HomeMy WebLinkAbout1060 AUTO CENTER CT; O; CB971486; Permitvectcccx 02!b204 - ncg %claSoo\
BUILDING PERMIT Permit No: CB971486
07/23/97 15:52 Project No: A9701905
Page 1 of 1 Development No:
Job Address: 1060 AUTO CENTER CT Suite: o Permit Type: INDUSTRIAL TENANT IMPROVEMENT
Parcel No: Lot#:
Valuation: 36,894 con%uWtBt' ~9~32 NE^
Occupancy Group: Reference#: StZtWT ISSUED I
Description: IT1 1419 SF, OFFICE AND AUTO Applied: 06/05/97
: STORAGE Apr/Issue: 07/23/97
Entered By: JM Appl/Ownr : RICK MAARS ARCHITECT 619 465-2011 8330 UNIVERSITY AVENUE ~~ LA MESA, CA 91941 *** Fees Required x** llected & _ - - - - - - - --_______c-____________
Fees :
Adjustments:
Total Fees:
Fee description ------___--_____-
Building Permit
Plan Check
Strong Motion Fee * BUILDING TOTAL
Enter "Y" for P1
Each Plumbing Fi Each Install/Rep
Enter "Y" for Elec Remodel/Alter Per * ELECTRICAL TOTAL Enter 'Y' for Mechani Install Furn/Ducts/He Each Exhaust Fan * MECHANICAL TOTAL
* PLUMBING TOTAL
Credits *** _________________
.oo
215.00
445.00
Ext fee Data
330.00
215.00
8.00
553.00
20.00 Y
14.00
7.00
41.00
10.00 Y
25.00
35.00
15.00 Y
9.00
6.50
31.00
1 FUUAPPROVAL I
i CLEARANCE I
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
FOR OFFICE USE
PERMIT APPLICATION PLAN CHECK
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1 161
Address (include BldgISuite I)
Legal Dmscrlption Lot No. Subdivision NamelNUmber Unit No. Phase No. Total a of units
Asressor's Parcel # E- Proposed Use
Dsreription of Work SO. FT. #Of storias I of Beddrooms # of Bathrooms
Business Name (at this address) Lots 2 & 3 of Carlsbad Tract No.87-3 space 0
Office Auto Storage 1419 1 n/a n/a
211-080-01 & 02 rs
Ca. 91941 465-2011 * Name Address
00
ISec. 7031.8 Businem and Professions Coda: Any City or County which requirw a permit to COnstrUct, alter, improve, demonah or repair any StNCtUre, prior to its
issuance, also requires the applicant for such permit to fils a signed statement that ha is licensed purauant to the provisions of the Contractor's License Law
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Cadsl or that he is exempt therefrom, and the basis for tha alleged
exemption. Any violation of Section 7031 .6 by any applicant for a permit subjects the applicant to a civil Penalty of not more than five hundred dollars [t6001l.
Name Address City StateRip Telephone #
State License x 4 8 5 8 0 4 ~cense class B
Dsrigner Name Address City StatdZip Telephone
CULLINS CONST. CO. 4660 Lotus St. San Diego, CA 92107 (619) 226-4375
Ciy Business License x 12 0 3 3 4 8
0 of the work for whieh this permit is issued.
ssued. My worker's compansation insuIance carrier and policy number ale:
INYI~C~ Company
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNORED DOLLARS [$lo01 OR LESS1
0 to become subject to the Workefs' Compensation Laws of California.
I have and will maintain a certificate of. mt to rdf-insure fw wmkM.I' compnutlon as provided by Saction 3700 of the Labor Code. for the performsncs
I have and will maintain workers' Compensation, as required by Senion 3700 of the Labor Coda. for the psrformanctl of the work for which this permit is
State Fund PDI~CVNO. 011451 Expiration Date 1-0 1-9 8 F-
CERTIFICATE OF EXEMPTION I oortify that in the performance of the work for which this permit is iasued, I shall not employ any perron in any manner so as
I fines up to one hundred
t nd anomy's h.
i hereby affirm that i am exempt from the Contractor's License Law for the following reason
0 I, LIS owner of the property or my employees with wages as thaii sole compensation, will do the work and the structure is not intended or offered for 9.18 (See. 7044, Business and Prof-ions Code: The Cmmctor's License Lew does not apply to an owner Of Properm who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended of offered for sale. if, however, the building or improvement is
sold within one yew of completion, the ownsr-builder will have the burden of proving that he did not build or improve for the purpose 01 sa14
0 I, as owner of the property. am exclusively contracting with licensed contractors to construct the Project (Sac. 7044. Business and Rofaasiana Code: The
Contrectofs License Law doe* not apply to an ownar of property who builds or improves thereon. and Contracts for such projects with cantractor(s) licensed
pursuant to the Contractor's Licansa Law). 0 I am exempt undw Section Business and Professions Code for this reason: -: "7 ,,\c,37 ,IQ,O,< ~.,, . * -*t .1(, I < ' 3t, ,, , . \,V"* %'A.
1.
2.
3.
I p-mUy plan to provide tha mahr labor and mataids tar cansuuotion of tha pm-d propmty Wovement. 0 YES ON0
I (haw I have not) signad an application for a building permit for the proposed Work.
I have comrmad with the following panon (firm1 to provide the prowad construction (inelude name I addroes I phone number I contractors license numbrl:
;:--
4.
number I contractors license numbef):
5.
Of worC1:
PROPERN OWNER SIGNATURE DATE
Io the applicant or future building occupmt required to submit a burinear Plan. acutely hazardous materials Ingistration form or risk managament and prevention
pmgram under Sactlons 26606, 26633 or 26534 of the F~esb~-Tmner Hazardous Substance Amount Act7
Is the applicant or taure building Occupant required to obtain a permit from tho ah pOllutlon control district or alr quality management district? NO
1s the facility to b mnstructmd wlthin 1,wO tea of tha outer boundary of a school site?
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APCLICANT HAS MET OR IS MEETING THE
I plan to provide portions of the work, but I have hired the following Penon to coordinate, supewise and provide the major work (include name I address I phone
I will provide some of tha work. but i have contracted lhirad) the following porions to provide the work indicated linclude name I address I phona number I type
A
0 YES a NO
0 YES
0 YES NO
~~~~~~1~~1~~~~ "ei
I hereby affirm that there ii a conatmction lending *~IMCY for the Parformance of the work for which this permit is issued (See. 3097iil Civil Codel.
LENDER'S NAME LENDER'S ADDRESS
I csrtlfy that I hsvs read the applksth and state that tb she information ia correct .nd that the Informetion on tb plans 1s accurete. I agmea to oomph, with all
City ordinances and State laws relating to building construction. I hereby authoriza repr-ntetivas of the City of Carlsbad to enter upon the above mentioned
proparty for inspeotlon p~rp~ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AQAINST ALL LIABILITIES,
JUDGMENTS. COSTS AND EXPWSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE QRANTING OF THIS PERMIT.
OSHA An OSHA permit is required for excavations over 5'0' de8P and damolition 01 EOnstNctIOn of structures over 3 stories in height.
EXPIRATION Evary permit Issued by the Building Olfieial under the provisions of this Cods shall expire by limitatbn and become null and void if the building or
work autbrlzed by such permit Is not commanwd within 366 dav¶ from the date of such permit or if the building or work authorized by such permit is suspended
01 abandoned at any time after the work is commenced for a perbod of 100 daw ISectlon 108.4.4 unlfarm Building Codel.
APPLICANT'S SIGNATURE DATE
WHITE Fils YELLOW Applicant PINK: Finance
FINAL BUILDING INSPECTION
DEPT: BUILDING ENGINEERING +pllr PLANNING U/M WATER
PLAN CHECK#: CB971486
PERMIT#: CB971486 PROJECT NAME: IT1 1419 SF, OFFICE AND AUTO STORAGE
ADDRESS: 1060 AUTO CENTER CT SUITE# 0
CONTACT PERSON/PHONE#: C/RICHARD/226-4375 SEWER DIST: WATER DIST: I By- !
, ". .I__,_.
INSPECTED DATE
BY : INSPECTED: APPROVED - DISAPPROVED -
INSPECTED DATE BY : INSPECTED: APPROVED - DISAPPROVED -
COMMENTS :
_. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB971486 FOR 09/02/97 INSPECTOR AREA TP DESCRIPTION: IT1 1419 SF, OFFICE AND AUTO PLANCKX CB971486
TYPE: IT1 CONSTR. TYPE NEW JOB ADDRESS: 1060 AUTO CENTER CT STE: 0 LOT :
APPLICANT: RICK lvuLRs ARCHITECT PHONE: 619 465-2011 CONTRACTOR: PHONE :
OWNER: PHONE :
STORAGE OCC GRP
n
REMARKS : C/RICHARD/226-4375
SPECIAL INSTRUCT:
INSPECTOR ,w
TOTAL TIME:
--RELATED PERMITS-- PERMIT# TYPE STATUS CB921169 EXPIRED CB931331 IT1 EXPIRED SE970111 SWOW ISSUED
CD LVL DESCRIPTION ACT COMMENTS
19 ST Final Structural & E 29 PL Final Plumbing
39 EL Final Electrical 49 ME Final Mechanical -- - - -- - --
***** INSPECTION HISTORY *****
DATE DESCRIPTION
082797 Rough Combo
082097 Interior Lath/Drywall
081997 Interior Lath/Drywall 081497 Frame/Steel/Bolting/Welding 081497 Rouqh/Topout 081497 Rough Electric
08 14 97 Rough/Ducts/Dampers 081497 Underground/Under Floor 072897 Rough Combo
ACT INSP COMMENTS PA PK SEE JOB CARD
AP TP DUP SEE 8/19
AP TP AP TP AP TP AP TP WALLS, CEIL, PNL (SUB) co TP SEE CARD AP TP VERF THRU VIDEO
CO TP SEE ATTCH LIST
NOTICE 2015 US PALMIS 43&9550 DRIVE
-_ . c
CITY OF CARLSBID
BUILDINQ DEPARTMENT
DATE TIME , LOCATION u ,dflw ( &-' ~ /- .
PERMIT NO.
FOR INSPECTION CALL 4383101. RE-INSPECTION FEE DUE7 c] YES J: i'
L ,7- '/
PHONE FOR FURTHER INFORMATION. CONTACT
-7-R- -
c
EsGil Corporatlon
DATE: 61 16/97
JURISDICTION: Carlsbad
PLAN CHECK NO.: 97-1486
0 PLAN REVIEWER
0 FILE
SET I
PROJECT ADDRESS: 1060 Auto Center Ct.
PROJECT NAME: Auto Wholesale TI
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
0 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.
0 The plans transmitted herewith have significant deficiencies identified on the enclosed check list
0 The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
0 The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
0 The applicant's copy of the check list has been sent to:
and should be corrected and resubmitted for a complete recheck.
Esgil Corporation staff did not advise the applicant that the plan check has been completed.
0 Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone #:
Date contacted: (by: 1 Fax #:
Mail Telephone Fax InPenon 0 REMARKS:
By: Chuck Mendenhall Enclosures:
Esgil Corporation 0 GA 0 CM 0 EJ 0 PC 6/9/97 tm.srntl.dot
9320 Chesapeake Drive, S&e 208 4 San Diego, California 92123 4 (619) 560-1468 4 Fax (619) 560-1576
. .~ ..~. .. --... . . . . . .. __ ,.. ,,. . .... ~. ~~~~~ ~~ ~ .,. . .. .... ~ ,
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad PLAN CHECK NO.: 97-1486
PREPARED BY: CM DATE: 611 6/97
BUILDING ADDRESS: 1060 Auto Circle Ct
BUILDING OCCUPANCY: S3/B TYPE OF CONSTRUCTION: VN
TOTAL VALUE
w 1991 UBC Building Permit Fee
w 1991 UBC Plan Check Fee
Type of Review: w Complete Review 0 Structural Only 0 Hourly
0 Repetitive Fee Applicable
0 Bldg. Permit Fee by ordinance: $ 330.00
0 Plan Check Fee by ordinance: $ 214.50
0 Other:
Esgil Plan Review Fee: $ 171.60
Corn rn e n t s :
Sheet1 of 1
macvalue.dcc 5196
a-
The item you have submitted for review has been approved. The approval is based on plans,
information andlor specifications provided in your
submittal: therefore any changes to these items afler
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.
A Right-of-way permit is required prior to
construction of the following improvements:
BUILDING PLANCHECK CHECKLIST
DATE: PLANCHECK NO.: CB 77- Iqr6
Please see the attached report of deficiencies
marked with 0. Make necessaly corrections to plans
or spedfications for compliance with applicable codes and standards. Submit corrected plans andlor
specifications to this office for review.
By: Date:
By: Date:
By: Date:
AlTACHMENTS
Dedication Application
Dedication Checklist
Improvement Application
Imfiovement Checklist
Future Improvement Agreement
Grading Permit Application
Grading Submittal Checklist
Right-of-way Permit Application
Right-of-way Permit Submittal Checklist
and Information Sheet
Sewer Fee Information Sheet
ENGINEERING DEPT. CONTACT PERSON
Name: David Rick
City of Carlsbad
Address:
Phone: (619) 438-1161, ext. 4324
2075 Las Palmas Dr.. Carlsbad. CA 92009
A4
"\WOR~s~%?~i!~f%rlsbad, CA 92009$1576 (619) 438-1161 - FAX (619) $9=94
BUILDING PLANCHECK CHECKLIST
SITE PLAN
3Rw a
a
a
a
0
1. Provide a fully dimensioned site plan drawn to scale. Show:
A. NorthArrow D. Property Lines
B. Existing 8 Proposed Structures E. Easements
C. Existing Street Improvements F. Right-of-way Width 8 Adjacent Streets
G. Driveway widths
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."
B. Existing 8 Proposed Slopes and Topography
3. Include on title sheet:
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
DISCRETIONARY APPROVAL COMPLIANCE
4a. Project does not comply with the following Engineering Conditions of approval for
Project No.
4b. All conditions are in compliance. Date:
2
I' .
I- BUILDING PLANCHECK CHECKLIST
DEDICATION REQUIREMENTS qST/ ?NO/ 3RO/ - - P 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:
dP
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(s) 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:
0 0 P 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 construction exceeds $ Section 18.40.040. , pursuant to Carlsbad Municipal Code
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 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.
Future public improvements required as follows:
current grant deed on the property and processing fee of $
BUILDING PLANCHECK CHECKLIST
IN 2w 3'fv
Q 0 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:
Q 6d. No Public Improvements required. SPECIAL NOTE: Damaaed or defective
improvements found adiacent to buildina site must be repaired to the satisfaction
of the City Inspector prior to occuDancy.
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
requirements. Include accurate grading quantities (cut, fill import, export).
Q 0 Q 7b. Grading Permit required. A separate grading plan prepared by a registered Civil
Engineer must be submitted together with the completed application form
attached. The Gradina Permit must be issued and rouah arading
aDproval obtained prior to issuance of a Buildina Permit.
NOTE:
Grading Inspector sign off by: Date:
0 7c. Graded Pad Certification required. (Note: Pad certification may be required even
if a grading permit is not required.)
Q 7d. No Grading Permit required.
MISCELLANEOUS PERMITS
0 0 Q 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, tieing
into public storm drain, sewer and water utilities.
Right-of-way permit required for:
4 R.". I-
BUILDING PLANCHECK CHECKLIST
qW 2nd.' 3* D cl 0 9. A SEWER PERMIT is required concurrent with the building permit issuance. The
fee is noted in the fees section on the following page.
0 IO. INDUSTRIAL WASTE PERMIT is required. Applicant must complete Industrial
Waste Permit Application Form and submit for City approval prior to issuance of a
Permit.
Industrial Waste permit accepted by:
Date:
Wcl
rm00 11. NPDES PERMIT
Complies with the Cis 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
occurs first.
0 12. d, Required fees are attached
0 No fees required p/0
0 0 0 13. Additional Comments:
5
i /
ENGINEERING DEPARTMENT
FEE CALCULATION WORKSHEET
0
0
@ 97- 1486 Address: 1060 /)I/+ &'&( et. Bldg. Permit No.
Prepared by: p:Ck Date: 6-19-9 7 Checked by: b. R;c& Date:
EDU CALCULATIONS: List types and square footages for all uses.
Types of Use: &a &&Units: 194 EDU's: o$
Estimate based on unconfirmed informatlon from applicant.
Calculation based on building plancheck plan submittal. GbC 0
CSIC) 0- bcrc
ADT CALCULATIONS: List types and square footages for all uses.
Types of Use: Om ce &.,units: 144 ADT's: 3, 5 6
ChlCCJ 6h L-rcc-
FEES REQUIRED:
PUBLIC FACILITIES FEE REQUIRED: &ES
WITHIN CFD:
0 NO (See Building Department for a xnt' 0 YES (no bridge &thoroughfare fee, reduced Traffic Impact Fee)
J& 1. PARK-IN-LIEU FEE PARK AREA:
X NO. UNITS: =$
LTRAZrZAcT FEE
@/UNITS: 3,5~ x FEEIADT: 34 =$Lt'l.
&. BRIDGE AND THOROUGHFARE FEE
&4. FACILITIES MANAGEMENT FEE ZONE: 3
d5. SEWER FEE
ADTWUNITS: X FEEIADT: =$
UNIT/SQ.FT.: X FEE/SQ.FT.IUNIT: =$
5 lL-6- EDU's: Po4 X FEEIEDU: I, w -
EDU's: * O% X FEEIEDU: =$ .F
PERMITNO. SE 97-11] -
BENEFIT AREA: DRAINAGE BASIN:
w6. DRAINAGE FEES PLDA HIGH /LOW
m7. SEWER LATERAL ($2.500) =$
ACRES: X FEEIAC: =$
TOTAL OF ABOVE FEES+: $ 2s 7
+NOTE: This calculation sheet is NOT a complete llal of all fees which may be due.
Dedications and Improvements may also be required with Building Permits.
REV 01/22/97 P:\DOCS\MISFORMS\BPOOO2.FRM
A VS cc--
County of San Diego
San Dicgo Oflicc 5201 RufIim Road. Suite B San Diego CA 92123-1666 (619) 565-5920 (619) 591-W92
Nath County Offi 334 Via Vm auZ. Suite 150 Ssn Musor. CA 91069-2638
YruyA.l #," LY 8330 University Avenue La Mesa, CA 91941
'f%ti Auto Center Dr., Space 0 CCarlsbad,sUtA 9 72008
,*IIY.V..
?y.FINe
PART 11: COUNTY OF SAN DIEGO HEALTH DEPARTMENT HAZARDOUS MATERIALS MANACEMENTDMSIOh':
Ifthcanswa toanyofthequestionsisycs.applicantmustwntacttheCountyofSanDicgoH.urdnuMaluialsManaguncntDivision. 1255 Imperial
1.0 I Is your buriness lypc listed on the ICYUTC ridc of this form?
CONTINGENCY PLAN REVIEW
Avcnuc. 3rd Roor.SanDicgo. CA92138. Tckphonc (619)338-2222pri~tothcirnlurcof b No abuildmgpmk ,, K. Ne .4.01 Will your burincrr UIC an existing 01 hull an underground 2.0 I Will your business disjmsc of huudouc sdxunccs M medical rlmgelank?
WwtCS in My MlOUnt? 5.0 Willynu~iwrS~UICM~lC~inOg~,I~UCtiVC
3.0 I Will your busmess store M handlc hazardous substances in toxins M vlusly hnudous muaials? 6.0 I Will yan ln~~incss be locad within 1 p00 fret from thc outu bounduy of a school and handlc UUICIY hazardous materials? quantities qual IO M grutcr than 55 gdons. 500 pounds M
200 cubic feet of mprcsscd gas?
PART IIL SAN DIECO COUh'n AIR POLLUTION CONTROL DISTRICT If the answer to any of thc questions is yes. applicant must contact the Ai PoUution Conrml Dis(riq9150 chsrapkc Drivc. San Dicgo. CA 92123. Telephone (619) 694-3307 pri~ to thc issuancc of a buildmg pUmiu.
1.01 Will thc intmdcd occuprnt install or usc any of the quipmcnt liiudon thclirtingofAi PoUutimCmlrul Distriu Pennit Catagories.
on thc rcvmc side of this form? 2.00 (ANSWERONLYIFTHEANSWERTOQUESTION 1 ISYES.) Willthcsubpstf.ciliy~loutcd within 1.000fcetoflhcoutaboundruy of aschml(Kto12)aslistcdin thccurrmtDirrctoryofSchwlandCommuniyCoUcgcDirtrictr.prbWledbyihsSmDicgoCountyOf~~
of ~.ucrtimmdthccumntC.lifnniaRivatcSchmlDirrcMy.annpilcdin~withprovirioluofEducationCodeScction33190?
h No
Briefly duaibc the mure of Ihs iruadd buh ~iviy:
AU!DO BROKER
ANN WEAVER, RICK MARRS, INC. (Architect) Nunc of omn or Mhaucd &an:
"
DO NOT WRITE BELOW THIS Lm'E
FIRE DEPARTMENTOCCUPANCY UASSHCATlON
BY DA'IE:
REPORT PREPARED BY:
TITLE 24 REPORT FOR:
Suite "0" Tenant Improvement
1060 Aut0 center Road
Carlsbad, CA 92008
PROJECT DESIGNER:
Gary Petty Energy Consultant
8130 La Mesa Blvd., t219
La Mesa, CA 91941
(619) 465-2011
Job Number:
Date: 6/4/1997
?en usee to perform the calcu The COMPLY 24 computer program has - itions
summariz@d in this compliance report.
authorizgd by the California Energy Commission for use with both the
Residential and Nonresidential Building Energy Efficiency Standards.
This program has approval and is
This program developed by Gabel Dodd Associates (510) 428-0803. CTJci7lW
SO
=ATE P.O. BOX 807. SAN FRANCISCO,CA 94101-0807 COMPENSATION INSURANCE F u N D CERTIFICATE OF WORKERS COMPENSATION INSURANCE
POLICY NUMBER: 229-97 UNIT 0011461
ISSUE DATE 01-01-97 CERTIFICATE EXPIRES 01-01-89
CITY OF CARLSBA . ALL OPERATIONS
ATTN: BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE
CARLSBAD CA 92009-4859
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form mproved 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 lodays' advance mitten notice to the employer.
We will also give you 10 days' advance notice should this policy be cancelled prior to its norm81 expiration
This certificate of insurance is not an insurance policy and does not.arnend. extend or alter the coverage afforded
by the policies 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 may pertain, the insurance afforded by the policies described herein
'.. , ., , ,,
EMPLOYER'S LIABILITY L
STAMDARO EXCLUSION: INOIVIWAL EMPLOYERS "40 WSBPNO bN0 WIFE EMPLOYERS ARE NOT ELIaIBLE
FOR BENEFITS AS EMPLOYEES UNDER THIS POLICY.
EMPLOYER
.
CULLINS BUILDING COMPANY lr660 LOTUS STREET
CULLINS. RIWARO ORANVILLE
__ ~~ ~ . ~~ SAN OlEGO CA 92107