HomeMy WebLinkAbout2310 HOSP WAY; 258; CB901499; PermitB U I L D I N G P E R M I T
09/14/90 15 :47
Permit No: CB901499
Project No : A9001674
Development No: Page 1 of 1
Job Address: 2 310 HOSP WY Str: Fl: Ste: C/e[Yl{
Permit Type : MISCELLANEOUS
Parcel No: 167-250-41-l)lt
Valuation: O
Construction Type: NEW
Occupancy Group: Class Code:
Description: PLUMBING & ELEC~RICAL FOR LDRY
: AND KITCHENS ~5~
HOSP WAY LIMITED OWNER
CONTRACTOR NEW DESIGN REMODEL I NG-& GONS
5928 PASCAL CT
CARLSBAD, CA 92008
*** Fees Required *** **
Fees:
Adjustments :
Total Fees:
Fee description
Miscellaneous Fee 1
* MISCELLANEOUS T At
30.00
.00
30 .00
>
8105 09/14/90 0001 v ••
~-p~~T 30
Status: ISSUED
Applied : 09/14/90
Apr/Issue:
Validated By : DC
Lie. OWNER
Lie . C 437954 619-431-2800
.00
.00
30.00
***
Ext fee Data
30 .00 PL/EL/K/
30.00
PPROVAL
INSP. _..__ DATE /a 3 1-~
CLEARANCE--.errt:-J,,;tk-4~--
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION
•
City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Pal mas Dr., Carlsbad, CA 92009 (619) 438-1161
1.
✓•
B
C
2.
,.PERMIT TYPE .
COMMERCIAL TENANT IMPROVEMENT
0 INDUSTRIAL □TENANT IMPROVEMENT
□RESIDENTIAL 0 APARTMENT ~CONDO □SINGLE FAMILY DWELLING x]ADDITION/ALTERATION
□DUPLEX □DEMOLITION □RELOCATION □MOBILE HOME iflELECTRICAL li!PLUMBING
0 MECHANICAL □POOL □sPA □RETAINING WALL □SOLAR ODTIIER
PROJECT INFORMATION PLAN CHECK
Address 231.0 Hosp Way: earl.shad, CA
Nearest cross Streets El CAmino Real
No.
PLAN CIC DEPOSIT ___________ _
VALID. BY ____________ _
DATE _______________ _
LEGAL DESCRIPTION Lot No. Sutx:liv1S1on Name/Nunt>er Unit No. Phase No.
CHECK BELOM IF SU8MITTEO:
3.
4.
5.
6.
Qz Energy Cales pz Structural Cales qz Soils Report
ASSESSOR'S PARCEL
0 1 Addressed Envelope
EXISTING USE PROPOSED USE
Install Plumbing & electrical for Laundry hook-ups for units.
BLDG. SQ, FTG. # OF STORIES
CONTACT PERSON
""' Keith Smith
CITY carlsbad
SIGNATURE
APPLICANT ~ON TRACTOR
Remodeling
STATE CA
ADDRESS
ZIP CODE
0 AGENT FOR CONTRACTOR
& Construcii0l,ji5
5928 Pascal Court:
92008 DAY TELEPHONE
suite 200
(619) 431-2800
□OWNER 0 AGENT FOR OWi.ER
5928 Pascal Court NAME
CITY
New Design
carlsbad STATE CJ\ ZIP CODE 92008 DAY TELEPHONE (EilV) 431 :11100 PROPERTY OWNER
NAME
CITY
Hosp Way Limited
Las Angeles CONTRACTOR
OWNER
STATE CA
ADDRESS
ZIP CODE
NAME New Design
carlsbad
ADDRESS Remodeling & Construction
CITY STATE CA ZIP COOE
QLESSEE
1990 Westwood Blvd.,
92025 DAY TELEPHONE
□TENANT
suite 300
(213) 414-1720
5928 Pascal
92008
Court: Suite 200
DAY TELEPHONE ( 619) 431-2800
STATE LIC. # 545075
SIGNATURE
LICENSE CLASS ---~B~-
TI TLE
CITY BUSINESS LIC. # I 116900
DATE
DES I GNER NAME
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE STATE UC. #
7. WORKERS' COMPENSATION
8.
Workers' Compensat100 Declaration: hereby affirm that I have a certificate of consent to self·msure issued by the Director of Industrial Relations,
or a certificate of Workers' Compensation Insurance by an aalli tted insurer, or an exact copy or duplicate thereof certified by the Di rector of the
insurer thereof filed with the Building Inspection Department (Section 380Q. Lab, C). . • 13 WC
INSURANCE COMPANY Rat1.onw1.de Mutual POLICY NO. 008402 0001 EXPIRATION DATE 6-28-91
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 si.tiject to the Workers' C~nsation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I as owner of the property or my errployees with wages as their sole c~nsation, wi LL 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 owner of property who bui Ids 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 i!l'Provement is sold within one year of c~letion, the owner-builder wilt 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 Contractor's License Law).
0 I am e,-;empt under Section ___________ Business and Professions Code for this reason:
(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 permtt to file a signed statement that he is licensed pursuant to the provisions of the
Contractor's license Law (Chapter 9, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is e,-;empt therefrom,
and the basis for the alleged exemption. Any violation of Section 7D31.5 by any applicant for a permit subjects the applicant to a civil penalty of not
roore than five hundred doi l ars ($500] ) •
SIGNATURE DATE
COMPLETE THIS SECTION FOi!. NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to sulxnit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 255D5, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES □NO
Is the facility to be constructed within 1,0DO feet of the outer boundary of a school site?
□YES D•o
IF Alff OF TffE MSWERS ARE YES, A FINAL CERTIFICATE OF OCaJPANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS TIE APPLICANT tlAS NET OR IS MEETING THE REQIJIRENElfTS
OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
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 LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE
J certify that I have read the application and state that the above information is correct. [ agree to comply with all City ordinances and State laws relating
to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO
AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, Jllll14ENTS, COSTS AND EKPENSES WHICH NAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT.
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 is not coomenced within 180 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 the work is conmenced for a period of 180 days (Section 303(d) Uniform Building Code).
□ 0\,/NER 6c}CONTRACTOR Oar PHONE APPROIIED BY~ ______ _
DATE:
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB901499 FOR 10/30/90
DESCRIPTION: PLUMBING & ELECTRICAL FOR LORY
AND KITCHENS #258
TYPE: MISC
JOB ADDRESS: 2310 HOSP WY
APPLICANT: NEW DESIGN REMODELING
CONTRACTOR: NEW DESIGN REMODELING & CONS
OWNER: HOSP WAY LIMITED
PHONE:
PHONE:
PHONE:
INSPECTOR AREA PK
PLANCK# CB901499
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
619 431-2800
619-431-2 00
REMARKS: T2/RS/KEITH/431-2800
SPECIAL INSTRUCT: Ta'
INSPECTOR-~/ _________ _
7
BA
TOTAL TIME:
CD
29
39
LVL DESCRIPTION
PL Final Plumbing
EL Final Electrical
ACT COMMENTS
------------------
DATE
0928 90
092890
DESCRIPTION
Rough Electric
Rough/Topout
***** INSPECTION HISTORY*****
ACT INSP
AP PK
AP PK
COMMENTS