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1265 LAUREL TREE LN; ; CB060312; Permit
09-10-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No:CB060312 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1265 LAUREL TREE LN CBAD POOL 2120402500 Lot#: $65,854.00 ' Construction Type: 24 HOUR FITNESS-1593 SF POOL 140 SF SPA INDOOR 0 NEW Applicant: ARROYO POOLS INC 18201 WINDSOR VILLA PARK CA 92861 7142833035 Stattfs: WITHDRAW ApplieoT Entered By: Plan Approved: Issued: Inspect Area: 02/08/2006 LSM Owner: ASCENT BILTMORE CARLSBAD L L C 111 W MONROE ST #1111 PHOENIX AZ 85003 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Electrical Fee Plumbing Fee Strong Motion Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees $415.66 $0.00 $270.18 $0.00 $20.00 $27.00 $6.59 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $739.43 Total Fees:$739.43 Total Payments To Date:$270.18 Balance Due:$469.25 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. - f*£RMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 0603 0 02/08/2006 001 11 PLAN CHECK NO. EST. VAL Plan Ck. Deposit Validated By Date * PROJECT INFORMATION Address (include Bldg/Suite #)usiness Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work .1 7 SQ.FT.# of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone #Fax# ^ Q Owner -POOLS i He, MIDI Uiti£>Sp£ O Agent for. Owner Pf>e,£ cA Name Address City State/Zip Telephone # Name Address City State/Zip Telephone # (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, 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 [$500]). " uOC Name State License # Address License Class City State/Zip Citv Business License # Telephone # Designer Name State License # Address City State/Zip Telephone # 16. Si: WORKER'S COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. My, worker's compensation insurance carrier and policy number are: A 0 V$j1?!r!g*7 . , Insurance Company Mil f. lt&0? -CO. C\0 M^licv No. %Expiration Date_10-1- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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 fees. SIGNATURE : DATE [Tfc^OWNERJBjy^ '...'.'• . -..^ -;"••.•:;';.;';.''''• ' ' • ' ; ~j I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 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). 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 contractor(s) licensed pursuant to the Contractor's License Law). D 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 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 / /ontractorslicense 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. PERMIJ APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 fCOMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES 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? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. _ _ ___„__ _ |8. CONSTRUCTION LENDING AGENCY . .- ':•'••• . :,K:^ .. -,;; : .'•-' ' ^ .';• • , .- .-; ,'• ~- ': ' ' "'f- " •':• '!'K:^:'j--i ": \ I 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 |9. APPUC^NT CERTIFICATION . .. . 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 OSHA: An OSHA permit is required for excavations of 5'0" deep and demolition or construction of structures over 3 stories in height. by such permit is not commenced within 1 80 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 for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANTS SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance vJ- ". t\.'- Permit**:: |CI Status: Date: 102 Screen Desc Status: |PENDING. -^J Valuation: Project Title: J24 HOUR FITNESS-1593 SF POOL ,::Desc: |140 SF SPA INDOOR , Address: |1265. LAUREL TREE LN CBAD Parcel: |212-040-25-00 ; ,Lotft Applicant: JARROYO POOLS INC Owner: (ASCENT BILTMORE CARLSBAD L L C ' Construction Type: (NEW 1^1 , Referencett: | • Inspect Area: ) PCS: .Entered By: |LSM ' Licensee: City Of Carlsbad, Ca. Update Exit I Back ".DATES ' Applied: 102/08/2006 ' •Approved: I / / Issued: I / / . Finaled: I I Expired: j / / Total S'q Footage: | Balance Due: j $469.25 Serial Number: 6091 Users': 032 ! Version: v. 5.2.13 ; ^V<J^UJ^ <^&&<^&, C^fc^fe JL&UU*-' ~^^ ^kLX^Uup fiUS-15-2006 09: 15P FROM: ARROYO POOLS INC. 7142838763 10:17605028558 P.l'l P. O. Box 4605, Orange, CA 92863-4605 « (714) 283-3035 « (714) 283-8763 Fax Contractors Lie. # 752803 August 15, 2006 Attn: KathyGirvin Fax to: 760-602-8558 Building Department City of Carlsbad 1635 Faraday Avenue Carlsbad, California 92008 Dear Ms. Girvin: Per our earlier telephone conversation, this letter will serve as a written request to withdraw plans that we submitted on 2/8/06. The address of this project is 1265 Laurel Tree Lane ("24 Hour Fitness"). The plan check number is CB06312. Our intention is to send a courier service (PCS Delivery) to retrieve the plans from you and deliver them to us. The driver will have a fax copy of this letter in hand when s/he arrives. It is our understanding there are NO fees due at this time. My office manager, Julie Wagner, will telephone you to confirm all the details. If you need anything in the meantime, please call me. I can be reached in the office or via cell phone at (714) 333-9093. Thanks for your assistance with this matter. Best regards, ARROYO POOLS, INC. Lester B. Townsend President :jkw City of Carlsbad Public Works —.Engineering BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: BUILDING ADDRESS:LtA PROJECT DESCRIPTION: .Pool ASSESSOR'S PARCEL NUMBER: ENGINEERING DEPARTMENT APPROVAL The item you have submitted for review has been approved. The approval is based on plans, information and/or specifications provided in your submittal; therefore, any changes to these items after this date, including field modifications, must be reviewed by this office to insure continued conformance with applicable codes. Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to build. .By:Date: DENIAL Please see me attached report of deficiencies marked with&T Make necessary corrections to plans or "'specifications for compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. ATTACHMENTS Grading Permit Application Grading Permit Checklist Right-of-Way Permit Application Right-of-Way Permit Submittal Checklist and Information Sheet ENGINEERING DEPT. CONTACT PERSON NAME: JOANNE JUCHNIEWICZ City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad, CA 92008 PHONE:(760) 602-2775 I mwORD\DOCS\CHKLST\Pool Building Plancheck Cklist CHK24 Farm BE.doe 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN 1 STV 2ND/ 3RD/ Q Q Q 1. Provide a fully dimensioned site plan drawn to scale. Show: A. North Arrow C. Property Lines B. Existing & Proposed Structures D. Easements Q Q Q 2. Show on site plan: A. Drainage Patterns D. Indicate what will happen with B. Existing & Proposed Slopes soil excavated from pool area C. Existing Topography E. Retaining Walls (location and height) Note: If excavated soil is not to be removed from property but regraded on site, show proposed elevations and slopes. If any portion of retaining walls are over 4' in height, a separate permit is required. Retaining Wall Permit CB . , . Applied for Approved Q Q Q 3. Include on title sheet: ) A. Site Address B. Assessor's Parcel Number C. Legal Description D. Grading Quantities Cut Fill Import/Export a) If grading is not required, write "No Grading" on plot plan. Q Q Q 4. Project does not comply with the following Engineering Conditions of approval for Project No. " Conditions were complied with by: • • Date: GRADING PERMIT REQUIREMENTS The conditions that invoke the need for grading permit are found in Section 11.06.030 of the Municipal code. ( Q Q Q 5a. Inadequate information available on Site Plan to make a determination on grading requirements. Include accurate grading quantities (cut, fill, import, export). Q Q Q 5b. Grading Permit required. A separate grading plan prepared by a registered Civil Engineer must be submitted together with the completed application form attached. Note: The Grading Permit must be issued and rough grading approval obtained prior to issuance of a Building Permit Page 2 of 2 H:\WORW30CS\CHKLST\Pool Building Planctieck Cklist CHK24 Form BE.doc , ^ STV , 2ND/ ORD/ Q Q Q 5c. A Grading Permit has been applied for: PE2 DWG Grading Inspector sign off by: Date: Q Q Q 5d. No Grading Permit required. MISCELLANEOUS PERMITS Q Q Q 6. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Wav and/or private work adjacent to the public Right-of-Way. A separate Right-of-Way issued by the Engineering Department is required for the following: Please complete attached Right-of-Way application form and return to the Engineering Department together with the requirements on the attached Right- of-Way checklist, at the time of resubmittal. Right-of-Way Permit and Pool Building Permit will be issued simultaneously. Q Q 7. Remarks H:\WORD\DOCS\CHKLST\Pool BuiMing Plancheck Cklist CHK24 Form BE.doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB DATE ADDRESS lS(o5 Tree RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR « $10,000.00) PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER L&CjJictu DATE ENGINEER DATE Docs/Mlsforms/Planning Engineering Approvals Entries for ltem:3 mm I 18:09 02/08/200 Total Rows: 1 Tree Page 1 ACORDm CERTIFICATE OF LIABILITY INSURANCE PRODUCERAU Insurance Services PO Box 3646 Omaha, NE 68103-0646 (877)234-4420 INSURED Arroyo Pools, Inc. PO Box 14004-176 Villa Park, CA 92863 CTL 1273 274139 DATE (MM/DD/YYYY) 06/01/05 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A: California Insurance Company INSURER B: INSURER C: INSURER D: INSURER E: NAICl COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS" LTR A \DD'NSR TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 1 CLAIMS MADE (j JOCCUR ' 'i "" GEN'L AGGREGATE LIMIT APPLIES PER | POLICY | ]"»..( |LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS ••' HIRED AUTOS NON-OWNED AUTOS ••' GARAGE LIABILITY , ANY AUTO .,;'•:. EXCESS/UMBRELLA LIABILITY 1 OCCUR [ ( CLAIMS MADE DEDUCTIBLE ' • RETENTION $ WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? , f yes, describe under SPECIAL PROVISIONS below OTHER POLICY NUMBER 46-005484-01-01 POUCY EFFECTIVE DATE (MM/DD/YY) 06/01/05 POLICY EXPIRATIO DATE (MM/DD/YY) 06/01/06 LIMITS EACH OCCURANCE DAMAGE TO RENTEDPREMISES (Ea occurence) MED EXP (any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGO COMBINED SINGLE LIMIT(Ea accident) BODILY INJURY (Per person) BODILY INJURY(Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN w Acc AUTO ONLY:AGG EACH OCCURENCE AGGREGATE X WC STATU- OTH- TORY LIMITS^ • ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ $ $ $ S $ $ $ $ $ $ $ $ S $ $ $ 1,000,000 $ 1,000,000 $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS - " ' . - • .CERTIFICATE HOLDER CANCELLATION Arroyo Pools PO Box 14004 Villa Park, , Inc. ••' -176 "". CA 928.63 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES /] ^ AUTHORIZED REPRESENTATIVE //»/ •*!/jffWv -f*«~t OD78336 ACORD 25 (2001/08)L/©ACORD CORPORATION 1988 <h V, 1 U) HJO Z -1->Ouj oBE *u- Hwuj coIK o>SLO 26ESS-in O Os01cc gOw^a i o x BCO -a- -3- O ^O CM r- Q 1 I