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2100 COSTA DEL MAR RD; ; CB031743; Permit
07-16-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No CB031743 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2100 COSTA DEL MAR RD CBAD POOL Lot# 0 $24,071 00 Construction Type NEW LA COSTA RESORT & SPA 735 SF 1 POOL 4 SPAS Status Applied Entered By Plan Approved Issued Inspect Area Applicant MISSION VALLEY POOLS & SPAS 8284 MIRAMAR RD SAN DIEGO, CA 92126 619-695-2007 Owner ISSUED 06/25/2003 SB 07/16/2003 07/16/2003 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 TOTAL PERMIT FEES $21519 $000 $13987 $000 $2000 $2700 $241 $000 $000 $000 $000 $404 47 Total Fees $404 47 Total Payments To Date $13987 Balance Due $264 60 9802 07/16/03 '0002 01 02 CGF" 264-60 FINAL. -PROVAL Inspector 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 lhat 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 oiven 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 VAL Plan Ck Depos Validated E Address (include Bldg/Suite #)2.100 Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No 8235 Phase No Total # of units ^± 62Assessor s Parcel #Existing Use Proposed Use 13?»87 Description of.Worki of.Work /\ 1W.fa/2 CONTACT PERSON (if different from applicant) SQ FT Stenes # of Bedrooms # of Bathrooms Address City State/Zip Telephone #Name 5 ^CONTRACTOR - COMPANY NAME ks;' ..•:,,: ..^ " '" ":" ..... '::; ,:islil:: ' " "^""'r '" :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 Code] or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 7031 5 by anyapplicantfor a per/nit subjects the applicant to a civil penalty of not more tha/rfive hundred dollars I$500J) Name State License # Address License Class City State/Zip City Business License tt Telephone # Designer Name Address City State/Zip Telephone State License # 6 ^WORKERS' COMPENSATION ' ' "[^ "'% '"•••il:- ... '"••-,... Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations 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 [~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 *? Policy No 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 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 ($10ffl,000), in addition taTthe cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE V_^j? ^ «• ^ ^£- ^ f DATE fa" T- S ' P2> :7 i OWNER-BUILDER DECLARATION s;, •:^V^':..fci " "J*™ ~if I hereby affirm that I am exempt from the Contractor s Licensa^aJ/v for the following reason n 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) l~l 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 n YES C]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 NON-RESIDENTIAL z\m.D\NG PERMITS ONLYSS ; "":a. CF 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? (~l 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' Q YES n NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES l~l 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 -'IBy ;,_;; "'""^Hie; • . _ M ._ ; • "..^ 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 _ LENDER'S ADDRESS _ _ 9 APPLICANT:: CERTIFICATION :.:-lfart::., , "K:°;U- „.;!,. "":'Jh: • •;- ,..^---J ;..".. L' ^...,::l-i ,. ..... *„.!. ..... ^.. : : '" ' 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 by such permit is not commenced within 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 commence^ for a period l/n 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File UOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 10/13/2004 Permit* CB031743 Title LA COSTA RESORT & SPA Description 735 SFJ_POOL 4^SPAS Sub Type Inspector Assignment PD 2100 COSTA DEL MAR RD Lot 0 Type POOL Job Address Suite Location APPLICANT MISSION VALLEY POOLS & SPAS Owner Remarks Phone 8585498033 EX 104 Inspecto Total Time Requested By KELLY Entered By CHRISTINE CD Description 59 Final Pool Act xi Comment Associated PCRs/CVs Inspection History Date 10/07/2004 09/27/2004 09/24/2004 09/24/2004 09/24/2004 09/16/2004 11/18/2003 11/07/2003 10/08/2003 10/08/2003 10/08/2003 08/26/2003 07/17/2003 Description 55 31 23 52 53 51 55 55 51 52 53 59 51 Fence/Pre-Plaster Underground/Conduit-Wiring Gas/Test/Repairs Underground Plumbing Electric/Conduit/Wiring Excav/Steel/Bonding/Fence Fence/Pre-Plaster Fence/Pre-Plaster Excav/Steel/Bonding/Fence Underground Plumbing Electric/Conduit/Wiring Final Pool Excav/Steel/Bonding/Fence Act AP AP we AP AP AP AP AP AP AP AP AP AP Insp PD PD PD PD PD PD PD PD RB RB RB PD PD Comments PREVIOUSLY LIGHT, EQUIP, GRAB RAILS FOR COURT YARD SPA #2 FAMILY POOL/SPA City of Carlsbad BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER CB BUILDING ADDRESS ...... ..... -2/P1 C^£>- .feel ' * 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 modifipattSns, must be reviewed by this office to insure contfnued/conforrrTaTice with applicable/ codes Please review carefully all comments attached1; as failure to comply witn instructions in this repmrt can result in su^pegision q^permit to build / / / *• By Date DENIAL Please see the attached report of deficiencies marked with DMake necessary corrections to plans or specifications for compliance with applicable codes and standards Submit corrected plans and/or specifications to this office.for.review . By By By Date Date Date ATTACHMENTS Grading Permit Application Grading Permit Checklist Right-of-Way Permit Application ENGINEERING DEPT. CONTACT PERSON NAME Kathleen M Farmer City of Carlsbad Right-of-Way Permit Submittal Checklist and Information Sheet ADDRESS 1635 Faraday Avenue Carlsbad, CA 92009 PHONE (760) 602-2741 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (76O) 602-2720 « FAX (76O) 602-8562 Q Q Q Q BUILDING PLANCHECK CHECKLIST - POOLS SITE PLAN RD/ 1 Provide a fully dimensioned site plan drawn to scale Show North Arrow JZ^ Property Lines^ /^-"Existing & Proposed Structures J^ Easements 2 Shgw_on site plan A Drainage Patterns B Existing & Proposed Slopes C Existing Topography D Indicate what will happen with soil excavated from pool area E Retaining Walls (location and height).— Note: If excavated so// is not to be removed from property but regraded on s/fe, 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 3 Include on title sheet —A Site Address B Assessor's Parcel Number C Legal Description D Grading Quantities Cut Fill Import/Export 4 Project does not comply with the following Engineering Conditions of approval for Project No Conditions were complied with by GRADING PERMIT REQUIREMENTS Date The conditions that invoke the need for grading permit are found in Section 11 06 030 of the Municipal code 5a Inadequate information available on Site Plan to make a determination on grading requirements Include accurate grading quantities (cut, fill, import, export) 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 1 of 2 2ND/ Q jRD/ Q 5c A Grading Permit has been applied for. PE2 DWG Grading Inspector sign off by 5d No Grading Permit required MISCELLANEOUS PERMITS Date 6 A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way 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 - - - Q Please complete attached Right-of-Way application form and return to the Engmeenng 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 7 Remarks Page 3 of 3 H \Devclopmenl Semces\MASTERS\CHECKLISTSVBij>liling Plancdcck Cklist Form POOLS doc PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No CB Planner. APN /?y £s4cVX~ Phone (760)602- Type of Project & \Jse /p0ol **j Zoning General Plan Net Project Density DU/AC CFD (in/out) #_Date of participation . Facilities Management Zone _ " Remaining net dev acres Circle One (For non-residential development Type of land used created by this permit ) Legend Item Complete Environmental Review Required- DATE OF COMPLETION Item Incomplete - Needs your action YES NO TYPE Compliance with conditions of approval? If not, state conditions which require action Conditions of Approval Discretionary Action Required* APPROVAL/RESO NO PROJECT NO YES DATE NO TYPE OTHER RELATED CASES Compliance with conditions or approval9 If not, state conditions which require action Conditions of Approval Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES. CA Coastal Commission Authority? YES_ N0_ NO If California Coastal Commission Authority Contact them at - 7575 Metropolitan Drive, Suite 103, San Diego CA 92108-4402, (619) 767-2370 Determine status (Coastal Permit Required or Exempt) _ , Coastal Permit Determination Form already completed? YES If NO, complete Coastal Permit Determination Form now Coastal Permit Determination Log # _ NO Follow-Up Actions- 1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans) 2) Complete Coastal Permit Determination Log as needed Inclusionary Housing Fee required: YES NO (Effective date of Inclusionary Housing Ordinance - May 21,1993 ) Data Entry Completed? YES.NO (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE') Site Plan- H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 &DD 1 Provide a fully dimensional site plan drawn to scale, Show North arrow, property lines easementsT§xisting and proposed structures, streets, existing street improvements right-of-way width, dimensional setbacks and existing topographical lines (including all side and rear yard slopes) 2 Provide legal description of property and assessor's parcel number _/:... n Policy 44 - Neighborhood Architectural Design Guidelines 1 Applicability YES NO \^ 2 Project complies YES NO Zoning: 1 Setbacks Front Interior Side Street Side Rear . Top of slope Required Required Required Required Required 2 Accessory structure setbacks Front Interior Side Street Side Rear Structure separation [ZFD D 3 Lot Coverage Required. Shown. Shown. Shown. Shown. Shown Required Required Required Required Required Shown Shown Shown Shown Shown Shown 4 Height Required.Shown Spaces Required.Shown5 Parking (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required Shown Additional Comments OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTE DATE H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No CB Cfc- Plan APN Type Zoning Address^tD,/l/t "7 ' ier /<V'62fc*-- of Proiect & Use / 30ol *j V '$& iq (^"{/ General Plan ^7^- (m/out)# Date of participation ' Phone (760) 602- ^2- X e^ Net Project Density ^^v Facilities Management Zone ^ 17 Remaining net dev acres * — DU/AC Circle One (For ncn fcoidentii1.! development Type of land used created by this permit ______^_ ) Legend- ^ Item Complete Q ^''--incomplete - Needs your action Environmental Review Required: YES NO -_ TYPE ' " DATE OF COMPLETION . Compliance with conditions of approval' If not, state conditions which require act'nn of Approval Discretionary Action Required: APPROVAL/RESO NO PROJECT NO YES. DATE NO TYPE OTHER RELATED CASES Compliance with conditions or approval9 If not, state conditions which require action Conditions of Approval ~_ Coastal Zone Assessment/Compliance Project site located in Coastal Zone' YES CA Coastal Commission Authority' YES NO_ NO If California Coastal Commission Authority Contact them at - 7575 Metropolitan Drive, Suite 1 03, San Diego CA 92108-4402, (619) 767-2370 Determine status (Coastal Permit Required or Exempt) _ Coastal Permit Determination Form already completed' YES _ NO _ If NO, complete Coastal Permit Determination Form now Coastal Permit Determination Log # _ Follow-Up Actions: 1) 2) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans) Complete Coastal Permit Determination Log as needed Inclusionary Housing Fee required. YES NO (Effective date of Inclusionary Housing Ordinance - May 21,1993 ) Data Entry Completed' YES.NO (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE') Site Plan: H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 Q Provide- a fully dimensional site plan drawn to scale. Show - North arrow,-property lines easementSTexTsting and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines (including all side and rear yard slopes) ProvidelegalTdescfiption of property and assessor's parcel number " DD Policy 44 - Neighborhood Architectural Design Guidelines 1 Applicability YES NO \/ 2 Project complies YES NO_ Zoning: 1 Setbacks Front Interior Side Street Side Rear ' Top of slope 2 Accessory structure setbacks Front Interior Side Street Side Rear Structure separation [ZFD D 3 Lot Coverage Required Required Required Required Required ;ks Required Required Required Required Required Required Shown Shown Shown Shown Shown Shown Shown Shown Shown Shown - - — Shown 4 Height Required.Shown DD Spaces Required.Shown5 Parking (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required Shown Additional Comments /If) /fit I OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE_ H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 Stall Page 2 of2 |ciass|| Description j C53 |SWIMMING POOL] * * *Certifications * * * Cert H1C Description HOME IMPROVEMENT CERTIFICATION] * * *Bonding Information * CONTRACTOR'S BOND: This license filed Contractor's Bond number WLI1184661 in the amount of $10,000 with the bonding company INTERNATIONAL BUSINESS AND MERCANTILE REASSURANCE COMPANY. Effective Date 08/01/1997 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer (RMO) ROBERT LYNDEL CUNNINGHAM JR certified that he/she owns 10 percent or more of the voting stock/equity of the corporation A bond of qualifying individual is not required Effective Date 07/23/1981 * * *Workers Compensation Information * * * This license has workers compensation insurance with the INSURANCE CORPORATION OF NEW YORK (1925-7) Policy Number 1C7000023900 Effective Date 07/01/2002 Expire Date 07/01/2003 Workers Compensation History Personnel List Salesperson List License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request © 2002 State of California Gray Davis, Governor Conditions of Use Privacy Policy http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 05/15/2003 Q 2 O OIT n <0 CL « °3 < O ^ COg o ^*2 CO _JCJ LU O CO<CL CO CO ooCL LU _l O CO m O O $fc o3§°5 0 ,Hs \A V «ttf /L fc>-2. 4 x ^- v "~" C