HomeMy WebLinkAbout2310 HOSP WAY; 158; CB910459; PermitB U I L D I N G P E R M I T Permit
Project
Developmen
No : CB 91 'l 4 5 9
No: A9100!:>54 03/14/91 15:44
Page 1 of 1
Job Address: 2310 HOSP WY
Permit Type: MISCELLANEOUS
Parcel No: 167-250-41-0b
Valuation: 0
Construction Type: NEW
Str: Fl: Ste
Occupancy Group: Class Code:
Description: PLMBG/ELEC FOR LAUNDRY/KITCHEN
Appl/Ownr : NEW DESIGN REMODELING
5928 PASCAL COURT #200
CARLSBAD, CA 92008
*** Fees Required *** ***
Fees:
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee
* MISCELLANEOUS T
,30. 0
>
619
.,.
Vf!__1~~1
.:, ,, ISS:.JED
Applied: 03/14/91
Apr/Issue: 03/14/91
Validated By: DC
431-2800
~lected & Credits
.00
,00
30.00
***
Ext fee Data
30.00 PLBG/EI
30.00
L APPROVAL
INSP. ---1'-'a::;..__,-DATE tf✓,~-'il
CLEARANCE_~ ......... ~----
CITY OF CARLSBAD
2075 Las Pal.mas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION ~ V
City of Carlsbad Building Department
EST. VAL. ______ =-"'=-----2075 Las Palmas Dr., Carlsbad, CA 92009 1619) 438·1161
PLAN CK OEPOSIT,_~_.,.~C::::. ..---_______ _
1. PERMIT TYPE
VALID. err....,.,,...,::::....----_________ _
DATE ~,<.,-::._ ___________ _
' A COMMERCIAL TENANT IMPROVEMENT
' 0 HIOUSTRIAL 0 TENANT IMPROVEMENT
C 0 RES IDHHI AL 0 APARTMENT □CONDO □SINGLE FAMILY Ql,IELLING QADDITION/ALTERATIOf.l
□DUPLEX □DEMOLITION □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING
□MECHANICAL □POOL □SPA □RETAINING WALL □SOLAR O0TKER
2. PROJECT INFORMATION PLAN CHECK NO. F
Address Building or Suite No. 2310 Hosp Way, CArlsbad 158
Nearest cross Streets El Camino Real
LEGAL--DESCRIPTION Lot No. Subdiv1s1on Name/Nl.ll'ber Unit No. Phase No.
CHECK BELOW IF SUBMITTED:
3.
Q2 Energy Cales 02 Structural Cales D 2 Soi ls Report
ASSESSOR IS PARCEL
D 1 Addressed Envelope
£)(!STING USE PROPOSED USE
Plumbing and Electrical for laundry and kitchens.
BLDG, S0, FTG,
CONTACT PERSON
NAME Keith Smith
CITY Carlsbad
SIGNATURE
# OF STORIES
ADDRess592s Pascal Court, Suite 200
STATE CA m coo,92008 DAY TELEPHONE ( 619) 431-2800
4. APPLICANT .
NAME New ·neisgn 'W:ot1,TR,\CT;OR n AGENT FOR CONTRACTOR no.mER RmOcte.11ng & Const. ADDREs~928--Pascal 0 AGENT FOR OWNER Court, Suite 200
Cl TY Carlsbad STATE CA
5. PROPERTY OWNER Oo!NER
NAME Hosp Way Limited
Cl TY Los Angeles STATE CA
ZIP ccxl/2008
ADDRESS 1990
ZIP cooe90025
DAY TELEPHONE ( 619) 431-2800
□LESSEE Westwood Blvd., [;TENANT suite 300
DAY TELEPHONE ( 213) 474-1720
6. CONTRACTOR
7.
NAME New Design Remodeling & Const.
c1rY Carlsbad STATE CA
545075
SIGNATURE
DESIGNER NAME
CITY
WORKERS' COMPENSATION
STATE
AooRes592s Pascal
ZIP ccx92008
Court, Suite 200
DAY TELEPHONE (619) 431-2800
LICENSE CLASS -~B~---
TITLE Nt1 r,
CITY BUSINESS L!C. #4 ,~3~7~9=5~4~----
ADDRESS
Z!P COOE
DATE 3 '/
DAY TELEPHONE STATE LJC. #
Workers• c~nsation Declaration: hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of workers' C~nsat ion Insurance by an adni t ted insurer, or an exact copy or dupl i cate thereof certified by the Di rector of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
73WC008402-00019
INSURANCE COMPANY Nationwide Insurance POLICY NO. 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 subject to the Workers' C~nsation Laws of California.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
O.iner·Builder Declaration: I hereby affirm that I am exempt from the Contractor's License La.i for the follo.iing reason:
DI as owner of the property or my employees .iith .iages as their sole compensation, .iill do the .iork 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 o.iner of property .iho builds or improves thereon,, and who
does such work himself or through his o.in employees, provided that such improvements are not intended or offered for sale. !f, ho.iever, the building
or improvement is sold .iithin one year of c~letion, the o.iner·builder .iill have the burden of proving that he did not build or improve for the purpose
of sale.).
D I, as o.iner 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 o.iner of property .iho builds or improves thereon, and contracts for such projects .iith contrac:tor(s)
licensed pursuant to the Contractor's License La.i).
D I am exelll)t under Section ___________ Business and Professions Code for this reason:
(Sec. 7.031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any struc:ture,
prior to its issuanc:e, also requires the applicant for suc:h permit to file a signed statement that he is lic:ensed pursuant to the provisions of the
Contractor's License La.i (Chapter 9, coomencing .iith section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom,
and the basis for the alleged eKemption. 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 [$5001 ) .
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-USIOENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to sul::niit a business plan, acutely hazardous materials registration form or risk management and prevention
program vnder 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'
0YES 0NO
!s the facility to be constructed ~ithin 1,000 feet of the outer boundary of a school site?
□YES 0,0
IF ANY OF THE ANSIERS ARE YES, A FINAL CERTIFICATE OF OCOJPANCY MAY NOT BE ISSUEO AFTER JULY 1, 1969 UNLESS THE APPLICANT KAS MET OR IS MEETING THE REQUIREN:NTS
OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL OISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of the .iork for which this permit is issued (Sec 3097(i) 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 la.is 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, JWGNENTS, COSTS ANO EXPENSES WHICH NAY IN ANY WAY ACCRUE AGAINST SAIO
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall eKpire 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 .iork authorized by such permit is suspended
or abandoned at any time after the .iork is corrrnenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'S SIGNATURE □ O.INER ,:i CONTRACTOR □ SY PHONE APPROVED BY; _______ _
DATE: __________ _
WHITE: File YELLOW: Applicant PINK: Finance
PERMIT# CB910459
DESCRIPTION: PLMBG/ELEC FOR
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 05/14/91
LAUNDRY/KITCHEN
INSPECTOR AREA PK
PLANCK# CB910459
OCC GRP
TYPE: MISC
JOB ADDRESS: 2310 HOSP WY
APPLICANT: NEW DESIGN REMODELING
CONTRACTOR:
OWNER:
REMARKS: MH/KEITH/431-2800
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
LVL DESCRIPTION
PERMIT# TYPE
CB910458 MISC
CD
29
39
PL Final Plumbing
EL Final Electrical
CONSTR. TYPE NEW
STR: FL: STE: J,S-"('
PHONE: 619 431-2800
PHONE:
PHONE: n
INSPECTOR _-_·f'ti.___-_·· _______ _
STATUS
ISSUED
ACT COMMENTS
@---
***** INSPECTION HISTORY*****
DATE
032191
032191
DESCRIPTION
Rough Electric
Rough/Topout
ACT INSP
AP PK
AP PK
COMMENTS
#158
#158