HomeMy WebLinkAbout2285 RUTHERFORD RD; ; CB080082; Permit (2)City of Carlsbad
01-09-2008
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Permit No: CB080082
Building Inspection Request Line (760) 602-2725
Job Address: 2285 RUTHERFORD RD CBAD
Permit Type: Tl Sub Type: AFP
Parcel No: 2120620800 Lot#: 0 Status:
Valuation: $0.00 Construction Type: NEW Applied:
Reference#: AFP08-01 Occupancy Group:
.Project Title: CALLAWAY GOLF, BLDG 1 Plan Approved:
NON BEARING PARTION, DIVIDE MANUFACTURING AREA Issued:
Applicant:
GOOD & ROBERTS INC.
1090 JOSHUA WAY
VISTA, CA 92083
619-598-7614
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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Inspect Area:
Plan Check#:
Owner:
CALLAWAY GOLF CO
2285 RUTHERFORD RD
CARLSBAD CA 92008
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWA Fee
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 Fees
HMP Fee
TOTAL PERMIT FEES
ISSUED
01/09/2008
Entered By:
01/09/2008
01/09/2008
Total Fees: $0.00 Total Payments To Date: $0.00 Balance Due:
Clearance: ------
MOP
$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
??
$0.00
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, 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.
City of Carlsbad
1635 Faraday Ave., Garlsbad, CA 92008
760-602-2717 / 2718 / 2719
Plan Check No. 6 e,-f!) L
Est. Value
'Fax: 760-602-8558 Plan Ck. Deposit
Building Permit Application
JOB ADDRESS
CT/PROJECT i
DESCRIPTION OF WORK:
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF)
Date
APN
TENANT BU INES NAME
DECKS (SF) FIREPLACE
YESD #_ NO D
CONSTR. TYPE OCC. GROUP
AIR CONDITIONING
YES D NO D
FIRE SPRINKLERS
YES D NOD
CONTACT NA~'d";.:Rolle1D r J: e.ttut:K M .. ,,,) APPLICANT NA_M_E _____________________ _
ADDRESS ..-'i '---y ADDRESS
CITY t-}34 /M.& ~«-l)r ZIP CITY STATE ZIP
~ 5'/i -~2:/L_ -PHO-NE _____ I.__FAX _____ _
EMAIL
CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL ~J02}1--~------f·~-----~------EMAIL
STATE UC.# STATE UC.# CLASS
(ltc. 7 J 1.5 Su1int11 ind Profe11ion1 Code: Any Gty or County which requim I ptnnit to con1trvc~ liter impro,e, demolish or rtP.1ir 1ny sb'Uctllrt, prior to in iimna, 11sG requim the 1pplicant for such permit to ~le I signed n:atrment th11 he ii r.ce1111d J)uriuant 10 th! provisions of 1h1 Contractor's lict1111 law {Chapter 9, commending with Section iooo of OIYiiion J of the Busintss and Profti1iom Code} or that he ii mmpt thmlrom, and the ba111 for the aneged mmption. Any violation of Stction TOJ 1.5 by any 1pplicant for a permit 1ub~c11 the applicant 10 a civ~ penalty of not more than five hundred dollars {SSOO}).
Workers' Compensation Declaration I hereby affirm under penalty of perjtxy one ol lhe following declarations:
D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
&t I have and will maintain wo~· compensation. as required by Seclion 3700 or the Labor Code. for the performance of ~e ~ for which this permit is issued. My workers' compensation 'in ura~rri~and policy
,.., number are: Insurance Co. ~ CW r,Jf. ~ Policy No. OOC1))J Explralion Date-/b-. .... _,6/-. ... ~_.... .. 1£..__ __
This sechon need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate or Exemption: I certify thal in the performance or the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dolla~ (&100,000), In
addition to the cost of compensation. damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
~ CONTRACTOR SIGNATURE
f hereby affirm that f am exempt from Contractor's Ucense Law for the following reason
O I, as owner of the property or my employees wilh wages as their sole cornpensalion. will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code. The Contraclor's
License Law does not apply to an owner or property who builds or improves !hereon, and who does such worl< himself or through his own employees. provided that such improvements are not intended or offered for
sale tr, however, the bu11d1ng or improvement is sold within one year of cornplel1on. lhe owner-builder will have the burden of proving that he did not build or improve for the purpose or sale).
O I, as owner of the property. am exclusively contracting with licensed contractors to conslruct the project (Sec. 7044, Business and Professions Code The Conlractor's License Law does not apply to an owner or
property who builds or improves thereon, and contracts for such projects wilh contraclor(s) licensed pursuant lo the Conlractor's License Law)
0 I am exempl under Section Business and Professions Code for this reason:
1 I personally plan to provide the ma,or labor and matenals for construction of lhe proposed property improvement O Yes O No
2 I (have I 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 conslruction (include name address I phone I 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 I address I phone I contractors' license number):
5. I will provide some or the work. but I have contracted (hired) the following persons lo provide the worlc indicated (include name I address I phone / type of worl<)
~ PROPERTY OWNER SIGNATURE DATE
Is the applicant or fulure building occupant required lo submit a business plan, aculely hazardous malerials regislration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? 0 Yes O No
Is the applicant or fulure bu11d1ng occupant required to obtain a permit from the air pollulion control district or air quality management district? D Yes D No
Is the lac1hty to be construcled within 1,000 feet of the outer boundary of a school s1le? 0 Yes O No
IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I certify that t have read the application and state that the above lnformaliion Is correct and that the information on the plans is aa:urate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representa!Ne of the City of Carlsbad to enter upon the aboYe mentioned property for ilspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: Aro OSHA perm~ is requi'ed tor excavations CNer s·o· deep and demolition°' construction of sbuctures CNer 3 stories n height.
EXPIRATION Every perm~ issued by the Building Official under the provisions of this Code shall expire by imitation and become nul and void W the building OI' work authorized by such permrr is not commenced v,;thin
180 days from the date of such permit ex W the bui<Jing ex work authorized by such permit is suspended OI' abandoned at any tine after the work is coornenced tor a period of 180 days (Secoon 106.4.4 Uniform &iilding Code).
8$ APPLICANT'S SIGNATURE DATE
.City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 I 2718/ 2719
"Fax: 760-602-8558
Building Permit Application
SUITE#/SPACE#/UNIT#
Plan Check No. -0)
Est. Value
Plan Ck. Deposit
Date
()~ -
# BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK:
EXISTING USE PROPOSED USE DECKS (SF)
CONTACT NAM APPLICANT NAME
ADDRESS
CITY
PHONE
EMAIL
CONTRACTOR BUS. NAME
ADDRESS
CITY CITY
PHONE
EMAIL
1/11 S!J. STATE UC.#
FIREPLACE
YESD #_ NOD
STATE
STATE
FAX
CLASS
AIR CONDITIONING
YES D NOD
ZIP
ZIP
CllY BUS. UC.#
FIRE SPRINKLERS
YES D NOD
flee. 7031.5 Business and Professions (ode: Any Ciry or (ounry which requires a ptrmit to connruct aher improve. demol~h or n!P.air any structure prior to ill issuance, also n!quires the applicant for such permit to file a signed statement that he is lcensed pur1Uan1 to the provisions of the Contractor's License Law {Chapter 9, commending with Section fooo of Division 3 of the Busine11 and Professions Code) or that he ~ m mpt therefrom, and the ba111 for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjecu the applicant to a civil penalry of not more than five hundred dollars {S500)).
Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations:
D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers· compensation insurance carrier and policy
number are: Insurance Co. Policy No. Expiration Date----------
This section need not be completed if the permit is for one hundred dollars ($100) or less.
D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees.
,€S CONTRACTOR SIGNATURE DATE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
0 I. as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion. the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law)
0 I am exempt under Section _____ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement O Yes D No
2. I (have I 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 I phone I 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 I address I phone I contractors' license number):
5 I will provide some of the work. but I have conlracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work)
,€S PROPERTY OWNER SIGNATURE 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? 0 Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes D No
Is the facility to be constructed wilhin 1,000 feet of the outer boundary of a school site? D Yes O No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
Lender's Address
I certify that I have read the application and state that the above information is correct and that the information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pemnft is required I xcavations over s·o· deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every pemnit issued Building Official under the provision of this Code shall expire by limitation and become nuA and void n the buildng or work authorized by such permtt is not commenced within
180 days from the date of such it or n the buildir}g or work auth · ed b pemnft is suspended or abandoned at any time after the work is coovnenced for a riod of 180 days (Section 106.4.4 Unnorm Building Code).
,€S APPLICANT'S SIGNAT E ~ DATE
UNSCHEDULED BUILDING INSPECTION
DATE . d--;J-9,,,IJJ" INSPECTO-t;?'k
PERMIT# C8o <J'l)Og;L . PLAN CHECK# ----
DESCRIPTION __________________ .
CODE DESCRIPTION ACT COMMENTS
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