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Home My WebLink About2223 PALOMAR AIRPORT RD; ; CB062012; Permit08-09-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No CB062012 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2223 PALOMAR AIRPORT RD CBAD POOL 2130702900 Lot# $25,585 00 Construction Type HOMEWOOD SUITES 731 SF POOL AND SPA 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area Applicant MISSION POOLS OF ESCONDIDO INC 755 W GRAND AVENUE ESCONDIDO, CA 92025 619-743-2605 Owner AGO HILLS L L C C/0 EDWARD G COSS 620 NEWPORT CENTER DR NEWPORT BEACH CA 92660 ISSUED 07/14/2006 MDP 08/09/2006 08/09/2006 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 $220 75 $000 $14349 $000 $2000 $2700 $256 $000 $000 $000 $000 TOTAL PERMIT FEES $41380 Total Fees $41380 Total Payments To Date $41380 Balance Due.$0.00 'JJLDING PLANS V 'N1 STORAGE ATTACHED Inspector 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 * /Q/\ PLAN CHECK EST VAL Plan Ck Deposit Validated By. Date Sress (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No ision Name/Number Unit No Phase No Total # of units Assessor's Par Existing Use Proposed Use Description of Worl ZijMNIAGTPiRSONM SO FT #of Stones # of Bedrooms # of Bathrooms Name 3, APPLICANT Address • ;;':0?Al|e;rt -for ^Contractor City D AfiWforOiivriw State/Zip Telephone #Fax # Name Address City State/Zip Telephone # -Ar.'/ /? Afldress "City State/Zip Telephone # B^ (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 £ by any applicant for a permit subjects the applicant to^ij civil penalty^of not more than five^hundred dolla_[s_[$500]) Name State License -~t .*\ V (& Q Address License Class L, ~ City State/Zip City Business License # Telephone # Designer Name Address City State/Zip Telephone State License # 6. WORKERS1 COMPENSATION Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 i work for which this permit is issued 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 fissued My worker's compensation insurance carrier and policy number are Insurance Company[/^_)£(_(JL€*^) ^f ^^ Policy Nq (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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 a unlawful, and shall subject an employer to cnminal penalties and civil fines up to one hundred thousand dollars^! OO.OOOf, in addition to tho^Cst of compendia/, damages as provided for in Section 3706 of the Lab^r code, wteust and attorney s fees sinMATi IRE ^/^f^^f^X^^y (^J^tt^^^r^ DATE ' / / /Of Cs L^f I hereby affirm that I am exempt from the Contractor's License Law for the following reason CD 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) Q 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 CD YES CDNO 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 COMMUTE THIS SECTION FOR WOAMKSK)Bm4i8UlLDINGPERNIITS ONLY ;^ ;' 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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? (~1 YES f~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER'S NAME LENDER'S ADDRESS 9. AWH,ICAfrr CERTIFICATION 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 CitV 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 stones 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 pe/mit is suspended or abandoned at any time after the work is commenced for•aperiod of 180 days (jSEtion 106 44JJjdifc>njK Building Code) APPLICANT'S SIGNATURE /jfi[/£S)&LC^5( K^l'ffJ.'i^V^ J DATE "^ WHITE File YELLOW Applicant PINK Finance Inspection List Permit# CB062012 Type POOL HOMEWOOD SUITES 731 SF POOL AND SPA Date Inspection Item Inspector Act Comments 02/04/200859 Final Pool TP Fl OK TO FINAL 09/01/200653 Electric/Conduit/Wiring MC PA CONDUIT RUN ABOUT 20 SHORT OF EQUIPMENT PAD 08/29/2006 51 Excav/Steel/Bondmg/Fence TP AP 08/29/2006 52 Underground Plumbing TP AP Monday, February 04, 2008 Page 1 of 1 City of Carlsbad Public Works — Engineering BUILDING PLANCHECK CHECKLIST RETAINING WALL BUILDING PLANCHECK NUMBER CB BUILDING ADDRESS PROJECT DESCRIPTION Retaining Wall ASSESSOR'S PARCEL NUMBER ~ 6 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 modifications, must be reviewed by this office to insure continued conformance with applicable codes Please review carefully all comments attached, as failure to comply with instructions in this report can resultv suspension of permit to build Date DENIAL Please see the attached report of deficiencies marked with D Make 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 Right-of-Way Permit Application ENGINEERING DEPT. CONTACT PERSON NAME JOANNE JUCHNIEWICZ City of Carlsbad ADDRESS 1635 Faraday Avenue Carlsbad, CA 92008 PHONE (760) 602-2775 I \wnRn\nOnSVCHKL STVRrtai II Rinlfltnn Plgrn~t 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (76O) 602-8562 <{ 3 3- Q BUILDING PLANCHECK CHECKLIST RETAINING WALLS 1 Provide a fully dimensioned site plan drawn to scale Show A North Arrow B Existing & Proposed Structures (dimensioned from street) C Property Lines 2 Show on site plan A Drainage Patterns B Existing & Proposed Slopes C Existing Topography 3 Include on title sheet A Site Address B Assessor's Parcel Number C Legal Description D Grading Quantities Cut. D E Easements Retaining Wall (location and height) Fill Import/Export (Grading Permit and Haul Route Permit may be required) Project does not comply with the following Engineering Conditions of approval for Project No Conditions were complied with by Date MISCELLANEOUS PERMITS 5 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 Please obtain an application for Right-of-Way permit from the Engineering Department Page 1 \VLASPALMAS\SYS\LIBRARY\ENG\WOROtOOCS\CHKLST\RManing Wai BuMing Plancheck CUst Form JJ doc Rev 6/26/98 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB H6? - ADDRESS DATE RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR (< $10. OTHER PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING U PLANNER DATE ENGINEER DATE Client*: 9923 3MISSPOO1 ACORD. CERTIFICATE OF LIABILITY INSURANCE SSST1** PRODUCER HRH of San Diego Insurance Services 9339 Genesee Avenue, Suite 300 San Diego, CA 92121 INSURED Mission Pools of Escondido, Inc 755 West Grand Avenue Escondido, CA 92025-9990 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A Clarendon America Insurance Company INSURERS Wausau Underwriters Insurance Compan INSURER K California Capital Insurance Company INSURER D INSURER E, NAICfit 43095 26042 13544 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 3 Y THE POLICIES DESCRIBED HEREIN IS SUB JECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ma LTR A C B \Wfl NSRI TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY _J CLAIMS MADE | Xj OCCUR X $2.000 PD Ded GEN L AGGREGATE LIMIT APPLIES PER. ^~\ POLICY [~X] JECT 1 I LOC AUTOMOBILE LIABILITY X ANY AUTO ALL CANNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY | OCCUR | | CLAIMS MADE _J DEDUCTIBLE 1 RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEUBER EXCLUDED? II yos describe under SPECIAL PROVISIONS baton OTHER POLICY NUMBER A001000150 2BAP1 1261986 WCJZ91441063016 POLICY EFFECTIVEDATE (MMTOD/YY1 04/01/06 04/01/06 04/05/06 POLICY EXPIRATION DATE IMMIOD/YY1 04/01/07 04/01/07 04/05/07 LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES /En acetirrnneBl MED EXP (Any one person} PERSONAL A ADV INJURY GENERAL AGGREGATE PRODUCTS COMP/OPAGG COMBINED SINGLE LIMIT (ED accidftnl) BODILY INJURY (PorsofBon) BODILY INJURY (Per ncddeni) PROPERTY DAMAGE (Pw accident) AUTO ONLY EA ACCIDENT EA ACC AUTO ONLY AGG EACH OCCURRENCE AGGREGATE X I WC STATU- 1 IOTH- I TORY LIMITS 1 1 ER EL EACH ACCIDENT EL DISEASE -EA EMPLOYEE E L DISEASE POLICY LIMIT S1. 000,000 $100,000 $5.000 $1,000.000 $2,000.000 $2,000,000 $1,000,000 $ $ S $ $ S S $ s $ s $1,000,000 $1,000,000 $1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate holder Is named as Additional Insured per attached form CG2010 10/93, with respect to General Liability only "10 DAY NOTICE APPLIES IN THE EVENT OF CANCELLATION FOR NON-PAYMENT OF PREMIUM CERTIFICATE HOLDER City of Carlsbad Attn: Joanne 1635 Faraday Ave Carlsbad, CA 92008 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL JtlV DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE fwflba% iVAAiUvr ACORD 25 (2001/08) 1 Of2 8S462452/M4624SO 3KMCC Q ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the pohcy(les) must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements) If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer and the certificate holder, nor does it affirmatively or negatively amend, extend or aller the coverage afforded by the policies listed thereon ACORD2S-S (2001/08) 2 of 2 #S462452/M462450 POLICY NUMBER A001000150 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the COMMERCIAL GENERAL LIABILITY COVERAGE FORM This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below Endorsement Effective April 1,2006 TO April 1,2007 Named Insured Mission Pools of Escondido, Inc Clarendon America Insurance Company Countersigned By /Q&jC&^r (Authorized Representative) SCHEDULE NAME OF PERSON OR ORGANIZATION City of Carlsbad Attn. Joanne 1635 Faraday Ave Carlsbad, CA 92008 (If no entry appears above, the information required to complete this endorsement will be shown m the Declarations as applicable to this endorsement) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured This endorsement does not apply to "bodily injury", "property damage", "personal injury" or "advertising injury" included in the "products-completed operations hazard" All other terms and conditions of this policy remain unchanged CACG20101093 Portions Copyrighted, Insurance Services Office, Inc 1992 Page 1 of 1 I -- 0 •"•' IT O 2- O ^ O 5 enen O o D > -o tO C/) OTI m(/)O O D ;o o