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HomeMy WebLinkAbout1000 AVIARA PY; 110; CB063453; Permit01-16-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No Building Inspection Request Line (760) 602-2725 CB063453 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title Applicant KAYWILIS 5838 EDISON PL CARLSBAD 92008 431 7585 1000AVIARAPYCBADSI 110 Tl Sub Type 2120407000 Lot# $83,825 00 Construction Type Reference # OLD REP TITLE- 2,395 SF SHELL TO OFFICE INDUST 0 VN Status ISSUED Applied 12/07/2006 Entered By LSM Plan Approved 01/16/2007 issued 01/16/2007 Inspect Area Plan Check# Owner KELLY CORPORATE CENTER II C L L C C/0 THE ALLEN GROUP 5330 CARROLL CANYON RD #200 SAN DIEGO CA 92121 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 $484 96 Meter Size $0 00 Add'l Reel Water Con Fee $31522 Meter Fee $0 00 SDCWA Fee $000 CFD Payoff Fee $1760 PFF (3105540) $0 00 PFF (4305540) ' $000 License Tax (3104193) $0 00 License Tax (4304193) $9,756 00 Traffic Impact Fee (3105541) - $000 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 $000,' Additional Fees HMP Fee TOTAL PERMIT FEES $000 $000 $000 $000 $1,52562 $000 $000 $000 $1,04400 $000 £5500 $3500 $5950 $000 $889 95 $000 $000 ?? $14,18285 Total Fees $14,18285 Total Payments To Date $14,182 85 Balance Due $000 PLANS STORAGE ATTACHED Inspector FINAL APPROVAL Date 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 nght 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 m connection with this project NOR DOES (T APPLY lo arty fees/exactions qf which you have previously been given a NOTICE similar to this, orasto which the statute of limitations has previously otherwise_exmred V PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 FOR OFFICE USE ONLY 0~&O<0 3yS3PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date :/€*=> IV - OL.D Address (include Bldg/Suite #)&f Ptu/zej 9 I «*• Business Name (at thjfe address)klO- fflin- Lot No Subdivision Name/Number Descnption of Work ' 5035 QlfAagrft^Ownqr (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 Contractors License Law [Chapters, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) Name State License # M&ftntJf Pr* Designer Name State License # Address License Class a^3^//a-V^T ftyrJiJ j^s^t'S' Address City % ft 2 ft &£ City State/Zip Telephone # Citv Business License # *J**M PtA*. LwlSbAd. sA- q264ft State/Zip Telephone # ~fo/) 4>$/-T Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations D 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 yf I have and will maintain worker's 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 insurance carrier and policynumber are /> 1 I \, Insurance Company ^Sv^At C_(VOA. f \V\b-C^-l XVA Policy No _f> 11,13%"~Uo Q - ^IlOO / Expiration Date O I |_0_LJ-0 J (THIS SECTION NEED' NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [J100J OR LESS) D CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($100 000), in addition to the cost of compensation, damages are provided for In Section 3706 of the Labor Code, Interest and attorney's I SIGNATURE L/l/Fl ft Pft A G^\^ DATE f / / (0 OWHEtfBUQlDER DEOZAHATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason D I, as owner of the property or my employees with wages as their sole compensation will d the work and the structure is not intended or offered for sale (Sec 7044, Business and Professions Code The Contractors 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} D 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 contraclor(s) licensed pursuant to the Contractor s License Law) D I am exempt under Section Business and Professions Code for this reason 1 | personally plan to provide the major labor and materials for construction of the proposed property improvement D YES D NO 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 / /ontractors 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 WHITE File YELLOW Applicant PINK Finance PERM!/ APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave .Carlsbad CA 92008 Page 2 of 2 :OOMPL£TC,T>HI3 SECT!ON FORNOW^S/D£NT1AL"BUILJ3ING PERMrrS'ONLY"h-.^—^A^—..Am^,|^^^.^-.m^^,»»aa«^.«»jm-^m,—^^^^a^^a^mm^^^a^^A^^^^f^r^^f.r,m Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration for or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 D YES M NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES p£ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES J?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 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1} 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, JUDGEMENTS, 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 lor excavations of 5 0" deep and demolition or construction of structures over 3 stones in height EXPIRATION Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced fora period of 180 days (Section 106 44 Uniform Building Code) APPLICANT'S SIGNATURE DATE 1-0 WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 02/13/2007 Permit# CB063453 Title OLD REP TITLE- 2,395 SF SHELL Description TO OFFICE Inspector Assignment RB 1000 AVIARA PY 110 Lot Type Tl Sub Type INDUST Job Address Suite Location OWNER KELLY CORPORATE CENTER II C L L C Owner Remarks Total Time Phone 7605356200 Inspector Requested By JIM Entered By CHRISTINE CD Description 39 Final Electrical Act Comment Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Dale Description 02/02/2007 84 Rough Combo 02/02/2007 98 BMP Inspection 01/30/2007 17 Interior Lath/Drywall 01/29/2007 17 Interior Lath/Drywall 01/25/2007 21 Underground/Under Floor 01/23/2007 14 Frame/Steel/Bolt ing/Weld ing 01/23/2007 2^ Underground/Under Floor 01/23/2007 24 Rough/Topout 01/23/2007 34 Rough Electric Act Insp Comments AP RB T-BAR SYSTEM WC RB AP RB CA RB AP RB RB WALLS ONLY OK EXCEPT TIE IN AP PA AP AP RB RB RB WALLS ONLY EsGil Corporation In (Partners kip ivitH government for (Buififing Safety DATE 1/10/07 JURISDICTION City of Carlsbad PLAN CHECK NO O6-3453 SET II PROJECT ADDRESS 1000 Aviara Pkwy Suite 110 PROJECT NAME. Old Republic Title - TI U APPLICANT a JURIS a PLAN REVIEWER a FILE 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 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 By Doug Moody Esgil Corporation D GA D MB D EJ D PC Enclosures 1/8/06 trnsmtl dot 9320 Chesapeake Drive, Suite 208 4 San Diego, California 92123 4 (858)560-1468 4 Fax (858) 560-1576 EsGil Corporation In Partnership with government for (ButCdtng Safety ( DATE 12/19/06 Q APPLICANT JURISDICTION City of Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO 06-3453 SET I PROJECT ADDRESS 1000 Aviara Pkwy Suite 11O PROJECT NAME' Old Republic Title - 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 resubrrntted for a complete recheck X] 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 McArdle Associates Architects / Kay Wilis 5838 Edison Place, Carlsbad 92008 Esgil Corporation staff did not advise the applicant that the plan check has been completed XI Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted KayWilis Telephone # 760-431-7775 x/ o^f Date contacted \^\^lo^(b\/ £_ ) Fax # 760-431-7585 Mail Telephone -*-^ Fax -"""in Person D REMARKS By Doug Moody Enclosures Esgil Corporation El GA D MB D EJ D PC 12/11/06 tmsmUdot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858)560-1468 + Fax (858) 560-1576 City of Carlsbad 06-3453 12/19/06 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO 06-3453 OCCUPANCY. B TYPE OF CONSTRUCTION VN ALLOWABLE FLOOR AREA SPRINKLERS'? YES REMARKS DATE PLANS RECEIVED BY JURISDICTION 12/7/06 DATE INITIAL PLAN REVIEW COMPLETED 12/19/06 JURISDICTION City of Carlsbad USE Office ACTUAL AREA 2395 STORIES 2 HEIGHT OCCUPANT LOAD 29 DATE PLANS RECEIVED BY ESGiL CORPORATION 12/11/06 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 2001 CBC, which adopts 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 upjist when you submit the revised plans. TENANT IMPROVEMENTS WITHOUT SPECIFIC ENERGY DATA OR POLICY SUPPLEMENTS (1997UBC)tiforw dot City of Carlsbad 06-3453 12/19/06 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 Provide a statement on the Title Sheet of the plans stating that this project shall comply with the 2001 editions of the California Building/PIumbmg/Mechanical Codes and the 2004 edition of the California Electrical Code, which adopt the 1997 UBC, 2000 UMC, 2000 UPC and the 2002 NEC 3 Please clarify the area of work the architectural plans and the permit application show the area to be suite 110 yet the plumbing and mechanical plans show work in suite 120? Please revise the permit application and the architectural to show the work occurring in suite 120 or remove the scope of work from the plumbing and mechanical plans 4 Please have the principle designer complete the appropriate box(s) in the Statement of Compliance System Acceptance section of the MECH-1-C part 2 of 2 document to show the required forms for the new WSHP's and indicate the persons responsible for providing the form to the city inspector (why isn't the MECH-8-A form required?) 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 City of Carlsbad 06-3453 12/19/06 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 06-3453 12/19/06 VALUATION AND PLAN CHECK FEE JURISDICTION City of Carlsbad PLAN CHECK NO 06-3453 PREPARED BY Doug Moody DATE 12/19/06 BUILDING ADDRESS 100O Aviara Pkwy Suite HO BUILDING OCCUPANCY. B TYPE OF CONSTRUCTION VN BUILDING PORTION Tl Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code AREA ( Sq Ft ) 2395 cb _.,_,-, Valuation Multiplier 3437 By Ordinance Reg Mod VALUE ($) 82,316 82,316 $47211 Plan Check Fee by Ordinance Type of Review Repetitive Fee Repeats Complete Review D Other j—, Hourly Structural Only Hour* Esgil Plan Review Fee $306.87 $264.38 Comments Sheet 1 of 1 macvalue doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB O. !» ,- <• RESIDENTIAL RESIDENTIAL ADDITION MINOR « $10,000.00) OTHER PLANNE ENGINEER V-~— TENANT IMPROVEMENT , , PiAZA CAU1NO REAL CARLSBAD COMPANY STORES '5" ; *• ' 'j ' • i VHLACB FAIRB COMMRTB OFFICE BUILDING PATE \1~l(\ DAT! I / ENGINEERING DEPARTMENT FEE CALCULATION WORKSHEET D ^Estimate based on unconfirmed information from applicant \g Calculation based on building plancheck plan submittal Address /^ /UV^V^ €&^tf . $\€ ffd Blda Permit No Prepared by Date Checked by _Date- EDU CALCULATIONS: List types and square footages for all uses Q>J2je_ (?6*~*^&- ofi\ S^t^dG^^^'^-"^Types of Use _ Sq Ft/Units'. Types of Use Sq Ft/Units'. APT CALCULATIONS: List types and^quare footages for all uses Types of Use Sq Ft /Units EDU's EDU's ADT's . ADT's- FEES REQUIRED: WITHIN CFD D YES (no bndge & thoroughfare fee in Distnct #1, reduced Traffic Impact Fee) PARKIN-LIEU FEE,-" FEE/UNIT 2 TRAFFIC IMPACT FEE ADT's/UNITS PARK AREA & # X NO UNITS. FEE/ADT 3 BRIDGE AND THOROUGHFARE FEE (DIST #1 XPT's/UNITS 3 £> X FEE/ADT, FACILITIES MANAGEMENT FEE ZONE - 5 UNIT/SQ FT 5 SEWER FEE EDU'S DIST #2 X FEE/SQFT/UNIT X * FEE/EDU l^NEFITAREAr' EDU's iK/0/06 SEWER LATERAL ($2,500) GrC7 DRAINAGE FEES PLDAu ACRES ^ X FEE/EDU HIGH X FEE/AC /LOW =$. 8 POTABLE WATER FEES UNITS CODE CONNECTION FEE DNO METER FEE SDCWA FEE SDCWA FEE 1 Of 2 F \FE£ CALCULATION WORKSHEET doc Rav 7/14/00 Carlsbad Fire Department Plan Review Requirements Category TI, INDUST Date of Report 12-11-2006 Name Address Reviewed by Permit# CB063453 Job Name OLD REP TITLE- 2,395 SF SHELL Job Address 1000 AVIARA PY CHAD St 1 10 adequately conduct a review to carefully all oi icview and approval Conditions: Cond CON0001768 [MET] No Comments Entry 12/11/2006 By MS Action AP for review is the necessary plans and/or specifications, witn review FROM GSDftC FAX NO '6194697621 Dec 26 2006 ll'42ftM P2 CERTIFICATE OF COMPLIANCE (Parti of2) MECH-1-C I PROJECT NAME PROJECT ADDRESS Old Republic Title lOOCKAviara Parkway Suite 110 Carlsbad PRINCIPAL DESIGNER /MECHANICAL Greater San Diego Air Conditioning Co Inc DOCUMENTATION AUTHOR " ' Greater San Diego Air Conditioning Co Inc TELEPHONE(619)469-7818 TELEPHONE(619)469-7818 DATE 12/26/2006 Building Permit «i •Checked-by/Datb t-nforaemfcnt Agancy GENERALJNFORMAT10N DATE OF PLANS 11-21-06 BUILDING CONDITIONED FLOOR AREA 2,35QsqFt CLIMATE ZONE 7 BUILDING TYPE [XI NONRESIDENTIAL [ | HIGH RISE RESIDENTIAL HOTEL/MOTEL GUEST ROOM PHASE OF CONSTRUCTION [X] NEW CONSTRUCTION [^J ADDITION pj ALTERATION [I] UNCONDITIONED (File Affidavit) METHOD OF MECHANICAL I~X] PRESCRIPTIVE COMPLIANCE PERFORMANCE PROOF OF ENVELOPE COMPLIANCE PREVIOUS ENVELOPE PERMIT I 1 ENVELOPE COMPLIANCE ATTACHED STATEMENT OF COMPLIANCE This Cortlflcate of Compliance lists the budding features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations This certificate applies only to building mechanical requirements The documentation prepgrer hereby certifies that the documentation is accurate and complete DOCUMENTATION AUTHOR T.L. Harmon . ^ The Principal Mechanical Designer hereby certifies thai the proposed Building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any othor calculations submitted with this permit application The proposed building has been designed to mert the mechanical requirements contained in the applicable parts of Sections 100, 101. 102, 110 through! 15, 120 through 125, 142, 144, and 145 [ j The plane & specifications meet the requirements of Part 1 (Sections 10-103a) f7~) the installation certificates miiflt the requirements of Part 1 (10-103a 3) "j Thu operation & maintenance information meets the requirements of Part 1 (10-103C) Please check one (These sec ttonsof the Business and Professions Coda are printed In full m the Nonresidenlial Manual) I I I horeby affirm thai J am eligible under the provisions of Division 3 o1 the Business and Professions Code to sign this document as the peibcm responsible for its prapsration and thai I am licensed In the State of California as a civil engineer, or mechanical engineer or I am a licensed architect r "i I affirm that i am eligible under the exemption to Division 3 of the Business end Professions Code by Section 5537 2 or 6737 3 to sign thle documpnl RS the person responsible for Its preparation and thai I am B licensed contractor performing this work I I t affirm thai I am eligible under the exemption lo Division 3 of the Business end Professions Code to sign this document because it pertains to a — structure or type of work flenrnbed pursuant lo Business and Professions Code sections 5537 S&36, and G7S7 1 PRINCIPAL MECHANICAL DESIGNER - NAME .Greater San_Di£gaAir Conditioning Inc INSTRUCTIONS TO APPLICANT MECH-1-C Certificate of Compliance Part 1, 2, 3 of 3 are required on plans for all submittals i r- AirA'Vater/Servi re/Water Poats Requirements Part 1 of 3, 2 of 3 3 of 3 are required for all aubmittals, but may be on- \$ MECH-3-C Mechanical Veintitation and Reheat is required for ell subrnittals with mechanical ventilation, but may be on plans C5 MECH-4-C HVAC Misc Prescriptive Requirements is required for all prescriptive submitted, but may be on plans Ci MECH-5-C Mechanical Equipment Details are required for sll performance submittals 4 3 by EnergySo'l Number fi?72 V Slate Of California .B-. CONTRACTORS STATE LICENSE BOARD ACTIVE LICENSE Afhwx 452513 CORP S P WHITE CONSTRUCTION INC 02/29/2008 THIS DOCUMENT HAS A TRUE DEFENSA™ WATERMARK AND VISIBLE FIBERS DISCERNIBLE FROM BOTH SIDES l BUSINESS NAMEff THIS DOCUMENT IS ALTERATION PROTECTED AND REFLECTS FLUORESCENT FIBERS UNDER UV LIGHT KEEP FOR YOUR RECORDS BUSINESS TAX RECEIPT BUS NO 1202380 DATE ISSUED / 12/19/2006 08 070G $8000 BALANCE $000- TAXES PAID IN ACCORDANCE WITH CITY BUSINESS TAX ORDINANCE CITY OF CARLSBAD POLICYHOLDER COPY SD COMPENSATION INSURANCE PO BOX 420807, SAN FRANCISCO,CA 94142-0807 FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 01-01-2007 CITY OF CARLSBAD ATTN BUILDING DEPARTMENT 1635 FARADAY AVENUE CARLSBAD CA 92008 SD GROUP 000046 POLICY NUMBER 0008760-2007 CERTIFICATE ID 61 CERTIFICATE EXPIRES 01-01-2008 O1-01-2007/01-01-2008 JOB ALL OPERATIONS This is to certify that we have issued a valid Workers' 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 by the Fund except upon 30 days advance written notice to the employer We will also give you ^Q days advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms exclusions, and conditions, of such policy (7KWv THORIZED REPRESENTATIVE^ EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS PRESIDENT $1,000,000 PER OCCURRENCE ENDORSEMENT #1600 - STEVE WHITE, PRESIDENT, SECRETARY, TREASURER - EXCLUDED ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2000 IS ATTACHED TO AND FORMS A PART OF THIS POLICY EMPLOYER P WHITE CONSTRUCTION, INC DBA WHITE ^/CONSTRUCT I ON 5937 DARWIN CT STE 100 CARLSBAD CA 92008 (REV 2-05) SD M0410 PRINTED 12-15-2006 o 0. Oiu u_ 8 =! O -oO h- h- J 3a ivl 0 P -9,r (, -V « i*