The URL can be used to link to this page

Home My WebLink About2100 COSTA DEL MAR RD; ; CB031642; Permit06-13-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB031642 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2100 COSTA DEL MAR RD CBAD MISC Subtype Lot# $000 OTHER 0 LA COSTA RESORT/DISCOVERY BLDG DEMO NON BEARING PARTIONS W/ELEC Status Applied Entered By Plan Approved Issued Inspect Area Applicant BUKICH STEVE 2100 COSTA DEL MAR RD CARLSBAD 92009 Owner ISSUED 06/13/2003 MDP 06/13/2003 06/13/2003 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT $6000 SO 00 $000 $6000 Total Fees $6000 Total Payments To Date $000 Balance Due.$6000 7491 06/13/03 0002 01 02 CGP 60.00 Inspect 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 EST Plan Ck Deposit. Validated By Date Address (include Bldg/Suite #)Business Name (at this address) ^ Legal Description Assessor's Parcel # A \ Description of Work ^"— ) * Lot No Subdivision Name/Number \ ExistmfilJse j ,c&dfij fi CcK / fj SQ FT y, \ Jfof Stgiies f Unit No Phase No Proposed Use ff of Bedrooms Total # of units # of Bathrooms. 'c<»f ' Name la i' Address Q Agent for; Contractor Agent for Owner *.,. Name 4 i^; PROPERTY 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, 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 fjve hundred dollars ($5001) Name State License # Address License Class City State/Zip City Business License # Telephone # Designer Name State License # Address City State/Zip Telephone 6 i: JlWQRKER^ COMPENSATION '::K "* '.. ^•••--:-^ ••:^. '•'...'• v:il'.- •. :i> •'" :<- ..?!*• • ; • ^ :" '"". ":"- ' '"' "': '. ' '" ":,'.••" Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following dec larations n 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 0 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 [$100! OR LESS) PI 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 as provided for in Sei tion 3706 of the Labor code, interest and attorney's fees SIGNATURE ___ DATE _ -7 j" dWNEHsBUILDER bECLARAfiON :. -rf; '""!*' : ' V- :' ••,;i^' '..;•• :":' '"" ..... ^ ;:" " : •: • • "••"•' ...... j^, -IN'- ::' I -• ..,'•• J'""-?'.,. , *ii;:'' : :- '; J 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) f^T\. 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) f~1 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 f'~i }gjf [UNO 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, supeivise 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 tie work indicated (include name / address / phone number / type1 work) „ f ROPERTY OWNER SIGNATURE DATE COMPLETE THISi SECTION FOR /VO«-«FS/DflV7Mi BUILDINGJPERMITS ONLY "" "• : A >;iiK '.: 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? 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: ' -:':'.-" A " « 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 LENDER'S ADDRESS 9. APPLICANT CERTIFICATION .' • ,s" . " '". •'": : ;-::;. • •"' :' ; ?• V' V : '" " ' .• " „:;,... _ 'V > / ••" : •-; - -- ;. 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 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 under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized 'iy such permit is not commenced within 180 daysjrom the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any tirr 'tor the work is commenced for a pejadd of 180Klays (Section 106 4 4 Uniform Building Code) -AwPLICA SIGNATURE"X^!*^ /fa^S^^^' i DATE (_ WHITE File YELLOW Applicant PINK Finance Inspection List Permit* CB031642 Type MISC OTHER LA COSTA RESORT/DISCOVERY BLDG DEMO NON BEARING PARTIONS W/ELEC Date Inspection Item Inspector _Act Comments 04/21/2004 19 Final Structural PD AP OK TO FINAL 12/11/2003 14 Frame/Steel/Boltmg/Weldm PD PA WALLS Thursday, April 22, 2004 Page 1 of 1 JUN-12-2003 14 00 KLEINFELDER SflN DIEGO 85S3202001 P 01/05 KXEIINFELDER, INC, Name From M S^AC^T 1^t. "?• 4.O - /-ox number KLEINFELDER, INC SOISShorehaSan n"ao°. CA (858) 320-2000 ® (858) 320-2UU1 Fav Phi I/JH number Date d ^Q* 03 win Tuldl Paqes (inducting covershMt) Cornmenlts Project Original Will D Will Not D Follow fn/l?rmnrZrtH prwrfcd via etactrotue media a not guaranteed agautst rf(/ccfT, IrKl^ltng /r««^/rf/(.ri n«r/ transmission won lit atltUUon, this electronic ccitwwnKotion ami ift uttiiLttmento are Jtim<ar/tfjr to you without juuniag through our stamltml review process. Design data auJrHiimmomluntimtncluileiihiWtn should nat be tucd Jar filial design. If (he nadir ft nai ihr toirrdert rcciprent, you art Imrety notified that anv <ltst#,unation, ithtitlmhtm ,,r < npylng ofihli i pmtiainlcatiau it tmaly proMtotcd, Ijyou Itavc receivedtlia utfoirnottvn m error, pfetw nmtft the wwler immatiatay If there, are any problems with this transmission. />/case call the Receptionist at (858) 320-2000 .JUN-12-2003 14 01 KLEINFELDER SPN DIEGO 8583202001 P 02/05 (Xi- OV3/iC_- Vy tu I/) V JUN-12-2003 14 01 KLEINFELDER SAN DIEGO 8583202001 P 03/05 BULK SAMPLE: REQUEST FOR CLIENT NAME ,1 ADDRESS Kfetnfolcfcr, Inc. , 0 A 1 2 1 'L'L CONTACT. POJ*^=fJOBS PHONE Ord* On Ueihgd <nd Turn Around Tlraa fiMi Sfyndarpl / Point Count DATE Gravlniaov PIM? / QUANT / WATER AA/Tlame METALS. top SAMPLE NUMBER rws- I SAMPLE LOCA-TlON/DESCRlPTfrtN ^. Data: 3 /Jg/03 Tims: DataTTImft- Rocafvad By Saalod Conation (clrelo onoi YHS / NO Recatved By. Date/TIma: SaHled Coadrtion (circle an») YES / NO San Pranclses Offlco 3TT7 Dopot Uood. Suite 403, Hsyword. California 54545-Teiaohciw SlD/(S07-Q02B&00?b27-FA>31 Fai Los Angeles OHm ?9SB Pacific Commerce Urtwe, Kancho Damtngiwz, Uiltfomfa yujzi > raiftphorte 31G/783-2374 Fax 31Q/7S3-8G8J. .JUN-12-2003 14 01 KLEINFELDER SflN DIEGO 8583202001^ 04/05 l-orfn<»ic Analytical P " f i>* AM> ( Bulk Asbestos Analysis (n>A MI n n ni dno/R-03.ns, vi&ual Area Estimation) Klemfcldcr, Inc Client IB: 6381 Report Number, B04S99850j 5 Sboreham Place Da(l. Rw,eived, 03/3 1/03 o rx ^A ^,,. I)Hle Analyzed- 03/31/03San Dieyo, CA 92122 Date Pl ^^.j. 04/01 W _ _ __ Reported 04/01/03 lob ID/ Sile- 276S<Li,i,aCo6ia Membership service FASIJobED: OJS1-4/ •Numbei Lab Number Asbestos Percent m Asbestos Pficeuim Asbestos Pcrcenun Typi T^ytr Type Layer Type Ljyer MS-l T ivei Wliiiu Diywdll ND Layer Off-Whirr "ikiniidil/Tiujii Compound Ml) NP 1 uidl rupi]|ii)Mif Vilnpii of Flbroiis Components Asbestosi(ND) cellulose (J0"/o) l-ibious Glass (10%) Comment Ti illi i led un 03/28/2003 MS 2 SOtMOS? Lavci White Diywall ND LUYCT Ofif-WhiU. 'ikiiTHusl/limil roiupuuiul JN1J 1 avci I'aml j\U To'^1 CuuipuMte Valut <. nf Fibious Componems Asb«stosi(ND) CelliJosc (20%; Fibrous (Mass (10%) Commc-lH Collei ttri nn n^/?R/2003 I avef While Dryivall M> Laver Off-White Bkimcoafc'Joini riiinjjoiiiiJ Ni> Layu I'uim IVU 1 olnJ Composite VdliiLs tirFihniii'. (~rnnpnni>ftis Asbestos'(iSi)| Cfllulosa (20"'o) Fibrous (jjflja ( 1 0%) Ccmmcilt Collected on 01/78/70(13 Mb-1 S016COW Li^ci White Dryvvall La^ai Oil White RkiBKoat/JointCompiiniiil Lavicr Pqint 1 otul LomposUc Values of Flliuus CoiuponenK Asbestos-(ND) Oellulrw (70%) 1'ibrous Glass (10%) C ommsiit Collected on 03/28/2003 JUN-12-2003 14 01 KLEINFELDER SfiN DIEGO Foiensic Analytical 8583202001 P 05/05 Final TCrpnrr Uin I runu« ••> " ! Bulk Asbestos Analysis (EPA Method 600/R-93-116, Vituui Area tEtnitttlOtl} Klcintdder, Inr Daniel Fldicrlpi 5U15 SliOrcham Place San Diego, LA 92122 Client ID: 6381 Report Number: B04S99S Dale Received- 03/31/03 Date Analysed 03/31/03 Dnlr Printed 04/01/03 Fii st Repwi M: 04/01/05 J ob I D / Site ^ /<MS1 1. La Costa Membership Service FAST Job ID; 6381-47 Sample Number Lab Number Asbestos Pciccntin AshrMns Pirtenlin Asbestos Percent m Type L^yer Type Layer Type Layer Mauldc Anhllon, Laboratory Supci-visoi, RauHm Duiiiuigue/ Laboratory Nnip T imlt of Quantification ('LUy J = L% ' [ra»' denflles tire pioaoncc of asbestos bi low the 1OQ -ND' - I Analytical results and reports, am ueiietdlad by f orenslr Analyflral at Die request or and tor the exclusive uee cf (ho DCfson or entity (client) named on auoh report Resultb rawurls ui (.UJIIES. n< same will nrn hp n>l»a<»rl hy (-orenjie Analytical to ary third party Without prior written request From clientTho report applios cillsr lu Hie sd(iipto(s,) ra^TPd Siippnirtrtfl lahftr^tory documsntation is available upon request Thra report muat hat be reprodui>sJ except ir full unless ejwuvetJ tiy Foranslr Analytical The rlient is sorely responsible for the UEO ortel interpretation of test results and reiioris rec.JBstcd from Fpreilau Aiidlylicdl This rpport mi^t nnl rw> us^d by trie cnanl to etaim product andarcemfirit bv NVLAT or any other aocncy uf II,cU '3 OGVorniTiBiil FuieiBicArublical h nnt amp rna^aa^s me degree ot ha»W rosulting from mate(i«lo onalvzcd Foren»ic Analytical raaarvealJif nqht iocat»»v, «r all aainylea dfrrr a pprlnn of llilrly (in) ctays, according w all State and fodoral quWclttcs unlass ctlverwise ipov.ilieJ All sxniiilfkwero reicwlveU in di-OBptdhla conrtlllnn unless nthanvise noted TOTflL P 05