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Home My WebLink About2255 Hosp Way; ; 84-185-9; Permit' "' z 0 ;::: • "' ~ u "' 0 0: "' 0 ... 3 ~ "' -z ~ z 0 ~ z "' .. ,. 0 u ,. 0: "' "' "' 0 ~ ![ hereby al!irm lhat I am exempt from the Coitrac· tor's License Law lor lhe lollow,ng •eason (Sec 7031 5 Business and P:ofess,ons CMe Any city or county wh,c~ re qwres a per'nil 10 construct. alter. improve demolish, or repa,r any structure. prior to ,ts issuance also ,equ1res !heap- plicant for such oerm,1 !0 file a s19ned statement thal he ,s licensed pursuant to the prov,s,ons of the (.;ontractor s License Law (Ctlapter 9 commenc,ng with Sect,on 7000 ol Dov1s1on 3 of the Business and Profess,ons Gode; or that ,s e,-empt therefrom and the bas,s for 1he allegea exemp1,on llny v,olat,on ol Section 7031.5 by an applicant lor a perm,t sub· 1ecls the applicant to a ov,I penally ol not more than five hun- dred dollars ($500) : I, as owner of the proDerly, or my employees with wages as their sole compensation, will do the work. and the struc· lure ,snot intended or olfered for sale (Sec 7044. Business and Profess,ons CDde: The Contractor's License Law does not apply to an owner of properly who builds or improves !hereon and who does such work himself or ?hrough his own employees, provided that such improvements are not ,n1end• ed or offered for sale 11, however, the bu1ld1ng or improve- menl 1s sold within one year or completion, the owner-builder w1I' have the burden of proving IMt he did not bu,ld or im- prove !or the purp0se ot s.aleJ LJ I. as owner ol !he property, am exclusively contracting w11h 11cens!N;f contractors to cons1ruc! the projec1 (Sec. 7044 Business and Pro!ess1ons Code. The Contractor's License Law does not apply to an owner of properly who builds or im- proves thereon, and w!lo cowac?s 1or each proJects with a contractor(s) license pursuant to the Con1ractor's License Law) U As a homeowner I am 1mprov,ng my home, and 1he follow 1ng cond11lons exist 1 The work is being performed pnor to sale 2 I have lived in my Mme tor twelve months prior lo completmn ot this work I have no1 claimed this exemptmn during the last 1hree years [:. I am exempt under Sec ______ , BI!, P C tor this reason D I hereby af!,rm tha1 I ha~e a cer11t,ca1e 01 consen! !O sell insure or a cer11f,cate ot Workers compensation Insurance. 01 a cer1,f,ed copy tr.ereof ISec 3800. Labor Cocle) POUCY NO COMPANY 0 Gopy ,s tiled with the c,ty D Cer1,hed copy 1s hereby !um,sr.ed CERTIFtCATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This section need no1 be completed ,t the perm,1 ,s tor one hundre<l dollars ($1001 or 1ess1 0 I cer11ty th.of m 1he per1ormance ol tr.e wor1<. to, which this perm,1 ,s issued. I shall not emp101 anv person ,n any m;lnne, so as !O becomf" sub1eC1 10 the Wor1<.ers Gompens.a11on Laws of Ca11forn,a NOTICE TO APPLICANT 11 a!!er mak1n1 ir,,s Cer1, f,ca1e ot Exemp11on, you should become sub1ec1 "' lhe Wor1<.ers· Gompensat,on prov,s1ons QI tr.e Lat>or Cocle you must forth..,,tr. comply w1lh sucn prov,s,ons or this perm,1 shall be deerned '"""o~ed 0 I he,etiy alt.rm thi!1 !here ·s a r:or,<tru< lio~ 1er.d1ng agency tor 1r,p perlo,manrp "' •rie won. !Jr wh,ch tr.,s perm,1 ,s ,ssueO ,Sec 3091 C-n Code, Lende< s Name ___________ _ Lenders Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CENSUS TRACT GP LANO USE CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008-1989 !619) 438-5525 PARKING SPACE NEARES-PROSSST. , YO ND vO NO REDEVELOPMENT AREA ,□ N QTY I PLUMBING PERMIT -ISSUE MECHANICAL PERMIT -ISSUE APPLICATION & -PERMIT BUSINESS LICENSE # $"~/ ZONE VALUATION 00 PERMITf.UM/ ~✓Jtµ ~1 PLAN 1.0. # BLDG USE CODE LICENSE# STANDAR BUILDING SQ. FOOTAGE {p.fo DESlGNEJ\;S PHONE ,□ N ~ ~ ~,;,lid Unlns Milchine Cerrified SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS i.JP TO 100.000 BTU I ~/-_,,,,,-1 BUILDING PERMIT EACH BUILDING SEWER --1 EACH WATER HEATER ANO.'QR VENT -----_----OVER 100,000BTU I I SIGN PERMIT "' "e"'W I BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK "' ..:1,. nnn~ ---/-:.;;; -1 EACH GAS SYSTEM 1 TO 4 OUT LETS EACH GAS SYSTEMS OR MORE .. 1-BOILER/COMPRESSOR 3-15 HP I I TOTAL PLUMBING METAL FIREPLACE • . ELECTRICAL EACH INST Al ALTER. REPAIR WATER Pl PE ____ .L.L-<L.L.V_EN~__!'._:'~ ~l~GLE DUCT :,,,_,/ __ _,,. MECHANICAL u1~·oa<+ I ,-I EACH VACUUM BREAKER MECH EXHAUST -HOQQ.'QLJCTS MOBILEHOME WATER SOFTNER RELOCATION OF EA FURNACE/HEATER I U MOBILEHOME PARK INSP EACH ROOF DRAIN 1:NSIOE1 fOT.liL MECHANICAL TOT AL PLUMBING - QTY QTY. I SOLAR -ISSUE NEW CONST EA AMP'SWI COLLECTORS I PH STORAGE TANKS EXIST BLDG EA AMP,iSWT'BKR ROCK STORAGE 1 PH 3 PH PUMP REMODEL ALTER PfR CIRCUIT PLAN CHECK FEE TEMPP0LE 200AMPS OVER ioo AMPS TEMP OCCUPANCY (30 DAYSI TOTAL ElECTRICAL '2-0 . .,.,, l HAVftCAREFUllY EXAMINED THE,00!,itPLElEQ ··APPLICATION AN~-~£~"1;~~~~-~~~~ GEfnlFY UNDER PENALTY OF PERJURY TI-J~T All INFORMATlON _HEREOtUNClt!Q}fW l'H1:- 0EQARATIONS ARE TRUE ANO COR!ilEOT ,AID I FURTHERGERTtFY Alt[)+Mifl~~Al,UTJS ISSUED'. -T€HX:>MPH WITH ALL CITY, ~'f ANO STATE LAWS GOVE~~tm+(i CQH.: srnuctio_ N. WHETHER SP .. E~lflE. 0 ~1;_~1,Ni.ORJ"OT. l ALSO AGREE TO $',!lfE_, ft,,11)~. !FY ,AN() KEEP-#ARM. LESS-THE-qtT't OF GA.fl~. "'.-.·.IN. sr All l.,IABILITIES, ~~--~-.~<X)S ___ . TS ~I) EXPfNSES ~IGH MAY IN, A«Y Y:JA.!, ~E AGAiNST SAID CITY lf\l~~-,OF THE ~ GRANl'lNG-,OF-sTHiS P~MtT. -¼ ~ r,0/~,=.t' , , , '," ;_ ,, 7;," '; -', " TOT Al SOLAR S"- SOLAR STRONG MOTION FIRE SPRINi<LERS PUBLIC FACILITIES FEE BRIDGE FEE SCHOOL FEE -DISTRICT Carlsbad Encinitas San Die_ll_uito San Marcos itiiiW'lder the J)rov'isions bf this 11nt. ff the-building QrwpTII. "days lrom !tie date ol such It permit ts suspended -or A.RML~..Qt 1.lffl~ CONTffACTo~::f,'.J BVPHONE 0 80-92-21 ·0519 80-92-22·0519 80-92-23·051 9 80·92·24·0519 * AN OSHA PERMrT IS -RE0U1AEO F0A EXCAVATtONS OYEA 5; O" Df:EP ANO OElll()(J"(ION OR CQNSTfWCTION OF STRUCTURES OVER 3 STORtES IN HEJGHT APPlD~ ...... e..-(. -t o/t /4-fL- ~ U: >-~ 0 0. E w f- u 0 ('.) C rn 0 0. 0. <! I ~ C a: 0 w w w w w <! ~ .9. ,; >- "' w w 0 0 ,i: rn <ii 0 ~ w 0 C rn C u. C w ~ ('.J 0 ti w 0. w C ~ £ :a: TYPE ' DATE INSPECTOR J ' ~ aY-,~s-9 BUILDING I FOUNDATION I FIELD INSPECTION RECORD REINFORCED STEEL ' ' REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I ·. INSPECTIGN REQ IF INSPECTORS DATE -GUNITE OR GROUT I CHECKED APPROVAL ,. FLOOR & CEILING SUB FRAME : SOILS COMPLIANCE '· . -.--SHEATHING □ ROOF □ SHEIO.R PRIOR TO • . FOUNDATION INSP FRAME I EXTERIOR LATH I STRUCTURAL CONCRETE ' OVER 2000 PSI INSULATION I PRESTAESSED CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED ' -CONCRETE PLUMBING ' -F'd~[O WEL'DIN_Q SEWER ANO BUCO □IPUCO I HIGH STRENGTH , SOL.TS , UNDERGROUND □ WASTE D WATER TOP OUT □ WASTE □ WATER SPECIAL MASONRY TUB AND SHOWER PAN ' GAS TEST ' ' PILES CAISSON::: □ WATER HEATER □ SOLAR WATER - ' I -. ELECTRICAL ' . -.. □ ELECTRIC UNDERGROUND □ WFFEB ROUGH ELECTRIC ' I □ ELECTRIC SERVICE □ TEMPOAARY .. -D BONDING □ POOL I - ' , . ,. ' -. MECHANICAL I □ DUCT & PLEM., □ REF. PIPING , ·-- HEAT -AIR CONO. SYSTEMS ' ' VENTILATING SYSTEMS ' . ' I CALL FOR FINAL /NSPECT(~N WHE~ALL APPROPRIATE . .. ITEMS ABOVE HAV BEEN PROVED. . • --. -. FINAL I -~ , .·-•. , -PLUMBING --K-...x ~-. ·': I .. J ELECTRICAL I /';, ... '-',. / -·-. . ' . ' ' .. MECHANICAL ' -,.......-~ ..----.. ",'!' ·-. '. -·. , GAS I ---' > . .. . ~ ~ .. ,. BUILDING I .., ' SPECIAL CONDITIONS I . . -I • City of Carlsbad CERTIFICATE OF OCCUPANCY BUILDING DEPARTMENT • VALIDATION 1200 ELM 4311.5525 You are required by law to complete and return this form to our office. Address where Business 2 will be conducted 2 5 5 Hoso Wav. A thru I (9 unit Apt.) Buildini Permit o. 84-185 Name of Occupant \.--;;ff_.it, ,.,,-1/7..,/ ---~ Business PhOne Address of Home Office of Home Office Occupant if different from ·,.1-,ove • -Phone Owner of Building , 7,/..;-. Jt f 1 /, ~ 1)1) 1 A~ <1 ./)!{a.dd,ess c1;M sf, ~/JU,T' Phone -1)/3 -6!:7 lJ Type ol Business j/ ~ •• •,I/,, JJI/J / _,/ u V /2_;~ Describe exact use of all portions of each building and lot Previous use of Building 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 under penalty of perjury. Datedthis~ dayo .. J,1','i ryJ--;-, 19 % A In the City of Carlsbad, Std, of Californta Signature of Applicant rY?, AA ( ) .. " . . 0. . ~~- } FOR DEPARTMENTAL USE ONLY Use Zone Occupancy Group O~, Type of Construction n Planning Date C/ h.tJ /'/> Approved By ~ Department Engineering ,17. / b Approved Bv~ Department Date~ Fire , . .A/JI Prevention Date/0-/-~J" Approved By Health Department Date Approved By Building Date /IJ-1_ .. S(< Approved By,;:..,,-,.. Department - Signature of Bulldlng Official __.._ In o__,/y],, II .. ..~ A \.. ( White -Building Dept. Yellow -Applicant Pink -Finance Gold -Fire Dept. J . ·---···~------------ City of Carlsbad APPLICATION FOR CERTIFICATE OF OCCUPANCY BUILDING DEPARTMENT 1200 ELM 438-5525 Address where Business will be conducted Name of Occupant Address of Home Office of 2 9 unit a ts. G & G ENTERPRISES Occupantifdifferentfromabove 2204 Garnet Ave. San Die o VALIDATION Building Permit No. ~~~~: .. 483-6500 Home Office PhOne 4 Owner of Building & G ENTERPRISES Address 2204 Garne A Phone Type of Business Develo er Describe exact use of all portions of each building and lot Dwelling (rental A artments ·-------------------------------------------------------- Previous use of Building new . Type of flammable or explosive liquids to be used, if any Dated this Signature of Applicant Use Zone Planning Department Engineering Department Fire Prevention Health Department Building Department ~-C.. ey are true and correct, and that I make this statement under penalty of perjury. Signature of Building Official FOR DEPARTMENTAL USE ONLY Occupancy Group 'P. / ,-..,- Type of Construction V - Date /1')/Q / 4,; Approved "=f2_ Disapproved By Date ltJ}; /ps-Approved /rtE'A Disapproved By , • A/1 / Date /0~/il!.-BS"'Approved Disapproved By I Date Approved Disapproved By Date /2, 1,Q <Approved<;.__ Disapproved By White -Building Dept. Yellow -Applicant Pink -Finance Gold -Fire Dept. --------- 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 MAILING ADDRESS CONTRACTOR CONTRACTOR'S ADDRESS V NEW BUILDING EXISTING BUILDING LEGAL DESCRIPTION I-/ I / REMARKS: I LATERAL LOCATION ST. LATERAL NO, _______ INSTALLATION DATE--------11 SE 2 ISSUED BY __ .;:::_ __ ___;=-----'-----''------- DATE ISSUED----------------- VALIDATION LATERAL C STANDARD 4" OVER 30' H . ___ =-__ ........._ . OVER 10' V . __ _ STANDARD 6" (Max. H. 30', V. 10') ________ _ OVER 30' H. ___ @.'--__ FT. _________ _ OVER 10' V. ___ @ ___ FT. _________ _ TOTAL CONSTRUCT! ON COST---------- SERVICE CHARGE (REPAVING ETC.) ________ _ TOTAL LATERAL CHARGE _________ _ LINE COST DATA ~ ASSESSMENT DIST. NO.-~------------ FRONTAGE ____ COST PER FT. ___ TOTAL __ _ OT~ER ___________________ _ CONNECTION FEE NO. UNITS __ / __ COST PER UNIT---TOTAL--- PUMP STATION FEES NO. UNITS ___ COST PER UNIT ___ TOTAL--- WHITE: Engineering. GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permitter