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Home My WebLink About1120 CAMINO DEL SOL CIR; ; CB070225; Permit02-26-2007 Job Address Permit Type Parcel No Valuation Occupancy Group # Dwelling Units Bedrooms Project Title City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit Permit No CB070225 Building Inspection Request Line (760) 602-2725 1120 CAMINO DEL SOL CR CBAD RESDNTL Sub Type RAD 2062611100 Lot# 0 $66 447 00 Construction Type NEW Reference # 0 Structure Type 0 Bathrooms 0 VERKLEEREN RESIDENCE 118 SF PORCH 211 SF DECK REMODEL 51OSF Status Applied Entered By Plan Approved Issued Inspect Area Ong PC# Plan Check* ISSUED 01/26/2007 MDP 02/26/2007 02/26/2007 Applicant GARCIA RODRIGO STE 361 5706 BALTIMORE DRIVE LA MESA CA 91942 Owner VERKLEEREN JOHN L&BARBARA A 1120 CAMINO DEL SOL CIR CARLSBAD CA 92008 Building Permit Add 1 Building Permit Fee Plan Check Add 1 Plan Check Fee Plan Check Discount Strong Motion Fee Park in Lieu Fee Park Fee LFM Fee Bridge Fee Other Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add 1 Renewal Fee Other Building Fee HMP Fee Pot Water Con Fee Meter Size Add 1 Pot Water Con Fee Reel Water Con Fee Total Fees $840 83 $41951 $000 $272 68 $000 $000 $664 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 Total Payments To Date Meter Size Add I Reel Water Con Fee Meter Fee SDCWA Fee CFD Payoff Fee PFF (31 05540) PFF (4305540) License Tax (31 041 93) License Tax (43041 93) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) Sidewalk Fee PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing InLieu Fee Housing Credit Fee Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES $840183/%Balalnce Due $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $7600 $2000 $4600 $000 $000 $000 $000 $000 $000 $840 83 1 fit™ 17 ft f 3 bS-frfc"" fCttjjp i1 L»i\lli$0>00 '- . 'i-- i ..IT,,,; .•» CT r — i^UILUJNU PLANS /.IN STORAGE ATTACHED PERMIT HAS hXi iKfc ) irs r SECTION 1Gb 4 4 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition of fees dedications reservations or other exactions hereafter collectively referred to as 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 > PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO t>~ " EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description JMflj? *S40& Lot Noe>Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use Proposed Use Description of Work _ ~"Xi> It COlf^CJiPjCSONflfMd Name v Address ~~ City !3^l!kPp"l!lCANt!f^D^Qritrac,tor OJ^gent^w Contractor1!!!! Owner """j^Agenffor Owner""" tt of Bedrooms 4- tt of Bathrooms State/Zip Telephone tt Fax* Name 4 .PROflRW OWNER Address City State/Zip Telephone tt Telephone #Name Address City State/Zip 5 QONirlAlTOR'COMl^TliPll"*^^^^1^?^^, llil ™ ~~ 1^° T' (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 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 [$500]) Name State License tt Address License Class City State/Zip City Business License # Telephone # Designer Name State License tt Address City State/Zip Telephone Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~l 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 Eg 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 fa. Insurance Company /A/S(J&P>MC£ ^O/Vffafi/Y S& 'TJI& 3TA&>f Policy No ^^ 7/7/^7 Expiration Date &4 */ ^7 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) n 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 tfojthe Workers Compensation Laws of California WARNING FailureWo secure workers' compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1JPP ffOfiJ- injpdf itionto the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees /MJ/U DATE 02 *Z>(> b"lSIGNATURE 7 ,^OWNlR BUILDER DEejARAWN I hereby affirm that I am exempt from 1 ie Contractor s License Law for the following reason f~1 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) |~1 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) l~l 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 D 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 COMPLETE THIS SECTION FOR W«-fl£S/0£/V7Mi BUILDING PERMITS ONLY _ ,, ^1 , ,,j,i^ I?!*-'* Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? d YES d NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? fj YES D N0 Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? fj YES d 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(0 Civil Code) LENDER S NAME 8* 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 CitV 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 and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issues! 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 ccMimenced.withB 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 comrn^nc^d for (a period of 1IJO days (Section 106 4 4 Uniform Building Code) * ( MlA _ DATE ^/^ 07 _ I WHITE File YELLOW Applicant PINK Finance APPLICANT S SIGNATURE City of Carlsbad July 17, 2007 BELFOR 11545 SORRENTO VALLEY RD #308 SAN DIEGO CA 92121 RE BUILDING PERMIT EXPIRATION PERMIT TYPE RESDNTL Bui I ding Department Permit Number CB070225 Issue Date 02/26/2007 ADDRESS 1120 CAMINO DEL SOL CR PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 08/25/2007 The provisions of UBC, Section 106 4 4 as amended by the Carlsbad Municipal Code state "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 (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year In order to renew action on a permit after expiration, the permittee shall pay a new permit fee Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken No permit shall be extended more than once Please check below indicating your intentions and return this letter to us Project abandoned A new permit will be obtained prior to commencing work No fee extension requested for 180 days (attach a letter of explanation) Renewal permit requested If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725 If you have any questions, please contact the Building Inspection Department at (760) 602-2700 Christine Wauschek Office Specialist 1635 Faraday Avenue « Carlsbad CA 92008-7314 • Building Counter • (760) 602-2719 (760) 602-2700 « FAX (76O) 602-856O ' FAX (760) 602-8558 City of Carlsbad July 17,2007 JOHN & BARBARA VERKLEEREN 1120 CAMINO DEL SOL CR CARLSBAD CA 92008 RE BUILDING PERMIT EXPIRATION PERMIT TYPE RESDNTL Bui Id i n g D e p a r t m en t Permit Number CB070225 Issue Date 02/26/2007 ADDRESS 1120 CAMINO DEL SOL CR PLEASE CALL FOR AN INSPECTION W WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 08/25/2007 The provisions of UBC, Section 106 4 4 as amended by the Carlsbad Municipal Code state "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 (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year In order to renew action on a permit after expiration, the permittee shall pay a new permit fee Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken No permit shall be extended more than once Please check below indicating your intentions and return this letter to us Project abandoned A new permit will be obtained prior to commencing work No fee extension requested for 180 days (attach a letter of explanation) Renewal permit requested If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725 If you have any questions, please contact the Building Inspection Department at (760) 602-2700 Christine Wauschek Office Specialist 1635 Faraday Avenue • Carlsbad CA 92008-7314 « (760) 6O2-2700 • FAX (76O) 602-856O Building Counter • (760) 6O2-2719 - FAX (76O) 602-8558 EsGil Corporation In (partnership with government for (Buifding Safety DATE February 16, 2007 O^PPLICANT JURISDICTION City of Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO CB070225 SET II PROJECT ADDRESS 1 120 Cammo Del Sol Circle PROJECT NAME Addition and Remodel for the Verkleeren Residence 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 XI 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 Ray Fuller ' Enclosures Esgil Corporation ] GA D MB D EJ D PC (P) 2/09/07 trnsmtldot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 * (858)560-1468 + Fax (858) 560-1576 EsGil Corporation In fartnersHip witK government for QuiCcCing Safety DATE February 6, 2007 JURISDICTION City of Carlsbad PLAN CHECK NO CB07O225 SET I PROJECT ADDRESS 1120 Cammo Del Sol Circle PROJECT NAME Addition and Remodel for the Verkleeren Residence APPLICANT a PLAN REVIEWER a FILE D The plans transmitted herewith have been corrected where necessary and substantially com[ 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 s The plans transmitted herewith have significant deficiencies identified on the enclosed check 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 applicai contact person The applicant's copy of the check list has been sent to Rodrigo Garcia 5706 Baltimore Dr #361 La Mesa, CA 91942 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 Rodrigo Garcia Telephone # (619) 460-4900 Date contacted^b/Ol (byJ-&3) Fax # None Provided Mail ^/TelephoneV~. Fax In Person REMARKS By Steve Sanders Esgil Corporation Q GA D MB D EJ Enclosures PC 1/29/07 tmsmtl dot 9320 Chesapeake Dnve, Suite 208 + San Diego, California 92123 •* (858)560-1468 + Fax (858) 560-1576 \ City of Carlsbad CBO7O225 February 6, 2OO7 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK NO CBO70225 JURISDICTION City of Carlsbad PROJECT ADDRESS 1120 Cammo Del Sol Circle FLOOR AREA Addition 118 sq ft STORIES 2 Deck 211 sq ft HEIGHT 22'-0"Approx REMARKS DATE PLANS RECEIVED BY DATE PLANS RECEIVED BY JURISDICTION 1/26/07 ESGIL CORPORATION 1/29/07 DATE INITIAL PLAN REVIEW PLAN REVIEWER Steve Sanders COMPLETED February 6, 20O7 FOREWORD (PLEASE READ) This plan review is limited to the technical requirements contained in the Uniform Building Coc Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state la1 regulating energy conservation, noise attenuation and access for the disabled This plan revi< is based on regulations enforced by the Building Department You may have other correctio based on laws and ordinance by the Planning Department, Engineering Department, F Department or other departments Clearance from those departments may be required prior the issuance of a building permit Present California law mandates that residential construction comply with the 2001 edition the California Building Code (Title 24), which adopts the following model codes 1997 UE 2000 UPC, 2000 UMC and 2002 NEC The above regulations apply to residential construction, regardless of the code editions adopi by ordinance The following items listed need clarification, modification or change All items must be satisf before the plans will be in conformance with the cited codes and regulations Per Sec 106 ^ 1997 Uniform Building Code, the approval of the plans does not permit the violation of c state, county or city law To speed up the recheck process, please note on this list (or a copy) where eg correction item has been addressed, i e . plan sheet number, specification section, € Be sure to enclose the marked up list when you submit the revised plans \1 City of Carlsbad CB07O225 February 6, 20O7 Please make all corrections, as requested in the correction list Submit three new complete 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 All sheets of plans must be signed by the person responsible for their preparation (California Business and Professions Code) 2 Specify on the Title Sheet of the plans the gross floor area of each element of this project, including the remodeled area Section 106 3 3 3 Provide a statement on the Title Sheet of the plans stating that this project shall comply with the 2001 editions of the California Buildmg/Plumbmg/Mechanical Codes and the 2004 edition of the California Electrical Code, which adopt the 1997 UBC, 2000 UMC, 2000 UPC and the 2002 NEC 'X 4 Doors may open outward over the deck only if the floor or landing at the deck is not more than one inch lower than the door threshold Section 1003 3 1 6 5 Per NEC Art 210-11 (c)3, note on the plans that bathroom circuiting shall be either a) A 20 ampere circuit dedicated to each bathroom, or b) At least one 20 ampere circuit supplying only bathroom receptacle outlets 6 All bedroom branch circuits now require arc fault protection Note clearly on the plans that "Bedroom branch circuits will be arc fault circuit protected " NEC Art 210-12(b) 7 The replacement windows in an alternation must meet the U-factor and Solar Heat Gam Coefficient (SHGC) of Package "D" (Prescriptive requirement) City of Carlsbad CBO7O225 February 6, 2007 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 • Have changes been made to the plans not resulting from this correction list? Please indicate Yes O No a 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 Steve Sanders at Esgil Corporation Thank you City of Carlsbad CBO70225 February 6, 2OO7 VALUATION AND PLAN CHECK FEE JURISDICTION City of Carlsbad PLAN CHECK NO CBO70225 PREPARED BY Steve Sanders DATE February 6, 2007 BUILDING ADDRESS 1120 Camino Del Sol Circle BUILDING OCCUPANCY R-3 TYPE OF CONSTRUCTION VN BUILDING II AREA PORTION (Sq Ft) Addtnon Deck Remodel Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code 118 211 510 cb Valuation Multiplier ^S£1 94 14^4T 121 94 By Ordinance Reg Mod ^,00 t VALUE ($) 14,389 3,041 62,189 kJ*)HM^7 ^79,649 Bldg Permit Fee by Ordinance Plan Check Fee by Ordinance Type of Review CD Repetitive Fee Repeats Complete Review D Other ,—i Hourly Structural Only Hour Esgil Plan Review Fee $460 56 $299 36 $257 91 Comments Sheet 1 of 1 macvalue doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER DATE I-31-2007 ADDRESS H:zC Coming) 'Del Sol TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR PLAZA CAMINO REAL (<$10,000.00) CARLSBAD COMPANY STORES POOL / SPA RETAINING WALL VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER QbfT) ENGINEER DATE DATE ~07 /4/07 1 ACORD^fJI^^ DATE$%4/££° PRO3JVCTH ,Aon Fnsk Servrcas Inc of Michigan 3000 Town center Suite 3000 southfield MI 48075 USA Mttasa <;&«5^ 183-7111 iwt 4647} 3 5 3- 5590 BeTfor USA Group, Inc 11545 Sorrento valley Rd STS 3OB Ssn Diego CA 92121 U5A $^Ert*ERjfe]iS. v~, *. »„ »«>~»i,!)8W!M!J-WW* ^^ '"* **- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION GW'L i> AVD CONFESS WO RTGHTS WOftr THE CFRT7FICATS HOf PFR Tins CFRTtyiCATE DO£S NOT AMEND, EXTEND OR ALTER! 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THE POLHTi PERIOD INDICATED NOTWITHSTANEINff ANY THS JNMRAWCP AFFORDED BY TTffi POLICIES DESCRIBED HSlUHK IS SUBJECT TO ALL THE TERMS HXCLUS1OK3 AND CONnmQNS Of SUCH POUf IKS AGTRrC ATC r mars snoTm MAT HAVE BEEN REDUCED BY ?AOJ ct/uws 1D5R LTR A A B ACDL tNSRD tYTEQFINSnEANCS yjJJEHAL IIABHITY OEWL AGGIEf ATE LOUT AFHJK ?SR "^ uoiin pT] JRO p~[ £,oc AirroMUHHj: UABU.IH. ~ S(.HE;CLED AUTOS 3T" HH>£D AOTO "~ HOW OWNTO AUTOS X iTorrip 0«ti Jl 000 X Collision Ded 51 OOQ ~~\ A1JTA13TO Xt-^^V IVM&l&iiLA [J-AHJJ^li;x X] OCC.US | ] CLMMS MAHE ^JCE&UCIffilE WOBKEia COMEENSAIIOIT AMU OmCBB/MBiIBER SXCLTOEP"1 ffj- Jwrr> w* OTSdttJWDVISIDifS fc 1 OIHER rOLtCTHUM^H ALS2S2356 ilC/1/1957 ^SSSSSm (W/01/06 04/01/06 ?or irv IDOTRAIIUM 04/01/07 LIMITS EACH OCCDjaEHCE T^W^A^^ ^^ SJj"*V' i>ii bhP^T^ty. f£B tetf^^c) MED £3& fAaf atK vaym] PSE.TIHAL » ADVW7TOT OasEEALAOCREOAIE .««««« 3 """»«*>= COMBINED SINGLE UMTT ^J^™" ^™T PB.OPERT1 DAMAGE AWOOHLY EA.ACCIDEHT OTHER THAI? EAA^C AUWUNI.I! """" ACrC EACH OCCUiyiJiMCE AOGREGATE X 'WG ST^OT I 5TS1 rQp.TUMTT5 1 ]J£ £^i ^iCH'AOCSDSWT EkA. &£?i&\&& SAEMSL-ifbii iJffff 000 «<wwa Sj.0,000 5500,00(1 12 000 000 Hi oaq ooa Jl 000 000 5X0 flP9 000 Si& 000 ftJOC 4"! *W? tf ^? Sl,QiW Q<» EJ- DISEASE fOUCYilMIT Jl 000 000 DISCWPTIQK OF onill ATKJWWATtOK'/VtfllLLEj/EXCLlTSIOHS ADDED S f ENDOUSEIffitlTfTEaALPROVrvtON^ r<T1'P'TT'FTr*A'rtil'pr^T TM?"^ 5^S^i?^i£^N' ' Xl^ ""' '* "' For insurance Purpose on7y San Diego CA 92121 USA ' ACOHI1 2S,f20Ui1/ > S^ "V &W ^&^ 1" " i" Hi^M., ~ SSfcnx^nw ^^•S ^" IPiP~°Wiii Wff " 'J^"*^^SS! ' s " i'" ¥~" t f SEOC1D Am OT THE ABOW DESCHIBED rotiars BE CANCELLED BEFORE THE BCPIRAHOK DA« THBMOF THE LiSOTNO MSOTSRWILL ENDEAVOHTO MAIL SOTFAILTOETODOSO SHALLMEOSEHOOBLIGATIJOirORLIABILin1 OE wvxwp OTCII.; IBS INSURER, us /srranrs OR REPKEEHKTATIVES AUTHOHHH: RSfSJlEdTATWE ^^^*JS^. ,. ^"ggftSsf &t.JliM.t < ^* •SUS® ® ^ *! £ t^jft ^S^&tfS ^HttWftAt tdN iflKS I 1 1 J4M a i •s. 1in a H5s<j | 1 Ul