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Home My WebLink About2310 HOSP WAY; 257; CB910458; PermitB U I L D I N G PERMIT Permit No: CB910458 03/14/91 15:51 Page 1 of 1 Job Address: 2310 HOSP WY Permit Type: MISCELLAl Parcel No: 167-250-41-18. Valuation: Construction Type: NEW Project No: A91005~3 Development No: St r : Fl : -t-: cJ.5 7 1386 03rt Cf!./ g 5"7 Occupancy Group: Class Code: st~-lb.1t rssu~B· Applied: 03/14/91 Apr/Issue: 03/14/91 Validated By: DC Description: PLBG/ELEC LAUNDRY AND KITCHEN Appl/Ownr : NEW DESIGN REMODELING 5928 PASCAL COURT 3200 CARLSBAD, CA 92008 Fees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee# * MISCELLANEOUS T *** 619 431-2800 llected & Credits *** .oo .oo 30.00 Ext fee Data Fl AL APPROVAL J INSP. G/ DATE cf,, 11 ' 30.00 PLMB/EL 30.00 CLEARANCE -cl ...... ·~------• CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION ~ V City of Carlsbad Building Department EST. VAL ___ ~,,,C.'-----------2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSll'.T,,,,_:_ ________ _ VALID. 1. PERMIT TYPE DATE ~,<--------------- A • COMMERCIAL 0 INDUSTRIAL TENANT IMPROVEMENT 0 TENANT IMPROVEMENT 2. □NEW 0 RESIDENTIAL O APARTMENT □DUPLEX □DEMOLITION □MECHANICAL □POOL □CONDO □SINGLE FAMILY DWELLING OADDJTJON/ALTERATI0N □RELOCATION □MOBILE Ht>IE □ELECTRICAL QPLUMBJNG □SPA □RETAINING WALL □SOLAR □OTHER PROJECT INFORMATION PLAN CHECK No. Address 2310 Hosp Way, CArlsbad Nearest Cross Streets El Camino Real 257 LEGAL DESCRIPTION Lot No. Subdivision Name/Nunber Unit No. Phase No. CHECIC BELClil IF SUBNITTED: Q2 Energy Cates 02 Structural Cales ASSESSOR'S PARCEL 02 Soils Repart 0 1 Addressed Envelope EXISTING USE Plumbing and Electrical for laundry and kitchens. BLDG. SQ. FTG. # OF STORIES PROPOSED USE 3. CONTACT PERSON 4. 5. 6. 7. 8. NAME CITY Keith Smith Carlsbad SIGNATURE APPLICANT NAME New oeisgn CITY Carlsbad PROPERTY OWNER NAME ittfoNTRACTOR R€inodeling & STATE CA ADDREss 5928 Pascal ZIP COOE 92008 0 AGHIT FOR CONTRACTOR □OWNER Const. ADDREsss928 Pascal STATE CA ZIP cooi92OO8 Court, Suite 200 DAY TELEPHONE ( 619) 431-2800 0 AGENT FOR Ow'NER Court, Suite 200 DAY TELEPHONE ( 619) 431-2800 Ow'NER ADDRESS 0 LESSEE 1990 Westwood Blvd., □TENANT Suite 300 CITY Hosp Way Limited Los Angeles STATE CA ZIP COOE 90025 DAY TELEPHONE ( 213) 474-1720 CONTRACTOR NAME CITY New Design Carlsbad Remodeling & Const. STATE CA ADDREss5928 Pascal ZIP C0092008 LICENSE CLASS---"~--- Court, Suite 200 (619) DAY TELEPHONE 431-2800 CITY BUS I NESS LI C. # ~4~J.;w7~9,::,5~4L----~5Li/l75 SIGNATURE ~ . 3 DATE "3 // t; / 1 / ~; DESIGNER NAME ADDRESS ZIP COOE CITY STATE DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION Workers' C~nsation Declaration: hereby affirm that! have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers• Coo-pensation Insurance by an aanitted insurer, or an e,rnct copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY Nationwide Insurance Pot1Tf~~ooa4 o2-oooi9 E)(PJRATION DATE 6 /28 /9] Certificate of Exeffl)tion: I certify that in the performance of the work for which this permit is issued, I shall not en-.:,loy any person in any manner so as to become subject to the Workers• Coo-pensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am e~empt from the Contractor's License Law for the following reason: DI 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 owner 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 c~letion, the owner-builder o1ill have the burden of proving that he did not build or irrprove for the purpose of sate.). D I, as owner of the property, am eKclusively contracting o1ith 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). D I am exeill)t 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 permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, cOllfllencing with section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred do l lars [$500] ) . SIGNATURE DATE Co-lPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: !s 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? □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? Oves □No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' □YES □NO If ANY Of THE ANSWERS ARE YES, A FINAL CERTIFICATE Of OCClPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET Oft JS JEETING TME REQUJtEME.NTS OF TME OfflCE OF EMERGENCY SERVICES AND TME 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(il Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE ! certify that I have read the application and state that the above information is correct. I 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 AND KEEP HARMLESS TME CITY OF CARLSBAD AGAINST ALL LIABILITIES, Jl.OGMENTS, COSTS AND E)(PENSES WHICH MAY IN ANY MAY 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 ff the building or work authorized by such permit is not c0111T1enced 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 CQ(IJTlenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNATURE □ OWNER CONTRACTOR □ BY PHONE APPROVED BY: _______ _ DATE: WHITE: File YELLOW: Applicant PINK: Finance , .. PERMIT# CB910458 DESCRIPTION: PLBG/ELEC LAUNDRY TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 05/14/91 AND KITCHEN JOB ADDRESS: 2310 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA PK PLANCK# CB910458 OCC GRP CONSTR. STR: FL: 619 431-2800 TYPE N~ STE:(& REMARKS: MH/KEITH/431-2800 SPECIAL INSTRUCT: INSPECTOR ___________ _ TOTAL TIME: --RELATED PERMITS-- LVL DESCRIPTION PERMIT# TYPE CB910459 MISC CD 29 39 PL Final Plumbing EL Final Electrical STATUS ISSUED ~OMMENTS ***** INSPECTION HISTORY***** DATE 032191 032191 DESCRIPTION Rough/Topout Rough Electric ACT INSP AP PK AP PK COMMENTS #257 #257