HomeMy WebLinkAbout2736 LOKER AVE W; D; CBC2020-0305; PermitPERMIT REPORT
(Cityof
Carlsbad
Commercial Permit
Print Date: 10/22/2020 Permit No: CBC2020-0305
Job Address: 2736 LOKER AVE W, # D, CARLSBAD, CA 92010-6632 Status:
Permit Type: BLDG-Commercial Work Class: Tenant Improvement
Closed -
Withdrawn
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
2090812900 Track#:
$8,372.00 Lot#:
Project#:
Plan#:
Bedrooms: Construction Type:
Bathrooms: Orig. Plan Check #:
Plan Check#:
Project Title:
Description: LUMOS DIAGNOSTICS: RACKING IN WAREHOUSE -WITHDRAWN BY APPLICANT
Applicant: Property Owner:
FENTON HG COMPANY INNOVATIVE TENANT IMPROVEMENTS INC
13955 STOWE DR, # STE 107
POWAY, CA 92064-6887
7757 MISSION VALLEY RD, # STE 200
SAN DIEGO, CA 92108
(858) 513-1167
FEE
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
(619) 400-0120
ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL
MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-COMMERCIAL
Total Fees: $263.69 Total Payments To Date: $0.00
Applied: 08/14/2020
Issued:
Fina led Close Out:
Inspector:
Final Inspection:
Contractor:
INNOVATIVE TENANT IMPROVEMENTS INC
13955 STOWE DR, # STE 107
POWAY, CA 92064-6887
(858) 513-1167
Balance Due:
AMOUNT
$106.09
$74.26
$41.00
$39.00
$1.00
$2.34
$263.69
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 t he City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Building Division Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
Hollianne Holmes
From:
Sent:
To:
Subject:
Follow Up Flag:
Flag Status:
Lisa Avent <aventdesign@outlook.com>
Wednesday, October 21, 2020 11 :39 AM
Building
CBC2020-0305
Follow up
Flagged
Please cancel CBC2020-0305. They are no longer moving forward on this project.
Thank you,
Lisa Avent
Avent Design
2919 Burnet Drive
Escondido, CA 92027
cell: 619-889-9481
1
• (Cityof
Carlsbad
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
Plan Check CB Cz..o2o-<Y3oS
Est. Value Jb&'D ":fl. OD----a..
PC Deposit ---------
Date -~~-_JL(_,7..a __ li) __
Job Address 2736 Loker Ave. W., Carlsbad, CA 92010 Suite: _D ___ APN: .Qo 'J -0 SI • Z. q O l>
Tenant Name: Lu mos Diagnostics CT /Project#: _______ Lot#: ___ _
Occupancy: S Construction Type:\/ l'4 Fire Sprinklers: G) YES O NO Air Conditioning: 0 YES O NO
BRIEF DESCRIPTION OF WORK: Install Warehouse Racking.
Y<K±s 4l---'3<! l·C').)\o err: Jf <i?3 1'2-
D Addition/New: ___________ New SF and Use, __________ New SF and Use,
_____ Deck SF, Patio Cover SF (not including flatwork)
[Z] Tenant Improvement:_ _ __ SF, E><isting Use _ ______ Proposed Use
______ SF, E><isting Use ______ Proposed Use ______ _
D Pool/Spa: _____ SF Additional Gas or Electrical Features? ____________ _
□
□
Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Q YON, RMA: 0 Y Q N, Panel Upgrade: OY QN
Plumbing/Mechanical/Electrical Only: ________________________ _
D Other: _________________________________ _
APPLICANT (PRIMARY CONTACT)
Name: Innovative Tenant Improvements Inc.
Address: 13955 Stowe Dr., #107
City: Poway State:_C_A __ Z.ip: 92064
Phone: 858-513-1167
Email: Jon@innovativeli.com
DESIGN PROFESSIONAL
Name: Avent Design
Address: 3070 Burnett Dr.
City: Escondido State: CA Zip: 92027
Phone: 619-889-9481
Email: aventdesign@oullook.com
Architect State License: Designer ----------------
PROPERTY OWNER
Name: HG Fenton Company
Address: 7577 Mission Valley Rd.
City: San Diego
Phone: 619-400-1037
State:_C_A __ Zip: 92108
Email: dpancipanci@hgfenton.com
CONTRACTOR BUSINESS
Name: Innovative Tenant Improvements Inc
Address: 13955 Stowe Dr .. #107
City: Poway State: CA Zip: _9_2_0_64 ____ _
Phone: 858-513-1167
Email: Jon@innovativeli.com
State License: 906968 Bus. License: BLOS1230541
(Sec. 7031.S Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to Its
issuance, also requires the applicant for such permit to flle a signed statement that he/she Is licensed pursuant to the provisions of the Contractor's License law
{Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom, and the basis for the alleged
e~emption. Any vlolatlan of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars {$500}).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-1 Page 1 of 2 Rev. 03/20
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury one of the following declarations: 01 have and will maintain a certificate of consent to self-Insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued.
IZ) I have and will maintain worker's compensation, as required by Section 3 700 of the Labor Code, forthe performa nee of the work for which this permit Is Issued.
My workers' compensation Insurance carrier and policy number are: Insurance Company Name: _sc_1F ___________________ _
Policy No. 9200478-2016 Expiration Date: _1_11_12_02_1 _______ _
D Certificate of Exemption: I certify that In the performance of the work for which this permit. ls Issued, I shall not employ any person In any manner so as to be come
subject to the workers' compensation Laws of Callfornla. WARNING: Fallure to secure workers compensation coverage Is unlawful, and shall subject an employer to
criminal penalties and clull fines up to $100,000.00, in addition the to the cost or compensation, damages as proulded for In Section 3706 of the Labor Code,
CONTRACTOR SIGNATURE: -,-f~"'--'C------,rJl,~~.:::;.a.-"-"---'--...__ ________ DAGENT DATE: August 13, 2020
Interest and attorney's fees. ~~
?
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D1, 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 bullds 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 haue the burden of proving that he did not bulld or Improve for the purpose of sale).
D 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 lmproues thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
DI 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 lmprouement. QYES ONO
2. I (have/ have natl signed an application for a building permit for the proposed work.
3. I have contracted with the followlng person (firm) to provide the proposed conslruc.lion (include name address/ phone/ contractors' license number):
4, I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (Include name/ address/ phone/
contractors' llcense number):
S. I wlll provide some of the work, but I haue contracted (hired} the following persons to provide the work Indicated (Include name/ address/ phone/ type of work):
OWNER SIGNATURE: NtA O AGENT DATE: ______ _ -------------------------
CONSTRUCTION LENDING AGENCY, IF ANY:
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: NIA Lender's Address: ___________________ _
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely ha2ardous materials registration form or risk management and prevention
program under Sections 25505, 2SS33 or 25534 of the Presley-Tanner Hazardous Substance Account Act? I No
Is the appllcant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? No
IF ANY OFT HE 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,
APPLICANT CERTIFICATION:
I certify that I have read the application and state that the above Information I$ correct and that the Information on the plans ls 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 rnentloned property for Inspection purposes. I AL.SO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMlESS THE CllY 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 permit ls required for excavations over 5'0' deep and demollllon or construction of structures over 3 stories In height.
EXPIRATION: Every perrnlt Issued by the Building Official under the provisions or this Code shall expire by ~mltatlon and become null and void if the buildins or work authorized
by such permit Is not convnenced within 360 days from the date of such P.f!rmlt or lf the building or work authorized by such permit is suspended or abandoned at any time alter
the work Is commenced for a period of 180 days (A 131.
APPLICANT SIGNATURE:
1635 Faraday Ave Carls
8-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 03/20
SAN DIEGO REGIONAL OFFICE USE ONLY
HAZARDOUS MATERIALS RECORDIO# •
PLAN CHECK# QSu.0 2-v -030£
QUESTIONNAIRE 19, BP DATE
Business Name Business Contact Telephone #
~b~ mtlrm 61 Jd,/1
p City State f Code~ APN#
'1. ('.p,'(' l 5 b ~d,, CA 2-1) l l
Mi1 City Slate Zip Code Plan File#
t Grl':1tx,.d C,1-D I u
Project Contact Appllcant E-mail Telephone#
The following questions represent the facility's activities, NOT the specific pro! ct description.
apphcanl must conta-ct the lre Protection Agency wit jurisdiction prior lo plan submittal. '
Occupancy Rating:
1. Explosive or Blasting Agents
2. Compressed Gases
3 Flammable/Combustible Liquids
4. Flammable Solids
Facllity's Square Footage (including proposed project):
5. Organic Peroxides 9. Water Reactives
6. Oxidizers 10, Cryogenics
7. Pyrophorlcs 11 Highly Toxic or Toxic Materials
8. Unstable Reactives 12. Radloactives
13. Corrosives
~ther Health Hazards
~one of These.
PART II: SAN DIEGO COUNTY DEPA~ENT OF ~VtRONMENTAl. lieAL™-HAZARDOUS~ATERJALS DIVl~ION !HM~): If the answer to any of the questions Is yes, applicant must contact iCounty oln Diego Hazardous Mateals Ofvlslon. 5500vertand Avenue, u.ite 1107 an Diego, CA 92123.
Call (858) 506--6700 prior to the iSsuance of a building permit.
FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy: 0 CalARP Exempt
YES t-1_9 (for new construction or remodeling projects)
1. D .!] Is your business listed on the reverse side of this form? {check all that apply). Date Initials
2. D 0 Will your business dispose of Hazardous Substances or Medical Waste in any amount?
3. 0 J2 Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons. 500
4,
5.
6.
7.
8.
pounds and/or 200 cubic feet? D D Will your business store or handle carcmogenslreproduclive toxlns n any quanllty? D 0' Will your business use an ex sling or install an underground storage tank?
D g:[ Will your business store or handle Regulated Substances (CalARP)? D :eJ Will your business use or install a Hazardous Waste Tank System (TIiie 22, Article 10)? D ~ Will your business store petroleum n tanks or containers at your facility wUh a total facility storage capacity equal to
or realer lhan 1,320 anons? California's Abo round Petroleum Slor e Act .
D CatARP Required
1
Dale lnhiels
0 CatARP Complete
Date Initials
PA TI • C L TION CONTROL DIS ICT APCD ; Any YES· answer requires a stamp from APCD 10124 Old Grove Road. San
lego, A 131 c un . ov 858 586-2650). f'No .stamp requ red If 01 Yes iQQ 03 Yes ~ 04-06 No). The follOW1ng questions are Intended
to Identify lhe maJority of air pollution Issues at . planning stage. Projects may require additional measures not Identified by these questions. For comprehensive
requirements contact APCD. Residences are typ cally exempt, e11:cep1 -those wHh more lhan one building" on the ~rty: slngle buildings l.'Ath more than tour
dwelling units: townhomes; condos; mixed-<:c)frlmercfal use: detlbera1e bums: residences forming part of a larger proJecL (Excludes garages & small outbuildings.]
YES ~
1. D & Will the project disturb 160 square feet or more of existing building materials?
2. D ;gr-Will arry load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition.
3. 0 ft (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos suivey been performed by a Certified Asbestos Consultant or Site Surveillance
Technician?
4. D J2f (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification
may be required 1 O 'NOrking days prior to commencing asbestos removal
5. D fa{ Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet
(www.sdapcd.oro/lofo/fac1 /pem11ls.gdO for typlcal equipment requiring an APCD permit.
6. D JZ1 (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: Briefly describe proposed project:
I declare er penaUy of perj~ that to the best of my knowledge and belief t e responses made here! are true and correct.
::[cf;,<, IY)q_dO,-c--... :;..;..? ~-==-==-
Name of Owner or Authorized Agent Signa1111e Of owneruthorfzed Agent
o'2> L 0 -=t I w-w
Date
FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: ________________________________ _
BY· DATE· I I
EXEMPT OR NO FUR1l4ER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HMO" APCO COUNTY-HMO APCD COUNTY-HMO APCO
•A stamp in this box .!W.l!L exempts businesses from completing or updating a Haza1clous Materials Business Plan. Other permitting requlrements may still apply
HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division
ENCINA WASTEWATER AUTHORITY
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY
6200 Avenida Encinas, Carlsbad, CA 92011
Phone: 760-438-3941 Fax: 760-476-9852
SourceControl@enclnajpa.com
Date:8/13/2020
Business Name: Lumas Diagnostics
street Address: 2736 Loker Ave. W., #D, Carlsbad, CA 92010
Email Address : Jon@innovativeti.com
PLEASE CHECI( HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) I ✓ I
Check all below that are present at your facility:
o Acid Cleaning
o Assembly
o Automotive Repair
o Battery Manufacturing
o Blofuel Manufacturing
o Biotech Laboratory
o Bulk Chemical Storage
o CarWash
o Chemical Manufacturing
o Chemical Purification
o Dental Offices
■ Dental Schools
• Dental Clinics
o Dry Cleaning
o Electrical Component
Manufacturing
o Fertilizer Manufacturing
o Fllm/X-ray Pro cess ing
o Food Processing
o Glass Manufacturing
o Industrial laundry
o Ink Manufacturing
o laboratory
o Machining/Milling
o Membrane manufacturing
(i.e. water filter membranes)
o Metal Casting/Forming
o Metal Fabrication
o Metal Finishing
■ Electroplating
• Elcctroless Plating
• Anodizing
• Coating (I.e . phosphatlng)
• Chemical Etch ing/MIiiing
■ Printed Circuit Board
Manufacturing
o Metal Powders Forming
o Nutritional Supplement/Vitamin
Manufacturing
o Painting/Finishing
o Paint Manufacturing
o Personal Care Products
Manufacturing
o Pesticide Manufacturing/ Packaging
o Pharmaceutical Manufacturing
(Including precursors)
o Porcelain Enameling
o Power Generation
o Print Shop
o Research and Development
o Rubber Manufacturing
o Semiconductor Manufacturing
o Soap/Detergent Manufacturing
o Waste Treatment/Storage
New Business? YesONo[ZJ SIC Code(s) If known: ______ Date operation began/will begin: ______ _
Tenant Improvement? Yes [Z]NoO If yes, briefly describe improvement:. _________________ _
Installation of warehouse racking only.
Description of operations generating wastewater (discharged to sewer, hauled or evaporated): __________ _
None
Estimated volume of industrial wastewater to be discharged (gal/ day): _N_o_n_e ________________ _
List hazardous wastes generated (type/volume): __________________________ _
None
Have you applied for a Wastewate r Discharge Permit from the Encina Wastewater Authority? YesOoate: ____ No[ZJ
Page 1 of 2
ENCINA WASTEWATER AUTHORITY
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY
6200 Avenlda Encinas, Carlsbad, CA 92011
Phone: 760-438-3941 Fax: 760-476-9852
SourceControl@encinajpa.com
The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater
discharge permitting under normal operating conditions. They are exempt because (a) they discharge no process wastewater
(i.e., they only discharge sanitary wastewater with no pollutants exceeding any local limits), and {b) they have no potential to
negatively Impact the EWPCF or other wastewater treatment plants In the ESS, Any questions regarding exemptions
should be referred to EWA Source Control staff.
o Automoblle Detallers o Hotels/Motels (no laundry)
o Barber/Beauty Shops o Laundromats
o Business/Sales Offices o Libraries
o Cleaning Services o Medical Offices (no x-ray developing)
o Carpet/Upholstery o Mortuaries
o Childcare Facilities o Museums
o Churches o Nall Salons
o Community Centers o Nursing Homes
o Consulting Services o Office Buildlngs (no process flow)
o Contractors o Optical Services
o Counseling Services o Pest Control Services (no pesticide repackaging for sale)
o Educational Services (no auto repair/film developing) o Pet Boarding/Grooming Facilities
o Financial Institutions/Services o Postal Services (no car wash/auto repair}
o Fitness Centers o Public Storage Facilities
o Gas Stations (no car wash/auto repair} o Restaurants/Bars
o Grocery Stores (no film developing) o Retail/Wholesale Stores (no auto repair/film developing)
o Residential based Businesses o Theaters (Movie/Live)
CERTIFICATION STATEMENT
I certify that the information above is true and correct to the best of my knowledge.
Slgnats;:J ctA-: ::.J ~e: Jon Jackson • DATE: 8/13/2020
Facl llty Contact: __________ _ Title: _____________ _
ENCINA WASTEWATER AUTHORITY
6200 AVENI DA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852
SourceCo ntrol@enclnaipa.com
Page 2 of 2