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Home My WebLink About2100 Costa Del Mar Rd; ; CBC2020-0038; PermitPERMIT REPORT Print Date: 03/03/2020 Job Address: Commercial Permit (City of Carlsbad Permit No: CBC2020-0038 Permit Type: 2100 Costa Del Mar Rd BLDG-Commercial 2165900100 Work Class: Tenant Improvement Status: Closed -Finaled Parcel No: Lot#: Valuation: $ 50,000.00 Reference #: Occupancy Group: Construction Type # Dwelling Units: Bathrooms: Bedrooms: Orig. Plan Check#: Plan Check #: Project Title: Description: WORLD TEAM TENNIS AT OMNI: TEMP BLEACHERS FOR MARCH 1, 2020 Applicant: Owner: ANGELA VERDENACCI 5196 Sea Mist Ct LC INVESTMENT 2010 LLC San Diego, CA 92121-4227 619-843-2192 FEE BUILDING INSPECTION FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) 214-283-8500 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $ 1,262.20 Total Payments To Date : $ 1,262.20 Applied: 01/31/2020 Issued: 02/06/2020 PermitFinal 03/02/2020 Close Out: Inspector: PBurn Final lnspecbon: 03/02/2020 Contractor: KLEEGE INDUSTRIES INC 1244 Knoxville St San Diego, CA 92110-3717 619-299-5991 Balance Due: AMOUNT $468.00 $406.00 $284.20 $43.00 $45.00 $2.00 $14.00 $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservation:;, or other exactions hereafter collectively referred to as "fees/exaction." 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 limitation has previously otherwise expired. Buildin Division 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov Page 1 of 1 ~ (._ Cicyof Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan CheckCi':f'2D7Q-QC)3?) Est. Value 5D,0:DQ Job Address 2100 Costa Del Mar, Carlsbad, CA Tenant Name: Omni La Costa Resort and Spa PC Deposit --------- Date -'\._-...... 3_,_\._-_._?..,D'---- Suite: ____ APN: __________ _ CT/Project #:. __________ Lot#:. ___ _ Occupancy: _________ Construction Type: ____ Fire Sprinklers: yes/ no Air Conditioning: yes / no BRIEF DESCRIPTION OF WORK: Temporary chair risers for tennis event D Addition/New: ___________ .New SF and Use, ___________ N,ew SF and Use, ____ Deck SF, Patio Cover SF (not including flatwork) D Tenant Improvement: ______ SF, ______ SF, Existing Use _______ Proposed Use ______ _ Existing Use Proposed Use ______ _ 0 Pool/Spa: _____ SF Additional Gas or Electrical Features? ____________ _ D Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Yes/ No, RMA:Yes/ No, Panel Upgrade:Yes/ No D Plumbing/Mechanical/Electrical Only: _________________________ _ l,ZI Other: Temporary chair risers for tennis event APPLICANT (PRIMARY) Name: Angela Verdenacci Address: 5196 Sea Mist Court City: San Diego State: CA Zip: 92121 Phone: 619-843-2192 Email: angela@eventfactorysd.com PROPERTY OWNER Name: Omni La Costa Resort and Spa Address: 2100 Costa Del Mar City: Carlsbad State:_C_A __ ,Zip: 92009 Phone: ____________________ _ Email: ___________________ _ DESIGN PROFESSIONAL CONTRACTOR BUSINESS Name: _________________ Name: Kleege Industries, Inc. Address:________________ Address: 1244 Knoxville Street City: _______ State: ___ .Zip: ____ City: San Diego State:CA Zip:_9_2_1_10 ___ _ Phone: Phone: 619-299-5991 Email: Email: ____________________ _ Architect State License: ___________ _ State License: 700450 Bus. License: B 1990002462 (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/she ls 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/she 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}). 1635 Faraday Ave Carlsbad, CA 92008 8-2 Ph: 760-602-2719 Fax: 760-602-8558 Page 1 of 2 Email: Building@carlsbadca.gov Rev. 06/18 ( OPTION A): WORKEJ!S'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury Q!!£ of the fallowing dee/orations: □ I have and wJII maintain a certificate of consent to sett-Insure for workers' compensatiOn provided by section 3700 of the Labor COde, for the performance of the wori: which this permit ls Issued. 0 I have and will maintain worker's compensation, as required by Section .3700oflhe l11borCodtl, for the performance of the wort for which this permit is issued. My workers' compensadon in:;unmce carrier and policy number are: Insurance Company Name: NATIONAL SURETY CORPORATION Polk:y No. SCW0089791901 ExpJ...UOn Date: Q41?4f2020 □ Certlffeate of Exemption: I «rtlfy that in the performance of the work for whidl this pennll is iSStled, 1 shall not emplQy any person If\ any manner so as to be wme $Ubjact to the workers' compensation Laws of Ca1Jfornia. WARNING: Failure to l«l!N warlleni compenudon i:over.ap It: unlawful, and shall ,ut,Ject an emptoyer to crimiNII penalties and dvif fines up to $100,000.00, In addition th! to the cost of a,mpensalfon, ctamaaes as prmrided for In Section 3706 of the Labor Code, .......... __. ...... -\\ CONTRACTORSIGNATURE:~ □AGENT DATE: \'2,.~ ,1-f>7..c, ( OPTION 8 ): OWNER-BUILDER DECLARATION: I hereby a/firm that I om exempt from Contractor's license Law for the foflo'Mng reason: □ I, a~ ownei-of the prope,-ty or my employees with waps ;is their sole compensation, wHI do the work and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors license Law does not apply to an owner of property who builds or lrnl)fOVeS thereon, and who does 5'Kh work hlmseff or through his own employees, provided that S1.1ch lmpl"O\lements are not in~ oroffeffd for sale. If, however, the bulkllng or improvement iSsold within one year of completion, the owner-builderwUI have the burden of proving that he did not build or Improve for the purpose of sale). □ I, as OWl'ler of the property, am e1Ccluslvely contracting with lleensed contractors to constNCtthe project !Sec. 7044, 8uslnessand ProfesslonJ Code: The Contractor's License law d= not:appty to :an owner of property who builds Df' improves thereon, and contracts tor such projects with contractor(s) licensed pursuant to the Contractor's Ucense law). □ I am exempt under Section~--· ____ .Buslneu and Profaslons Code for this reason: 1. t personally pJati to provide the major labor and materials for constructJon of the p~ property Improvement. □ Yes □ No 2. I (have/ haw not) signed an application for a bul/dtna permit forth• proposed work. 3. l have contr11cted with the following person {firm} to provide the proposed constnictlon (indude name address/ phooe/ contractors' licente number): 4. r plan to provide portio11S of the work, but I have hired the fol!owin, person to coordinate, supervise and provide the majorWOfk {(ndude name/ addres1 /phone/ contractors' ltcense rnJmbef'J: 5. I wm provide some of the w<irlc, but I heve contracted {hired) the fol!owin, pel"$Ol'IS to provid11 the WOO( indicated (include name/ address/ phone I type of work): OWNER SIGNATURE: _________________ □AGENT DATE: _____ _ CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency klr the performance of the worlr. this permit i$ issued (Sei::. 3097 (l) Crill Co!Mj. I.A!nder'sName:_ __ _ __ _ _ ____________ Lencler'sAddress: _________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant orfutun! building occupant required to .submit a business plan, awtelv hazardous materials registration fonn or ri5k management aocl prevention prosram under Sections 25-505, 25533 or 25534 of the Presley-Tanner Hazardous Sub.rtance Account Act? 0 Yes O No ts the applicant orfuturebuKdtng occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No ts the facility to bt constructed within 1,000feet of the outer boundary of a school site? 0 Yes □ No IF ANV OF THE ANSWERS ARE YES, A FINAL camRCATE OF OCCUPANCY MAY NOT If IS5U£D UNLfSS TH£ APPUCANT HAS MET OR IS MEETING 1lf£ REQUIRfMEN'IS OF TH£ OFFICE OF EMettGEHCV SERVIWAND Tit£ AIR POlWTION CONTROL D&STRICT. APPU.(;81'!!..@TIFICATION: I certify that I have re.id the application and state that the above klforrnatkKl is COl'rect and that the information on the plans is accurate. t agme to romplv with all City ordinances and state la'W relatlng to building construction. I herebv ~ reprnsentmve of the Qty dcarlsbad to el'ltel' upon the above mentk:ined property for inspectlon purposes. I Al.SO A.GREE 10 SA.VE. INDEMNIFY ANO KEEP HARML5S TH£ CflY OF CARLSBAD AGAINST All LIABllmES. JUDGMENTS, OJSTS ANO EXPENSES WHIOt MAY IN AN'/ WAY ACCRUE AGAINST SAID CITY JN CONSEQUENCE Of THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit i$ required foreovatlai.s ouer S'O' deep and demolition or construdion of strutturfl over 3 stories in height. EXPIRATION:: Biery permit ls.sued by the Building Official under the pfDYiSions of this Code shall expire bv Umitation and become nuU and void if the bulldJng or work authottled bv such permit Is not commenced within U!O days from the date or .such permit or !fthe bui!dlng or work ~d by SI.Id! permit Is SUSl)ended Of abandoned at any time after the W()O( is commented for a period at 180 days (Section 106.4.4 Uniform Building Code). APPUCANTSIGNATURE: ---q.~;_ _____________ DATE: 1127/2020 1635 Faraday Ave Carlsbad, CA 92008 B-2 Ph: 760-602·2719 Fax: 760-602-8558 Page2of2 Email: Building@carlsbadca.gov Rev. 06/18 PERMIT INSPECTION HISTORY REPORT (CBC2020-0038) Permit Type: BLDG-Commercial Application Date: 0113112020 Owner: Work Class: Tenant Improvement Issue Date: 0210612020 Subdivision: Status: Closed -Finaled Expiration Date: 0813112020 Address: IVR Number: 24567 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 03/02/2020 03/02/2020 BLDG-14 120640-2020 March 02, 2020 Frame/Steel/Boltln g/Weldlng (Decks) BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 120641-2020 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLOG-Structural Final BLDG-Electrical Final Passed Paul Burnette COMMENTS Passed Paul Burnette COMMENTS L C INVESTMENT 2010 LLC 2100 Costa Del Mar Rd Cartsbad, CA 92009-6823 Re inspection Complete Complete Passed Yes Complete Passed No No No Yes No Page 1 of 1 -. 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