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HomeMy WebLinkAbout2180 RUTHERFORD RD; MULTI-PERMIT FILE; CB054281; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB054281 Building Inspection Request Line (760) 602-2725 2180 RUTHERFORD RD CBAD Job Address, Permit Type: MISC Subtype: OTHER Status: Parcel No: 2120702500 Lot#: 0 Applied: Valuation: $0.00 Reference #: Project Title: CALLAWAY GOLF DEMO INTERIOR PARTIONS AND MANUFACT EQUIP Applicant: CASPER'S CONCRETE CUTTING CO., 8110 COMMERCIAL ST LA MESA, CA 91942 619-589-600-1 Miscelaneous Fee .#1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Entered By: Plan Approved: Issued: Inspect Area: Owner: CALLAWAY GOLF CO C/O DONALD H DYE 2i85-RUTHERFORD RD CARLSBAD CA 92008 Total Fees: $60.00 Total Payments To Date:· $60.00 Balance Due: Inspector: .·~. Clearance: ISSUED 12/20/2005 SB 12/20/2005 12/20/2005 $60.00 $0.00 $0.00 $60.00 $0.00 NOTICE: Please take NOTICE that approval of your project incl~des 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 t~eir 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 f e I x ion f wni h h v r vi I n iv n N Tl E similar t hi r as t which the statute of limitations has reviousl otherwise ex ired. FOR OFFICE USE ON),' _ .PLAN CHECK Nq{Z;~t,f Z,'9/ PERMIT A~ PLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit 3 ~:~:ated By ft?z_o zos- · Address (include Bldg/Suite #) Leg,!I Description Unit No. Phase No. Total # of units Assessor's Parcel # Proposed Use Name Address "s::~:odNrMoto1t.·co'MPANv'JlJr)1:e2,""'::-'-:--:~-: '.:_ ---., ... (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 lic(;lnsed p(!rsuant 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 sub· cts the applicant to ~ civil en ljY of n t more than five hundred dollars [ $ 500]). 4, 4 ,-v\. $"' . (, C\ I c; (d 'S°4s' Designer Name Address City State/Zip Telephone State License # -'--------~- rsb; -~o/~ }lQBigf!~¢o,Mef;~$~T1Pff}~~ffl, w_: ~=-~:::r:~::I<~:-::::: _ ; . -~! ___ :~::-T~: -~~~-~~-::?--Y __ -~~~~"ZIB}1~::':~']};~: ~}~~i-~--~filr'£:if~~: ~; Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have ;;ipd 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. 0 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 issued. My worker's compensatio~ insurance carrier and poli num.~e~~rf~~ e,_0 Insurance ·company v11. ~ VftA«J Policy No. 'S'-f 'W Y, ~ G::, Expiration Date / 0-.. l..., C>O (THIS-SECTION NEED NOT BE COMPLETED IF THE-PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) ·0 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 ($1 · pensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATUR DATE r2., -'t,_c) -0 ~ . \rb.. ,_j:~.Y!{~E;1tfllllJ.l;Q,~8.:..Q.E_Q,l;.i\!l~TJQt1L ..;__ •• : : _,·. :.:... .. '.:,~., ...... -... :.:..:..?:.:... _,_:.·,_.,, . ..;;':.:.;!i:,, '2,:~.i£z..: ••. £~. ~,f :P:~2:;,;,;: _r:.,..'f,:_;;~;-°SJ.'{;'·f'!f:i.0.;1; :B;;~:::~'.b:'..l I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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, !3usiness 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). 0 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). 0 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. 0 YES ONO 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 provicle 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 _________ _ rcoM"filf&tel'ffis;seorWrt<'i=o11;nJff/4ifisioM:fPff/:J.utcoftrae,E]MJJ:$'.oN1.-vz,~;-;~~?:2Tr:::,.,,·~;;;:0::::·;::;.t-'~~~m~Y"'~·7:rJ:zz~·,:f?:f'i:'i:::vJi:~f!r11 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? 0 YES ~NO Is the appHcant or future building occupant required to obtain a permit from the air pollution·control district or air quality management district? 0 YES ~ NO Is the.facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES t&(_ 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. ~,&..Q.l'l§.ir.fil/..9TIQN)!,,g.J'!ll'.!,l.tj~:A_q~~~x. . .:.::~-::...:,:z::· ... ::_;,:,,,;;,~(7;';::::~:...,~·:,~: .. __ .:.:·.,,,:'.£., .. :~.izs.,:;::,:r,. :.:;; ... -,.;:.,_.,'l,;,;~c-;;:::: I hereby affirm that there is a construction !ending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LEN DER'S ADDRESS:;;:.:;:;::::;;:=.:::;:::;:;::;:::;::;:::::::;:;;;;:::;:;:;;;;::;:;::;:::;:;::::::::;;::.;:;;:::::::::::;::;::;::::::::;;::::::;;:::::::;::=;::::;:::::;;::;;:;;;:;;:: li:!.\Z .::.:.~Re.!i19.~~J:.:,g(;IJ.TJflQ~iil.QN"""---·:,;~.,-,_;,:..,.__..,:. '.: ~·""--'-'.-, .. "':, .. .....;.,, .. J::.:,,_l;-..,..;::.'...:..:...:i.·:.;,,~:.,,.:,J;~,'.~·~1¼~·:J."°JI'i,.'.:.:..."C!J:fl.,J:}ff}'];;;:J;j'::,~].:7~"=~~f[j~o.:;_;i,2,,7.:~~ 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 Citt 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 requir.ad 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.com · ay,s such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work·is enced for a period·of 180 days (Se · n 10 Uniform Building Code). DATE _,,_,/_,,,2_---c.£-.('"J-..._-.~=--'--- WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/24/2006 Permit# CB054281 Title: CALLAWAY GOLF DEMO INTERIOR Description: PARTIONS AND MANUFACT EQUIP Type: MISC Sub Type: OTHER Job Address: 2180 RUTHERFORD RD Suite: Lot 0 Location: APPLICANT CASPER'S CONCRETE CUTTING CO., Owner: CALLAWAY GOLF CO Remarks: G-Ab.b -OR~CCESS ~ ' . ;q "r.~flf·~~,,~,,.,+.;,,.:>·-· "", Total Time: CD Description Act Comment Inspector Assignment: Phone: 8589670884 Inspector/!- Requested By: BOB Entered By: CHRISTINE 19 Final Structural L----,.--,,-'-'--'-~---- Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Job Address: Permit Type: . Parcel No: Valuation: Reference #: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB040202 Building Inspection Request Line (760) 602-2725 2180 RUTHERFORD RD CBAD MISC SuQtype: 2120702500 Lot#: $4,800:00 CALLAWAY GOLF 160 SF EQUIPMENT ROOM OTHER 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/20/2004 MOP 01/21/2004 01/21/2004 GOOD & ROBERTS INC. CALLAWAY GOLF CO C/0 00NALD H DYE 2285 RUTHERFORD RD CARLSBAD CA 92008 1090 JOSHUA WAY VISTA, CA 92083 619-598-76.14 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $147.00 PERMIT MECH. ELEC Total Payments To Date:·: B0ILDING PLt·:: · · .: ,/ . IN STORA(,,- -ATTACHED - $0.00 $103.00 $44.00 $0.00 $147.00 Balance Due: $147.00 1.~is1 01121104 0002 01. 02 EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 DATE ~ '2:.J. ~l).~SIGNAruRE~a-1_,._r ___ _ 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 accordancewith Cartsbad 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 servicefees in connection with this project. NOR DOES IT APPLY to any fees/e ctions fwhic o h v revi u I b n iv n a N Tl E imil rto this ras to which the statute of limitations has reviousl otherwise ex ired. FOR OFFICE USE ONLY t PERMIT APPLICATION PLAN CHECK NO(S '-\ .. --Z...02- CITY Of CARLSBAD BUILDING DEPARTMENT 16~5 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ Phase No. Total # of units · Address ·city State/Zip Telephone# ~,CTc6iftf~ If Agent.for Contragtor· ,;· Qx5wiler~T~w'riif:-:x~.~;~0IP'~,'.·,~-·;{,t·', ,;;:::;;,::;: Fax# (j:;;.:f;J~J•JMt;iiff}J3:i,.Q'QJ~,rf~~YJ;,'tfAM~~:. __ .. ~~d~~s-~-.•. ,. ·----· . , __ • ___ 7 _::-:--, City S.tate/Zip Telephone# (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 ElXempt therefrom, and the basis for the alleged exe ption. Any ioli)tion .2.ftSection 7031.5 by any applicant to permit subjects th.}.1£.Plicant t .a.c· ii penalty not more than five hundred dollar!i,[$5001). . 'bUIS C, 2,, u ~ er: . 1 · . -L>-'S°'f tJ-761 Address . City I State/Zip Telephone# State License # --""'-'--"--=;...='-'-----~---~-~ City Business License # // ':f S-S-S:~ Designer Nam • City State/Zi 1}'/YJelephone 7) <) State License # } 1~or~!~~;~s:n=~~~~~;~~~n~ I ~ereby affirm, unde;~~n:~ of: p~;j~;;·:n~-oi the. ;oll~~;ng:cla;ation~: .. · • .._ .. ·'(:':: ??:~.z:z: ~?:~·~: .. ":::'~:';'~:::;::::~-~:-::·~·:_-:_::; 0 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. , ~ 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 , issued. My worker's compensa ion insuranc carrier and policy number : -::z. ?'L {/ 2 ;; / ff Insurance Company -Policy No. ~ .,J ? ·~ T S"O 7-Expiration Date /CJ / 0 7=-· (THIS SECTION NEED NOT BE COMPLETED IF TH ~,, 0 c;ERTIFICATE 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. j WARNING: Failure to se ure workers' compensation coverage is unlawful, and shall subject an employer to criminal Renalties and civil fines up to one hundred thousand dollars I 0 ,0 , ·n addition to the cost of compensation, damages as provided for in Section 3706 of the bor c cle, i terest and attorney's fees. SIGNATURE'---~'-1',=J,..g..;.b,I!:-..;::,,,,.-------------,,--------DATE I I t) ~ ~~~ctWN~!l;~i,j~,QtlJ.1-11t);~R~t,o.t1i~'M:~ ,~_ ~vll rn:: ,N:•:~,N ~~N~:_ :.::=" v,, ~-, ~,:::~~ ~~w:.:~ ~,~:,::-AY~,·,~·•-'¼•>~ , •>', ' ~-•• .-,J ,, I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). D 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). 0 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 c;>f the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an l'!PPlication 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 ________ _ !QQM~iJ:I"ftr:111~ ,~_ifiJjJo_rftt.tffi.t1'iiiliftslo.EN:frAl, sQ,,P-!l\!G ~e~~M,t:~ 2~Y:::?::r.:::.::tz::::r:·:":o;::c.2;;::,~:::;:-: :: ..... ~::;;:;,_~::::·-·: ·:::,.~ 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? D YES D NO ls·the applicant or future building occupant required to obtain a permit from the air pollution c:ontrol district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O NO IFANY OF THE ANSWERS ARE YES, A F.INAL 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. f~L-,:'.¢,,0},1$.t6JJ.~~)l,;,,l;,~QJ~}~.q1;N'C,V", .?..~ ,,' .;c·., •• ,. ,{;.:;.:._-.,,,,.,;, '> _ :. -~ :. : •••• ~--.,. • 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 [~;,, Y,;Aff~lG.~NJ'.§J;RT!flC~J;~Q!">·~= ;:~ .:.~::'.~ • ;" ·~, ..... "' ;J ,.,;;,,._ .. ~->, ... ~..:;,:.::,_.:..~-;: __ ~:;::·=;;;· _;::;,,_;;;:_ ,=.~;;:'.'n;;=, ~:::::,.,...,,,,..,::;.,._;:;, .,:;::_,_;;;-:=,:;:: .. ,:;:::;.,;;_ ,:;_..,_="""'*:::: .• :;:;'."'.::::::::,-_;-:, ~;;:_ ::;:_,,= .• ==,;,.=-:.,;:::.,,:::,_.::;;',.:::, ~;;.:.::--:::;::;::;:;::;;:=:::;:;;;:-,,,, 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 CiW 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 AN PENSES WHICH MAY IN ANY WAY A<;:.CRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permi is req EXPIRATION: Every p authorized by such per ~t any time after the wo APPLICANT'S SIGNAT. ired for excavations over 5'0" deep and demo· ·on or construction of structures over 3 stories in height. I under the pro · ions of this Code shall expire by limitation and become null and void if the building or work s from the. e of such permit or if the building or work authorized by such permiUs suspended or abandoned ( ction 106.4.4 Uniform Building Code). DATE /// w ~ YELLOW: Applicant PINK: Finance City of Carlsbad . . i=i!hG•hi•i•J4•ihiihi4hl May 26, 2004 GOOD & ROBERTS INC 2320 COUSTEAU CT VISTA CA 92083 RE: BIDLDING PERMIT EXPIRATION PERMIT TYPE: MISC Permit Number: CB040202 Issue Date: 1/21/04 ADDRESS: 2180 RUTHERFORD RD PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 7 /20/04. The provisions of UBC, Section 106.4.4 as amendeq by the Carlsbad Municipal Code state: "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 (unless issued prior.'to 7/1/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped at_any tjme after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced ifthe permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in. the original plans ahd specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. fu order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any person holding an unexpired· permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by -this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. · Please check below indicating your intentions and return this letter to us. Project abandoned,. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days. (attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700. Christine Wauschek Office Specialist 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560 _ @ City of Carlsb~d Bldg Inspection Request For: 01/22/2004 Permit# CB040202 Title: CALLAWAY GOLF Description: 160 SF EQUIPMENT ROOM Type: MISC Sub Type: OTHER Job Address: 2180 RUTHERFORD RD Suite: Lot O Location: APPLICANT GOOD & ROBERTS INC. Owner: CALLAWAY GOLF CO Remarks: Total Time: Cb Description Act Comment Inspector Assignment: Phone: 7604970803 Inspector:£!__ Requested By: BILL Entered By: CHRISTINE 14 Frame/Steel/Bolting/Welding ff __________________ _ 34 Rough Electri~ _j__ _~---~------------- 1/~ -------,(!/? -L2~ _______ Ae' Associated PCRs/CVs Inspection History Date Description Act lnsp Comments City of Carlsbad 1635 Faraday Av Carlsbad, CA. 92008 03/14/2001 Miscellaneous Permit Permit No:CB010890 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: ·Parcel No: 2180 RUTHERFORD RD CBAD MISC Subtype: 2120702500 Lot#: OTHER 0 Status: Applied: Valuation: $25,000.00 Entered By: ISSUED 03/05/2001 MDP 03/08/2001 03/14/2001 Reference #: Plan Approved: Issued: Project Title: CALLAWAY GOLF Inspect Area: 2 CARBON FILTERS ON ROOF Applicant: SMITH CONSUL TING ARCHITECTS STE 200 12220 EL CAMINO REAL SAN DIEGO CA 92121 (858) 793-4777 Total Fees: $487.00 Miscelaheous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: Owner: CALLAWAY GOLF CO C/O DONALD H DYE 2285 RUTHERFORD RD CARLSBAD CA 92008 Total Payments To·Date: $0.00 PERMIT FINAL APPROVAL 3839 03/14/01 0002 01 02 CGP 487.00 Balance Due: $487.00 $487.00 $0.00 $487.00 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 capactiy 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 Qiven a NOTICE similar to this, or as to which the statute of limitations has oreviously otherwise exoired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. d-~10 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ Ad~ress (include Bldg/Suite #) 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 Name _."'"'"'_,,..~__,= Address City State/Zip Telephone# Fax# i~~mn;t~~Nr"!l1::~6J~q,6oftaptgtt:'.;::g:~A~~PG~i'~Ii~~~r~~1~~!ir'lf~~i:~f~l'g~l~~1btg?1j1n-J -· Address City State/Zip Telephone # f.4~c2:~~:1:g;~st:~~~~~;~t~~:liiv~~~,~~i~~;~~; Naine Address City S.tate/Zip Telephone# r~1~~Ie~<l1!TM~I~~it~,tiJA"'J':-~t--~:ti~-~~~~~~::;::t;~J<~:¥,:::!::~~N£;:?~~z:~;~~~i[TI~~~~;:;~E~m~~~~~~~~tY~ (Sec. 7031.5 Business and Professions Code: Any City or County wtiich 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]). Name Address City State/Zip Telephone# State License # --~-------License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State·Ucense # _________ _ ii--~¾VlQB!~~[Q'li~:Ar1.Q'.Nm~2;i~~:::r~;~.~~z~1~s~~::1;~.: .. ~:t~~~~;I:.:~;;:~V};-~!~~fi£~~S:~z;;;i~~tI~~~~::;\_£¼~:~-~2~?b~'A\~:;~~~~;;~,::1,:;~;i~ ?~¼1~~~~-ti~:~; 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. CJ 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 issued. My worker's compensation insurance carrier and policy number are: Insurance C,ompany ___________ ~--------Policy No.____________ Expiration Date _______ _ (THIS SECTION.NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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 as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE·-----------'--------~------------DATE _________ _ rti~QV{8EffttU~QEBl~,P~ij)\l_lQJ,I~.:.:-.\\~~~:.:~}~~ ;\:';~·t:f f~~I~~lt-/: ;~~i~J~~:'ir~;~~:-i\~f:~~~j;!;;?~{~r1~·t2:~-~t~?.~~~,;~:rJ:~~1tf3.i~if~~~~ti~rifL~\}~ lt~~1\~{:~,/l I-hereby affirm that I am exempt from the Contractor's License Law for the follo~ing reason: 0 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). 0 I, as owner of the property, am exclusively contracting with licfl!nsed 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 tlie Contractor's License Law). 0 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. 0 YES ONO 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 tc;> provide the work indicated (include name / address / phone number / type of work): _______________ ~---------------------------------------- PROPERTY OWNER SIGNATURE _____________________ _ DATE _________ _ L~Q.~~.!:ffl'Eii!J![:r:1'.91!tf:§D1'tl~sll!.l'gw!'1@wigjttaf1.af\1ll~·,tt1NE£$~~.L!t:t1:1!!1~jf;T:l~W~!t'i1£t~i::toifj~t:::~'"~2Y~~~1t';f: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials ~tration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?~ YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? X YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES 'J;t'( NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED ~ss THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OF.FICE OF EMERGENCY SERVICES AND THE AIR PO~LUTION CONTROL DISTRICT. lf~:i§~l~J:JQJ1{i:>R'.mf1?1'fI§ji:9JN,c;Y}lI~'.~l.I§f:.i:i:::., "'J'.::f::st2 .. :;D1~~~;7~£Q'f/t}f'.i':!l'::;It~E.'IJ1?£El:'1~:.¾!;i~fI;tf.1l:lT•f?i}:'.1:' , ?'ilf·::r:.:, ·. ·iti:;1) !?0 I hereby affirm that there is a construction lending agency for the perfgrmance of the work for which this permit is issued (S,;ic. 3097(i) Civil Code). 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 ~ut · e representatives of the Cit~ of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEM D KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH M NAN AV AC1,;K1ui;,A1.:i,AINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. emoliti9n or construction of structures over 3 stories in height. provisions of this Code shall expire by limitation and become null and void if the building or work e date of.such permit or if the building or work authorized by such perm/4it is suspended or abandoned ection 106.4.4 Uniform Building Code). / ' APPLICANT'S s1GNATURE _4 ~~4 L~~~~~'.'.:.._-:;;;,,-~::::::====~~--DATE 65r5, o _ PINK: Finance City of Carlsbad i-i!iiGi•,i·l•J4·Eliii,i41ii August 20, 2001 CALLOWAY GOLF 2285 RUTHERFORD RD CARLSBAD CA 92008 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: MISC Permit Number: Issue Date:. CB010890 03/14/2001 ADDRESS: 2180 RUTHERFORD RD PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 09/10/2001. The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 suc;h permit is not commenced within 180 days from the date of such permit (unless issued prior to 771/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the .permittee for a period not exceeding 180 di;iys on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days. (attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700. PAT KELLEY Principal Building Inspector 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560 @ Building Counter • (760) 602-2719 • FAX (760) 602-8558