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Home My WebLink About2234 RUTHERFORD RD; 100; CB081574; Permit)' City of Carlsbad 08-14-2008 · 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB081574 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 2234 RUTHERFORD RD CBAD St: 100 Tl Sub 1:Ype: COMM 2120612600· Lot'#: . 0 Status: $0.00 Construction Type: NEW Applied: Reference #: Entered By: 24 HR FITNESS-DEMO T-BAR GRID Plan Approved: & TILE, REMOVE 4 NON STRUCT PARTION WALLS SEE CB081563 Issued: Inspect Area: Plan Check#: Owner: R C P FUNDING CORP ISSUED 08/14/2008 LSM 08/14/2008 08/14/2008 TSA CONTRACTING INC. 4350 EXECUTIVE DR SUITE 301 C/O GROSVENOR INVESTMENT MGMT US 1600 MARKET ST #1310 SAN DIEGO 92121 858-784-3650 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 $0.00 $0.00 $0.00 $1:00 $0.00 $0.00 $0.00 $0.00 -'$0.00 $0.00 $0.bO $64.00 $0.00 $0.00 $0.00 PHILADELPHIA PA 19103 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.i TOTAL . MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees HMP Fee TOTAL PERMIT FEES Total Fees: $65.00 Total Payments To Date: $65.00 Bal~nce Due: Inspector: Clearance: $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 ?? $65.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition• ciffees, dedications, reservations, pr 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 protesi and any other required information with the City Manager for processing in accordance with Cartsbad Municipal Code Section 3.32'.030. Faiiure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. City.bf Carlsbad 1635-FaradayAv~.0Carlsbad, CA 92008 760-602-~7;1.7 / 2718/ 2719 i=ax: 760-602-8558 Building Permit Application BEDROOMS DESCRIPTION OF WORK: (Plea,e dNcrlbl ,, .. ,nt UH and piopo,ed UH) l:r/Z .. /./) #BATHROOMS Plan Check No. Q.B _Est.Value Plan Ck. Depos_lt Date TYPE OF CONST. DCC.GROUP e.ss BUILDING AREA (SF) . ADDITION AREA (SF) -PATIQS(SF) DECKS(SF) FIRE SPRINKLERS YES D NOl:;l CITY -STATE ZIP ·p FAX 'EMAIL OWNER_NA -ADDRESS CITY . STATE ZIP -CITY STATE ZIP PHONE FAX PHONE FAX . !;MAIL -EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIQ.# _ STATEl:§''+'1J ~ ~ CITY BUS. LIC.# /~';?--Id-:~ /Sec. 7031.5 Busineisand Profesiions-Coddny O!l:or Col•tr. wMdi rtqMiffl a pnit w COIIS"1!Ct, alllljl)~~ MIIIGlislt or~ any structure. prior to ifs issuana, also requires the aJ)plicant-lor iuch permit to file a signed statement that he is -rKerised__p_unuant,to the pmisions of die (qntiictoi's Liceme law {Cllapter 9, ..._, widl Section 700IJ ol DiYisiol 3 oldle·lusiness and Pro1es'iions'Code} or that-he is.exempt·thereli'om, and the ba111 for the alleged 'exemption. Any-violation of Section 7031.5 by any applicant for a pen111t subjects die a,pbt tu ciYil peulty of not IIOrt dlu five huidrtd dolan {$500}). _ . . _ _ · WORl<ERS' COMPENSATION ·Workera' Coinpt111_1t_1on Dlcllrltlon: / hereby affirm under penally of pe{jtfY one-of the following deplaratiol)s: CJ I have and wiU maintain a certificate or consent to self:.Jnsure for workers' (10!llp8l1S8tio as provided by Section 3700 of the Labor Code, for the performance of the work for ~hich this permit is issued. Cl ·I have and,will maintain workers' ·compenaation, as iequired by Section 3700 or the Labor: Code, for the performance of the W9fk·for which this permit Is issued. My workers' compensation insurance carrier and policy number.are: s~~ ~ -'7 ~ ...,, . I 1..0 e. 'Insurance Co. ---(_ ,,.-JC ·rL+::fl p .. -PolicyNo. -, .., -~·fJOO ;>, ExpirationDate __ ~/f. ___ , __ _ This section need not be coiri~t~ if the permit.is,for one hundred doUn ($100) or less. --- Cl Certlflcite·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 fo become subject to the Workers' Compensation Laws of Qaiifornia. WARNING: F1lh!11 to 111CU11 wo mpenutlon c:o · 11111 unlawful, and I 1ubject an 11111Ployerto crlmJi\11 penlltles and clvll flnt1 up to one hundred thou11nd dollars (&100,000), In addition to the colt of compen11t1cin, d provlcl ,In . 3706 o ,, ~ and 11tomey'1 tee,. • / DATE 1 r ' y-.-e) I hereby affirm that I am exempt froni Contractor's Licenu law for the follcTtNiilg reason: q I, as owner oft~ property or my empk>yees 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 Lji:ense Law_ does not ap-ply to an owner of property who_ builds or Improves thereon, and who does suc;h work hirriself or through his own employees, provided that s0ch lmptO¥ements are not intended or offered for sale. lf,.however, the_buildifll! or improvement is sold within one ye• of compleli9n, the owner-builder will h~e the'!>tJr!lan of proving that he did not b_uifd or improve for the purpose of sale). , Cl I, as owner of !he property, an exclusively conlracting with licensed contractors to constructthe project (Sec. 70«, BL!Siness and Professions Code: The Contractor's LJcense Law does_ not apply to an owner·of property who builds orimproves thereon, and contracts for such projecta with conlraclor(s) licensed pursuantto the Contractor's Ucense Law). ti I am exempt under Section __ -,-_Business and Profelslons Code for this reason: 1. I personally plll!l to provide the major labor and rnaterias for construction or the proposed propertyiinptovement. -Cl Yes Cl No 2.1:(have / have not) signed an·l!f)plication for a bufldf~ permit for the proposed work. 3. I have contracted with,the.foUowiog person (firm) to provide the Pfl)posedconslruction (include name address/ phone/ contractors' license number): 4. I plan to j:,rovid' (lOllions of.the work, but I have-hired the following person to coordinate, supervise and provide the m*>r work (include name/ address/ phone/ contractors' license number): 5.-1 will provide some of the work, but 1-have contracted (hired) the following ·persons to ~ide the work indicated (include name/ address/ phone/ ty_pe of work): ..@S'PROP.E~ OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future_building occupant required to submit a µuslness P.(an, acutelr_hazardous·materiills registration form or:risk (llanagement and prevention program under Sections 25505, 25533 or 25534 of the , Presley,Tanner Hazardous Substance Accoynt Acrl Cl Yes Cl No . · Is_ the applicant or.future building _occupant required to obtain a permit from the air polluti9n conlrol d_istrict or air quality management district? Cl Yes Cl-No Is the facility to be constructed wilf1in 1,000 feet of the outer boundary of a school site? Cl Yes Cl No . _ IF ANY OF THE ANSWERS ARE YES, A FINA_L CERTIF!CATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLJCANT HAS ~ET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 1-certify ihat I hll'/e read the application and state thai the aoove information is c9rrect and thi the inforpiation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building con.strucllon. -. _ I hereby aut!Jorjze representative of the City of ~~ad to enter.upon the abovti mentioil9:d property for inspecti9n purposes.J ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAl,NST ALL LIABILITIES, ~UDGMENTS, COSTS AND ~PENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSH,A: .An OSHA permit is required for' excavations over 5'0' deep and demolition or construction of structµres over 3 stories In height - EXPIRATION: Every permitissued by the Building Official under the provis' of thisCoQe shall.expire by-limi~n and'become null and void if the building or work avthortzed by such permit is not comme_nced within 1~0 days from !tie date of such perm1t or if the ilding or work authori such permit is sus ed or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building ~ ~-~--- ..@S' APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 10/16/2008 Permit# CB08157 4 Inspector Assignment: Title: 24 HR FITNESS-DEMO T-BAR GRID Description: & TILE, REMOVE 4 NON STRUCT PARTION WALLS SEE CB081563 FOR FUTURE Tl Type:TI Job Address: Sub Type: COMM 2234 RUTHERFORD RD Suite: 100 Lot: 0 Location: OWNER RC P FUNDING CORP Owner: Remarks: e.MJ~LEASE ( :J Total Time: CD Description Act Comments Phonel7Y:-- lnspector· . /L Requested By: REED Entered By: JANEAN 14e, f-t Frame/S'.""1/Bolting/Welding ~ ~ O F' tJ Irv' ~ --,-~ . ...L.:..fl/0-=-· --=-----~--- comments/Noti~ds Associated PCRs/CVs Original PC# Inspection History ,Date Description Act lnsp Comments Storm Water Compllance Exemption Form I am applying to the City of Carlsbad for the following type(s) of construction permit: R_suilding Permit D· Right-of-Way Permit D My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types: ~roject qualifies as NO THREAT and is exempt from the requirement to prepare a storm ___ _ water pollution prevention plan (SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat Assessment ---... Worksheet for Determination of Construction SWPPP Tier Level. I certify to the best of my knowledge that the above checked . statements are true and correct. I understand and acknowledge that even though this project does not require preparation of a construction SWPPP, I must still !fdhere to, and at af/ times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to title 15 of the Carlsbad Municipal Code and to City Standards. Electrical Fire Additional .Fire Alarm Fixed Systems Mechanical Mobile Home Patio/Deck Re-Roofing Sign Spa-Factory Made Sprinkler Water Discharge No Threat Project Assessment Criteria My projecfis in a category of permit types exempt from City Construction SWPPP requirements (see City's list of Permit Types Exempt from Construction SWPPP requirements and/or does not meet any of the High, Moderate or. Low Threat criteria described above. City Concurrence: ~S ONO Assessor Parcel No. Project Storm Water Threat Assessment Criteria* Tier 1 • Low Threat Assessment Criteria D My project does not meet any of the Significant or Moderate Thr~at criteria, is not an ex~mpt permit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 -Moderate Threat Assessment Criteria D My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a .slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Constructionwill be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 -Significant Threat Assessment Criteria D D My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or My project is part of a phased qevelopment plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, D My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). *The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted.