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Home My WebLink About2180 RUTHERFORD RD; ; CB161197; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB161197 Building Inspection Request l,.ine (760) 602-2725 Job Address: 2180 RUTHERFORD RD CBAD Permit Type: Tl Sub Type: COMM Status: ISSUED Applied: 03/28/2016 Entered By: SLE Parcel No: 2120702500 Lot#: 0 Valuation: · Occupancy Group: $62,261.00 Construction Type: 3A Reference# Plan Approved: 05/03/2016 Issued: 05/03/2016 Inspect Area Plan Check #: Project Title: CALLAWAY: 1,360 SF Tl FOR MODIFICATIONS TO EXISTING RESTROOMS/ LOCKER ROOMS Applicant: SMITH CONSULTING STE 125 13280 EVENING CREEK DRS SAN DIEGO CA 92128-4696 858-793-4 777 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'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 Expedidted Plan Review $463.15 $0.00 $324.20 . $0.00 $0.00 $17.43 $0.00 $().00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $3.00 $0.00 Total Fees: · $1, 165.43 Total Payments To Date: Owner: CALLAWAY GOLF CO 2180 Rl,JTHERFORD 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 TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fee& HMP Fee Green Bldg Standards Plan Chk TOTAL PERMIT FEES $1,165.43 Balance Due: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $219.00 $89.00 $49.65 $0.00 $0.00 $0.00 $0.00 ?? ?? $1,165.43 $0.00 Inspector: FINAL APPROVAL Date: 'l-1~ -·/p Clearance: ------ N:JTICE: Rease~ t,.OTICE that c:WM ct yar ptjErl irdLmS !re "lnµl3ition" ct fees, d:dcatioos, resavatioos, or cther exa::tioos hereafter cdletiilA=ly retena:f to as ''fees/exa::tioos." Yoo ha\e 00 days fran tre date tlis pemit vas iSSlECI to prctest inµl3ition ct ttese fees'exa::tioos. If yoo prctest tran, yoo rrust fdlcwtreprctest p:ron.res setfath in Q;\emm Qx:e Section ffi'.l2CXa), a"d filetre prctest a"d ar!'/ door r.x:,Jre::t infooration wth tre Oty IVl3r'laJSrfor p-ocessirg in a:mtla ce wth Ca1sba:l M.ridi:a Qx:e Section 3.32.CID. PcilLre to tirrely fdlcw.that p-oo:rl.re v.111 oor ar!'/ ~ lega a::tion to attad<, reiieN, set asioo, \tid, or aru their inµl3ition. Yoo a-e rerecy FLRn-ER t,.OTJRB) that yar rigt to prctest tre sperifia:l fees'exa::tioos-OCES t-Or PPPL Y to water a"d ret.er cxroadion fees ard ecµdty c:J,a-g:Js, tu plrnrg, zairg, ga::irg or cther sinilcl' ~icalion ~rg or savioa fees in cxrra::tion wth tlis ptjErl. !\CR OCES IT PPPL Y to acy · wi · · ·n;1 otli wi trestatut ctlinitati tm ·oosi · JHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OFIRE 0HEALTH 0HAZMAT/APCD Ccityof Carlstiad JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov 2180 Rutherford Road SUITEf/SPACEf/UNIT# Plan Check No. (!-6 I LP l l q =f. Est. Value lo 2 ~ I - Plan Ck. Deposit SWPPP 070 -25 00 CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS CONSTR. lYPE OCC. GROUP Callaway Golf Ill B-F1-S1 DESCRIPTION OF WORK: Include Square Feet AIN(•) 1_,360 s.f. tenant improvement within an existing 255,293 s.f. building with modifications to toilet, shower and locker rooms. locker rooms, shower rooms and toilet rooms. Associated mechanical, plumbing and electrical work is part of this permit. EXl~NG USE PROPOSED USE GARAGE (SF} PATIOS(SF} DECKS(SF} FIREPLACE YESQ, AIR CONDITIONING FIRE SPRINKLERS Restroom/ Locker Room tstroom/ Locker Ro 0 0 0 No[Z] YES [!]No D YES(!] NOD APPLICANT NAME 3EaY·.&PaMn Rochelle Samaw_i-SCA PROPERTY OWNER.NAME Callaway Golf ADDRESS ADDRESS 13280 Evening Creek Drive. Suite 125 2180 Rutherford Road CITY STATE ZIP CITY STATE ZIP San Diego CA 92128 Carlsbad CA 92008 PHONE PHONE FAX (858) 793-4777 (858) 793-4787 (760) 931-1771 (760) 930-5650 EMAIL -EMAIL rochelles DESIGN PROFESSIONAL - ADDRESS 13280 Evening Creek Drive. Suite 125 . CITY STATE ZIP CITY San Die o CA 92128 PHONE FAX 858 794-4777 858 793-4787 EMAIL STATE UC.# C11.407 (Sec. 7031.5 Business and Professions Code: Any Cify or County which requires a ~rmit to construct. alter, improve, demolish or repair any structure, prior to its issuance, also re!juires the applicant for such permit to file a signed statement ttlat he is licensed-pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the ~u~iliess an!l 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 c1v1I penalty ofnot more than fJVe_ hundred dollars ($500}). _ 0W$@m@m~,-1r es·· .. ••~~~:;:::-:-----:--~--:-------,--:---:----:-,-:-:-,----,-,...,......,"'"""7 Work,~' Comptl1Sltlon Declaration: / hereby affirm under penalty of petjury Dl1fl of Iha following declarations: D I have and will maintain I certificate of coilaent to Mlf-l11111re for 'M>lke!s' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. ~ I have and will maintain workers' ~aatlon, as 1'8Quired by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation injrance !:er and policy numberare:lnsuranceCo. e:,\~~cil PolicyNo. A] c..w';S'G:,"6'L..\ \ ExplrationDale ]; I LJt ~ section need not be completed if the permit Is rtA-one hundred dollars ($100) or less. -1 l LJ Certificate of Exemption: I certify that In the perfonnance of the work for which this permit is Issued, I shall not employ any person in any manner so as tc, become subject to the W011<ers' Compensation Laws of California. WARNING: Failure to IIClll't workn' compensation cowrage II unlawful, and shall subject an employer to criminal penaHles and clvll fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for oe of thl Labor code, inttmt and attorney's fffl. RS CONTRACTORSIGNATURE ----. OAGENT DATE I hereby affirm that I am exempt from Conlracto(s License Law for Iha following /8850/1: 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 l!Jal he did not build or Improve for the purpose of sale). D I, as owner of the property, am exclusively contracting with icenaed contraclOls to construct the project (Seq. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and conlracls for such projects with contraclor(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 lo provide the major labor and materials for construction of the proposed property improvement DY es ·Oo 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) lo provide the prop0l8d construction Qnclude name ~dress/ phone/ contractors' licensa number): 4. I plan to provide po!lions of the work, but I have hired the following person lo coordinate, supervise and provide the major work Qnciude name/ address/ phone / contractors' licensa number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated Qnclude ll8f!l8 /address/ phone / type of work): RS PROPERTY OWNER SIGNATURE 0AGENT 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 under Sections 25505, 25533 or 25534 of the , Presley-Tanner Hazardous Substance Account Act? Yes .t No Is the applicant or future building occupant required to obtain a permit from the air pollution control dJs\rict or air quality management district? Yes .t No Is the facility to be constructed within 1,000 feet of the ouier boundary ofa school site? . Yes .t No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affinn that there is a construction lending agency for the perfonnance of the work this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the applicatio11 and state that the above infonnation 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 representative of the City of Car1sbad 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, JUDGMENT STS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: kl OSHA permit is required b' ca · over:s·o· deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by Bui ing Officicll under the PFQ · · of is Code shall expire by limitation and become null and void if the building or WOik authorized by such permit is not commenced within 180daysfroril the date of such pe · orif building orWO!ka · su rmltissuspendedo onedatanytimeaftertheworkiscommencedforaperiod of180days (Section 106.4.4 Unifonn Building Code) . ...@) APPLICANT'S SIGNATUR DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY /Commercial Projects 0 n I y I Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed fonn 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. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Usted above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) ASSOCIATED CB# CO~TRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION ..@$' APPLICANT'S SIGNATURE DATE ,Inspection, List Permit#: CB161197 Type: Tl Date Inspection Item ------·- 08/15/2016 89 Final Combo 08/15/2016 89 Final Combo ,07/22/2016 39 Final Electrical 07/22/2016 39 Final Electrical 06/20/2016 85 T-Bar 06/09/201.6 17 Interior Lath/Drywall 06/01/2016 84 Rough Combo 05/25/2016 44 Rough/Ducts/Dampers 05/20/2016 21 Underground/Under Floor Tuesday,August16,2016 COMM Inspector ___ Act RI PB AP PB NR PB NR PB CA PB AP PB PA PB AP PB AP CALLAWAY: 1,360 SF Tl FOR MODIFICATIONS TO EXISTING RESTROO Comments ---------- AM PLEASE/ NRR Page 1 of 1 EsGil Corporation In <Partners/Up witli (]ovemment for <BuiCding Safety DATE: 4/21/16 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 16-1197 SET: II PROJECT ADDRESS: 2180 Rutherford Rd PROJECT NAME: Callaway Golf Locket Room -TI ,p APPLICANT ~URIS. CJ PLAN REVIEWER CJ FILE ~ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when· minor deficiencies identified below are reso.lved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil Corporation until corrected plans are submitted for recheck. D Tl1e applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant cqntact person. D The applicant's copy of the check list has been sent to: ~ EsGil Corporation staff did not advise the applicant that the plan check has been completed. D EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted,;----('\~Telephone#: Date contacted:.----> (bye}:)) Email: Mail Telephone Fax In Person D -R~.MARKS: By: Doug Moody Enclosures: EsGil Corporation D GA D EJ D MB D PC 4/14/16 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 EsGil C·orporation In <Partners/Up wit/i. government for CBui(aing Safety DATE: 4/8/ 16 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 16-1197 SET:I PROJECT ADDRESS: 2180 Rutherford Rd PROJECT NAME: Callaway Golf Locker Room-TI CJ ,.).PPLICANT _,g{ JURIS. CJ PLAN REVIEWER CJ FILE D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. [8J The check list transmitted herewith is for your information. The plans are being held at EsGil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: D EsGil Corporation staff did not advise the applicant that the plan check has been completed. [8J EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Rochellle Samawi Telephone#: 858-793-4777 _2ate coptacted: 41 fJ (by:Y'\y Email: rochelles@sca-sd.com ~ail V Telephone Fax In Person D REMARKS: By: Doug Moody EsGil Corporation D GA D EJ D MB D PC Enclosures: 3/31/16 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 City of Carlsbad 16-1197 4/8/16 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: 16-1197 . OCCUPANCY: B/Fl/S1 · TYPE OF CONSTRUCTION: IIIN ALLOWABLE FLOOR AREA: SPRINKLERS?: Yes REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 3/28/16 DATE INITIAL PLAN REVIEW COMPLETED: 4/8/ 16 FOREWORD (PLEASE READ): JURISDICTION: City of Carlsbad USE: Locker Room ACTUAL AREA: 1360 STORIES: 1 HEIGHT: OCCUPANT LOAD: 14 DATE PLANS RECEIVED BY ESGIL CORPORATION: 3/31/16 PLAN REVIEWER: Doug Moody This plan review is limited to the technical requirements contained in the California version of the International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Code sections cited are based on the 2013 CBC, which adopts the 2012 IBC. The following items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 105.4 of the 2012 International Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan she.et number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. City of Carlsbad 16-1197 4/8/16 Please make all corrections on the original tracings, as requested in the correction list. Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all corrected sets .of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring one corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. 1. Each sheet of the plans must be signed by the person responsible for their preparation, even though there are no structural changes. Business and Professions Code. 2. Please correct the wall legend, indicate on the plans the wall type and reference the appropriate construction details. 3. Provide a section view of all new interior partitions. Show: a) Method of attaching top and bottom plates to structure. (Please provide the structural sheets referenced in the detail). b) Show height of partition and suspended ceiling, and height from floor to roof framing or floor framing. 4. Provide a section view of the new hard-lid ceilings. Show: c) Type, size and spacing of studs. Indicate gauge for metal studs. Specify manufacturer and approval number or indicate "to be ICC approved". d) Method of attaching top to the structure and lateral bracing. 5. Please provide a completed L Tl-02 form consistent with the lighting plans. 6. Show on the plan that ground-fault circuit-interrupter protection complies with NEC Art. 210-8 All 125-volt, single-phase, 15-and 20-ampere receptacles installed in bathrooms shall be protected. Advisory Note : When alterations, structural repairs or additions are made to an existing building, that building, or portion of the building affected, is required to comply with all of the following requirements, per Section 11 B-202.4: City of Carlsbad 16-1197 4/8/16 • A primary entrance to the building and the primary path of travel to the altered area, must be shown to comply with all accessibility features. • The path of travel shall include the existing parking. • Please address the following comments that are the result of the alterations. 7. Show on the site plan the complying disabled accessible path of travel from the disabled accessible parking spaces to the primary entrance of the tenant space. Please provide detailed plans of the path of travel, indicate slope and width, any pedestrian ramps, curb ramps, walks, handrails, provide dimensioned parking stall details etc. 8. Please correct the plans to show the new bench to comply with Section 11 B- 903.2 and show the required clear floor space positioned at the end of the bench seat and parallel to the short axis of the bench. 9. Please provide the specification for the accessible water closets showing a compliant 24" deep water closet or revise the plans to show the 60" in front of the water closet plus the water closet depth minimum of 90" and not 84". To speed up the review process, note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, ~tc. Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located in the plans. Have changes been made to the plans not resulting from this correction list? Please indicate: Yes Cl No 0 The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Doug Moody at Esgil Corporation. Thank you. , City of Carlsbad 16-1197 4/8/16 [DO NOT PAY-THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PREPARED BY: Doug Moody PLAN CHECK NO.: 16-1197 DATE: 4/8/16 BUILDING ADDRESS: 2180 Rutherford Rd BUILDING OCCUPANCY: B/Fl/S1 BUILDING AREA Valuation PORTION (Sq.Ft.) Multiplier Tl 1360 45.78 Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdk:tion Code cb By Ordinance Bldg. Permt Fee by Ordnance Plan Oleck Fee by Ordinance Type of Review: [:] Complete Review Reg. VALUE Mod. D Structural Only ORepetitive Fee ,.. Repeats 0 Other D Hourly EsGil Fee ____ ,Hr.@• Comments: ($) 62,261 62,261 $458.69! $298.151 $256.871 Sheet 1 of 1 macvalue.doc + ~ «1~ ~ CHY OF CARLSBAD PLANNING DIVISION BUILDING PLAN CHECK APPROVAL P-29 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.eov DATE: 3/29/2016 PROJECT NAME: TENANT IMPROVEMENT PROJECT ID: PLAN CHECK NO: CB161197 SET#: 1 ADDRESS: 2180 RUTHERFORD RDAPN: ~ This plan check review is complete and has been APPROVED by the PLANNING Division. By: VERONICA MORONES A Final Inspection by the PLANNING Oivision is required D Yes ~ No You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. D This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check APPROVAL has been sent to: eds@callawaygolf.com For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLAN:NING 7ij();-~0;2-4610 D Chris Sexton 760-602-4624 Chris.Sexton@carlsbadca.gov D Gina Ruiz · 760-602-4675 Gina.Ruiz@carlsbadca.gov ~ Veronica Morones 760-602-4619 Veronica.Morones@carlsbadca.gov ., ', ., .. D Chris Glassen 760-602-2.784 Christopher.Glassen@carlsbadca.gov D Greg Ryan 760-602-4663 Gregory.Ryan@carlsbadca.gov D Val Ray Marshall · D Cindy Wong 760-602-27 41 760-602-4662 ValRay.Marshall@carlsbadca.gov Cynthia.Wong@carlsbadca.gov D Linda Ontiveros 760-602-2773 Linda.Ontiveros@carlsbadca.gov D Dominic Fieri 760-602-4664 Dominic.Fieri@carlsbadca.gov Remarks: INTERIOR TENANT IMPROVEMENT OF 1360 SQ Ff. NO CHANGE IN PARKING, BUILDING SQUARE FOOTAGE. Shay Even From: Sent: To: Cc: Subject: Good morning Rochelle, Amber Ressmer Wednesday, March 30, 2016 10:56 AM ROCHELLES@SCA-SD.COM Building CB161197 CALLAWAY GOLF, 'CB161197 plan does not require Carlsbad Fire Department fire plan review. Thank you, Amber · Cagr.-of Carlsbad Amber Ressmer Fire Prevention Office Specialist City of Carlsbad i635 Faraday Ave Carlsbad, CA 92008-7314 www.carlsbadca.gov P 760-602-4665 I F 760-602-8561 1 OFFICE USE ONLY SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE RECORD ID# ________________ _ PLAN CHECK# __________________ I BP DATE I Business Name Callaway Golf Business Contact Mike Majors Telephone# (760) 931-1771 Project Address 2180 Rutherford Road City Carlsbad state CA Zip Code 92008 APN# 212-070-25-00 Mailing Address-Same City State Zip Code Plan File# Project Contact Ed Salinas -Callaway Golf Applicant E-mail eds@callawaygolf.com Telephone# (760) 931-1771 The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT -HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (not required for projects within the City of San Diego): Jndicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are circled, applicant must contact the Fire Protection Agency with jurisdiction prior .to plan submittal. Occupancy Rating: Facility's Square Footage (including proposed project): 1. Explosive or Blasting Agents 5. Organic Peroxides 9.. Water Reactives 13. Corrosives 2; Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None ofThese. 4. Flammable Solids 8. Unstable Reactives 12. Radioactives PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION (HMO): If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 11 O, San Diego, CA 92123. Call (858) 505-6700 prior to the issuance of a building permit. FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy: D CalARP Exempt YES NO (for new construction or remodeling projects) / D .12:f Is your business listed on the reverse side of this form? (check all that apply). Date Initials 1. 2. 3. 4. 5. 6. 7. 8. D JZl' Will your business dispose of Hazardous Substances or Medical Waste in any amount? D J2I' Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? D .0' Will your business store or handle carcinogens/reproductive toxins in any quantity? D ~ Will your business use an existing or install an underground storage tank? D ~ Will your business store or handle Regulated Substances (CalARP)? D J2I' wm·your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? D 0' Will your business store petroleum In tanks or containers at your facility with a total facility storage capacity equal to or rester than 1,320 allons? California's Above round Petroleum Stora e Act • 0 CalARP Required I Date Initials 0 CalARP Complete I Date Initials PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): Any YES* answer requires a stamp from APCD 10124 Old Grove Road, San Diego, CA 92131 apcdcomp@sl:lcounty.ca.gov (858) 586-2650). [*No stamp required if Q1 Yes and Q3 Yes and Q4-Q6 No]. The following questions are intended to Identify the majority of air pollutionJssues at the planning stage. Projects may require additional measures not identified by these questions. For comprehensive requirements contact APCD. Residences are typically exempt, except -those with more than one building+ on the property; single buildings with more than four dwelling units; townhomes; condos; mixed:.commercial use; deliberate bums; residences forming part of a larger project. rExcludes garages & small outbuildings.] YES NO 1. J2l' D Will the project disturb 160 square feet or more of existing building materials? 2. D J2l' Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. 3. .!2J' 0 _ (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance Technician? 4. D J2l' (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification may be required 10 working days prior to commencing asbestos removal. 5. D 0' Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet (www.sdapcd.org/info/facts/permits.pdf) for typical equipment requiring an APCD permit. 6. D .12f (ANSWER ONLY IF QUESTION 5 IS YES) Will th~ project or associated construction equipment be located within 1,000 feet of a school bounda Briefly describe business activities: Loe r, shower & toilet rooms riefly describe proposed project: ocker, shower & t et rooms g best of ~Y knowledge and bel ft --1-1.J.-'-'U.f.~--+~W-l~ar,..;;...-----.;;1::.::;31,t~~~~~::';-;±.j---J1~ I /J;, Date FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:. ____________ --,-___________________ _ BY· DATE· I I EXEMPT OR NO FURTHER INFORMATIO~ REQUIRED RELEASED FOR BUILDING PERMIT Bi.IT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMO* APCD COUNTY-HMO APCD COUNTY-HMO APCD *A stamp in this box only exempts businesses from completing or updating a Hazardous M~tenals Business Plan. Other permitting requirements may still apply. HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY Date 03.24.16 Business Name Callaway Golf Street Address 2180 Rutherford Rqaq, Carlsbad, CA 92008 Email Address eds@callawaygolf.com PLEA$E CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) ~ Check all below thaJ are present at your facility: Acid Cleaning Ink Manufacturing Nutritional Supplement/ Assembly Laboratory Vitamin Manufacturing Automotive Repair Machining/ Milling Painting / Finishing Battery Manufacturing ' Manufacturing Paint Manufacturing Biofuel Manufacturing Membrane Manufacturing Personal Care Products Biotech Laboratory (i.e. water filter membranes) Manufacturing Bulk Chemical Storage Metal Casting/ Forming Pesticide Manufacturing / CarWash Metal Fabrication Packaging Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing Chemical Purification Electroplating (including precursors) Dry Cleaning El~ctroless plating Porcelain Enameling Electrical Component Anodizing Power Generation Manufacturing Coating (i.e. phosphating) Print Shop Fertilizer Manufacturing Chemical Etching / Milllng Research and Development Film / X-ray Processing Printed Circuit Board Rubber Manufacturing Food Processing Manufacturing Semiconductor Manufacturing Glass Manufacturing Metal Powders Forming Soap/ Detergent Manufacturing Industrial Laundry Waste Treatment/ Storage SIC Code(s) (if known):---------------------- Brief description of business activities {Production/ Manufacturing Operations):. _____ _ Description of operations generating Wastewater (discharged to sewer, hauled or evaporated): Estimated volume of industrial wastewater to be discharged (gal/ day): _______ _ List hazardous wastes generated (type/ volume): ______________ _ Date operation began/or will begin at this location: ______________ _ Have you · d for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes No If yes, when=-------------------- --1---,..,----,:.+-,1--....,.,..-------Title. _________ -.,---- Signaturr.,.;<-,""'"*"""""'~~-1--+------Phorte No. ,q 50 ~ 7 ~ 3 ~ 4,,1"1'} ENCINA · TY, 6200 Avenida Encinas Carlsbad, CA 92011 (760) 438M3941 FAX: {760) 476-9852 \ \ \ I 3-2&-tL, 0 -zq--1t_p 4-\~-ll.9 4!.:id-')10 161 a/ll.t> ljl.vfl1ur~ ;J V'flt> ~ ~ -;:~ ·f-8 ~q ~ e f' c . c;,~ 1@ K) 0-..9pu c_o.ni\-~~tf\ed -fu:JN.r =rt. O\re__d-\'--\ -to e~1...,) Q:71~ -t--.J w( ~ ,IJJ{,) _.::L, Final Inspection required by: O Plan O CM&I O Fire 0 SW 01SSUED Approved Date BUILDING L.J,/v/1~. PLANNING ?-. --;-a-,,,, ENGINEERING FIRE Expedite? y N l .lr7 t? DIGITAL FILES Recwired7 y N -. HazMat APCD Health For,:ns/Fees Sent Rec'd Encina 'A--29:-Jt,, Fire HazHealthAPCD ~?l;':;-Jt /I - PE&M ~99:-/',4 School Sewer Stormwater Special Inspection CFD; y N LandUse: Density. lmpArea: FY: Annex: · .PFF: y N. '-Comments . Date Date Date Building 4 -5 -'-/l_p Planning Engineering Rre Need? t"' -'ln,rro...a,wr 1 ~-o .. I ClCV. By ~ f)rr-, \jµ kJ0.9)0::-']«a' . 0 (\j\ - Due? By y N y N y N y N y N y N y N y N Factor: ' Date ~one CJ Done CJ Done CJ Done ... -·-·----------------------:--------------------· .. ------