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Home My WebLink About1040 CARLSBAD VILLAGE DR; ; CBC2021-0462; PermitPERMIT REPORT Commercial Permit Print Date: 05/24/2022 Job Address: 1040 CARLSBAD VILLAGE DR, CARLSBAD, CA 92008 Permit Type: BLDG-Commercial Work Class: P/M/E Parcel#: 2033203900 Track#: Valuation: $20,000.00 Lot#: Occupancy Group: Project#: #of Dwelling Units: Plan#: Bedrooms: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Project Title: Description: INSTALL GREASE INTERCEPTOR SERVING 2 MAIN LEVEL COMMERCIAL SUITES Applicant: BRAN DEN WERMERS 3444 CAMINO DEL RIO N, # 202 SAN DIEGO, CA 92108-1710-SAN DIEGO (858) 342-7447 FEE PLUM: OTHER COMPLEX PLUMBING STRONG MOTION -COMMERCIAL (SMIP) BUILDING PLAN CHECK FEE (manual) Total Fees: $685.40 Total Payments To Date: $685.40 (City of Carlsbad Permit No: CBC2021-0462 Status: Closed -Finaled Applied: 12/02/2021 Issued: 04/29/2022 Fina led Close Out: 05/04/2022 Inspector: Final Inspection: 05/04/2022 Balance Due: AMOUNT $412.00 $5.60 $267.80 $0.00 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. 1635 Faraday Avenue I Carlsbad, CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov ( City of Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION 8-2 Plan Check 0{~2Q2\-04i 02 Est. Value PC Deposit~ Tu7, 'oO Date 12-2.+-2\ Job Address 1040 Calrsbad Village Drive Suite:. _____ APN:203-320-49-00 Tenant Name ll:._R_e_ta_il_2_&_3 ____________ Lot II· .. _____ Year Built: _2_0_21 _______ _ Year Built:2021 0ccupancy:._M __ Construction Type:_IA__ Fire sprinklers@ESQNO A/C:()vESQNo BRIEF DESCRIPTION OF WORK:Grease Interceptor -----~------------------------- 0 Addition/New:. ___________ New SF and Use, _________ New SF and Use ______ SF Deck, _______ SF Patio Cover, SF other (Specify) ___ _ OTenant Improvement: _____ SF, _____ SF, Existing Use: _______ Proposed Use: ______ _ Existing Use: Proposed Use: ______ _ D Pool/Spa:. _____ SF Additional Gas or Electrical Features? ___________ _ D Solar: KW,, ___ Modules, Mounted: 0Roof 0Ground D Reroof:. __________________________________ _ 0 Plumbing/Mechanical/Electrical 0 Other: Grease Interceptor PRIMARY APPLICANT PROPERTY OWNER Name:Carlsbad Village, LLC ~-j r o.nc~.n {'i QJ(I/J.)(.f,Jame:,.:C.:.a.:;rls;.;;b.:.a.:.d.:;V_ill.:.ag"-e:.:., .::L.:.LC.:.... __________ _ Address:3444 Camino Del Rio North #202 Address:3444 Camino Del Rio North #202 City:San Diego State:CA Zip:92108 City:San Diego State:~Zip:_92_1_0.:;s __ Phone:858-342-7447 Phone:_85;,;;8.:;-5;.;;3.:.5_-1_4_7_5 ____________ _ Email: 'i?)racler. •N'@. 'tR[ ITTE':l Email: ________________ _ DESIGN PROFESSIONAL ('__(J~o.r,i e":, • CG rf\ CONTRACTOR OF RECORD Name:, _________________ Business Name:2020 Plumbing and Heating, Inc. Address: Address: 7343 Orangewood DR City: _______ State: ___ Zip:. _____ City: Riverside State: CA Zip: 92504 Phone: ________________ Phone: 951-396-2020 Email:. _______________ Email: j.labouff@2020ph.com Architect State License: ___________ CSLB License II: 1 001965 Class: C-36 I C-16 / C-20 Carlsbad Business License II (Required): BLOS 1240911 APPLICANT CERTIFICATION: /certify that I have read the application and state that the above information is correct and that the lnformationon the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. MO I fl \~ ~( NAME (PRINT): R;,k S{J 1.,. l&'wJ, c. rJ s1GN, '\.AA,~~ liJe.Jl\b'S P'llf DATE: l l-" D •?tn-1 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Burld1m11@carlsbadca.gov REV. 07/21 CBC2021-0462 THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: _______ _ A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. (OPTION A): LICENSED CONTRACTOR DECLARATION: I herebyaf firm under penal tyof per jury that I am I icensed under provisions of Chapter 9 /commencing with Sect ion 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. /also affirm under penalty of perjury one of the following declarations (CHOOSE ONE): D1 have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, tor the performance of the work which this permit is issued. PolicyNo. ______________________________________ _ -Oll- !291 have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, forF'1ec:fierfoiri1ance of the wcrl for which this permit is issued. My workers' corrg43~%02'2~urance carrier and policy number are: Insurance Company Name: e era nsurance ompany Policy No. _________________________ Expiration Date: 3/30/23 -OR- D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation Laws of Californta. WARNING: Failure to secure workers compensation coverage is unlawful and shall subject an employer to crlmlnal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lendlng agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). lender's Name:. ___________________ ~lender'sAddress: ____________________ _ CONTRACTOR CERT/FICA TION: /certify that I have read the applicationand state that the above information is correct and that theinformationon the plans isaccurate. /agree to comply with afl City ordinances and State laws relating to building construct;on. NAME (PRINT): James B. La Bouff SIGNATURE:tu..lAU f\...,J .D ~ DATE:_4_11_3_12_2 __ _ Note: If the person signing above is an authorized agent for the contractor provide «:t=.authorlzatio~ letterhead. -OR - (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: [g I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and who does such work hlmsetf or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the bullding or improvement is sold within one year of completion, the owner-builder will have the burden or proving that he did not build or improve for the purpose of sale). -OR- DI, 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 imp(oves thereon, and contracts for such projects w·1th contractor(s) licensed pursuant to the Contractor's license Law). -OR-DI am exempt under Business and Professions Code Dlvision 3, Chapter 9, Article 3 for this reason: AND, D FORM B-61 "Owner Builder Acknowledgement and Verification Form" is required for any permit issued to a property owner. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicablelaw, Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted orat the following Web site: http: I lwww.feginfo.ca.gov/calaw.html. OWNER CERT/FICA T/ON: /certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. /agreetocompfy with all City ordinances and State laws relating to building construct;on. NAME (PRINT): SIGN: _________ DATE: _____ _ Note: If the person signing above is an authorized agent for the property owner Include form B-62 signed by property owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Ematl: Building(@carlsbadca.gov 2 REV. 07/21 Building Permit Inspection History Finaled (city of Carlsbad PERMIT INSPECTION HISTORY for (CBC2021-0462) Permit Type: BLDG-Commercial Application Date: 12/02/2021 Owner: CARLSBAD VILLAGE LLC Work Class: P/M/E Issue Date: 04/29/2022 Subdivision: Status: Closed -Finaled Expiration Date: 10/31/2022 Address: 1040 CARLSBAD VILLAGE DR IVR Number: 37390 CARLSBAD, CA 92008 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Re inspection Inspection Date Start Date Status 05/02/2022 05/02/2022 BLDG-44 181803-2022 Rough/Ducts/Dampers Cancelled Tim Kersch Re inspection Incomplete Checklist Item COMMENTS Passed BLDG-Building Deficiency No 05/03/2022 05/03/2022 BLDG-21 181837-2022 U nderground/Underflo Failed Tim Kersch Re inspection Incomplete or Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency Work not ready No 05/04/2022 05/04/2022 BLDG-21 U nderg rou n d/U nderflo 181953-2022 Passed Tim Kersch Complete or Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency Work not ready Yes BLDG-Final Inspection 182025-2022 Passed Tim Kersch Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No Tuesday, May 24, 2022 Page 1 of 1 City of Carlsbad 1635 Faraday Ave Carlsbad, CA 92008 4/13/22 Re: Authorization To Whom It May Concern: • NV Lie # 80032/80030 CA Lie # 1001965 James LaBouff is authorized to pull permits and sign documents on behalf of 20/20 Plumbing & Heating, Inc. in the City of Carlsbad. If you have any questions or would like to discuss this situation, please contact me or Dan Schlossberg at (951) 396-2020. Thank you. Sincerely, ing & Heating, Inc. 20/20 Plumbing & Heating I 2020ph.com 7343 Orangewood Dr., Suite B / Riverside, CA 92504 J (951) 396-2020 5665 Corporate Ave., Suite 200) Cypress, CA 90630 I (805) 727-2020 674 Rancheros Dr. I San Marcos, CA 92069 I (760) 294-6630 4745 Copper Sage St. j Las Vegas, NV 89115 I (702) 945-2020 DATE: DEC. 17, 2021 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2021-0462 INTERWEST SETI PROJECT ADDRESS: 1040 Carlsbad Village Dr. PROJECT NAME: Grease Interceptor Installation □ APPLICANT □ JURIS. ~ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building 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 check list transmitted herewith is for the applicant's information. The plans are being held at I nterwest 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 the jurisdiction at: ~ lnterwest staff did not advise the applicant that the plan check has been completed. D lnterwest staff did advise the applicant that the plan check has been completed. Person contacted: Telephone#: Date contacted: (by: ) Email: Mail Telephone Fax In Person 0 REMARKS: By: Connor Reuss, P.E. lnterwest 12/12/21 Enclosures: 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 [DO NOT PAY -THIS JS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Connor Reuss, P.E. PLAN CHECK#.: CBC2021-0462 DATE: DEC. 17, 2021 BUILDING ADDRESS: 1040 Carlsbad Village Dr. BUILDING OCCUPANCY: BUILDING AREA Valuation Reg. PORTION ( Sq. Ft) Multiplier Mod. Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code #NIA 11997 UBC Building Permit Fee ~ I 19"97 UBC Plan Check Fee Type of Review: Complete Review VALUE 1 Structural Only r Repetitive Fee ""' I~ Repeats r.-Other 1 Hourly EsGil Fee ~ E=:=]Hr.@* Comments: ($) [ 7 r 7 $267.007 Sheet of OFFICE USE ONLY SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE RECORD ID # __________________ I PLAN CHECK# ___________________ 1 Business Name Carlsbad Village, LLC Business Contact Branden Wermers City State Telephone# 858-535-1475 BP DATE Zip Code APN# Project Address (include suite) 1040 Calrebad VIiiage Drive Mailing Address (include suite) Carlsbad, CA 203-320-49-00 City State Zip Code Plan File# Project Contact Applicant E-mail Telephone# same as above The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT -HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (not required for projects within the City of San Diego): Indicate by circling the item, whether 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: Facility's 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 15. None of These. 4. Flammable Solids 8. Unstable Reactives 12. Radioactives PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEAL TH -HAZARDOUS MATERIALS DIVISION (HMDl: If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 170, 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· 1. 2. 3. 4. 5. 6. 7. 8. YES NO (for new construction or remodeling projects) Is your business listed on the reverse side of this form? (check all that apply). □ Iii □ Iii Will your business dispose of Hazardous Substances or Medical Waste in any amount? □ 00 Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? □ □ □ □ □ Ii] Will your business store or handle carcinogens/reproductive toxins in any quantity? Ci] Will your business use an existing or install an underground storage tank? Ii] Will your business store or handle Regulated Substances (CalARP)? Ii] Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? Iii Will your business store petrolP.um in tanks or containers at your facility with a total facility storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). 0 CalARP Exempt I Date Initials 0 CalARP Required I Date Initials 0 CalARP Complete I Date Initials PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT {APCD): The following questions are intended to identify the majority of air pollution issues at the planning stage. Your project may require additional measures not identified by these questions. Some residential projects may be exempt from APCD requirements. If yes is answered for either questions 1, 2 or 5 or for more comprehensive requirements, please contact APCD at apcdcomp@sdcounty.ca.gov; (858) 586-2650; or 10124 Old Grove Road, San Diego, CA 92131 YES NO 1. D I!) Will the project disturb 100 square feet or more of existing building materials? 2. D Ci) Will any load supporting structural members be removed? 3. D D (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by an individual that has passed an EPA-approved building inspector course? 4. D D (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Based on the survey results, will the project disturb any asbestos containing material? If yes, a notification may be required at least 1 O working days prior to commencing asbestos removal. Additionally, a notification may be required prior to the removal of a load supporting structural member(s) regardless of the presence of asbestos. 5. D Iii Will the project or associated construction equipment emit air contaminants? See the reverse side of this form for typical equipment requiring an APCD permit. If yes, contact APCD prior to the issuance of a building permit. 6. D 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: Briefly describe proposed project: Mix Use Building Grease Interceptor I declare under penalty of perjury that to the best of my knowledge and belief t e responses made herein are true and correct I I Name of Owner or Authorized Agent Signature of Owner or Authorized Agent Date FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION· ________________________________ _ BY· I I EXEMPT OR NO 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 (10/19) County of San Diego -DEH -Hazardous Materials Division