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Home My WebLink About2245 HOSP WAY; H; CB981034; PermitB U I L D ~ O<t/1J/9ti 11:JU N G P E R M .!. T Permit ~<': lB'-JblJ Jl Project Ne,: A980l Jbl:t DEwelC't)ment No: Paqe l of ! Job Ad ire.3S: 2245 HOSP wY Permit Typ,=.: MI!:>CELLANEOUS Parcel No: 167-250-3S-uu Valuation: o Suite: H Lot#: 5934 04/13/98 0001 01 C-PRMT 02 60-00 Occupancy Group: Reference#: Des~ription: FIRE DAMAGE REPAIR-WINDOWS,DWL : WALL HEATER,EXrlAUST FAN,INSULATION Appl/Ownr : RA HENRY 27403 YNEZ ROAD TEMECULA CA 92591 *** Fees Required Fees: Ad1ustmE>nts: "'otal Fees: fee description Miscellaneous Fee# * t-1ISCELLANEOUS TOT *** 9J9 Construction Type: Status: Applied: Apr/Issue: Entered By: 30!3-1269 NFW IS!:>UED 04/13/98 04/13/98 JM Ir.* A .00 ,00 b0.00 Ext feE> Data 60. uo PERM TT FE! bO.G(l ....,;:...---~---~~----~----- 1,NSP ........ · ~...a,,;,,... DATE/(-7£7 7 lcLEARANCE ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 .. PERMIT APPLICATION FOR OFFICE USE O~ PLAN CHECK NO. '+U'io f f EST. VAL. Plan Ck. Deposit (:; /J;,{/L) CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Validated By ~ Date. _____ ?q.....,~ ... '"'-.>C£:---'n£::..,· ,,_ ___ _ 1. PROJECT INFORMATION 2245 //os17 AAY Address (include Bldg/Suite #) 8 Business Name (at this address) Legal Description Subdivision Name/Number Unit No, Phase No. Total # of units /~7-260· 'b Description of Work / 2. CONT~~lN (If Ml~m applicant) Name 3. APPLICANT O Contractor 6, City 0 Agent for Owner 3'~/ L'-4/21.e. City 4. PROPERTY OWNER CA/1/110 &4'1F IL~ cl-=-#ff &TY ~Jlr J{/4,f. '9i-'.l44N5 5;r# 7.b Name ' Address City 6. CONTRACTOR • COMPANY NAME State/Zip Telephone# Fax# 6/ t'O State/Zip Telephone# 0//~ /L t,C>~t' S.tate/Zip Telephone# (Sec. 7031 .5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exe ption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). ~ a .,,:,3 ~z 'P STE. 02 ..-.. :t:: '2'91/ " SC>8 · /2~ Name Address City State/Zip Telephone# State License # 345'~~ 7 License Class __ __.8-=: _____ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6 . WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, ,@_ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, My worker's compensation insurance carrier and policy number are: Insurance Company $Ale: ,t:b/Y.O Policy No. Z?r· '/8 tl/1'1£ C)()/3-(~ Expiration Date Cl/. CJ/. '/'J (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: 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. WARNING: Failure to secure workers' compensation coverege is unlawful, and shall subject an employer to criminal penahies 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 attomey's fees. SIGNATURE. _____________________________ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 ow ner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, 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). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contract or's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1 , I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES O NO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan t o provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors 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 / address / phone number / type of work):. ________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIOENT1AL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ii/fl LENDER'S ADDRESS _______________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit not commenced witJ,in 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after e ark · co encell for a period of 180 days (Section 106.4.4 Uniform Building Code). DATE __ R......,~_-/;::.,::'?;_·,.,.'18:__ ___ _ WHITE: File YELLOW: Applicant PINK: Finance ' PERMIT# CB981034 DESCRIPTION: FIRE WALL TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 11/24/98 DAMAGE REPAIR-WINDOWS,DWL HEATER,EXHAUST FAN,INSULATION JOB ADDRESS: 2245 APPLICANT: RA HENRY CONTRACTOR: HOSP WY PHONE: PHONE: INSPECTOR AREA PS PLANCK# CB981034 OCC GRP CONSTR. TYPE NEW LOT: STE: H 909 308-1269 OWNER: PHONE: ~ INSPECTOR ~ REMARKS: C/BOB/ PM PLEASE SPECIAL INSTRUCT: WILL CALL THE INSPECTOR COMING DOWN FROM L.A. IN THE AM TO-S~E=T~U_P_,_M_E~E=T-I_N_G_T_I_M_E_._ TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 19 ST Final structural ~ Cl £? _ _,..h_,...,L..<.'/1-'---'-'t''--"'[---"-t:--''J):...._ ______ _ 29 PL Final Plumbing I f_ 1 39 EL Final Electrical _4_9_ M_E _F_i_n_a_1_M_e_c_h_a_n_i_c_a_1_______ ============================== ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS 111098 Final Combo CA PS BY CONTRACTOR 051298 Insulation AP PS 042398 Rough/Topout AP PS 042398 Rough Electric AP PS 042398 Rough/Ducts/Dampers AP PS / ·~' /~7-z4>.13"'· I , : lfl'-f'lli1i.1 i .... ' i !~ff: 1c~1A1~ fiffere. 4L~ r · /t1~~~~rfft1-, : .:::'fr~ 1" ~-,~/IP . . ' I ' ' : ' I I I , W/KPl?""t' } ~ • . : . ! ; , ' I i I : : 1/t£rsv~/4t'-: /ill 1/1 · 1 ' . I I ' I P#'ikJAU. i12~ 1/1 I . ! , ·--' • I • I ;WA?t. //tttJtt!)-t : -. ' . : . . ' i. : . -el</IIJll)f r~ -:1 ' 1'fl~ -1 I L)l.v -. l 1?t#J(~ I ~ltGt~/ -1 i ' ·•···· I I __ ,_ I- ,· ' . ' i ; ~l/(:,,W?.',11//lf'/t,()_Nf/ I'~· ! i . ' ' ' i ' ' •, .. : ~~ WI!'# --. -. - .I I_ I ,_ --1-· '· _; ' I I ' 1 I ·. I ' '_ -!- I I. l. '- I ' ·, ' i af2zYo:1f ' ' j_ '~-·.-_·-_--_ . . ~ 09/25/1995 23:04 'j0930812tl3 R. A. HENRY CO. P.O. Box 83!S Glendora, CA 91740 (818) 963-9488 (818) 3!1!1-1800 SCOPE 04/03/98 Client: CAMINO POINTE VILLAGE Address: 2275 Hosp Way Suite A Carlsbad, CA 92008 Property Addr: 2245 Hosp Way Apt, #H Carlsbad, CA 92008 Contact: Bernie Buggs -Senior Site Mgr Estimate: CAMINOPOINTE FIRE DAMAGE REPAIR ESTIMATE 0350TE ------·-·····-··'"--·-· --·----------~ PAGE Dl Bus. Ph: (760)434-6075 Fax: (760)434-7059 Bus. Ph: (760)434-6075 NOTE: Estimate done without the benefit of detailed structrual engineering plans and specifications. Any unforeseen instructions by a structural engineer would be extra to this bid. NOTE: This estimate does not include any building code corrections, plans or plan check, NOTE: Any asbestos discovered on job sight would have to be removed by a licensed asbestos removal contractor and would be extra to this bid, NOTE: R,A. HENRY COMPANY is not responsible for damage to landscaping due to construction repairs. NOTE: Prices valid for 30 days. \ ; 0.... t' '\"" \,'.:I~-> j ,. ----. ;' ' ,.., (''• l"\l J. J