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Home My WebLink About2269 Hosp Way; ; 82-205; Permit"' z 0 ~ "' :l u .. 0 .. :ti hereby affirm that ! am licensed under ~ lslons of Chapter 9 (commencing with ~ L Ion 7000) of Division 3 of the Business ~ and Professions Code, and my license is 1n ~ ~~cll~~r~~-~nd effect~--Clas; ___ _ __ _ 0 u "' .. 0 = ::, !!! "' .. z ~ z 0 s z .. .. ,. 0 u "' "' .. " "' 0 3 ii I hereby aflirm tha1 I am exempt !rom the Con V~,to;·~~~~i;:: ~; ~~1~~~1 1i~1~'c:J/8t~~~,(~r county which requires a perrn,t to construct alter. improve, demohsh, or repa,r any s1ructure, pnor to its issuance also requires the applicant 1or such permit to file i s,gned statement that he ,s licensed pursuant to the prov,s1ons of the Con- tractor's License Law !Chapter 9 commenc,ng with Section 70CO of O,v,s,on 3 ot the Business and Pro-fessions Code) or tha! ,s exempt therefrom and the bas•s tor the alleged exemption. Any v1olat1on o1 Section 7031 5 by an applicant !or a permit sub1ects toe applicant 10 a c1v11 penalty of not more than f,ve hundred dollars ($5001 0 I, as owner of the propeny, or my employees ""1th wages as the,r sole compensahJn. will do the work, and the structure 1s not ,ntended or offered for sale {Sec 7044, Bus,ness and Protess,ons COOe The Contractor's License Law does not apply to an owner ol propeny who builds or improves thereon and who does such work h,msel! or through his own employees. provided that such ,mprovemecits are not mtende'.l 01 otfered for sale If. however the bu,ldmg or improvement ,s s.old w1tnm one year of complet,on_ the owner-builder will have me burden ot proving that he did not build or improve tor the purpose of sale\ D I, as owner ot 1he property am exclusively conlracton,i w,tr, hcensed contractors to construct the pro1ect /Sec 7044 Bus,ness and Protess1ons Code The Con1ractor s License Law does not apply to an owner ot properly who builds or 1mproves thereon and who contracts for each pro1ects with a contrac10r\SI license pursuant to the Contractor's License Law! 0 I am exempt under Sec tor this reason , B &PC 0 I hereby alf,rm that I ha,e a cen,!,cate of conse~t to self insure or a cert1f,cate QI Workers Compensation Insurance. or a cert,1,ed -:opy ttiereof 1Sec 38:XJ. Labor COOel POLICY NO opy 1s filed w1tr, the c,ty COMPANY ~ ~Cer11!1ed copy ,s hereby •urn,shed _ CERTIFICATE. OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (Th,s section <ieed not be completed 11 the perm,! 1s tor one hundred dollars iSHXli or less) 0 I cerWy that ,n the per1ormance ot the work tor w111ch 1h1s perm,t 1s issued, I shall not employ any person ,n any manner so as to become sub1ect tu the Workers Compensation Laws ot Cal,1orn1a NOTICE TO APPLICANT I!, after mak•n~ 111,s Cert, lfcate of Exempt,on, you stiould become sub1ect l'J 1he Workers· Compensation pro~•s•ons ol the Labor COOe. you must !orthw,th (omply w,th suer prov1s,ons or 111,s permit shall be deemed re,o~ed D I hereby affirrr Iha! there 1s a construr.!1or 1end,ng agency to, 'hE' perlormar·,ce ot lhe won< lo, wh1cr this perrr,t ,s ,~sued 1Sec 1097, Ci.ii CQde, Lenders Name ___________ _ Lenders Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD ____________________ _:_A..:.P..:.P.:L::.:IC:.:A..:.N..:.Tc.:TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBA .. dUILDING DEPARTMENT At. ..!CATION & PERMIT ~200 Elm, Carlsbad, California 92008 (714) 438-5525 JOB ADORESS 2269 HosP Wav OWNER'S NAME. Broaaooo:r Ho.res San Diego Div. I OWNER'S PHONE 455-6200 OWNER'S MAILING J(DORESS AV. ST. J DATE OF APPLICATION RO. 4/29!"82 PRIME. CONTRACTOR BroadlroorHanes CONTRACTOR'S ADDRESS BUSINESS LICENSE# VALUATION PERMIT NUMBER 21268 -]._- CONTRACTORS PHONE# ZONE u 5 455-6200 LICENSE NO. PLAN 1.0. # 3911 Sorrento Valley Blvd. San Die;io 92121 Sama 219975 BLDG USE COOE 1::::-7 ·--------.... J,_ f LOT BLOCK SUBOJVISION ASSESSOR PARCEL NO. DESIGNER STATE LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE nocro,oTonN n< ~no, er 79 - 27 156 - 260 - 24 1W;~.~~,G~N~E~R;,'~~A~D~D~R~ESS~'.=::...:'.As~SClC~'.:ia~t~e==S~---h~~;=.s1;,G~~;.-EAA''SS POPH<(O"'NIEE-+--------'---------1 .. . o_l . ,, to iµ:'igation cmttoller CCNSUS TRAC. l Ge cAND use l PARKING Sf'ACE QTYI PLUMBING PERMIT -ISSUE ~~CH FIXTURE TRAP EACH BUILDING SEWER r--- _;. 7722 Irvine Blvd. ------------ RCS LJN,TS l GRADING f:ERMIT ISSUED YON □ F/P FLA ELEV. YO '\□ I REDEVELOPMENT AREA YD '-□ TUstin NO STORIES TYPE CONST '41-832-1774 ace GP EDU Jl;:!C!~;~.; OCC LOAD FIRE SPA YO NO Nor Valid Unless ~chine Cerrified 7,J; QTY. MECHANICAL PERMIT -ISSUE _;:," SUMMARY/ACCOUNT NUMBER -+--t ! N_S_T_A_L_L_F_U ~ N __ o_u_c_T_S _U_P _TO .1 o_~_.o_o_o_B_T_U_ BUI LOIN_G_P_E_R_M L~ OVER 100,000 BTU SIGN PERMIT ----- BOILER..-COMPRESSOR UP TO 3 HP . PLAN CH_E_C_K __ _ 01 ·000·4l2-0_+-- 01-ooo-4221 01-000-4B06 - ! EACH WATER HEATER ANU OR VENT f------TEACH GAS SYSTEM"i 10-4-□l!-TLETS ----t---·· EACH GAS SYSTEM~ 0 R MORE --=-1 -+s-~1 L~_R-/c~MPRE~-~~--3 1_~-_Hp------TOTAL PLUMBING , METAi F1REPLACE ELECTRICAL 01-000-4222 --t---~00 --"01-000-42~-----+---~ 1--~ , EACH INSTA~ .. ALTER, REPAIR WATER PIPE I _.__!_A:~H V_ACU_U~~-~EAKER . -~~ATER SOFTNER EAU1 ROOi' DRAl~J 1i"iSIC':1 t- TOl AL PLUMHING ------r---- -~ ' I --+ '---i :1 II , ----- n:~~~~~:t~6~~:~~~~~CC:::EATER -r --T-□Tt..L MECHANICAL ---MECHANICAL ---- MOBILEHOME ---- MOBILEHOME PARK INSP SOLAK 0 ;::, iRONG MOTION 01-000-4224 01-000-4225 01-000-4226 -----65-640-0519 F _____ _Jc~ QTY ELECTRlt::_A~P.ERMIT -ISSUE J ~ NEWCONSTEAA~~-T !:!KR __ ~~-~ . ·}1;~. Y .. r .. -.~· SOLAR -ISS. UE "(',()Q ------ c;2. ~-~ -i~I_ECTnRS -------+---:______jl FIRE SPRINKLERS PUBLIC FACILITIES FEE BRIDGE FEE SCHOOL FEE -DISTRICT --==:~~:~~~::~~~ -=r-- ----------1--- ~ 1 PH ___ i PH EXIST BLDG EA AMP:SWT·BKR ---- 1 PH 3 PH f-------i-------- +, REMODEL'ALHR PER CIRCUIT -------------------- I TEMP PO_LE 2_~□-~~PS _ ---- t~~VE R 2□~-~M!_S TEMP OCCUPANCY '<JO DAYSI ---- -----+--- ----- STORAGE TAf,KS Carlsbad -±. ------ROCK STORAGE ------------t------f Encinitas San Dieguito ---- ------- --- PUMP I----+---- PLAN C'1ECK FEE --1------- ·---+- San Marcos ~-------•'-- +-------II~--- ------- 65-623-0519 ---65-624-0519 ----+------65-625-0519 ----65-626-□-51-,--+- --- --- --- -- ----- HJTAL ELE:CTRICAL 21~ TQTAl SOLAR TOTAL FEES PAYABLE I ~-z.oo I HAVE CARE FULL y EXAMINED THE COMPLETED "APPLICATION AND PERMIT'" AND DO HEREBY Expiration. Every per_mi_l is~ued by the Building Oflic1a! undertheprovisionsofthis Code shall el(ptre by llm1tat1on and become null and void. If the building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL lNFORMATlON HEREON !NCLUD!NG THE authorized by such permit is not commenced within 180 days from the date of such * AN OSHA PEAMrT IS REQUIRED FOA EXCAVATIONS OYER 5' O" DEEP A.ND OEMOUTION OR CONSTRUCTION OF STRUCruM:S OYER 3 STORIES IN HEtGHT DECLARATIONS ARE TRUE AND CORRECT AND t FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or 1f the bu1ldi or work authorized by such permit 1s suspended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· L.!•~·~•~n~do~n~od~~ .. ~·~"!'l'..~b~m~•c•ifll~'l'"~•!!.!w~o~,k~"c'~o~m!'!!m~•~ofCOO~~lo~,~·~~'"'°""1.£0Ll1180!Q.!ld!•<L-,~:-il"'!'~::':':::;:::-::::----:--------:'.':':":"------1 STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICA OWNER □· APPROVED BY d}f DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABlUT1ES, JUDGMENTS, COSTS AND ~ s '7,. .0-, EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SA!D CITY IN CONSEQUENCE OF THE BY PHONE I ' ~ V £; GRANTING OF THIS PERMIT 2 U: >-~ 0 "-E "' f- l -0 0 "' C rn -~ "-0-... I "" C a: 0 "' "' "' "' "' .. I ~ .2 ,; >- ,,; "' "' u 0 0:: rn <ii 0 ~ "' u C rn C u. C "' ~ "' 0 0 "' "-"' C 2 C :;:: INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND SHOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL ' A~-_,,,,,., PLUMBING -~ ELECTRICAL ..., '!.,, - MECHANICAL ~'\~n. GAS fN ~ ,.-v BUILDING >' . ·'"' SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED ~;)_--.r..: FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES . INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS ·---~- . -.