HomeMy WebLinkAbout2101 COSTA DEL MAR RD; ; CB062681; Permit09-19-2006
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No CB062681
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
2101 COSTA DEL MAR RD CBAD
MISC Subtype OTHER
2165900100 Lot# 0
$000
LA COSTA SPA-DEMOTHEATER INTER
SEATING CEILING LID NON-BEARING WALLS & DOOR
Applicant
K S L LA COSTA RESORT CORP
50-905 AVENIDA BERMUDA
LA QUINTA CA 92253
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Owner
K S L LA COSTA RESORT CORP
50-905 AVENIDA BERMUDA
LA QUINTA CA 92253
ISSUED
09/19/2006
RMA
09/19/2006
09/19/2006
Miscelaneous Fee #1 PERMTI FEE
Miscelaneous Fee #2
Additional Fees
$6000
$000
$000
TOTAL PERMIT FEES $6000
Total Fees $60 00 Total Payments To Date $60 00 Balance Due $000
Inspector
FINALj^PPROVAL
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 .imitations has previously otherwise expired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad CA 92008
jl PROJECT INFORMATION \^ J
2101 Costa del Mar Road Carlsbad CA 92009
FOR OFFICE USE ONL
PLAN CHECK NO .
EST VAL
Plan Ck Deposit
Validated By
Date
La Costa Hotel and Spa
Address (include Bldg/Suite #) Business Name (at this addi ess)
Those portions cf section 26 and 35 in 'ownship 12 South range 4 West San Bernardino Meridian in the County of San Diego State ofCaifornia according to official plat thereof
Legal Description
216-12303 04 05
Lot No Subdivision Name/Number
Theater
Unit No
Theater
Phase No Total # of units
Assessor s Parcel #
Theater partial demolition
Existing Use
2 528 SF ONE
Proposed Use
Description of Work 1*1 WSQ •St*>rS SQ FT # of Stories # of Bedrooms # of Bathrooms
|2 CONTACT PERSON (if different from apphcant)
Name Address
13 APPLICANt; D Contractor : D Agent for Contractor
Name Address
4 PROPERTY OWNER ;;^;l;; :-....L..
KSL La Costa Resort Co LLC 2100 Costa del Mar Road
Name Address
City
D Owner
City
Carlsbad
City
State/Zip
__ D
State/Zip
CA 92009
State/Zip
Telephone # Fax #
Agent for Owner .., . : . ..:.
6~19 3983480 ~"
Telephone #
7609307075
Telephone #
!5_ CONTRACTOR COMPANY NAME i: ' . .'.'_^.._ .'.I... ••..'... 'Ll_, :
(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 five hundred dollars [$500])
Awbrey Cook McGill Architects 1045 14th Street Suite 100. San Diego, CA 92101-5701
Name
State License #
Designer Name
State License #
Address
License Class
Address
City
City
State/Zip
City Business License #
State/Zip
Telephone #
Telephone #
i6 WORKER S COMPENSATION IS :'
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 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)
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
1 OWNER BUILDER DECLARATION T "'•'. ;;-': ','•• " 'i
I hereby affirm that 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 Contractors 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)
fcr I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Code The Contractors
License Law does not apply to an owner of properly who builds or improves thereon and contracts for such projects with contractor(s) licensed pursuant to the Contractors
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 DATE
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad CA 92008
Page 2 of 2
iCOMPLETE THIS SECTION FOR WOW RESIDENTIAL.B\JU-D\jiG PERMITS ONLY ; | ..'/;.,••'.
Is the applicant or future building occupant required to "submit a business plan acutely hazardous matenais registration for or risk management and prevention program under
Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act' DYES E 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 El NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' D YES El 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 F \ 7 V ;
I hereby affirm that there is a construction lending agency for trie performance of the work for which this permit is issued (Sec 3097(1) Civil Code)
LENDERS NAME LENDER S ADDRESS
:9 APPLICANT CERTIFICATION "\ ; •.,...'.' "'..'."'..."717."' '.-. 1:
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 Cdrlsbad 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
by such permit is not commenced within 180 days from the^late of such permit or if the building or work authoi ized by such permit is suspended or abandoned at any time after
the work is commenced for a period o
APPLICANT s SIGNATURE ^^ ^^ sis i , DATE September 18 2006
' City of Carlsbad Bldg Inspection Request
For 09/18/2007
Permit* CB062681
Title LA COSTA SPA-DEMOTHEATER INTER
Description SEATING.CEILING LID.NON-BEARING WALLS & DOOR
Type MISC Sub Type OTHER
Job Address 2101 COSTA DEL MAR RD
Suite Lot 0
Location
OWNER K S L LA COSTA RESORT CORP
Owner K S L LA COSTA RESORT CORP
Remarks is the dem o complete' Final' Or extend
Inspector Assignment
Total Time
CD Description
19 Final Structural
Act Comments
Phone
Inspecto
Requested By CHRISTINE
Entered By CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
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