CITY OF OCEANSIDE
DEVELOPMENT SERVICES
300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  7/25/2018
Expiration Date: 
Permit No:  BLDG18-2427
Permit Type:  BLD TI RESTAURANT
Site Address:  2693 VISTA WAY OCEANSIDE Site APN:  1651211900
Subdivision:  PARCEL MAP NO 10905 Site Block: 
Site Lot:  Valuation:  $150,000.00
Site Tract:  Permit Status:  FINALED
Description of Work:
"HNB RESTAURANT" TI - CHANGE FROM EX MEXICAN RETAURAUNT
 
Contractor: POTATO CONSTRUCTION INC
Address: 735 W DUARTE RD SUITE #301
ARCADIA CA 91007
Phone: (626) 298-9878
Technical Information:
CaptionValue
PLAN ID # 
PERMIT # 
BIN #I-5
FIRE SPRINKLER1
FLOOD ZONEX
REDEV AREA 
COASTAL ZONE 
OCC GROUPA2
SAND OIL INTRCPTR 
TYPE CONSTVB
OCC LOAD295
EXISTING BLDG SF 
UNITS0
STATE CODE EDITION2016
GREASE INTRCPTR1
BLDG SF8651
NO STORIES0
ELECTRIC RELEASED BY 
NOTIFIED SDGE BY 
DATE ELECTRIC RELEASED12:00:00 AM
ELECTRIC RELEASE TYPE 
TYPE OF BUILDING 
GAS RELEASED BY 
NOTIFIED SDGE BY 
DATE GAS RELEASED12:00:00 AM
GAS RELEASE TYPE 
WDID # 
 
Owner:  P K II EL CAMINO NORTH L P
Address:  C/O PROPERTY TAX DEPT
NEW HYDE PARK NY 11042
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
**915 FINAL COMMERPASS1/29/2020BING COSBY
INSPECTION 0 10/28/2019 
552 METER RELEASE 10/28/2019 
552 METER RELEASE 10/28/2019 
**915 FINAL COMMNOT READY12/31/2019BING COSBY
50 PRECON   
120 FOOTINGS   
415 PLB UNDERGROUNDPASS1/31/2019BING COSBY
505 ELEC UNDERGROUND   
315 FRAMEPASS2/12/2019BING COSBY
330 SHEAR & DIAPRAGM   
425 PLUMB ROUGHPASS1/31/2019BING COSBY
455 MECH ROUGHPASS4/18/2019BING COSBY
525 ELECT ROUGHPASS2/26/2019BING COSBY
620 INSULATIONPASS4/9/2019BING COSBY
715 WALL BOARDPASS2/26/2019BING COSBY
750 T BAR CEILING   
490 GAS TESTPASS1/31/2019BING COSBY
555 METER RELEASE   
900 FIRE FINALPASS12/31/2019RON OWENS
991 LANDSCAPING   
992 STREET LIGHTING   
993 ENGINEERING   
996 WATER UTILITIESPASS12/24/2019JEFF PRICE
**915 FINAL COMMERCORRECTIONS1/17/2020MARC PROSI
WTR GREASE INTER   
**915 FINAL COMMERNO INSPECTION1/15/2020BING COSBY
**920F FINAL 1/17/2020 
210 CMU REBARFAILED2/4/2019BING COSBY
525 ELECT ROUGHNO INSPECTION2/21/2019BING COSBY
750 T BAR CEILINGNO INSPECTION2/21/2019BING COSBY
210 CMU REBARPASS2/12/2019BING COSBY
315 FRAMEPASS2/12/2019BING COSBY
525 ELECT ROUGHPASS3/21/2019BING COSBY
750 T BAR CEILINGNOT READY3/21/2019BING COSBY
120 FOOTINGSFAILED4/16/2019BING COSBY
705 WALL BOARDPASS4/16/2019BING COSBY
120 FOOTINGSPASS4/18/2019BING COSBY
315 FRAMEPASS4/25/2019BING COSBY
455 MECHANICAL ROUGHPASS4/25/2019BING COSBY
455 MECHANICAL ROUGHPASS5/1/2019BING COSBY
455 MECHANICAL ROUGHPASS5/7/2019BING COSBY
455 MECHANICAL ROUGHPASS5/9/2019BING COSBY
**915 FINAL COMMERPARTIAL1/28/2020BING COSBY
Fees:
DescriptionAmountReceipt #Paid Date
HOURLY PLAN REVIEW FEE$106.90108202004/10/2019
PLN-REVIEW OF BUILDING PERMIT$158.0086171907/25/2018
WTR PLAN CHECK REST$610.7686171907/25/2018
TI STRUCTURAL RESTAURANT$4,071.7486171907/25/2018
TI STRUCT FIRE PLCK$814.3586171907/25/2018
TI NON STRUCT RESTAURANT PERMIT$8,103.7294940711/05/2018
TI NON STRUCT FIRE INSP$1,620.7494940711/05/2018
SB 1473 GREEN TAX$6.0094940711/05/2018
PLAN IMAGING SURCHARGE$84.0094940711/05/2018
PLAN CHECK TECHNOLOGY SURCHARGE$70.3794940711/05/2018
PERMIT TECHNOLOGY SURCHARGE$162.0794940711/05/2018
PERMIT IMAGING SURCHARGE$5.0094940711/05/2018
GENERAL PLAN SURCHARGE$810.3794940711/05/2018
COMMERCIAL SMIP$84.0094940711/05/2018
BLD-CERTIFICATE OF OCCUPANCY$40.00134310903/02/2020
RESUBMITTAL$222.0094940711/05/2018
TI STRUCTURAL RESTAURANT PERMIT$774.13129122412/24/2019
TI STRUCT FIRE INSPECTION$154.83129122412/24/2019

TOTAL FEES: $17,898.98
TOTAL FEES PAID: $17,898.98
TOTAL FEES DUE: $0.00
*BLDG18-2427*