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HomeMy WebLinkAbout2180 RUTHERFORD RD; EXPIRED MULTI-PERMIT FILE; CB130688; Permit,, I \ J City of Carlsbad 04-18-2013 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB130688 Building Inspection Request Line (760) 602-2725 Job Address: 2180 RUTHERFORD RD CBAD Permit Type: Tl Sub Type: INDUST Status: ISSUED Applied: 03/19/2013 Entered By: SKS Parcel No: 2120702500 Lot#: 0 Valuation: $8,000.00 Construction Type: NEW Occupancy Group: ' Reference# Plan Approved: 04/18/2013 Issued: 04/18/2013 Inspect Area Plan Check #: Project Title: VERIZON WIRELESS -REMOVE AND REPLACE (1) EQUIP. CABINET WITH BATTERY ON EXISTING RAISED STEEL PLATFORM ON ROOF. Applicant: BOOTH & SUAREZ ARCHITECTS/CYNDI BAKER STED2 325 CARLSBAD VILLAGE DR CARLSBAD CA 92008 760-434-8474 Building Permit Add'I Building Permit Fee Plan Check Add'I Building Permit Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'! Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'! Pot. Water Con. Fee Reel. Water Con, Fee Green Bldg Stands (SB1473) Fee Fire Expedidted Plan Review Total Fees: $216.04 Owner: CALLAWAY GOLF CO 2180 RUTHERFORD RD CARLSBAD CA 92008 $107.27 Meter Size $0,00 Add'! Reel. Water Con, Fee $75.09 'Meter Fee $0.00 SDCWA Fee $0:00 CFO Payoff Fee $1,68 PFF (3105540) $0.0b -PFF (4305540) $0.00 License Tax (3104193) $0.00 License Tax (4304193) $0.00 Traffic Impact Fee (3105541) , .$0.00 Traffic Impact Fee (4305541) $0.00 PLUMBING TOTAL $0.00 ELECTRICAL TOTAL $0 .. 00 MECHANICAL TOTAL $0,60 " Ma~ter Drainage Fee Sewer Fee $0.00 Red.ev Parking Fee $0.oq, . ,-. Aaditi0nal Fees $1.00· · · HMP Fee · $0.00 Green Bldg Standards Plan Chk TOTAL PERMIT FEES $0.00 $0,00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $31.00 $0.00 $0.00 $0.00 $0.00 $0,00 ?? ?? $216.04 Inspector: 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 fe I x c ion f whi h· h v r vi I n iv n N Tl E imilar hi or a t which the s atute flimitati n has reviousl otheiwi e ex ired. ' ~ ~ «~~ ~ CITY OF CARLSBAD Building Permit Applica·tion 1635 Faraday Ave., Carlsbad, CA 9~008 Ph: 760-602-2719 Fax:·760-602-8558 email: buldllng~carlsbadca.gov www.carlsbadca.gov · Est. Value · Plan Ck. Deposit ~Dateo SUITE#/SPACE#/UNIT# # BEDR09MS ,- Workers' Compensatlon Declaration: / hereby affirm under pe_nalty of perjury one of the following declarations: #!3ATHROOMS TENANT B~SINESS NAME - PATIOS (SF) AIR CONDITIONING FIRE SPRINKLERS YES D NO D YES D NO D D I hav~ and will maintain a certificate of consentto self-Insure for workers' compensation as provided btSection-3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ave and will maintain worke ' om n Q{l, as requi by Section 700 of the Labor Code, for ihe performance of the ~orldor whiy¥J:t permit is issued. My workers' compensation i uran carrier and policy number are: Insurance Co. • ~ • Policy No. Z2.072t}(/I_U'-' z.-;zz. ,Expiration Date -1-4~~--..... "-"1'--- This section need nbt be completed if the permitis for one hundred dollars ($100) or less. . · CJ 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· nsaUon 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, d r n Section· 6 of the Labor code, interest and attorney's fees. . ~T I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: Cl 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). Cl I, as qwner 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 lo an owner of property wbo:builds or improves thereon, and contracts for such projects with contractor(s) licens~d pursuant to the Contractor's License Law). Cl I am exempt under Section ____ Business and Professions Code for this .reason: 1. I per_sonally plan to provide the major labor and materials for construction of the proposed property improvement. Cl Yes Cl No 2. I (have/ have not) signed an application for a building permit for· the proposed work. 3. I have contracted with the following person (firm) I? provide the proposed construction (include name address I phone/ 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 / 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 I type of work): .Ji5 PROPERTY OWNER SIGNATURE CIAGENT DATE ·Is the applicant or future building occupant required to submit a business plan·, acutely hazardous materials registration form or risk management and prevention program u·nder Sections 25505, 25533 or 25534 of the Presley-Tanner l;lazardous Substance Account Act? CJ Yes CJ No · Is the applicant or future bu\lding occupant required to obtain a permit from the air pollution control district or air quality management district? CJ Yes CJ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? CJ Yes CJ 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 SERVIC~S AND THE AIR POLLUTION CONTROL DISTRICT. I certifythatl.have read the application and state that the above lnfonn.!tion is correct and that the infonnation on the plans Is accurate:1 agree to comply with all City ordinances and State laws relating to building construction. I her,eby 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 AGAINSTSAID CITY IN CONSEQUENCE OF THE GRANTING OFTHIS'PERMIT. · OSHA: M OSHA pennit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every pennit issued by the Building Official under the provisions of this Code shall expire by limilation and become nµII and void if the building or wor1< authorized by such pennit is not commenced within 180 days from the dale of such pennit or if the ing or wO!I( authorized by such pennit is suspended or abandoned at any time after the wor1< is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code). 0..@S'APPLICANT'SSIGNATURE 0 , • _ 'cw . . DATE <3.Jf. /0 STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. ~ ' . ",0, : ,.,_ ",{ , C o r1 m c r c , a I Pro1ccts On r y l Fax (760) 602-8560, Email www.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DE~IVERY OPTIONS CJ PICKµP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB# CJ MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION CJ. MAIL'/ FAX TO OTHER: o CHANGE OF USE/_NO CONSTRUCTION - ..@S" APPLICANT'.S SIGNATURE DATE CB130688 2180 RUTHERFORD RD VERIZON WIRELESS -REMOVE AND OC:01 Ar-c: /1\.Cf"\I 110 ('JIAl"IC:T Ill/IT~ AATTC:RV nN ·3h q ft 3 tD ~C:, IP~, ·3 { ( c1 ( I::> CA i'-o@-P-,0 3/~ft'5 ~ t;\)~ f=\ f-6 1 -f eSGt I L lf-/ siYZ-,v--c..f. e,,P:L,G_) ~)2.q{,5, 4/.;1-J,~ .... Kl ftrJ.s. ~ fc -· f2_TJ:'. , rJ uJ/ ao-,,t-ra.dvr +-/fffz.., frl,lt-r ,--~ ~{i.,t=-c., 4/t1,~ /6~ 1/30/13-p~cr d,ww[ow// ·~ ~ SW l:hSSUED Approved Date BUILDING B/u/,3> PLANNING !!, lo>-t /1 .3 ENGINEERING :«sl ('-rt I ~ FIRE Expedite? vfi) t.1/z/13 AFS Checked by: HazMat APCD Health Forms/Fees Sent Rec'd Encina Fire . HazHealthAPCD "'?.:>{ ,,..,, i.~ -ntrl 12.. PE&M -I ../ School Sewer Stormwater Special Inspection CFD: y N tandUse: Density. lmpArea: FY: Annex: - PFF: y N Comments Date Date Date Building Planning Engineering Fire Need? /JAY\~)\-(_)('"' I~ - . I 1:1cv\ By /XI (2Gf-. ~---~ Due? By y N y N ' y N N)l-..j y N V y ·N y N y N y N Factor: bate r P-oone Cl Done Cl Done Cl Done Cl Done Cl Done C_ity of Carlsbad 08-04-2011 1635 Faraday Av Carlsbad, CA 9·2008 Commercial/Industrial Permit Permit No: CB101659 Suilding Inspection Request Line (760) 602-2725 Job Address: 2180 RUTHERFORD RD CBAD Permit Type: Tl Sub Type: INDUST 2120702500 Lot #: 0 Statu . Parcel No: Valuation: $116·, 165.00 Construction Type: ·5B Appli : Occupancy Group: Reference #: Entered Project Title: CALLAWAY-CONSTRUCT 3,319 SF Plan Approved: DATA CENTER WITHING AN EXISTING WAREHOUSE AREA Issued: Applicant: ANDREW TARANGO SMITH CONSULTING ARCH STE 200 12220 EL CAMINO REAL 92130 858 7934777 Building Permit Add'l 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 Fire Expedited Plan Review $707.81 $0.00 $460.08 $0.00 $0.00 $24.39 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ' . $0.00 $0.00 $4.00 $160.00 Inspect Area: Plan Check#: Owner: CALLAWAY GOLF CO 2180 RUTHERFORD RD CARLSBAD CA 92008 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFD Payoff Fee . PFF (3105540) PFF (4305540) License Tax (3104193) License tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees HMP Fee · T,OTAL PERMIT FEES total Fees: $1,356.28 Total Payments To Date: $620.08 Balance Due: WITHDRAW 09/09/2010 LSM $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ?? $1,356.28 $736.20 Inspector: ------ FINAL APPROVAL Date: ------------. Clearance: ------ NOTICE: Please take NOTICE that approval of your project incluqes the "Imposition" of-fees, dedications, reservations, or other exactions hereafter collectively · referred to as ~fees/exactions.' You have 90 days from the date this pertnit was issued to protest imposition of th~e 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 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 FURTHERNOTIFIED 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 seivi~ fees in connection with this project NOR DOES IT APPLY to any f x i n f h' Ii r vi I T i ii r hi whi h h f Ii i i n r vi I h rwi x ir . .~ , . -·· Plan Check No. GB r D l ~-g «!,i~ Building Permit Application Est. Value l l ~ ( l,,b 1635 Faraday Ave., Carlsbad, CA 92008 ~ CI TY OF 760-602-2717 / 2718 / 2719 Plan Ck. Deposit ·~.O'fs CARLSBAD Fax 76.0-602-8558 www.carlsbadca.gov Date ~le,,! 10 lswPPP JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 2180 Rutherford Road 212 -070 -25 -00 CT/PROJECT# ILOT# I PHASE# 1.# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP -Callaway Golf V-B B, F, S DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Construction of a 3,319 s.f. Data Center within.an existing warehouse space. To include associated structural, mechanical, plumbing and electrical. EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS B1,F1,S1 81,F1,S1 YEsO No[ZJ YES [ZINo D YES[ZI NoO CONTACT NAME (If Different Fam App/leant) APPLICANT-NAME Andrew Tarango-Smith Consulting Arch. ADDRESS ADDRESS 12220 El Camino Real, Suite 200 CITY STATE ZIP CITY STATE ZIP San Dieqo CA 92130 PHONE PHONE IFAX (858) 793-4777 IFAX (858) 793-4787 EMAIL EMAIL andrewt@sca-sd.com : PROPERTY OWNER NAME CALLAWAY GOLF CONTRACTOR BUS, NAME ADDRESS ADDRESS 2180 Rutherford Road CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 PHONE rAX PHONE rAX (760) 931-1771 (760) 930-5650 EMAIL EMAIL mikem.a@callawaygolf .cQm, eds@calJawaygolf.ca ARCH/DESIGNER NAME & ADDRESS . ., STATE LIC. # . STATE UC.# I CLASS I CITY BUS. LIC.# Chervl D. Smith-12220 El Camina C11701 (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 p·errriit 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 aha Professions Code)'br that he is exempt therefrom, and the basi)l 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)). . . . . . . :~~~~ir ,.__ • ml~:'!"'"1'"=,...,..;--=-=,:----...,,,,,,,.,,,,"."""'"'.".""""'"'7"""':"."'"'=,.,,.._~~=__,.--:-~'71 .,;,w-:, ,,~. :.---~- Workers' Compensation Declaration: / hereby affirm under penalty of peljury one of the following declarations: D I have and will maintain a certificate of consentto self,insure,forworkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permitis issued. D 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 workers' compensation insurance carrier and policy number are: Insurance Co ________________ ~--Policy No. _____________ Expiration Date ________ _ This section need·not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subje·ct an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. 2$ CONTRACT0RSIGNATURE DATE :~~t@iL:· I hereby affirm that I am exempt from Contractor's License Law for the following reason: · D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is-not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractofs 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 D I, as owner of the property, am exclusively contracting wit~ licensed contractors to construct 111~ 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 contractsfor such projects with conjractor(s} licensed pursuant \o the Contractors License Law}. 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. 0Yes 0No 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/ 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/ 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 I address / phone / type of work}: ~ PROPERTY OWNER SIGNATURE OAGENT DATE Is the applicant or future building occupant required to submit a business~. acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Subst~nce Account Act? ·D Yes L..JNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or ai[..g!jality management district? Ov es D No Is the facijity to be constructed within 1,000 feet of the outer boundary of a school site? 0Yes LJNo 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. . ,e~~@$m~~1r · ~ .. '"' ... · . -·~ .... I certify thatl have read the application and state that the above info/matlon is correct and that the lnfonm1tlon on the pi ans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carl$bad lo 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, JUDGMEN COSTS AND EXPENSES WHICH MAY IN·ANYWAY ACCRUE AGAINST SAID CllYIN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OS!-!A permit is required for xca ations over 5'0' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every permit issued b B ilding Official under vi · s of this Code shall ··re 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 pe It or" ikf worka111K,rze(J.y such permit is s oded or abandoned at any time after the work is commenced for a riod of 180 days (Section 106.4.4 Uniform Building Code). I RS APPLICANT'S SIGNATU E ' DATE (1~ CITY Of ~ CARLSBAD Community & Economic Development JULY 6, 2011 www;carlsbadta.gov ANDR!:WTARANGO STE 200 12220 EL CAMINO REAL SAN DiEGO CA ,f?Z130 REi APPLICATION DATE: PLAN CHECK#:· ADDRESS: EXPIRATION DATE: PERMIT TYPE: DESCRIPTION, 09/09/iOlO CB101659 2180 RUTl:IE8FORD RD 09/08/20;1,l Tl CONSTRUCT 3:,319 SF DATA CENTER .... You applied to have your plans checked on the date noted above,. To datE?, the related building permit has not been obtained and the orig_irial plan review application will-expire on the date noted above. This courtesy notice is sent to advise you of the following provjsionl; of the City's God es regarding expiration: 18.04,035 -Section 107.4·amended-Expir._ation·of-p/pn,review. Section 1.07A of the California Btiildirlf! Code is. amended to read: Applications for Which :no permit is·i$si.Jed Within one year fo.llowing the date of application shall expire by limltatio(l, and plannmd tJtf)er data submitted for review may thereafter be returned to the applicant or destroyed by the Building Pffi~i'al. 90 day extension's of the .plan review period may be granted by the Building Official after review of a letter of explanation provided to him by the property ,owner. An ·extension of time granted by the Building Official does n0t, by right, apply to any related 0/scretjonary Pern,it 1.1.nder revi1;1w. Plans submitted ahd not retrieved fr.om the ·building·department priot to the plan check expiration date ooted above will be destroyed. ·in order to previde better service, pleijse indiaate your haridling.-choice. for the phms originally submitted and return this lefter to the B'uilding Department. . A;oject Abandoned -I will pjck up the pians within 10 days -~--0 Pr•oject Abandoned -Plans may be destroyed If you have any questions, please contact the Bui[ding Division at (760) 602-2719. Building Divisi~n CC: CALLAWAY GOLF ® Raenelle Allllep , •. SullJect, Hi Daryl, . 1:?itfire@sbcglobal.net CB101659 Andrew Tarango just e-mailed me and withdrew permit CB101659 -for 2180 Rutherford Rd. He said it was OK to toss the plans---so I am forwarding this to you so that you can do the same. Raenette . 4-< ... ~" ~Wc1rY OF CARLSBAD Raenette Abbey ~Uilding Technician Building Division City of Carlsbad 1635 Fataday Av Carlsbad CA 92008 raenette.abbey@carlsbadca.gov 1 CB101659 2180 RUTHERFORD RD CALLAVVAY-CONSTRUCT 3,319 SF DATA CENTER WITHING AN EXISTING WAREHOUSE q_ 1q I ,o . "-TO. r L__Pr-0 / ~0-/ p I <Z.J3 / 8(yl L wj GTIU--~ I-T ~ 1-13-to-jlµ._ rt::, ~. . ,,:c r-~) Pie . .·<-:~: :.:-~ ~:,:;~--~ J '~~ -IN~ . . ~ ~,f'\f , 1-JJ1o t59 e<fl? . . .~!tli{ijfif f~W{~\ , I u / , , . e<f• rcd,o,-, c~ :sen r "'/"'/, ., '.",t'Ct,:. z, ·~UJ~~~;,,. . .. :.· 7/J;,_) I I ,f)#IJ AA, • ./ /.J di cftJMt T ~j{~i~~;f~¼~r(ij~;}.:~;:~.~'.J/;;~ llL · . V:d/'f;¼.-'f,/,~ . n .. 1~i2*t~'ft~.6:tf1~:~JS:Itf'@v ~ _.,._ (/1Jt7,fl:l} .•:,r-·:;-...,~,-~--c:~,-.,~'-,,~,.,,-.. , ... ,""·~,--.,"",_.;,,~.-,,,.,..,,,., ... ,\ 1 / f-1,' 1" ~ 1 1· . ., ·. ',,ijtfJJ,ii~tz\il?it\~f:l1i' · ;; ( q /( L 1~vct'\.lvJ ·rD {~ . 4 ),(::;O cltt{_:~/:i~{:'.~'.I?:.\,;)_~'::iJtf''"' ,, . .,d/J.L . 1~ . [ ~ . u ·-:·-·.L-tt,;·:{: .• :"L"f1:1r:·.··' , -J f,,.,,-('{,t.:{e_. .vl-C(,;t' L-~ct1 ';_:1"'~\:~\·"":' ', '-"'\:. {,l· / \__ ' ... :::/~,~ ·,;, osw_-'---_,__ Approved Date BUILDING PLANNING q1-\'340 ENGINEERING w/SW 1q;..;7-/() FIRE Expedite? { Y} N HazMat APCD Health Forms/Fees S~nt Rec'd Encina 4,QJ//0 Fire J, HazHealthAPCD 9,(CH ,o PE&M qto, r ,,1 Sctiool l'lfT . Sewer Stcirn:iwater Special Inspection CFO: y N LandUse: Density: lmpArea: FY: PFF: rY') N Comments Date Building if1-J1-(D Planning Engineering Fire ~H,-JV Need? f' o/TT'R.Aci'1) c-\ u'fb Application Complete? Fees Complete? Date y N y N Date DCV By > , b1 /ff!'; , , Due?· ,., By . y .N v-.1,,-.. --J y N y N ·y N y N y N )' N y N Fas:tor: Date CJ Done CJ Done CJ Done CJ Done CJ Done By: By: City of Carl.shad · · 06,-20-2006 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: csos2209 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2180 RUTHERFORD RD CBAD Tl Sub Type: 2120702500 Lot#: $49,228.00 Construction Type: GOMM 0 NEW Status,4iED ~ Applied: 2005 Occupancy Group: Project Title: Applicant: CALLAWAY GOLF 1588 SF MEZlANINE SMITH CONSULTING ARCHITECTS STE200 ·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 Reference #: Entered By: SB $354.19 $0.00 $230.22 $0.00 $0.00 $10.34 $635.20 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Approved: Issued: Inspect Area: Plan Check#: Owner: CALLAWAY GOLF CO C/O DONALD H DYE 2285 RUTHERFORD RD CARLSBAD CA 92008 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFO Payoff Fee PFF (3105540) PFF (4305540) license tax {3104193) License Tax (4304193) traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUMBING TO1AL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees HMP Fee TOTAL PERMIT FEES Total Fees: $3,41'5.46 Total Payments To Date: $222.92 Balance Due: FINAL APPROVAL $0.00 $0.00 $0.00 $0.00 $895.95 $0.00 $0.00 $0.00 $84.00 $0.00 $0.00 $35.00 $0.00 $0.00 $1,170.56 $0.00 $0.00 ?? $3,415.46 $3,192.54 Inspector:.------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 fortli 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 9ther similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f f whi h h v r vi I · n iv n N :fl imilar thi r t whi h th statute of limitations has reviousl otherwise e ired. V ~ 1nVcJt PERMIT APPLICATI~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 ,Assessor's Parcel # ..:: 222::92 # of Bathrooms - Na !5'.:',, (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit t9 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 ~ l:ti_ity State/Zip Telephone r!tat,e~~;:::c~,CO 4lf/Ji, , , -,~ ___ jl:t'){) -:"·,,·~ ,~:·~_tf!J, ' , <70~','" ':?.•g ~~:• ·~~'t1~ .. :'.,~,,~~~::Zfl;;th?J "'-~,_.,._....,_,.,,,.,, n "~'""""""'~" '"..,_", , ,-..,,,-,,, ,_,. , ,,, -,.••<< ....,....,.,...,. .._...,.,.....,..._,, ""''-,.,,_,. __ ,....,.............,.,..,,,..,,,.,,J, .,.,.,,.YM Yvv'' ,,..,~n;...._.,,...,.-;..",,..,. ......... ~""""''"''Nnn-« ,v'<'I" ~ ,..,.,........,,_.,_,,;~--,,--,.""VY,_.,..,,,,~ , _.,.,,._,,«<,...t.,;J;.,..,,.,..~ ,- 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. 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 issu(:!d, My worker's compensation insurance carrier and policy number are: Insurance Company ______________ ~------Policy No.____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED'DOLLARS [$100) OR LESS) 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 ($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 ________ _ rtDowf4ER:liuiloeifoecµs;11Kf f cii,i • ·, ", , -, . ,. ,': ., · ': '? ~: . , : .. : ·.: -~ ::·:.~<· ,: ;:..~:. , ::.:;:.::r:'/2'·1 '.: '1/:it:'.:· ~7-· :7:, ,:: .. ,::-:,1' ~ .~:~ ~r::::-tr ;;:J;:?; ;:-·:·si., , , ~'· ?~-;::.,;:-~f2,~-::~ :.t-)r ~ I.hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will 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 licensed contractors to construct the project (Sec: 7044, Business and Professions Code: The Contractor's License Law does not !IPPIY to an owner of property who builds or improves thereon, and contracts tor' 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. D 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 lfcense 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 ________ _ jg_oM'i>Lelta,:fjis se'cijor(Fott:,tou1/fisiriENTJAL su11:ofNf1"1pe'R'IV!Tf}'.':dN!!v:);,;3;,7-" :::>:7-0:r: '~>'0"'.,:,;:t· :!'; :7.~-:~ ~'-~sz · 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 Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO ls the facility to be c;onstructed within 1,000 feet of the outer boundary of a school site? 0 YES D 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. ~S;t80C:T(ONCENDING'.:A<rofcv'·:--··:;~· ... ~--«',. , . ., 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). 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 requ· EXPIRATION: Every permit is e authorized'by such permit is n -C at any time after the work is c m APPLICANT'S SIGNATURE for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. by the building O · ial u er the provisions of this Code shall expire by limitation and become null and void if the building or work ithin 1 daY. om the date of such per it or if the building or work authorized by such permit is suspended or abandoned 1 on 106.4. niform Building Code). DATE --~-{_,_~_,./2-"o-~~------- PINK: Finance City of Carlsbad . l=i!Othhi•i•J§~tiiU,t4bl MARCH 28, 2006 MR. ANDREW TARANGO SMITH CONSUL TING ARCHITECTS 12220 EL cAMINO REAL #200 SAN DIEGO CA 92121 RE: APPLICATION DATE: PLAN CHECK#: ADDRESS: EXPIRATION DATE: PERMIT TYPE: DESCRIPTION: 06/14/2005 CB052209 2180 RUTHERFORD RD 06/14/2006 TI CALLA WAY GOLF 1588SF MEZZANINE You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained. The original plan review application will expire as no building permit has been issued. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. The provi$ions of sections 304 ( d) of the Unifonn Building Code state: "Section 304 9d} Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." In order to provide better service, please indicate your handling choice for the plans originally submitted and return this letter to the Building Department. __ Project Abandoned,..... J will pick up the plans within 10 days __ Project Abandoned -Plans may be destroyed If you have any questions, plea$e contact the Building Department at (760) 602-2719. Building Department 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560 @ 05-05-2005 City of Carlsbad 1635 Faraday Av Carlst?ad, CA 92008 Commercial/Industrial Permit Permit No: Building Inspection Request Line (760) 602-2725 CB051391 Job Address:· Permit Type: 2180 RUTHERFORD RD CBAD Tl Sub Type: COMM 0 VN Parcel No: 2120702500 . Lot#: Status: PENDING 04/18/2005 KG Valuation: $54,684.00 Construction Type: Applied: Occupancy Group: Reference #: Entered By: Project Title: CALLAWAY GOLF 1764 SF MODIFY OFFICE ./CONSTRUCT DEMISING WALL Plan Approved: Issued: Applicant: CALLAWAY GbLF CO .C/0 DONALD H DYE 2285 RUTHERFORD RD CARLSBAD CA 92008 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM F~e Bridge Fee BTD#2 Fee BTD#3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot. Water' Con. Fee Meter $ize · Add'I Pot. Water Con. Fee Reel. Water Con. Fee $373.31 $0.00 $242.65 $0.bO $0.00 $,11.48 $0.00 $0.00 $0.00 $0.bO $0 . .00 $0.00 $0.00 $0.00 $0.00 $0:0b $0.00 Inspect Area: Plan Check#: Owner: (\ CALLAWAY GOLF CO ~' C/0 DONALD H DYE Q., ~\ 2285 RUTHERFORD RD ,n<-~ e,i~· CARLSBAD CA 92008 <'.:., (\ ,:' V 'X-~~ .. ~i\ 0 (".)~Y ~~\)t-'t\~~:\i~ 8 \.~°' r.,Cv ~ e,. ~ ~~ ~' ~'\5<\' Meter Size c. ~;...~\~ ~ ~(c Add'I Reel. Water~·~~~f~-~ ~ ~-u~~ Meter Fee -o~~\N O~'\~ . r/1) '?-;\':,~ SDCWA Fees.~e,"\~ . I"' '" ~ · CFO Payoff t-ee I v- PFF ~ PFF (CFO Fund,'~ License Tax License Tax (CFO Fund) Traffic Impact Fee Traffic Impact (CFO Fund) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee RedevParking Fee Additional Fees TOTAL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $24.00 $0.00 $0.00 $0.00 $0.00 $686.44 Total Fees: $686.44 Total Payments To Date: $242.65 Balance Due: $443.79 FINAL APPROVAL Inspector: Date: ---------Clearance: ------ NOTICE: Please take NOTICE that approval of your projecfincludesthe 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as·'fees/exactions." You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must follow-the protest procedures set forth in Govemmen\Code Section 66020(a); ana file·the protest-and any other required infonnation with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.3W30. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.C/10573 V EST. VAL. .5¾t,?'~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit --=-4-<~~~~- Validated By _ ___,,~'r-~--=--'=7"::c___ Date _____ ---:r-----''--4-'"-----'--=-- Lot No. Subdivision. Name/Number Unit No. Phase No. Total # of units (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). Name Address City State/Zip Telephone# State License# _________ _ License Class _________ _ City Business License # _______ _ ~:::::~::::: • Adi1,~7o a., Q/cM1ND ¥-~ City t; .'{). Sta~rtJO Trphone 3 ~ f7]) !6i, ,; ,;W,ORKl:l{,Stpo . , ,. -A~ lo. ~ ·---· ;'~"'!<"7'' ": -:::-.~--:;;~~;:-c-: '::'·~·-'; '. _:,:;,.;:, : ?'''.'5:;J',?i·;~,:::_:-;;~ ~ ,i~~,""~ct:z:;;:7-i;:;::;:?:~g:/ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certific!ate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D I have and will maintain 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 Company____________________ Policy No.____________ Expiration Date _______ _ (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 ($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 _________ _ r1::2..tiWNe.s:su1ro1ifoecµRA'F10N: . . ...... ~-. _ ".'-:::. M,::.:~:.: . .:::.::..:::.::.~ ~L.'.· h·z ::::.::·~::~ · : ... 7 ~· i.:"l~~:i;;:_~::··~:: "_ ::r:F:::,. ,~/: ~ :" .' •. · .. _··. -·--~ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will 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 purs.uant to the Contractor's 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 ONO 2. I (have / have not) signed an app!ication for a building permit for the proposed work. 3. I have contracted _witfi 'ihJ foli~wing person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of ~he work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ co.ntractors 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 ________ _ fG9M!!Ji~lJ;,:t:!:li~:$~9TIRl'.f fQl\.:NQiY}!Jf$/P~T(,,4;@,Ul.LP!~~',f.E.;.RIW!..$~9lM::'tL:iiE·;::, i .s.i:,;;...;:;.;; :Kd'::. ::,_ '[.;1;l1«":·£:2 .. ,.:;.;;b_ .,: ... -.. ,., 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 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? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES D 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. Ls-;:::comtlWCXTc>N"fffipff«fAGEtfcr··,:7 -·. · ._ .· 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 .:::.:::::::::::===;;:::;::;::::::;:::::::;:::;;::;;;:=.==-:;:::::;:::::-:::;:;:::;:::;::;:;:;=:-::::=-::;;;;;;:::-:;::;:;:;;:::::;:::;;:;;;;:;:" !~LJ~e.~!GAN'tP~RTJf!QATJ<iN:,"'T7.-· .. i,,;..,. :,':":-.'._ ·-:::.,-: . · · '·, ,;;..:..:;.;;.,. . ..-.. ·.,.··, .... _._·,L:, ;·,::., ... z.<< .c.;:t .. ;;;,:,c::. ·--~·-·"'~-'"' 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 Cit\t 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 uired for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every per it is ed by the building Official nder the provisions of this Code shall expire by limitation and become null· and void if the building or work authorized by such permit n d within 1 d from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at anytime after the work f 1 ys (Section 106.4.4 Uniform Building Code). DATE ~lf JoC APPLICANT'S SIGNATUR l_J_"{l_ 2_ YELLOW: Applicant PINK: Finance Cit January 23, 2006 Andrew Tarango Smith Consulting Architects 12220 El Camino Real #200 San Diego CA 90130 RE: APPLICATION DATE: PLAN CHECK#: ADDRESS: EXPIRATION DATE: PERMIT TYPE: 04/18/2005 CB051391 2180 RUTFIBRFORD RD 04/18/2006 TI '-.. DESCRIPTION: CALLAWAY GOLF 1764 SF MODIFY OFFICE/CONSTRUCT DEMfSING WALL Yott applied to have your plans checked ·On the date. noted above. To date, the related building pcmiit has not been obtained. Thesorigina] plan review application will expire as no building permit has been jssued. P1ans submitted and not r~trie.v.ed from the building department prior to the plan check expiration date. noted above wifl be destroyed. The provisions of sections 304 (d) of the Unifomi Building Code state: "Section 304 9d) Expiration of Plan Review Applications for which no permit js issued within one year following the date of µpp1ication sha11 expire by limitati0n1 and plans and other data submitted for review may thereaftGr be retul'ned to the appli.cant or destroyed by the Building Official. In order to renew action on an application after expiration, the applicant shall resubmit plmis and pay a new plan review fee." In order to provide better service, please indicate your handling choice for the plans originally submitted and re1:1,.im this letter to the Building Department. .,;.1Sroject Abandoned -1 will pick up the plans within 10 days -~--P Pro;jeot Abandoned -Plans may be destroyed If you have any questions, please c.ontact the Building Department at (760) 602-2719. Building Department 1635 Fara~ay Avenue• Carlsbad, CA 92008-7314-• (760) 602-2700 • FAX (760) 602-8560 @ City of Carlsbad . 05-24-2005 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB041501 Building Inspection Request Line (760) 602-2725 Job Address: · 2180 RUTHERFORD RD CBAD Permit Type: Parcel No: Tl Sub Type: 2120702500 Lot#: Status: Valuation: $30,000.00 Construction Type: INDUST 0 N!:,W Applied: Occupancy Group: Reference #: Entered By: Project Title: CALLAWAY GOLF-APPROX. 2000SF Plan Approved: Tl / ELECTRICAL & MECHANICAL IMPROVMNTS Issued: Inspect Area: Plan Check#: Applicant: Owner: . CALLAWAY GOLF CO C/0 CHARLES JOHNSON 2285 RUTHERFORD RD CARLSBAD CA 92008 CALLAWAY GOLF CO C/0 DONALD H DYE 2285 RUTHERFORD RD CARLSBAD CA 92008 760-419-6800 Building Permit $242.99 Meter Size Add'I Building Permit Fee $0.00 Add'I Reel. Water Con. Fee Plan Check $157.94 Meter Fee Add'I Plan-Check Fee $0.00 SDCWA Fee Plan 1Check Discount $0.00 CFD Payoff Fee Strong Motion Fee $6.30 PFF Park Fee . $0.00 PFF (CFO Fund) LFM Fee $0.00 License Tax · Bridge Fee $0.00 license Tax (CFO Fund) BTD #2 Fee · $0.00 Traffic Impact Fee EffD #3 Fee $0:00 Traffic Impact (CFO Fund) Renewal Fee $0.00 PLUMBING TOT AL Add'I Renewal Fee $0.00 ELECTRICAL TOTAL Other Building Fee $0.00 MECHANICAL TOTAL Pot. Water Con. Fee . $0.00 _ -Master{,Qrain\~a!;Je Fee Meter Size , . \_Sewer fee \ Add'I Pot. Water Con. Fee · ~ltO~OO \Redev ~~rkingf1ee Reel. Water Con. Fee 11 ~~ $0.00\ jfddition~ltees\ \ ~ \\ .: \\ \\ \.-J._ 19W P~RMITrEES . \\ \' ·1 \\ ___ )) ; \r-\\ \\ \\__:·: " EXPIRED 05/05/2004 KMT Total Fees: \ \JA~_$/3 :T~tal ~aymentsTo\CDate\\_ \~$1'5?-:94 Balance Due: \ -~ ' \ \ \ " \ \ \,\ .. FINAL APPROVAL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $28.50 $0.00 $0.00 $0.00 $0.00 $455.73 $297.79 Inspector: Date: _......._ ___ _ Clearance: _____ _ NOTICE: -PleaS"e take NOTICE that approval of your project includes the "Imposition" of fees, !ledications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' You have 90 days from the date this permit was.issued to prott:lst 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 proqessing 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 thpt 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 /ex ction of which u h v r vio I n iv n N Tl similar his r as o which the statute of limitations has reviousl otherwise ex ired. w PERMIT AP.PLICATI~ \,.. c,W~~~Ao J~bl~RTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal pescription Lot No. Subdivision Name/Number Unit No. Assessor's Parcel# Existing Use . c:::-2..,ow4 Proposed Use # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone Fax # &.I:~~:iP:Fi:fc.i@t:-13: <;opfrac~ot:~ 1;;! A~}~r'C6jitr~p"for-"'J;?"owrwr' :_Q],..gep't-fqi Q.~~-:~.cz:-:? g.~·f :,:;;.,;.' -~·1: of!·::.,.~·~::,·;::.;::~:::;,'.:7'f:ti-f7IF:::~},';J/~ ,.,~hl6 As {:,()JJIAlt,~ . . . . Name Address City State/Zip Telephone# Name Address ~~.3.QNJ:.MWO::R...::~C.QJ\'l~AJ,1'('.tlA~E ': -. ' -'', , , , (Sec. 7031.5 Business and Professions Code: Any City or County which reql!ires 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 ($500]). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone , State License # _________ _ l~,. , ,WOF!,1$.!:1\S:·c:.Q,MP~tJ.SAT,l(>'N' ' . . ' . ._ .. _ ,-:· -·-·::-'"• . Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I nave 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. 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 compensation insurance carrier and policy number are: Insurance Company____________________ Policy No.____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) 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 ($100,0001, 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 _________ _ i7)'···~0WNER;BUILDElfDECLARATIOtf , ',' "" . '," "',':: ":".' '',>,· ',,:,,·;,., ), .. :::'..::'::\,;;z::t:ir· 1"-'hereby affirm that I am exempt from the Contractor~s License Law for the following re;son: D 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 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). 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. 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 m,imber / contractors li9ense 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 _ __,.--------~--~---,---~---,-- [Q'.Q~f!-);tl(lt!IS, $ECt(tJ~:~Qff/lf,QN~R,'!{SID,EN'ii~4 'ill!l~P!N~ ·fEiUVi(I:~.'Qfl!J'( : •• : :.··:~-~- 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? Cl YES O NO Is the applicant or future building occupant required to obtain a permit from the-air pollution co'ntrol 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 D 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. l§c,;J~.9!'~JB,t;JJ,It(?1f:~etiQ!N9. ~q~N~X .. :. __ :. , -~--. :.: ... , .~ .. .'.:.,.~ .:._': , ___ _ 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). I certify that I have read the application and state that the above information ·is correct and that the information cin 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 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 Officia nder the provisions of this Gode shall expire by limitation and become null and void if the building or work authorized by such permit is.not commenced w· in 1 om 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 commen for per of days (Section 106.4.4 Uniform Building Code). _ /. .. / APPLICANT'S SIGNATURE ---'-=-=~--"--"":,,~~-=--:==--------------DATE 0 ,-/ () t Tl WHITE: File YELLOW: Applicant PINK: Finance 03/01/2005 CALLAWAY GOLF CO C/0 CHARLES JOHNSON 2285 RUTHERFORD RD CARLSBAD CA92008 Re: Application Date: 05/05/2004 0:00:00 Plan Check#: CB041501 Address: 2180 RUTHERFORD RD Expiration Date:\p5!05/2005 0:00:00 Permit Type: Tl Description: CALLAWAY GOLF-APPROX. 2000SF Tl I ELECTRICAL & MECHANICAL IMPROVMNTS You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained .. The original plan review application will expire as no building permit has been issued. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. The provisions of sections 304 (d) of the Uniform Building Code state: "Section 304 9d) Expiration of Plan Review Applications .for-which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed b¥ the Building Official. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." In order to provide· better service, please indicate your handling choice for. the plans originally submitted and return this letter to the Building Department. _____ Project Abandoned -I will pick up plans within 10 days ____ Project Abandoned -Plans may be destroyed. If you have any questions, please cont~ct the Building Department at (760) 602-2702. Janean Hawney Building Department City of Carlsbad '05-Q3,,t005 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB041424 Building Inspection Request Line (760) 602-2725 Job Address: 2180 RUTHERFORD RD CBAD Permit Type: Tl Sub Type: INDUST · 0 NEW Parcel No: 2120702500 _ Lot#: Status: Valuation: $119,820.00 Construction Type: Applied: Occupancy Group: Reference #: Entered By: Project Title: CALLAWAY GOLF Plan Approved: 3,994 SF OFFICE TO OFFICE IMPROVEMENT Issued: Applicant: SMITH CONSUL TING ARCHITECTS $TE200 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 Renewai Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee $608.16 $0.00 $395.30 $0.00 $0.00 $25.16 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00' $0.00 $0.00 Inspect Area: Plan Check#: Owner: CALLAWAY GOLF CO C/O DONALD H DYE , 2285 RUTHERFORD RD CARLSBAD CA 92008 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFO Payoff Fee PFF PFF (CFO Fund) License Tax License Tax (CFO Fund) Traffic Impact Fee Traffic Impact (CFO Fund) PLUMBING TOTAL .ELECTRICAL TOTAL MECHANICALTOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees TOTAL PERMIT FEES EXPIRED 04/28/2004 MOP $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $60.00 $24.00 $0.00 $0.00 $0.00 $0.00 $1,112.62 $395.31 Balance Due: $717.31 FINAL APPROVAL lnspeqtor: Date: __ ...,.... ____ _ Clearance: _____ _ · NOTICE, Please take NOTICE that approval of your project includes the "Imposition• of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of'these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any otheHequired information with the City Manager for processing.in accordance with Cartsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/ex ctions of whi h h v r Vi u I n iv n a N TICE imilar to hi or as to which the statute of limitations has reviousl otherwise ex ired. 1323<:/_ et)~ FOR OFFICE USE ONLY PERMIT APPL:ICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. {!) '-/ • ''f L<f, EST. VAL. \\ it ~ 'l.,.,C) ·Plan Ck. Deposit 3 C\ ( •; \ -Validated By 0941 '/<~ /M=.,p,,-_-/{i_4_{\_f'•_(i_'J_Q_'f --0-,.,--..,... Dale ·-1-1'7/ ~c,z \: v--1 .. ~~ .J.. ,::.. GGP Subdivision Name/Number Uriit No. Phase No. Total # of units f,Qffin~:~iwMlt.lMl;:_1f1Wf.t~~:;:~p~q~*t_, . # of Bathrooms "., .. _Q,Q~CUi:6~_0.t,IJIJjl_l{f{lt,-9,J!QIMPP!lr;;~i\lK. . . , , ...... ""'-"'' .. . . . .. Name lEJJ[C>PEl(TY;OWtiER'. ~ ---~ ., Nam ts;._., ($ec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031. 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars l $ 5001). Name City State/Zip Telephone ii State License # _________ _ Address License-Class---~--,-----City Business License # _______ _ Designer Name . , ddlss City g State/Zip Telephone ~=T~Sfd,l1'U=~~~ ?-')~~-~~Jlv'.07~~-; ·7"~~~~~-c-~-_,f;i,~{~P. T'.;M~.Z9)~1;J'R i.1?~;.-, .. iwOR""ER.S .e ....... ,.. ,, .... N , .... 0 ·...:,,y,,,' ,, .,. ,~--·,,, ,,,~, ,,.,,,,.,,.,_w .... ,)M' '' , ··''"'" '.,f-~-"·"" ... _,,,,, ...... -_, ,..,,-':.,,. _,'1'1%fh,.,,,,.,..,,._ yy ~---',_,,,,','vl,4..0',..,,_, ,,,L ... '""'""'"}",,'.....,.,,....."""""""""'' ··'<,,A....,... __ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. 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 compensation insurance carrier and policy number-are: Insurance Company____________________ Policy No •. ______ ~-----Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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 un!awful, 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 tor in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE. ________________________ ___,____ DATE __ ,--_-:;::::;;::-,:::::::."--- fi,_:·:::,pwfiER,Blfii:DElffi)_tcLARAJ)pt,f · _ :·-• -,_.: :< .. · "'--,:_~; :.----,··:··. '"\-. :•:;_;; ':' ,. ,· ,, ~!< 1i'il{'i-;::::;; 7:-~·-;>.~ ·-;:;f'.,;: ::.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). 0 I, as owner of the property, am exclusively contracting with licensed contractors to constrµct 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 suph projects with contractor(s) licensed pursuant to the Contractor's 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 constru_ction 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 numberl=---------~------------------------------------ 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 ____ ~---- ;co_M~L§i~Ti:!i$L$£.9.IlQlt~QftD:Qll;l{f$(P.ilv.R.4~,--~ll)j~p~f~RWfl:rS,'.'.Q~'t,y;;-~.~=~=~~;:~'.::z::,:r:x1:.::_;· ,-"·e:~~!.::7-::~~-~:;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? 0 YES D NO ·1s the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O 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 blSTRICT. ~,.CcoNs:fAlJC:if~o1KG'AAEmT'--~z·~-::~:::'.L--:-.~~":;:s~:~.::-,-;-' .. '--" _-:-:-..,,. .... =r:w--,,__,,,......,._.,""-""".,"' 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 .~;;;:;;;.:;;;:;;;;:;;,;;;:::;:::-::;::=.:::;;:;::::::::;;::;:::;::;::::::::;:..,._;,L~ENDER'S ADDRESS _______ ---:---------------.;_;:---------- ;~;,." .-:.~e.P.1;tgA~~-:q1=RTI!:l.(U~IlQN' ~'.:L"·.::~ . -;_ ~,; ,;,, .:..L::. _:: .Ll., c .. ~U~>~ 2Li::!~t:£.:..,.;:i~:.::.f.diff!lfi.'f::~-. ··.:':::.....;.,';,~t.?3':-?:l;;;;:t;;~::·~:;.:,;::. :;:~:-..:...::-; :;·:~:,1 I certify that I have read the application and state that the above information is correct and'that the information on the plans is accurate. I agree to comply with all City, ordinances and State laws relating to building construction. I hereby authorize representatives of the 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 EXPIRATION: Every per iss authorized by such permit s-n at any time after the wor is c APPLICANT'S SIGNATU ired for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. under the provisions of this Code shall expire by limitation and become null and void if the building or work . from the date of s permit or if the building or work authorized by such permit is suspended or abandoned y ~ction 1 .4.4 Uniform Building Code). DA TE _tj-=-,..2/;_=----..,_-il,..,t»"---------- PINK: Finance 02/01/2005 SMITH CONSULTING ARCHITECTS STE 200 1222-0 EL CAMINO REAL SAN DIEGO CA92121 Re: Application Date: 04/28/2004 0:00:00 Pli:in Check #: CB041424 Address: 2180 RUTHERFORD RD Expiration Date: 04/28/2005 0:00:00 Permit Type: Tl ' Description: CALLAWAY GOLF . 3,994 SF Of FICE TO OFFICE IMPROVEMENT You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained. The original plan review application will expire as no building permit has been issued. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. The provisions of sections 304 (d) of the Uniform Building Code state: "Section 304 9d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the appiiccmt or destroyed by the Building Official. In order to renew action on an .application after expiration, the applicant shall resubmit plans and pay a new plan review fee." · In order to provide better service, please indicate your handling choice for the plans originally submitted and return this lett~r to the Building D~partment. _____ · Project Abandon·ed -I will pick up plans within 10 days _____ Project Abandoned -Plans may be destroyed .. ·. If you have any questions, please contact the Building Department at (760) 602-2702. Janean Hawney Building Department ... City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ~ 11-13-2002 Commercial/Industrial Permit Permit No: CB022819 . Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Proje9t Title: Applicant: Building Inspection Request Line (760) 602-2725 2180 RUTHERFORD RD CBAD Tl Sub Type: 2120702500 Lot#: $207,095.00 Constrl!ction Type: Reference #: CALLAWAY GOLF EXTE;RIOR CANOPY & SIT!;: WORK INDUST 0 NEW owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: SMITH CONSULTING ARCHITECTS STE 200 CALLAWAY GOLF CO C/0 DONALD H DYE 2285 RUTHERFORD RD CARLSBAD CA 92008 122201EL CAMINO REAL SAN DIEGO CA 92121 . (858) 793-4777 APPROVED 09/20/2002 MOP 11/13/2002 Tofal Fees: $1,529.17 Total Payments To Date: $571.48 Balance Due: $957.69 Building Permit Add'I Building Permit Fee Plan Check Add!! 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 lnspE3ctor: · $879.20 $0.00 $571.48 $0.00 .$0.00 $43.49 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFO Payoff Fee .PFF PFF (Ci=D Fund) License Tax License Tax (CFO Fund) Traffic Impact Fee Tr~ffic Impact (CFO Fund) PLUMBING TOTAL 'ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redey Parking Fee Additional Fees TOTAL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,529.17 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 setforth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with 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 service fees in connection with this project. NOR DOES IT APPLY to any t I x c i n f whi h h v r i I n iv n N Tl imil rt his r a to whi h the statute of limitations has reviousl otherwise ex ired. 1 D ef-G()?:>I lf FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. 0 1..,-.. 'Z..,~ l 'j: CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST.VAL.,~.' c,oc:J, ~~ Plan Ck. Deposit S'J /. q 8 Validated By ~ /J,P Date °t.(1-D{tn_ Lot No. Subdivision Name/Number Existin~ Use Proposed Use # of Bedrooms # of Bathrooms (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, -demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). Name Address City State/Zip Telephone# $tate License #-~~-------License Class _________ _ City Business License # _______ _ _~::::nL::e:::: ---· ------.-. -. ·-··-· Addre7'-~ £i (!,tl1//NIJ~ 5.Jj ~ .. :J!!~.,-~iJz~i~~lJZ J~-, ,~WOf!JEftS':CO_ J~ENS-J>.: ION: , · .,, .... · ., ........ , ... ,, ... -" ... · :.;: , . · · '.',. ·".,. ·.,. · ,; --·-··· '-~·.,.> ·:c < •. · ;;..._:,-.. ~-, .. ·, ... i.:'" ... · ... : · __ .• _..., • ·-'x . · --y·,,, .... , .. ,, 0;. •• .... ·: 1 Workers' Compensation Declaration: I hereby affirm under-penalty of perjury one of the following declarations: 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. O 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 Company __________________ ~_ Policy No.____________ Expiration Date _______ _ (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: Failur~ 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 ________ _ 1z::::<(o:w'r.iefi:aU11.:01:R'i:>Eci.ARATloN: ·: · .' , : . · ·:· ., : .. : . , ., ... _ ... ":"'",:·-· · ·:_-_'.: :l:;i:,:;T :":,;-:_::i·, :::\:·t> 2;.:-t1.Y·\';°2'·'.>';''.:::-.,rr~: ·''2, I hereby affirm that I am exempt from the Contractor's License Law fo~ 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 intende·d 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 lic;ensed 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(sl licensed pursuant to the Contractor's 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-cnnstruction of the proposed property improvement. D YES ONO 2. I (hav!3 / have not) signed an application for a building permit for tt,e proposed work. 3. I have contracted_with the following person (firm) to provide the proposed construction (include name / address I 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 niajor work (include name / address / phone ·number/ contractors license numberl=---------~--------------------~~-------------- 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 ________ _ 1¢oMPtEiJ'.1ITH1s sEcno·tfFot(NorM(s10EMT1tLiu11.01NG,PERN11Ts$"NtYr-:·'.;.;./· .i: :,. ·-•.• .'.':":SJ:~~,~::;,:'.'::.:··~.':.·-:·<.:·,::;.;, :··t<- 1s 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 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES D NO IFANY 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 DIS:rRICT. [sr: ;, C.9..N~TRl.!P11QNFJ;.l;NP.Jij9_,Ml;ti~'?'' 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 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 Cit~ 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. 9SHA: An OSHA permit is required for excavations over 5'0» deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every per t i sued by the building O iciai under the provisions. of this Code shall' expire by limitation and become null and void if the building or work authorized by such permit s n need wit n days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at .,,, tim• "'".,, wo, • , " 1 ao ,., (Seo ·oo 106.4.4 Urufom> a,uooag C<>de). DA TE f/ 11/PY- YELL0W: Applicant PINK: Finance 07/01/2003 SMITH CONSUL TING ARCHITECTS STE200 12220 EL CAMINO REAL SAN DIEGO CA92121 Re: Application Date: 09/20/2002 0:00:00 Plan Check #: CB022819 Address: 2180 RUTHERFORD RD Expiration Date: 09/20/2003 0:00:00 Permit Type: Tl Description: CALLAWAY GOLF EXTERIOR CANOPY & SITE WORK You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained. The original plan review application will expire as no building permit has been issued. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. The provisions of sections 304 (d) of the Uniform Building Code state: "Section 304 9d) Expiration of Plan Review Applications for which no permit is issued Within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In order to renew action on an application after expiration, the applicant shall. resubmit plans and pay a new plan review fee." In order to provide better service, please indicate your handling choice for the plans originally submitted and return this letter to the Building Department. · __ Project Abandoned -I will pick up plans within 1 O days __ Project Abandoned -Plans may be destroyed. If you have any questions, please contact the Building Department at (760) 602-2718. Raenette Abbey Building Department City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-03-2002 Commercial/Industrial Permit Permit No: CB021962 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 09/03/2002 Applicant: 2180 RUTHERFORD RD CBAD Tl Sub Type: 2120702500 Lot#: $36,360.00 Construction Type: Reference #: CALLAWAY-1212 SF CONTAINMENT PIT INDUST 0 NEW Owner: Status: Applied: Entered By: Issued: Inspect Area: 'SMITH CONSUL TING ARCH CALLAWAY GOLF CO 2285 RUTHERFORD RD CARLSBAD CA 92008 APPROVED 06/28/2002 RMA Plan Approved: Total Fees: $507.79 Total Payments To Date: $183.20 Balance Due: $324.59 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 Inspector: $281.91 Meter Size $0.00 Add'I Reel. Water Con. Fee $0.00 $183.24 Meter Fee $0.00 $0.00 SDCWAFee $0.00 $0.00 CFO Payoff Fee $0.00 $7.64 PFF $0.00 $0.00 PFF (CFO Fund) $0.00 $0.00 License Tax $0.00 $0.00 License Tax (CFO Fund) $0.00 $0.00 Traffic Impact Fee $0.00 $0.00 Traffic Impact (CFO Fund) $0.00 $0.00 PLUMBING TOTAL $0.00 $0.00 ELECTRICAL TOTAL $35.00 $0.00 MECHANICAL TOTAL $0.00 $0.00 Master Drainage Fee $0.00 Sewer Fee $0.00 $0.00 Redev Parking Fee $0.00 $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $507.79 FINAL APPROVAL Date: --------Clearance: _____ _ NOTICE: Please take NOTICE that approval of your projectincludes·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 imposiiion of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Sectlon 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 i I x i n f w i h h v ~ · n iv n N Tl E imil r his or a to which he t tut oflimitations has reviousl otherwise ex ired. r;ri)\<fi t) PERMIT APPLICATION \ ·crrv OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. --..~-"--+--.,1-..J=--i,-:;..-+H~ ----,4-,--1---t+-=', A() GoLF Legal Description '2../2.-D 70-Zo -60 Subdivision Name/Number F-:1 Assessor's Parcel# C:.oN5[]2.tx=t:/aN o"F · Description of Work Existing Use CcNTJ..\ N MW BJ:1 SQ. FT. #of Stories Proposed Use \ ootz.Y # of Bedrooms # of Bathrooms Name Address City · · State/Zip Telephone # Fax # ,~< ·":~ert.~ .. ·j[];~~iira~tgr· -~~~~~1)6~ .. D p~nR~:.1~~~~:.q~n~}::;~S~~~2,:,\,:·· .. ·::.'fS).7~~:4777 Name Address 'City tate/Zip Telephone # ~~!!t~;'k;·2.2ag··:1,~Reii=ti67i~;;:~~~i,fr~~izfig~:~j: .. ~.L;; .. ~;t½~~ftj~:r:!:·i1-ti7.:-,. Name ' Address City S.tate/Zip Telephone# i5~.t.QQ~I!f.APT~.B7C9'.M.i'ANY:'·NAME .. ..: .... ·., :. -:-·. : .· ,: :·.:,-. . ·"· .---~:<.,. ::::::::.:.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 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 alleg,ed 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 [$5001). Name Address City State/Zip Telephone# State License#-~--------License Class _________ _ City Business License # _______ _ Designer Name i. ddress f 'rr'J,,O Efl,, CA,<,I ,~ City State/~ . Teleprine State License # (!,II 10 / ___ Q · () 7'r/ ?,D (.__~ f!h>}7f/ 3 -lf77J f6,~0.J/'(QJ3JS..E.~$',~P~~~A1J'.Q.~ · .: .' .. -·.-::-··:--. ·-·---•• ..· ~-... -,;::-;,: ... , ,~ •• .,,,,_,,,~'.£..:.:.~~.-~:::;::", :·' .. y,...,, .... ,_ ,::·;_ -.:• Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. 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 compensation insurance carrier and policy number are: Insurance Company____________________ Policy No.____________ Expiration Date _______ _ :{THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) 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 ($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 __ --:----:------ \l.:::::p_'{ttjE_f!f.!}µJ,pE.i(Q!;C~M,T!O.N .. .. . • .. ...... ~ -·~ :_ , .... y ,., ;·:. --, ..... :__.._. : · .~,.:. >.. . :,_,:__; . ;__ :~ :: 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'::; 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 ~r 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 I contractors license number): 4. I plan to provide portions of the work, but I have hired the following perso_n 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): _________________ -'-----------'-------~----~---------------- ,v.\-, •"'!" ,I '.:!"' ' , '<, • • ',' ,,,.., •J', ' ,,,... '-------'' 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 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO IFANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REOU!REMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. L§~rf~W.IH~1'.l.9JHi®IN~ .. M~NCY .. ,,,:: ..... '.·.:·~::._--~~-... :. ... ·- f'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--:----:---:---:-"""""'~------,------------ t~\:. '.'. .A~~J,;.iCA!WL"¢J:llT.lf,JqA;n,9ij~·7-'· -: :-.... -:-... : ·: -::--::-:_ ., :., ... -·, : , .:..::-: ___ : ~--' ::z'.'_C:· ~:=z~:=2~ :.':::;_ :: ;; f:S:;': Lnt;>:(t,'::.' , ..... "" 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 Cit~ 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 exc!lvations 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 1 BD 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 for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~°""=-,.....,Q,..,'-7_..&-· ______________ _ WHITE: File YELLOW: Applicant PINK: Finance DATE -~...__,2f!"'-l-/~(J'-__ _ Jul 07 03 08:2Sa SmithConsultin~Architects 858-793-4787 City of Carlsbad . i-i!OGO,i41•14~ihiihi41ii 04/10/2003 SMITH CONSUL TING ARCH Re: Application Date: 06/28/2002 0:00:00 Pian Check#: CB021962 Address: 2180 RUTHERFORD RD Expiration Date: 06/28/2003 0:00:00 Permit Type: Tl · Description: CALLAWAY-1212 SF CONTAINMENT PIT You applied to have your plans checked on the date ·noted above. To date, the related building permit has not been obtained. The original plan review application will expire as no building permit has been issued. Plans submitted and· not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. The provisions of sections 304 (d) of the Unifqrm Building Code state: · "Section 304 9d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Officia!. In order to renew action on an application, after expiration, the applicant shall resubmit plans and pay a new plan review fee." Tri oroer to provide better service,--please -indicate your handling ehoice for the plans originally submitted and return this letter to the Building Department. _ Project Abandoned ~ I will pick up plans within 10 days 0roject Abandoned -.Plans may be destroyed. If you have any questions, .please contact the Building Department at {760) 602-2718. Raenette Abbey Building Department p.2 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560 @ Jul 07 03 08:25a SmithConsultin~Architec~s 858-793-4787 p. 1 SmithConsu tingArchitects MEMORANDUM Date: To: From: Regarding: SCA Project# CC: MEMO: Mike, 7/7103 Mike Peterson Andrew Tarango CB021962 Permit Application Expiration 02168.T . Mike Majors. CG (760) 930-5350 File \ I This memo is to notify you of our intent as the agent for owner to rescend our permit application for the project located at2180 Rutherford Road and referenced by the City of Carlsbad as Plan Check Number: CB-021962 . . All materials associated with this application will not be required by our office and can be disposed of. Attachment L:yxoject\02168\02168-F?Cappllcationmemo.d9C 12220 El umino Real Suite200 San Diego, CA 92.130 85a-19Hm 45&793-4787 F1111 Citv of Carlsbad Tenant Improvement Job Address: 2180 RUTHERFORD RD Permit type: Tl Status: Applied: Permit No: CB021287 EXPIRED 04/26/2002 Parcel No: 2120702500 Lot#: 0 Approved: Reference No: Issued: PC#: Inspect Area: ProjectTitle: CALLAWAY-Tl MECHNICAL UPGRADE ROOF MOUNTED Applicant: SMITH CONSULTING ARCH 200 12220 El:. CAMINO REAL SAN DIEGO CA 858-793-4777 00136104885 :BLDG PLAN CHECK ;; Owner: ·CALLAWAY GOLF CO 2285 RUTHERFORD RD $285.20 '. ---------------------- i Fees: i ----·7 ,-$836.95 1 Addition~! Fees: ; $0.00 ! Total Fees: f $836.95 I Balance: $551.75 : PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Name ame FOR OFFICE USE ONLY PLAN CHECK NoOh 2/287 EST. VAL. __________ _ •• _J)'!tal # @Binits P 285=20 # of Bathrooms Fax# State/Zip Tele hone # (ti:';; ,-~,Sel!ofiEfin'j>WN~it .. " · , ,, ·. · ... C ·, ·. -'-'--~""'-·'···"'-"---» ... ,;,,·:;:,c,;,·,,;,,,· •• : f,f:i!:',.'.-:f.·,~i~,t;~\'.'::,::A:.::Z<' .. t~-"-• :l:r/.·_'1$}f;/·'flrttl.~'7 Name Address City S,tate/Zip Telephone# (Seic. 7031.5 Business anc! 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 h!:l 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 [$5001). Name Address City State/Zip Telephone# State License# _________ _ License Class _________ _ City Business License # _______ _ ~7cotil'i §An0JrC":_:"~•,J;J,:~ (!AM'~_ :;,;;$~~~l~"!&)zq 3 ~¥J?? Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. 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 compensation insurance carrier and policy number are: l_nsurance Company ______________ """------Policy No •. ____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS} D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,0001, 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_--'--------ii{'-::;1;n1vNe11~s}Ju:oeF1:c>ecLAMt10N .. ·.. " ·--, • _:~ .. --. ,._ · · :-:· .. 0 • • _ --,. ·:::0-<':', .. 'I,. , ~-:·- Fhereby affirm that I am exempt from the Contractor's Lice_nse 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). 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 contractedwith 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, supe,rvise 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 _______ -'--_ wJ5MiflJ:inttis secnoliFoP.woN::/lmoENTIAL, au1Lo1N1HERWTQ:ON1;Y .· ~~½ J>t'.·"/'7->%"""'.'.'~+c::::~~:J ½'·.:· ,:,,, .. --: .< · ·~· .·': 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 O NO Is the applicant or futµre building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES D 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. r,.p~~---·-·· =-----~iy·--,~ .. -------,,,,_,, L~1:,i.i<t.9..~.UJ!V.~tlQ~\4~1?.lN~M9ENC-, :,,-; ::-..:.:.',;::...·, -~-:.,:_:,_;:.;,;_ :.., 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 i9('-,APPLICAl'ff'CERTlFiCATlON' · , . ' -\ ... ,' , ....... ;: ,;;-, . "" .. ~. " ," ~:;' :;_ :'.::,::_=_=,~=,;,,:;:;.__;;;· ;::_ :;;: :: .. =-__ ::;;,.= ... =,::;_ =,;;:;,,=, = .... ::.:<,;::_;:;:_::_=, ::>.:;~_=}=,,:;:: __ =.::;;::;._::,,::_.::,,1;::;;,;:,_::_ ~:;;;,_:;,,_::_ ":;_T(""'::;,,_;;:.,:::;:;-;.::.._,~,~:;:~:;;;:;::·; =.=,.=";1 I certify that I have read the application and state that the above information is correct and that the information on the _plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the 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 r quired for excavations over 5'0" deep and de olition or construction of structures over 3 stories in height. EXPIRATION: Every per it is ued b the buildi g O icial under the pro sions of this Code shall expire by limitation and become null and void if the building or work authorized by such permi is n ed wit n days from the e of such.permit or if the building or work authorized by such permit is suspended or abandoned at ariy time after the wor is 1 , ys (S tion 106.4.4 Uniform Building Code). DATE -~tl---.-~~-+=D~i,'-------- YELLOW: Applicant PINK: Finance City of Carlsbad _ i=-i!OGdii·l•l4·iUIU,i¥ihl 02/04/2003 SMITH CONSUL TING ARCH 200 12220 EL CAMINO REAL SAN DIEGOCA92130 Re: Application Date: 04/26/2002 0:00:00 Plan Check #: CB021287 .. Address.~ 2180 RUTHERFORD RD Expiration Date: 04/26/2003 0:00:00 Permit Type: Tl Description: CALLAWAY -Tl MECHNICAL UPGRADE ROOF MOUNTED You applied to have your plans checked on the date noted .above. TQ date, the related building permit has not been obtained. The original plan review application will expire as no building permit has been issued. · -Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. The provisions of sections 304 ( d) of the Uniform Building Code state: "Section 304 9d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In ord_er to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." In order to provide petter service, please indicate your handling choice for the plans originally submitted and return this letter to the Building Department. __ Project Abandoned -I will pick up plans within 10 days foroject Abandoned -Plans may be destroyed. If you have any questions, please cont~ct the Building Department at (760) 602~2718. Raenette Abbey Building Department 1635 Faraday Aven1:-1e_• Carlsbad, CA 92008-7314 • (760) 602-2700. FAX (760) 602_8560 Burldrng Counter • (760) 602-2719 • FAX (760) 602-8558 Citv of Carlsbad Tenant Improvement Job Address: 2180 RUTHERFORD RD Permit Type: Tl Parcel No: 2120702500 Lot#: 0 Status: Applied: Permit No: CB020149 WITHDRAW 01/11/2002 Approved: Reference No: Issued: PC#: Inspect Area: Project Title: CALLAWAY GOLF LOAD DOCK PLATFORM"& ADD0DOOR Applicant: Owner: SMITH CONSVLTING 12200 EL CAMINO REAL SAN DIEGO CA 858-793-4777 Fees: i $197 .59 J Additional Fees: I $0.00 l CALLAWAY GOLF CO C/0 DONALD H DYE 2285 RUTHERFORD RD CARLSBAD CA Total Fees: I ---------1 $197.59 ; Balance: $197.59 '. V PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. ci3c2lr:/fl EST. VAL. __________ _ Validated B, ______ '-7"---11-----,,--- Date ________ ~,___,"-"''-I-IY--'-- Address (include Bldg/Suite #) . Business Name (at this ,!ddress) Lot No. Subdivision Name/Number . Unit No. Phase No. Total # of units # of Bathrooms Nam · Address ~~:qpN;t,mg_,:<t.::::CoiitftWirtJiAll(IJ;. , .-. .. ·=:..,,, (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, ,!lter, 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 civirpenalty of not more tnan five hundred dollars [$5001). Name Address City State/Zip Telephone# State License# _________ _ License Class. _________ _ City Business License # _______ _ ,:::;~~1c-.~,.~.-~g~-~~t/r/JA!!!-: .. _.°,~:;-,,z,,,E;~,vrd,~~1JJ:t!Jb~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and wil! maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D I have and will maintain 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 ·Company _____ -'-~-------------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. l;~~~~~~~·-::.'_s_U_lt-,O-:e_fi;._:·o_E_C_LA ___ R_A_tl-,0-,N-. -. :-.• -. _-.. -.-.::-.. -.. -.-.-.. ,-.'-; .-.-,'.---~--, .-.. -.. -,.-~-.'-~~ . ..,-~-;'f'_:-_·:·:-,,.-."-'.-.,-.. -.• -,--DATE -----;;:::;,~.-:;-::, .. -.-...::.:,• .•.• -,;:.:...;;,.,_ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will 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). 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 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 1. have hired the following person to coordinate, supervise and provide the major work (include name I address I 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):·------~-----------------------~-------------------------- 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 Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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 POLLUtlON CONTROL DISTRICT. ~~(TRiilCTioiffEN'DiN]fAGENC-Y-:·,'" -~,,,,p7;'-"t":;:~-'ll7'~T07''~·"".'.";"l"t7f?:TI":".':~'~'?-'7~Zlc':f":~;::-:s.~ :.:pf 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 ADDRESS · I certify that I have read the application and state that the above information is co.rrect 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 Cit\' of Carlsbad to enter upon the above mentioned ·property for inspection purposes. I ALSO AGREE TO SAVE, IN.DEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXP NSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. YELLOW: ·Applicant PINK: Finance SrnithConsu tingArchitects June 28, 2002 Mike Peterson CITY OF CARLSBAD Building Department 1605 Faraday Avenue Carlsbad, CA 92009 Re: Withdrawal of Permit Application Dear Mike: This letter i$ to inform you that Smith Consulting Architects, as Callaway Golfs Agent for Owner, wishes to withdrawal an active permit application. The application was submitted on January 11, 2002 as Carlsbad Plan Check No. CB02-0149 -Load Dock Platform & Add Door for the building located at 2180 Rutherford Road. When available, SCA will pick up the plans and associated documents and dispose of them. Thank you for your time and consideration. Respectfully, · drew Tarango Senior Job Captain ART/art Enclosure: Copy of Permit No: CB020149 L:\PROJECno1fi/es\01109.t\01109to2-lt-062B02-city.doc 12220 El Camino Real Suite 200 San Diego, CA 92130 858,793.4777 858.793.4787 Fax Citv of Carlsbad Tenant Improvement Permit No: CB011460 Job Address: 2180 RUTHERFORD RD Status: Permit Type! Tl Applied: Parcel No: 2120702500 Lot#: 0 Approved: Reference No: Issued: PC#: Inspect Area: Project Title: CALLAWAY-2 EMERGENCY GENRATORS TRANSFER SWITCH WILL BE SEP SUBMITTAL Applicant: SMITH CONSULTING ARCHITECTS . Owner: CALLAWAY GOLF CO C/O DONALD H DYE 2285 RUTHERFORD RD CARLSBAD CA ABANDOND 04/18/2001 Fees: I -------·7 $1.00 i Additional Fees: · $0.00 : I Total Fees: $1.00 Balance: $1.00 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit,U- Val;dated "],'£! /, _ Date '/ , / // tf ,J Lot No. Subdivision Name/Number Phase No. Total # of units (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 tha_t 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 [$5001). Address City State/Zip Designer Name State License # ~;-_-:W.Q,Jl""K""J::,,;!t=i:;;:LC;;::· O:;:;.fd:;:"p;;:::;J:~-~;::;;.SJ:;:~-;;;;1];;;:Q::::;~::::-=. =-:_;:;-, -----·~: :·· --::--~~----. ~ , ,~, . •. ·.~ ·. -~::::.-::. -:v,-":-: ·:·<~~.:·.-.-:,· Workers' Compensation Declaration: I hereby affirm under penalty of perjury·one of the following declarations: Telephone 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. 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 compensation insurance carrier and policy number are: Insurance Company____________________ Policy No.____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) 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 ($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 ________ _ r:,~-::_·;owiiER~BUILDER Di:Cl.ARATJa'N" _ ... '.:· .... '._ ··--"---. _ .... ".':.::,=·: .. ;· -~--=~·:~:-;·> ., -~----·---~--·-·· /:,',YI,'' '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). 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 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 ________ _ HioMii1:erE'.:ti-t1s secrrjoN.'IFoR:Noil-itEs10EiltiA1. so1to1r:,G:~.e'™rts'jjfltv~ :,-~.-~ .. "'~--, · ::,,·:_: -~: . ~ .-:· · 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 O NO ls the applicant or future building occupant required to obtain a permit from the air pollution control 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? 0 YES O 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. l:ri::~:--~Q,N$J[ffJ,t9t19N::C.e~!?).N{""~9J:NCY,:::::~-::,.,::. :'L;,,r:-:::_~:;-;_~ ~3;~:;;._.s_:,.,:~,-:~p:;_: ,:·:.::..T:T:.Z1:~'~::~:.;,;~~~-£1f;~f~:-~-:''"17"": 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 ~;~~.ef!;tC~N'l1:.&J:RJiffi~"IJQ.~ ,· .. '.~7~. · . ,,/ ,, , 'd,;.: ~,~c.,.~ ·~< · .. , + ,, · · ,.,,.'.':::2:=:::::-:;=:::;=::::;::::::;:;::;:;:-::,::::::~,~ff;):;;::;;::;;;:;;;::;:=::::;-::~:::;::::;;;;::::::;;::::::;;:;::;:;:;::;:~ 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 autho ·ze representatives of the Cit~ of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE T SAVE, INDEMNIFY D KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY ANY ACCRU AINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. WHITE: File YELLOW: Applicant PINK: Finance 01/30/2002 ,J SMITH CONSUL TING ARCHITECTS Re: Application Date: 04/18/2001 Plan Check#: CB011460 Address: 2180 RUTHERFORD RD · Expiration Date: 04/18/2002 Permit Type: Tl Description: CALLAWAY-2 EMERGENCY GENRATORS TRANSFER SWITCH WILL BE SEP SUBMITTAL You applied to have your plans checked on the date noted above. T-0 date, the related building permit has not been obtained. The original plan review application will expire as no building permit has been issued. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. \ The provisions of sections 304 (d) of the Uniform Building Code state: "Section 304 9d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In· order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." In order to provide better service, please indicate your handling choice for the plans originally submitted and return this letter to the Building Department. __ Project Abandoned -I will pick up plans within 10 days __ Project Abandoned -Plans may be destroyed. If you have any questions, please contact the Building Department at (7.60) 602-2718. Raenette Abbey Building Department 05/10/2001 ,, Job Address: Permit Type: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB011459 Building Inspection Request Line (760) 602-2725 2180 RUTHERFORD RD CBAO Tl Sub Type: Parcel No: '.' i Valuation: 2120702500 Lot#: $50,000.00 Construction Type: INDUST 0 VN Status: Applied: ISSUED 04/18/2001 RMA , ::it-Occupancy Group: \fff Project Title: :· ,":' 04/25/2001 Reference #: CALLAWAY-FRST FLOOR OPEN OFFIC Entered By: · Plan Approved: ·: ,;, '. ,, ·,: PARTITION WALLS-RECONFIGURE OFFICE SPACES Issued: 05/10/2001 Applicant: SMITH CONSUL TiNG ARCHITECTS Total Fees: $678.91 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 Siz~ Add'I Pot. Water Con. Fee Reel. Water Con. Fee Inspector: Inspect Area: Owner: CALLAWAY GOLF CO 2285 RUTHERFORD RD CARLSBAD CA 92008 8918 05/10/01 0002 01 02 CGF" 678-91 Total Payments To Date: $0.00 Balance Due: $678.91 $354.19 Meter Size · $0~oo· . Add'I Reel. Water Con. Fee $230.22 Meter Fee $0.00 SDCWA Fee $0 . .00 CFO Payoff Fee $10'.50 PFF . · $0.00 P.FF (CFD Fund) $0.00 · -Licen:se Tax $0.0b --LJc~nse Tax (CFD Fund) $0.00 · Traffic Impact Fee $0.00 Traffic Impact (CFD Fund) $0.00 · PLU.MalNG TOTAL $0.00 !=Lf;CTRICAL TOTAL $0.00 MECHANICAL TOTAL $0.00 M~~ Drain~e Fee: $1.s;:,~~, ~~:;ce~iwiRj~ r·r $0.00· Additiqn~LEe..~.:.. PEm.ll~ . TOz'ill~l.ffi©E WITH U.8.( SECTivi·. -SIGNATURE. __ .. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $60.00 $24.00 $0.00 $0.00 $0.00 $0.00 678.91 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 . processingin 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 rightto 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 ou have reviousl been iven a NOTICE similar to this or as to which.the statute oflimitations has reviousl otherwise ex ired. A/t? .£ivJ~ /JI ff. /?~ff: 6 -,,t-µD ~t,M V CP-,,vtf7~ Aw rAI 1/ ,11)t,t"t4 -.. ,. ....... ~-..,. FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF·CARLSBAD BUILDING DEPARTMENT 1635~Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. eta(/ 1/.5}1 EST. VAL. :Sga::uJ/ Plan Ck. Deposit ------,.,q...-,,--- Address (include Bldg/Suite #) Business Name (at this address) Le51al Description Lot No. Unit No. Phase No. Total # of units 0 .. 25 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for, a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). Name Address City State/Zip Telephone# State License #, _________ _ License Class _________ _ City Business License # _______ _ Designer Name State License # ----f-Hf-'-'wl'-1----Address~~ ~mo ~c;t?., ~ #-,~~t~1.:~l7~::±Zl7 t~.:::::,,WQRKE,8~:'.~0"1RE --· ,AT,,(Q'r,I' "'"'~ ,, ,:,., ,:,,:-. :~.~ __ , __ ,,.,~ :,_:,:,~ .,.0: .... : ·, -~-= ,·: .. , .. ..:-.,,~:!.c';.;.~:,-;:,,,. :·;;-.~,.,,~:,::;,.;;,;,,;c·,;.:,';:;·,:;,;;·-,;,::,;, t» ,.:,<:~,-.>:.:, :,~:,,:,, : , .{~ii2:.ie\~,;,,-,.~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. D 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 Company____________________ Policy No.____________ Expiration Date _______ _ (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 ($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 _________ _ !'f, . .':'..'.::CL~&~IM1'1(p~_i;(p.i_q1;.A)J~l'JQtt . ·.::;-,,; ,,.:.::: ~, _;, :,.:.:~., ,,:,,::~r,:::·_.:,;. ;;,:_o;J~;::::U;,:f:_·,-:::_::::~t:·;:£::.02';;:~~::z:,~--, .. .,,,.,,_,::··,.·,:-""'··~~-,,;. ... ,_ ~:! I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will 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). M 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). 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 ONO 2. I (havfil / 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): __ ~.N----1---------------------------------------- 5. I will provide some of the work, but I owing persons to provide the work indicated (include name / address / phone number / type of work):. ___________ r--1---,.:.,...-ff~-h~'I--------------------------------- S--t()-D( 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? Y S ~ Nd/-vn.J-oJ-11,~ f!J()'ffflv{- ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quail y ana!e7ment 1ffi!t'f v' YES D f NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES )ia1. NO ,,4._ e :-~ r.::e,,, l11 rt IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UN~ESS THE APPLICANT1"~ rR O I 6rfJfie-- REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. tiji ::C..~9-~~J'SJ,J.C""fl9N'l:;ffiDl'iGA~E,NCY,,~-.=;~~.:._ 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_:;:;;::::;:::;:;:::::::::::;:::;:;::::::::=::;::;:::::::::::;::=:::-::::;:::=:==-.......:LE:::.N:.:D::E:..:.R';.S;_A:_::;D,:_D:,:;RE::;S:_;:S~;;:;;~:;:-:;:':;:;::-:;::::;:;:~~~:::-;-::::;;;::;:;;-:;;::;~:;:;:~::::-;;:;;=;;;;;:-::;::;:;;;;;;;,'i ~;::;APl!tlOANf CERIIFICATlONr -'·'_ ,--~-~-;, -, ,_-, ', ·: , , , · --:-· -,, -"';;~·: <''. ',:,',{:;'~7~:'~"""": :.:: i ;2::'.?.::'.,;;,'-, ' I certify that I have read the application and state that the above information is correct and that th13 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 HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WA CRUE AGAI AID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. and,de1110 · n or construction of structures over 3 stories in height. r 'the J)r ns of this Code shall expire by limitation and become null and void if the building or work cl f such permit or if-the building or work authorized by such permit is suspended or abandoned - -~~~""7"~:C..---,L._,,.!:'::__~~6.~4.-::4::.U..,ni_fo_rm..,,:::Bu=il:::di::::ng=C=o=d=e)~. -DATE ~ ,!,f3,,!,o f APPLJCANT'~ SIGNATURE +--; ~ PINK: Finance