HomeMy WebLinkAbout2890 Hosp Way; ; 82-207; Permit"' z 0 ~ a: j
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"'1_ I hereby affirm that I am licensed under
~visions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is 1n
full force and effect.
lie No Class
I hereby att1rm that I am exempt from the Con ~t{~~~~:;:: !":J" J~~!~hs:,~~l;~e•e:~~:i~ir
county wh,ch requ,res a permit to construct
alter, ,mpmve, demo11sh, or repair any structure
prior to rts issuance also requires the applicant for
such perm,! to tile a signed statement that he ,s licensed pursuant 10 the prov,s,ons of the Con
tractor·s License Law (Chapter 9 commenc,ng w11h
sect,on 7000 of D,v,soon 3 of the Bus,ness and Pro fess,ons Code) or that ,s exempt therefrom and the
bas,s !or the alleged exemption Any v1olat1on of Section 7031 5 by an appl,cant 101 a permit subjects tn-e applicant to a c1v,1 penalty o! not more than five hundred dollan; {S500)
O I. as owner of the property, or my employees ,,,.,1h wages as the,r sole compensat•:>n, will do the
wor1<.. and the structure 1s not intended or ottered for
sale (Sec 7044. Business and Pmtess1011S Code
The Contractofs L,cense Law does nol apply to an
owner of property who builds or ,mpmves thereon
and who does such wor1<. himself or throug1' n,s own
employees. pmv,ded that such ,mprovements are
no1 intende1 or otfered 1or sale If. however. the
building or improvement ,s sold w1th,n one year of
complet,on, the owner-builder w111 have 1he burden of proving that he did not build or ,mprove for the
purpose of sale)
D I, as owner ol the properly, am e~clus,vely contracting w1!h licensed contractors to construct
the pro1ec1 (Sec 7044. Business and Profess,ons
Code The Contractor s L>cense Law does not apply
to an owner of properly who builds or improves
thereon, and who contracts 1or each pro1ects w1Th a contractor1s) license pursuant to the Contr,.ctor $
License Law)
D I am e~empt under Sec
for th,s reason
B & PC
0 I hereby am,m that I ha,e a cert,tocate of consen1 to self-,nsure. or a cert,f,cate ot Workers
Compensation Insurance. or a cert,t.ed copy thereof
(Sec 3800. Labor Code!
POLICY NO
COMPANY __ __ _ 'I Copy ,s !,led with 1he city ~
0 Cert1l1ed copy 1s hereby fum,si:I I
CERTIFICATl OF EXEMPTION FROM
WORKERS· COMPENSATION INSURANCE
(T.h!s section need not be completed ,f the perm,!
,s for one hundred dollars i:51001 or less)
D I certify that ,n the per1ormance of the worl< for
wn,cn this permit 1s issued. I shall not employ any
pe,son ,n any manner so as to become sub1ecT 10 the Worl<ers· Compensation Laws of Cal,torn,a
NOTICE TO APPLICANT 11, alter mak1n;i this Cert, hcate ol Exemp1,on. you should t>ecome sub1ect t•)
!he Wor',;.ers· Compensa1,on prov,s,ons of the Labor
Code you must fortl'lw,th comply w1\1'1 sue!'
pmv,s,ons or Hus perm1t sl'lall be deemed revoked
0 I he,eby a•t,rm 1ria1 1here is a consl•uct,on
,ending agen(y !or lhe perlorfT1an,;e ol !he won< 'or
which tn,s pe,m,1 ,s ,s~ued ,Sec Y.Y.Jl Civ I Code,
Lenders Name ___________ _
Uinder s Addreso __________ _
USE BALL POINT PEN ONLY & PRE~S HARD -. ·--... CARLSBA., BUILDING DEPARTMENT
~200 Elm, Carlsbad, California 92008 (714) 438-5525 A., r'LICATION & PERMIT
JOB ADDRESS Av. sT :-joATE oF APPL1cAT,-o·N1 BUSINESS LICENSE # VALUATION -PERMIT NUMBER -,.,__ -2890 Hoap W<ll"_ 21268 I -fv
PRIME CONTRACTOR l CON~RACTORS PHONE. ZONE z o7
B:roa:lnoar Ffc.lres San Die:JO Di V -
AD. 4/20/82
OWNER'S NAME I
~ ~-SNJ. D!ego Div:!:.sion I OWNE A'S PHONE
455-6200 455-6200
OWNER'S MAILING ADOAESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE
3911 ~,,.,.f~Bl'Vd., San Diecio, CA 921_21 saioo 219975 ez.ECf.
LOT J BLOCK SUBDIVISION ASSESSOR PARCEL NO DESIGNER STATE LICENSE# -BUILDING SO. FOOTAGE
er 77-2 156-31-16 Frank~ Associates 1110 c., i'< ,J OESCR1PT!ON OF WORK , 1
STAN DA~tli~~-'r~ ,~-. J
Hook electr.ic ~ ta DESIGNER'S AOORE.SS
,____ ,-------
to u:i:'igatwn ccnt,roller.
_, -------. --
17722 !rvine Blvd.,
F/P FLA ELEV
vO NO
crnsus rnAo I Ge CANO use I 'ARK<NG seAcc RES U"TS I GRADING ~ERMIT ISSUED I REDEVELOPMENT
AREA
tD N 0 ,□ '"□
QTY. PLUMBING PERMIT -ISSUE 7.)1)) QTY MECHANICAL PERMIT -ISSUE
Tustin
NO
STORIES
TYPE
CONST
,i;I()
OESIGNER"S PHONE
14-832-1774
OCC GP EDU
OCC LOAD FIRE SPA
vO NO Not Valid Unless Machine Certified
SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT --+---_c_,___ ---------+----~----t---_ 01-000-4220 _
EACH BUILDING SEWER f--------+------
---------
I--
BOILER;COMPRESSOR UP TO 3 HP
OVER 100.000 BTU -
-+-----
SIGN PERMIT -----
PLAN CHECK
01-000·4_UL_ t---
----01;000-4806 ----i-------
80ILERiCOMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 =--fcAEH~TER HEATER AND OR ✓EN~_
EACH GAS SYSTEM 1 TO 4 OUTLETS -----t EACH GAS SYSTEM 5 0 R MORE t=_ ~ 1NSTA1,. ALTER REPAIR WATER PIPE
I EACH VACUUM BREAKER
j \IET~_F1R~L;C~-------~------ELECTRICA~ ---0-1-000·4223 -7Z/T;i2P:__
' t-tENT FAN SINGLE DUCT MECHANICAL 01-000-4224
-+---------
i WATER SQFTNER --+-----------------
EACH ROOF DRAIN ,:INSID:C:, >--:_ r---
·-~➔ ------MEcHExHAUST HOO□ Ducrs ------MOBILEHOM_E __ ---□1-060-4225 -------= _-___ : -1-"_E-_,o_c~•~r~,o~•~o~F -EA Fu~NAcEiHEATER ---f--•--. ~□oL~~EHOME PARK INSP -01-000-4226 ---=--
, _ . TOT.C.L MECHANICAL I STR~NG MOTION__ 65-640-0519 -----
TOT AL PLUMBING
----1 ~~ . fa -=-~-= :~R:l~;:~c~~~T~:s FEE ~~:~~~:::!; ----------
ELECTRICAL PERMIT -ISSUE 1 -QTY SOLAR -ISSUE ~ ------------·------->--+-----____ _ __ . --~ __ ___ BRIDGE FEE
CONST ~~MP:s'v\'~ BKR _ _ ____ _ _ ___J _ COLtECTORS __ -__ SCHOOL (EE -DIS~--~~~~-----------
/J,lf,VJ11,jc,l,l\·,.:_" .. ,___.~.£t'! __ __ 3 PH ___ , _ ~SiO_J_Q_ STOR~~~T~---Carlsb-ad__ _ ~623·0519 _______ _
________ ____ ___ _ ___ i-,_ ___ ---!--ROCK STORA_G_E__ ___ ~in1~-~62~--_____ _
1 PH 3 PH PUMP San D1eguito --
REMODEL:'ALTER PER CIRCUIT -----1------=----------------.--------l+---PLAN CHECK FEE ------+----Jj-San Marcos
~25-0519
65·626~0519--+-
--+~~MP _P~-E _2oo_~~PS
~ ,L~V ~~-~~~ AM_!'.?
TEMP OCCUPANCY 130 DAYS) -+--------
_._L
TOTAL ELECTRICAl
---
-------1-
--1
----+-
----+--
---------1+ --
f.,1,00
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 1S
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON·
STRUCT!ON, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UAB!LITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
--------
1---'-+-+--------
~-----
___ , _____ --ll-----__,_ ------
TOTAL SOLAR ---+-----jl I I ~7,og_ I TOTAL FEES PAYABLE
Expiration. Every per_mit issued by the Building Oflic1a! undef the provisions o(thts
Code shall expire by hmitation and become null and void If the bu11dmg or work
authorized by such permit is not commenced within 180 days from the date of such
permit, or 11 the building or work authomed by such permit is suspended or
abandoned a_t &!!}' 1!1114' !!~r J!le ~o__rk is COI'!_men~~ of 180 days. _ APnLIC ~~URQ -/1 OWNER O CONTRACTOR 0
, j _y t:J BY PHONE [J . _,,
I/
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
.5· O" DEEP AND DEMOLITION OR CONSTRUCTION Of
STRUCTURES OVER 3 STORIES IN HEIGHT
DATE
~ /'ft . 15·W·fJ2..
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'("I /7 ' INSPECTION TYPE DATE INSPECTOR
BUILDING FIELD INSPECTION RECORD
FOUNDATION
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY INSPECTION REQ. IF INSPECTOR'S DATE CHECKED APPROVAL
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP
SHEATHING STRUCTURAL CONCRETE
FRAME OVER 2000 PSI
EXTERIOR LATH lNSULATION PRES TRESSED
CONCRETE
INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE
PLUMBING FIELD WELDING
SEWER AND BL/CO HIGH STRENGTH
PLUMBING UNDERGROUND BOLTS
PLUMBING TOP OUT SPECIAL MASONRY
TUB AND SHOWER PAN ' i
GAS TEST I PILES CAISSONS
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
----
BONDING
G, F, L -SMOKE DETECTOR
MECHANICAL ------
DUCT & PLEM,, REF, PIPING
HEAT -AIR COND, -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED, / -----
A
JOB SITE FINAL ✓ • \ -✓ I
PLUMBING (/\\ ~"1"1'
ELECTRICAL ,<'1)7 ';X'
MECHANICAL ,, , / H'/', ------------
GAS I.Y (); V
--
BUILDING -l 'V
SPECIAL CONDITIONS -
CERT OF OCCUPANCY ISSUED