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HomeMy WebLinkAbout2231 RUTHERFORD RD; ; CB994157; Permit) City of Carlsbad 11/30/1999 Commercial/Industrial Permit Permit No: CB994157 Building Inspection Request Line (760) 438-3101 Job Address: 2231 RUTHERFORD RD CBAD St: 102 Permit Type: Tl Sub Type: COMM Parcel No: 2120701900 Lot#: 0 Status: APPROVED Valuation: Occupancy Group: $45,024.00 Construction Type: NEW 28 Reference #: Appli-$3 W~9@eb1 01 Entered By: MOP C-PRMT Project Title: 24 HOUR FITNESS Plan Approved: 11/22/1999 1608 SF IMPROVEMENT Issued: Applicant: CHAIBUN NAYIB 1010 UNIVERSITY AVE SAN DIEGO CA 92103 619 297-1011 Inspect Area: rotal Fees: $690.72 ·; >Total Paytnents"i:o-"9Jlte: ,S:'$245:13 --.__,;/0 o ~Balance Due: ~ 7 .,.F,'if\J r\"' " \~ \ I ~ /-. . --. . ~ _,, \ \_ -~ \ 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 $0.00 $0.00 Master Drainage Fee: Sewer Fee: Redev Parking Fee: TOTAL PERMIT FEES $445.59 $0.00 $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 $690.72 FINAL APPROVAL Date: l-16 o-D Clearance: _____ _ NOTICE: Please take NOTICE Iha 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 sefforlh in Government Code Section66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 445.59 FOR OFFICE USE ONLY ~ ~~T APPLICATION . PLAN CHECK NO. Cf!-'ft S] .EST. VAL. vs I o'Z. y CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 ., ts c.. .... l, Plan Ck, Deposit '-.:!: ~ .11 Validated By --I½-. -/;jp-. ---"-~- P<Jte /l[t-1[ (jf I Address (include Bfdg~ui~e.!!.1...--~ .-1'2.ID· ~ /.,,-, _ Busin~N±tott address) ....+-t l -z,::z,:~l ~-·J-HtT~~e.D r-~ · ti'/-r v~ ..Z.. e_. f=\ 1 l'I~~ Lot No. · Subdivision Name/Number · Unit No. · Phase No. Legal 0escription ce.~~ -r-G-Y-8\·10 . 02,A Total # of units Assessor's Parcel # --Z-1 -z,,t::::7 7 t:J -I j -o 0 Existing Use Proposed Use Name Address · City State/Zip Telephone # '<'"'' ,,,,.,,, 6v','' ~·•"' ..>, ,. •< ,,,.,,,.,,,,,,+• , ....,.,..., ....... ,.,AA v < ,, <, ,, .......... ,~ :,"~< ""I-,"-• >"~ • ·-~ ,,,i.,,.,,,, ..... ~,---~---< '\".fv>~,-·, ... ~'""'.:'-"<' "•\•,"1<N<::,,./V)'1",~$,\,,...,,,,<$>":,"'1,!51:'•''':'-«~'l.<';:W',. ... ',"'.'~,.,.,<,.,.,,...y•,' ~',,,,,':"',-','-'<:.;•,<.., ~,.;•_:'!;';~""' ~ ~,zt'l:P'C?~~crr--~~-_:?>t1itUti,v~··-,e.~tuY'®VNtW:'u~:;(~2,e~-Zl.io Name ===s==-·""='""""""""'""' Address ,,,,,. .. -_,,_,,,,_,,,,_.,,,..,,-City S.tate/Zip Tef~phone # t91..~.99.t,IJ:MCJ'.'Q.ft-:W::~l?ANXNi\l\llE :::-:::'::~~-:::' ... ;;,.,_,:.:., .,.; .~ (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 fife a signed statement that he is licensed pursuant to the provisions of the Contractor's Lic~nse 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 70 1.5 by any applicant for a permit subjects ·the appliqant to a civil penalty of no ore than five hundred dollars [i..500)). ~ . 47.p. . \\7 · c;c·, 2 '0-'ZBEJtt::7 Name State License # 7f221:b Address City e/Zip · Telephone # License Class ~ City Business Lic,ense # ":{'600 ~6,Z,.. 7 Designer Name State License # Address City State/Zip. [~:-. W-ORKERS(GOMPENSAlJlON~;s:-,.· ,. ..• --:-·-----,.,.~::Z"""""':',-::z-.-, _·,r .... ,,: .:. ~-:-·-:;:~z-:-; .'· .. , 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. ~ 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 !ssued. My worker's c_ompensation insurance carrier and poli y number are: . _ · / ! Insurance Company ~' ()).}trt, 'JI. ~ Policy No.O/ K~00/'7(/:2 'Z--. Expiration Date /_, _/ L_OO (THIS SECTION NEED NOT BE COMPLETED-IF THE PERMIT IS FOR ONE.HUNDRED DOLLARS ($100] OR LESS) . / . D · that in the performance of the work for which this perrnit is i.ssued, I shall not employ any person in any manner so as ompensati Laws of California. SIGNATURE r,;:.::':}:oWNei:·ti· ·ij·i .. i_i_,iio~e~ci.:AZ:~/ili'A~;n~·o~Nf: -~.·;· ·::.~·-~~-·-c· ~--,~-~-·:~.~-.:···:--·~,-~,--;-=·:~,·~:·-~·:·~-,'..-:~~::•:_fc:::".'~'""~·tS.::.~~:'[. ,>~--,,,~,J'~·"'·}i,f.tci",l .. c·o...c~,.c.. ..... ,.· .. -·. I hereby affir hat 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 i_ntended or offered for safe (Sec. 7044, Business and Professions Code: The·Contractor's License Law aoes not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provide<l that such improvements are not intended 9r offered for safe. ff, 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 safe). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the prbje_ct (Sec. 7044, Business an<l 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 proposi:id 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 arid 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 ________ _ !COM,RLE]'E;;THfs'stcffotiFOR:NONZe)°S/DEN17AL:B(iltPiNG;iiiERMNUNi!Yf-:, · • ::,::.;:-;::.;27;·\~y§;.·~~;i;1:-c;:\,}i ~r ~)';'i:.'i,'.~y;,~, ':;;>;;i.;~'.f. :,i•. ·>' -' ," .~--~ 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 distr[ct or air qu,ifity 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 D NO iF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED !,JIIILESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENT~ OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ~....;~<t91!!.1'.R.U:~Ql!ffl.lPJN.~$~lfc.x_._ =~·=-,-.-~~- 1 hereby affirm that there is a construction fending agency for the perform·ance of the work for which this permit is issued .(Sec. 3097(i) Civil Code). l:ENDER'S NAME LENDER'S ADDRESS l~~'.;.~:Ae.Rl;l(!~Nl?.:;;·P;;;E;;;~;;;:r;;:;1,!;;;;:.IP:;;:,A:;;_ :;;;il;l;;f);_ N;;:,= .. =;_=:-=~ .• = .. =:.=::=·, _:.:, .. =. :·=:...:;::;, ,=,::::;::·.-= ... == .. :=:-=.:~=. ,;;...:::; . .;::;:;:: ,.;~;.:.;;;:..,,£ • ..i;',.;.,,~:-.::...:::,::~' '.':::,: .. t::i:-;;,, ;;:; ;:: :,· ~i ';,'\};,i;:1,,'.~:;,t;-;,~,.,: :,: .,. .\.,.:::;,;;:;1;1 ~.::r:.. ; .,;/,<',;.-.:,,:,:',.::rs,,-::: f: 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 ordinaoces 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 MAY I . Y ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. and· demolition or construction of structures over 3 storie? in height. l!J.!ll,.,l,,...,.,mu under the provisions of this Code shall expire by limitation and become null and void if the building or ithin 365 days from the date of such permit or if the building or work authorized by such permit is suspended d for eriod of 180 days (Section 106.4.4 Uniform Building Code). 4! DATE // L''l I YELLOW: Applicant PINK: Finance ., City of Carlsbad Inspection Request For: 1/11/2000 Permit# CB994157 Title: 24 HOUR FITNESS Description: 1608 SF IMPROVEMENt Type:TI Job Address: Sub Type: COMM 2231 RUTHERFORD RD Suite: 102 Lot Location: APPLICANT CHAIBUN NAYIB Owner: KILROY REAL TY L P Remarks:,. Total Time: 0 CD Description 19 Final Structural Ar Comments 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Associated PCRs lns12ection Histo!]: Date Description Act lhsp Comments 12/20/1999 19 Final Structural PA DM 12/17/1999 89 Final Combo co OM 12/13/1999 17 Interior Lath/Drywall AP OM 12/9/1999 14 Frame/Steel/Bolting/Welding AP DM 12/9/1999 34 Rough Electric AP DM 12/6/1999 14 Frame/Steel/Bolting/Welding NR OM 12/6/1999 34 Rough Electric NR DM Inspector Assignment: DM --- Phone: 6195209330 Inspector:~ Requested By: STEVE Entered By: CHRISTINE CIII of Carlsbad · Final Building Inspection _.,,...,.,.· • A.· ,. Dept: Building Engfut~i~g Planning CMWD St Lite Plan Check #: Permit#: CB994157 Project Name: 24 HOUR FITNESS 1608 SF IMPROVEMENT Address: 2231 RUTHERFORD RD #102 Lot: Contact Person: STEVE Phone: 6195209330 Sewer Dist: CA Water Dist: CA 0 .......................................................................................................................................................... Inspected ~ Date I By: Inspected: /2· 21-99 Approved: Disapproved: __ Inspected Date By: Inspected: Approved: Disapproved: __ Inspected Oat~ By: Inspected: Approved: Disapproved: __ .......................................................................................................................................................... , Comments: --,.----------------------------- ' ··'· ' . ' ~ : ' . -'··. ·, ·' .... ,., .-!-Et;-'•,~ ",;t:~:· ~:· .. : ~ .. -~-;_. ' . --·EsGil Corporation 1n Pr,z.rtne.rsliip witli (jove.mment for '.Buifaing Safety DATE: 11/19/99 JURISDICTION: Carlsbad PLAN CHECK NO.: 99-4157 SET:I PROJECT ADDRESS: 2231 Rutherford Rd. Ste. 102 PROJECT NAME: 24-Hou-r Fitness TI ~ANT ~ D PLAN REVIEWER D 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 building codes whefl 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. 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 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: • 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: -(by: ) Fax#: Mail Telephone Fax In Person D REMARKS: By: Mike Puckett Enclosures: Esgil Corporation Q GA D MB 0 EJ D PC 11/8/99 trnsmtl.dot 9320 Chesapeake Dnve1 Suite 208 + San Die~o, California 92123 + (858) 560-1468 + Fax (858) 560-1576 Carlsbad.99-4157 11/19/99 · ~ VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 99-4157 PREPARED BY: Mike Puckett DATE: 11/19/99 BUILDING ADDRESS: 2231 Ruther.ford Rd. Ste. 102 BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VN II. BUILDING PORTION BUILDING AREA VALUATION VALUE {ft.2) MULTIPLIER {$) Tenant Improvement 1,608 28.00 45,024.00 Air Conditioning Fi.re Sprinklers TOTAL VALUE. 45,024.00 .. D· 1994 UBC Building Permit Fee • Bldg. Permit Fee by ordinance:$ 377.13 D 1994 UBC Plan Check Fee • Plan Check Fee by ordinance: $ 245.13 Type of Review: D Complete Review D Structural Only D Hourly D Repetitive Fee Applicable D Other: Esgil Plan Review Fee: $ 196.11 Comments: Sheet 1 of 1 macvalue.doc 5196 -., • -• ' .,, :c ~ .~ •'• -~ ' ' " ,,., City · of Carlsbad M #1 h· ii lt=i4 Ii h· 1 •l4·ki Ii; ,t4 ,ii BUILDING PLANCHECK GHECKLIST DATE: I(/ q/¥/ PLANCHECK NO.: CB 99 '-/t57 BUILDING A6DRESS: --.::::..~::..w~:..,._0~l __,fl:'--=~"---'-....::::::¾::>-~~.=.:.....a·->-(Jd_...=.;:.....::..• _&"""'~'""""'------"l---'-0--=~;_;__ ___ _ PROJECT DESCRIPTION: .ASSESSOR'S PARCEL NUMBER: c9-tc9--070 --:(°/ EST. VALUE: ENGINEERING DEPARTMENT APPROVAL DENIAL The item you have .submitted for review has been approved. The approval is based on plans, information and/or specifications provided in your submittal; therefore any changes to these items after this date, including field modifications, must · be reviewed by this office to insure contim1ed conformance with applicable codes. Please review carefully all comments attached, as failure to comply with .instructions in this report can result in suspension of permit to build. Cl Right-of-Way permit is required priorto construction of the fa/lowing improvements: Please se~the attached report of deficiencies rnarked with . Make necessary corrections to plans or specificatio s for compliance with applicable codes and standards. Submit corrected plans and/or $pecifications to this office for review. Date: -~------ By: Date: ---------- FOR OFFICIAL USE ONLY ENGINEERING AUTHORIZATION TO ISSU~ BUILDING PERMIT: D D Dedication Checklist D . Improvement Application D Improvement Checklist 0 Future Improvement Agreement D Grading Permit Application D Grading Submittal Checklist D Right-of-Way Permit Application • D Right-of0Way Permit Submittal Checklist and Information Sheet D Sewer Fee Information Sheef Name: Date: ENGINEERING DEPT. CONTACT PERSON JOANNE JUCHNIEWICZ City of Carlsbad Address: 2075 Las Palmas Dr., Carlsbad, CA 92009 Phone: (619) 438-1161, ext. 4510 CFO INFORMATION Parcel Map No: Lots: Recordation: Carlsbad Tract: A-4 H.1woR01~175-sflia'.ig,gPlleE~f'l'<l~~a~.Fem@arlsbad, cA 9 4009-,576 • (760) 438-1161 • FAX (760) 4@.121.§W69 " 0 I 0 0 0 0 BUILDING PLANCHECK CHECKLIST SITE PLAN 1. Provide a fully dimensioned site plan drawn to scale. Show: A. North Arrow . D. Property Lines B. Existing & Proposed Structures E. Easements C. Existing Street Improvements F. Right-of-Way Width & Adjacent Streets . G. Driveway widths 2. Show on site plan: A. Drainage Patterns 1. Building pad surface drainage must maintain a minimum slope of one percent towards an adjoining street or an approved drainage course. 2. ADD THE FOLLOWING NOTE: "Finish grade will provide a minimum positive drainage of 2% to swale 5'· away from building." B. Existing & Proposed Slopes and Topography 3. Include on title sheet: ~ ~~1::P-I fao6 sv~ 4 T..:z= °"" A. Siteaddress ~ ~L~ ~r <5:1fo2-f{g.--. B. Assessor's ~a~c~I Number ~~ ~ ~ • -:t=s tGoe tj] o» C. Legal Descnpt1on \f\0-W ~ ( W~lA)i::.S ~ . f:f e.~S . 11· d . I b "Id" d t US-12-~ -¼-Wt ~ t 8 ~1 d • For commerc1a m ustna. u1 mgs an tenan 1mprovemen proJec s, me u e: total building square footage with the square footage for each different use, existing sewer permits showing square footage of different uses (manufacturing, warehous~. office, etc.) previously approved. EXISTING PERMIT NUMBER DESCRIPTION DISCRETIONARY APPROVAL COMPLIANCE 4a. Project does not comply with the following Engineering Conditions of approval for Project No._--'-~---'------------------- 4b. All conditions are in compliance. Date: _________ _ H:IWORDIDOCS\CHKLST\BuildIng Piancheci< Cklst BP0001 Form JJ.doc 2 Rev. 12/26/96 0 0 0 0 0 BUILDING PLANCHECK CHECKLIST DEDICATION REQUIREMENTS 5. Dedication for all street Rights.,of-Way adjacent to the building site and any storm drain or utility easements on the. building site is required for all new buildings and for remodels with a value at or exceeding $ ______ , pursuant to Carlsbad Municipal Code Section 18.40.030. Dedication required as follows:....,.----------------- Dedication required. Please have a registered Civil Engineer or Land Surveyor prepare the appropriate legal description together with an 8 ½" x 11" plat map and suf:?mit with a title report. All easement documents must be approved and signed ·by owner(s) prior to issuance of Building Permit. Attached please find an application form and submittal checklist for the dedication process. Submit the completed application form with the required checklist items and fees to the · Engineering Department in person. Applications will not be accept by mail or fax. Dedication completed by:____________ Date: ___ _ IMPROVEMENT ~EQUIREMENTS 6a. All needed public improvements upon and adjacent to the building site must be ·constructed at time of building construction whenever the value of the construction exceeds $ _________ , pursuant to Carlsbad Municipal Code Section 18.40.040 . . Public improvements required as follows: ____________ _ Attached· please find an application form and submittal checklist for the public improvement requirements. A registered Civil Engineer must prepare the appropriate improvement plans and submit them together with the requirements on the attached checklist to the' Engineering Department through a separate plan check process .. The completed application form and the requirements on the che~klist must be submitted in person. Applications by mail or fax are not accepted. Improvement plans must be approved, appropriate securities posted and fees paid prior to issuance of building permit. Improvement Plans signed by: _________ _ Date: ---- 6b. Construction of the public improvements may be deferred pursuant to Carlsbad Municipal Code Section 18.40. Please submit a recent property title report or current grant deed on the property and processing fee of $ _______ so we may .prepare the necessary Future Improvement Agreement. This agreement must be . signed, r,qtarized and approved by the City prior to issuance of a Building permit. Future public improvements required as follows: H:\WORDIDOCS\CHKLST\Bu1lding Plancneck Cklst BP0001 Form JJ,doc 3 Rev. 12/26/96 • Q' '- ., • .. 1 st;t 2nd.I 0 0 0 0 0 Q 0 0 0 o· 0 0 0 3rc1.r 0 0 0 0 BUILDING PLANCHECK CHECKLIST 6c. Enclosed please find your Future. Improvement Agreement. Please return agreement signed and notarized to the Engineering Department. Future Improvement Agreement completed by: Date: 6d. No Public Improvements required. SPECIAL NOTE: Damaged or defective · improvements found adjacent to building site must be repaired to the satisfaction of the City Inspector prior to occupancy. GRADING PERMIT REQUIREMENT.$ The conditions that invoke the need for a · grading permit are found in Section 11.06.030 of the Municipal Code. ?a. Inadequate 'information available on Site Plan lo make a determination on grading requirements. Include accu·rate .grading quantities ( cut, fill import, export). 7b. Grading Permit required. A separate grading plan prepared by a registered Civil Engineer must be submitted together with the completed application form attached. NOTE: The Grading Permit must be issued and rough grading approval obtained prior to iss_uance of a Building Permit. Grading Inspector sign off by: Date: --'--.-'--------- ?c. Graded Pad Certification required. (Note: Pad certification may be required even if a grading permit is not required.) ?d.No Grading Permit required. ?e.lf grading.is not required, write "No Grading" on plot plan. MISCELLANEOUS PERMITS 8. A RIGHT,;,OF-WAY PERMIT is required to do work in City Right-of-Way and/or private work adjacent to the public Right-of-Way. Types of work include, but are not limited to: street improvements, tree trimming, driveway construction, tieing into public storm drain, sewer and water utilities. Right-of-Way permit required for: H:\WORD\DOCS\CHKLSnBuik!1ng Plancheck Cklst BP0001 Fann JJ.doc BUILDING PLANCHECK CHECKLIST 4 Rev. 12/26/96 ,. I- 2nd/' 3rd/' . a a 9. A SEWER PERMIT is required concurrent with the building permit issuance. The fee is noted .in the fees section on the following page. Q· Cl 10. INDUSTRIAL WASTE PERMIT If your facility is located in the City of Carlsbad sewer service area, you need to contact the Carlsbad Municipal Water District, located at 5950 1::1 Camino Real, Carlsbad, CA 92008. District personnel can provide forms and assistance, and will check to see if your business enterprise is on the EWA Exempt List. You may telephone (760) 438-2722, extension 153, for assistance. q Industrial Waste permit accepted by: Date: a 11. NPDES PERMIT Complies with the City's requirements of the National Pollutant Discharge Elimination System (NPDES) permit. The applicant shall provide best maaagement praytices to reduce surface pollutants to an acceptable level prior to discharge to sensitive areas. Plans for such improvements shall be approved by the City Engineer prior to issuance of grading or building permit, whichever ~ occurs first. ~ a . 12. a ~fee~ are attached ~ 1~~; ~equired . Additional Comments:. H:IWORD\DOCSICHKLSnBuikling Plancheck Cklst BP0001 Fenn JJ,doc 5 Rev. 12128/96 1 ., ., ;;; co C C ~ I I >->-.c .c ~! "' .. "" ~ u ., J::. u C: "' a: ., ;;; C PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST . . Address ,z:z::b( g.;'7r{;-J ,jl::{bZ Phone (619) 438-1161, extension l.flfi; Type of Project & Use: .. .-.-~ Net Project Density:, ____ ---::D:;..::U~/~A=C;... Zoning: (;;--VV\, . General Plan: G Facilities Management Zone: ___ 5 ____ _ CFO lin/nutl # ~ate of participation: -Remaining net dev acres-;-- Circle One ------- (For non-residential development: Type of land used created by this permit: ______________________ ) Legend: ~ Item Complete ©J Item Incomplete -Needs your action ~ D D Environmental Review .Required: YES Nd TYPE ___ _ DATE OF COMPlETION: ______ _ Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: ~ D D Discretionary Action Required: YES NO TYPE ---- APPROVAL/RESO. NO.-----DATE ___ _ PROJECT NO. _________ _ OTHER RELATED CASES:---------------------- Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: -~--------------------- .Z--D D Coastal Zone Assessment/Compliance Project site located in Coastal Zone? . YES NO CA Coastal Commission Authority? YES NO If California Coastal Commission Authority: Contact them at -3111 Camino Del Rio North, Suite 200, San Diego CA 92108-1725; (619) 521-8036 Determine status (Coastal Permit Required or Exempt): Coastal Permit Determination Form already completed? YES If NO, complete Coastal Permit Determination Form now. Coastal Permit Determinatio'1 Log #: Follow~Up Actions: NO 1 ) Stamp Building Plans as '!Exempt" or "Coastal Permit Required" (at minimum Floor Plans). 2) Complete Coastal Permit Determination Log as needed. ~DD ~DD ~DD lnclusionary Housing Fee required: YES NO (Effective date of lnclusionary Housing Ordinance -May 21 , 1993 .) Data Entry Completed? YES NO (A/P/0s, Activity Maintenance, enter CB#,tcmlbar, Scree~using Fees, Construct Housing YIN, Enter Fee, UPDATE!) . ' ' Site Plan: 1. Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines. 2. Provide legal description of property and assessor's parcel number. Zoning: -~ D D 1. Setbacks: Required ______ _ Shown Front: -------Interior .Side: .Required -------Shown -------Street Side: Required _______ _ Shown -------Rear: Required ---------Shown -------aro D 2. Accessory structure setbacks: Front: Required Shown Interior Side: Required Shown Street Side: Required Shown Rear: Required Shown Structure separatio,:t: Required Shown ~D D 3. Lot Coverage: Required Shown ~, ~D D 4. Height: 'Required Shown 5. Parking: Sp~ces Required ______ _ Shown ------- ~uest Spaces Required ______ _ Shown ------- Additional Comments -------------------------- OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTE j Carlsbad Fire Department 990425 2560 Orion Way Carlsbad, CA 92008 Fire Prevention (760) 931-2121 Plan Review Requirements Category: Building Plan Reviewed by: Date of Report: 11/09/1999 -------------,--- Name: COOPER ROBERTS & CO Address: 1010 UNIVE;RSITY AV C203 City, State: SAN DI EGO CA 92103 Plan Checker: Job #: 990425 Job Name: 24 Hour Fitness Bldg #: CB994157 ---------------------Job Address: 2231 Rutherford Rd Ste. or Bldg. No. 102 .~ Approved D Approved Subject to D Incomplete Review FD Job# ------ The item you have submitted for review has been approved. The approval is based on plans, information and I or specifications provided in your submittal; therefore any changes to these items after this date, including field modifications, must be reviewed by this office to insure continued conformance with applicable codes and standards. Please review carefully all comments attached as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements. The item you have submitted for review has been approved subject to the attached conditions. The approval is based on plans, information and/or specifications provided in your submittal. Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements. Please resubmit to this office the necessary plans and/ or specifications required to indicate compliance with applicable codes and standards. The item you have submitted for review is incomplete. At this time, this office cannot adequately conduct a review to determine compliance with the applicable codes and / or standards. Please review carefully all comments attached. Please resubmit the necessary plans and/ or specifications to this office for review and approval. 1st 990425 2nd FD File# 3rd Other Agency ID 01/10/2000 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: NAYIB CHAIBUN Total Fees: City of Carlsbad Plan Check Revision Permit No:PCR99302 Building·lnspection Request Line (760) 438-3101 2231 RUTHERFORD RD CBAD PCR 2120701900 $0.00 CB994157 Lot#: O Construction Type: 1111 24 HR FITNESS-ADD WALL-OFFICES $55.oo / I I Status: ISSUED Applied: 12/17/1999 Entered By: RMA Plan Approved: 01/07/2000 Issued: 01/10/2000 Inspect ~ 01/10/00 0001 01 02 G-PRMT 55°00 $55.00 I l Plan Check Revision Fee! ~( Inspector: \ \ ' l 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 thi_s permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has previously otheiwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 ~ct CAC/Jz,L// s 1 ,PERivllT'APPLllCATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE Q*!-1 PLAN CHECK NO. ty(qcr ]tJ2._ EST. VAL. _________ _ Plan Ck. Deposit--------- Validatr,J,.SY ~ Date r IQ( ff' Business Name (at this addressl-.-,...Q... C>. :z..~~ Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units P'7' ~~ --ra &\-ID oZ6, Assessor's Parcel# 2 t)O Existing Use Proposed Use ~~mfi~~~;;.riif;iiilw&:i"~~iD¥tf ;:~: ~'so~BMIX~~-T c~:'=--~, ~:'.;~J,:~::c-v~·:~c,J:J,'B•'f~~ -u, (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 Professiqns-Code] or that he is exempt therefrom, and the basis for the alleged exem tion. 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 # _________ _ f~; ,.,~QjftfEf\W7 ¢."6.Ml[l\isAr.lQN" :,:~ :m ,:;: ,,_,, :,,, :: ,, ,, :: ', , ;~-;,.::.: ::_ ,.,;;;., ... \ ·_ ,. _ .,::'::= ~·-~~;?~, . ..:::::::::;:.::_-:::::-1::::z.:: ;;-,;:i 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 Co.de, for the performance of the work for which this permit is issued. ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the, performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company____________________ Policy l'Jo.____________ 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 su.bject 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 attorn~y's fees. SIGNATURE._____________________________ DATE ________ _ 1,2::low.«ER~~vJJ:Pl;.a. 0g¢bA11At!Q~· :.. . -~;· ::'.. ::·:, .·'.:.: .. ··: ~~,: : : :::::.~.:..::::::ri::c~-"i-:0~::~~';':,,':::.:\,:,~r1:,:,:~2:::·1~£: :r:Ds£~·.:-::·,·:1:~~?' 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 Profession~ 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 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 _________ _ tiQ1vi~~~t1trl:tlt>.-$.~¢r10~ ·FQ~:MPMYl~$to.Eiit1AL A!lt~!itl'!<tr~Rr.;!J.§ '.Q~~v::-r:~:,~-·~.::::~~ "::_,~~~-,-::::&:.t::;::2:'~.ITfl~.'.:Zrt~F:5:13 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 Is the applicant or future-building occupant requirl;ld to obtain a permit from the air .pollutii;m 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? tJ 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. liC;.J~Ql'l~ffiQC:fiQ~t;e__tJpu~:1~~Aq~t{<;xy ~, ,N> ;') 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 ordinani;:es 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 llll"o¥-IN-.IWJY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required f EXPIRATION: Every permit iss authorized by such permit is n at any time after the work is PINK: Finance DATE: 12/29/99 JURISDICTION: Carlsbad EsGil Corporation 1.n Partnersliip Witli (jovernment for 'BuiUing Safety PLAN CHECK NO.: PCR 99-302(Orig. 99-4157) SET: I PROJ~CT ADDRESS: 2231 Rutherford Road - PROJECT NAME: 24 Hr. Fitness TI-Plan Revision D A~~NT c::o:JufilL D PLAN REVIEWER Q-.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 building 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. 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 The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. 0 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: Date contacted: (by: ) Mail Telephone Fax In Person D REMARKS: By: Mike Puckett Esgil Corporation D GA D MB D EJ D PC Telephone #: Fax#: Enclosures: 12/20/99 trnsmtl.dot . 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 ., -# Carlsbad PCR 99-302(Orig. 99-4157) 12/29/99 L • VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Mike Puckett PLAN CHECK NO.: PCR 99-302(Orig. 99-4157) DATE: 12/29/99 BU_ILDING ADDRESS: 2231 Rutherford Road BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: III-N I BUILDING PORTION I BUILDING AREA VALUATION VALUE (ft.2) MULTIPLIER ($) Plan Revision N/A See Comments See Comments _ Air Conditioning Fire Sprinklers TOTAL VALUE See Comments D 199 UBC Building Permit Fee D Bldg. Permit Fee by ordinance: ·$ 0 199 UBC Plan Check Fee O Plan Check Fee by ordinance: $ Type of Review: D Complete Review D Structural Only • Hourly D 'Repetitive Fee Applicable D Other: Esgil Plan Review Fee: $ 43.58 Comments: Esgil Fee=½ hr. at $87.15 = $43.58 Sheet 1 of 1 macvalue.doc 5196 PLANNING/ENGINEERING APPROVALS RESDENTIAL ADDfflDN MINOR . (<$10.000.DO> ·oTHER -~ }-~-~ . PLANNER ________ _ • TENANT:~MPROVBIENT PLAZA CAMINO REAL . CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE ~FFICE ~UILDING DATE ------ DATE 1cy1~ 1 '-.I ., ., ~· iii C I I I I >, >- .~ .c "' .. -"' " ., -= u C: ., ii: "' iii C PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. RS:@@ 91-{3t;)2. Planner M @tftv-:,. APN: c;,2/;),-o ?O- Type of Project & Use: ~ =-f""-:r:=- Zoning: o-vtA. General Plan: -- Address p:;2,3} -~. f§?L Phone (619) 438-1161, extension 1/lfJf Net Project Density: __ -___ --=D...;::;U;.:..;/ A;..a..:C'-- Facilities Management Zone: ___ S ____ _ CFO lin/n11tl # . '...-----Date of participation: -Remaining net dev acres: · -~•o~ ---- (For non-residential development: Type of land used created by this permit:. ____________________ } Legend: ~ Item Complete ©J Item Incomplete -Needs your action ~ D D ·Environmental Review Required: YES Nd TYPE ___ _ DATE OF COMPLETION: ______ _ Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: f0_ D D Discretionary Action Required: YES NO TYPE ---- APPROVAL/RESO. NO ...... · _____ DATE ___ _ . PROJECT NO.------------- OTHER RELATED CASES: ___________________ _ Compliance with conditions or approval? If not, state conditions which require action. · Conditions of Approval: ---------------..--------- ¢-o q Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES NO CA Coastal Commission Authority? YES NO If California Coastal Commission Authority: Contact them at -3111 Camino Del Rio North. Suite 200, San Diego CA 92108-1725; (619) 521-8036 Determine status (Coastal Permit Required or Exempt): Coa.stal Permit Determination Form already completed? YES NO If NO, complete Coastal Permit Determination Form-now. Coastal Permit Determinatiof'1 Log #; Follow-Up Actions: 1} Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans}. 2} Complete Coastal .Permit Determination Log as needed. :(ELD D ' ' . ~DD ~-D D lnclusionary Housing Fee required: YES NO {Effective date of lnclus1onary Housing Ordinance -May 21, 1993.) Data Entry Completed? YES _ NO _ . (A/P/Ds, Activity Maimenance, enter CB#, toolbar, Screens, Housing Fees,.Construct Housing YIN. Enter Fee, UPDATE!! Site Plan: 1. Provide a fully dimensional site .p_lan drawn to scale. Show: North arrow, property lines, easements, existing and proposed ·structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines. 2. Provide legal description of property and assessor's parcel number. Zoning: 1 . S'etbacks: Front: Required ______ _ Shown -------Interior Side: Required -------Shown -------Street Side: Required ______ _ Shown -------Rear: Required _· _____ _ Shown ------- U\1. -D' D 2. Accessory structure setbacks: Front: Required Shown --------------Interior Side: Required -------Shown -------Street Side: Required -------Shown -------Rear: Required -------Shown -------Structure separatio".1: Required ______ _ Shown ------- ~ io D 3. Lot Coverage: Required------ . •· 1-: Shown ------- [ID D O 4. Height: ·Required _____ _ Shown ------- [t21 D .D 5. Parking: Sp~ces Required ______ _ Shown -------Guest Spaces Required ______ _ Shown -------rn. D D Additional Comments ______________________ _ OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTE