HomeMy WebLinkAbout2229 PALOMAR AIRPORT RD; ; CB062655; Permit10-11-2006
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Pool Permit Permit No CB062655
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
2229 PALOMAR AIRPORT RD CBAD
POOL
2130702900 Lot# 0
$13,93000 Construction Type NEW
HAMPTON INN
398 SF POOL AND SPA
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/O EDWARD G COSS
620 NEWPORT CENTER DR
NEWPORT BEACH CA 92660
ISSUED
09/18/2006
MDP
10/11/2006
10/11/2006
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
$13049
$000
$8482
$000
$2000
$2700
$1 39
$000
$000
$000
$000
TOTAL PERMIT FEES $263 70
Total Fees $263 70 Total Payments To Date $263 70 Balance Due-$000
Inspector
FINAL APPROVAL
Date //- -3 '&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
PROJECT INFORMATION
Business Name (at tnis address)
2006 001
EST VAL
Plan Ck Deposit
Validated By.
Date
Address (include Bldg/Suite #)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
__Name Address City
APPLICANT' D Contractor D Agent for: Contractor Downer* D Agent for Owner
State/Zip
Name
4 ^PROPERTY OWNER *
Address City State/Zip Telephone #
_
Name Address ' City State/Zip' Telephone #
S CONTRACTOR- COMPANY NAME •'"-::"" TT "•" ' ":™:* ""'*: : ... "" :-*&-
(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 ftny violation of Saetion 7031, 5 by any applicant for a permifrisubjects the applicant ta a ciyjl penalty of not more than five hundred dollarsj$500])
Name
State License #
Address
License Class (__ ""
City State/Zip
City Business License
Telephone #
Designer Name Address City State/Zip Telephone
State License # _
6 WORKERS' COMPENSATION "" ' :Sb ........ " • ":±:" '1. ........ -PS-
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
l~l 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
oitbe work for which this permit is issued
KJT 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
TCsJted My worker's compensation insurance carrier and policy number are
Insurance Company/* l^L ti 3tff 6( _ Policy No ff^AT/^*? / V«Wfl&3P4.r4fon Date
(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 is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars (fefOO OOOJ^m addition to tKjPcost of compensation damages as provided for in Section 3706 of the Labor^ode. mta/esl and attorney's fees
SIGNATURE £^^2^^:^)^^ _ DATE **? (f&f O£/
[7 OWNER-BUILDER DECtAiFiAfibN :;:;i " '" / h
I hereby affirm that I am exempt from the Contractor s License Law for the following reason
Q 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)
Q 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 l~l YES QNO
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 TFOR NON-RESIDENTIAL BUILDING PERMITSjONLY , s
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 [3 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 d 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 .,„..., ,.:..1:, : "'3|:T- •' 1J;<* '- " ••'•••^ ' '" ..... t:" . . .. " '
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 - ' , ,-'.." '" ............ ........... """: ................ 'J' ; ,u:.".",: ' ..... ' ,.W*" ";
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 commenced fopa period of 1 80 da(Section 1 0§_4 4 Uniform Building Code)
APPLICANT S SIGNATURE ,DATE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad BIdg Inspection Request
For 11/29/2007
Permit* CB062655
Title HAMPTON INN
Description 398 SF POOL AND SPA
Inspector Assignment TP
2229 PALOMAR AIRPORT RD
Lot 0
Type POOL Sub Type
Job Address
Suite
Location
APPLICANT MISSION POOLS OF ESCONDIDO INC
Owner
Remarks
Phone 7144127440
Inspector
Total Time
CD Description
59 Final Pool
Act Comments
Requested By MIKE
Entered By JANEAN
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
11/27/2007 59 Final Pool CO RB SEE NOTICE ATTACHED
11/14/2007 55 Fence/Pre-Plaster AP TP
07/25/2007 51 Excav/Steel/Bondmg/Fence AP TP
City of Carlsbad Bldg Inspection Request
For 11/27/2007
Permit# CB062655
Title HAMPTON INN
Description 398 SF POOL AND SPA
Inspector Assignment TP
2229 PALOMAR AIRPORT RD
Lot 0
Type POOL Sub Type
Job Address
Suite
Location
APPLICANT MISSION POOLS OF ESCONDIDO INC
Owner
Remarks
Phone 7607432605ex215
Inspector
Total Time
CD Description
59 Final Pool
Act Comment
Comments/Notices/Holds
Requested By MICHELLE
Entered By JANEAN
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
11/14/2007 55 Fence/Pre-Plaster AP TP
07/25/2007 51 Excav/Steel/Bondmg/Fence AP TP
NOTICE
CITY OF CARLSBAD (760) 602-2700
BUILDING DEPARTMENT 1635 FARADAY AVENUE
DATE // " ^ ^-"^X7 TIME
LOCATION <I -2- ^ <» /» ' ^_ ./
PERMIT NO
SZH- C /o?4
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A
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^>^ JtSxrS*~ /^- /** C _£- .0^^^( C^Q.
<»/^s??(>asr
FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE1? I I YES
FOR FURTHER INFORMATION, CONTACT
PHONE
BUILDING INSPECTOR r. CODE ENFORCEMENT OFFICER
City of Carlsbad
Public Works — Engineering
BUILDING PLANCHECK CHECKLIST
POOLS
BUILDING PLANCHECK NUMBER CB •
BUILDING ADDRESS ^22 s
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 modifications, must be reviewed by this
office to insure continued conformance with applicable
codes Please review carefully all comments attached,
as failure to comply wjJh-rfislTuctions in this report can
result i^^uspensjon^perrrudo build
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
ENGINEERING DEPT CONTACT PERSON
NAME: Kathleen M. Farmer
City of Carlsbad
ADDRESS: 1635 Faraday Avenue
Carlsbad, CA 92009
PHONE-(760) 602-2741
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562
n
n
n
BUILDING PLANCHECK CHECKLIST - POOLS
SITE PLAN
Provide a fully dimensioned site plan drawn to scale Show
C Property Lines
asements
North Arrow
Existing & Proposed Structures/
Show-on site plan
/ADrainage Patterns /V lndlcate wnat Wl" happen with
EK Existing & Proposed Slopes soil excavated from pool area
Xc Existing Topography .s£ Retaining Walls
' (location and height)
Note: If excavated soil is not to be removed from property but regraded on
site, 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
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 2 of 3
.. n 2a
D D D 5c A Grading Permit has been applied for
PE2 DWG
Grading Inspector sign off by Date
D 5d No Grading Permit required
MISCELLANEOUS PERMITS
D 6 A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or
private work adjacent tot he public Right-of-Way
A separate Right-of-Way issued by the Engineering Department is required
for the following
Please complete attached Right-of-Way application form and return to the
Engineering 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
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB DATE
ADDRESS
RESIDENTIAL TENANT IMPROVEMENT
RESIDENTIAL ADDITION MINOR
« $10,000.00)
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
OTHER
PLANNE DATE
ENGINEER DATE
Docs/Mlsforms/Ptanning Engineering Approwals
Client# 9923 3MISSPOO1
ACOR'D* CERTIFICATE OF LIABILITY INSURANCE SSSffiT"1
PRODUCES
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
INSURER 3 Wausau Underwriters Insurance Compan
INSURER c California Capital Insurance Company
INSURER 0
INSURER E.
NAIC#
43095
26042
13544
COVERAGES
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 BY THE POLICIES DESCR1SEO HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
IJISff
LTH
A
C
B
ADD'l
NSRC TYPE OF INSURANCE
GENERAL LIABILITY
x_
x~
COMMERCIAL GENERAL LIABILITY
~~] CLAIMS MADE j XJ OCCUR
$2.000 PD Ded
GEN L AGGREGATE LIMIT APPLIES PER.
\ POLICY r~xl jfcf 1 1 LOG
All
X
IT
X
GA
OMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON OWNED AUTOS
\ACS LIABILITY
ANY AUTO
EXCE5SIUMBBELLA LIABILITY
| OCCUR L 1 CLAIMS MADE
_] DEDUCTIBLE
| RETENTION S
WORKERS COMPENSATION AND
EMPLOYERS1 LIABILITY
ANY PROPRIETOR/PARTNEFUEXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yos duscribe under
SPECIAL PROVISIONS below
OTHER
POLICY NUMBER
A001000150
2BAP1I2619B6
WCJZ91441063016
POLICY EFFECTIVEDATE (MMnJD/YYl
04/01/06
04/01/06
04/05/06
POLICY EXPIRATION
OATEIMM/OD/YY)
04/01/07
04/01/07
04/05/07
LIMITS
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (En crcurrnneiO
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS COMP/OPAGG
COMBINED SINGLE LIMIT
(En Occident)
BODILY INJURY
(Pol per nonj
BODILY INJURY
(Per ncddenlj
PROPERTY DAMAGE
(Per iiccdiml}
AUTO ONLY EA ACCIDENT
OTHFRTHAN EAACC
AUTO ONLY AeG
EACH OCCURRENCE
AGGREGATE
X I we STATU- t IOTH
(TORY LIMITS! i £R
EL EACH ACCIDENT
E L DISEASE EA EMPLOYEE
£ L DISEASE POLICY LIMIT
S1.000.000
5100,000
sS.OOO
51,000,000
S2.000.000
52,000,000
st.OOO.OOO
S
S
S
S
$
S
S
S
S
s
s
s1.000.000
s1, 000,000
s1. 000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 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 CANCELLATION
City of Carlsbad
Attn Joanne
1635 Faraday Ave
Carlsbad, CA 92008
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3ft* DAVS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAKED 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
Iwtfwktf ^rVflAttovr*
ACORD 25 (2001/08) 1 of 2 #S462452/M462450 3KMCC O ACORD CORPORATION 1988