanada Fee Private Garage Fee AwninglCarport Fee Porch Fee Fence Over 6R 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 $20.00 $0.00 $100.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Recl. Water Con. Fee Meter Size Add'l Recl. Water Con. Fee CFD Payoff Fee PFF PFF (CFD Fund) License Tax License Tax (CFD Fund) Traffic Impact Fee Traffic Impact (CFD Fund) Plumbing Fee Electrical Fee Mechanical Fee Housing Impact Fee Housing InLieu Fee TOTAL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $0.00 $0.00 $140.00 i Date: Clearance: PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 'I FOR OFFICE USE ONLY PLAN CHECK NO.C@ZL~~ EST. VAL. Validated By Date mranr Address lindude BldgISuits XI w%;ddressl Legal Description Lot NO. Subdivision NamelNumber Unit NO. Rase No. Total X of units / Pacific View Estates A~sessor's Parcel X Existing Use Proposed Use Description of Work SO. FT. #of Stories X of Bedrooms X of Bathrooms - 77 fi Cath A 'rre - Name Address City StatalZip Telephone X Fax t *.y&+.i CHCal, Inc. 7130 Avenida. Encinas #200. Carlsbad CA (7601 804 - 157h Name Address City StatelZip Telephone X ISBC. 7031.5 Business and ProfehdonS Code: Any City or County which requires LI permit to ConLruct, alter. improve. demolish or repair any str~ct~fe, prior to its issuance. also requires the applicant for such Permit to file a signed statement that he is licensed pursumt to the provisions of the Contractor's License Law IChapter 9, commending With Section 7000 Of Division 3 of the Business and Professions Codel 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 1$50011. Name Address City StatelZip Telephone t state License ~761397 License Class B city Business License x 1207181 Designer Name Address City Statelzip Telephone stat. LiC0"SB t Workers' Compensation Oeclarati 0 of the work for which this permit is issued. a issued. My worker's compensation insurance Carrier and policy number 81% insurance Company American Alternative Policy NO.- Expiration oate n7-ni -ni ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS1 CERTIFICATE once Of the work for which this permit is issued, I shall not employ any person in any manner so as 10 become rubje WARNING: Fail s UnlawM. and shall sWea II ernploy up to OIM hwldnd thousand dollan CHCal, Inc. 7130 Avenida hcinas #ZOO Carlsbad CA (7601 804 - 1576 ~fi~~~~~~~ i have and will maintain a Cmificate of Consent to self-insure for workers' compensation as provided by Section 3700 Of the Labor Cads. for the Performance I have and will maintain workers' compensation. a8 required by Section 3700 of the Labor Code, for the performance of the work for which this permit io Uon. dam*. as pmvided for In SecIlon i hereby affirm that I am exempt from the Contractor's License Law for the following reason 0 I, as owner of the properly or my employees with wages as their sole compensation. will do the work and the structure is not imendsd or offered for 181. ISec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves thereon. and who does such work himself or through hi9 own employees. provided that such improvements am not intended or offered for 9.1% 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 faf thn pulpas0 Of salel. 0 I, as owner of the properly, am exclusively Contracting with licensed contra~tors 10 construct the project Get. 7044, Business and Professions Code: The Contractor's License Law does not apply 10 an owner of property who builds or improves thereon, and contracts for such projects with contractorlsl licensed purwant to the Contractor's License Law). 1, 2. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed proparlv improvement. YES ON0 I (have I have not1 signed an application for a building permit for the proposed work. Business and Professions Code for this reason: 4. I plan to provide portions of the number I c~ntract~r~ license number): 1s the applicant or future building occupmt required to submit a business plan, acutely hazardous matarialr registration form or risk management and prevention program under Sections 25505, 25533 or 25534 Of the Presley-Tanner Hazardous Substance Account Act? 0 YES NO Is the applicanl or future building occupant required to obtain a Permit from the air pollution control district or air qUality management district? 0 YES NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school lite? 0 YES NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUE0 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AN0 THE AIR POLLUTION COKTROL DISTRICT. ,, . .. . . I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued ISec. 30971il Civil Cadel. i Certify that i have read the application and state that the above information is correct and that tho information on the plans is a~c~rate. I agree to comply with all City Ordinances and State laws relating to building construction. I hereby authorize repmsentatives of the Cit). of Carlsbad to enter upon the above mentioned piopsny for inspection purpo~eo. 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 CONSEOUENCE OF THE GRANTING OF THIS PERMIT. OSW An OSHA permit is EXPIRATION Every permit iks authorized by such permit is not at any time aner the work is corn ucture~ over 3 stories in height. by limitation and become null and void if the building or work or Work authorized by such permit is suspended or abandoned APPLICANT'S SIGNATURE DATE July 12, 2000 UNSCHEDULED BUILDING INSPECTION INSPECTOR 9$ . PLAN CHECK # DESCRIPTION I CODE DESCRIPTION ACT COMMENTS __ City of Carlsbad 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. w Right-of-way permit is required prior to construction of the following improvements: BUILDING PLANCHECK CHECKLIST PLANCHECK NO.: CB fi &o 7 - -tk ]er?-fi.fG BUILDING ADDRESS: 3%~ &J PROJECT DESCRIPTION: $7 DATE: ASSESSORS PARCEL NUMBER: 1 (4 7 4 kFd-q$’ EST. VALUE: Please see the attached report of deficiencies marked with 0. Make necessaly corrections to plans or specifications for compliance with applicable codes and standards. Submit corrected plans andlor specifications to this office for review. By: Date: By: Date: By: Date: ATTACH~ENTS 0 Dedication Application 0 Dedication Checklist 0 Improvement Application 0 Improvement Checklist 0 Future Improvement Agreement 0 Grading Permit Application 0 Grading Submittal Checklist ENGINEERING DEPT. CONTACT PERSON Name: KATHLEEN M. FARMER City of Carisbad Address: 1635 Faraday Avenue, Carlsbad, CA 92008 Phone: (760) 602-2741 CFD INFORMATION Parcel Map No: Lots: 0 Right-of-way Permit Application Recordation: 0 Right-of-way Permit Submittal Checklist Carlsbad Tract: and Information Sheet i? Sewer Fee Information Sheet n\woRcv33E%~~w@arlsbad, CA 920047314 (760) 602-2720 FAX (760)%€KWQ @ L BUILDING PLANCHECK CHECKLIST SITE PLAN 2ND 3RD 0 0 1. Provide a fully dimensioned site plan drawn to scale. Show? A. North Arrow F. Right-of-way Width & Adjacent Streets B. Existing & Proposed Structures G. Driveway widths C. Existing Street Improvements H. Existing or proposed sewer lateral D. Property Lines 1. Existing or proposed water service E. Easements J. Existing or proposed irrigation service /6 0 0 2. Show on site plan: / 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." 6. 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. , 0 0 3. Include on title sheet: a/ A. Site address B. Assessor's Parcel Number C. Legal Description For commerciallindustrial 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 2 Rr. mw BUILDING PLANCHECK CHECKLIST IsT 2ND 3RD DISCRETIONARY APPROVAL COMPLIANCE 0 0 4a. Project does not comply with the following Engineering Conditions of approval for Project No. 0 0 0 4b. All conditions are in compliance. Date: DEDICATION REQUIREMENTS 5. Dedication for all street Rights-of-way adjacent to the building site and any storm drain or utility easements on the building site is required for all new buildings and for remodels with a value at or exceeding $ , 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 %^ x 11" plat map and submit with a title report. All easement documents must be approved and signed by owner@) 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 be accept by mail or fax. Dedication completed by: Date: n, IMPROVEMENT REQUIREMENTS 0 0 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 U' - construction exceeds $ Section 18.40.040. , pursuant to Carlsbad Municipal Code 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 3 RN. 7"W BUILDING PLANCHECK CHECKLIST 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: 0 0 0 6b. Construction of the public improvements may be deferred pursuant to Carlsbad Municipal Code Section 18.40. Please submit a recent property title report or so we may prepare the necessary Future Improvement Agreement. This agreement must be signed, notarized and approved by the City prior to issuance of a Building permit. current grant deed on the property and processing fee of $ Future public improvements required as follows: c] 0 6c. Enclosed please find your Future Improvement Agreement. Please return agreement signed and notarized to the Engineering Department. Future Improvement Agreement completed by: Date: c] 0 6d. No Public Improvements required. SPECIAL NOTE: Damaqed or defective improvements found adiacent to buildinq site must be repaired to the satisfaction of the CiW Inspector prior to OccuDanw. 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 0 0 0 0 0 requirements. Include accurate grading quantities (cut, fill import, export). 0 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 Gradina Permit must be issued and rouah wading approval obtained prior to issuance of a Buildinq Permit. Grading Inspector sign off by: Date: c] 0 0 7c. Graded Pad Certification required. (Note: Pad certification may be required even if a grading permit is not required.) 4 BUILDING PLANCHECK CHECKLIST 2ND 3RD 0 0 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 andlor 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 drain, sewer and water utilities. 1 ST 0 0 0 0 0 Right-of-way permit required for: 0 0 9. 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 Camino 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: 0 0 10.NPDESPERMlT Complies with the City's requirements of the National Pollutant Discharge Elimination System (NPDES) permit. The applicant shall provide best management practices to reduce surface pollutants to an acceptable level prior to discharge to sensitive areas. Plans for such improvements shall be approved by the City Engineer prior to issuance of grading or building permit, whichever 0 11. Oxred fees are attached 0 No fees required WATER METER REVIEW 0 0 0 12a. Domestic(potab1e) 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. 5 BUILDING PLANCHECK CHECKLIST 1ST 2ND 3RD 0 If ownerldeveloper proposes a size other than the “standard“, then ownerldeveloper 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 verif) 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). 0 12b. 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 t-t-O-- 1.5: meter (estimated I00 gpm) 2. If the improvement plans do not list the irrigation meter and the servicelmeter 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 subdivisionlproject 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 BUILDING PLANCHECK CHECKLIST 1~~ *NO ~RD service boundary, the City intends on switching these irrigation services/meters to a new recycled water line in the future. 0 0 0 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. 0 0 0 13. Additional Comments: 7 Rn.7,,- ENGINEERING DEPARTMENT FEE CALCULATION WORKSHEET 0 Estimate based on unconfirmed information from applicant. plan submittal. @%-b3Bldg. Permit No. Prepared by: L~A Date: &/fiylh3 Checked by: Date: EDU CALCULATIONS: es and square footages for all uses. Sq. Ft./Units: EDU's: Sq. Ft./Units: EDU's: square footages for all uses. Types of Use: Sq. Ft./Units: ADT's: Types of Us Sq. Ft.lUnits: ADT's: FEES REQUIRED: WITHIN CFD: 0 YES (no bridge & thoroughfare fee in District #1, reduced Traffic Impact Fee) 0 1. PARK-IN-LIEU FEE PARK AREA & #: 0 NO FEEIUNIT: X NO. UNITS = $/ ADT'slUNITS: X FEE/ADT: =$ / 0 2. TRAFFIC IMPACT FEE __ ZONE TRANSPORTATION ADT'S x $10 =8 0 3. BRIDGE AND THOROUGHFARE FEE (DIST. Y1 - DIST. #2 - DIST. #3 - 1 ADTWUNITS: X FEE/ADT: =8 -/ ZONE / 0 4. FACILITIES MANAGEMENT FEE UNIT/SQ.FT.: X FEE/SCl.FT./UNIT: =$ I X =$ 0 5. SEWERFEE EDU's: BENEFIT AREA: EDU's: X FEEIEDU: =$ 0 6. SEWER LATERAL (82,500) =$ 0 7. DRAINAGE FEES PLDA HIGH /LOW ACRES: X FEE/AC: =$ 0 8. POTABLE WATER FEES METER FEE SDCWA FEE I&>/. - 1 of2 Rev. 7/14x)(I ENGINEERING DEPARTMENT FEE CALCULATION WORKSHEET 0 9. RECLAIMED WATER FEES UNITS CODE CONNECTION FEE TOTAL OF ABOVE FEES*: $ *NOTE: This calculation sheet is NOT a complete list of all fees which may be due. Dedications and Improvements may also be required with Building Permits. 20fZ Rev. 7/14/00 PLANNING/ENGINEERING APPROVALS -RESIDENTIAL RESIDENTIAL ADDITION MINOR (e $10,000.00~ TENANT IMPROVEMENT PLAZA CAMIN0 REAL CARLSBAD COMPANY STORES VILLAGE FAlRE COMPLETE OFFICE BUILDING OTHER PLANNER BATE ?,,$?/A P ENGINEER DATE .. * MOBILE MODULAR CORP 909 360 6622 07/06 ‘00 11:27 N0.304 03/10 As===-% WJ WuWf MOBILE MODULAR MANAGEMENT CORPORATION e/-- pH”.-* .< .. o....3....19....1~...2v...25...3:...3a....IC...45...50.. .55...62... Size I serial#: 12 x45 1-n 0717-sn DM- CR#: 85905 c....s....ic....1s...z0...25...3~,..3~.....1’~...~~...5c.~.35...sP Additional Information: Quote Reference#:(---\Date -. Printed: 7/6KlO From: Floor Plan Phone: Fax: Mobile Modular Management Corporation 1 I450 Mission Blvd, Mira Lorna, CA 91752 Ph 909-3604600 Fax 909-360-6622 c.”v.Mobil~;\ilodularRents.corn Quotes Valid For 30 Days - MOBILE MODULAR CORP 909 360 6622 07/06 '00 11:27 N0.304 05/10 .. MOBILE MODULAR MANAGEMENT CORPORATION Steel Handicap ramp Options *Ramp vflswitchback ce (Asphaltconcrete only) 8-2 r------ 4F . 1 Over 30" Design 1'7x6'6 Landing, 4'x30' Ramp w/switchback 18" metal toe piece (AsphaltlConcrete only) 30 Threshold Height i! r I I CUSTOMER PROJECT APPROVAL: NAME: 8-3 Over 30" Design rir I IO'x5'6 Landing, 4'x30 Ramp 18' metal toe piece (AsnhalVCm ' MOBILE 'd i , DULAR CORP 909 360 6622 07/06 '00 11:27 N0.304 06/10 .. . r2 ! d a u1 (0 . MOBILE MODULAR CORP 909 360 6622 07/06 '00 11 :28 N0.304 07/10 I 41 f f . MOI 'L/ .E MODULAR CORP 909 360 6622 07/06 '00 11:28 && II I 1.304 08/10 - MOBILI -. v .. ODULAR CORP 909 360 6622 07/06 '00 11:29 NO 504 09/' .. . MOBIl MODULAR CORP 909 360 6622 07/06 '00 11:29 N( . Everest Insurance Services Inc P. 0. Box 10788 1651 E Fourth St., Suite 150 Santa Ana CA 91701 Phona:714-569-080Q Fax:714-569-0807 INSURED a CAt, I c. Carlsbad CA 92009 7130 Avvenfda mcinas, BZOI I - - . -. - ._ __ WE WLKIES OF INSUR*ME LlSlEO BaOW WE EEW ISSUED TO THE WUREO WE0 ABOVE FOR WE POLICY PERIOD Q.OICAlE0 NOTWITHSTANDING *NIREOUIRU(ENT.TERYORCOND~ONOF*NIOD~OR~THERWCUNWT~MRESPECTTOW~ICHT~ISCERTIFI~~E~ BEISSUEDOR MAY PERTAIN. T~EINSURINCE*FFORDED~~THERKKIESM~RIBEDHWINISSU~ECTTO~THETERUS.UCLUSIONS*NOCONO~ONSOF SUCH HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTERTHE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE __ INSUFSR~ American Alternative ' LHUIRERB: IHSURERC: IMSURERD: HYlRER E: - ALL OWNED AUTOS SCHEWLW AUTOS nium~mo~ NON-OWE0 AUTOS -s~z City of Carlsbad 1635 Faraday Avo. Carlsbad CA 92008 I GARAGE LlA01LITy ANY AUTO AUTO ONLY. E4 ACCIOEM 1 S EXCESS uAniun E4CHOCCURRWCE I AGGREGATE S If DEDUCTIBLE Is OCCUR 0 CUlMS WE SK)ULD*NIOFTHE~MD~RIBEDPOUCl~~EC~C~~UORE~~~P DATETHWOF,THELSSUING INSURfRWLLENO€4VORTO MAIL LoAYs- NO~CETOTHECERTmCATEHOLDERWEOTOMELEFI,BIITf~LURETO~Y)s IMPOSE NO OBUGATION OR WI REPRESWTATMS. Anqelo Maroutsos 1 RETENTION S I I I 1% ERS COHPENSAllON AND 1 ?ocR&LY+sl loa 07/01/00 07/01/01 1 s1000000 E.LE4WACCIOEM 20A2WC000765000 EMPLOYERS' LlA0IUrr E.L DISWE .EA EMPLO~ s IO o o o 00 EL DISEASE . WLICY LIM~ I s 10 00000 I IOrnra