HomeMy WebLinkAbout2180 RUTHERFORD RD; ; CB091247; PermitCity of Carlsbad
08-2i.-2009
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Permit No: CB091247
Building Inspection Request Line (760) 602-2725
Job Address: 2180 RUTHERFORD RD CBAD
Permit Type: Tl Sub Type: INDUST
Parcel No: 2120702500 Lot#: 0 Status:
Valuation: $6,370.00 Construction Type: 58 Applied:
Occupancy Group: Reference #: Entered By:
Project Title: CALLAWAY GOLF Plan Approved:
182 SF CONVERSION OF OPEN OFFICE TO PRIVATE OFFICE-Issued:
Applicant:
SMITH CONSUL TING ARCHITECTS
STE 200 .
12220 EL CAMINO REAL
SAN DIEGO CA 92121
(858) 793-4777
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Plan Check Discount
Strong Motion Fee
Park Fee
LFM Fee
Bridge Fee
BTD #2 Fee
BTD#3 Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Pot. Water Con. Fee
Meter Size
Add'I Pot. Water Con. Fee
Reel. Water Con. Fee
Green Bldg Stands (SB1473) Fee
Inspect Area:
Plan Check#:
.Owner:
CAl;.LAWAY GOLF CO
2180 RUTHERFORD RD
CARLSBAD CA 92008
$90.51
$0.00
$58.83
$0.00
$0.00
$1.34
$0.00. ·
'$0.00
;$0.00
, · $,Q,00
; : $0.00
; · $6.oo
--; .'.·'.$0,00.
$0:90,_.:
$0.00··. --·
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWA Fee
CFD Payoff Fee
PFF (3105540)
PfF (4305540)
License Tax (3104193)
License Tax (4304193)
Traffic Impact Fee (3105541)
Traffic Impact Fee (-4305541)
PLl)MB.ING-TOTAL
ELECTRICAL TOTAL
ME:QHANIQAL TOTAL
Master Drainage Fee
.Sewer Fee· :·
$0.00 Redev Parking Fee
.. $0.0·0 C ,:· :.: A"daitional Fees f ,,.-'J
. $1.00 HM_P·Fee
TOTAL PERMIT FEES·
ISSUED
07/28/2009
MDP
08/21/2009
08/21/2009
Total Fees: $17'5.68-Balance Due:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$24.00
$0.00
$0.00
$0.00
$0.00
??
$175.68
$0.00
Inspector:
FINAL APP.ROVAL
Date: l~/8/17 , .
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 pemiit 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 ann_ul 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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired.
I ~ ', ~
~:~~
~. CITY OF
'CARLSBAD
JOB ADDRESS~
CT/PROJECT#
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
Plan Ck. Deposit
Date 1 2
APN ,1..)>"-010
# BEDROOMS . # BATHROOMS TENANT BUSINESS NAME
-00
CONSTR. TYPE OCC. GROUP
EXISTINGUi ' y.;.-1 PROPOs,iw USE
fl)-\
GARAGE (SF) PATIOS (SF) DECKS (SF) FIRE SF'RINKlERS
YES ef NOO
CONTACT NAME (If Different Fom Applicant) APPLICANT NAME
ADDRESS
.CITY STATE ZIP CITY
PHONE FAX
EMAIL
Cl~"\
PHONE ~ 5)2.. O<o ClO
EMAIL
fJy P-'lt~ (e
STA t 10 STATELIC.#
0 'l-1::,7
(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 tnat 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 civi,I penalty of not more than five hundred dollars.($500)}. · . .
w,j;:m~;._;-, ~ -.,
Workers' Compensation Declaration: / hereby affirm under pena[ty of perjury one of the following declarations: ,
tJ I have and will maintain a certificate of consentto 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 La~or Code, for the performance of the work for which this permit is issued. My workers' compensation i sura e carrier and policy
fiOniberare: Insurance Co. 6 LO tz_{!j>e,. l!x..tc.. · //v S'\.l,<M(€ C~ncyNo. fr JC"'-' ?(pK'-/ 0 t:i o') Expiration Date I 0
This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the for ich this permit is·issued, ·, shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failur, to secure workers' co is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {&100,000), in
addition to the cost of compensation, damages as pr n 3706 of the Labor code, interest and attorney's fees.
A$ CONTRACTOR SIGNATURE DATE
I hereby affirm that I am exempt from Contractor's Licens aw for the following reason:
D I, as owner of the property or my employees wilh wages as !heir sole compensation, will do the work and the structure is not inlended 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 himseif or through his own employees, provided that such improvements are not inlended 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 conslruct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects wilh contractor(s) licensed pursuant to lhe 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 I have not) signed an-application for a building permit forJhe proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors''licensenumber):
4. I plan to provide portions of the work, butt have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ 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/ type of work):
A$ PROPERTY OWNER SIGNATURE DATE
,
Is the appli91nt 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-T~nner Hazardous Substance Account Act? D Yes D No
Is the app9cant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No
Is the fac:ility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D No .
IF\NY dF TH.E 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. .
J hereby affirrn-tliat there is a con_struction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Le,nder's Name Lender's Address
I certifythatl 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 ortlinances and State laws relating to buililing construction.
I hereby authorize representative 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for-e vations over5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permitissued by e B ilding Official under the ovis' ns of this Code shall expire by limiiation 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 penni if e uidi or work au such permit· uspended or abandoned at anytime after the work is commenced for a riod of-180 days (Section 106.4.4 Uniform Building Code) .
.-@S° APPLICANT'S SIGNATURE DATE
• .. ,,"~'' Cltv or Carlsbad ~ ·; Flnal Bulldlna lnsnactlon
'"""'11'."' .. , ..
Dept: Building Engineering Planning CMWD St Lite[F-~
Plan Check #: Date: 09/09/2009
Permit#: CB091247
CALLAWAY GOLF
Permit Type: Tl
Project Name: Sub Type: INDUST
Address:
182 SF CONVERSION OF OPEN OFFICE TO PRIVATE 0
2180 RUTHERFORD RD Lot:
Contact Person: BOB
Sewer Dist: CA •
Inspected
By:
Inspected
By:
Phone: 8589670944
Water Dist: CA
Date
Inspected:
Date
Inspected:
Approved:
Approved:
0
Disapproved: __
Disapproved: __ ............................................................................. , ............................................................................ ,
Comments: _______________________________ _
City of Carlsbad Bldg Inspection Request
For: 10/07/2009
Permit# CB091247 Inspector Assignment: TP
Title: CALLAWAY GOLF
Description: 182 SF CONVERSION OF OPEN OFFICE TO PRIVATE
OFFICE -FIRST FLOOR
Type: ti Sub Type: INOUST
---
Job Address: 2180 RUTHERFORD RD
Suite: Lot: O
Location:
APPLICANT SMITH CONSUL TING ARCHITECTS
Owner: CALLAWAY GOLF CO
Phone:£880
Inspector:
Remarks:
Total Time:
CD Description Act Comments
19 Final Structural Al!_
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Comments/Notices/Helds
Associated PCRs/CVs Original PC#
PCR00003 ISSUED NEW SEISIMIC CALCULATIONS;
Requested By: DAVID ERB
Entered By: CW
PCR01025 ISSUED CALLAWAY-REV FLOOR/CEILING; ANCHORS:-SEISMIC .
PCR07105 ISSUED CALLAWAY GOLF; MEGHANICAL REVISIONS
PCR08067 ISSUED CALLAWAY-DEFERRED SUBMITTAL; PARKING STRUCTURE STAIRS
PCR08112 ISSUED CALLAWAY-DEFERRED STAIRS; SUBMITTAL
PCR09035 PENDING CALLAWAY GOLF HEADQUARTERS; DELTA I REVISIONS, ARCH., MECH., STRUCT
PCR09069 ISSUED CALLAWAY-ADD COMPOUNDING LAB; ELIMINATE DATA CENTER & MULTIPLE C<
Inspection History
Date Description Act lnsp Comments
10/05/2009 89 Final Combo NR TP NO ACCESS
09/11/2009 14 Frame/Steel/Bolting/Welding AP TP T-CLNG
09/11/2009 24 Rough/Topout WC TP
09/11/2009 34 Rough Electric AP TP CLNG LITES
09/11/2009 44 Rough/Ducts/Dampers WC TP
09/09/2009 89 Final Combo PA TP FOR OCCUPONLY, CORR REMAIN
City of Carlsbad Bldg Inspection Request
For: 10/07/2009
Permit# CB091247 Inspector Assignment: tP ---
09/02/2009 14 Frame/Steel/Bolting/Welding AP TP
09/02/2009 17 Interior Lath/Drywall AP TP
09/02/2009 34 Rough Electric AP TP
09/01/2009 14 Frame/Steel/Bolting/Welding NR TP
09/01/2009 34 Rough Electric NR TP
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB091247 DATE 7/28/09
ADDRESS 21.80 RUTHERFORD RD
RESIDENTIAL ADDITION•
MINOR (<17,000.00)
RETAINING WALL
VILLAGE FAIRE
POOL/SPA
TENANT IMPROVEMENT
COMPLETE OFFICE BUILDING
OTHER INTERIOR TENANT IMPROVEMENT ONLY. NOTHING
PROPOSED OUTSIDE OF THE EXISTING BUILDING FOOTPRINT
PLANNER GINA RUIZ
ENGINEEreLO!t~
11:\ADMIN\COUNTER/PLANNING/ENGINEERING APPROVAL'l
DATE 7/29/09
DATE dolf(rpj {
Carlsbad Fire Department
Plan Review Requirements Category: TI , INDUST
Date of Report: 08-03-2009
Name:
Address:
Permit#: CB091247
SMITH CONSULTING ARCHITECTS
STE 200
12220 EL CAMINO REAL
SAN DIEGO CA
92121
Job Name: CALLAWAY GOLF
Job Address: 2180 RUTHERFORD RD CBAD
INCOMPLETE
Conditions:
Cond·: CON0003588
[MET]
. f*-APPRt>VID:
THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUEANCE OF A
BUILDiNG PERMIT.
THIS APPROVAL IS SUBJECT TO FIELD INSPECTIONS, ANY REQUIRED TESTS, FIRE DEPARTMENT
NOTATIONS, ~
CONDITIONS IN CORRESPONDENCE AND COMPLIANCE WITH ALL APPLICABLE CODES AND
REGULATIONS.
THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE ANY VIOLATION OF THE LAW .
. Entry: 08/03/2009 By: cwong ~on::.KB
INDUSTRIAL WASTEWATER-DISCHARGE PERMIT
· .,,/-i..1J,f 1J() SCREENING SURVEY
Date~ -· ·
Business Name (/lftlf/-r1l frv/ (}tJ VC -
$treet Address j.,J eo fl(jr fhJ/[#O;t.. t2 /leJlrO
Email Address ----'-----,---------------,---------------
.PLEASE CHECK.HERE IF YQtJR BUS.INESS {S·EXEMPT: (ON:REVERSE SIDE Cl-JECK.TYPE-OF BUSINESS) -~ tfftf!I;
Check all below that 1:1re present .at your facility:
Acid Cleaning Ink Manufacturing Nutritional Supplement/
Assembly Laboratory Vitamin :Manufacturing
A1--1tornoj1ve. Repair .Machining) Mil!ing Painting I Finishing
Battery Manufacturing Manufacturing Paint Man1,1facturing
Biofuel Manufacturing Membrane M~nufacturlng Personal Care Products
Biotech Laporatory {i.e. water,fifter·membranes )-M~nufactl!ring
:Sulk.:Cbemical Storage Metal Cc;lsting'/ Forming Pesticide Manufacturing / .
CarWash Metal Fabrication · PackaQihg
Chemipal Manufacturing Metal Finishing Pharmaceutical Manufacturir19.
Chemical Purification Electroplating_ (including prec.ur'sors}
Dry Cleaning Electroless pl,ating· Porcelain Enameling
~Jectricql. Cqmponent Anodizing Power Generation
· Manufacturirig Coating {i.e. pho$phatin·g) Prlnt Shop
Fertlliz~r Manufacturing Chemi9af Etching / Milli11g Research ancJ Development
.Film I X-ray Processing Printed Circuit Board Rubber Manufacturing
Food Processing Man1;1facturing s-emiconducfor Manufacturing
Glass Manufactur{ng Metal Powders Forming: Soap/ Detergent Manuf~cturipg
Industrial' (at,indry-Waste Treatment-/ Storage
SIC Code(s) (if known):------'-----,-------'-----------
Brief description of business activities (ProcfuGtlon / M~_nufaciuring Operations): (/ffv-f~-/:pft(JG
Description of operations ge erating W(:lstew;:;:i,t_e.r -(dipcl")arged. to sevve.r, _hal,lle:d or evaporated):
Estimated volume of industdal wastewater to be·qischarg~-o (gal I day): ---1--{½.:../2µ/t__,_. _-___ _
List haza_rdo_us was_tes generat~d (ty.pe /velum~):--"---------------
Date operation qeg·an/9r will begin ,at this. focation: ----------------
Hav.e you applied for-a Wastewater Discharg·e Permit from the Encin~ Wastewater Authority?
Yes , 'No If yes, when: ~ --------Tit-le -/4-t-· ~-ttU:-----'---
Phone No. -1btJ ¢3P $301/-' ·;:J.~'l:#)!(l;;-JM~~~~~:;t-; __ ,""".6~2:;--;:;-0~0-=-A...,.ve_:n7id;-a--::-En
1
cinas _Carlsba_d, CA 9201 i (760) 438-3941
FAX: {760) 476-9852
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS QUESTIONNAIRE
OFFICE USE ONLY
UPFP# ______ _
HV# ________ _
BP DATE. _ __,_ _ __,_ __ _
~/-/77/
Plan File#
The following questions represent the facility's activities, NOT the specific project description.
PART I: FIRE DEPARTMENT-HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: Indicate by circling the item, whether your business
will use, process, or store any of the following hazardous materials. If any of the items are circled, 13pplicant must contact the Fire Protection Agency with
jurisdiction-prior to plan submittal.
1'. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives
2. Compre~sed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards
3. Flam·mable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None ofThese.,
4. Flammable Solids 8. Unstable Reactives 12. Radioactives
PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISIONS (HMO): If the answer to any of the
questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 1255 Imperial Avenue, 31u floor, San Diego, CA 92101.
Call (619) 338-?222 prior to the issuance ofa building permit. · ~ Ai/ /1/JJ
FEES ARE REQUIRED. Expected Date of Occupancy: VI I V I VJ_ D CalARP Exempt
YES O Date ~nitials
1. D Is your business listed on the reverse side of this. form? (check all that apply).
2. D Will your business dispose of Hazardous Substances or Medical Waste in any amount? D CalARP Required
I 3. D Will your business store or handle Hazardous Substances in quantities equal to or greater than
4.
5.
6.
D
D
D
55 gallons, 500 pounds, 200 cubic feet, or carcinogens/reproductive toxins in any quantity?·
Will your business use an existing or·install an underground storage tank?
Will your business store or handle Regulated Substances (CalARP)?
Will your business use or install a Hazardous Waste Tank Syl?tem (Title 22, Article 10)?
Date Initials
0 CalARP Complete
I
Date Initials
PART 111:.SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT: If the answer to any of the questions below is yes, applicant must contact the Air
Pollution Control District (APCD), 10124 Old Grove Road, San Diego, CA 92131-1649, telephone (858) 586-2600 prior to the issuance of a building or demolition
permit. Note: if the answer to questions 3 or 4 is yes, applicant must also submit an asbestos notification form to the APCD at least 10 working days prior to
c9mmencing dt3molition or renovation, except demolition or renovation of residential structures of four units or less. Contact the APCD for more information.
YES
1. D
2. D
3. D
4. D
Will the subject fa9ility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the
APCD factsheet at http://www.sdapcd.org/info/facts/permits.pdf, and the list of typical equipment requiring an APCD permit on the reverse side
of this from. Contact APCD if you have any questions). · .
(ANSWER ONLY IF QUESTION 1 IS YES) Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)?
(Public and private schools may be found after search of the California School Directory at http://www.cde.ca.gov/re/sd/; or contact the
appropriate school district).
Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos?
Will there be demolition involving the removal of a load supporting structural member?
Briefly describe proposed project: . w ~ tr1;11 wv /II rJ.? /lllr 11W om (!/;f
t of my knowledge and belief the responses made herein are true and correct.
Signature of Owner or Authorized Agent Date ,
F R OFFICIAL USE ONLY:
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: ___ ~---------------------------
BY: -----------------------,-------DATE:--~/ __ ~/ __ _
EXEMPT OR NO FURTHER INFORMATION REQUIRED R_ELEASED FOR BUil.DiNG PERMIT BUT NOl: FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HMO APCO COUNTY-HMO APCO COUNTY-HMO APCD
'
HM-9171 (04/07) County of San Diego-DEH -Hazardous Materials Division