HomeMy WebLinkAbout2245 Hosp Way; 10; 84-185-10; Permit~ 0 u
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D I hereby affirm that I am licensed under
provisions of Chapter 9 (commenc!flg with
Section 7000) of Division 3 of the Business
and Professions Code, and my license 1s in
fult force and effect.
L,c No -----~ C1011
I hereoy alfirm that I am exempt from the Conlrac-101 s License Law tor the following reason !Sec. 1a31 J
Business and Pro1ess1ons Code Any c,ty or county wh,,;~, re-
quires a permit to construc1 alter. improve demol,sh or
repa,r any structure. pr,or lo IIs issuance also requires !heap pl,cant tor such permII to 11le a s1Qned slatemen1 Iha! he Is
licensed pursuant to the provisions of the Contractar s License Law (Chapter g commenc,ng w•th Section 7000 of
o,v,s,on 3 of the Busmess and Professions Gode) or that Is ei-
empt therefrom and 1he basis for 1he allegea exemp1ion Any
v1olat1on of Sec!IOn 7031.5 by an applicant lor a perm,t sub-
1ects the applicant to a cIvI1 penalty of not more than f<Ve hun-
dred dollars ($500)
:7 I, as owner ol the property. or my employees with wages
as their sole compensation. will do the work. and the struc-
lure 1s not intended or offered 1or sale (Sec 7044. Business
and Professions Code The Contractor's L,cense Law does
not apply to an owner of property who builds or improves
1hereon and who does such work h1mse11 or through his own
employees. provided that such improvements are not rnlend-ed or ol!ered for sale. If, however. the buIldIng or improve-
menl 1s sold within one year of completion, the owner-builder
will have the burden ol proving thal he did not build or im-
prove 101 the purpose of sale)
-J I. as owner ot 1he property, am exclusively conlractmg
with licensed contractors to construc1 the pro1ect {Sec. 7044.
Business and Professions Code The Contraclor's License
Law does not apply to an owner ol property who builds or im· proves thereon,. and who con1racts for each pro1ects w1!h a
con1ractor(SI license pursuant to !he Contractor's License Law)
D As a homeowner I am improving my home, and the follow mg cond1!1ons exist
1 The work rs being performed prior to sale
2 I have l1vW m my ll_ome !or twelve months
prior to complellOn of t111s work
I have not claimed this exemption during the last three years
:::J I am exempt under Sec ______ , B & P C
for this reason
D I hereby af!,rm tr.at I ha~e a cert1t,c,1te of consent
to sel!,,nsure or a cer11!1cate ot Workers Compensation Insurance. o, a cer1,f1ed copy thereof
(Sec 38l0. Labor Code)
POLICY NO
COMPANY
0 Copy ,s !,led with the c11y
0 Cert,f1ed copy ,s hereby turn,shed
CERT!FICATf. OF EXEMPTION FROM
'NORKERS' COMPENSATION INSURANCE
(Th,s section need not be comple1ed ,f 1he pe,m,1
,s tor one hundred dollars {SHXll or less)
0 I cert>fy that ,n 1he perlormance of The worl< !o,
which 1h15 penrn1 Is ,ssued. I shall not employ any
person many manner so ;is lo become subIec1 lo
!he Worl<ers Compensation L.aws or Cal.forn,a
NOTICE TO APPLICANT II alter maktnJ th,s Cer1,
f,cate of Exemption you should become sub1ect l'J
the Won<ers Compensa1,on prov,s1ons of the Labor
Code_ you must torth ... 1tll comply wllh such
provIs,ons or this perm,1 shall be deemed re,oke<.J
0 I hereby afhrm that 111.,,e ,5 a con~truct,o~
Iendrng agency to, lhe pertormanu• ,,r the work lcr
wh,ch ThI5 perm,! ,s ,ssued 1Sec 3091 C,v, ClXle,
Lenders Name ___________ _
LenOer s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad. California 92008·1989 (619) 438-5525
ST.AO. NEAREST CROSS ST.
LOT 'b ~ -A,1, .,o/--,,1 , ·~·-------I ~ '"'OwNE.,r,.,,,.e . ./" ~-✓ . f -• .._ ....... , .. ,c-.. ,,,..,............ ---~
,. ............... ,. .......... .,.-.,,.4•·
RES UNITS
vD NO
REDEVELOPMENT
AREA
APPLICATION & PERMIT
BUSINESS LICENSE#
S3/)/
EDU
I
PLAN 1.0.-#
STANDARD PLAN#
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tj,,-/~ID
/,_ YON □ ,□ N Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT· ISSUE MECHANICAL PERMIT· ISSUE CCOUNT NUMBER
EACH FIXTURE TRAP I ~'::t / 1}r~sTALL FURN oucTs uP rn 100.000 BTU I t.f:tl. -I BUILDING PERMIT i) 01-00-00•8220
EACH BUILDING SEWER [p. ~ t ----OVER 100,000 BTU I I SIGN PERMIT ~ 01-00-00-8221
EACH WATER HEATER ANO ,.:o R vE NT . J-·---eOtLE RiCOMPRESSoAUPTOJHP PLAN CHECK 7 01-00-00-8806 -EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 ---------·----j----j------------
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00-00-8223
EACH INSTAI,.. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT_______ . ---MECHANICAL 01-00·00·8224 :.:,~ -
1--+,-.-,-H-VACUUM BREAKER ----·------MECH EXHAUST -HOOOiOUCTS MOBILEHOME ~ 01-00-00·8225
WATER SOFTNER II I RELOCATION OF EA FURNACE/HEATER I N MOBILEHOME PARK
FACH ROOF DRAIN IINSIDE,
1
j !I I TOU.L MECHANICAL I -STRONG MOTION I I SOLA~R __ _
I I I FIITTS~1••= TOTAL PLUMBING -
QTY. I ELECTRICAL PERMIT· ISSUE QTY. I SOLAR · ISSUE
COLLECTORS
I PH . -11 I STORAGE TANKS
EXIST BLOG EA AMP.'SWT ROCK STORAGE
I PH PUMP
REMO OH 'AL HR PER CIRCUIT Pl AN CHECK FEE
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 OA YS)
TOTAL ELECTRICAL
'"'Z--(), -
1 HAvE"cAREFULLY EXAMINED tHE cQMPLEteq :·A?PUCAtlbN-~'l?eR~t-1 ANDJ)O.HEREBY
~~~~A~~RA:~N~TEY A~ 6~~~T ~~~Tl.;~~i:~~~~~f;~A~iR!~J~L~~~l~~ ~SR~t6:~=~t~T~:i~~E~~~~~ ~~ sr:~:QL:-rt~e~°ioE;:~GI:~~~~':;¥ ~[)
·t<-EEP'-HAflMLESS Trte QffV10F..CARLSBAt"rAGAJNST Alt UABH.ITIES., J\J~ENTS, COSTS AND
EXPEN$ES '!Ntit:e8 MA Yi IN .;N-Y;Y,VAY. ~/;;GRUE AGJ\INST SAIO CITY IN CQNSE;QUENCt OF THE G-RAffflNG,GP:ffilS ~Ff ' '
TOTAi SOLAR
-01-00-00·8227
PUBLIC FACILITIES FEE 32-00-00-8933 -BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad 80·92·21-0519
Encinitas 80·92-22-0519
San Die.9.uito 80-92-23-0519
San Marcos 80-92·24-0519
F ~ 0.0
CREDIT DEPOSIT
TOTAL FEES PAYABLE
~~ovi~ons.O'.(ftiis :me bo1ld1ng:0t \lldfll'
frq,rn th& dateo1 such
"" i& suspended ot of 180
* AN OSttA :PEAMIJ IS REaUIRE[) FOR EXCAVATION$ ovEII 5' 0" Ef>'OO OEMoLITJOff-OR CONSTAUCtlON OF
STRUCTVAEsOVER 3 STORIES IN HEIGHT
CONTRACTOR 0
-~PHONE 0
APPR~
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TYPE I DATE INSPECTOR
BUILDING I zs'-f-l ~'5 -10
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL 1 1------R-E_O_U_IR_E_D_S_P_E_C_IA_L_IN_S_P_E_C_T_IO_N_S----~~----1-NS_P_E_C_T_O_R_'S_N_O_T_E_S ________________ -l
MASONRY ,
GUNITE OR GROUT I INSPECTION c~i~K1:D INAs:PERCciv0A~ s DATE •
FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE •. •; • • ..
SHEATHING □ ROOF □ SHEAR PRIOR TO .
FRAME 1 .__rn_u_N_o_Ar_1o_N_1N_s_P __ +----+------+----< 1-----------------------------i
STRUCTURAL CONCRETE
EXTERIOR LATH I OVER 2000 PSI 1-=,.:.::.....=c:__.:_ ___ ,1.-_--1------1-----1
INSULATION I PRES TRESSED
I CONCRETE 1-----------------------------1 INTERIOR LATH & DRYWALL I-P-O:_S_T_T-EN_S_IO_N_E_D----l------+-------+------
1 CONCRETE l-'-'--------+------+------+----1
PLUMBING : FIELD WELDING 1----------+-----+-------+ SEWER AND BUCO □IPUCO I HIGH STRENGTH'
Ul-lDERGROUND □ WASTE D WATER sm fs , .•
TOP OUT □ WASTE □ WATER SPECIAL MASOt-;RY ', ·~ . ,
TUB AND SHOWER PAN 1
GAS TEST I PILES CAISSONS □ WATER HEATER □ SOLAR WATER 1----------+----+-~------+-----I 1---------------------------1
I f--------,1.----1------1-----1 I---,;;_·_;_ _________________ :_:_ _____ ~
-·----~E-LE_C_T_R_I_C_A_L--~1--+----+-------'.
l----------+----1------1-----1 □ ELECTRIC UNDERGROUND □ l;)FFE.R
ROUGH ELECTRIC 1 1------~-~--1-------+-----I-----I 1---------------------------
□ ELECTRIC SERVICE □ TEMPOlilARY 1-------·-• ~--+----+-------1-----1 1--------------------~~------1
□ BONDING □ POOL : ,.
MECHANICAL : =================================== 1-----•-'----------------------j
□ DUCT & PLEM., □ REF. PIPIIIIG 1----------1-------+-----1-----1 1------------·~---------------1
HEAT -AIR COND. SYSTEMS 1
VENTILATING SYSTEMS ; •. ' • ,, ~
!
CALL FOR FINAL INSPECTION WHEN ALL .APPROPRIATE' ..-,----"'--~-+---+----+----4 1---------------------------l ITEMS ABOVE HA VB BEEN "APPROVED. . . , · ·.. , •
FINAL -:-/ · _
PLUMBING 1 / •• ·· · ..;/ • ,., :• •• ' :..::=.::===----------+-----~--~l--"1~ ...... ,--1 +---------~-+---+-------1------, 1------------------------------
ELECTRICAL 1 _ )'-.. J . r •
MECHANICAL ; ~ -"7 J .-.· .· • 1-------------------------~----1
GAS I • l I #l~ I'' A/· . ', f.·-·_-_· _____ ....:.----------~----·-----+
BUILDING 1 , U / J
SPECIAL CONDITIONS I r--,,__
'. I
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
438-5541
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
OWNER
MAI LING
ADDRESS
CONT RACTOR
CONTRACTOR'S
ADDRESS
AY
NEW BUILDING EXISTING BUILDING
LEGAL DESCRIPTION
I
71-
REMARKS: I
"
LATERAL LOCATION
i-.: V)
ST.
SE ~
ISSUED BY __ ....::....--.,,.::....,...<\--~~-"4~...:.,,.--------'
DATE ISSUED ___ ...,........,._ _____ .......,..,,.....--------'
VALIDATION
STANDARD 4" (Max. H. 30', V. 10') _________ _
OVER 30' H. @ FT·-----,,:-==------
OVER 10' V . ___ @ ___ FT. _ ___:::::::.._ ______ _
STANDA RD 6" (Max. H. 30', V. 10') _________ _
OVER 30' H. ___ @, ___ FT. _________ _
OVER 10' V. @ FT. _________ _
TOTAL CONSTRUCTION COST----------
SERVICE CHARGE (REPAVING ETC.) ________ _
TOTAL LATERAL CHARGE _________ _
LINE COST DATA
ASSESSMENT DIST. 0.--------------
FRONTAGE ______ COST PER FT. ___ TOTAL __ _
OTHER ___________________ _
CONNECTION FEE
PUMP STATION FEES
NO. UNITS _-=-_COST PER UNIT ___ TOTAL---
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter
City of Carlsbad
CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
VALIDATION
1200 ELM 438-5525 You are required by law to complete and return this form to our office.
Address where Business 2245 Hosp Way A thru L (12 units) Buildlni J"4-185 will be conducted Permit o.
Name of Occupant Business
Phone
Address of Home Office of Home Office Occupant if different from AAove -Phone
Owner of Building v!i I ,11 I',.;, Jr,,~ /udJxj I Ju, , "'-'f....' ~ Xddress }:J(}t/,~A ·, 1r/-c S/J Phone#3-~q(J
Type of Business _7)~,u /) / ~ ,1 g,,__) / u
Describe exact use of all portions of each building and lot , h /} /1{_.-tzt~
Previous use of Building y{_L/
Type of flammable or explosive liquids to be used, if any ~·
I certify that I have read the statements contained in this application; that they are true and correct, and that I make this statement undele~alty ol perjury.
Dated this-JC: day of '"/}.A ,.,~ , 1 ~ In the City of Carlsbad, State of Californla
' ('\,.n ~ o~ k ) Signature of Applicant )('.)t,::, . ,,,.,,
I
FOR DEPARTMENTAL USE ONLY
Use Zone Occupancy Group a--, Type of Construction ""tr
Planning
Department Dale q/:,a/<;<,r Approved By ~
Engineering "I.'/ Approved By~ Department Date ---
Fire • • Approved By ...;? / ,£ / Prevention Dale i0-/-~r
Health
Department Date Approved By
Building Date/{)-1,Si~ (_
Department Approved By ,.... r ,..
~·
-
Signature of Bulldlng Olllclal ,--./~ .. -/1,,1 "fl
I I
White -Building Dept. Yellow -Applicant Pink -Finance Gold -Fire Dept.
--·-#
VALIDATION
City of Carlsbad '
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
1200 ELM 438-5525
Address where Business
will be conducted 2245 Hosn Wav (12 unit Ants.) Bulld/ni Permit o. 84-185-10
.
Name of Occupant G & G ENTERPRISES ~~~~:·· 483-6500
Address of Home Office of Dieoo Home Office 483-6500 Occupant if different from above 2204 Garnet Ave. San PhOne
Owner of Building G & G ENTERPRISES Address 2 2 0 4 Garnet Ave. Phone 483-6500
Type of Business Develooer
Describe exact use of all portions of each building and lot 12 unit dwelling (rental apartments)
Previous use of Building "~·.
. Type of flammable or explosive liquids to be used, if any NOne -
I certify that I have read the statemenw{'ontained in this apnli~thd'; are true and correct, and that l make this statement under penalty of perjury .
Dated this -4 dav/2,-• ~~tv,.of ~. State of Callfornia
Signature of~~ L "d,./ .f' Signature of fi U K.. L -. Applicant -......_ ._., Building Official X
UseZone Q.r
Planning
Department
Engineering
Department
Fire
Prevention
Health Department
Building
Department
FOR DEPARTMENTAL USE ONLY -
Occupancy Grou:;;;l-/ Type of Construction I/'~
Date ~/n/"" Approved Disapproved By ,
Date /L>;'ld /?.{ Approved I~ Disapproved By
Date /0..J c:>. AS--Approved Disapproved By
Date Approved Disapproved By
Disapproved By
White -Bulldlng Dept. Yellow -Appllcant Pink -Finance Gold -Fire Dept.
'"~ -