CITY OF OCEANSIDE
DEVELOPMENT SERVICES

300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  12/23/2016
Expiration Date: 
Permit No:  BLDG16-3747
Permit Type:  BLD TI MEDICAL
Site Address:  2210 MESA DR OCEANSIDE, CA 92054 Site APN:  1451700200
Subdivision:  BUTLER GROVES & GLEICHNER ADD Site Block: 
Site Lot:  Valuation:  $1,585,000.00
Site Tract:  Permit Status:  FINALED

Description of Work:
NC HEALTH SERVICES COM-TI
 
Contractor: JOHNSON & JENNINGS INCORPORATED
Address: 6165 GREENWICH DRIVE
SAN DIEGO CA 92122
Phone: (858) 623-1100
Technical Information:
CaptionValue
PLAN ID # 
PERMIT # 
BIN #Q-4
FIRE SPRINKLER1
REDEV AREA 
FLOOD ZONEX
COASTAL ZONE 
OCC GROUPB
SAND OIL INTRCPTR 
TYPE CONSTVB
OCC LOAD 
UNITS0
EXISTING BLDG SFA-3,064 AND B-7,533
STATE CODE EDITION2013
GREASE INTRCPTR 
BLDG SF11241
NO STORIES1
ELECTRIC RELEASED BYJAMES BABCOCK
NOTIFIED SDGE BYEMAIL
DATE ELECTRIC RELEASED8/24/2017
ELECTRIC RELEASE TYPEREW (REWIRE)
TYPE OF BUILDINGCOM (COMMERCIAL)
GAS RELEASED BY 
NOTIFIED SDGE BY 
DATE GAS RELEASED12:00:00 AM
GAS RELEASE TYPE 
WDID # 
 
Owner:  NORTH COUNTY HEALTH PROJECT INC
Address:  150 VALPREDA RD
SAN MARCOS CA 92069
Phone:  
 
 
WORKERS COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND 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 PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
____ I have and will maintain a certificate of consent to self-insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
Policy No. 
____ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are:
Carrier:       Policy Number:       Expiration Date: 
____ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.
License No:    Expiration Date:    Contractor:    Class: 
Inspections:
TypeResultDateInspector
705 WALL BOARDPASS3/6/2018CHRIS BABCOCK
**920F FINALCORRECTIONS8/29/2018CHRIS BABCOCK
555 METER RELEASEPASS8/17/2017CHRIS BABCOCK
120 FOOTINGSPASS1/30/2018CHRIS BABCOCK
265 CONCRETE COLUMNSPASS2/22/2018CHRIS BABCOCK
315 FRAMEPASS3/6/2018CHRIS BABCOCK
50 PRECON   
120 FOOTINGSPASS1/9/2018CHRIS BABCOCK
415 PLB UNDERGROUNDPASS6/6/2017DAVID STURGILL
505 ELEC UNDERGROUND   
315 FRAMENO INSPECTION6/28/2017CHRIS BABCOCK
330 SHEAR & DIAPRAGMPASS6/28/2017CHRIS BABCOCK
425 PLUMB ROUGHPASS6/26/2017CHRIS BABCOCK
455 MECH ROUGHNOT READY8/16/2017CHRIS BABCOCK
525 ELECT ROUGHPARTIAL6/26/2017CHRIS BABCOCK
620 INSULATIONPASS8/2/2018CHRIS BABCOCK
715 WALL BOARDPASS7/14/2017DAVID STURGILL
750 T BAR CEILINGPASS3/26/2018CHRIS BABCOCK
490 GAS TESTPASS3/6/2018CHRIS BABCOCK
555 METER RELEASENOT READY8/16/2017CHRIS BABCOCK
995 FIREPASS12/6/2017RON OWENS
991 LANDSCAPING   
992 STREET LIGHTING   
993 ENGINEERING 9/10/2018 
995 FIREPASS4/4/2018RON OWENS
996 WATER UTILITIESPASS9/5/2018JOSE PRECIADO
997 PLANNING   
**915 FINAL COMMERCORRECTIONS12/7/2017CHRIS BABCOCK
995 FIREPASS6/19/2018RON OWENS
995 FIRE   
110 FOOTINGSPASS4/30/2018BING COSBY
900 FIRE FINAL   
750 T BAR CEILINGPASS8/23/2018CHRIS BABCOCK
730 LATHPASS7/25/2017CHRIS BABCOCK
310 FRAME (W/M.P.E)NOT READY8/16/2017CHRIS BABCOCK
555 METER RELEASEPASS8/23/2017CHRIS BABCOCK
310 FRAME (W/M.P.E)CORRECTIONS10/5/2017CHRIS BABCOCK
**915 FINAL COMMERPARTIAL4/5/2018CHRIS BABCOCK
415 PLB UNDERGROUNDPASS1/4/2018CHRIS BABCOCK
415 PLB UNDERGROUNDPASS1/17/2018CHRIS BABCOCK
415 PLB UNDERGROUNDPASS1/25/2018CHRIS BABCOCK
120 FOOTINGSCORRECTIONS1/29/2018CHRIS BABCOCK
120 FOOTINGSNOT READY1/29/2018CHRIS BABCOCK
210 CMU REBARPASS2/8/2018CHRIS BABCOCK
210 CMU REBARPASS2/14/2018CHRIS BABCOCK
525 ELECT ROUGHPARTIAL2/14/2018CHRIS BABCOCK
310 FRAME (W/M.P.E)CORRECTIONS2/15/2018CHRIS BABCOCK
425 PLUMB ROUGHCORRECTIONS2/15/2018CHRIS BABCOCK
315 FRAMEPASS2/16/2018CHRIS BABCOCK
425 PLUMB ROUGHPASS2/16/2018CHRIS BABCOCK
265 CONCRETE COLUMNSNO INSPECTION2/21/2018CHRIS BABCOCK
315 FRAMEPASS5/11/2018CHRIS BABCOCK
323 DIAPRAGM ROOFFAILED2/27/2018CHRIS BABCOCK
715 WALL BOARDPASS2/27/2018CHRIS BABCOCK
323 DIAPRAGM ROOFPASS3/1/2018CHRIS BABCOCK
620 INSULATIONPASS3/1/2018CHRIS BABCOCK
730 LATHNOT READY3/13/2018CHRIS BABCOCK
730 LATHPASS3/13/2018CHRIS BABCOCK
525 ELECT ROUGHPASS3/29/2018CHRIS BABCOCK
110 FOOTINGSPASS5/1/2018CHRIS BABCOCK
415 PLB UNDERGROUNDPASS5/2/2018CHRIS BABCOCK
322 DIAPRAGM SHEARPASS5/11/2018CHRIS BABCOCK
305 FRAME (W/M,P&E)CORRECTIONS5/16/2018CHRIS BABCOCK
425 PLUMB ROUGHPASS5/17/2018CHRIS BABCOCK
525 ELECT ROUGHPASS5/17/2018CHRIS BABCOCK
620 INSULATIONPASS5/17/2018CHRIS BABCOCK
705 WALL BOARDPASS5/23/2018CHRIS BABCOCK
730 LATHPASS5/23/2018CHRIS BABCOCK
425 PLUMB ROUGHPASS6/1/2018CHRIS BABCOCK
455 MECHANICAL ROUGHPASS6/1/2018CHRIS BABCOCK
750 T BAR CEILINGPASS6/12/2018BING COSBY
750 T BAR CEILING 6/13/2018 
**915 FINAL COMMERCORRECTIONS6/19/2018CHRIS BABCOCK
495 PLB UNDERGROUNDPASS W/CONDITIONS7/13/2018TOM LOPEZ
115 FOOTINGSPASS7/17/2018TOM LOPEZ
210 CMU REBAR   
730 LATHPASS7/19/2018CHRIS BABCOCK
315 FRAMEPASS7/31/2018CHRIS BABCOCK
425 PLUMB ROUGHNOT READY7/31/2018CHRIS BABCOCK
322 DIAPRAGM SHEARPASS8/1/2018CHRIS BABCOCK
425 PLUMB ROUGHPASS8/1/2018CHRIS BABCOCK
705 WALL BOARDPASS8/3/2018CHRIS BABCOCK
455 MECHANICAL ROUGHPASS8/15/2018CHRIS BABCOCK
**915 FINAL COMMERNOT READY9/5/2018CHRIS BABCOCK
**915 FINAL COMMERPASS W/CONDITIONS9/6/2018CHRIS BABCOCK
**915 FINAL COMMERPASS9/10/2018CHRIS BABCOCK
Fees:
DescriptionAmountReceipt #Paid Date
TEMP CERT OF OCCUPANCY$399.8589808409/05/2018
TEMP CERT OF OCCUPANCY$31.8489808409/05/2018
TEMP CERT OF OCC INSP-EA ADD 30 DAYS$223.6373519303/06/2018
TEMP CERT OF OCC-EA ADD 30 DAYS PLAN CHK$31.8473519303/06/2018
TEMP CERT OF OCC INSP-EA ADD 30 DAYS$223.6373519303/06/2018
TEMP CERT OF OCC-EA ADD 30 DAYS PLAN CHK$31.8473519303/06/2018
TEMP CERT OF OCC INSP-EA ADD 30 DAYS$223.6378330404/30/2018
TEMP CERT OF OCC-EA ADD 30 DAYS PLAN CHK$31.8478330404/30/2018
TI STRUCTURAL MEDICAL PLAN CHECK$5,289.0449522912/29/2016
FIRE TI STRUCT MED PC$1,057.8149522912/29/2016
FIRE TI STRUCT MED INSP$2,438.3249522912/29/2016
PLN-REVIEW OF BUILDING PERMIT$158.0049522912/29/2016
TEMP CERT OF OCCUPANCY$399.8576400104/06/2018
TEMP CERT OF OCCUPANCY$31.8476400104/06/2018
PERMIT TECHNOLOGY SURCHARGE$243.8352555104/11/2017
GENERAL PLAN SURCHARGE 10%$1,219.1652555104/11/2017
TI STRUCTURAL MEDICAL PERMIT$12,191.6252555104/11/2017
PERMIT IMAGING SURCHARGE$5.0052555104/11/2017
PLAN IMAGING SURCHARGE$0.0052555104/11/2017
SB 1473 GREEN TAX$64.0052555104/11/2017
COMMERCIAL SMIP$476.0052555104/11/2017
TEMP CERT OF OCCUPANCY$399.8583068106/21/2018
TEMP CERT OF OCCUPANCY$31.8483068106/21/2018
TEMP CERT OF OCCUPANCY$399.8565471412/08/2017
TEMP CERT OF OCCUPANCY$31.8465471412/08/2017
BLD-CERTIFICATE OF OCCUPANCY$40.0090585509/13/2018
PLAN IMAGING SURCHARGE$333.0052599204/12/2017
PLAN CHECK TECHNOLOGY SURCHARGE$105.7852599204/12/2017
TEMPORARY METER RELEASE INSPECTION$267.6956767808/18/2017
TEMP METER RELEASE PLAN REVIEW$31.8456767808/18/2017

TOTAL FEES: $26,414.26
TOTAL FEES PAID: $26,414.26
TOTAL FEES DUE: $0.00
*BLDG16-3747*