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2285 RUTHERFORD RD; ; CB161552; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06;,06-2016 Commercial/Industrial Permit Permit No: CB161552 Building rnspection Request Line (760) 602-2725 Job Address: 2285 RUTHERFORD RD CBAD Per-mit Type: Tl Sub Type: INDUST Status: ISSUED Applied: 04/22/2016 Entered By: SLE Parcel No: 2120620800 Lot#: 0 Valuation: $81,855.00 Construction Type: NEW Occupancy Group: Reference# Plan Approved: 06/06/2016 Issued: 06/06/2016 Inspect Area Plan ChE}ck #: Project Title: CALLAWAY GOLF: DEMO EXISTING EQUIPMENT ENCLOSURE AND .RESTORE TO LOADING DOCK Applicant: SM.ITH CONSUL TING STE 125 13280 EVENING CREEK DRS SAN DIEGO CA 92128-4696 858-793-4777 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 $547.32 $0.00 $383.12 $0.00 $0.00 $22.92 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4.00 $0.00 total Fees: $1,027.36 Total Payments To Date: Owner: L B NC PT INDUSTRIAL-COMPANY II LL C C/O L B A REAL TY L L C 17901 VON KARMAN AVE #950 IRVINE CA 92614 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFO Payoff Fee PFF (3105540) PFF (4305540) License Tax (31041-93) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL 'rOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees HMP Fee Green Bldg Standards Plan Chk TOTAL PERMITFEES $1,027.36 Balance Due: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $35.00 $0.00 $0.00 $0.00 $0.00 $0.00 ?? ?? $1,027.36 $0.00 Inspector: FINAL APPROVAL Date: &-'/'lV Clearance: ------'-- NoTICE: Rease ta<e l'OTICE thct ~ ri ,or ptject irdu:!es the "lrrµ:stioo'' ri fees, dedcaioos, reservatioos, er dher exa:ticns hereafter ooledively referroo to as ''feeslexa:tioos." You tl1Ml 00 days frcmthe date tlis p:mit v..es issued to pretest lrrp:isitiai ri trese feeslexa:iicns. If you pretest them you m.st fdlo.v.thepretest p-aro.res set forth in Che-mm axe Sediai am)(a), a-x:l file the pretest a-x:l cio/ dherra:µred irtarraiai wth the atyM:nagerfcr µ-cre;sirg ln anroaice wth Calstm M.ridr,a axe Sediai 3.32.03J. Falt.re to tirrely fdlbNthct poonre wll ta-en/ subseqJent lega don to attock, re\Aew, set aside, vcid, er ani treir irrµllition. You ere l"eret1/ FLRlrER l'OTIRED th3t ,or rig,t to pretest the sµ:rified feeslexcdicns CXJ::S'I\Of /'PR.. Y to Wil.~ i:rd &.:mar cro-roiai fees ard ~ty c:hrgls, ra: plalirg, zoirg, gajrg er dher sinila-.;wiaiia, µ-cre;sirg er savicefees in cro-roiai wth this µtject. N'.:R IXcS IT .APPLY to any feeslexa:tioosriwic:h hal.e 'ousi ooa, \mal'OTl sinila-totlis crastowic:hthestauterilinitaionshas ·ru;1 cthetwse ·rec1. City of Carlsbad 1635 Faraday Av Carlsbad, .CA 92008 06-06-2016 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW160198 Job Acjdress: Permit Type: Parcel No: Reference #: CB#: Project Title: Applicant: 2285 RUTHERFORD RD CBAD SWPPP 2120620800 Lot#: CB161552 CALLAWAY GOLF: REBUILD LOADING DOCK 0 Owner: Status: Applied: Entered By: Issued: Inspect Area: Tler: Priority: ISSUED 04/22/2016 SLE 06/06/2016 1 L SMITH CONSUL TING STE 125 LB A/C PT INDUSTRIAL-COMPANY II L LC C/O L B A REAL TY L L C 13280 EVENING CREEK DR S SAN DIEGO CA 92128-4696 . 858-793-4777 Emergency Contact: ED SALINAS (CALLAWAY GOLF) 760-631-1771 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES Total Fees: $108.00 17901 VON KARMAN AVE #950 IRVINE CA 92614 $49.00 $59.00 $0.00 $108.00 Total Payments To Date: $108.00 Balance Due: FINAL APPROVAL $0.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OFIRE 0HEAl:.TH 0HAZMAT/APCD CCityof Building Permit Application Plan Check No.('@) If D lf1 ~ 2 1635 Faraday Ave., Carlsbad, CA 92008 ·Est.Value Ph: 760-602-2719 Fax: 760~602-8558 Plan Ck. Deposit Carlsbad email: bullding@carlsbadca.gov www.carls~adca.gov DateL\ -c.0-1<.o,. lswPPPt(.o-lqi JOB ,'DDRESS 2285 Rutherford Road IUITEf/SPACEf/UNITf IAPN 212 -062 -08 - CT/PROJECT# ILOT# 1,..,,,,-,E# !'OF ~ITS I# BEDR~~ #BATHROOMS I TENANT BUSINESS NAME I CONSTR. 1YPE I occ. GROUP 0 Callaway Golf 111B B-F1-fi .DESCRIPTION OF W(IRK: Include Square Feet of A/feC1.ed AIM(•) Demoliticm of an existing equipment enclosure including slabs, footing, columns, siding, gates, curbs, ramp and drain in preparation for the construction (restoration) of a dock well ramp, dock access stairs & trench drain at an existing tilt-up concrete industrial building. L7W':>f cf~ EXISTING USE I PROPOSED USE I GARAGE (Sf) PATIOS (Sf) ·I DECKS (Sf) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS B-F1-S1 B-F1-S1 n/a n/a · n/a YES0, No[Zj YEslZ]NoO veslZ]NoO APPLICANT NAM.E Aodrew Tcuango PROPERTY-OWNER NAME Callaway Golf Primary Contact. ADDRESS ADORE~ 13280 Evening Creek Dr. #125 2180 Rutherford Road CITY STATE ZIP CITY STATE ZIP SanDieqo CA 921'28 Carlsbad CA 92008 PHONE . PHONE (858) 793-4777 rAX (858} 793-4787 (760) 931-1771 'FAX (760) 930-5650 EMAIL EMAIL andrewt@sca-sd.c:;om eds@callawaygolf.com DESIGN PROFESSIONAL Cheryl D. Smith CONTRACTOR BUS, NAME Pacific Buildina Grouo ADDRESS ADDRESS 13280 Eveninq Creek Dr. #125 9752 Aspen Creek Court, Suite 150 CITY -STATE ZIP CITY STATE ZIP San C>ieao CA 92128 San Dieao CA 92126 PHONE. PHONE (858) 793-4777 rAX (858) 793-4787 (858) 552-0600 IFAX (858} 552-0604 EMAIL EMAIL brandon@pbginc.biz STATE UC.# 15TATE UC.# C11,701 502376 1 CLASS rlTY BUS. LIC.# B, C-2, 6 1207435 (Sec. 7031.5 Business and Professions Code: Any Ci!,y or Cour)_fy which requires a ~rmlt to construct. alter, Improve, demolish or repair any structure, prior to Its issuance, also re(luires the applicant for such permit to file a signed statement tl\at he is licensed pursuant to the provisions of the Contractor's Ucense 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 violetion of Section 7031.5 by any appllcantfor a permit subjects the applicant to a civil penalty of not more than fJVe hun~red dollars {$500}). · . . W@@ffi@@9~. ~ ------..,,....---,--------------,., Workers' .Compensation Dtclaratlon: I het&by affirm under p,nalty of p,rjur/ one of the following declarations: CJ I have and will maintain a certificate of conllllt to 1tlf-lnsur1 for workers' compensation as provided by Section 370.0 of the Labor Code, for the performance of the work for which this pennlt is Issued. yd.1 have and wlU maintain workers' compenllllon_ . und ~ · 3700 of the Labor Code, for the pedonnance of the work for which this pennit is issued. My workers' compensation in7rance j81!!er and policy number are: Insurance Co. · d . Policy No. A/ C....Lc.J '3,(o)S'1-/ \ Expiration Date "'5; _ f 1ft ]l!l§. section need not be completed if the permit is for one hund dollars (i100) or less. I I LJ Certificate of Exemption: I cel1ify that in the performance of the work for which 1hls peimit is issued, I "1&11 not employ any person in any manner so as to become subject to the WO!kers' Compensation Laws of Cslifomla. WARNING: Fallur1 to IIClll'I Wllltlrl' cornpenllllon -..11 unlawful, and shall subjtct an employer to crlmlnal jlenaltln and civil flnn up to one hundl'ld thousand dollars (&100,000), In addition to tht cost of compensation, damagn u provided for In llctlon 370I of tht Llbor·i:odt, lntemt and attornty'a fits. ,,,€! C0NTRACT0RSIGNATURE iiiP.-1!111~1'1 ______ OAGENT DATE ~ I het&by affirm that I am exempt from Conlrllclo(s Ucenae I.aw for the fd/owl!lg IHIOfl: D I, as owner of the property or rrry employees with wages as their IOle compensation, will do the work and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlractor's License I.aw does nol apply to an owner of property who builds or inproYes therlon, 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 exdusiwly contracling with lcenaad conllaclors.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 lhenlon, and contracts for such projects with contractar(s) licensed pursuant to the Contractor's License Law). D I am ~pt un!ler Section ___ ~Business and Professions Code for this reason: . 1. I pe!SOl18)ly plan to provide the "18lor i.oor and matertals for construction of the proposed property Improvement. DY es []No 2. I (!!ave/ have not) ligned an application for a bulldlng penntt for the proposed work. 3.1 have contracted with the followiilg person (finn) to provide the prop0l!ld conltlUction Qndude name address/ phone/ contractors' licerise number): 4. I plan to provide portions of the work, but I have hired the folowlng person lo coordinate, supe,vlse and provide the major work (indude name I address l phone/ contractors' Hcense number): 5. I win provide S01118 of the work, but I have contracted (hired) the following persons to provide the work Indicated Qnclude name I address/.phone I type of work): ,,,€! PROPERTY OWNER SIGNATURE OAGENT DATE ~ <3@@G>t1@u-@ · 'Cfmo0 &@@vo@ro 1:1@m · Q'.l@QJ,:;@@000@rovo~!'.1 0©011000@ @&@G:JOv9 ©WC!.\11 . ' > ~ , ' ' ' ' ' Is lhe applicant Of future building occupant required to submit a business plan, acutely hazardous materials regislration form or risk management and prevention program under Sections 25505, 25533 or 25534 of lhe Presley-Tamer Hazardous Substance Account Act? . Y• _ No Is lhe applicant or future building oc;cupant required to obtain a pennlt from Iha air pollution con1rol dl~ct or air quality managerilent dlsb'lct? :yes · No Is lhe faclllty to be consbucted within 1,000 feet of lhe outer boundary of a ac:hool site? .Y• No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY IIAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF E,.ERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there Is a construction lendjng agency for the perfonnance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lend~r's Address I certify that I have 11111d 1he ~ ind llatathatlhe above lnbmatlon Ii conactand that the lnfonna1lon on the plans ii accurata. I agree to cornplywlth all Cl'1 ordinances and State laws relating to buHdingconslruclion. JherebyalJl!lorizerepresenfaliYed1heCitydCarlsbadk>enlerupon1heabc;MlmenbledpropertyhhlpeclonpllllOS8S.IAI.SOAGREETOSAVE,INDf;MNIFYANDKEEPHARM.ESSTHECllYOFCARLSBAD AGAINST ALL LIABIUTlES, JUDGMENTS, COSTS >KJ EXPENSES \\tllCH MAY N NlYWAY ACCRUE AGAINST ~D CITY IN CONSEQUENCE OF THE GPANTING OF THIS PERMIT. ·OSHA: AA OSHApennlt is requiad b' _ CN(l(S'Q' deep aid dendlbl orconllrudlon cl AUCU81~3sbles i1 height EXPIRATION: Ew,y permit issued by lclilll Olllclal IA'lderlle provlsklns dlis Code lhall upi'e by tnilalkln aid become rd IJld void if 1he txildi'lg orworlcauthorized by such pennitis notC01111181lC8d within 180 days from 1he data of such · «if buidilg or work ¥Jlll28Jil~IUCh pennl ill suspended oral:Jendclned at any line allerlleworlc is COITll18flC8d b'a period d 180 days (Sedxln 106.4.4 Uniform Building Code) • ...@S" APPLICANT'S SIGNATU DATE STOP: THIS SECTION NOT REQUIRED FO~ BUILDING Pl:RMIT ISSUANCE. Complete the following ONLY If a Certificate of Occupancy will be requested at final inspection. CERTIFICATE Of OCCUPANCY {Commercial Projects only I Fax (760) 602-8560, Email building@car1sbadca.gov or Mall the completed fonn to City of Cart~; 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. UC. No, DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CON~CTOR(OnP~1) Mi\lLTO: CONTACT (Listed above) OCCUPANT (LIited above) ASSOCIATED CBI CONTRACTOR (On P~ 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHA~GEOFUSE/NOCONSTRUCTION ' ... .. ~ . -- AS° APPLICANT'S SIGNATURE DATE Inspection ·List Permit#: CB161552 Type: Tl Date Inspection Item ----- 08/04/2016 19 Final Structural 08/04/2016 19 Final Structural 06/30/2016 11 Ftg/Foundation/Piers 06/21/2016 11 Ftg/Foundation/Piers Friday, August 05, 2016 INDUST Inspector Act RI PB AP PB AP PB NR CALLAWAY GOLF: DEMO EXISTING EQUIPMENT ENCLOSURE AND RESTORE Comments Page 1 of 1 w CHRISTIAN WHEELER. ENGINEER.ING Cityofc arJsbaa FIELD REPOR.T AUG lp 2016 . /., 'f 'I' ,, Project Name ·Callaway CWE# 2160340 Da;~1t¥~!luf\lt.d1~~e 1 of1 Project Address 2285 Rutherford Rd., Carlsbad,. CA Permit# CB161552 Project File # . -·'\I Contractor Pacific .Building Group Architect SCA .. -· Subcontractor SBW Engineer Prime D Reinforced Concrete 0 Pre-Stres~ed Concrete D Reinforcecj Masonry D Epm,-y Aµc}1ors D Shop Welding D Field Welding D High Strength Bolts D Non-Destructive Testing i:gj Mechanical Anchors D Fireproofing D Wood/Metal Shear D Waterproofing D Footing Obsen•ation tJ Asphalt Obs/Testing D Soil Obs/Testing D Roofing D Building Em·elope D Material/Eqttipment: CWE calibrated.torque wrench #4 (10/22/1_6); Hilti KB-TZ ,vedge anchors Arrived on s~te, as requested, to provide the following services:· -Provided special inspection of the installation and torq:ue of the Hilti KB-TZ 5/8" wedge anchors for the exterior stairs at the loading doGk. -Holes we1:e-obse1cved to· be blown out with ~r comprt;issor-and wire-bmshed'.-\'{leqge anchors were installed at each-colum,.-i'. base for the stair landing area, at the base of the stairs and at each ledger for the stair landtrrg, Embeds of the wedge anchors and torque was in substantial conformance to ESR 1917 and the plans referenced in details, Sl/8 and 13. -1) Please note at the stair landing ledger under the access door, th~ee of the six wedge anchors were not installed. Due to the metal d~or pan set in th_e concrete below the access door the crew was unable to drill through the existing substrate. The crew elected to tack weld the ledger a:t this location. ~ngineer to review for ,tcceptaµce. I -- NOTED I>ISCREPANCIES -The items noted below were observed to be in non-conformance with the approved project documents and will require correction or the design engineer's review for approval: See nole #1. NOTICE: Unless othenvise stated, the work observed was, to the·.best pf my knowledge, in compliance with the approved project documents. It should be noted that the work reported as being observed, tested, and opinions ei..-press_ed are solely for the benefit of our client and that our presence and the sen-ices pro,-ided do not relieve the contractor from its obligation to meet contractual requirements. Barney Dumas ICC 8327348: SD# 1288 .~:?~Q ~' ~ ~,/ Inspector/Technician Name Certification # Inspectqrl 1-ec1Jmcian 's Signature " - Initial Distribution: randy@pbcit:1c.biz Charlie Carter RCE #61968 !!JI! Reviewer Name Certification # Jl.eviewer's-'Signature Reviewed Distribution: City of Carlsbad 3980 Home Avenue+ San Diego, CA 92105 +-619-550-1700 + FAX 619-55-0-1701 M-001, Re,•. 4/16/14 CCityaf Carlsbad SPECIAL INSPECTION AGREEMENT B-45 .De-ve-J.opment Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov In accordance wi~h Chapter 17 of the California Building Code fhe follqw.ing must-be completed when work being performed reql.iires-sp~ciarim,pection, structural ob~l)rvatlon and construction materlal'testlng. Project/Permit: GB t6~ 1552 PtojectAddress· 2285 Rutherford Road A. THIS SECTION MUST BE COMPLETED BY THE PR:OPERTY OWNER/AUTHORIZED AGENT. Please check.if you are Owner-Builder c;J. (If you checked as-owner-boiider .you must also compiete Section ·e oftliis.agreemerit.) Name: (Please print)l-'-·---"---~----A_n ___ d_r_;;_e_w_R_. _·. ·_r.c..a_ra_n_,g~o_· --------------- (First) (Mi) (Last) M~iling.Ao.dress: 13280 Evening Creek. Driv~. Suite 125 San Diego, .QA 92128 Email' .andrewt@sca-sd.com Pho,ne· (858) 793-4777 I ijm: ~Property Owner DProperty Owner's Agent of Record •Architect of Record ·oengineer of Record State of California Registration Numbep C11, 701 Expiration Date:~-_1_1_/1_7 ____ _ AQREEMENT: I, the undersigned, declare under penalty-of perjury under the laws of the-State of California, that 'I have read, understgnd, -ac . owl~qge and promise to comply With the City of Carlsbad :requirements for special inspections, structural observati0ns co_ struction mat 'als sting and off-site fabrication of buildirig-comp0nents, as prescribed in the statement of $pecial in~ ec · . s · a . oved 1?lans and, E:is required by the.California Buildinp Code. _ Signatur. _ . Date: 6(;1,,0 /!h B. CONJRACTOR'S STATEMENT OF RESPONSIBJLITY-(07 CBC; Ch 17, Section 1706). This section must be completed by the contr-acJor I buU~e.r / owner-b1,.1ilder. Contractor's Gompany Name: Pacific Building Group Please .check If you-are owner-Builder O Name: (Please-pr:lnt) __ B_t.,..a_h_d_o_n_M_·_s_t_e_v_e_n_s _____________________ _ (First) (M.1.) (Last) . 97'52 Aspen Creek Court, Suite 150·,· San Diego,, CA 92126 Mailing Address:_'----------~-------....,--,--,------,--------'--------- Email: bstevens@·pbginc.biz Phone· ~58-5-52-0600 State of California Contractors License Number:--5-0...,,.2 ..... _3,...,7 .... 6~. -~-~ Expiration Date: 12 I 31 I 16 •· I acknowledge ·and, am aware, of special requirements contained In the statement of special Inspections noted on, the approved plans; · + I .acknowledge that control will be exercised to obtain conformance with the construction documents approved by the building official; · + I will have in-place procedures for exercising control within our:(the contra9tor's)-organization, for the method and frequency of reporting and the distribution of the reports; and + I certify that I will have a qualified peraon within our .(the contrc1ct<;>r' $) organization t9 exercise such control. ·• /'will rovlde inal ort/Jetterln com 1/ance with CBC Section 1704.1.2-rlorto re uestin final 5/20/16 Signature .... · ---~---"'-----,-----~-~------Date, ________ ~-- B-45 Page1 of 1 Rev. 08/11 4/6/2016 Certification Detail Certified Professional Information: ' l,.ast, First Ml: Dumas, Barney Certified under this name: Barney Dumas Address: 5171 bellvale ave. City, State Zip: san diego, CA 92117 Certification Type(s): Reinforced Concrete Special Inspector (expires 02/24/2019) Listings here may not reflect today's changes, additions, exam results, or certifications from organizations other than ICC (including BOCA, ICBO, and SBCCI). Listings are updated nightly on this web site, so please allow a fu 24 hours for Changes to be reflected here. ICC certification for code enforcement professions attests to competent knowledge of construction codes and standards in effect on the date of certification or renewal. ICC does its best to maintain the privacy requests of its members and constituents. If you believe that phone number or address information listed here should not be displayed please contact us at 1-888-ICC-SAFE (422- 7233) between Sam and 7pm (CT) for personal assistance. Terms of Use: This listing is provided as a service to the constituents of ICC for these purposes: locating a certified professional or contractor in your area, or confirming status for individuals. Any other use, sale, transfer or reproduction in any form without the express written consent of ICC is strictly prohibited. ICC reserves the rigl to incorporate some false names to detect improper use of this service. .Ce.df.fication ID #0'.102'2aG:1 · · ·e~p;~;~ b~: 62)011i&io . · ~ Certification Verify at ChetkACl.org ;.?tp-fl flrt!ttf{fa,<11 ~-!) C616/SJ2 .. !N CHR:ISTIAN WHEELER.. ENGINEER.ING FIELD REPORT Project Name Callaway Loading Dock CWE# 2160340 Project Address -~utherford Rd., Carlsbad Permit# CB161552 ~ "l-'15 Contractor PBG Architect SCA .. Subcontractor CCI Engineer Prime D Reinforced: Corcrete D Pre-Stressed Concrete D Reinforc~d Masonry 181 Epo>.,' Anchors D High Strength Bolts D Nb?-Destructive Testing D Mechanical Anchors D Fireproofing D Footing Observation D Asphalt Obs/Testing D Soil Obs/Testing [] Roofing Material/Eq~ipment: A615 gr.60 rebar, Hilti HIT-RE500-V3 epoxy ice esr 3814 Arrived on site, as requested, to provide the following services: D D D City of Carlsbad .~UG (f 1 2016 Pl 111 l',l!\it··. .. ', ,, . Date: 6/29/16q p;;g~·n•1 of1 Project File # Shop Welding D Field Welding Wood/Metal Shear D Waterproofing Building Envelope D Provided special inspeGtion of epoxy dowel installation at existing to·new loading dock slab-on-grade. Hof es were drilled to 4" embedment and cleaned of debris. A total of 134 #4 dowe1s were installed-using HiltisRE500-V3 epm,.l7. \Vork ob.s!;!Ved .. was in sµbstantial conformance with approved project documents. NOTED DISCREPANCIES -The items noted below were observep to be in non-conformance with the approved project documents and will require couection or the design engineer's review for approval: None NOTICE: Unless· otherwise stated, the· work obsei;:ed was, to the best of my knowledge, in compli,mce with the approved project documents. It should be noted that the work reported-as ·being observed,Jested, ·and opinions e>.-ptessed are solely for the benefit of our client arid that our presence and the services pro,-ided do not relieve the contractor from its obligatiop _to meet ~ontractq~ re_quire;nents. Barrett Tille,}'. SD 1254 L ICC 8199667 -~--~ Inspector/Teclmician Name Certification # Inspectorl'l'ecT.mician's Signature Initial Distribution: CWE, thowell@pbginc.biz Charlie Carter RCE #61968 aK Reviewer Name Certification # Reviewer's Signature Reviewed Distribution: City of Carlsbad ·3 9 8 0 H o m e Av e n u e + S a n D i e g o , C A 9 21 0 5 + 6 1 9 -5 5 0 -1 7 0 0 + FA X 6 1 9 -5 5 0 -1 7 0 1 ·w CHR.ISTIAN WHEELER. ENGINEER.ING FIELD REPORT Project Name Callaway CWE# 2160340 Date: 7/5/16 I Page 1 of 1 Project Address 2285 Rutherford Rd., Carlsbad, CA Permit# CB161552 Project File # Contractor Pacific Building Group Architect SCA Subcontractor CCI Engineer Prime ~ Reinforced Conm,te D Pre-Stressed Concrete p Reinforced Masol).ry d Epo_:,,.·y Anchors D Shop Welding D Field Welding D High Strength Bolts D Non-Destructive Testing d Mechanical Anchors D Firepr_oofing D Wood/Metal Shear D Waterproofing 0 Footing Obsen·ation D Asphalt Obs/Testing a Soil, Obs/Testing D Roofing D Building Envelope 0 Material/Equipment: A615 -grade 60;Concrete: Robertson's lvfix #71301 (4000 ps9 Arrived on site; as requested, to provide the following services: -Provided periodic inspection for the placement of reinforcing steel for the Slab on grade at the loading dock. Inspected the grade, size, spacing and_ deara~ces and found it to be ip. .substantial confonhance wi~1 the appr9ved plans referenced in, S1 and the general notes. -Provided continuous inspection during the placement of-approximately 58cy of concrete for the slab on grade at the loading dock. Monitored tmck tickets-and verified proper mix design, sampled concrete and tested fresh concrete properties, slump and temperature. Fabricated 1 set of four 4x8 compression test samples from the middle load during the placement. Concrete was placed directly from t:11.1cks ch11te and no consolidated was ob~e1ved. The following observation was noted. 1) The fifth load, truck #744 was obse1ved to be mixed in truck for over 90 minutes before placement. Informed CCI and PBG and the , concrete cr~w used½ 'Of the load at the cold joint. Tested t~mperature of concr~te and was 85 degrees when placed. The approximate grid area where concrete was placed was I.8/3.5-4.5. All other placement of concrete was in substantial conformance with the approved plans. NOTED DISCREPANCIES -The items noted below were observed to be in non-conformance with the approved project documents and will require correction or the design ,engineel"s review for approval: , See note #'l. NOTICE: Unless otherwise stated, the work obsen•ed was, to the best of my knowledge, in complian,ce with the approved project documents. It should be noted that the workreported' as being obsen•ed, tested, and opinions e:,,.-pressed are solely for the be".efit of our cliep,t and that our presence and the sen'ices provided do not relieYe the contractor'from its ooligation to meet contractual requirl'!ments. Barney Dumas ICC 8327348: SD# 1288 ~~!C) ~~,, ~- Inspector/Technician Name Certificatior,. # Inspector/TucbJJician's Signature Initial Distribution: jweaklem@pbcinc.biz Charlie Carter RCE #61968 !IX Reviewer Name Certification # Reviewer's, Signature Reviewed Distribution: City of Carlsbad 3980 Home Avenue+ San Di.ego, CA 92105 + 619-550-1700 + FAX 619-550-1701 M-001, RC\•, 4/16/14 CALIFORNIA:" DRIVER 4lllllallllr !!lit' I!] . ~s:."l·; http:/ /verify.iccsafe.org/8199 ~ ·-: @f-.: ·11 Scan °for status I IHlll lllll lllll lllll 11111111111111111111111 8199667 · ' " Vefify ICC Membership and Certification _inform~tion !.,. -.t··: : , I • -• ~ • , ·, <. 1 • :-., - i ,f1-,, ;- ·r , .. l _.iJ' · _I ,:f :, (http://www.iccsafe.org/) My Professional Information: Last, First MI: Tilley,Barrett Certified µnder this name: Barrett Tilley City, State Zip: Spring Valley, CA 91977 Certification Type (s) : Reinforced Concrete Special Inspector (expires 10/01/2017) Structural Masonry Special Inspector (expires 03/14/2018) Spray-applied Firepi:oofing Special Inspector(expires 09/17/2018) Prestressed Concrete Special Inspector(expires 12/13/2017) Structural Steel and Bolting Special Inspector(expires 09/21/2018) RECEIVES MEMBER BENEFITS? 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QR Code Information (http://www.mobile-qr-codes.org/how-do-i-use-qr-codes.html) Main ICC Website (http://www.iccsafe.org/) 888-422-7233 ©2014. All Rights Reserved. Back to Top (http://iccstaff.iccsafe.org/Resources/member-lookup.cfm#top) Feedback (mailto:webmaster@iccsafe.org) http://verify.iccsafe.org/8199667 06/29/2016 EsGil Corporation In <Partnersliip witli <]011ernment for <Bui(aing Safety DATE: 05/27/2016 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 16-1552 PROJECT ADDRESS: 2285 Rutherford Rd PROJECT NAME: Callaway Golf -TI SET: III 9 Ai:PLICANT Q;;:ct(l RIS. CJ PLAN REVIEWER CJ FILE D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. ~ 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. 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: Andrew Tara~ Telephone#: 858-793-4777 Date contacted: (bv\ (? ) Email: andrewt@sca-sd.com Mail Telephone Fax M p\erson IZ] REMARKS: Slip-sheet AS 1 into all City sets prior to i$suing the permi ~ By: Doug Moody (by AG) EsGil Corporation D GA D EJ D MB [J PC Enclosures: 05/27/2016 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 EsGrl Corporation In <Partners/Up witn (]o'tletnment for <:Buifaing Safety DATE: 05/25/2016 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 16-1552 PROJECT ADDRESS: 2285 Rutherford Rd PROJECT NAME: Callaway Golf -TI SEr: lI ~Y.PLICANT ~~~RIS. 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. ~ EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Andrew Tarango Telephone#: 858-793-4777 LPate czactedS j?-_s (by:() 0, Email: andrewt@sca-sd.com t, Mail kX!epho':3 Fijx In Person D \/ ..-m ~ REMA. : By: Doug Moody (by AG) EsGii Corporation D GA D EJ D MB D PC Enclosures: 05/20/2016 9320Chesapeake Drive, Suite 208 + San Diego, California 92123 + (8.58) 560-1468 + Fax (858) 560-1576 City of Carlsbad 16-1552 05/25/2016 · NOTE: The items listed below, are from the previous cc;,rrection list. These remaining items have not been adequately addressed. The numbers of the items are from the previous check list and may not necessarily be in sequence. The notes in bold font are current. 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 ro!,Jte the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring two ·corrected sets of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Dieg·o, CA 92123, (858) 560-1468. Deliver all remaining sets of plans ahd calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, ~ngiheering and Fire Departments. N01E: 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. 7. It is unclear from the plans if the restrooms servicing the tenant improvement are disabled accessible, please provide a dimensioned restroom plans showing the restroom to be accessible compliant. Your response in part, "the existing toilet facilities serving the tenant space are accessible." The floor plan of the restrooms closest to the area of improvement demonstrates that the doors to the accessible water closet compartment are not accessible per CBC 11 B-404.2.4.1, i.e. the clearance on the pull side of the door is less than 18 inches. Perhaps swinging the door into the compartment is a solution but the plan at an 1/8 inch scale is too small for me to confirm compliance. Please correct. To speed up the review process, note on this list (or a copy) where each correction item has been addressed, i.e., plari sheet, note or detail number, calculation page, etc. 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 1:1 No D 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 (by AG) at Esgil Corporation. Thank you. EsGU Corporation In <Partners nip wi'tli. qovemment for <Bui{ain9 Safety DATE: 5/4/16 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 16-1552 PROJECT ADDRESS: 2285 Rutherford Rd PROJECT NAME: Callaway Golf -TI SET:I CJ..P,PPLICANT ~JURIS. CJ PLAN REVIEWER CJ FILE D ihe 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. i:gj The check list transmitted herewith is for your information. The plans are being held at EsGil Corporation until corrected plans are s.ubmitted 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 seht to: D EsGil Corporation staff did not advise the applicant that the plan check has been completed. EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Andrew Tarango Telephone#: 858-793-4777 ))ate contacteqf5 /4- /E),ail ~~ Fax D REMARW>1 .,, (by: ('()./Email: Andrew@sca-sd.com By: Doug Moody EsGil Corporation In Person D GA D EJ D MB D PC E:nclosures: 4/25/16 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 City of Carlsbad 16-1552 5'/4/16 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENT$ PLAN CHECK NO.: · 16-1552 OCCUPANCY: Fl/ S 1 /B TYPE OF CONSTRUCTION: IIIB ALLOWABLE FLOOR ARl;A: SPRINKLERS?: Yes REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 4/22/16 DATE INITIAL PLAN REVIEW COMPLETED.: 5/4/16 FOREWORD (PLEASE READ): JURISDICTION: City of Carlsbad USE: Manufacturing ACTUALAREA: 178~~ STORIES: 1 HEIGHT: OCCUPANTLOAD: N/A DATE PLANS RECEIVED BY ESGIL CORPORATION: 4/25/16 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 reg.ulations 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 li'sted 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 lnternatkmal Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the rechec·k process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet number, "specification section, etc. Be sure to enclose the marked up list.when you submit.the revised ·plans. City of Carlsbad 16-1552 5/4/16 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 two corrected sets 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. Please provide plans and calculations signed by the California State licensed engineer or architect for the structural design and installation of the guardrails and handrails. Include all calculations and finding on the plans. Please include the California license number, seal, date of license expiration and date plans are signed. Business and Professions Code. 2. Stairway riser must be 4 inches minimum and 7 inches maximum and minimum run shail be 11 inches .. Section 1009.7.2. 3. Stair risers shall be solid. Section 1009.7.5.3. 4. Handrails (Sections 1012 and 1009.15): a) Please revise the loading dock section 12 on sheet AS3 to show the handrail to continue to slope for the depth of one tread beyond the bottom riser (minimum of 23'' and not 21 "). Section 1012.6. 5. Please complete the City of Carlsbad Special Inspection form provided. 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: • The ~rea of specific alteration, repair or addition must comply as "new" · construction. • 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. City of Carlsbad 16-1552 5/4/16 • Existing toilet and bathing facilities that serve the remodeled area must be shown to comply with all accessibility features. • Please address the following comments that are the result of the alterations. 6. 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. 7. It is unclear from the plans if the restrooms servicing the tenant improvement are disabled accessible, please provide a dimensioned restroom plans showing the restroom to be accessible compliant. 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, etc. 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 D No D 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 16-1552 · S/.4/16 [DO NOT PAY-THIS IS NOT AN INVOICE] VALUATION AND PLAN CHJ:CK FEE JURISDICTION: City of Carlsbad PREPARED BY: Doug Moody PLAN CHECK NO.: 16-1552 DA1E: 5/4/16 BUILDING ADDRESS: 2285 Rutherford Rd BUILDING OCCUPANCY: B/Fl/S1 BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier Tl 1788 45.78 Air Conditioning Fire Spr(nklers .. TOTALVAl,.UE Jurisdiction Code cb By_Ordinance Bldg. Perrnl: Fee by Ordnance Plan Oleck Fee.by:Otdinance Type of Review: 0 Complete Re.view Reg. VALUE Mod. -- D Structural Only OR:epetitive F~e .,... Repeats D Other D Hourly EsGil Fee -------11 Hr. @' Comments: ($) 81,855 81,855 $542.861 $352.861 $304.001 Sheet 1 of 1 macvalue.doc + ~~ _ ~ CITY OF CARLSBAD PLAN CHECK REVIEW - TRANSMITTAL Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov DATE: 04/27/201PROJECT NAME:CALLAWAY GOLF DEMO FOR FUTURE Tl DOCffROJECT ID: CB161552 PLAN CHECK NO: 1 SET#:1 ADDRESS: 2285 RUTHERFORD RO APN: 2120620800 VALUATION: $81,SSS APPLICANT CONTACT: ANDREWT@SCA-SD.COM Tlis plan check review transmittal is to notify you of clearance by: LAND DEVELOPMENT ENGINEERING DIVISION Final Impe ction by the Construction & Inspection Division is required: Yes f7 No !Xi ~ For status from a division not marked below, please call 760-602-2719 D This plan check review is NCl'COMPLBTB Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. 17 Chris Sexton ,., __ l 760-602-4624 Chris.Sexton@carlsbadca.gov D Gina Ruiz . 760-602-4675 Gina.Ruiz@carlsbadca.gov LAND DEVELOPMENT ENG. ,, ', ' ' ' ' ' ' ' ' ' ~----' ' .·· .c .. 760-602-2750., , ,-j Kathleen Lawrence ~ '-· 760-602-27 41 [ Kathleen,Lawrence@carlsbadca.gov linda Ontiveros ID f 760 -602-2773 Linda.Ontiveros@carlsbadq1.gov l l./1 VALRAY MARSHALL f 760-602-2741 VALRAY.MARSHALL@CARLSBADCA.GOV -&'-...!>"<"-t~ nu \~~~tO:O:!$ i ~ .11 "''*~~ 8 __.,..,.. [J Greg Ryan 760-602-4663 Gregory.Ryan@carlsbadca.gov Cindy Wong 760-602-4662 Cynthia.Wong@carlsbadca.gov Dominic Fieri 760-602-4664 Dominic.Fieri@carlsbadca.gov Remarks: DEMO OF EXISTING STORAGE AREA TO EXPAND DOCK NOLDE IMPACTS STORM WATER POLLUTION PREVENTION NOTES 1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN IS EMINENT. 2. THE OWNER/CONTRACTOR SHALL R~STORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING RAINFALL. 3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY INSPECTOR DUE TO INCOMeLETE GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. 4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT THE END OF EACH WORKING DAY WHEN THE FIVE (5) DAY .RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT (40~). SILT AND' OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL 5. ALL GR1'VEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM AGGREGATE. 6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTAJ+El) AND MAINTAINED. . 7. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY REGULATIONS. OWNER'S CERTIFICATE: I UNDERSTAND AHO ACKNOWLEDGE lHAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSlRUCTION ACTI'v111ES TO 1HE MAXIMUM EXTENT PRACTICABLE TO A VOID lHE MOBIUZATION OF POI.LUTANTS SUCH AS SEDIMENT AND TO AVOID 1HE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED Pa.LUTANTS; AND (2) ADHERE TO, ANO AT All TIMES, COMP!. Y Yl'llH mis OTY APPRO~ TIER 1 CONSlRUCTION S'M'PP lHROUGHOUT lHE DURATION OF lHE CONSTRUCllON ACTI'v111ES UNTIL lHE CONSlRUCTION WORK IS COMPLETE AND APPROVED BY Ti£"CITY OF CARLSBAD. E-29. U,.-f1, ~//. STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 ------ BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE EIOllionConfrol Sediment Contml BMPs Trackilg Na!-StormWal« BMPs Control BMPs Management BMPs C ~ ~ 0 i ,:, :;, !l C cn 0 E i .s ·E 0 0 .; .s .s .e-E "O ::,; ,:, .. cn n ,§ l g 0, C 4> a. .s ]; .. ., ., Best Management Practice* ~ Og .. 'E C., 8, <:> .s 0 ID ~ .... ., i!:: 0 .s 0 .. .. -5 -~ E 0, ., 0, u_:,. ~., -o., ,:, (BMP) Description ~ _,(I) .. .. ID ec C ... "3 ,l!. .. ... 0 15 0 ~-5 ii~ "2 ~ !i S !;:l 0 C Cl ID 0, c-2 ~-~ 00 ::,; C o, C i .. 0:: .,~ 0 e1 01:.=. " X t-~ ~ ... j .0 ~~ ~~ I ~-~ .J!! "O .. "-0 n "O ~g ~'tj -~ ~ 0 0 8-" ~ ~i:l Jj .se ·-0 .. 0 oe in ,,; .c: .0 in~ "~ g, ~l ~8 jc3 <:> 3: WC iii (.) G: (/)[l. •(1)0:: ll. CASQA Deslgnalion ~ ... 110 "' .., .... "' <O ... 00 0 "' .., ... 00 frl I I "i ;L. tH-J,. ~ t1 ~ J, :L "i I "i I I I f.3 f.3 f.3 ~ -~ "' VI (I) (I) Construt1ion ktMly (I) VI (I) ·VI (I) (I) z z z z Grodin" &ft Disturbance Trenchin" ~vcCl'/Qtion Stocknffinn Driltino /Borino Concrete/Asohalt Sawcuttina Concrete Rotwori< Pavino Canduit/Pioe Installation Stucca/1,tortor Wori< SW \lo -\9i' -- Waste Management and Materials Polfutlon Control BMPs i ,:, C ,:, ij C 0 0 .. ~ cn .; 0 ~ rJ -~ C 0 .. 0 ~5 3:..., ii u ., ::,; I_ .. i Cl ::, ~ ij ., 5 5 ~ij o., ~ i 'ii g, n. e 3: en "E en bg ,:, 0 oO .... 15 ~ '°[8 ,_ C 1:16 56 o.., 15 0 :,;(I) ::,; (I)(.) (I):,; :c::i. c.,::,; "i "' .., .... "' <O 00 I I I I I I .I I I I I I I I Waste I >l.nosal --Staaina " av Down Area -E-··'"'-ent Maintenance ond Fuellno Hazardous Substance Use/Storooe Oewaterlna Site Access Across Dirt 'other flist\: Instructions: 1. Check the box ta the left of all applicable construction activity (first column) expected to oc~ during construction. 2. located along the top of the BMP Table Is a list of 'BMP's with it's corresponding California StormWilter Quality Association (CASQA) designation number. Choose one or more BMPs you intend to use during construction from the list. Check the box where the chosen activity row intersects with the BMP column. · J. Refer to the CASQA construction handbook for Information and· details of the chosen BMPs and how to apply them to the project •. Page 1 of 1 PROJECT INFORMATION Site Addr""'s: 2285 Rutherford Road Assessor's Parcel Number: 212-062-08 , Emergency Contact: Nome: Ed Salinas, Ca.llaway Golf 24 Hour Phone: (760) 631-1n1 Construction Threat to Storm Water Quality (Check Box) . · 0 MEDIUM IX] LOW REV 02/16 ,re· f ·'-1tyo ·carlsbad DETERMINATION OF PROJECT'S SWPPP TIER LEVEL AND CONSTRUCTION THREAT LEVEL E-32. Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov I'm applying for: D Grading Permit Project Name: . Callaway Go.If Address: 2285 Rutherford Road IXI Building Permit D Right-of-way permit D Other . Project ID:----·· DWG #/CB# \U 15"5 2. . APN 212-062-08 Disturbed Area: 0.4 Ac Section 1: Determination of Project's SWPPP Tier Level (Checf( appllc::able criteria and check the corresponding SWPPP Tier Level, then go to section 2) Exempt -No Threat Project Assessment Criteria My project is in a category of permit types exempt from City Construction SWPPP requirements. Provided no significant grading proposed; ,pursuant to Table1, section 3.2.2 of Storm Water Standards, the following permits are exempt from SWPPP requirements: D Electrical D Patio D Fire -Sprinkler D Mechanical D Mobile Home D Re-Roofing D Plumbing OSign D Spa (Factory-Made) D Roof-Mounted Solar Array Tier 3 -Significant Threat Assessment Criteria -(See Construction General Permit (CGP) Section 1.8)* · D My project includes construction or demolition activity that results in a land disturbance of equal to or greater than one acre including but not limited to clearing, grading, grubbing or excavation; or, 00 My project includes construction activity that results in land disturbance of less than one acre but the construction activity is part of a larger common plan of development or the sale of one or more acres of disturbed land-surface; or, D My Projeqt is associated with construction activity related to residential, commercial, or industrial deveiopment on lands currently used for agriculture; or D My project is associated with -construction activity associated with Linear Underground/Overhead Projects (LUP) including but not limited to those activities necessary for installation of underground and overhead linear facilities (e.g. conduits, substructures, pipelines, towers, poles, cables, wire, towers, poles, cables, wires, connectors, switching, regulating and transforming equipment and associated ancillary facilities) and include but not limited to underground utility mark out, potholing, concrete and asphalt cutting and removal, trenching, excavation, boring and drilling, access road, tower footings/foundation, pavement repair or replacement, stockpile/borrow locations. D Other per CGP ___________ -__________ _ Tier 2 -Moderate Threat Assessment Criteria: My project does not meet any of the Significant Threat · Assessment Criteria described above and meets one or more of the following criteria: D Project requires a _grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, · D Project will result in 2,500 sq. ft. 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 ft. 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 ft. of a storm drain inlet, an open drainage channel or watercourse; and/or • construction will be initiated during the rainy season or will extend into the rainy season (Oct.1-Apr. 30) Tier 1 -Low Threat Assessment Criteria D My project does not meet any of the Significant or Moderate Threat criteria above, is not an exempt permit type per above and the project meets one or more of the following criteria: • results ,jn some soil disturbance; and/or • includes outdoor construction activities (such as roof framing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling) · SWPPP Tier Level D Exempt OTier3 OTier2 D Tier 1 * Items listed are excerpt from CGP. CGP govems criteria for tnggers for Tler-3 SWPPP. Developer/owner shall confinn coverage under the current CGP and any amendments, revisions and reissuance thereof. E-32 Paae 1 of 2 REV. 02/16 SWPPP Section 2: Determination of Project's Constru<:tlon Threat Level Construction Tier (Check applicable criteria under the Tier Level as determln,d In section 1, check the Threat Level corresponding Construction Threat Level, then complete the emerQency contact and Level signature block below) Exempt -Not Applicable -Exempt Tier 3 -High Construction Threat Assessment Criteria: My Project meets one or more of the following: · · · D Project site is 50 acres or more and grading will occur during the rainy season D Project site is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA DHigh D Soil at site is moderately to highly erosive {defined as having a predominance of soils with Tier3 USDA-NRCS Erosion factors k,greater than or equal to 0.4) · D Site slope is 5 to 1 or steeper . D Construction is initiated during the rainy season or will extend into the rainy season {Oct. 1 -April 30) D Owner/contractor received a Storm Water Notice ~f Violation within past two years Tier 3 -Medium Construction Threat Assessment Criteria D Medium D All projects not meeting Tier 3 High Construction Threat Assessment Criteria Tier 2 -High Construction Threat Assessment Criteria: My Project meets one or more of the . following: . D Project is located within the Buena Vista or Agu~ Hediohda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA D Soil at site is moderately to highly erosive (defined as having a predominance of soils with DHigh USDA-NRCS Erosion factors kt greater than or equal to 0.4) Tier2 D Site slope is 5 to 1 or steeper D Construction is initiated during the rainy season or will extend into the rainy season (Oct 1 -Apr. 30) D Owner/contractor received a Storm Water Notice of Violation within past two years D Site results in 10,000 sq. ft. or morl;l of soil disturbance. Tier 2 -Medium Construction Threat Assessment Criteria D Medium D. My project does not meet Tier 2 High Threat Assessment Criteria listed above Tier 1 -Medium Construction Threat Assessment Criteria: My Project meets one or more of the following:· D Owner/contractor received a Storm Water Notice of Violation within past two years D Medium D Site results in 500 .sq. ft. or more of soil disturbance Tier1 ti Construction will be initiated during the rainy season or will extend into the rainy season (Oct.1 -April 30) Tier 1 ..,. Low Construction Threat Assessment Criteria OLow I D My project does not meet Tier 1 Medium Threat Assessment Criteria listed above I certify to the best of my knowledge that the above statements are true and correct. I will prepare and submit an appropriate tier level SWPPP as determined above prepared in accordance with the City SWPPP Manual. I understand and acknowledge that I must adhere to and comply with the storm water best management practices pursuant to Titte 15 of the Carlsbad Municipal Code and to City Standards at all times during construction activities for the permit type(s) checked above. The City·Engineer/Building Official may authorize minor variances from the Construction Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher SWPPP Tier Level is warranted. Emergency Contact Name: Ed Salinas Owner/Owner's Authorized Agent Name: rew Tarango, SCA E-32 re: Page 2 of2 Telephone No: (760) 731-1771 Title: . Project Architect Date: FOR CITY USE ONLY Yes City Concurrence: By: Date: REV. 02/16 No , £ «~~ ~ CITY OF CARLSBAD l~STRUCTIONS: STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov To address post-development pollutants that may be generated from development projects, the City requires that new development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMP's) into the project design per the City's Standard Urban StormwaterMariagement Plan (SUSMP). To view the SUSMP, refer to the Engineering Standards (Volume 4, Chapter 2) at www.carlsbadca.gov/standards. Initially this questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of storm water standards that must be applied to a proposed development or redevelopment project. Depending on the outcome, your project will either be subject to 'Standard Stormwater Requirements' or be subject to additional criteria called 'Priority Development Project Requirements'. Many aspects of project site design are dependent upon the storm water standards applied to a project. Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City staff has responsibility for making the final assessment after submission of the development application. If staff determines that the questionnaire was incorrectly filled out anc;i is subject to more stringent storm water standards than initially assessed by you, this will result in the return of the development application as incomplete. In this case, please make the changes to the questionnaire and resubmit to the City. If you are unsure about the meaning of a question or ri'eed help in determining how to respond to one or more of the questions, please seek assistance from Land Development Engineering staff. A separate completed and signed questionnaire must be submitted for each new development application submission. Only one completed and ~igned questionnaire is required when multiple development applications for the same project are submitted concurrently. In addition to this questionnaire, you must also complete, sign and submit a Project Threat Assessment Form with construction permits for the project. Pl~ase start by completing Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your application to the city. STEP1 '' TO BE ,COMPLETED FOR ALL PROJECTS , ,' ,, ,' To determine if your project is a priority development project, please answer the following questions: YES NO 1. Is your project LIMITED TO constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria: (1) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non-erodible permeable areas; OR (2) designed and constructed to be hydraulically disconnected from X paved streets or roads; OR (3) designed and constructed with permeable pavements or surfaces in accordance with USEPAGreen Streets auidance? 2. Is your project LIMITED TO retrofitting or redeveloping existing paved alleys, streets, or roads that are X qesigned and constructed in accordance with the USEPA Green Streets guidance? If you answered "yes• to one or more-of the above questions, then your project is NOT a priority development project and therefore is NOT subject to the storm water criteria required for priority development projects. Go to step 4, mark the last box stating "my project does not meet PDP requirements" and complete appli~nt information. If you answered "no• to both Questions, then go to Step 2. E-34 Page 1 of3 Effective 6/27/13 I '£ «1~ ¥ CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov STEP2 "' ro BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECtS .· ' . '' To determine if your project is a priority development project, please,answer the following questions: YES 1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces collectively over the entire project site? This includes commercial, industrial, residential, mixed-use, and public develooment orciiects on oublic or orivate land. 2. Is your.project creating or replacing 5,000 square feet or more ofimpervious surface collectively over the entire project site on an existing site.of 10,000 square feet or more of impervious surface? This includes commercial, industrial, residential, mixed-use. and oublic develooment oroiects on oublic or orivate land. 3. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is a facility that sells prepared foods and drinks for consumption, including stationary lunch counters and refreshment stands selling prepared . foods and drinks.forimmediate consumotion. 4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a hillside development project? A hillside development project includes development on any natural slope that is twenty-five percent or greater. 5. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a parking lot. A parking lot is a land area or facility for the temporaTY. parking or storage of motor vehicles used personally for business or for commerce. 6. Is your project a new or redevelopment project that creates 5,000 square feet or more of imper-vious surface collectively over the entire project site and supports a street, road, highway freeway or driveway? A street, road, highway, freeway or driveway is any paved impervious surface used for the transportation of automobiles, trucks, mototcvcles, and other vehicles. 7. Is your project a new or redevelopment project that creates or replaces 2,500 square feet or more of impervious !:!Urface collectively over the entire site, and discharges directly to an Environmentally Sensitive Area (ESA)? "Discharging Drrect/y to" includes flow that is conveyed overland a distance of 200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an isolated flow from the oroiect to the ESA (i.e; not commingles with flows from adjacent lands).* 8. Is your project a new development that supports an automotive repair shop? An automotive repair shop is a facility that is categorized in any one of the following Standard Industrial Classification (SIC) codes: 5013, 5014, 5541, 7532-7534. or 7536-7539. 9. Is your project a new development that supports a retail gasoline outlet (RGO)? This category includes RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily Traffic (ADT) of 100 or more vehicles aer dav. 1 0.Js your project a new or redevelopment project that results in the disturbance of one or more acres of land and are expected to generate pollutants post construction? 11.ls ·your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of impervious surface or (2) increases impervious surface on the property by more than 10%? ,, NO X X X X X X X X X X X If you answered •yes• to one or more of the above questions, you ARE a priority development project and are therefore subject to implementing structural Best Management Practices (BMP's) in addition to.implementing Standard Storm Water Requirements such as source control and low impact development BMP's. A Storm Water Management Plan (SWMP) must be submitted with your application(s) for development. Go to step 3 for redevelopment projects. For new projects, go to step 4 at the end of this questionnaire, check the "my project meets PDP requirements" box and complete applicant information. If you answered ·no• to ·all of the above questions, you ARE NOT a priority development project and are therefore subject to implementing only Standard Storm Water Requirements such as source control and low impact development BMP's required for all development projects. A Storm Water Management Plan (SWMP) is notrequired with your application(s) for development. Go to step 4 at the end of this questionnaire, check the "my project does not meet PDP requirements" box and complete applicant information. E-34 Page2of3 Effective 6/27/13 I '4_ «1<JPJ ~ CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov , STEP3 . . . . . . . , T:O, BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE F:'RIORITY DEVELOPEMl:Nl' PROJECTS·QNLY Com lete the uestions below~ ardin our redevelo ment ro·ect! YES NO Does the redevelopment project result in the creatlon·or replacement ofimpervious surface in an amount of less than 50% of the surface area of the reviousl existin develo ment? If you answered •yes,• the structural BMP's required for Priority Development Projects apply only to the creation or replacement of impervious surface and not the entire development. Go to step 4, check the "my project meets PDP requirements" box and complete applicant Information. If you· answered •no,--the structural BMP's required for Priority Development Projects apply to the entire development. Go to step 4, check the "m ro ect meets PDP re ulrements" box and com lete a llcant.lnformation. STEP.4 . . CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT_ INFORMATiON. D .My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stormwater criteria per the SUSMP and I understand I must prepare a Storm Water Management Plan for submittal at time of application. I understand flow control (hydromodificatlon) requirements may apply to my project. Refer to SUSMP for details. My project does not meet PDP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per the SUSMP. As part of these requirements, I will incorporate low impact development strategies throughout my project. Applicantlnformation and Signature Box Address: 2285 Rutherford Road, Carlsbad, CA Accessors Parcel Number(s): 212-062-08 Appli Applicant Title: Project Architect Date: This Box for City Use Only City Concurrence: I YES I NO I I By: Date: Project ID: * Environmentally Sensitive Areas include but are notlimited to all Clean Water Act Section 303(d) impaired water bodies; areas designated as Area.s of Special Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (19~) and amendments); areas designated as preserves or their quivalent under the Multi Species Conservation Program within the Cities and County of San Diego; and any other equivalent environmentally sen.sitive areas which have been Identified by the Coperrnittees. E-34 Page3of3 Effective 6/27/13 .(Cityof Carlsbad -- · Project Name: Prefect ID: -- DWG No. or Building Permit No.: STANDARD PROJECT REQUIREMENT CHECKLIST E-36 .Proht~ lnfcmnatlon . Source C¢>ntrol E$MP• _, - Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov --- All development' projects must implement source control BMPs SC-1 through SC-6 where applicable and feasible. . .See Chapter 4 and Appendix E.1 of the BMP Design Manual for information to implement source control BMPs shown in this checklist. Answer each category below pursuant to the following. • "Yes" means the project will implement the source control BMP as described in Chapter 4 and/br Appendix E.1 of the Model BMP Oesign Manual. Discussion/justification is not required. • "No" means the BMP is applicable to the project but it is not feasible to implement. Discussion~ustification must be provided. • "NIA" means the BMP is not applicable at the project site because the project does not include the feature that is addressed by the BMP (e.g., the ,project has no outdoor materials storage areas). Discussion/justification may be provided. Source _Control ReauJrement --' 1_·_ --' _ . Applied? · SC-1 Prevention of Illicit Discharges ·into the MS4 I Yes I No I N/A Discussion~ustification if SC-1 not implemented: sc .. 2 Storm Drain Stenciling or Signage I . Yes I No I NIA Discussion/justification if SC-2 not implemented: sc.-3 Protect Outdoor Materials -Storage Areas from Rainfall, Run-On, l Yes I No I N/A Runoff, and Wind. Dispersal Discussion~ustification -if SC-3 not implemented: SC-4 Protect Materials Stored in Outdoor Work Areas from Rainfall, Run-On, I Yes I No I N/A Runoff, and Wind Disoersal . Discussion~ustification if SC-4 riot implemented: I SC-5 Protect Trash Storage Areas from Rainfall, Run-On~ Runoff, and Wind I Yes I No I NIA Dispersal Discussion/justification if SC-5 not implemented: E-36, Page 1 of3 REV02/16 $ource Con.trol Realilrernent SC-6 Additional BMPs based on Potential Sources of Runoff Pollutants must answer for each source listed below and identify additional BMPs. (See Table in Appendix E.1 of BMP Manual for guidance). On-site storm drain inlets Interior floor drains and elevator shaft sump pumps Interior parking garages Need for future indoor & structural pest control Landscape/Outdoor Pesticide Use Pools, spas, ponds, decorative fountains, and other water features Food service R~fuse areas Industrial processes Outdoor storage of equipment' or materials Vehicle and Equipment Cleaning Vehicle/Equipment Repair and Maintenance Fuel Dispensing Areas Loading Docks Fire Sprinkler Test Water Miscellaneous Drain or Wash Water Plazas, sidewalks, and parking lots Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes , · .Applied? No N/A No N/A No N/A No N/A No NIA No NIA No NIA No NIA No NIA No NIA No NIA No NIA No NIA No NIA No NIA No NIA No NIA For "Yes" answers, identify the additional BMP per Appendix E.1. Provide justification for "No" answers. E-36 Page.2of3 REV. 02/16 Site Deslan BMPs _ --' --- . -. - All development projects must implement site design BMPs SD-1 through SD-8 where applicable and feasible. See Chapter4 and Appendix E.2 thru E.6 of the BMP Design Manual for information to implement site-design BMPs shown in this checklist. -Answer each category below pursuant to the following. • "Yes" means the project will implement the site design BMPs as described in Chapter 4 and/or Appendix E.2 thru E.6 of the Model BMP Design Manual. Discussion l justification is not required. • "No" means the BMPs is applicable to the project but it is not feasible to implement. Discussion/justification must be provided. • "NIA" means the BMPs is not applicable at the .project site because the project does not include the feature that is addressed by the BMPs ( e;g., the project site has no existing natural areas to conserve). Discussion/iustification mav be orovided. _ -Site Design Requirement I -·_. · Applied? -_ SD-1 M~intain Nat_utal Drainage Pathways and Hydrologic Features -I Yes I No I NIA Discussion/justification if SD-1 not implemented: SD-2 ConsE3rve Natural Areas, Soils, and Vegetation I Yes I No I NIA Discussion/justification if SD-2 not implemented: SD-3 Minimize l_mpervious Area I Yes I No I NIA Discussion~ustification if sD.:3 not implemented: $D-4 Minimize1 Sojl Compaction I Yes I No I NIA Discussion~ustification if SD-4 not implemented: SD-5 Impervious Area Dispersion I Yes I No I NIA Discussion/justification if SD-5 not implemented: SD-6 Runoff Coll~ction I Yes I No I N/A Discussion~ustification if SD-6 not implemented: so·.7 Land$caping with Native or Drought Tolerant Species I Yes I No I NIA Discussion/justification if SD,-7 not implemented: SD;.& Harvesting-and Using Precipitation I Yes I No I _NIA Discussion/justification if SD-8 not implemented: E-36 Page3of3 REV. 02/16 «~~ . ~ CITY OF CARLSBAD PLANNING DIVISION BUILDING PLAN CHECK APPROVAL P-29 DATE: 4-27-16 PROJECT NAME: PROJECT ID: Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.eov PLAN CHECK NO: CB 16-1552 SET#: 1 ADDRESS: 2285 Rutherford Rd APN: 212:062-08-00 ' ~ This plan check review is complete and has been APPROVED by the Planning Division. By: ·Chris Sexton A Final Inspection by the Planning Division·is required D Yes 18'.I 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: andrewt@sca-sd.com For questions or clarifications on the attached checklist please contact the following reviewer as marked: D ,Pl.ANNING 760-602'-4610' ' . ,_, - Chris Sexton _ 760-602-4624 Chris.Sexton@carlsbadca.gov Gina Ruiz 760-602-4675 Gina.Ruii@carlsbadca.gov D Veronica Morones 760-6()2-4619 Veronica.Morones@carlsbadca.gov D Chris Glassen 760-602-2784 Christopher.Glassen@carlsbadca.gov D ValRay Marshall 760-602-27 4j,. ValRay.Marshall@carlsbadca.gov D Linda Ontiveros 760-602-2773 Linda.Ontiveros@carlsbadca.gov D Greg Ryan 760-602-4663 Gregory.Ryan@carlsbadca.gov D CindyWong 760-602-4662 Cynthia.Wong@carlsbadca.gov D Dominic Fieri 760-602-4664 Dominic.Fieri@carlsbadca.gov Remarks: demo equipment enclosure to create a new dock well ramp S_hay Ever'! From: Sent: To: Cc: Subject: Good morning Andrew, Amber Ressmer Wednesday, April 27, 2016 10:39 AM andrewt@sca-sd.com Building CB161552 Callaway Golf CB161552 Callaway Golf plan does not require Carlsbad Fire Department fire plan review. Thank you, Amber . Cciryox Carlsbad Amber Ressmer Fire Prevention Office Specialist City of Carlsbad 1635 Faraday Ave,~ Carlsbad, CA 92008-7314 www.carlsbadca.gov P 760-602-4665 I F 760-602-8561 1 INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY Date 4/22/16 Business Name Canaway Golf ·------"--------,------,--------------- Stre~t Address 2285 Rutherford Road, Carlsbad, CA 92008 Email Address _eds@callawaygolf.com PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) ~ Check all below that ~re .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. waterfiltermembranes) 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 Electroless plating Porcelain Enameling .. Electrical-Component Anodizing Power Generation Manufacturing Coating (i.e. phosphating) Print Shop Fertilizer Manufacturing Chemical Etching / Milling Research and Development Film I X-ray Processing Printed Circuit Board Rubber Manufacturing Food Processing Manufacturing Semiconductor Manufacturing Glass Manufacturing Metal Powders Forming Soap I Detergent Manufacturing Industrial Laundry Waste Treatment/ Storage 'SIC Code(s) (if known):-----,---------------------"---- Brief description of business activities (Prod1.1ction {Manufacturing Operations):. _____ _ Description of operations generating wastewater (discharged to sewer, hauled or evaporated): Estimated volume of industrial wastewater to be disch~tged (gal I day): _______ _ List hazardqus wastes generated (type/ volume): ..... · ______________ _ Date operation began/or will begin at this rocation: ______________ _ Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes No If yes, when:---------,----------------- Site Contact-;..._ _____________ Title. __ ....;_ _________ _ Signature _____________ _..;Phone No.,--'----------- ENCINA WASTEWATER AUTHORITY, 6200 Avenida Encinas Carlsbad., CA 920'11 (760) 438·3~41 FAX: (760) 476-9852 Business Name Project Address Mailing Address Project Contact OFFICE USE ONLY SAN.DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE RECORDID# ___________________ 1 PLAN CHECK# _________________ , BP DATE I Callaway Golf Business Contact Ed S I' · a mas Telephone# {760} 931-1771 2885 Rutherford Road City Carlsbad State Zip Code APN# CA . 92008 212-062-08 2885 Rutherford Road City Carlsbad State Zip Code CA 92008 Plan File# Ed Salinas olf.com Telephone# (760) 931-1771 The following questions represent.the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT -H~US MATERIALS DMSiON: OCCUPANCY CLASSIFICATION: {not required for projects within the City of San Diego): Indicate by circling the item.wfieer 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: Facllltyis 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 ·4. Flammable Solids 8. Unstable Reactives 12. Radioactives ' 15. None ofThese. PART II: SAN DIEGO COUNTY DEPARTM_E_NT OF ENVIBONMENTAL H~ TH :.. HAZARDOUS MATERIALS DIVISION {HMO): If the answer to any of the questions is yes, applicant must contact the County of Sanofego 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: 0 CalARP Exempt YES NO (for new construction or remodeling projects) I 1. 2. 3. D !&I Is your busin~slisted on the reverse side of this form? (check all that apply). Date Initials D !&I Will your business dispose of Hazardous Substances or·Medical Waste in any amount? . 4. 5. a: 7. 8. 0 IX! Will your business store or handle Hazardous Substances· in quantities greater than or equal to 55 gallons, 500 D D D D D pounds and/or 200 cubic feet? IX! Will your business store or handle carcinogens/reproductive toxinsin any quantity? IX! Will your business use an existing or Install an underground storage tank? !&I Will your business store or handle Regulated Substances (CalARP)? 00 Will your business use or Install a Hazardous Waste Tank System (Title 22, Article 1 0)? !&I Will your business.store petroleum In tanks or containers at your facility with a total facility storage capacity equal to or reater than 1,320. allons? Cslifomia's Above round Petroleum Stora e Act . 0 CalARP Required I Date Initials 0 CalARP Complete I Date Initials PART Ill: SAN DIEGO COUNTY AIRPOLl.!l[!QM_ C..QtflROL DISTRICT CAPCD): Any YES* answer requires a stamp from APCD 10124 Old Grove Road, San Diego, CA92131 apcdcomp@sdcounty.ca)iov(858f586-2650). fNo stamp required if Q1 Yes and Q3 Yes and Q4-Q6 No]. The following questions are intended to identify .the majority of air pollution issues 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 latger project. rExcludes garages & small outbuildings.] YES NO !XI D Will the project disturb 160 square feet or more of existing building materials? 1. 2. 3. !&I D Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. D IX! (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 D (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 !&I Will the project or associated construction equiptn~nt emitalr contaminants? See the reverse side of this form or APCD factsheet (www.sdapcd.org/info/facts/permits.pd0 for typical equipment requiring an APCD permit. 6. 0 D (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school bounda · Briefly describe business activities: Existing vacant industrial building I declare under penalty of perjury that to the best of my knowledge a d Andrew Tarango . . h "J?,-' I I It Name of Owner or Authorized A ent Date FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:. ____________________________ _ BY· DATE· I I EXEMPT ORN() FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT 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 Matenals Business Plan. Other permitting requirements may still apply. HM-9171 (08/15) County of San ·Diego -DEH -Hazardous Materials Division ··--1 l. / Ll-2.Z-llD "ff /J-eftc ={2..,7/IL;. To PIQX\ Prvi 1:: -P.v, -1 > '--"' "j > T Lr€., I '"'cf' f~~k;_5 ITTI -lJtcu.ie_, e,u--o to An c\Jv..tO Lo /u /Ito .I Final Inspection required by: 0 Plan D CM&I D Fire • --~--4-.._ ,. a " ,SW \lo-1q«o C!JISSUED . I Dev. Approved Date By ,BUILDING ~771-llo ~ ·PLANNING 'l-:J-7-lt.. ~5 ENGINEERING u::..z:_,7 -Ila VtJ\ FIRE Expedite? y N WRXZ \2..H DIGITAL FILES Reciuirecl? y N HazMat APCD Health Forms/fees Sent Rec'd Due? By Encira '-\--c.L~ l.lA y N Fire y. ~ HazHealthAPCD L\-ZZ.,-11,. y N 'PE&M '--\-?7.-ll f\ y N School -y N Sewer y N Stormwater y N ·special lnspe~tion y N CFD: y N LaJ']dUse: Density: lmpArea: FY: Annex: Factor: PFF: y N Comments Date Date bate Date Buildi,:ig ~/1-f/J.. 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