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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CA 92010-6629 Status: Permit Type: BLDG-Commercial 2090812900 $162,785.00 Work Class: Tenant Improvement Closed - Withdrawn Parcel#: Valuation: Occupancy Group: B #of Dwelling Units: Track#: Lot#: Project#: Plan#: Bedrooms: Bathrooms: Construction Type:III-A Orig.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 B-2 C 6 C '2.02'Z. -0 I S-/.,, fLJ f-il. 7 tpS: oO -~ _tgJ1. -z:c;;, -- ,f""-_ I I -2. O~ ~ 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,. 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