HomeMy WebLinkAbout2285 Hosp Way; A; CBRA2019-0106; PermitPermit
Print Date: 05/01/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
Applicant:
MARK CARNIGHAN
3190 Airport Loop Dr
2285 Hosp Way, A
BLDG-Associated Permit Residentia
1672503800
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
THE RESERVE: REPLACE FIXTURES THROUGHOUT
Owner:
DECRON PROPERTIES CORP
Costa Mesa, CA 92626-3421
714-241-8944
6222 Wilshire Blvd, 400
LOS ANGELES, CA
323-297-3826
BUILDING INSPECTION FEE
Total Fees: $51.50 Total Payments To Date:
P/M/E
PC2017-0004
$51.50
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Contractor:
INTEGRATED SERVICES
{city of
Carlsbad
Permit No: CBRA2019-0106
Closed -Finaled
04/03/2019
04/09/2019
5/1/2019 1:02:35PM
1125 Lindero Canyon Rd, AB-143
Westlake Village, CA 91362-5474
951-453-4433
$51.50
Balance Due: $0.00
1635 Faraday Avenue, Carlsbad, CA 92D08-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
THE ;:;au.OWING A?PROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PUl.NNING 0 ENG!NEERlNG 0 BUILDING O F!RE O HEALTH O HAZMAT/APCD
~ . 2017 -ooo+euilding Permit Application (f Cin.r of 1635 Faraday Ave., Carlsbad, CA 92008 '--bL :t d Ph: 760-602-2719 Fax: 760-602-8558
:>f. ?Ian Check No~2'.i) I~
Est .. Value
Carls a email: building@carlsbadca.gov
www.carlsbadca.gov
?Jan Ck. Deposit . I
SWPPP Date I -
JOB ADDRESS
Cl/PAOJECT II # EDROOMS ff BATHROOMS TENANT BUSINESS MME CONSTR. PE OCC. GROUP
DESCRlPllON OF WO~ Include Square FeeroF Ar.ecte.d Area.(s)
'RE ,-.z ooE l-o F E.x t<Sll N Cc Aff'fo/2-T,-,.tf5 i'i T UNITS -U/?G~O/=:_ vF l=~,12.JcA.l-515Rv1c ,
RE lf"(,..AQE.:J-t"te;,•cr aF £'A-i,:;,T!P'1:G--~51"'l~ , I
~t-c:,E.7> ,t'. f51-Ec...-t"?Jc.fa.l.. ~ CENTil=i<:5,, i
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF} OECKS (SF)
. p,.j,,Op,a_-r;y[E,N.T ~ °"0"(5N T
DESIGN PROFESSIONAL
ADDRESS
"'3 I <f O A I ~fb~ T' t-oot='
MVS5E • STATE UC. II
l 34
WO&'KERS" COMPENSATH)N
Workers' Compensation Declaration: I hereby affirm under penaJtr;ofpe,juryone of the fol/owing dedarations:
FIRE SPRINKLERS YES□Nal8f
I I I • I ...
D J have and will maintain a certificate of consent to self-insure far workers compensation as provided by Section 3700 of the Labor Code, for the perfollTlance of the work forwhieh this i:iermit is issued.
0 I have and will maintain wo~ s:mpaisation, as rwulred bv Section 3700 of the LaborCode, for the perfonnarice ?!th,~ ~oiJi fO~hich th}$ oerm_itjs issued. My workers' compeJJSation ins~rice camef aria policy
nomb,,.,ra,lnsWo11ceCo.L' \\ PolicyNo. \,.J\,\1( \ I Qh'tf.,+ ~<piratiooDate b/c... "J./11<
This section need not be completed if the permit is for one hundred dollars {i1Q!l).Q/ less. 1
0 Certificate of Exemption: I certify that in the performance ofthewQMorwffich this penTiit is issued, I shall not employ any person in aJTy manner so as to t:lecome subject to tile Workers' CompeJJSation Laws of
Galifomia. WARNING: Failure to secure wo · ·~v89 ~ is unlawful, am::l shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as pro • in S • 3706 of the Labor code, interest and attorney's fees.
~ CONTRACTOR SIGNATURE
J hereby affirm that I am exempt from Contractor's ucense Law for the lb/lowing reason:
□
□
□
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 i:ropert,,who builds or improves thereon, and who does sueh work himself or through his own employees, provided !!"lat such improvements are not intendect oraffered for
sale. !f, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed colltractors to construct the project (Sec. 7G44, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property wllo builds or improves thereon, and contracts for StJCh projects with contractor(s) licensed pursuant to the Contractor's Ucense Law).
J am exempt under Section _____ Business and Professions Code for thiS reason:
1. I petsonaJly plan to provide the major labor and materials for construction of the proposed property improvement 0Yes
2. f (have/ have not) signed an application for a building penTiit for the proposed work.
3-t have contracted with the following person (iinTI) to provide the proposed construction Qnclude name address I phone/ contractors' license number):
4. I plan to provide portions of the wort<, but f have hired the following person to coordinate, supervise and provide the major work Qndude name f address r phone/ coritractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone/ type of work):
LPROPERTYOWNERSIGNATURE □AGENT DATE
PERMIT INSPECTION HISTORY REPORT (CBRA2019-0106)
Permit Type: BLDG-Associated Permit Residential
Work Class: P/M/E
Status: Closed -Finaled
Application Date:
Issue Date:
Expiration Date:
04/03/2019
04/09/2019
10/07/2019
IVR Number: 18197
Owner: DP CARLSBAD MAGNI FICA
INVESTORS LP D P AIRPORT
HOSP WAY INVESTORS LP,
DECRON PROPERTIES CORP
Subdivision: CARLSBAD TCT#79-27
Address: 2285 Hosp Way, A
Carlsbad, CA 92008-6861
Scheduled
Date
Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
05/01/2019 05/01/2019
May 01, 2019
BLDG-Flnal
Inspection
090512-2019
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed Andy Krogh
COMMENTS Passed
Yes
Yes
Yes
Yes
Yes
Complete
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