HomeMy WebLinkAbout2250 RUTHERFORD RD; ; CB100694; Permit•. ,.\ City of Carlsbad
04-28-2010
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Permit No: CB100694
Building Inspection Request Line (760) 602-2725
Job Address: 2250 RUTHERFORD RD CBAD
Permit Type: Tl Sub Type: COMM
Parcel No: 2120611700 Lot#: 0 Status: ISSUED
Valuation: $8,470.00 Construction Type: NEW Applied: 04/20/2010
Occupancy Group: Reference#: Entered By: KG
Project Title: MERCEDEZ BENZ-REMODEL EXISTING Plan Approved: 04/28/201 O
2 BATHROOMS AND KITCHENETTE-CONVERT ONE BATHRM TO ADA Issued: 04/28/2010
Applicant:
PRECISION CARPENTRY INC
STEB
2620 TEMPLE HEIGHTS OR
OCEANSIDE 92056
760 945 3700 X 111
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Plan Check Discount .
Strong Motion Fee
Park Fee
LFM Fee
Bridge Fee
BTD#2 Fee
BTD #3 Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Pot. Water Con. Fee
Meter Size · ,.j..._~
Add'I Pot. Water Con. Fee ~;;;;-
Reel. Water Con. Fee .,.,_,,..:, ,(,,..
Green Bldg Stands (SB1473) Fee ,. \~ ', (::/1
Fire Expedited Plan Review ~!,,,,,.) ~~-9 <;>~ f..,,o~co/ ~ N <$" ~~~-
Total Fees:
Inspect Area:
Plan Check#:
Owner:.
MERCEDES-BENZ RESEARCH&DEVEL NORTH AMERICA INC
Ci.0' SHELDON SLACK
:2250 RUTHERFORD RD
CARLSBAD CA 920()8
$108.71
$0.00
$70.66
$0.00
$0.00
$L78
$0.00
$0.00
$0.00
$0'.00
$0.00
. $0.00
. $0.00.
$0.00 ..
$0.Qd
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWAFee
CFD Payoff Fee
PFF (3105540) ·
PFF (,4305540)
Licen~e Tax (3104193)
License Tax. (4304193)
Traffic Impact Fee (3105541)
Traffic Impact Fee (4305541)
PLUMBING T.OTAL
ELECTRICAL TOTAL
MECHAN°ICA.L TOTAL
Master Drainage Fee
Sewer Fee •
$0.00 Redev Parking Fee
$0.00; .1:: Adaiti'onaliFees
$1.00 ·;HMP:Fee
· .$0.00
TOTAL PERMIT FEES
$243.15 Balance Due:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$41.00
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
??
$243.15
$0.00
Inspector: ~ FINALA~P~AL
Date: -t, I I 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
fees/exactions of which vou have nrevio11slv h=n aiwm a NOTICF similar to this or as to which the statute of limitations has nreviouslv otherwise exnired.
I
CT/PRO~ECT # LOT#
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
Plan Check NoC,;
Est. Value
PHASE# # OF UNITS # BEOROOMS ·# BATHROOMS TENANT BUSINESS NAME
Mf//-G€!)£1,. 15aJ-z.
.DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
/Ze'MOOl;I-
!
EXISTING'USE PROPOSED USE . GARAGE (SF.) PATIOS (SF) .DECKS (SF) FIREPLACE
CCM /A.er /l.,,U4t.-~~,4 YES O #_. -. NO D
CONTACT NAME (ff Different Fom App/leant) APPLICANT NAME
·AODRESS ADDRESS
'2..(1)2-0 ?'ti"N.Pt.E"' l/€l6HTS"
CITY STATE ZIP ZIP
CONSTR. TYPE
,Jc.,.
STATE CJ.: 'i z.:o"S(p
PHONE FAX PHONE ·FAX
. 7VJO 45 '3700 71po
EMAIL EMAIL. . .
[Z.DfJN~ @
PROPERTY OWNER NAME It< {f'l,..,,C4!f{) ~'1...--CONTRACTOR BUS. NAME
ADDRESS
STATE GllY STATE ZIP
PHONE FAX .PHONE FAX ~If
EMAIL 'EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# CLASS CITY BUS. LIC.#
IZ-2.'177&,
(Sec. 703:L.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 issu.ance, also requires th!;! applicant for such permit to file a signed statement tliat he is licensed pursuanrto the pr9visions 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 live hundred dollars ($500]). ·
Workers' Compensation Declaration: / hereby affinn under penalty of perjury one of the following declarations:
~ave and will maintain.a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor €ode, for the performance of the work-for which this perm it is issued.
~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance o e work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. . . . . l'olicy No. _ _._«:....>~-'-'*''------~-Expiration Date IJ o--z,,,e. -' -.
This section need not be completed if the permit is for one hundred dollars ($100) or less.
D Certificate of Exemptio11: I certify that in the perfonnance of the work for which this permit is issued, t 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 asjrovided f n Section·3706 of the Labor code, interest and attorney's fees.
AS CONTRACTOR SIGNATURE ~a',,{_ '"' .. . . o AGENT
I hereby afiinn that I am exempt from Contractor's Ucense Law for the following reason:
0 1,.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 Contracto(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 qwn 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 ~uild or improve for the purpose of sale).
CJ .J, as owner of the property, am exclusively contracting with licensed contractors to construct the proje.ct (Sec. 7044; Business and Professions Code: The Contracto(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 Contracto(s License Law).
,l:J I am exempt under Section ___ __cBusiness 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 Cl No
2. t (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (finn) to provide the proposed construction (include name address I phone/ contractors' license number):
4. t 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/ contraclors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons.to provide the work indiC!lted (include name I address/ phone/ type of work):
A$ P.ROPERTY OWNER SIGNATURE 0AGENT DATE
l '
· Is the applicant or future building. occupant required to submit a business pla!J.,8Cutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? CJ Yes .,ti.No / ·
Is the applicant or future building occupant requi~ to obtain a permit from the air pollution control district or air qual!!Y management district? CJ ·Yes '2f No
Is the facility to be cpnslructed within 1,000 feet of the outer boundaiy of a school site? CJ Yes ~o
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.
! certifythatl have read the application and state that the aboYe iroom\ation isconectand that the information on the plans is accurate. lagreetocomplywith all City ordinances and State laws relating to building construction.
I hereby authorize representative of the_ City of Carlsbad b enter upon 1he above mentooed property for inspection purposes. I ALSO AGREE TO SAV~. INDEMNIFY AND KEEP HARMLESS THE GllY OF CARLSBAD
AGAINST ALL LIABIIJTIES, JUDGMENTS, COSTS AND EXPENSESWHICH MAY IN ANYWAYACCRUE·AGAINST SAID CITY IN CONSEQUENCE 0FTHE GRANTING Of THIS PERMIT.
OSHA: An OSHA pemilt is required for excavations over 5'0' deep and demol~ or constructioh of structures over 3 stories in heighl
EXPIRATION: Eveiy pennit issued by the Building Otli;ial under the prcwisions of this Code shall expire by Imitation and become nuli ancl void if lhe builaing or work authorized by such permit is not commenced v.ithin
180 days from the date of such pem,it or if the buiding or work .. r by such pennlt is suspended or abandoned at any time after the work is commenced fora peood of 180 days (Section-106.4.4 Unifonn Building Code) •
...@S°APPL1cANT'ss1GNATuRE ~ ~tfY,) ~ DATE 4-,..,. -t,o-~ / tJ
City of Carlsbad Bldg Inspection Request
For: 07/19/2010
Permit# CB100694 Inspector Assignment: TP ---
Title: MERCEDEZ BENZ-REMODEL EXISTING
Description: 2 BATHROOMS AND KITCHENETTE-CONVERT ONf
BATHRM TO ADA UNISEX
Type:TI
Job Address:
Suite:
Location:
Sub Type: COMM
2250 RUTHERFORD RD
Lot: O
APPLICANT PRECISION CARPENTRY INC
Phone: 7602772523
Inspector: _{}_
Owner: MERCEDES-BENZ RESEARCH&DEVEL NORTH AMERICA INC
Remarks:
Total Time:
CD Description Act Comments
Requested By: PRESTON
Entered By: CHRISTINE
19
29
39
49
Final Structural
Final Plumbing
Final Electrical
Final Mechanical
L~-"------'---'-------
~-f~--,-------~-----
Ii// -------------
~--~-,----------------
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
SW090110 ISSUED MERCEDES-BENZ;
Inspection History
DatE_! Description Act lnsp Comments
05/28/2010 14 Frame/Steel/Bolting/Welding AP TP
05/28/2910 34 Rough Electric AP TP
,::.I!\
• City of Carlsbad
IUILDING DIPAanllNT
1635 Faraday Avenue, Carllbad, CA 92008
Phone: 78CMI02-7541/ Fu: 780-802-85U
Plan Checll Comments / 2007 Codes
To:
Fu:
Phone:
+ Pfew make c01Tect1one· refarred to bebw and rw1 TWO new prfnta. If [Id maru are on
pl-•apart af thla Pfan Check reapon141 plew return rad mned Ht wiih the new prfnta. + Thia la• BUILQINQ REVIEW ONLY. Commenta or approval do not apply to any other City
apartment review. For lnt'annatlan an the atatue af approval from other department. pleue
contact ataff 071CM02-2717 / 2711 / 2711.
i-..:
I~' -~ I
.,
PLANNING/ENGINEERING APPROVALS
PERMIT NUr,,IBER CB100694 DATE 4/20/10
ADDRESS 2250 RUTHERFORD RD
RESIDENTIAL ADDITION-
MINOR (<17,000.00)
RETAINING WALL
VILLAGE FAIRE
POOUSPA
TENANT IMPROVEMENT
COMPLETE OFFICE BUILDING
OTHER REMODEL INTERIOR BATHROOM AND KITCHENETTE-NO
EXPANSION, NO CHANGES IN USES
PLANNER GINA RUIZ
ENGINEER~
11:\ADMIN\ COUNTER/PLANNING /ENGINEERING APPROVAIS
DATE 4/21/10
DATE 4/2--s/1 i)
HOUSING ACCESSIBILITY
CENTERLINE
Of: FIXTURE
CENTERLINE
OF
FIXTURE
CENTERLINE
OF
FIXTURE
~ I ,o, I hiti7 ~ FLUSH
ACTIVATOR
ON WIDE
SIDE
~]j
FLUSH
ACTIVATOR
ON WIDE SIDE _ __._,,,11
----
\
' I
I
I
/
0
18
MIN.
32' MIN
TO EDGE
OF WATER CLOSET
SINGLE-ACCOMMODATION TOILET FACILITY ACCESSIBLE WATER CLOSET COMPARTMENT
WITHIN A MULTIPLE-ACCOMMODATION TOILET FACILITY
38' MIN GRAB BAR
SIDE ELEVATION
THESE DIAGRAMS ILLUSTRATE THE SPECIFIC REQUIREMENTS OF THESE REGULATIONS AND ARE INTENDED ONLY AS AN AID 'FOR BUILDING DESIGN AND CONSTRUCTION
FIGURE 11A·9B
,t.
406 2007 CALIFORNIA BUILDING CODE
-~
( J ~·
(~
-__ ..,,/
(:?\ ~/
, --.::-,-...,.
( : ·• 1) \......:/
('". \
~--
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS QUESTIONNAIRE
Business Name · M~oVL----Business Contact
MON 11'-4-
MailinQ Address ~lb(A. r;" City
o·FFICE USE ONLY
UPFP# ______ _
HV# _________ _
BP DATE _ _.__=/ __ _
()
Plan File#
' Project Contact JZ.o N Telephone#
7<,o
The following questions represent the facility's activities; NOT the specific project description.
PART I: FIRE DEPARTMENT-HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFiCATION: Indicate by circling the item, wh.ether your business
· will use, process, or store any of the following hazardous materials. Jf any of the items are circled, applicant must contact the Fire Protection Agency with
jurisdiction prior to plan submittal.
1. Explosive or Blasting Agents
2: Compressed Gases
3. 'Flammable/Combustible Liquids
4. Flammable Solids
5. Organic Peroxides
6. Oxidizers
7. Pyrophorics
8. Unstable Reactives
9. Water Reactives 13. Corrosives
10. Cryogenics 14. Other Health Ha~ards
11. Highly Toxic or Toxic Materials 15. None of These.
12. Radioactives
PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEAL TH -HAZARDOUS MATERIALS DIVISIONS (HMD): If the answer to any of the
questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 1255 lmpe_rial Aven1:1e, 3m floor, San Diego, GA 92101.
Call (619) 3~8-2222· prior to the issuance of a building permit
FEES ARE REQUIRED. Expecfed Date of Occupancy: _____ !_-,-___ ! __ _
t.
2.
3.
YES NO ·
D e:r:-1s your business listed on the reverse side ofthis form? (check all that apply). D ~ Will your business dispo~e of Hazardous Substances or Medical Waste in any amount? D ~ Will your business store or hanqle Hazardous Substances in quantities equal to or greater than
_/55 gallons, 500 pounds, 200 cubic feet, or carcinogens/reproductive toxins-in any quantity?
4. ti (!f _)Nill your business use an existing or install an underground storage tank?
5. [I [ii"" Jv'ill your business store or handle Regulated Substances (CalARP)?'
6. d I:il-""Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)?
·0 CalARP Exempt
I
Date Initials
0 CalARP Required
I
Date Initials
0 CalARP Complete
I
Date ·Iniiials
PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT: If the answer to any of the questions below is yes, applicant must contact the Air
Pollution Control District (APCD), 10124 Old Grove Road, San Diego, CA 92131-1649, telephone (858,) 586-2600 prior-to the issuance of a bujlding 6r demolition
permit. Note: if the answer to questions 3 or 4 is yes,. applicant must also submit an asbestos notification form to the APCD at least 10 working days prior to
commencing demolition or renovation, except demolition or renovation of residential struct1,1res of four units or less. Contact the APCD for more-information.
YES
1. D
2.
3.
4.
D
D
D
~ . ·12f V\'ill the subject facility or construction activities ·indude operations or equipment that emit or are capable of emitting an air contaminant? (See the
· APCD·factsheet at http://www.sdapcd.org/info/facts/permits.pdf, and the list-of typical equipment requiring an APCD permit on the reverse side
. of-this from. Contact APCD if you have any questions). D (ANSWER ONLY IF QUESTION 1 ·Is YES) Will the sabject facility be located within 1,000 feet of the outer boundary of a school (K through 12)?
(Public and private schools may be found after search of the California School Directory at http://www.cde.ca.gov/re/sd/; or contact the
_ _,,appropriate school district). ·
[B"" )Nill there be renovation that involvei; handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos?
[!I-" Will there be demolition involving the removal-of a load supporting structural member?
Briefly describe.business activities:
A~:1o·Mo'11 ~ t::> g-<; 11,,J ,:::.Art:Avl, y
Briefly describe proposed project:
SA71f-/Jt;r;11A-i Jt--rr~~&;.77E /U?' /Ubl>F"L-
I decla/2!~~ perit\J,!f ~ry that to the best of my knowledge anc;t belief t es~o"/)s made herein ·are true and correct. -L/ I VJ / -zt;>/t:J
Name of owner or Authorized Aijent Signature of Owner or Authorized Agent Date
FOR OFFICIAL USE ONLY:
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: ___ --'---------------------------BY: _______________________ _ DATE: __ .,_/ __ _,_/ __ _
EXEl\!PT (?R NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HMO APCO COUNTY-HMO APCO COUNTY-HMO APCO
..
HM-9171 (04/07) County of San Diego -DEH -Hazardous Materials Division
CB100694 2250 RUTHERFORD RD
MERCEDEZ BENZ-REMODEL EXISTING
'J RIITl-lRnnM~ 111\ln 1<1Tr.l-ll=Nl=TTi=-r.nNVl=RT ONF
lf-XJ-{T) -({)»11)1,"Tu Sfrm, ,-Id~ \
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-------
Approved _ . DatE:
BUILDING 't/~4>/ro
PLANNING Cf ..).,I-I 6
ENGINEERING wjSW a-1..3-10
FIRE Expedite? y N 'fl Ill
I I
HazMat '(l_)-0-lO
APCD
Health
Forms/Fees Sent Rec'd
Encina U-)A-(0 .
Fire
HazHealthAPCD <-\-Ll'I-/ 0
PE&M U-'1.A _, n
School
Sewer .
Stormwater
Special Inspection,
CFO: y N
LandUse: Density: lmpArea: FY:
PFF: y N
Comments Date _ Date Date
Building 'f,/p./10 4 /i.~Jo
Planning I (
Engineering
Fire
Need? Ctn _, _, '7";, w~ ~--;~
V {/
/ -
DCV
Bv
~
--k
~ ~
/_,j, ~
/
LU,,,
/
Due? By
y N' Y1A
y N 0
y N
y N
y N
y N
y N
y N
Factor: .
Date
DDone
Doane
ODone
ODone
D90ne
,,.
~
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, ..
,<'
~
I
General Contractor:
Precision Carpentry Inc.
2620 Temple Heights Dr. #B
Oceanside, CA 92056
760-945-3700
fax 760-945-5881
Contractors Lie #B-681547
Carlsbad Lie #1229776
Client: ,.,t:-o e.~0" Mercedes-Benz Research & Developrt'ien ~
North America, INC ~'{ ~ () f\ rv -~~o
~\ t{\..~ ~ 2250 Rutherford Road c)ti o\~~Got:-? ·
Carlsbad, CA 92008 ,au\\;
619-488-9360
fax 619-488-9388
Bathroom & Kitchenette
remodel
This project shall comply with the 2007
California Building Code which adopts the
2006 IBC and the 2005 NEC
:\Job Files\Current\Mercedes Benz\Kitchen & Bath Remodel\MB 2250 Rutherford.dwg
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