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2100 COSTA DEL MAR RD; ; CB044316; Permit
12-01-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB044316 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 2151600700 Lot# $000 OTHER 0 -QEMO HOI RESORT !E BARNS BY DRIVING RANGE Status Applied Entered By Plan Approved Issued Inspect Area Dphcant KSL LA COSTA I L L C C/O KSL RECREASTION 50-905 AVENIDA I LA QUINTA Owner KSL LA COSTA I L L C C/O KSL RECREASTION CORP 50-905 AVENIDA BERMUDA LA QUINTA CA 92253 ISSUED 12/01/2004 KG 12/01/2004 12/01/2004 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT $6000 $000 $000 $6000 Total Fees $60 00 Total Payments To Date $000 Balance Due $6000 6589 12/01/04 0002 01 02 CGP 60-00 . rt -, * /I / 6589 12/01/04 0002 01 jfe ' Inspecto 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 procedire 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 Imitations 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 Plan Ck Deposit Validated By Date PROJECT INFORMATION O&L- Address (include Bldg/Suite #)u>r "5 <*Business 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 SQ FT # of Stories # of Bedrooms # of Bathrooms [2 'CONTACT PERSON ([f differentlfrom appjlcant) 931 - Name Address City !3 APPLICANT D Contractor _D_.Agent_fpr_Cqntractor7 Q Qwner._ State/Zip Telephone #Fax* _B-_ AgentJ grJ3wn.er_ Name Address City State/Zip Telephone # PROPERTY OWNER Name Address City State/Zip Telephone # CONTRACTOR - COMPANY NAME iizr (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]) Name State License # Designer Name State License # |6 WORKER'S COMPENSATION Address License Class Address il City City State/Zip City Business License # State/Zip Telephone # Telephone # J 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 D 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 earner 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) 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 [7^^W^lR^UJ'i^R"DE^3RAfipN j| ~"~ ; ~l I hereby affirm thai I am exempt from the Contractor's License Law for the following reason D 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) S; 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 v/ho builds or improves thereon, and contracts for such projects with contractors) 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 / /ontractors 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 V\S\ r *t— "1 DATE WHITE File YELLOW Applicant PINK Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 Page 2 of 2 [COMPLETE 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? O 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 '^ONltRUCflONLENbiNGAGENC'Y ]~ | 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 APPLICANT ClRTIFiCATION I certify that I have read the application and state that the above information is correct and that the informeition 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 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 of 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 the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 05/20/2005 Permit* CB044316 Title LA COSTA RESORT Description DEMO HORSE BARNS BY DRIVING RANGE Inspector Assignment PD 2100 COSTA DEL MAR RD Lot 0 Type MISC Sub Type OTHER Job Address Suite Location APPLICANT KSL LA COSTA I L L C Owner Remarks Phone 7604159918 Inspector Total Time CD Description 19 Final Structural Comment I/I Requested By JEFF Entered By CHRISTINE Associated PCRs/CVs Inspection Hi&tory Date Description Act Insp Comments 03/29/2005 19 Final Structural NR PD MMMkHM* k W,xinm 'H;: o l-rj h^K! ohr- P / /"""""s C"" *& Tg Hit— — <^K»^tz; 0 M§> Xx^ . ' ' N""' >>'"-c~-~?-~.—~>;. ;-• ......rrfe-a-- s^^r-^:;hy>^?5*iis>^^ A.fl^C^V' '.x:>^-^>< 'M ' ',--'-,-•* A-:^^^Slp^^l^•-•.^A *v^i<> £&A 11/23/2084 14 54 Nov-23-1004 01 I5pa 7607465531 PITT LABS SAN DIEGO GRADING 9194743128 PAGE 02/07 T-130 P 501/015 F-224 Pitt Labs, inc.Lab Number: 5747 6^5117 M34£5<t)UthportWay Suite L National City, CA 91950 Tftl. 619-474-8548 F, e 619-474-6128 Company: Ssn i 2Q213 Job Site:La C 9200 J Bldj) Date EfflftPM: 11/17: J004 i"> Grading Analyzed By: Janet >hase Sku Dr Date Analyzed; 11/22, W 0. CA 92028 Customer PO / Claims: Contract Number: :i )Sta Country Club - 2100 Ccsta Del Mar, Caitebad. CA Date Sartiolnd WhoSai ujl£g >b 11/1SV2004 K. B«»t, P Kraft Lab Notes. In 1' 19'->9.2QOO. 2001 /22/IH 9.00 PO -ARlgEp LIGHT MICROSCOPY fPUMl ANALYSIS REPORT - EPA/600/R-9 t/116 Anaty*!* Number 9JT476-"! Customer Hum aer AjB-01 Descnp&on Rwuftw. Analysis Numb ir 5JT476-!: Customer Num ter A 3-02 R&ults. Customer Aftim* <er (\p-fl3 description Results' tfr j '476-1 Description Results: roof btdg 2000 3-3% chcysotite In Wat* ntm-fttabte pwoebBfton fntofic (1-21* wltvfese flbws also present} jestos- 20% cellulose fibers n btacK felt F;tt-roof btdg 2000 3 -ywall - M :>n-A£lx«u$: 2-3% cellulosefflMm In white tftywalt A)l samples tes ed as s abmitled to the lab. H M PITT LWlS. INC doits not uwme responsibflity for tha ac«w*>y of *• Informatli nsubmitted with; he aai n 9(49 unless done by an employee c<f H M. PITT LABS 'NC. These lest resu ts neUit (only to ths aamplafc) identified atove, • TWs report ma> not t>c used to eOim onclweemartt by NVLAP or any agency of the Federal Govsrwvwwrt- Thla report shal not b 2 reproduced except In ^i||, wttnout >vmJ8n appnjval pf hi.M. Pitt Labs. Inc. Saroptes are ar *iv»S «?r 2 y ware frortu dai« of receipt and ftU be tilepoaad of f rroparly tenovririg tus peiftw H/23/aflU BEWEWBBY: LQJWDS HIT OH Page 7 offi 11/23/2004 14 54 7607465531 Nov-23-2004 01:1 Bra I Fr w-HM PITT LAW SAN DIEGO GRADING 6194745128 PAGE 03/07 T-130 PQ02/QIS H.MJPHt Labs, Inc.Lab Number: 5747 6-45117 S 434 {jqthpijrt Way Suite L National Cfty, CA Tel: 61*^74-8548 • Fn c 619-474-6128 Company: Sar 262 Esc i !> Grading 0 Sky Or , CA 92026 920C9 Job Site: Btdq Lab Notes: in t Date Entered: 11/17 2004 Analyzed By- Jane) Data Analyzed: n/22 34 Customer PO / Claimft: Contract Number asta Country Club - 2100 cc«sta Pel Mar, Cailsbad, CA 9 S IS'19. 2000. 2001 I/22JI34 9 00 Data Samoiafl 11/19/2004 WhoSa waled K Best, F. Kraft POLAR:ZED LIGHT MICROSCOPY (PLM) IJMALYS1S REPORT - EPA/600/R-i 1/116 AnalyaisNumltr.7J76-S Description-(rywall . electrical shop north wgll Ion-A<ib«aio9: 2-3% cellulose fiber; In white drywal) Analysis Numi or. Customer Nun ber Description- 74786 'oint »9mpound - «teo«r"jel 9hoi> north w«lt non-fibrous white jont eomf>ound Analysis Numl wi customer Nun t>sr Desoriptien; Results- Analysis Numl vr: Customer Nun bar Description: Results: >747«7 ^B-or ScousUc celling 7476 a )ryWE'!i / joint compound - stomga -oam rmnftwast eomer )8a - ^torwysbfestos 1-2% OtJ)u!«M« fte«B» !n white drywa« - i^loivAsbestoa non-fibrous vA tie Joint compound • All semplea te rted ai submlttMS to tha lab.submlitad wltt< • Ttiestt test rw Jits reltjte on This report ms y not Thie report sli- Samples are : rchivadj fbr 2 H M. FTTT UBS. INC. does not iissume reEponsiWUty for th» BCOumey of the Infonris on(he asijnpfes unless done ty an employee of H M PITT LABS. INC iy to Oie samples) identified E bows. u?w1 to oJalm eraJoreemem by NVUW or any agancy nr ihs P*d6ial Government, nxluosd, sMacpi Inftjl), vrfthoui \witnen approval of H.M. Pitt Labs, ino jHKire from date of receipt ant) will b» dtepossd of property fbllovwng this panod fertat INLAND ».Krr.ctH 11/23/2004 14 54 Nov-23-ZOD* 01 Company: San 262 ?|D Esco 9201 Bidf Lab Notes: tn 1 Anafyxis Nutntr T, Customer Niwtt >er Description. Results: 7607465531 FronrHM PITT LABS SAN DIEGO GRADING tlUTttW PAGE B4/07 T-138 P 003/01 3 . F'itt Labs. Inc. uthp:>rt Way - Suite L National City, CA fl1$5d" Lab Number: 5747 5-45117 >«egij> Grading 3 Sk>> Dr. idido, CA 92026 TeJ: 619^74-8548 Fl c 619-474-61 28 Date Entered: 11/17^004 Analyzed By: Janet ;hase Date Analyzed: 1 1/22 H Customer PO/ Claim*: Contract Numbor: Job Site: La (Iijjsta Country Club - 2100 CC8l8 Del Mar, Carlsbad. CA bate Satrmtetj j^hoSai iplcd .18)^2000,2001 /22/tJ4 9.00 11/19/2004 K. SOW, r Kraft POl^ARKgD LiGHT MICROSCOPY fPLM) ANALYSIS REPORT « EPA/600/R-9 t/116 isat \»ny« - msn'a room bids 20^ ^ avAEbostw 2% »vntiaac fibers an* 20% cellulose fibas in grey sheet yjrtyl ftestots: 5 ywall - men's room tridg 200> M »vAai>«slo« 2-3% oeBuIose Bbera in white diywall Ana/ys/s Af«m6i /r lifarfr. 11 Customer Numl >er 13 leet vtnyt - ladiss room bidg 2001 I«jn-Astxjsfcjs. 2% •syntfietiCfibBre and 20% oelluloM «b«rs In waam sheet vinyl Analysis Nuotbt r (57476-'! 2 Customer Numl er A M 2 ! J ywslt - laaies loom bldg 2001 l<t <n-Astiestos- 2-3% ooiiuJoae fibaw Irt wfrfta (Jryyyalt TTwse test resu b reist^ onty This report may not tit This report ghali no»!Ji! AFHfflHBBY: /Ml samples tesi 3d as slibrutod to tne li^ HM PlTTlAE*. INC. data not assume responsibility for the accuracy of fto InTorroaV 7 submitted with tieaartidtourilesadow by an wnplcyBcef KM PITT UBS tNC.y » me samp]«(s) tcfenuflad atova. >sad u j claim wriflfwrwit by NVLM> or any aafincy d irw Fodoral Ggvwn«jwnL repraiuced, except in fid), wimout \ymtan ipprovsl of H,M. Pitt Late. Inc. Samples am an tawed tpr 2 yiiare from dam of n»ooipk and Mlt be dtepoeed of praparly <<*i>wing this perfect DatWt LeLANDs.pnr.ciH Page 3 of 6 11/23/2004 14 54 76074&5531 QHSpn Fnm-HM PITT LASS SAN DIEGO GRADING 1184746128 PAGE 05/07 T-130 P 004/fli 3 F-ZZ4 H.l\ .PittLabs, inc. S4345!<>uinportWay- Suite L- Natloiaf City, CA 91950 Company: Lab Number: 57476-45117 San Dieg-,* Grading 26210 Sky Or EscDndldi>,CA 92026 Job Site; Lab Notes: In 1f/22/!)49-00 J- T«l: 819-474-8548 - F x. 61^474-6128 Date Entered: 11/172004 Analyzed By: Jane! Chase Date Analyzed: 11 £2 04 Customer F*O / Clatmfc Contract Number: La C jsta Country Club - 2100 Co#a Del Mar, Caifebad, CA 9200B S.19EJ9,2000,2001 Dafa Samplad 11/19/2604 Who Sa noted K. Best, F Kraft POLARIZED LIGHT IMJCROSCQPYIPLM) ANALYSIS REPORT - EPA/600/R4 S/116 Analysts Numttn (747M& Customer Mvir ber /|i8-13 Description; ftesutts- [ frywaJI - office bldg 2001 24% Wllulose fltw; tn wMte dtywall £7476-14 customer NIOTIBCT Doocripoon- RasuOa. - <w»t »nd bide 2001 r lon-Ai bestos; 3-4% gfasa fibera arrf 10-11% caflutosa Ibem In an calling Die Analysis Numl er £7476-15 Customer Number Ftenuln, / Mud / Tape - east end Mdi) 2001 • Oa - |i,ioiT-A3be3tp5:2-3% ceflufesti flbere In white drywall 5b - Mon-Asbestos: non-floroufi tWilte joiiu eompcund Analysis Numier ! 7476-16 Customer Nun bar /is-16 i / Mud / Tnp» . oast end bldt) 2001 fe - Non-Asbestos; 2-3% cellulOMi fibars In white drywall Man-Asbestos: 1-2% oetlulost. fbers in white joht cdmpound • All samples te ,tad as submfted to the lab H M PrTT UiBS. INC dote obi tsaunw weponsiblllty for the accuracy of the informs on ipl«s unteBS ttono by an employes of H M, PtTr LABS INC. piese teat rea ;lta w s^te only to the samples) Uentffied iibove used to claim endorsement by NVLAP or any ag«ncy '5f tha Fectenal GovemmanL i reproduced except in fuB, wither written SppnSv*! of H.M. Pitt Lotw Inc. Samples are a rchive J for 2 n*eatt fram dat« of receipt anil will ba disposed of properly following thfs period APPB01BIBV tet84 rage 4 ore 11/23/2004 14 54 Nov-23-2004 01 ISw Company: Job Site: San 262 Esc La< 920' Bide Lab Notes: In. 1 jsta Country Club - 2100 Ce sta Del Mar, Cafebad, CA Datgi 11/19/2004 19 (>9, 2000.2001 /22/04 9.00 7607465531 FrcnrHM PITT LABS Pitt Labs, Inc. SAN DIEGO GRADING SI 94746128 PAGE 06/07 T-130 P 005/C 8 F-224 Lab Number: 57416-45117 uthport Way Suite L Nafio tal City, GA lego Grading Sky Dr. HtfdO, CA 92026 Tel, 819-4T4-854S • Fl * 619-474-6128 Date Entered: 11/17:2004 Analyzed By: Jane) Chase Date Analyzed; 11/22 M Customer PO / Claim*; Contract Number: K. Best, F Kraft PO -ARI EED LIGHT MICROSCOPY (PLMl ANALYSIS REPORT - EPA/gOQ/R-fl S/116 47»>'iT Description:/ Mud -aeWscfKJoJ cast wall Interior Wda 2000 1-3% calltilose fifcwre Itriwhrtie jolm comptwnd Analysis Numb r Customer Nwn >er ~ grif school east wau mtedcr bWg 2000 , 1-2% cetlutoae fi&e« In wwte «nywait Analysis Numb T- Customer Ntioii >er 47S-19 Kesufts. )im aimpound / Oryumll - «dmm of) ice bids 1&*8 - NiKi-Asbestos; 2-3% ceHutase fibers m white drywuifl ft - NixvAsbestm: 1-2% cetlujose ffbere m whdte joint oompouno Customer NumlHir Description: Results: - tmrmtv pifio nbnva area n setter DWg 1999 sbesti s; 20% chrysoffle in on»y norLfiabla transhe s&esta s-15% crocWdHs in gray non-ftatte transits AJI samples tes ed as ? jbrnitled to the lab.H M PITT LA11S, INC does not assume fBepOftStWliV for «ie accuracy of the Mbrmat nte sain >tas vintees done ay an wnployea t* H.M PITT LASS. IINC: onty to the sample(s) uJentjiied Sieve. (5 ctaim ^rMorasmant by NVl AP or any agency of the Federal Government, reproduced, except m <uil, without Mitian approvw of H.M. Pitt Laos, Inc. dote of reoolpt and win bo dfapoaad *f f rrop«»iy following this penoci. submitted vnthThese test row ts relc• Ttils r«port rrraj not t> This report shal not-b fiamplea ft-i* »r •Wvad <i>r 2 />«(» from APPBDWBBY LeLAMOS.KtY.ClH 11/23/2004 14 54 7607465531 N8Y-53-2D04 01 IGPW Fr<;m-HM PITT LABS SAN DIEGO GRADING G19474G128 PAGE 07/07 T-130 P 006/015 F-224 H.M. Pitt Labs, inc Lab Number: 57476-45117 Company: San iirthp.irtWay Suite L National City, CA 91051) Grading 26213 Sky Dr E$coidid«,CA 92026 Job Site: La ^ista Country Club-2100 Ccsta Del Mar, Cailsbad.CA Date Sampled WhoSa 920D) Lab Notes; in. 1 /22/I A g-00 Tel 619-474-8548 - Fi 1819-474-6128 Date Entered; 11/17*004 Analyzed By; Janet ;h»se Date Analyzed: li/22i,H Customer PO / ClaJrt1#: Contract Number: < 9*39, 2000. 2001 11/19/2004 K.Best, F Kraft PQiJUUEED LIGHT MICROSCOPY (PLM1 ANALYSIS REPORT • EPA/60Q/R-S i/116 Analysis Numb tr, Customer Mum >er F ooflnu material - roofing felt bfdg 1338 •All samples lea ted aa submitted with toa* These test rest Its rabrije on))1 ubmfniM to ttw lab. H.M PrTTLA3SjNC does not a usumafasponsilblllty for ttia accuracy of the informai I unless done By an employee «fH.M PITTIA8S INC. )' to ttW sarr^>)6'(s) fdendijecl alpove. net B a used 10 claim ©ndwsojflont by NVI.AP or any agency <>r the Federal Ciovemmant ipl In full, uwjthout «daen approval of H.M. Hn U&9, tnc,1 or 2 y^sra from data of r^wipt and wli t*e disposed of property following thte period. This report sha I not bej ruproijuoeej, Samples are ai ^I!\MC APPWB3JBY:5*.._ ttlBt Paso er ores .10PM SCX a 03 OS Cf 13 § _£. ? CT S O m So 3oo*> f» I w mo C? omr rt- 03tn O<w o ps O ^ 838g || QH