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HomeMy WebLinkAbout2035 CORTE DEL NOGAL; 165; CB043590; Permit10-05-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No Building Inspection Request Line (760) 602-2725 CB043590 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title hcant ICKLIEN 619339-7425 2035 CORTE DEL NOGAL CBAD St 165 Tl Sub Type 2130611000 Lot# $68,758 00 Construction Type Reference # SPEC SUITE-2218 SF OFFICE TO OFFICE INDUST 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area Plan Check* Owner PP CARLSBAD INC C/O PRENTISS PROPERTIES LTD 3890 W NORTHWEST HWY #400 DALLAS TX 75220 ISSUED 09/16/2004 RMA 10/04/2004 10/05/2004 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 $42721 Meter Size $0 00 Add'l Reel Water Con Fee $277 69 Meter Fee $0 00 SDCWA Fee SO 00 CFD Payoff Fee $1444 PFF $0 00 PFF (CFD Fund) $0 00 License Tax $0 00 License Tax (CFD Fund) $0 00 Traffic Impact Fee $0 00 Traffic Impact (CFD Fund) $0 00 PLUMBING TOTAL $0 00 ELECTRICAL TOTAL SO 00 MECHANICAL TOTAL $0 00 Master Drainage Fee Sewer Fee $0 00 Redev Parking Fee $0 00 Additional Fees TOTAL PERMIT FEES $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $3500 $2400 $000 $000 $000 $000 $778 34 Total Fees $778 34 Total Payments To Date $277 69 Balance Due $500 65 .^CL' 10AD/04 'J002 01 02 CGF" 300-65 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 m 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 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL .ffi?Q Plan Ck Deposit Validated By Date Address (include Bldg/Suite tt)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel tt Existing Use 22. i Proposed Use 135909/16/04000201 02 tt of Bedrooms CGP'of Bathroom37'7 = 69 • » :'•"• . Wsffm?™-'!ii is, _,.;. Description of Work <5/~ SOFT #of Stories 2 CONTACT PERSON (if different from applicant) Name 3 "^APPLICANT Address City B Agent for Contractor^D Owner""*" Q Agent fbrJOwner State/Zip Telephone #Fax tt Name Address City PROPERT-Y OWNER State/Zip Telephone tt Address City CONf RACTORSCOMPANY. NAME State/Zip Telephone tt (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 fi\te hundred dollar&[$5001) Name State License # Address License Class City State/Zip City Business License # /^2 Telephone tt Designer Name State License # Address City State/Zip Telephone : COMPENSATION ,: . .." ....... ~T! ',~H ..... 25 ..: ...... „, . ' ' .'. ' v" .,.>,:..-• ,1.1 " . ., ...... II". 1:.,'J Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 l~l I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code for the performance of the work for which this permit is issued My worker s compensation insurance carrier and policy number are Insurance Company ^*rT~c' Fcj/v/) _ Policy No^ 2< ~g> Q I b$3V Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~l CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING FailjjWL to secure workers compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar^ ($ TOO, 000), in addition/to the cost of compensation damages as provided for in Section 3706 of the Labor code, interest and attorney's fees SIGNATURE \ (-^-^ ~ A/ \f^JL^-^r - _ DATE . I hereby affirm that I am exempt from the Contractor s License Law for the following reason l~l 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) 0 '• 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 l~l YES flNO 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 "COMPLETE THIS SECTION" DATE BUILDING PERMITS iONLYlI:; .11 • "*j?fF;:" »." -.,.^f"- J!T " ' - ?'•""^ '*• ••'•' 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? O YES l~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES [~1 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDER S NAME 9 ^IlPPLiCANT CIRTIFICATION 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 issued by the building Official uncte^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 copaffQnced wiUim 180 days^fefm 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 cornj/gnCecMgr ^period pMOTdays (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Final Building Inspection Dept: Building Engineering Planning CMWD St Lite cFire" Plan Check # Permit # Project Name Address Contact Person Sewer Dist Date 12/01/2004 CB043590 SPEC SUITE-2218 SF OFFICE TO OFFICE 2035 CORTE DEL NOGAL #165 G&RCONST Phone 6195909385 CA Water Dist CA Lot Permit Type Tl Sub Type INDUST 0 Inspected By Inspected By Inspected By Date Inspected Date Inspected Date Inspected Approved . Approved . Approved Disapproved Disapproved Disapproved Comments City of Carlsbad Bldg Inspection Request For 12/01/2004 Permit* CB043590 Title SPEC SUITE-2218 SF OFFICE TO Description OFFICE Inspector Assignment RB 2035 CORTE DEL NOGAL 165 Lot 0 Type Tl Job Address Suite Location OWNER PP CARLSBAD INC Owner PP CARLSBAD INC Remarks Sub Type INDUST Phone 6195909385 Inspector Total Time CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By G & R CONST Entered By CHRISTINE Act Comment Associated PCRs/CVs CV030748 CLOSED O- EXPIRED BIZ LICENSE, Inspection History Date Description 11/03/2004 34 Rough Electric 11/03/2004 84 Rough Combo 10/19/2004 17 Interior Lath/Drywall 10/19/2004 34 Rough Electric 10/15/2004 14 Frame/Steel/Bolting/Weldmg 10/15/2004 34 Rough Electric Act Insp Comments AP RB walls AP AP CO AP CO RB RB RB RB RB t-bar system 2ND TIME - GRND METAL BOXES @ LIGHT SWITCHES WALLS ONLY GROUND LIGHT SWITCH BOXES City of Carlsbad Bldg Inspection Request For 10/19/2004 Permits CB043590 Title SPEC SUITE-2218 SF OFFICE TO Description OFFICE Inspector Assignment RB 2035 CORTE DEL NOGAL 165 Lot 0 Type Tl Job Address Suite Location OWNER PP CARLSBAD INC Owner PP CARLSBAD INC Remarks Sub Type INDUS! Phone 6195909385 Inspector Total Time CD Description 17 Interior Lath/Drywall Act Comment Requested By G & R Entered By CHRISTINE Associated PCRs/CVs CV030748 CLOSED ()- EXPIRED BIZ LICENSE. Inspection History Date Description 10/15/2004 14 Frame/Steel/Bolting/Welding 10/15/2004 34 Rough Electric Act Insp Comments AP RB WALLS ONLY CO RB GROUND LIGHT SWITCH BOXES NOTICE CITY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE DATE / ^ I S ~r TIME LOCATION PERMITNO A7^ Lr FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? !._ ! YES FOR FURTHER INFORMAJJQN, CONTACT PHONE CODE ENFORCEMENT OFFICER 0 City of Carlsbad Bldg Inspection Request For 10/15/2004 Permit# CB043590 Title SPEC SUITE-2218 SF OFFICE TO Description OFFICE Inspector Assignment 2035 CORTE DEL NOGAL 165 Lot 0 Type Tl Job Address Suite Location OWNER PP CARLSBAD INC Owner PP CARLSBAD INC Remarks Sub Type INDUS! Phone 6195909385 Inspector Total Time CD Description 14 Frame/Steel/Bolting/Weldmg 34 Rough Electric Act Comment HP ^*(U Requested By G & R Entered By CHRISTINE fafif Azc^-s> Date Associated PCRs/CVs CV030748 CLOSED O-EXPIRED BIZ LICENSE Inspection History Description Act Insp Comments NOTICE CITY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE DATE /n ' f $> " <^ V TIME _ LOCATION £<O ^ r" £T^/- Xe—. PERMIT NO _ 5V " <ers -X- / y)"a> 4 X JT^ , / C< ^-gy -9 C ' k *?*7 FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? i_, YES FOR FURTHER INFORMATION, CONTACT PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER EsGil Corporation In Partnership vntH government for <Bui[<fing Safety DATE 9/29/04 a APPLICANT JURISDICTION City of Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO 04-359O SET I PROJECT ADDRESS 2035 Corte Del Nogal Suite 165 PROJECT NAME Spec Suite 165 - TI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes 1X1 The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified in the remarks 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 ) S7\ ll//^^ax # Mail Telephone Fax In Person XI REMARKS Applicant to attach partition/detail to City held sets By Doug Moody Enclosures Esgil Corporation D GA D MB D EJ D PC 9/20/04 trnsmtldot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 *• (858)560-1468 * Fax (858) 560-1576 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1; if PROJECT INFORMATION FOR OFFICE USE ONLY - -• PLAN CHECK EST VAL Plan Ck Deposit Validated By. Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor's Parcel tt Existing Use Proposed Use 1359 09/15/04 0002 01 02 tt of Bedrooms CGi*°of Bathroorrg"'!Description of Work '-.? *) I V *$£"G-SC-S ' " *?' ;27JS CONTTACT PERSON (if ,d.Hereri .,f rom applicant) SQ FT #of Stories Name Address City J';EI Contractor ,:• L3 ''Agent" f ^Contractor ,'Q Ovftne'ir'v^D Agerifffpr Owner., State/Zip 9*as 7V Telephone #Fax # City State/Zip Telephone #Mame Address J5.i,;?:C6NtRACTP.RijC6MPANY NAME;- 'Z^.Jl', *ri / "''."C^V- 1 V * '$Z."I (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 Codel or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031 5 by any applica/it for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$50QJI Name State License # Address License Class City State/Zip City Business License # Telephone tt Designer Name State License tt Address City State/Zip Telephone 6, ; WORKERS' COMPENSATION f, • ;" ?•.' -L'.:.. :.,•''"".' •"., ••.--.- ".?' • '"%"'.>%..'"" ' v'j .. : "'";*' ' '! '' ""• ~""$,"'-: ""?~,\'f •,'„ . ?3;-e: ••''. Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 d I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My worker's compensation insurance carrier and policy number are Insurance Company __ ___ Policy No _ Expiration Date _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) Q CERTIFICATE OF EXEMPTION I certify that in tha 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 a 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 as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE _ _____ _ DATE _ _ I hereby affirm that I am exempt from the Contractor s License Law for the following reason r) 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) Cl If 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) ~{~\ I am exempt under Section Busmess~¥nd 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 f_]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 / 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 NONRESIDENTIAL BUILDING PERMITS ONLY " " - ,-'-'• \ "' »•-•- " -,:',:. * ;T ' ' • -- '-•-— -....1-1 —,.,,«A tr* cnhmit = business nlan acutelv hazardous materials registration form or risk management and prevention City of Carlsbad 04-3590 9/29/04 VALUATION AND PLAN CHECK FEE JURISDICTION City of Carlsbad PLAN CHECK NO 04-3590 PREPARED BY Doug Moody DATE 9/29/O4 BUILDING ADDRESS 2035 Corte Del Nogal Suite 165 BUILDING OCCUPANCY B TYPE OF CONSTRUCTION Unknown BUILDING PORTION Tl Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code AREA (Sq Ft) 2218 cb Valuation Multiplier City Valuation By Ordinance Reg Mod VALUE ($) 68,758 68,758 1994 UBC Building Permit Fee 1994 UBC Plan Check Fee Type of Review D Repetitive Fee ~"j Repeats Complete Review D Other r-i Hourly Structural Only Hour Esgil Plan Review Fee $41821 $271 84 $234 20 Comments Sheet 1 of 1 macvalue doc ,,Sep 29 04 01:56p Maggetti Elam 613 624 O530 p.2 Q_ ote LL1 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB ADDRESS RESIDENTIAL RESIDENTIAL ADDITION MINOR « $10,000.00) ENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE ENGIN DATE Oocs/Mlsfornu/Planning Engineering Aonrouak Carlsbad Fire Department 043590 1635 Faraday Ave Carlsbad, CA 92008 Plan Review Requirements Category: Date of Report 09/27/2004 Fire Prevention (760) 602-4660 Building Plan Reviewed by Name Address Rick Lien P O Box 930 City, State Poway CA 92074 Plan Checker Job Name Spec Suite #165 Job # 043590 Job Address 2035 Corte Del Nogal Bldg# CB043590 Ste orBldg No 165 Approved The item you have submitted for review has been approved The approval is based on plans, information and / or specifications provided in your submittai, 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 and standards Please review carefully all comments attached as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements Approved The item you have submitted for review has been approved subject to the Subject to attached conditions The approval is based on plans, information and/or specifications provided in your submittai Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements Please resubmit to this office the necessary plans and / or specifications required to indicate compliance with applicable codes and standards Incomplete The item you have submitted for review is incomplete At this time, this office cannot adequately conduct a review to determine compliance with the applicable codes and / or standards Please review carefully all comments attached Please resubmit the necessary plans and / or specifications to this office for review and approval Review FDJob# 1st 9nH 3rd 043590 FD File # Other Agency ID License Detail Page 1 of2 California Home Tuesday A, License Detail Contractor License # 722261 CALIFORNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base Before on this information, you should be aware of the following limitations • CSLB complaint disclosure is restricted by law (B&P 7124 6) If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below Click on the Im button to obtain complaint and/or legal action information • Per B&P 7071 17. only construction related civil judgments known to the CSLB are di • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base * * * Extract Date 04/20/2004 Business Information * * * G & R CONSTRUCTION INC 854 WASHINGTON HEIGHTS ROAD ELCAJON.CA92019 Business Phone Number (619) 590-9385 Entity Corporation Issue Date 05/02/1996 Expire Date 05/31/2004 * * * License Status * * * This license is current and active All information below should be reviewed. * * * Classifications * * * Class) IB I GENERAL Description | BUILDING CONTRACTOR) * * *Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 6049064 in the arr $10,000 with the bonding company SURETY COMPANY OF THE PACIFIC. http //www2 cslb ca gov/CSLB LIBRARY/License+Detail asp 04/20/2004 License Detail Page 2 of 2 «v Effective Date 01/01/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer (RMO) GE ROGER DARRIEULAT JR certified that he/she owns 10 percent or more of the voting stoc of the corporation A bond of qualifying individual is not required Effective Date 05/02/1996 * * * Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number 229-0016534 Effective Date 08/13/1996 Expire Date 01/01/2005 Workers Compensation History Personnel listed on this license (current or disassociated) are listed on other licei Personnel List Other Licenses License Number Request Contractor. Nj.me.Reguest Personnel Name Request Salesperson Request Salesperson Name Request © 2003 Slate of California Conditions of Use Pnvacy_Policy http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 04/20/2004 $KJ sj1^^ ?k V;< ^ i!iM|xr«^ ^S §••***.^ •nm »5!!8 3>m52Q fl*Po - H O W O>. - -n -o CDt TI m g "° "m 05 g _ Co m K) toho o_i W 00 «> IsO mm P- O ooJ> I— o CO