HomeMy WebLinkAbout2738 LOKER AVE; A; CBC2022-0156; PermitPERMIT REPORT
{city of
Carlsbad
Commercial Permit
Print Date: 06/17/2022
Job Address: 2738 LOKER AVE W, # A, CARLSBAD, CA 92010-6629 Status:
Permit Type: BLDG-Commercial
2090812900
$162,785.00
Work Class: Tenant Improvement
Closed -
Withdrawn
Parcel#:
Valuation:
Occupancy Group: B
#of Dwelling Units:
Track#:
Lot#:
Project#:
Plan#:
Bedrooms:
Bathrooms:
Construction Type:III-A
Orig. Plan Check#:
Plan Check #:
Project Title:
Description: 2738 LOKER AVE./ WEST: COM-Tl (3,500 SF)
Applicant: Property Owner:
KJ INTERIORS FENTON HG COMPANY
KAREN JORGENSEN
5049 VERBA ANITA WAY
SAN DIEGO, CA 92115
(619) 796-8973
7757 MISSION VALLEY RD, # STE 200
SAN DIEGO, CA 92108
(619) 400-0120
FEE
BUILDING PLAN CHECK
BUILDING PLAN REVIEW-MINOR PROJECTS (LDE)
BUILDING PLAN REVIEW -MINOR PROJECTS (PLN)
CERTIFICATE OF OCCUPANCY
COMM/IND Tl -NON-STRUCTURAL
FIRES Occupancies< 50,000sq. ft. Tl
581473 -GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION -COMMERCIAL (SMIP)
Total Fees: $2,829.78 Total Payments To Date: $811.20
Applied: 05/TI72022
Issued:
Finaled Close Out:
Final Inspection:
INSPECTOR:
Contractor:
POULSON CONSTRUCTION INC
ROD POULSON
5575 MAGNATRON BLVD, # STE E
SAN DIEGO, CA 92111-1312
(760) 715-1381
Balance Due:
AMOUNT
$811.20
$194.00
$98.00
$15.00
$1,248.00
$411.00
$7.00
$45.58
$2,018.58
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 the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which 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 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
COMMERCIAL
BUILDING PERMIT
APPLICATION
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Job Addres52738 LOKER AVE. WEST Suite: APN:209·081-2900 -----
Tenant Name#: Lot#: Thru G Year Built: 1980 -------------------------------
Ye a r Built: '1990 Bl(' -1 Occupancy: j• , Construction Type: m-A Fire sprinklers0YESQNO A/C:QYFSQINO
Rer1ovote exi::,ting suite. D~mo: liqhUng. suspended ceiling, oloc .. n0n beiJ:ring partitions and doon.;.
D~mo s!orefront g!az,ng, t../e-w •oil up door, nor. bearir,g p>1rt,tions elec. and ooo<-r;. No plurnbbg. HVAC ductwc,ork onl~ Stn,cturaf
l O Addition/New: _______________ Ncw SF and Use,_,, __
I . ----· SF Deck, . . . SF Patio Cover,
i --
' ' 1
_ ______ New Sf and Use
SF Other {Specify).
1, i■'Tenant improvement: SF,
I Existing U:;e: -----··-·---·----· -···--·-·----· ___ Proposed Use:--~-----
I _1~,G_OO_. ___ Sf. Exi~ting Use: Bi.S•1 PropO!:'.ed U~e: _B_:'r-;._,._1 _____ _
,-..J Other:-----------------------------------------
Name:Keire,1 Jorgensen
Address: S049 Yerba Anita Way
City:San Diego State:_C_A __ Zip:92115
Phone:619 796-8973
Email: kjorgensen2S5@gmail.com
Name:HG Fenton Co.
Address: 7577 Mission Valley Rd.
City:San Diego State:_C_A __ Zip:92108
Phone: 619 400-8582
Email: Jdiltz@hgfenlon.com
Name: Business Name; Poulson Construction Inc --------------------Address:_____________ Address: 5575 Magnatron __ B_lv_d_._li-_E __________ _
City: ________ .State: ___ Zip: _____ City:San Diego State:CA Zip:,_9_2_1_1_1 ____ _
Phone: Phone: 760 497-8103
Email: Email: nxipou!sonconstruction(Q}y8h00. corn
Architect State License: CSLB License#: 1015837 Class:B --------
Car Is bad Business license# (Required): BLOS007436-03-2020
APPLICANT CERTIFICATION: I certifyt/wt I have read the appiicationandstate t/Jat t/Jeabove information is correct and that the
information on the plans is accurate. !agree tocompty with alt City ordinances and State iaws relating to bu ii dins
construction.
NAME {PRINT): Karen Jorgensen 04/21/2022
SIGN: -f-"'..;_c:c__v.....-,.:......,~'-"'--DATE:-------
1635 iaradav Ave Carlsbad,(;\ .92008 Ph: -142-339-F l:J
REV. 04;22
THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _
hav,: ;:iul ,.,,rn ni.iinra1n a r,,:;,11if,cah' of (()w,ent to ckif.,nsiirt fu ·Norkcrs' o;rnp0nqt,0n p;0v1ch~cl hy Snlion .non of t\w L1bcr Cod(·, fonhe pcrform<1nfc of the-
work which !hi<.: perrnit 1s issued. PQiiryNo. _______ _
·OR-
; [JI h,:ive and will m;lintc1in v.iorker's compen~at•on, a<; r!'!qoirPd hy Secti011 3700 cf tht> Lobm CndP,. for the r.erformance of thf' work for vihirh thi~ permit i5 i~-~uf'd.
r,~-~-v;0rk~•rs' r.oinµen~-,il•on 1mura11~e t.Jnicr ;ind poi1cv nun,tJ,2: Ml': lnsurann~Company Name: OH!C:· ::-,1::_r:::1R,-iY_:~1.s~iw,1,jr:t.r:rn,1PANY ________ -· ______ _
Policy No. ;.._·,vst1 ,r'.\}B:i2 -~-~--________ --·--· EK pi ration Date; 4:'~''·'??
.()H_.
Certificate of Exemption: l c>2rtify that m the perforn,ar.ce of the work for which this permit is issued, i shall not employ any person in any manner so as to become
subject tn the '>!Ork!:!rs· compensat!on l:N;~. of C:;:ifornia. WARNING: J:aiiure to secure workers compensation coverage is unlawful and shall ,;object an employer to
criminal pena!tie-s and civil tines up to $100.000.00, in addition the t-o the cost ot compensation, damag~s as provided for in Section 3706 of the Labor Code,
intmet:t and atlorn,~v•s foes.
lender's Name: ______ . ____________________ lender',; Address: ___________________________ _
(,(,;',fit~/ut:!.•t; 1:d1l·,~c,(~. ,,1.'J µ1v!)u:,,;J '1•tJIJj-wf,o, ;, ww/01 o(id:/,;;r:! ,Jr._, c:~·u,,'r iO-')i:i'.:'rJ i.:m /he :Al: p<:Jr1 /wy ~•ut~•1:/fo!1y ~'1:~liny de!u,f w,f/i,,1 f/1e:,t .:_,\.m, ,nux1~1:,/t"ll w1/f; t/;1; ,,ti:: p!u" u,c noi
0001,:,1,1;.;J fo, ;,:,nstil!(h.'." wr•d ·,,01· bi! req,ir,:;j t,-:, be ,::;l!u,;;ci t'' r£rl)oved. Tice t,t)/s <JPP'O•.,a! cf th,; ,:wp::,.y,r,c,1 i; l::,1sed or, !he :rem!Se th,:-,,; tl'e ,,;,;t,n·,,itt:d d,:.c:.,men.> ;:;;,,d ::!,:m, !~,,,,.; t~~ c0°c2c1
w11r,;c.",!.,m5 CJ. tr.1 .uw;.HCH\·, JJ,;11:J;t:!,~-1vu-Jc1r2, ,wu 1:k,r i>:tL'i.1cbj1om 1-''0pt-'t,, .',ne, un>Jfr0n, ,: .. ,;1, C:!!1.J!''"' . oc:~£.i:, ,·~•aas/,;o.,e1i:ecnn. u,,u u,,· t:h. F•i;, ~.,,sl,119 :.,nJ ,Pop,;,;-:::1 it50 c_; 9rJC'' V.J,,d,,1,;,•
' (111 ,t \ (f' ,, :, d ( l/•ft' oil H"I 'l' )', .J 1(1 r, 'II' ,,,," Iii J II' :h ~(' 1, ' ( ,., l7 l ,,, t (;,Cl/1/)/r> \; WI ')l1<) ',(J,' Ni 1 ( ',,, ] ) 1' (ll /(/ tj ... ti? /;fi'{J,,r:'d,,:1:, ~;;: ,n,pm,,•111,·nt'.
p1tn;m, 1,, ,.,,.,....,t,c((:,,~r;'rr,•a ~or ,";n~r~,~t'n'lr,...qr,11<1~ """~·e-,,,.,.,llr.rt,,r, ofth , •lic//1 "C' '~; rr:r,/e
NAME (PRINT): .ROD POULSON SIGNATURE:_,_.1,...1......_-+~-=:::,,.. __ DATE: 05/04/2022
Note: lf the pen.on signing abov£" i:; an authori.:ed :iient for the contra<:tot provide a .tter ot authorization on contractor letterhead.
D
I herPby affirm that I am exempt .from Contractor's License Low _for the following reason:
I. as .:,1.•mer of the property or m\ emp!oyees w;th wages as their so!e compensation, w"iit do the 1.vod·, and the stn,Lture is not imends,d or offered for sa!e (Sec
7l1au, Ou:,:nc~·, ,Jnd i-'•rofe:is!{u1~ lvd,•: n1v ((tf1tr,.11-\ci'<-L,c,::n':.e L-:~w i.10,:s n0t applv to .,1n uw:ier ut P'"P1.•1 tv who build-; ur ,n,p1011e'.: th,;H;fJn, ,v-1(1 wlP) ,.:ue';. •.,ucti
·,.,ork h:n1.',1~:f nr th1·ough hi~ own e:ripinyH.'•, ;m:ivrd,:d tk,r s:JCh i1nprov(~n10nt··. ;,re• nt'Yl ;ntencieri m offer\?(! for ~.:i!.: if, h;,wr•vf•r,, the• J1:1ilr!.ng er lmpr(WHY:E'nt i•·, c-oid
within onp yf'..ir of rwnplPtion thP owri;,r-huilrler will h;ive thP hur·rlpn of nr1wi0p: th;:it hP. riid not build or impr,w,:::. for thf' 11urr,o'>e of <:;:11;,)
-OR-
i, ,1<. OWi';f:: of thi'.' prnp(•rty, ,1:"fl e,,,::i"',i',C!y :-ontr<1ct11113 with l,(,c>n~,:•d <.C,ntr,:1ctor•. ro con~ir,1n 1hc· pro1co (SP-< 'J(M..;., f:l,E,JT1,:.~'-,,nd P~ofr,,,_;10n:; Coric r hr·
Contractor's License Law does :wt apoiy ra .an cwner of propert'; who builds or improves ther,;oi,, and co,-,tracts for such projects #itt-• contractorisj lken~ed
pc.r:-,u,;,;,t to the Car,t1'dtto~·'s liten:.,i? Law).
-01l-
:,,,,.
I understand thatocopyof theoppliGob/e law, Section ?044 of the BvsinessandPro{es:;;ions Code. fs-ovai/abievpon request when !!iisopp/iwtion Is
submi£ted or at the following Website: http:! lwww.leginfo.w,sovJcalaw,html.
OWNER (£RT/Ff CAT/ON: rrw ;1ppi:r:J"! ,:(•,•·r,J,,"; th•.1t u;: 1/u,imi,'t!(\ ,in,1 pf,cr•\ (1n1r'v ,,r;d :,:\ cJrc1:, ,,v •,!11,>\· oi! t'~:,,lmg ri'lri 11 ,H':Jkd ':-uliam;r, ,.1,:,d">t>,, u,.:u.".;. rear!,, iwd utd,:<:';;1,r.-el'f
ea;i?•rcr:ms. iJ..!,' ;)'OOc<s~d r'!l;JO,j1rn1,0no c;,•w/,:,r ,:;Q°d,vvfu <JC-:' c,s!af'y labe•2,:: a,, ,~e 5.it': ;:i:cr, t\;1, v,ne.or,a,i,, •i!l-1>t<"·1g demi.' Wi!/1i'1 tr,,c,1,:-p.'o~s • ,._,:,,r;;,st2M (~. rh rn! s•tt' ;}!iJr' a,2 n0r aµx0e1,:d fe
t·,e p·,_!p(•ft}', :;:;,if/l<iyi,, 5/· t'civ'•!S ar:J n';d· s,•11.1.1,. I, }'<Ji)' !" ,1_:,,1 i:,· , •),;:, D!!(i f /tJ,:' '1:11' ,1,,r), ;,,,, (/('. t•:::. :(;i,;(;':,/C-0'.,t''(l·(,t:, ,,,,u c:l1iil ,'-,'~ ''/I' ('1;:S ,,,;,;" u,,,j (''IJ/;0.:t'd :,~.-'-'f, ,,;:h /,r,,!1hn!,' ,,1; :./1){,_,,; -~ t·1w
.. ,~d r-;-,·c:c"t.' ,71/ c,;,c,m2r-t; ,:;, ,,-: 0tl;.·· c:-~n;,,.,{;r,;,,-,c-?· t,:;; dc1.-~··0;: -r;e ·,t l';o;,f bfe, r,t,:-F-:;t,·,v sfrc<,\··< cr;d 'crt,,:cd a; 11-;;•I: a, ,1·',I ,:;~ ,,t,: CF :x:, "JCJ/.;'it' 0."(0:i',;,t·c;r:, ,-li: ,,-n,:;,-c,·,2.·r:-:,~:., e;c:';t,n(Z c,r; the ;:;,.;pert;,
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NAME (PRINT); SIGN; _________ _ DATE: ______ _
Note: If the person signing above is an authoril.ed agent for the property owner Jndude form 8~62 signed by property owner.
RfV 04!2/