CITY OF OCEANSIDE
DEVELOPMENT SERVICES
300 N COAST HIGHWAY, City of Oceanside CA 92054
BUILDING INSPECTIONS (760) 435-3925
Applied Date:  6/27/2019
Expiration Date: 
Permit No:  BLDG19-2574
Permit Type:  BLD TI RESTAURANT
Site Address:  339 N CLEVELAND ST OCEANSIDE Site APN:  1471611100
Subdivision:  Site Block: 
Site Lot:  Valuation:  $200,000.00
Site Tract:  Permit Status:  ISSUED
Description of Work:
+TI - "Carte Blanche Bistro & Bar"
 
Contractor: CLTVT
Address: 1920 ALVARADO STREET
OCEANSIDE CA 92054
Phone: (760) 990-3499
Technical Information:
CaptionValue
PLAN ID # 
PERMIT # 
BIN #J-5
FIRE SPRINKLER 
FLOOD ZONEX
REDEV AREA 
COASTAL ZONE 
OCC GROUPB
SAND OIL INTRCPTR 
TYPE CONST 
OCC LOAD 
EXISTING BLDG SF 
UNITS0
STATE CODE EDITION2016
GREASE INTRCPTR 
BLDG SF4277
NO STORIES0
ELECTRIC RELEASED BYBING COSBY
NOTIFIED SDGE BY 
DATE ELECTRIC RELEASED12:00:00 AM
ELECTRIC RELEASE TYPE 
TYPE OF BUILDING 
GAS RELEASED BYBING COSBY
NOTIFIED SDGE BYEMAIL
DATE GAS RELEASED1/9/2020
GAS RELEASE TYPENEW (NEW SERVICE)
WDID # 
 
Owner:  PELICAN L23 OCEANSIDE LLC
Address:  1300 QUAIL ST #100
NEWPORT BEACH CA 92660
Phone:  (949) 833-0222
 
 
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
555 METER RELEASE 12/31/2019 
**915 FINAL COMMERPARTIAL2/7/2020BING COSBY
50 PRECON   
120 FOOTINGS   
415 PLB UNDERGROUNDPASS10/15/2019BING COSBY
505 ELEC UNDERGROUND   
315 FRAMEPASS11/25/2019BING COSBY
340 SHEAR & DIAPRAGM   
425 PLUMB ROUGHPASS11/6/2019BING COSBY
455 MECH ROUGHPASS12/17/2019BING COSBY
525 ELECT ROUGH   
620 INSULATION   
715 WALL BOARDPASS11/1/2019BING COSBY
750 T BAR CEILINGPASS1/30/2020BING COSBY
490 GAS TESTPASS12/5/2019BING COSBY
555 METER RELEASEPARTIAL12/24/2019BING COSBY
900 FIRE FINALPASS2/10/2020RON OWENS
991 LANDSCAPING   
992 STREET LIGHTING   
993 ENGINEERING   
996 WATER UTILITIESPASS11/1/2019JEFF PRICE
555 METER RELEASEPASS12/26/2019BING COSBY
**915 FINAL COMMERNOT READY6/23/2020BING COSBY
310 FRAME (W/M.P.E)PASS11/12/2019BING COSBY
525 ELECT ROUGHPASS11/12/2019BING COSBY
715 WALL BOARDNOT READY11/12/2019BING COSBY
715 WALL BOARDPASS12/9/2019BING COSBY
455 MECHANICAL ROUGHPASS12/23/2019BING COSBY
210 CMU REBARPASS10/21/2019BING COSBY
210 CMU REBARPASS10/22/2019BING COSBY
425 PLUMB ROUGHPASS12/2/2019BING COSBY
455 MECHANICAL ROUGHPASS12/2/2019BING COSBY
525 ELECT ROUGHPASS12/2/2019BING COSBY
705 WALL BOARDPASS12/2/2019BING COSBY
705 WALL BOARDPASS12/10/2019BING COSBY
705 WALL BOARDPASS12/16/2019BING COSBY
705 WALL BOARDPASS12/17/2019BING COSBY
555 METER RELEASEPASS1/9/2020BING COSBY
455 MECHANICAL ROUGHPASS1/15/2020BING COSBY
**915 FINAL COMMERPASS6/26/2020BING COSBY
555 METER RELEASEPASS1/21/2020BING COSBY
Fees:
DescriptionAmountReceipt #Paid Date
TEMP CERT OF OCCUPANCY$399.85129277612/27/2019
TEMP CERT OF OCCUPANCY$31.84129277612/27/2019
TEMP CERT OF OCCUPANCY$399.85132780302/10/2020
TEMP CERT OF OCCUPANCY$31.84132780302/10/2020
RESUBMITTAL$222.00129278312/27/2019
PLN-REVIEW OF BUILDING PERMIT$158.00114557006/27/2019
TI NON STRUCT FIRE PLCK$602.11114557006/27/2019
TI NON STRUCT RESTAURANT PLAN CHECK$3,010.57114557006/27/2019
WTR PLAN CHECK REST NONSTRC TI$451.59114557006/27/2019
PERMIT IMAGING SURCHARGE$5.00121695809/20/2019
PLAN IMAGING SURCHARGE$189.00121695809/20/2019
COMMERCIAL SMIP$84.00121695809/20/2019
GENERAL PLAN SURCHARGE$531.60121695809/20/2019
PERMIT TECHNOLOGY SURCHARGE$106.32121695809/20/2019
SB 1473 GREEN TAX$8.00121695809/20/2019
TI NON STRUCT FIRE INSP$1,063.21121695809/20/2019
TI NON STRUCT RESTAURANT PERMIT$5,316.03121695809/20/2019
HOURLY PLAN REVIEW FEE$213.79131347601/23/2020
RESUBMITTAL$222.00121695809/20/2019

TOTAL FEES: $13,046.60
TOTAL FEES PAID: $13,046.60
TOTAL FEES DUE: $0.00
*BLDG19-2574*