HomeMy WebLinkAbout2285 Hosp Way; ; 84-185-7; Permit.. z 0 ~ " .. ... " '" C
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t hereby affirm that I am licensed under
lslona of Chapter 9 (commencing with .-t
tlon 7000) of Division 3 of the Business I
and Professions Code, and my license 1s in
full force and effect
L,c No ______ Cla1s
I hereby atf1rm thal I am exempt from !he Contrac-
tor"s license law tor the following reason (Sec 703' 5
Business and Protess1ons Code. Any city or county wh1cl, re quires a perm,t to construct alter. improve. Oemol•sn or
repair any siructure. prior to its Issuarce also requires !heap
pl,cant tor such permit to hie a s,~ned statemenl that he Is
:Icensed pursuant to the provIsIons ol the Contractor's
License Law IChao!er 9 commencing with Sett,on 7000 of
01v,s1on 3 o11he Business and Pro!ess,ons Cl'.>de) or !hal ,sex·
empt therefrom and the basis for the allegeo exemption Any
v,olatoon o! Section 7031.5 by an applicant for a perm,1 sub·
1ects the applicant 10 a c1vI1 penalty of not more than hve hun
dred dollars ($500)
J I, as owner ot the property, or my employees w1!h wages
as their sole compen,atmn. will do the work, and the struc
ture 1s not intended or offered !or sale (Sec 7044. Business
and Pro!ess1ono Gode The Contractor's License Law does
no1 apply to an owner of property who builds or ,mproves
thereon and who does such work himself or through h,s own
employees. provided that such improvements are not intend-
ed or offered for sale. 11, however, the build,ng or Impr0'/e-
ment ,s sold w1th1n one year of comple11on. the owner•burlder
w,I1 have 1he burden of pr0'/1ng that he drd not build or im-
prove for the purpose ot sale)
0 I. as owner ol the property. am eJcclus,vely contracting
wi1h license!.! contractors !o consiruct the proJect (Sec 7044,
Business and Professions Code. The Contractor's License
Law does not apply to an owner of property who builds or Im·
proves thereon, and who con!racts 1or each proiects with a
contractor(s) license pursuant to the Conlractor"s License Law)
0 As a homeowner I am ,mprovIng my home, and the follow
mg condi110ns e~1st
1 The work is being performed prior to sale
2 I _have lived ,n my home for twelve months prior to completion o11h_,s work
I have no! claimed this exemption dur,ng lhe
last three years
□ I am exemp1 under Sec ______ , B & P C
!or this reason, ____________ _
D I hereby atf,rm tha! I ha•e a cer1,!,ca!eo! consent
to sel!-.nsure. or a cer1,t,cate of Workers
Compensa1,on Insurance. or a cen,hed copy !hereof
(Sec 3800. Labor CoClel
POLICY NO
COMPANY
D Copy ,s f,led w11h 1he c,ty
0 Cef1,hed copy ,s he1eby furnished
CERTIFICATE. OF EXE:MPTION FROM
WORKERS-COMPENSATION INSURANCE
(Th,s section neell not be completed ,1 the perm,t
Is !or one hundred dollars iSlOO\ o, leVi)
0 I cer1,ty !hat ,n 1he performance ot the work tor
which th,s perm,t ,s ,ssued. I shall not employ any
pe,son ,n any manne, so as !o t>ecome sub1ec1 to
lhe Workers Compensa11on Laws of Californ•a
NOTICE TO APPLICANT If, al1er mak1n;i this Cer1,
fica1e of Exemption. you should t>ecome sub1ec1 v,
the Workers· Compensat<on prov,s,ons of the Laoo,
Code. you must fonhw,th comply woth such
p,ov,s,ons or m,s perm,! sha11 be dPemed re,o~ea
D I hereby affirm that there ,s a con<truc1,on
Iend,ng agency tor !he perlormance c.,I !he work lo,
wh,ch 1h•s oerm,t ,s 1s\ued ,Se( 3097 c;,v: c:x;,-,
Lenders Name ___________ _
Lender~ Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
~-CARLSBAD BUILDING DEPARTMENT
Carlsbad. California 92008-1989 1619) 438-5525
NEAREST CROSS ST.
r D ~ D
vO NO
REDEVELOPMENT
AREA
,□ N
APPLICATION & PERMIT i
BUSINESS LICENSE# PERMIT NUMBER ~0/
ZONE y,✓lif✓7
PLAN 1.0. # BLDG USE CODE
LICENSE # STAN OARD PLAN# SQ. FOOTAGE
0.....0
OESJG.NER'S PHONE
EDU
/-V
YD N M,ch,n: c~l-1\V:
QTY.I PLUMBING PERMIT· ISSUE MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I -? __,,1,,/..Q --,I /~STALL FURN. DUCTS i.JP TO 100.000 BTU I t./,-<L_ -I BUILDING PERMIT 01-00-00-8220 -EACH BUILDING SEWER -S~ I OVER100.000BTU j SIGNPERMIT 01-00-00-8221
EACH WATER HEATER AND.:OR VENT . BOILER/COMPRESSOR UP TO 3 HP I PLAN CHECK 01·00-00-8806
EACH GAS SYSTEM 1 TO 4 OUTLETS + .... ______ _,__ BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 0~-_QQ-00-8222
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 --------------~
EACH VACUUM BREAKER MECH EXHAUST H00010UCTS MOBILEHOME 01-00·00·8225
WATER SOFTNER I II j RELOCATION Of EA FURNACE/HEATER t N MOBILEHOME PARK INSP
EACH ROOF DRAIN 1:r-,JSIOE1 SOLAR 01·00-Q_0-82.2b 1 ~
TOTt.LMECHANlCAL L!JQ_ STRONG!°".1_QTION ____ J!.Q_·~?-33-051~------~
-/-/. FIRE SPRINKLERS 01 ·00-00-8227 TOT AL PLUMBING
QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 -BRIDGE FEE
NEW CONST EA AMP'SW1 8KR COLLECTORS SCHOOL FEE -DISTRICT
1 PH 7 __.n/") STORAGE 1ANKS Carlsbad 80·92·21·0519
EXIST BLOG EA AMPtSWT'Bn ROCK STORAGE I Encinitas_ 80-92·22-0519 I ~·-----
1 PH 3 PH PUMP San D1e_RU1l0 80-92·23-0519
REMOOEL'ALHR PERCIRCUIT I Ii jPLANCHECKFEE I SanMarcos 80-92-24-0519
TEMPPOLE 700AMPS
OVER 700 AMPS
TEMP OCCUPANCY 130 DAYS)
TOTAL ELEClRICAL ~ TOT Al SOL AR
I HAVE~AREfU,llY EXAMINED THECOMPlETEt> ··APPLICATION Af.U> PER~~~ .. ~ 6o ·H~i~-
CEAnFY UNDER PENALTY OF PERJURY -TH,1\T' All INF0RMATI0~ {-IE~N ½NCLUOING D-fE·
DECLARAflQNS ARE TF«,JE ANO CORRECT AND I FURTHER OEAflFY1~)\IGI A~ U:.A-P:f;RM)T IS,
ISSUE{j; TG-GQMPLY Wl'fH Alt.·CITY,-COONTY AND STATE LAWS OO"ERNING SUILDING QON.,
STRU_CftON. Wf-!ETHER SPECtFIE0 HEREIN OR NOT. I ALSO' AGRl:E JO SAVE INDEMNIFY AND'" "A~
KEEP HARML-ESS.f. HE qtfY GF CA9L&Q.. .AG; AGAINST ALL LIABIUHES, J.UDGM. ~tfrS,,COSTS ANt) +"' 4 2 EXPE~ES 'NiJ$J1 MAY, IN .;~~UE AGAINST SAID cm,' IN G<5NSEQUENCE OF THE'.-,-, ,,: -<--{ ~-· GAANTlNG OF :;Ht$ f)ERMIT, -fil • ,,,_ ' ,, • "' ,
-
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CREDIT DEPOSIT
TOTAL FEES PAYABLE
ttie p/"OVisions of tniS
ff the buiJdfng Of" Worli
-from the date o1 such ·mlt is -suspended or·
oM80
CONTRACTOR 0
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* A_N ~~ IS REOI.Uf!EO FQR EXCAV~TtoNS OVE~ S' on DEEP AND OEMOLJTIOfll OR CONSTRUCTION OF
STRUCTURES OYER 3 STORIES tN HEIGHT
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TYPE I DATE INSPECTOR
BUILDING I %-f-1'65 -7
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I
INSPECTION REO IF INSPECTORS DATE GUNITE OR GROUT I CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
' SOILS COMPLIANCE . ' . . , . ' . ' ,
..
SHEATHING □ ROOF □ SHEAR PRIOR TO
FOUNDATION INSP .
FRAME I
EXTERIOR LATH I STRUCTURAL CONCRETE
I OVER 2000 PSI
INSULATION I PRESTRESSED
CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONEG
I ··coNCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO □IPUCO ' HIGH STRENGTH· I -' '
UNDERGROUND □ WASTE □ WATER BOLTS .
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN ' I
O'ASTEST I
' PILES CAISSON~ .
□ WATER HEATER □ SOLAR WATER -I
ELECTRICAL I , 1 ,.
□ ELECTRIC UNDERGROUND □ l!JFFER :,.
ROUGH ELECTRIC ' .
I '
□ ELECTRIC SERVICE D TEMPOf!IARY ·-
□ BONDING □ POOL I
' . ,
'
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I . . . . .
I
CALL FOR FINAL /NSPECTj'JN WHEN ALL APPRQPR/ATE . ..
ITEMS ABOVE HAV BEEN.APPROVED. ' .. . ' ,., ·,
FINAL I
PLUMBING .' ._, iC ¾, '
I '· .
ELECTRICAL ' I ·. IJ( .J , ',
' ' ' '
' ll -MECHANICAL I -.
GAS ( r.1 .• .-' _ _,,,,,,.-._ •, -I
BUILDING I l )<.,.
' SPECIAL CONDITIONS I I -
'
--------·-------·---------------
VALIDATION
City of Carlsbad •
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
1200 ELM 438-5525
Address where Business willbeconducted 2285 Hosp Way (12 unit apts.) Building
Permit No. 84-185-7
Name of Occupant G & G ENTERPRISES ~~~~:·· 483-6500
Address of Home Office of Occupantifditferentfromabove 2204 Garnet Ave. San Diego ~~~n~ Office 483-6500
Owner of Building G & G ENTERPRISES A~ra"2204 Garnet Ave. Phone 483-6500
Type of Business Developer
Describeexactuseofallportlonsofeachbuildingandtot 12 unit a artments,rental (dwellin s)
Previous use of Building
Dated this
Signature of
Applicant
Use Zone ~~ f'
Planning
Department
Engineering
Department
Fire
Prevention
Health
Department
Building Department
New
e true and correct, and that I make this statement under penalty of perjury.
Signature of
Building Official
FOR DEPARTMENTAL USE ONLY
Occupancy Grou~.,. / Type of Constructi~
Date il\l.al n.ii:.. ~
_,,.
Approved Disapproved By
Date /;/.~ /_~ Approved M. Disapproved By . I ~ •-· •,.. l!l,,,,.,. Approved Date Disapproved By
Date Approved Disapproved By
Date /,/ ,? , YC C -Approved -Disapproved By -
White -Bulldtng Dept. Yellow -Applicant Pink -Finance Gold -Fire Dept.
City of Carlsbad
CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
VALIDATION
•
1200 ELM 438-6625 You are required by law to complete and return this form to our office.
Address where Business willbeconducted 2285 Hosp Way A thru L (12 units)
Name of Occupant
Owner al Building
Type of Business
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
Dated !hi ornla
Signature of Applicant
FOR DEPARTMENTAL USE ONLY
Building Permit No.
Business
PhOne
84-185
;;fl} Phone
Use Zone Occupancy Group /) .... J Type of Construction ••
Planning
Department
Engineering
Department
Fire
Prevention
Health Department
Building
Department
Date / ~h~/,,.-App,oved By ~~.-:_----------------------------1
10-,: a-· ,, ', ,. Date , ~ Approved By ..,• .J"l<CA.,·,__, / __________________________ _____
Date Approved By
Date 16•7 •Ji-"\-Approved By--:--.
.
Signature of Building Official ..
'
White -Buildlng Dept. Yellow -Applicant Pink -Finance Gold -Fire Dept.
Engineering
Department
Planning
Department c:;1uea ) Department
Date Approved
Date Approved
Date Approved
Date
Comments: ___________________ _
IF A RESPONSE IS NOT RECEIVED WITHIN 24 HOURS, IT WILL BE ASSUMED IT IS OKAY TO FINAL
R
E
Q
u
E s
T
-/4 7 . -
APPLICATION FOR PERMl'T 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
NEW BUILDING
LEGAL DESCRIPTION
EXISTING BUILDING
, .
I //-~1
REMARKS:
L/NII
LATERAL LOCATION
ST.
y
LATERAL NO, _______ INSTALLATION DATE---------t1
SE
ISSUED BY ------=,,------___: _ _;_ ______ _
DATE ISSUED---------__;:....:.....:.. ____ _
VALIDATION
STANDARD 4"
OVER 30' H. ---~-__:::.....;...i:L:...-""-----------
OVER 10' V. __ _ _ __ FT. _________ _
STANDARD 6" (Max. H. 30', V. 10') _________ _
OVER 30' H . ___ @, ___ FT.------~---
OVER 10' V. @ FT __________ _
TOTAL CONSTRUCTION COST----------
SERVICE CHARGE (REPAVING ETC.) ________ _
TOTAL LATERAL CHARG E _________ _
LINE COST DATA __.-
ASSESSMENT DIST. NO.·--------------
FRONTAGE ____ COST PER FT. ___ TOTAL __ _
OTHER ___________________ _
CONNECTION FEE
NO. UNITS ___ COST PER UNIT ___ TOTAL--'-✓--
PUMP STATION FEES
NO. UNITS---~OST PER UNIT ___ TOTAL----
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter